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| Section | Weight | Objectives |
|---|---|---|
| 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 |
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Venipuncture procedures and order of draw - Special collection procedures (blood cultures, glucose tolerance tests) - Capillary puncture techniques |
| Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
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NEW QUESTION # 114
Which of the following pieces of information does NOT have to be provided to patients as part of informed consent?
Answer: A
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 # 115
Plasma specimens for ammonia levels should be separated from the blood cells and tested within:
Answer: A
Explanation:
Plasma specimens for ammonia levels should be separated from the blood cells and tested within 15 minutes because ammonia levels increase rapidly at room temperature. Specimens should be transported in an ice slurry or cooling tray and processed immediately. Blood ammonia levels are often checked to diagnose or monitor hepatic encephalopathy, which can result in toxic levels of ammonia. Other causes of increased ammonia include upper gastrointestinal tract bleeding, salicylate poisoning. liver failure, kidney disease, and parenteral nutrition.
NEW QUESTION # 116
The primary reason that specimens are rejected in the lab is:
Answer: C
Explanation:
The primary reason that specimens are rejected in the lab is hemolysis. Hemolysis may alter test results or preclude testing. Hemolysis may occur if blood is drawn from an area distal to the antecubital area, the wrong size of needle is used, alcohol on the skin has not dried and contaminates the specimen, venipuncture technique is poor, a syringe is used to withdraw blood, or the tourniquet is left in place for longer than 1 minute.
NEW QUESTION # 117
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 # 118
After collecting a blood sample, a tube containing sodium citrate as an additive should be inverted:
Answer: A
Explanation:
After collecting a blood sample, a tube containing sodium citrate as an additive should be inverted 3-4 times rather than the 5-10 times required of other additives. Sodium citrate is an anticoagulant that binds to calcium, preventing blood clotting. Sodium citrate is preferred for coagulation tests (partial thromboplastin time [PTT] and activated partial thromboplastin time [aPTT]) because it best preserves coagulation factors. Tubes that contain sodium citrate have light- blue colored stoppers or black stoppers in special tubes used for the erythrocyte sedimentation rate. Shaking or inverting too much may activate the platelets, resulting in a shortened coagulation time.
NEW QUESTION # 119
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