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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Safety and Compliance | 26% | - PPE & sharps disposal - Quality control & error prevention - Infection control & OSHA standards - HIPAA & patient confidentiality - Bloodborne pathogens & exposure control |
| Topic 2: Patient Preparation | 20% | - Patient identification & verification - Informed consent & communication - Requisition review & test verification - Site selection & preparation - Patient positioning & comfort |
| Topic 3: Specimen Processing & Handling | 14% | - Documentation & tracking - Aliquoting & preservation - Transport & storage requirements - Processing & centrifugation - Specimen rejection criteria |
| Topic 4: Routine Blood Collections | 28% | - Venipuncture techniques & equipment - Order of draw & tube selection - Post-collection care & labeling - Capillary puncture procedures - Tourniquet use & vein assessment |
| Topic 5: Special Collections | 12% | - Glucose tolerance & dynamic tests - Blood cultures & sterile collection - Blood alcohol & legal collections - Pediatric & geriatric collections - Therapeutic drug monitoring |
1. A phlebotomist enters a patient's room and finds the patient motionless and cyanotic. Which of the following actions should the phlebotomist take?
A) Perform the head-tilt/chin-lift maneuver.
B) Apply an automated external defibrillator.
C) Ask the patient if they are okay in a loud voice.
D) Administer three rescue breaths.
2. A phlebotomist should identify which of the following as the best site for phenylketonuria collection on an infant?
A) Central area of the heel
B) Medial or lateral areas of the heel
C) Medial or lateral area of the fingertip
D) Central area of the fingertip
3. A patient refuses a blood draw after the phlebotomist explains the procedure. Which of the following actions should the phlebotomist take?
A) Ask a family member to convince the patient.
B) Collect the specimen using a smaller needle.
C) Proceed because the provider ordered the test.
D) Notify the nurse or provider according to facility policy.
4. Which of the following blood components is primarily responsible for oxygen transport?
A) Plasma proteins
B) Leukocytes
C) Platelets
D) Erythrocytes
5. A phlebotomist is instructing a patient who has a prescription for a 24-hr urine collection. Which of the following instructions should the phlebotomist include?
A) "Double your amount of fluid intake."
B) "Keep the specimen at room temperature."
C) "Urinate directly into the collection container."
D) "Discard the first urine on the day of collection."
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: D |
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