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| Section | Weight | Objectives |
|---|---|---|
| Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture procedures - Order of draw and tube selection - Non-blood specimen collection - Venipuncture techniques and procedures |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Patient verification and consent - Site selection and preparation |
| Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) |
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Infection Control and Safety | 16% | - Needle safety and injury prevention - Biohazard handling and disposal - Standard precautions and infection control |
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Processing and quality assurance - Handling, storage and transport requirements |
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NEW QUESTION # 135
When collecting a capillary blood sample after a fingerstick or heelstick, it is generally necessary to:
Answer: D
Explanation:
When collecting a capillary blood sample after a fingerstick or heelstick it is generally necessary to wipe away the first drop with a gauze pad because this first drop is likely to be contaminated and may contain some alcohol from the antiseptic, which may cause hemolysis or prevent the blood from forming drops. However, some point-of-care (POC) testing devices, such as those for glucose testing, recommend using the first drop, making them exceptions to the rule.
NEW QUESTION # 136
Which of the following is an appropriate method of applying pressure to stop bleeding after venipuncture in the antecubital area?
Answer: D
Explanation:
Applying a gauze pressure dressing is an appropriate method of applying pressure to stop bleeding after venipuncture in the antecubital area. The patient should be advised to keep the dressing in place for at least 15 minutes. Direct pressure may be applied for a few minutes by the patient (if monitored) or by the phlebotomist. Cotton and rayon balls should not be used to apply pressure to the venipuncture site because they may stick to the wound and dislodge the platelet plug.
NEW QUESTION # 137
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: D
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 # 138
All of the following are blood gas values EXCEPT:
Answer: C
Explanation:
Although values for hematocrit (Hct) are often measured by blood gas analyzers, Hct is not a blood gas value; it is part of a complete blood count (CBC). Bicarbonate (HC03), PH, and partial pressure of carbon dioxide (pC02) are all blood gas values.
NEW QUESTION # 139
Which of the following is NOT a reason to avoid removing stoppers from blood specimen tubes prior in the precentrifugation period?
Answer: D
Explanation:
Removing the stoppers from blood specimen tubes during the precentrifugation period can result in an increase-not a decrease-of pH because of a loss of carbon dioxide (COD. Other problems that may occur if a stopper is removed are due to evaporation of the specimen, which can result in concentration and possibly alter the test results. An opened specimen container also always runs the risk of contamination. Containers should be maintained in an upright position with the stoppers in place.
NEW QUESTION # 140
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