PARA 3030 ACP SCOPE EXAM
QUESTIONS AND ANSWERS 100% PASS
2026/2027
ACP scope objective: what are you expected to do with these procedures? - ANS Define
terms, state indications/rationale, identify types/uses, describe procedure, identify
hazards/complications, apply findings to diagnosis/care, and demonstrate key steps.
Define radial artery sampling - ANS Arterial blood sampling (typically radial) primarily to
determine an ABG.
Define core temperature monitoring - ANS Measurement of internal (core) temperature
reflecting internal organ status (more stable than peripheral temps).
Define pulmonary artery catheter (PAC) monitoring - ANS Use of a pulmonary artery catheter
to measure right heart pressures during insertion and wedge pressure after placement.
Define central venous catheterization - ANS Placement of a catheter into a central vein to
deliver therapies/monitoring when peripheral access is inadequate or inappropriate.
Phlebotomy definition - ANS Drawing of blood.
2026/2027 ALLRIGHTS RESERVED
1
, Two dangerous phlebotomy practices in the notes - ANS Reusing tourniquets; recapping
needles with two hands.
Three major error outcomes in blood collection - ANS Hemolysis, contamination, inaccurate
labeling.
Why blood collection carries risk - ANS Exposes patients/workers to blood and body fluids.
Factors that increase hemolysis risk (needle size) - ANS Needle too small (23g or under) or
too large for vessel.
Factors that increase hemolysis risk (force/collection) - ANS Forcing blood with syringe
plunger; drawing from IV/central line.
Factors that increase hemolysis risk (tube ratio) - ANS Underfilling so anticoagulant:blood
ratio > 1:9.
Factors that increase hemolysis risk (anticoagulant issues) - ANS Using hand-filled/reused
tubes with inappropriate anticoagulant amounts.
Factors that increase hemolysis risk (mixing/alcohol) - ANS Mixing too vigorously; not letting
alcohol/disinfectant dry.
Factors that increase hemolysis risk (vacuum/syringe size) - ANS Too great a vacuum; too
large a tube for pediatrics; too large a syringe (10-20 mL).
Indication for blood sampling / collection - ANS Lab tests for clinical management and health
assessment.
Blood sampling that requires specialist training (category) - ANS Arterial blood gases (ABGs).
2026/2027 ALLRIGHTS RESERVED
2
QUESTIONS AND ANSWERS 100% PASS
2026/2027
ACP scope objective: what are you expected to do with these procedures? - ANS Define
terms, state indications/rationale, identify types/uses, describe procedure, identify
hazards/complications, apply findings to diagnosis/care, and demonstrate key steps.
Define radial artery sampling - ANS Arterial blood sampling (typically radial) primarily to
determine an ABG.
Define core temperature monitoring - ANS Measurement of internal (core) temperature
reflecting internal organ status (more stable than peripheral temps).
Define pulmonary artery catheter (PAC) monitoring - ANS Use of a pulmonary artery catheter
to measure right heart pressures during insertion and wedge pressure after placement.
Define central venous catheterization - ANS Placement of a catheter into a central vein to
deliver therapies/monitoring when peripheral access is inadequate or inappropriate.
Phlebotomy definition - ANS Drawing of blood.
2026/2027 ALLRIGHTS RESERVED
1
, Two dangerous phlebotomy practices in the notes - ANS Reusing tourniquets; recapping
needles with two hands.
Three major error outcomes in blood collection - ANS Hemolysis, contamination, inaccurate
labeling.
Why blood collection carries risk - ANS Exposes patients/workers to blood and body fluids.
Factors that increase hemolysis risk (needle size) - ANS Needle too small (23g or under) or
too large for vessel.
Factors that increase hemolysis risk (force/collection) - ANS Forcing blood with syringe
plunger; drawing from IV/central line.
Factors that increase hemolysis risk (tube ratio) - ANS Underfilling so anticoagulant:blood
ratio > 1:9.
Factors that increase hemolysis risk (anticoagulant issues) - ANS Using hand-filled/reused
tubes with inappropriate anticoagulant amounts.
Factors that increase hemolysis risk (mixing/alcohol) - ANS Mixing too vigorously; not letting
alcohol/disinfectant dry.
Factors that increase hemolysis risk (vacuum/syringe size) - ANS Too great a vacuum; too
large a tube for pediatrics; too large a syringe (10-20 mL).
Indication for blood sampling / collection - ANS Lab tests for clinical management and health
assessment.
Blood sampling that requires specialist training (category) - ANS Arterial blood gases (ABGs).
2026/2027 ALLRIGHTS RESERVED
2
