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| Section | Weight | Objectives |
|---|---|---|
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Patient verification and consent - Site selection and preparation |
| Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) |
| Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture procedures - Venipuncture techniques and procedures - Non-blood specimen collection - Order of draw and tube selection |
| Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Processing and quality assurance - Handling, storage and transport requirements |
| Infection Control and Safety | 16% | - Needle safety and injury prevention - Standard precautions and infection control - Biohazard handling and disposal |
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NEW QUESTION # 227
Which of the following statements regarding obtaining a blood specimen from a patient is FALSE?
Answer: B
Explanation:
Occasionally, the name of the ordering physician, room number, or bed number on the patients ID band may differ from these details on the requisition form. Patient identity must always be verified before collecting blood. As part of informed consent, patients have the right to refuse any blood draw (with a few legal exceptions such as court-ordered drug testing); thus, the phlebotomist must ask the patients permission before collecting blood.
NEW QUESTION # 228
If a patient has undergone bilateral mastectomies with surgeries 5 years apart, what venipuncture site should the phlebotomist select?
Answer: D
Explanation:
If a patient has undergone bilateral mastectomies with surgeries 5 years apart, the phlebotomist should ask the physician for instructions regarding the appropriate site. If policy precludes the use of the lower extremities, the venipuncture site is usually the arm on the side with the most distant mastectomy because the healing is more advanced. However, placing a tourniquet on the side of a mastectomy increases the risk of lymphedema, and the impaired lymphatic filtering and drainage also increases the risk of infection.
NEW QUESTION # 229
The area between neurons over which nerve impulses jump is known as the:
Answer: D
Explanation:
The synapse is the area between neurons over which nerve impulses literally jump to transmit messages. Dendrites and axons are extensions of the neuron. The myelin sheath covers the axon and increases the speed of a nerve impulse.
NEW QUESTION # 230
If an accidental arterial puncture is suspected, the correct response is to:
Answer: A
Explanation:
If an accidental arterial puncture is suspected, the correct response is to withdraw the needle immediately and apply strong pressure for a minimum of 5 minutes, observing the site carefully for signs of swelling or bleeding. The ordering physician must be notified, and an incident report mustbe completed. If a specimen was already collected before an arterial puncture was suspected, the laboratory may still be able to test the arterial blood.
NEW QUESTION # 231
The greatest risk when a tube breaks during centrifugation is:
Answer: C
Explanation:
The greatest risk when a tube breaks during centrifugation is aerosolization of the specimen because the spinning specimen breaks down into droplets, which can be easily inhaled or can land on exposed skin, increasing risk of infection. Aerosolization can also occur if collection tubes are overfilled or if the caps come off during processing. Additionally, care must be used if removing a cap after centrifugation. Buckets, tubes, and rotors should be carefully spaced and balanced before centrifugation.
NEW QUESTION # 232
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