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| Section | Weight | Objectives |
|---|---|---|
| Collection of Blood and Non-Blood Specimens | 29% | - Order of draw and tube selection - Capillary puncture procedures - Non-blood specimen collection - Venipuncture techniques and procedures |
| Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Regulatory standards (OSHA, CLSI, HIPAA) - Professional conduct and communication |
| Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Site selection and preparation - Patient assessment and special considerations |
| Specimen Processing and Transportation | 10% | - Processing and quality assurance - Specimen labeling and documentation - Handling, storage and transport requirements |
| Infection Control and Safety | 16% | - Biohazard handling and disposal - Standard precautions and infection control - Needle safety and injury prevention |
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NEW QUESTION # 42
During venipuncture, the correct position for the needle is:
Answer: D
Explanation:
During venipuncture, the correct position for the needle is bevel up at a 30-degree angle to the skin. Inserting at too steep of an angle can result in the needle being inserted too far, and this increases the risk of damage to nerves and arteries. However, if the needle is not inserted deeply enough, it may miss the vein. This may occur in patients whose veins are especially deep or in patients who are markedly obese.
NEW QUESTION # 43
Which of the following actions by a phlebotomist should NOT result in a lawsuit for negligence?
Answer: D
Explanation:
The parent of a minor has the legal right to receive information about the child's tests, so providing this information should not result in a lawsuit. However, doing a fingerstick on a 6- month-old infant increases the risk of injury to the bone, and only heelsticks should be done on children younger than I year. Misidentifying a patient could result in a lawsuit if harm comes to the patient as a result. Lowering a bed rail and leaving it down increases the risk of patient fall and injury.
NEW QUESTION # 44
If a patient sitting in a chair has a generalized convulsive seizure during venipuncture, the appropriate response is to discontinue venipuncture and:
Answer: C
Explanation:
If a patient sitting in a chair has a generalized convulsive seizure during venipuncture, the appropriate response is to discontinue venipuncture and call for help to ease the patient to the floor in order to avoid patient injury. The patient should be placed on one side if possible, but movements should not be restrained, and nothing should be placed in the patient's mouth. If possible, a pillow or blanket should be placed under the patient's head and restrictive clothing should be loosened. The time that the seizure begins and ends should be noted and first-aid personnel should be notified.
NEW QUESTION # 45
Which of the following WBC counts is within the normal range of values?
Answer: B
Explanation:
The WBC count that is within the normal range of values is 8,000 cells/gL. The normal range is 4,300-10,800 cells/gL WBC counts vary with age, and some diurnal variation occurs, with the lowest levels in the morning and the highest levels in the late afternoon. Severe stress or physical exertion may result in a transient increase in WBC by 2,000-5,000 cells/gL. The WBC count is reported as an absolute number and the differentials as both absolute numbers and percentages.
NEW QUESTION # 46
All of the following are indicative of a UTI EXCEPT:
Answer: A
Explanation:
A positive nitrite test in conjunction with a positive leukocyte test is indicative of urinary tract infection (UTI): a urine culture positive for blood or protein is also indicative of UTI. Glucose in the urine may be indicative of diabetes mellitus.
NEW QUESTION # 47
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