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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture techniques - Venipuncture procedures and order of draw - Special collection procedures (blood cultures, glucose tolerance tests) - Non-blood specimen collection (urine, swabs) |
| Topic 2: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Topic 3: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Topic 4: Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
| Topic 5: Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Topic 6: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
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NEW QUESTION # 140
Serum differs from plasma in that serum:
Answer: C
Explanation:
Serum differs from plasma in that serum does not contain fibrinogen and other clotting factors. Serum is the extracellular liquid portion of plasma, minus fibrinogen, clotting factors, and blood cells. However, serum does contain solutes (proteins, minerals, hormones, and gases) and is important as a source of electrolytes. Serum is the product of centrifugation of coagulated blood and consists of 90% water. Serum is commonly used for chemistry testing, except for potassium because potassium is released into the serum during the clotting process, resulting in a higher level than in plasma.
NEW QUESTION # 141
During venipuncture, if the needle appears to be in the vein but no blood is flowing and a slight vibration or quiver of the needle is noted, the most appropriate initial response is to:
Answer: A
Explanation:
During venipuncture, if the needle appears to be in the vein but no blood is flowing and a slight vibration or quiver of the needle is noted, the most appropriate initial response is to remove the vacuum tube, pull back slightly on the needle, and reinsert the vacuum tube. If this is not successful, the venipuncture should be discontinued and another site attempted. The lack of blood flow and vibration or quiver suggest that the needle is in a valve and the valve is attempting to open and close.
NEW QUESTION # 142
How many drops of blood are required for newborn blood spot collection on a screening card?
Answer: D
Explanation:
Five drops ofblood are required for newborn blood spot collection on a screening card, which contains five circles for blood. The first drop of blood (usually from a heelstick) should be wiped away, then the screening card is carefully placed against the next blood drop (not pressed onto the heel) and the blood is allowed to saturate the circle. All five circles must be filled, one at a time, with only one blood drop per circle.
NEW QUESTION # 143
When decanting a 24-hour urine specimen, which may splash, into a sink to a sanitary sewer, the phlebotomist should:
Answer: B
Explanation:
When decanting a 24-hour urine specimen, which may splash, into a sink to a sanitary sewer, the phlebotomist should wear facial protection and a fluid-proof apron in addition to the standard PPE (gloves, lab coat). The phlebotomist should stand close to the sink and pour close to the drain opening. Water should not be running while decanting because this increases the risk of splashing. but copious amounts of water should be run after the decanting is completed.
NEW QUESTION # 144
Which of the following tests CANNOT be carried out on a specimen obtained through heelstick or other capillary blood sample?
Answer: A
Explanation:
Blood cultures cannot be carried out on a specimen obtained through heelstick or other capillary samples because there is a potential for contamination and because blood cultures require large volumes of blood. Coagulation studies also cannot be carried out with a capillary sample. Capillary samples can only be used if a small quantity of blood is necessary. Tests that can be carried out using capillary samples include most chemistries, CBC, blood gas analysis, toxicology tests, liver function tests, and newborn screening. Capillary collection may be used for infants as well as adults.
NEW QUESTION # 145
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