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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
| Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw - Capillary puncture techniques |
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NEW QUESTION # 63
Therapeutic phlebotomy is used for all of the following EXCEPT:
Answer: A
Explanation:
Therapeutic phlebotomy is the withdrawal of large volumes of blood as a treatment for certain conditions, including polycythemia, hemochromatosis, and sickle cell disease. It is not used for toxicology', which is the study of toxins or poisons.
NEW QUESTION # 64
Control runs of automated systems should be carried out:
Answer: D
Explanation:
Control runs of automated systems should be carried out at the beginning of each day to ensure that the equipment is fully operational. Automated systems carry out laboratory tests with little input from personnel once the equipment is loaded with the appropriate samples. Automated systems may produce errors; therefore, close monitoring is essential. Routine maintenance should be carried out on a scheduled basis. Maintenance may include cleaning spills, changing reagents, discarding waste, changing parts as needed, and making adjustments.
NEW QUESTION # 65
If an accidental arterial puncture is suspected, the correct response is to:
Answer: C
Explanation:
If an accidental arterial puncture is suspected, the correct response is to withdraw the needle immediately and apply strong pressure for a minimum of 5 minutes, observing the site carefully for signs of swelling or bleeding. The ordering physician must be notified, and an incident report mustbe completed. If a specimen was already collected before an arterial puncture was suspected, the laboratory may still be able to test the arterial blood.
NEW QUESTION # 66
A venipuncture should never be carried out proximal to a PICC line because:
Answer: C
Explanation:
A venipuncture should never be carried out proximal to a peripherally inserted central catheter (PICC) line because the catheter may be damaged when the tourniquet is applied or the needle is inserted and could even break, causing fragments to migrate. If possible, the arm with a PICC line should be avoided for blocd draws: however, if it is absolutely necessary, the tourniquet must be placed and the venipuncture performed distal to the PICC line.
NEW QUESTION # 67
When collecting a blood specimen from a patient in an isolation room, the phlebotomist should place the collection tray:
Answer: A
Explanation:
When collecting a blood specimen from a patient in an isolation room, the phlebotomist should collect the needed supplies and place the collection tray at the nurse's station or in another secured area. The tray should not be left unattended in a public area. Any supplies taken into the isolation room are considered contaminated and cannot then be used for other patients, so they must be properly disposed of. Tourniquets used for isolation rooms should be dedicated to the patient or disposable.
NEW QUESTION # 68
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