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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Topic 2: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Topic 3: Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
| Topic 4: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Topic 5: Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture procedures and order of draw - Special collection procedures (blood cultures, glucose tolerance tests) - Capillary puncture techniques - Non-blood specimen collection (urine, swabs) |
| Topic 6: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
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NEW QUESTION # 86
Withdrawing blood from a VAD for noncoagulation studies requires:
Answer: B
Explanation:
Withdrawing blood from a vascular access device (VAD) for coagulation studies requires flushing the VAD lock with 5-10 mL preservative-free normal saline (NS) and drawing a discard tube, equal to W.ro times the dead space, before drawing the sample. For most central lines, 5 mL is adequate as the discard volume, although this may vary so the discard volume needed should always be verified. For coagulation studies, typically a discard volume of six times the dead space is recommended, although if drawing blood from a saline lock a discard volume of two times the dead space is adequate. After the specimen is obtained, the VAD is again flushed with 5-10 mL of preservative-free NS.
NEW QUESTION # 87
The phlebotomist is NOT required to use an N95 (or equivalent) respirator when entering the room of a patient with which of the following communicable diseases, even when the phlebotomist is not immune to the disease?
Answer: D
Explanation:
An N95 or equivalent respirator must be worn by all healthcare personnel entering the room of a patient known or suspected to have a disease that is spread through airborne transmission if the healthcare worker is not immune to the disease. These diseases include chickenpox, measles, COVID-19, and tuberculosis. Many healthcare facilities require the use of N95 or equivalent respirators by all personnel who may be exposed to these diseases even if they are immune due to vaccination or previous infection. However, for diseases that are spread through droplet transmission, such as influenza and the common cold, a surgical mask provides adequate protection.
NEW QUESTION # 88
The primary function of leukocytes is to:
Answer: C
Explanation:
The primary function of leukocytes (white blood cells) is to neutralize or destroy pathogens through phagocytosis (engulfing and destroying) or the production of antibodies. There are five types of leukocytes:
NEW QUESTION # 89
In a patient with an W, blood should NOT be drawn:
Answer: C
Explanation:
In a patient with an IV, blood should never be drawn from a site above the IV, as the specimen may become contaminated with IV fluid, causing erroneous test results. Venipuncture can be performed at a site distal to the IV, in a different vein than the one with the IV, or by capillary puncture.
NEW QUESTION # 90
Blood draws for a GTT in pregnancy are usually done at _______ after the test begins.
Answer: A
Explanation:
Blood draws for a GTT (glucose tolerance test) in pregnancy, which is done to screen for gestational diabetes, are usually done at I hour, 2 hours, and 3 hours after the test begins. Prior to beginning the timed portion of the test, a FBS (fasting blood sugar) is checked to ensure that the level is within a safe range. If so, the patient drinks the glucose solution within S minutes and the timed period of the test begins. The patient should be advised to eat no food and only drink water during the testing period. There are other variations of the GTT that require different testing intervals.
NEW QUESTION # 91
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