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| Section | Weight | Objectives |
|---|---|---|
| Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
| Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Collection of Blood and Non-Blood Specimens | 29% | - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw - Capillary puncture techniques - Non-blood specimen collection (urine, swabs) |
| Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
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NEW QUESTION # 40
HCV exposure may occur through:
Answer: C
Explanation:
Hepatitis C virus (HCV) infection may occur through exposure to blood and serum and is primarily transmitted through sexual contact and needle sharing. However, it is rarely found in urine or semen and is not associated with phlebotomy procedures.
NEW QUESTION # 41
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 # 42
When venipuncture is performed in edematous tissue, the results will likely be:
Answer: C
Explanation:
When venipuncture is performed in edematous tissue, the results will likely be altered because the sample may contain tissue fluid. Additionally, veins are often harder to locate in edematous tissue, and bleeding may persist longer than usual. Edematous tissue is more prone to injury from the tourniquet because the tissue is stretched. Whenever possible, a nonedematous site should be used for venipuncture. If the edema is because an IV has infiltrated, the phlebotomist must notify the nurse immediately.
NEW QUESTION # 43
Which of the following statements regarding special blood collection procedures is FALSE?
Answer: A
Explanation:
An implanted port is attached to an indwelling line and should not be covered with a bandage. A heparin lock is a special type of cannula that can be left in the patient's vein for up to 48 hours; however, coagulation studies should not be drawn from a heparin lock. Arteriovenous (AV) shunts are usually created to provide access for dialysis. Venipuncture should not be performed on an AV shunt.
NEW QUESTION # 44
When opening and aliquoting a specimen, the required PPE includes:
Answer: A
Explanation:
When opening and aliquoting a specimen, the required PPE includes gown, gloves, and face shield. Otherwise, the opening must occur behind a portable splash screen that is placed between the specimen and the person's body. The sample should be removed from the tube with a disposable pipette and placed into the aliquot tube. Pouring the specimen from the specimen tube into the aliquot tube must be avoided because this may result in aerosolization.
NEW QUESTION # 45
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