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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: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Topic 3: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Topic 4: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Topic 5: Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture procedures and order of draw - Special collection procedures (blood cultures, glucose tolerance tests) - Non-blood specimen collection (urine, swabs) - Capillary puncture techniques |
| Topic 6: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
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NEW QUESTION # 264
An indication that a localized infection has progressed to septicemia is:
Answer: C
Explanation:
An indication that a localized infection, which is characterized by erythema (redness), edema (swelling), and localized pain, has progressed to septicemia is a sudden onset of chills and fever. Patients may exhibit tachycardia (rapid heart rate) and tachypnea (rapid breathing) as well as nausea and vomiting. Without treatment, the patient may progress to confusion and coagulation disorders characterized by ecchymosis (bruising) and petechiae (red spots) on skin. Typical diagnostic studies include blood C&S, blood gases, CBC, and clotting studies.
NEW QUESTION # 265
If a patient has paralysis and lack of sensation in the right arm and hand, the best choice for venipuncture is:
Answer: A
Explanation:
If a patient has paralysis and lack of sensation in the right arm and hand, the best choice for venipuncture is any appropriate site on the left arm. With paralysis, muscle tone is lost, and this may cause some pooling of blood, increasing the risk of thromboses. Additionally, the lack of sensation means that if a nerve is inadvertently injured, the patient will be unaware. If venipuncture from a paralyzed limb cannot be avoided, then the phlebotomist should follow procedures carefully and avoid any lateral probing and ensure that pressure is held on the puncture site until any bleeding has stopped.
NEW QUESTION # 266
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 # 267
Which of the following evacuated collection tubes should NOT be used to collect a specimen for a BMP?
Answer: B
Explanation:
The evacuated collection tube that cannot be used to collect a specimen for a BMP is the lavender-capped collection tube, which contains an anticoagulant (EDTA) and is used to collect a whole blood sample for the CBC or its components. Red-capped collection tubes with a clot activator, red/black SST, and green-capped tubes can all be used. The BMP includes the tests on the electrolyte panel as well as the BUN, Ca (calcium), creatinine, and glucose.
NEW QUESTION # 268
During a blood draw and collection in multiple vacuum tubes, if the third tube fails to fill, the most appropriate initial response is to:
Answer: C
Explanation:
During a blood draw and collection in multiple vacuum tubes, if the third tube fails to fill, the most appropriate initial response is to try a different vacuum tube. Tubes sometimes lose their vacuum. If the new tube also does not fill, then the phlebotomist should check to make sure that the entire bevel of the needle is completely under the skin. If a new tube does not solve the problem and the needle is in the correct place, the venipuncture may need to be discontinued and a new site tried.
NEW QUESTION # 269
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