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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs) |
| Topic 2: Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
| Topic 3: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Topic 4: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Topic 5: Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Topic 6: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
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NEW QUESTION # 53
When collecting a blood specimen from a patient in an isolation room, the phlebotomist should place the collection tray:
Answer: B
Explanation:
When collecting a blood specimen from a patient in an isolation room, the phlebotomist should collect the needed supplies and place the collection tray at the nurse's station or in another secured area. The tray should not be left unattended in a public area. Any supplies taken into the isolation room are considered contaminated and cannot then be used for other patients, so they must be properly disposed of. Tourniquets used for isolation rooms should be dedicated to the patient or disposable.
NEW QUESTION # 54
The total number of bones in the adult body is:
Answer: C
Explanation:
There are a total of 206 bones in the adult human body. Babies are born with about 300 bones, which fuse during childhood.
NEW QUESTION # 55
After collecting a blood sample, a tube containing sodium citrate as an additive should be inverted:
Answer: A
Explanation:
After collecting a blood sample, a tube containing sodium citrate as an additive should be inverted 3-4 times rather than the 5-10 times required of other additives. Sodium citrate is an anticoagulant that binds to calcium, preventing blood clotting. Sodium citrate is preferred for coagulation tests (partial thromboplastin time [PTT] and activated partial thromboplastin time [aPTT]) because it best preserves coagulation factors. Tubes that contain sodium citrate have light- blue colored stoppers or black stoppers in special tubes used for the erythrocyte sedimentation rate. Shaking or inverting too much may activate the platelets, resulting in a shortened coagulation time.
NEW QUESTION # 56
Serum differs from plasma in that serum:
Answer: A
Explanation:
Serum differs from plasma in that serum does not contain fibrinogen and other clotting factors. Serum is the extracellular liquid portion of plasma, minus fibrinogen, clotting factors, and blood cells. However, serum does contain solutes (proteins, minerals, hormones, and gases) and is important as a source of electrolytes. Serum is the product of centrifugation of coagulated blood and consists of 90% water. Serum is commonly used for chemistry testing, except for potassium because potassium is released into the serum during the clotting process, resulting in a higher level than in plasma.
NEW QUESTION # 57
For blood cultures, if using iodophors for the main disinfectant, how long does it take for the iodophors to adequately disinfect the skin?
Answer: B
Explanation:
Iodophors take 90-120 seconds to adequately disinfect the skin for blood cultures. The usual procedure is to cleanse the skin with a 30-second friction rub with 70% isopropyl alcohol, allow the alcohol to dry completely, then apply the main disinfectant and let it dry for the time recommended by the manufacturer. If the phlebotomist needs to palpate the vein after applying the disinfectant, sterile gloves must be worn.
NEW QUESTION # 58
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