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| Section | Weight | Objectives |
|---|---|---|
| Patient Preparation | 20% | - Site selection & preparation - Informed consent & communication - Patient identification & verification - Patient positioning & comfort - Requisition review & test verification |
| Safety and Compliance | 26% | - Bloodborne pathogens & exposure control - Infection control & OSHA standards - Quality control & error prevention - PPE & sharps disposal - HIPAA & patient confidentiality |
| Special Collections | 12% | - Blood alcohol & legal collections - Glucose tolerance & dynamic tests - Pediatric & geriatric collections - Blood cultures & sterile collection - Therapeutic drug monitoring |
| Routine Blood Collections | 28% | - Venipuncture techniques & equipment - Tourniquet use & vein assessment - Order of draw & tube selection - Post-collection care & labeling - Capillary puncture procedures |
| Specimen Processing & Handling | 14% | - Specimen rejection criteria - Aliquoting & preservation - Transport & storage requirements - Processing & centrifugation - Documentation & tracking |
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NEW QUESTION # 79
Which of the following actions should a phlebotomist take when obtaining a throat culture?
Answer: B
Explanation:
When obtaining a throat culture, the phlebotomist should swab the tonsillar area and the back of the throat because these are the clinically relevant sites for detecting organisms associated with pharyngitis, such as group A Streptococcus. The swab should avoid the tongue, cheeks, teeth, and lips because contact with those surfaces can contaminate the specimen with normal oral flora and reduce diagnostic value. Swabbing the buccal areas collects cheek-cell or oral flora material, not a proper throat specimen. Swabbing visible mucus in the oral cavity is unreliable because mucus may not represent the infected pharyngeal area. Leaving the swab in the sublingual area is inappropriate because the area under the tongue is not the target site for a throat culture. Correct technique includes explaining the procedure, positioning the patient, using a tongue depressor if needed, quickly swabbing the tonsillar pillars and posterior pharynx, placing the swab in the correct transport medium, and labeling the specimen accurately. Reference topics: Special Collections; non-blood specimen collection; throat culture technique; specimen integrity; patient instructions.
NEW QUESTION # 80
Which of the following actions should a phlebotomist take immediately after blood splashes into their eye?
Answer: A
Explanation:
The phlebotomist should immediately flush the eye with water at an eyewash station. Blood exposure to mucous membranes is a bloodborne pathogen exposure incident and requires immediate decontamination before administrative steps. Wiping the eye with gauze is inadequate and can irritate tissue or fail to remove infectious material. Continuing patient collections delays treatment and increases occupational risk. Applying antibiotic ointment is outside the phlebotomist's role and does not replace proper exposure response. After flushing, the phlebotomist must report the incident according to facility policy, complete required documentation, and obtain occupational health follow-up. This may include source-patient evaluation, baseline testing, and post-exposure prophylaxis assessment when indicated. The correct professional sequence is decontaminate first, report immediately, document accurately, and follow the exposure-control plan. This question tests standard precautions, exposure control, OSHA-related safety obligations, and emergency response in the phlebotomy environment. Reference topics: Safety and Compliance; bloodborne pathogen exposure; mucous membrane exposure; eyewash use; incident reporting.
NEW QUESTION # 81
Which of the following actions should a phlebotomist take when a specimen requires immediate processing?
Answer: A
Explanation:
A specimen requiring immediate processing should be delivered or processed according to stat or time-sensitive protocol. Some analytes degrade rapidly, some cells change after collection, and some tests depend on strict timing. Leaving the specimen until the next courier pickup may cause inaccurate results or rejection. Marking it routine ignores the priority and may delay care. Refrigerating it overnight is inappropriate unless specifically required, and even then it would not satisfy immediate processing. The phlebotomist must recognize priority indicators such as STAT, timed, fasting, peak/trough, chilled, protected-from-light, and immediate-spin requirements. The responsibility does not end when blood enters the tube. Specimen integrity depends on timely transport, correct temperature, proper centrifugation, and accurate documentation. If a delay occurs, the phlebotomist should communicate it according to facility policy rather than silently submitting a compromised specimen. Reference topics: Processing Specimens; stat specimens; time-sensitive processing; transport priority; specimen stability.
NEW QUESTION # 82
Which of the following actions should a phlebotomist take to prevent reflux during venipuncture?
Answer: A
Explanation:
To prevent reflux, the patient's arm should be kept in a downward position so the collection tube remains below the puncture site. Reflux occurs when blood or tube additive flows backward from the tube into the patient's vein. Keeping the tube below the venipuncture site and allowing tubes to fill properly reduces this risk. Holding the tube above the puncture site increases the chance of backflow. Removing the tube before it fills can create incorrect blood-to-additive ratios and does not prevent reflux. Inserting the needle bevel down is incorrect technique; venipuncture needles are inserted bevel up to enter the vein smoothly and reduce trauma. Reflux prevention also includes using proper tube position, avoiding excessive movement, not pushing tube contents toward the patient, and releasing the tourniquet appropriately. This is especially important with additive tubes because additive contamination of the patient's circulation, while uncommon, is a preventable safety concern. Reference topics: Routine Blood Collections; reflux prevention; evacuated tube technique; arm positioning; tube handling.
NEW QUESTION # 83
Which of the following is related to diabetes mellitus?
Answer: B
Explanation:
Glycosuria is related to diabetes mellitus because it means glucose is present in the urine. In diabetes mellitus, blood glucose can rise above the renal threshold, causing glucose to spill into the urine. This finding is classically associated with hyperglycemia and impaired glucose regulation. Proteinuria means protein in the urine and is more closely associated with kidney disease, glomerular injury, hypertension, or diabetic nephropathy as a complication rather than the direct defining finding tested here. Bacteriuria means bacteria in urine and suggests urinary tract infection or contamination. Oliguria means decreased urine output and is associated with dehydration, renal dysfunction, shock, or urinary obstruction. The key relationship is that diabetes mellitus involves abnormal glucose metabolism, so glycosuria is the most direct answer. From a phlebotomy standpoint, this links to glucose testing, fasting status, point-of-care glucose monitoring, urine testing, and patient preparation. The technician does not diagnose diabetes but must understand common terms tied to ordered specimens and clinical testing. Reference topics: Phlebotomy Fundamentals; glucose metabolism; urine terminology; diabetes-related testing; point-of-care glucose.
NEW QUESTION # 84
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