{"id":"phlebotomy-free","timeLimitSec":300,"questions":[{"id":"phf-01","section":"safety","q":"You stick yourself with a used needle after a draw. What should you do first?","options":["Wash the site with soap and water right away","Finish your shift, then tell your supervisor","Squeeze the wound hard to force out blood","Soak the site in household bleach"],"answer":0,"explain":"Wash a needlestick with soap and water at once, then report it so a post-exposure evaluation can start quickly. Squeezing or using bleach is not recommended."},{"id":"phf-02","section":"patient","q":"Which pair of identifiers is acceptable for confirming an outpatient's identity before a draw?","options":["Room number and full name","Name of the provider and the patient's age","Full name and date of birth","Diagnosis and date of birth"],"answer":2,"explain":"Use two identifiers tied to the person, such as full name and date of birth. A room or bed number is never an identifier."},{"id":"phf-03","section":"routine","q":"In the CLSI order of draw for venipuncture, which is collected first?","options":["Blood culture bottles","Lavender (EDTA) tube","Light blue (sodium citrate) tube","Gray (sodium fluoride) tube"],"answer":0,"explain":"Order of draw: blood cultures (sterile), light blue citrate, serum tubes (red, gold), green heparin, lavender EDTA, gray fluoride/oxalate."},{"id":"phf-04","section":"special","q":"How should a newborn screening filter paper card be filled?","options":["Fill each circle with a capillary tube and squeeze","Press the circles against the heel and rub","Dab several small drops onto each circle from both sides until it looks evenly red","One large drop per circle, from one side, soaking through"],"answer":3,"explain":"One large drop per circle, applied from one side only, soaks evenly through the paper. Do not touch the circles, then dry the card flat away from heat."},{"id":"phf-05","section":"processing","q":"Which specimen should be placed in an ice-water slurry right after collection?","options":["Blood type and screen","Ammonia","Cold agglutinins","Hemoglobin A1c"],"answer":1,"explain":"Ammonia rises in a sample at room temperature, so it is chilled at once and tested quickly. Cold agglutinins must be kept warm instead."}]}