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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Collection of Blood and Non-Blood Specimens | 29% | - Order of draw and tube selection - Non-blood specimen collection - Capillary puncture procedures - Venipuncture techniques and procedures |
| Topic 2: Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Topic 3: Specimen Processing and Transportation | 10% | - Processing and quality assurance - Specimen labeling and documentation - Handling, storage and transport requirements |
| Topic 4: Patient Identification, Assessment, and Site Preparation | 17% | - Site selection and preparation - Patient assessment and special considerations - Patient verification and consent |
| Topic 5: Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) |
| Topic 6: Infection Control and Safety | 16% | - Standard precautions and infection control - Needle safety and injury prevention - Biohazard handling and disposal |
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NEW QUESTION # 201
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: B
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 # 202
If the phlebotomist notes that an aliquot of serum contains a fibrin clot, the most likely reason is that:
Answer: B
Explanation:
If the phlebotomist notes than an aliquot of serum contains a fibrin clot, the most likely reason is that centrifugation was carried out before clotting was complete. Fibrin clots are likely to form if hemolysis occurs, usually from mishandling a specimen or leaving the tourniquet on for too long. Fibrin clots may appear as globules (opaque or gelatinous) or strands in serum or plasma. In most cases, an aliquot with a fibrin clot needs to be discarded.
NEW QUESTION # 203
If the phlebotomist drops an unused glass collection tube, causing it to break and scatter pieces of glass, the phlebotomist should:
Answer: C
Explanation:
If the phlebotomist drops an unused glass collection tube, causing it to break and scatter pieces of glass, the phlebotomist should guard the area to prevent anyone from being injured and call housekeeping. The glass should be removed with a brush and dustpan. Any large pieces should be picked up with forceps or tongs and never picked up by hand because this can result in lacerations. Whenever possible, plastic containers and collection tubes should be used instead of glass to minimize risk from breakage.
NEW QUESTION # 204
To prevent hemoconcentration during venipuncture, the phlebotomist should:
Answer: B
Explanation:
To prevent hemoconcentration during venipuncture, the phlebotomist should ask the patient to release his or her fist when blood begins to flow: fist-pumping may increase blood potassium levels and should not be encouraged. Excessively massaging the site or probing or redirecting the needle multiple times may result in hemoconcentration.
NEW QUESTION # 205
A blood specimen for a CBC should be collected in a tube that contains:
Answer: C
Explanation:
A blood specimen for a CBC should be collected in a tube that contains EDTA (an anticoagulant). The CBC is performed on whole blood. The evacuated collection tube is lavender- capped and should be inverted at least 8 times after the specimen is collected to ensure that the sample is adequately anticoagulated because even small clots render the specimen unusable. The CBC includes Hgb (hemoglobin), Hct (hematocrit), RBC, RBC indices, WBC count and differential, and platelet count.
NEW QUESTION # 206
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