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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing and Transportation | 10% | - Specimen processing procedures - Specimen labeling and documentation - Specimen transportation requirements |
| Collection of Blood and Non-Blood Specimens | 29% | - Patient recovery and adverse reactions - Venipuncture techniques - Non-blood specimen collection - Capillary collection techniques |
| Infection Control and Safety | 16% | - Safety protocols and equipment - Infection control procedures |
| Patient Identification, Assessment and Site Preparation | 17% | - Patient identification verification - Patient assessment - Venipuncture site preparation |
| Equipment Selection and Maintenance | 10% | - Equipment maintenance and care - Phlebotomy equipment selection |
| Professionalism and Regulatory Compliance | 18% | - Professional conduct and ethics - Regulatory compliance and standards |
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NEW QUESTION # 179
After collecting a blood sample, a tube containing sodium citrate as an additive should be inverted:
Answer: B
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 # 180
The PNS is composed of:
Answer: B
Explanation:
The peripheral nervous system (PNS) is located outside of the central nervous system (CNS) and is composed of the cranial nerves (except the optic nerve), the spinal nerves, and the autonomic nervous system. The spinal cord and brain (and the optic nerve) make up the CNS.
NEW QUESTION # 181
A patient with an order for blood tests has a clamped PICC line in the left arm, so the phlebotomist should draw blood from the:
Answer: B
Explanation:
A patient with an order for blood tests has a clamped peripherally inserted central catheter (PICC) line in the left arm, so the phlebotomist should draw blood from the right arm. Drawing blood from a vascular access device, such as a PICC line, is outside of the scope of practice of the phlebotomist: however, the phlebotomist may provide necessary collection tubes to a nurse or physician who accesses the PICC line and may transport the tubes. If a PICC line is in one arm, the opposite arm should be used for venipuncture if possible.
NEW QUESTION # 182
The preferred capillary puncture site for adults and children older than 1 year of age is
Answer: A
Explanation:
The preferred capillary puncture site for adults and children older than 1 year of age is the distal segment of the nondominant third or fourth finger (palmar surface). The nondominant hand tends to be less calloused than the dominant hand. The tip of the finger should be avoided, and the puncture should be made perpendicular to whorls. Capillary blood should not be obtained on the same side as a prior mastectomy without written permission of the physician.
NEW QUESTION # 183
Which of the following statements regarding arterial puncture is FALSE?
Answer: B
Explanation:
Only physicians or specially trained emergency room personnel are qualified to perform arterial puncture; a phlebotomist is not trained to perform this procedure. Patients should be checked for allergies and must be in a steady state: thus, a patient who is afraid of needles must be calmed before the procedure. The risk of hematoma is increased with arterial puncture.
NEW QUESTION # 184
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