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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| 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% | - Capillary puncture techniques - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs) - Special collection procedures (blood cultures, glucose tolerance tests) |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
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NEW QUESTION # 209
For therapeutic drug monitoring, critical times include:
Answer: B
Explanation:
For therapeutic drug monitoring, critical times include the time of the last dose and the time that the specimen was collected. The times should be carefully recorded to ensure that the peak level or trough level is accurately assessed. Peak levels are drawn at the time that the medication's concentration in the blood should be highest. Trough levels are usually drawn immediately before the next dose, when the concentration is the lowest The last dosage administered and the mode of administration must also be recorded.
NEW QUESTION # 210
A patient's blood glucose level is usually elevated:
Answer: C
Explanation:
A patient's blood glucose level is normally elevated after ingestion of a high-carbohydrate meal: however, glucose levels return to normal within 2 hours after ingestion.
NEW QUESTION # 211
Which class of fire can be put out with water?
Answer: B
Explanation:
Class A fires involve wood, paper clothing or other combustibles. This is the only class of fire that can be put out with water, other fires may become more dangerous if water is added. Class D fires involve combustible or reactive metals such as sodium, potassium, magnesium, or lithium. Class C fires involve electrical equipment. Class B fires involve flammable liquids or gases such as paint or propane. Fire extinguishers are available for all classes of fires, but should only be used by trained individuals who are sure that the extinguisher type is correct for the type of fire. Large fires and fires involving multiple classes of fire must be handled by trained firefighting personnel.
NEW QUESTION # 212
Withdrawing blood from a VAD for noncoagulation studies requires:
Answer: B
Explanation:
Withdrawing blood from a vascular access device (VAD) for coagulation studies requires flushing the VAD lock with 5-10 mL preservative-free normal saline (NS) and drawing a discard tube, equal to W.ro times the dead space, before drawing the sample. For most central lines, 5 mL is adequate as the discard volume, although this may vary so the discard volume needed should always be verified. For coagulation studies, typically a discard volume of six times the dead space is recommended, although if drawing blood from a saline lock a discard volume of two times the dead space is adequate. After the specimen is obtained, the VAD is again flushed with 5-10 mL of preservative-free NS.
NEW QUESTION # 213
When opening and aliquoting a specimen, the required PPE includes:
Answer: B
Explanation:
When opening and aliquoting a specimen, the required PPE includes gown, gloves, and face shield. Otherwise, the opening must occur behind a portable splash screen that is placed between the specimen and the person's body. The sample should be removed from the tube with a disposable pipette and placed into the aliquot tube. Pouring the specimen from the specimen tube into the aliquot tube must be avoided because this may result in aerosolization.
NEW QUESTION # 214
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