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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Topic 2: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Topic 3: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| 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% | - Non-blood specimen collection (urine, swabs) - Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw |
| Topic 6: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
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NEW QUESTION # 76
A blood sample in a gray-capped evacuated collection tube should be inverted a minimum of:
Answer: C
Explanation:
A blood sample in a gray-capped evacuated collection tube should be inverted a minimum of 8 times to ensure that the additive mixes adequately with the blood specimen. The gray-capped collection tube is used for glucose testing. Additives can include potassium oxalate/sodium fluoride, sodium fluoride only, or sodium fluoride/Naz EDTA. Because glucose levels vary with food intake, patients usually fast for 8 hours prior to testing unless the order specifically indicates times, such as after meals.
NEW QUESTION # 77
The preferred venipuncture site is the:
Answer: D
Explanation:
Because the median cubital vein is close to the surface and located in an area least prone to nerve damage, it is the preferred site for venipuncture. The cephalic and median cephalic veins are the second choice. The basilic and median basilic veins are least preferred because of their proximity to the median nerve and brachial artery.
NEW QUESTION # 78
Which of the following POC tests is used to determine a patient's response to aspirin therapy?
Answer: D
Explanation:
The platelet function test is used to determine a patients response to aspirin therapy or other antiplatelet therapies. This test is also used to assess a patient's response to medications before cardiac catheterization or surgery. Platelet function tests can help clinicians assess and predict the risk of bleeding and of thrombosis associated with platelet dysfunction before, during, and after the procedures.
NEW QUESTION # 79
When venipuncture is performed in edematous tissue, the results will likely be:
Answer: B
Explanation:
When venipuncture is performed in edematous tissue, the results will likely be altered because the sample may contain tissue fluid. Additionally, veins are often harder to locate in edematous tissue, and bleeding may persist longer than usual. Edematous tissue is more prone to injury from the tourniquet because the tissue is stretched. Whenever possible, a nonedematous site should be used for venipuncture. If the edema is because an IV has infiltrated, the phlebotomist must notify the nurse immediately.
NEW QUESTION # 80
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 # 81
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