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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Topic 2: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Topic 3: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Topic 4: Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Topic 5: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Topic 6: Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs) - Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) |
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NEW QUESTION # 50
For venipuncture, the vein should be anchored:
Answer: A
Explanation:
For venipuncture, the vein should be anchored distal to the puncture site, safely out of reach of the tip of the needle by 1-2 inches. The thumb of the free hand is used to anchor the vein with a downward pull so that the skin is taut. The vein should not be anchored on either side or proximal to the puncture site because this increases the risk of accidental needlestick injury and may impede acquisition of the blood sample.
NEW QUESTION # 51
If the antecubital veins cannot be used for specimen collection, the next site to consider is the:
Answer: D
Explanation:
If the antecubital veins cannot be used for specimen collection, the next site to consider is the dorsal (top) surface of the hand. The veins on the lateral wrist above the thumb lie near the radial nerve, so this site should be avoided. The palmar surface of the hand poses increased risk of nerve and tendon involvement. The veins in the foot should not be used without specific physician orders because of an increased risk of necrosis and thrombophlebitis.
NEW QUESTION # 52
Hemolysis may result from all of the following EXCEPT:
Answer: C
Explanation:
Evacuated tube system (ETS) tubes should always be filled until the vacuum is exhausted. Partially filling a normal draw sodium fluoride tube or pulling back the plunger on a syringe too quickly may result in hemolysis. Although procedural errors are the most common cause, patient conditions such as liver disease or hemolytic anemia may result in hemolysis.
NEW QUESTION # 53
Following capillary blood collection from a heel or finger, a bandage should be applied to the collection site of patients who are:
Answer: B
Explanation:
Following capillary blood collection from a heel or finger, a bandage should be applied to the collection site of patients who are 2 years old or older. Newborns and infants younger than 2 should not be bandaged for two reasons. First, the bandage may pose a choking risk because of the child's tendency to put things in the mouth. Second, the skin is too friable and may become irritated or tear when the bandage is removed.
NEW QUESTION # 54
Which of the following is a form of arthritis?
Answer: A
Explanation:
Gout is a form of arthritis affecting the joints of the feet. It is caused by increased uric acid levels in the blood. Bursitis is an inflammation of the bursa (a fluid-filled sac) between a bone and the softer tissues, such as muscles and tendons, that surround it. Rickets is a condition in children caused by lack of vitamin D and is marked by softening and malformation of the bones. A slipped disc is a condition in which the disc between vertebrae of the spine ruptures or protrudes out of place.
NEW QUESTION # 55
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