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| Section | Weight | Objectives |
|---|---|---|
| Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Collection of Blood and Non-Blood Specimens | 29% | - Special collection procedures (blood cultures, glucose tolerance tests) - Capillary puncture techniques - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs) |
| Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
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NEW QUESTION # 187
A test request should include what specific information about the patient?
Answer: C
Explanation:
A test request should include the following specific information about the patient:
*Name: first, middle, last
*Identification (LD)/ Record number
*Gender: male or female (typically the gender assigned at birth, but this may vary if the patient is nonbinary or transgender)
*Date of birth
In addition to information about the patient, the test request should include the name of the ordering healthcare provider, the tests to be performed, the collection site (if appropriate), the date the collection is to be made, and any additional instructions that are necessary.
NEW QUESTION # 188
In therapeutic drug monitoring, trough levels are collected:
Answer: A
Explanation:
Trough levels are collected when the serum concentration of the drug is at its lowest level, usually just prior to administration of the next dose. Peak levels are collected when the serum concentration is highest, usually 30-60 minutes after drug administration. If the peak level is above the toxic threshold, the dose is toxic and must be decreased. The therapeutic window is the range of blood concentrations of the drug between the minimum effective concentration and the toxic concentration.
NEW QUESTION # 189
If a hospital laboratory is accredited by CAP, how frequently is the accreditation reviewed?
Answer: A
Explanation:
If a hospital laboratory is accredited by CAP (College of American Pathologists), the accreditation is reviewed every 2 years by teams of inspectors. Laboratories must meet rigorous standards as outlined by checklists. If a laboratory is accredited by CAP, CMS (Centers for Medicare and Medicaid Services) does not require further inspection. The Joint Commission also recognizes CAP accreditation. CAP accreditation usually requires higher standards than regulatory agencies because its goal is to promote the highest laboratory quality and patient safety.
NEW QUESTION # 190
Using a foot vein for a blood draw:
Answer: B
Explanation:
Using a foot vein for a blood draw increases risk of blood clots because circulation is often impaired in the legs and feet, especially in older and/or diabetic patients. Patients are also at increased risk of ulceration of the site. Drawing blood from the foot or ankle should be avoided, but if neither arm can be used, blood may be drawn from the foot or ankle with a physician's order.
NEW QUESTION # 191
If peritoneal fluid is aspirated during a paracentesis and must be tested for cell counts, which type of specimen tube is indicated?
Answer: A
Explanation:
When peritoneal fluid is aspirated during a paracentesis and must be tested for cell counts, the type of specimen tube that is indicated is EDTA. A sterile heparinized tube is used for cultures, a heparin or sodium fluoride tube is for chemistries, and a nonanticoagulant tube is for biochemical tests. Serous fluid is usually pale yellow in appearance and may include pericardial fluid that surrounds the heart, pleural fluid from the space around the lungs, and peritoneal fluid from the abdominal cavity.
NEW QUESTION # 192
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