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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Topic 2: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Venipuncture techniques and procedures - Order of draw and tube selection - Capillary puncture procedures |
| Topic 3: Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Ethical and legal responsibilities - Regulatory standards (OSHA, CLSI, HIPAA) |
| Topic 4: Specimen Processing and Transportation | 10% | - Handling, storage and transport requirements - Specimen labeling and documentation - Processing and quality assurance |
| Topic 5: Infection Control and Safety | 16% | - Standard precautions and infection control - Needle safety and injury prevention - Biohazard handling and disposal |
| Topic 6: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Patient assessment and special considerations - Site selection and preparation |
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NEW QUESTION # 212
Which of the following pieces of information does NOT have to be provided to patients as part of informed consent?
Answer: D
Explanation:
The information that does not have to be provided to patients as part of informed consent is the cost of testing; however, if the cost is extremely high, patients should be made aware of this, especially if they lack insurance. Patients do need to be aware of the methods used to conduct the test the risks of the test, and the benefits. If alternate methods of testing are available, patients should also be apprised of these so that they have the option to choose.
NEW QUESTION # 213
All laboratory testing in the United States, except for research testing, is regulated by the Centers for Medicare and Medicaid Services through the:
Answer: C
Explanation:
All laboratory testing in the United States, except for research testing, is regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA), which are implemented through the Division of Laboratory Services and serves approximately 244,000 laboratories. Laboratories receiving reimbursement from CMS must meet CLIA standards, which ensure that laboratory testing will be accurate and that procedures are followed properly.
NEW QUESTION # 214
The myocardial infarction panel does NOT include:
Answer: D
Explanation:
The myocardial infarction (MI), or heart attack. panel does not include creatinine. The troponin test is the only test specific to cardiac muscle. Levels increase within 3-4 hours of an MI and stay elevated for 10-14 days. Myoglobin begins to increase within 2-3 hours of an MI, peaking within 8-12 hours; however, it is not specific to the heart but also found in skeletal muscle. Levels return to normal within 24 hours. Creatine kinase isoenzyme MB (CK-MB) increases within 3-4 hours, peaking at 18-24 hours and returning to normal within 72 hours.
NEW QUESTION # 215
If a specimen must be refrigerated, the temperature should range from:
Answer: C
Explanation:
If a specimen must be refrigerated, the temperature should be 2-10 °C (35.6-50 °F). If the specimen must be frozen, the temperature must be maintained at -20 °C (-4 °F), although some specimens require freezing to -70 °C (-94 °F) or colder, so the requirements for each type of specimen should always be verified.
NEW QUESTION # 216
The laboratory test that is most affected by hemolysis is:
Answer: B
Explanation:
Of the laboratory tests listed, the test that is most affected by hemolysis is K (potassium). Other tests that are equally affected include LH (lactate dehydrogenase), AST (aspartate aminotransferase), and the CBC (complete blood count). Fe (serum iron), ALT (alanine aminotransferase, and T4 (thyroxine) are also noticeably affected. Tests that are only mildly affected include P (phosphorous), TP (total protein), albumin, Mg (magnesium), Ca (calcium), and acid phosphatase.
NEW QUESTION # 217
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