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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Venipuncture procedures and order of draw - Special collection procedures (blood cultures, glucose tolerance tests) - Capillary puncture techniques |
| Topic 2: Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Topic 3: Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Topic 4: Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Topic 5: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Topic 6: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
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NEW QUESTION # 19
When the phlebotomist is using microcollection tubes for a fingerstick, the collection tube that should usually be filled first is:
Answer: B
Explanation:
When the phlebotomist is using microcollection tubes for a fingerstick the collection tube that should usually be filled first is the lavender-capped tube (this different from the order used with venipuncture) to ensure that the volume collected is sufficient for hematology tests. This is followed by other collection tubes that contain additives, and the plain tubes utilized for serum collection are filled last. In most cases, the first drop of blood is wiped away and the second drop of blood is collected.
NEW QUESTION # 20
Increased levels of which of the following are associated with heart attack?
Answer: C
Explanation:
Increased levels of creatine kinase (CK) are associated with heart attack The PSA, or prostate specific antigen, level is used to test for prostate cancer. Carcinoembryonic antigen (CEA) is used in digestive system testing. Albumin is used in urinary system testing.
NEW QUESTION # 21
Serum specimens can be centrifuged:
Answer: A
Explanation:
Serum specimens can be centrifuged only after clotting is completed. All specimens for tests carried out on serum or plasma must be centrifuged to separate the liquid from the cellular portions of the blood. However, plasma specimens that are collected in tubes with anticoagulant can be centrifuged immediately. It is important to avoid recentrifugation because this may result in hemolysis and can alter the testing results.
NEW QUESTION # 22
Capillary puncture is the preferred method for obtaining blood from:
Answer: B
Explanation:
Capillary puncture is the preferred method for collecting blood from infants and young children due to their smaller blood volume and risk of injury or serious adverse events such as anemia or cardiac arrest, and is typically used for newborn screening. It is not appropriate for dehydrated patients or those with poor circulation. Capillary puncture cannot be used for coagulation studies, blood cultures, or tests requiring large volumes of serum or plasma.
NEW QUESTION # 23
When carrying out POC testing for PT/INR with an analyzer such as the CoaguChek XS Plus, a capillary drop should generally be applied to the test strip or other collection device within:
Answer: A
Explanation:
When carrying out point-of-care (POC) testing for PT/INR with an analyzer such as the CoaguCheck XS Plus, a capillary blood drop should generally be applied to the test strip or other collection device within 15 seconds. A capillary tube may be used to collect the drop of blood and apply it to the test strip. The drop should be transferred by holding it near the test strip or collection device while avoiding touching or wiping the blood onto the strip or device.
NEW QUESTION # 24
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