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| Section | Weight | Objectives |
|---|---|---|
| Special Collections | 12% | - Blood alcohol & legal collections - Therapeutic drug monitoring - Pediatric & geriatric collections - Blood cultures & sterile collection - Glucose tolerance & dynamic tests |
| Safety and Compliance | 26% | - HIPAA & patient confidentiality - Quality control & error prevention - Bloodborne pathogens & exposure control - PPE & sharps disposal - Infection control & OSHA standards |
| Patient Preparation | 20% | - Site selection & preparation - Informed consent & communication - Patient identification & verification - Requisition review & test verification - Patient positioning & comfort |
| Routine Blood Collections | 28% | - Capillary puncture procedures - Order of draw & tube selection - Venipuncture techniques & equipment - Tourniquet use & vein assessment - Post-collection care & labeling |
| Specimen Processing & Handling | 14% | - Processing & centrifugation - Transport & storage requirements - Aliquoting & preservation - Specimen rejection criteria - Documentation & tracking |
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NEW QUESTION # 30
A phlebotomist is preparing to perform venipuncture on a patient who has had a right-sided mastectomy. Which of the following collection sites should the phlebotomist select?
Answer: C
Explanation:
The phlebotomist should select the left antecubital area because the patient has had a right-sided mastectomy. Venipuncture should generally be avoided on the side of a mastectomy due to the risk of impaired lymphatic drainage, lymphedema, infection, and delayed healing. The right cephalic and right basilic veins are on the affected side and should not be used unless a provider specifically authorizes collection from that side. The left femoral artery is not an appropriate routine phlebotomy site and arterial collection is outside standard venipuncture practice unless performed under specialized authorization and scope. The left antecubital area is the safest option listed because it uses the unaffected arm and provides standard venipuncture access. The technician should still assess vein suitability, avoid sites with IVs, edema, scarring, hematoma, or infection, and follow facility policy if no acceptable site is available. This question tests contraindicated sites and safe site selection, not simply vein-name recall. Reference topics: Routine Blood Collections; mastectomy precautions; venipuncture site selection; contraindicated sites; patient safety.
NEW QUESTION # 31
A patient calls about their laboratory results, which the phlebotomist has just retrieved from the office fax machine. Which of the following actions should the phlebotomist take?
Answer: D
Explanation:
The phlebotomist should give the report to the requesting provider to review and notify the patient. Laboratory results are protected health information and often require clinical interpretation. A phlebotomist should not independently review, interpret, or communicate diagnostic results unless facility policy specifically authorizes a defined action. Telling the patient the results directly can create legal, privacy, and clinical risks, especially if the result is abnormal or requires medical explanation. Asking a laboratory supervisor to interpret and report the results is also inappropriate unless that person is the authorized provider or designated reporting professional. Telling the patient to pick up results may violate release-of-information procedures and still bypass provider review. The safe workflow is to route the report to the ordering provider or authorized clinical team for interpretation, documentation, and patient notification. Reference topics: Processing Specimens; communication of results; confidentiality; HIPAA; scope of practice; postanalytical handling. NHA CPT competencies include legal responsibilities, patient confidentiality, documentation, and result communication workflows.
NEW QUESTION # 32
Which of the following PPE should a phlebotomist wear when there is a risk of blood splatter during collection?
Answer: D
Explanation:
When there is a risk of blood splatter, the phlebotomist should wear eye and face protection, such as a face shield or goggles with a mask. Standard gloves protect the hands but do not protect the mucous membranes of the eyes, nose, and mouth. Sterile gloves are not routinely required for standard venipuncture; clean gloves are typically used unless a sterile procedure is specified. Shoe covers are not the primary protection for facial splash exposure. An N95 respirator protects against airborne particles but does not replace splash protection unless combined with appropriate eye and face protection when needed. The correct PPE is based on anticipated exposure. A routine venipuncture may require gloves only, but procedures with splash risk require additional barriers. The phlebotomist must evaluate the procedure, patient behavior, specimen type, and environment before collection. PPE use also includes proper donning, removal, disposal, and hand hygiene after glove removal. Reference topics: Safety and Compliance; PPE selection; standard precautions; splash exposure; mucous membrane protection.
NEW QUESTION # 33
A phlebotomist is preparing to perform a phlebotomy procedure on a hospitalized patient. Which of the following steps should the phlebotomist take for the initial introduction?
Answer: C
Explanation:
The best initial introduction is to knock on the door, greet the patient, and introduce themselves. This sequence respects privacy, establishes professional presence, and begins communication before any technical identification or collection step. Entering quietly without first knocking may be inappropriate in a patient-care environment because the patient has a right to privacy and dignity. Turning on lights immediately can be abrupt, especially for hospitalized patients who may be resting, anxious, or ill. Checking the ID band is essential, but it follows professional entry and introduction. Checking the provider's prescription or order is important before collection, but it is not the interpersonal "initial introduction" step at bedside. The correct approach supports patient cooperation, consent, and safety. After introduction, the phlebotomist should verify the order, use two identifiers, explain the procedure, assess patient readiness, and obtain consent according to facility policy. Reference topics: Patient Preparation; therapeutic communication; patient rights; bedside approach; patient identification; consent. NHA's CPT test plan includes patient communication and preparation as a major domain.
NEW QUESTION # 34
Which of the following actions should a phlebotomist take to identify a patient who was admitted to a facility?
Answer: B
Explanation:
For an admitted patient, the phlebotomist should check the patient's identification band. Inpatient identification depends on matching the patient's wristband to the requisition or collection order using required identifiers, commonly full name and date of birth or medical record number. Stating the patient's name and date of birth for the patient to confirm is weaker because it allows passive agreement and does not require the patient to actively provide identifiers. Using the medical chart alone is not sufficient because charts can be misplaced, opened to the wrong patient, or outdated. Comparing the wristband to bedside equipment is also unsafe because equipment stickers may be incorrect, moved, or not patient-specific enough to serve as the primary identifier. The correct process protects against wrong-patient collection, mislabeling, transfusion risk, diagnostic error, and specimen rejection. Reference topics: Patient Preparation; inpatient identification; wristband verification; two patient identifiers; requisition matching; specimen labeling. NHA places patient identification and preparation procedures under core CPT exam domains.
NEW QUESTION # 35
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