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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professionalism and Regulatory Compliance | 18% | - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities - Professional conduct and communication |
| Topic 2: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Patient assessment and special considerations - Site selection and preparation |
| Topic 3: Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Topic 4: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Capillary puncture procedures - Venipuncture techniques and procedures - Order of draw and tube selection |
| Topic 5: Infection Control and Safety | 16% | - Standard precautions and infection control - Needle safety and injury prevention - Biohazard handling and disposal |
| Topic 6: Specimen Processing and Transportation | 10% | - Processing and quality assurance - Specimen labeling and documentation - Handling, storage and transport requirements |
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NEW QUESTION # 209
The preferred venipuncture site is the:
Answer: D
Explanation:
Because the median cubital vein is close to the surface and located in an area least prone to nerve damage, it is the preferred site for venipuncture. The cephalic and median cephalic veins are the second choice. The basilic and median basilic veins are least preferred because of their proximity to the median nerve and brachial artery.
NEW QUESTION # 210
When transporting a specimen at room temperature, an appropriate temperature is:
Answer: A
Explanation:
When transporting a specimen at room temperature, an appropriate temperature is 22° C (71.6 °F). Specimens that are transported or handled at room temperature should be maintained in an environment around 20-30 °C (68-86 °F), although some measurands may begin to deteriorate with extended temperatures greater than 22°C (71.6 °F). Specimens that must be maintained at body temperature should be kept at 36.4-37.6 °C (96.8-99.7 °F). Specimens transported and handled in the wrong temperature range may be altered.
NEW QUESTION # 211
When collecting a blood sample from a geriatric patient, it is important to recognize that
Answer: B
Explanation:
When collecting a blood sample from a geriatric patient, it is important to recognize that the veins are more likely to collapse or roll because the tissue and veins are less elastic and the veins are less secured. Older adults often have skin that is thinner and more friable, with less underlying subcutaneous fat, than that of younger people. Although this may make vessels easier to visualize, they may be more difficult to access. Blood flow may be slower because of the narrowing of vessels that occurs with age.
NEW QUESTION # 212
If blood must be drawn from an arm with an IV in place, the phlebotomist should:
Answer: B
Explanation:
If blood must be drawn from an arm with an IV in place, the phlebotomist should ask the nurse to turn off the IV and then wait at least 2 minutes before attempting venipuncture to decrease the dilution of the blood. The phlebotomist is not allowed to adjust or stop the flow of an IV. A tourniquet must be applied distal to the IV, and the venipuncture is carried out distal to the tourniquet. The phlebotomist should record the type of fluid and medication (if applicable) in the IV. The phlebotomist must notify the nurse that the venipuncture is complete and the IV needs to be restarted.
NEW QUESTION # 213
For blood cultures, if using iodophors for the main disinfectant, how long does it take for the iodophors to adequately disinfect the skin?
Answer: C
Explanation:
Iodophors take 90-120 seconds to adequately disinfect the skin for blood cultures. The usual procedure is to cleanse the skin with a 30-second friction rub with 70% isopropyl alcohol, allow the alcohol to dry completely, then apply the main disinfectant and let it dry for the time recommended by the manufacturer. If the phlebotomist needs to palpate the vein after applying the disinfectant, sterile gloves must be worn.
NEW QUESTION # 214
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