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| Section | Weight | Objectives |
|---|
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Capillary puncture procedures - Venipuncture techniques and procedures - Order of draw and tube selection
|
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Site selection and preparation - Patient verification and consent
|
| Specimen Processing and Transportation | 10% | - Handling, storage and transport requirements - Specimen labeling and documentation - Processing and quality assurance
|
| Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance
|
| Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities
|
| Infection Control and Safety | 16% | - Biohazard handling and disposal - Standard precautions and infection control - Needle safety and injury prevention
|
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Medical Technology AMCA Phlebotomy Technician Certification Exam Sample Questions (Q254-Q259):
NEW QUESTION # 254
All of the following affect blood specimen composition EXCEPT:
- A. Body position
- B. Temperature and humidity
- C. Fasting
- D. Stress
Answer: C
Explanation:
Body position, environmental conditions such as temperature and humidity, and stress can affect blood specimen composition. Fasting is useful in eliminating dietary influences on blood testing.
NEW QUESTION # 255
Which of the following statements regarding special blood collection procedures is FALSE?
- A. Venipuncture cannot be performed on an AV shunt
- B. An implanted port should be covered with a bandage.
- C. A heparin lock may be left in the vein for 48 hours.
- D. Coagulation studies cannot be drawn from a heparin lock
Answer: B
Explanation:
An implanted port is attached to an indwelling line and should not be covered with a bandage. A heparin lock is a special type of cannula that can be left in the patient's vein for up to 48 hours; however, coagulation studies should not be drawn from a heparin lock. Arteriovenous (AV) shunts are usually created to provide access for dialysis. Venipuncture should not be performed on an AV shunt.
NEW QUESTION # 256
Which of the following tests requires that the specimen be chilled?
- A. CBC
- B. Lactic acid
- C. Uric acid
- D. Potassium
Answer: B
Explanation:
The specimen for a lactic acid test must be chilled. Other tests that require a chilled specimen include catecholamines, ammonia, pyruvate, adrenocorticotropic hormone, parathyroid hormone, metanephrines (plasma), and gastrin. Chilling the specimen slows the cell metabolism that otherwise continues and protects analytes that are altered by heat. Most specimens that require chilling are chilled in an ice-and-water slurry. A few specimens, such as homocysteine in the gel tube, are chilled on a cooler rack.
NEW QUESTION # 257
How long should the phlebotomist observe a venipuncture site for signs of excessive or persistent bleeding before applying a bandage?
- A. 5-10 seconds
- B. 3-5 seconds
- C. 1-2 seconds
- D. 10-20 seconds
Answer: A
Explanation:
The phlebotomist should observe a venipuncture site for 5-10 seconds for signs of excessive or persistent bleeding before applying a gauze pressure bandage. If there is bleeding, direct pressure should be applied until the bleeding is stopped and then the pressure dressing is applied. The patient should avoid exposing the site to direct pressure (such as that from a purse strap) or exertion for the next several hours to avoid reopening the wound and causing bleeding.
NEW QUESTION # 258
When using a bariatric blood pressure cuff instead of a tourniquet for an obese patient, the blood pressure cuff should be inflated to:
- A. Just below the patients systolic pressure
- B. Just above the patient's systolic pressure
- C. Just below the patients diastolic pressure
- D. Just above the patient's diastolic pressure
Answer: C
Explanation:
When using a bariatric blood pressure cuff instead of a tourniquet for an obese patient, the blood pressure cuff should be inflated to just below the patient's diastolic pressure. The phlebotomist should begin by measuring the patients' blood pressure and then adjusting the pressure. The cuff should not be so tight that it is painful for the patient Whereas most tourniquets are approximately 18 inches in length, bariatric tourniquets are available in longer lengths.
NEW QUESTION # 259
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