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| Section | Objectives |
|---|---|
| Patient Preparation | - Specimen labeling procedures - Site selection and preparation - Patient identification and communication |
| Safety and Compliance | - OSHA regulations and patient safety - Infection control and standard precautions - HIPAA and patient confidentiality |
| Specimen Processing and Handling | - Common errors and rejection criteria - Specimen transport and storage - Quality assurance procedures |
| Routine Blood Collections | - Equipment selection and use - Venipuncture procedures - Order of draw |
| Special Collections | - Capillary puncture (fingerstick/heel stick) - Non-routine specimen collection methods - Pediatric and geriatric considerations |
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NEW QUESTION # 100
Using outdated supplies can result in which of the following?
Answer: D
Explanation:
Using outdated supplies can result in specimen rejection because expired collection materials may fail to preserve the specimen correctly or meet laboratory acceptance criteria. Expired evacuated tubes may have inadequate vacuum, degraded additives, compromised sterility, or incorrect blood-to-additive performance. These problems are preanalytical errors, meaning they occur before testing and can make results unreliable. The laboratory may reject the specimen rather than risk reporting inaccurate data. Stat processing refers to urgent priority handling and is unrelated to supply expiration. Postanalytical error occurs after testing, such as reporting or result-delivery mistakes, not from using expired collection supplies during acquisition. Claim rejection is a billing or insurance issue, not a specimen integrity issue. A competent phlebotomist prevents rejection by checking tube expiration dates, inspecting supplies, confirming required specimen type, filling tubes properly, mixing additives correctly, and following transport requirements. NHA CPT processing and routine collection content covers specimen integrity, preanalytical errors, equipment quality control, expiration checks, and recollection when required. Reference topics: Processing Specimens; preanalytical error; specimen rejection; equipment quality control.
NEW QUESTION # 101
A patient states they ate breakfast 1 hour before a fasting lipid panel. Which of the following actions should the phlebotomist take?
Answer: B
Explanation:
The phlebotomist should ask the provider or follow facility policy to determine whether the specimen should still be collected. A fasting lipid panel can be affected by recent food intake, especially triglyceride-related measurements and specimen lipemia. The phlebotomist must not falsely mark the specimen as fasting because that creates inaccurate documentation and can mislead clinical interpretation. Telling the patient to drink water and wait 30 minutes does not restore the required fasting state. Changing the order to another test is outside the phlebotomist's scope; only an authorized provider can change laboratory orders. The proper role is to verify patient preparation, document noncompliance if the draw proceeds, and communicate the issue through the appropriate workflow. Patient preparation is a major preanalytical control point. A technically perfect venipuncture can still produce clinically misleading results if fasting, medication timing, posture, or timing requirements are ignored. Reference topics: Patient Preparation; fasting requirements; patient compliance; requisition review; preanalytical variables.
NEW QUESTION # 102
Which of the following collection sites is appropriate for a dermal puncture on an infant?
Answer: B
Explanation:
The appropriate dermal puncture site on an infant is the medial or lateral plantar surface of the heel. These areas reduce the risk of puncturing bone and provide suitable capillary blood flow for neonatal testing. The posterior curvature of the heel should be avoided because the bone may be close to the surface, increasing risk of osteomyelitis or injury. The arch of the foot is not an approved puncture site and may damage nerves, tendons, or deeper structures. The tip of the index finger is inappropriate for infants because there is insufficient tissue depth and greater risk of bone injury. Correct infant dermal puncture also requires using an age-appropriate lancet depth, warming the site if needed, cleaning and drying the skin, wiping away the first drop when required, avoiding excessive squeezing, and collecting specimens in the correct order. Infant blood volume is limited, so collection volume must be minimized. Reference topics: Special Collections; infant heel puncture; dermal puncture sites; neonatal safety; osteomyelitis prevention.
NEW QUESTION # 103
A phlebotomist is performing a glucose tolerance test. Which of the following actions should the phlebotomist take after the patient drinks the glucose solution?
Answer: C
Explanation:
After the patient drinks the glucose solution, the phlebotomist should start timing according to the test protocol. Glucose tolerance testing depends on strict timed specimen collection after ingestion of a measured glucose load. If timing is inaccurate, the results may be invalid or misleading. The patient should not eat crackers because additional food intake can alter glucose results. Exercise should also be avoided unless specifically directed because physical activity can affect glucose metabolism. Collecting all remaining specimens immediately defeats the purpose of the timed test, which evaluates the body's glucose response over defined intervals. The phlebotomist must verify fasting status, collect the baseline specimen if required, ensure the patient consumes the glucose solution within the allowed time, document the time finished, and collect subsequent specimens at exact ordered intervals. If the patient vomits, eats, leaves, or misses a timed draw, the phlebotomist should follow facility policy and notify appropriate personnel. Reference topics: Special Collections; glucose tolerance testing; timed specimens; patient preparation; test protocol compliance.
NEW QUESTION # 104
Which of the following types of medication is an indication for an INR draw?
Answer: B
NEW QUESTION # 105
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