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| Section | Weight | Objectives |
|---|---|---|
| Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Collection of Blood and Non-Blood Specimens | 29% | - Special collection procedures (blood cultures, glucose tolerance tests) - Capillary puncture techniques - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs) |
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
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NEW QUESTION # 44
When attempting venipuncture on a rolling vein, the vein is likelyto move:
Answer: B
Explanation:
When attempting venipuncture on a rolling vein, the vein is likely to move laterally because it is not firmly attached to the tissue. Rolling veins are most common in infants and older adults, but they are not uncommon and can occur in any patient. Veins are more likely to roll if the needle punctures the vein on the side rather than in the middle. Stretching the skin tautly and anchoring the vein well with the thumb can help to prevent the vein from rolling.
NEW QUESTION # 45
If an antecubital vein cannot be located, you may:
Answer: D
Explanation:
If an antecubital vein cannot be found on either arm, a capillary puncture may be considered, provided the test can be performed on capillary blood. Veins on the underside of the wrist should not be used because of the high risk of nerve injury. Manipulating the site may change blood composition, which may interfere with test results. Tendons are tough, fibrous connective tissues that are very slow to heal if ruptured and so should not be punctured; furthermore, the blood vessels within tendons are not sufficient for venipuncture.
NEW QUESTION # 46
When collecting a blood specimen in a collection tube that contains an additive, the collection tube should be:
Answer: B
Explanation:
When collecting a blood specimen in a collection tube that contains an additive, the collection tube should be lower than the puncture site to ensure that the additive does not come in contact with the needle because this can result in reflux of the additive into the patient's vein. The collection tube should fill from the bottom up, and movement that causes the blood to move about in the tube should be avoided. If blood is being withdrawn slowly and there is concern that clotting may occur, the collection tube should be removed, inverted for mixing, and quickly replaced into the holder.
NEW QUESTION # 47
Laboratory accreditation agencies generally require that laboratories follow the standards set by which of the following?
Answer: C
Explanation:
Laboratory accreditation agencies generally require that laboratories follow the standards of the CLSI (Clinical and Laboratory Standards Institute). CLSI, a nonprofit membership agency, publishes the Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture: Approved Standard, which outlines the order of draw. CLSI provides voluntary consensus standards, guidelines, and reports as well as supporting products, such as software and wall charts. CLSI is ANSI (American National Standards Institute) accredited.
NEW QUESTION # 48
A biohazard sign at the entrance to the laboratory that lists the laboratory's biosafety level as 3 (BSL-3) means that the lab studies infectious agents that:
Answer: C
Explanation:
A biohazard sign at the entrance to the laboratory that lists the laboratorys biosafety level as 3 (BSL-3) means that the lab handles infectious agents that are airborne and could potentially cause lethal disease, such as COVID-19 and Mycobacterium tuberculosis. The biosafety levels are:
*BSL-I: Infectious agents do not consistently cause disease.
*BSL-2: Infectious agents pose a risk if inhaled, swallowed, or exposed to the skin.
*BSL-3: Infectious agents are airborne and could potentially cause lethal disease.
*BSL-4: Infectious agents are airborne, lethal. and no effective treatment is available.
NEW QUESTION # 49
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