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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Infection Control and Safety | 16% | - Needle safety and injury prevention - Biohazard handling and disposal - Standard precautions and infection control |
| Topic 2: Professionalism and Regulatory Compliance | 18% | - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities - Professional conduct and communication |
| Topic 3: Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
| Topic 4: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Site selection and preparation - Patient assessment and special considerations |
| Topic 5: Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Processing and quality assurance - Handling, storage and transport requirements |
| Topic 6: 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 |
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NEW QUESTION # 69
When venipuncture is performed in edematous tissue, the results will likely be:
Answer: C
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 # 70
Withdrawing blood from a VAD for noncoagulation studies requires:
Answer: A
Explanation:
Withdrawing blood from a vascular access device (VAD) for coagulation studies requires flushing the VAD lock with 5-10 mL preservative-free normal saline (NS) and drawing a discard tube, equal to W.ro times the dead space, before drawing the sample. For most central lines, 5 mL is adequate as the discard volume, although this may vary so the discard volume needed should always be verified. For coagulation studies, typically a discard volume of six times the dead space is recommended, although if drawing blood from a saline lock a discard volume of two times the dead space is adequate. After the specimen is obtained, the VAD is again flushed with 5-10 mL of preservative-free NS.
NEW QUESTION # 71
Increased levels of which of the following are associated with heart attack?
Answer: C
Explanation:
Increased levels of creatine kinase (CK) are associated with heart attack The PSA, or prostate specific antigen, level is used to test for prostate cancer. Carcinoembryonic antigen (CEA) is used in digestive system testing. Albumin is used in urinary system testing.
NEW QUESTION # 72
The gray matter of the brain is composed of:
Answer: C
Explanation:
The white matter of the brain is composed of myelinated axons; it is given its white color by the myelin sheath. Nonmyelinated axons are not covered by the myelin sheath and are known as the gray matter. Schwann cells produce the fatty substance that makes up the myelin sheath. Synapses are areas between neurons over which nerve impulses jump to transmit messages.
NEW QUESTION # 73
Proper technique for needle insertion includes:
Answer: C
Explanation:
The proper technique for anchoring the vein before venipuncture is known as the L hold technique. It involves using the fingers to support the back of the patient's arm below the elbow and placing the thumb 1 to 2 inches below and slightly to the side of the venipuncture site to pull the patients skin toward the wrist. The C hold technique, or the two-finger technique, should not be used because it may result in the needle springing back into the phlebotomist's index finger if the patient pulls his or her arm back Pushing down on the needle during insertion is painful and may increase the risk of blood leakage. Advancing the needle too slowly may prolong the patients discomfort.
NEW QUESTION # 74
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