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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Specimen Processing & Handling | 14% | - Aliquoting & preservation - Transport & storage requirements - Processing & centrifugation - Documentation & tracking - Specimen rejection criteria |
| Topic 2: Patient Preparation | 20% | - Patient positioning & comfort - Site selection & preparation - Informed consent & communication - Patient identification & verification - Requisition review & test verification |
| Topic 3: Special Collections | 12% | - Blood cultures & sterile collection - Therapeutic drug monitoring - Blood alcohol & legal collections - Pediatric & geriatric collections - Glucose tolerance & dynamic tests |
| Topic 4: Safety and Compliance | 26% | - Infection control & OSHA standards - PPE & sharps disposal - HIPAA & patient confidentiality - Quality control & error prevention - Bloodborne pathogens & exposure control |
| Topic 5: Routine Blood Collections | 28% | - Capillary puncture procedures - Post-collection care & labeling - Order of draw & tube selection - Tourniquet use & vein assessment - Venipuncture techniques & equipment |
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NEW QUESTION # 37
Which of the following needle gauges can be used for blood donation collection?
Answer: B
Explanation:
Blood donation collection requires a large-bore needle because a full unit of blood must be collected efficiently while minimizing hemolysis and maintaining adequate flow into the collection bag. An 18-gauge needle is the correct option from the list. Blood donor collections commonly use larger needles than routine diagnostic venipuncture because donor collection volume is much greater than routine tube collection. A 25-gauge or 27-gauge needle is too small; it would slow flow excessively, increase mechanical stress on cells, and be inappropriate for donor collection. A 21-gauge needle is common for routine adult venipuncture but is not the best answer for blood donation collection because donor procedures require faster sustained flow. The phlebotomist must also confirm donor eligibility, follow blood bank protocol, use correct equipment, maintain aseptic technique, and monitor the donor for adverse reactions. The NHA CPT outline includes phlebotomy for blood donations and blood donation standards such as hemoglobin/hematocrit screening, weight, and complete screening. Reference topics: Special Collections; blood donation; needle gauge selection; donor collection standards.
NEW QUESTION # 38
Which of the following is required for a midstream clean-catch urine specimen?
Answer: C
Explanation:
A midstream clean-catch urine specimen requires use of a sterile specimen container because the purpose is to reduce contamination from skin flora, genital secretions, and environmental organisms. The patient is instructed to clean the area using the facility-provided cleansing materials, begin voiding, then collect the midstream portion without touching the inside of the container or lid. Filling the container to the lid is not required and can create leakage, contamination, or transport problems. Labeling the lid is incorrect because the label must be placed on the specimen container itself; lids can be separated or switched. Cleansing with alcohol wipes is also not the standard answer because urine collection kits typically use antiseptic cleansing towelettes designed for clean-catch collection, not alcohol as the defining requirement. The phlebotomist must provide clear patient instructions and verify that the specimen is properly labeled and handled. The NHA CPT outline includes non-blood specimen collection, patient instructions for urine specimens, specimen handling, and processing requirements. Reference topics: Special Collections; non-blood specimen collection; urine specimen instructions; specimen integrity.
NEW QUESTION # 39
Which of the following actions is required before using a new lot number of point-of-care testing strips?
Answer: D
Explanation:
Quality control testing should be performed before using a new lot number of point-of-care testing strips. Lot-to-lot variation can affect test performance, and QC confirms that the strips, controls, meter, and operator process are producing acceptable results before patient testing begins. Freezing strips is incorrect unless a manufacturer specifically requires a storage condition, and most reagent strips have controlled storage requirements that must not be improvised. Mixing old and new lots is unsafe because it creates traceability problems and can invalidate quality control. Using strips only for "control patients" is meaningless; patient specimens should not be used to validate unverified supplies. For waived testing and point-of-care testing, the phlebotomist must follow manufacturer instructions, document QC results, check expiration dates, store materials properly, and stop patient testing when controls fail. If QC is outside range, patient results should not be reported until corrective action is completed. Reference topics: Safety and Compliance; Special Collections; point-of-care testing; quality control; reagent lot verification.
NEW QUESTION # 40
A phlebotomist is relaying a message to the patient. Which of the following describes the patient in this situation?
Answer: A
Explanation:
The patient is the receiver because the phlebotomist is the person relaying or sending the message. In the communication process, the sender initiates the message, the receiver receives it, and the message is then interpreted. Encoding refers to putting thoughts into words, gestures, or written form. Decoding refers to interpreting the message after it is received. Although the patient will decode the information mentally, the role asked for in the question is the patient's position in the exchange, which is receiver. This distinction matters in phlebotomy because communication errors can affect consent, patient cooperation, fasting verification, special collection instructions, and patient safety. The phlebotomist should use clear language, appropriate pace, respectful tone, active listening, and confirmation of understanding. Barriers such as hearing impairment, language differences, anxiety, cognitive status, and health literacy can interfere with accurate communication. The NHA CPT outline includes verbal and nonverbal communication, patient characteristics affecting communication, patient interviewing techniques, empathetic listening, and effective communication with patients and healthcare professionals. Reference topics: Patient Preparation; communication cycle; patient interviewing; active listening.
NEW QUESTION # 41
A phlebotomist should immediately report which of the following to a supervisor?
Answer: D
Explanation:
A needlestick injury must be reported immediately to a supervisor because it is an occupational exposure incident involving potential transmission of bloodborne pathogens. Immediate reporting triggers the facility's exposure-control plan, which may include wound cleansing, documentation, source-patient evaluation when permitted, employee health assessment, post-exposure prophylaxis consideration, and required follow-up testing. Delayed reporting can compromise medical management and regulatory documentation. Outdated blood collection supplies should be removed from use and handled according to inventory or quality-control policy, but they do not carry the same immediate occupational exposure urgency. An allergic reaction must be managed clinically and reported according to severity and facility procedure, but the most direct supervisor-reporting requirement in this item is the needlestick injury. Patient noncompliance with dietary requirements should be documented or communicated as required because it may affect test validity, but it is not an occupational exposure emergency. NHA CPT safety content specifically includes following exposure control plans for needle sticks, notification requirements, needle stick protocols, bloodborne pathogen standards, and reporting requirements. Reference topics: Safety and Compliance; needlestick injury; exposure control protocols; reporting requirements.
NEW QUESTION # 42
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