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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Topic 2: Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture procedures and order of draw - Special collection procedures (blood cultures, glucose tolerance tests) - Non-blood specimen collection (urine, swabs) - Capillary puncture techniques |
| Topic 3: Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Topic 4: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Topic 5: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Topic 6: Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
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NEW QUESTION # 190
If the phlebotomist is unable to obtain a specimen when attempting a venipuncture, which of the following actions should generally be avoided?
Answer: A
Explanation:
If the phlebotomist is unable to obtain a specimen when attempting a venipuncture, probing laterally should generally be avoided. It is painful and often unsuccessful and should only be attempted when the location of the vein has been established. If the vein is in the medial aspect of the antecubital fossa, then lateral probing should never be used because of the risk of hitting the brachial artery or a nerve. In some cases, the needle may need to be removed and an attempt made at a different site.
NEW QUESTION # 191
Asthma is caused by:
Answer: C
Explanation:
Asthma is caused by obstruction of the airway due to inflammation. Bronchitis is caused by inflammation of the bronchial tubes. Hyperventilation is characterized by rapid breathing resulting in a loss of carbon dioxide. Hypoxia is caused by oxygen deficiency.
NEW QUESTION # 192
All laboratory testing in the United States, except for research testing, is regulated by the Centers for Medicare and Medicaid Services through the:
Answer: B
Explanation:
All laboratory testing in the United States, except for research testing, is regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA), which are implemented through the Division of Laboratory Services and serves approximately 244,000 laboratories. Laboratories receiving reimbursement from CMS must meet CLIA standards, which ensure that laboratory testing will be accurate and that procedures are followed properly.
NEW QUESTION # 193
When attempting venipuncture on a rolling vein, the vein is likelyto move:
Answer: A
Explanation:
When attempting venipuncture on a rolling vein, the vein is likely to move laterally because it is not firmly attached to the tissue. Rolling veins are most common in infants and older adults, but they are not uncommon and can occur in any patient. Veins are more likely to roll if the needle punctures the vein on the side rather than in the middle. Stretching the skin tautly and anchoring the vein well with the thumb can help to prevent the vein from rolling.
NEW QUESTION # 194
If a patient is markedly obese, the first site to check for vein access is the:
Answer: B
Explanation:
If a patient is markedly obese, the first site to check is the antecubital area because patients often exhibit a double crease in that area. and the median cubital vein can often be easily palpated and accessed within that creased space. If the phlebotomist is unable to locate the median cubital vein, the cephalic vein may sometimes be accessed if the arm is rotated medially. The phlebotomist may also ask the patient where blood draws have been successful previously.
NEW QUESTION # 195
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