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| Section | Weight | Objectives |
|---|
| Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA)
|
| Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture procedures - Order of draw and tube selection - Non-blood specimen collection - Venipuncture techniques and procedures
|
| Patient Identification, Assessment, and Site Preparation | 17% | - Site selection and preparation - Patient assessment and special considerations - Patient verification and consent
|
| Infection Control and Safety | 16% | - Standard precautions and infection control - Needle safety and injury prevention - Biohazard handling and disposal
|
| 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
|
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Medical Technology AMCA Phlebotomy Technician Certification Exam Sample Questions (Q16-Q21):
NEW QUESTION # 16
The phlebotomist is NOT required to use an N95 (or equivalent) respirator when entering the room of a patient with which of the following communicable diseases, even when the phlebotomist is not immune to the disease?
- A. Measles
- B. Chickenpox
- C. Influenza
- D. COVID-19
Answer: C
Explanation:
An N95 or equivalent respirator must be worn by all healthcare personnel entering the room of a patient known or suspected to have a disease that is spread through airborne transmission if the healthcare worker is not immune to the disease. These diseases include chickenpox, measles, COVID-19, and tuberculosis. Many healthcare facilities require the use of N95 or equivalent respirators by all personnel who may be exposed to these diseases even if they are immune due to vaccination or previous infection. However, for diseases that are spread through droplet transmission, such as influenza and the common cold, a surgical mask provides adequate protection.
NEW QUESTION # 17
The hemoglobin A1c POC test reflects the average blood glucose level for the previous:
- A. 5 weeks
- B. 2-3 months
- C. 7-10 days
- D. 2-3 days
Answer: B
Explanation:
The hemoglobin A1c point-of-care (POC) test reflects the average blood glucose level for the previous 2-3 months. Glucose attaches to hemoglobin A in RBCs and remains for the life of the cells. The typical life of an RBC is approximately 120 days. Hemoglobin A1c is a better predictor of glucose control and the possibility of diabetes complications than serum glucose is. The normal value for hemoglobin A1c is less than 5.7%.
NEW QUESTION # 18
If 3 tubes, each containing 2 mL of CSF, are collected, which tube should be used for C&S?
- A. First
- B. Order does not matter
- C. Third
- D. Second
Answer: D
Explanation:
If 3 tubes, each containing 2 mL of CSF (cerebrospinal fluid) are collected, the collection tube that should be used for CRS is the second tube. The specimen in the first tube is used for chemistry and immunological testing but may be contaminated with bacteria found on the skin, so it is not appropriate for C&S. The specimen in the second tube should not be contaminated with skin bacteria. The specimen in the third tube is used for cellular examination.
NEW QUESTION # 19
If blood must be drawn from an arm with an IV in place, the phlebotomist should:
- A. Place a tourniquet proximal to the IV and carry out venipuncture proximal to the IV.
- B. Turn off the IV and wait at least 2 minutes before attempting venipuncture.
- C. Place a tourniquet proximal to the IV and carry out venipuncture distal to the IV.
- D. Ask the nurse to turn off the IV and wait 2 minutes before attempting venipuncture.
Answer: D
Explanation:
If blood must be drawn from an arm with an IV in place, the phlebotomist should ask the nurse to turn off the IV and then wait at least 2 minutes before attempting venipuncture to decrease the dilution of the blood. The phlebotomist is not allowed to adjust or stop the flow of an IV. A tourniquet must be applied distal to the IV, and the venipuncture is carried out distal to the tourniquet. The phlebotomist should record the type of fluid and medication (if applicable) in the IV. The phlebotomist must notify the nurse that the venipuncture is complete and the IV needs to be restarted.
NEW QUESTION # 20
Which of the following actions may result in hemolysis of a specimen?
- A. Using a 22-gauge needle for collection
- B. Collecting a specimen from a VAD
- C. Gently inverting the specimen
- D. Leaving the tourniquet in place for 45 seconds
Answer: B
Explanation:
Collecting a specimen from a vascular access device (VAD) may result in hemolysis of a specimen. A specimen should also not be collected during an intravenous (livo line start. Additional precautions include ensuring that the needle is secure, avoiding forcibly pulling on a plunger to withdraw blood or forcefully transferring blood from a syringe into a tube, discontinuing a sluggish draw, avoiding the use of 25-gauge needles, limiting tourniquet use to 60 seconds, and avoiding shaking or vigorously mixing specimens.
NEW QUESTION # 21
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