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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Routine Blood Collections | 28% | - Post-collection care & labeling - Order of draw & tube selection - Venipuncture techniques & equipment - Capillary puncture procedures - Tourniquet use & vein assessment |
| Topic 2: Patient Preparation | 20% | - Requisition review & test verification - Patient positioning & comfort - Patient identification & verification - Site selection & preparation - Informed consent & communication |
| Topic 3: Specimen Processing & Handling | 14% | - Processing & centrifugation - Transport & storage requirements - Documentation & tracking - Specimen rejection criteria - Aliquoting & preservation |
| Topic 4: Safety and Compliance | 26% | - Infection control & OSHA standards - Quality control & error prevention - Bloodborne pathogens & exposure control - PPE & sharps disposal - HIPAA & patient confidentiality |
| Topic 5: Special Collections | 12% | - Therapeutic drug monitoring - Glucose tolerance & dynamic tests - Blood alcohol & legal collections - Pediatric & geriatric collections - Blood cultures & sterile collection |
1. Which of the following findings should cause a phlebotomist to delay collection and seek assistance?
A) The patient has a visible median cubital vein.
B) The patient is diaphoretic and says they feel faint.
C) The patient confirms their date of birth.
D) The patient asks which arm will be used.
2. Which of the following actions should a phlebotomist take if a patient develops a rapidly forming hematoma during venipuncture?
A) Insert the needle deeper into the vein.
B) Remove the needle and apply pressure.
C) Continue collecting until all tubes are filled.
D) Ask the patient to pump their fist.
3. Which of the following PPE should a phlebotomist wear when there is a risk of blood splatter during collection?
A) Sterile gloves only
B) Shoe covers only
C) N95 respirator only
D) Face shield or goggles with mask
4. A phlebotomist is collecting a blood culture from a 6-month-old infant who has no known allergies. Which of the following disinfectants should the phlebotomist use?
A) Sodium polyanethol sulfonate
B) Hydrogen peroxide
C) Chlorhexidine gluconate
D) Sodium hypochlorite
5. When performing a capillary collection, which of the following tubes should a phlebotomist collect last?
A) Lithium heparin
B) Lavender
C) Red
D) Microhematocrit
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: C |
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