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| Section | Weight | Objectives |
|---|---|---|
| Professionalism and Regulatory Compliance | 18% | - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities - Professional conduct and communication |
| Patient Identification, Assessment, and Site Preparation | 17% | - Site selection and preparation - Patient verification and consent - Patient assessment and special considerations |
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Order of draw and tube selection - Venipuncture techniques and procedures - Capillary puncture procedures |
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Handling, storage and transport requirements - Processing and quality assurance |
| Infection Control and Safety | 16% | - Biohazard handling and disposal - Needle safety and injury prevention - Standard precautions and infection control |
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
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NEW QUESTION # 218
A vital function of the capillaries is to:
Answer: A
Explanation:
A vital function of the capillaries is to exchange gases (carbon dioxide [C02J for oxygen), nutrients, and metabolic by-products (wastes). Capillaries are extensions of arteriole endothelium and are tiny, thin-walled vessels that carry a mixture of arterial and venous blood. The walls of the capillaries are semipermeable, with tiny openings where endothelial cells in the walls overlap. The density of capillary networks depends on the metabolism of the tissue, so capillaries are dense in muscle and nerve tissue and are less dense in cartilage, the epidermis, and the corneas.
NEW QUESTION # 219
If a vein collapses during a blood draw, the initial action should be to:
Answer: C
Explanation:
If a vein collapses during a blood draw, the phlebotomist should apply gentle pressure on the vein above the venipuncture site with a flat index finger so that the vein fills with blood for a couple of seconds and then release, allowing the blood to continue to flow. Veins are most likely to collapse if blood was withdrawn too forcefully or if veins are small and fragile, such as may occur with older adults.
NEW QUESTION # 220
If a patient's test request requires a chemistry panel, a CBC, a PT, and blood typing, in what order should the specimens be drawn, first to last?
Answer: B
Explanation:
If a patients test request requires a chemistry panel, a CBC, a PT, and blood typing the order in which the specimens should be drawn is:
1. PT (light blue stopper)
2. Chemistry panel (red or gold stopper)
3. Blood typing (pink stopper)
4. CBC (lavender/purple stopper)
NEW QUESTION # 221
Which of the following tests CANNOT be carried out on a specimen obtained through heelstick or other capillary blood sample?
Answer: D
Explanation:
Blood cultures cannot be carried out on a specimen obtained through heelstick or other capillary samples because there is a potential for contamination and because blood cultures require large volumes of blood. Coagulation studies also cannot be carried out with a capillary sample. Capillary samples can only be used if a small quantity of blood is necessary. Tests that can be carried out using capillary samples include most chemistries, CBC, blood gas analysis, toxicology tests, liver function tests, and newborn screening. Capillary collection may be used for infants as well as adults.
NEW QUESTION # 222
The POC test that is most accurate for monitoring heparin therapy is:
Answer: A
Explanation:
Even though aPTT is more commonly used to monitor heparin, the test that is most accurate is activated clotting time (ACT). Automated ACT analyzers measure how long it takes a blood sample to clot when activators are added to activate the clotting factors. This helps to determine how the body will respond to heparin and is more accurate than aPTT, especially if the patient is receiving high doses of heparin. The normal value for ACT may vary according to the equipment used, but it is generally 70-120 seconds. The therapeutic value is generally 150-600 seconds.
NEW QUESTION # 223
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