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| Section | Weight | Objectives |
|---|---|---|
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Regulatory standards (OSHA, CLSI, HIPAA) - Professional conduct and communication |
| Specimen Processing and Transportation | 10% | - Processing and quality assurance - Specimen labeling and documentation - Handling, storage and transport requirements |
| Infection Control and Safety | 16% | - Needle safety and injury prevention - Biohazard handling and disposal - Standard precautions and infection control |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Site selection and preparation - Patient verification and consent |
| 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 |
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NEW QUESTION # 194
When collecting nasopharyngeal secretions with a flexible swab, the patient's head should be inclined back from 900 (vertical) to:
Answer: D
Explanation:
When collecting nasopharyngeal secretions with a flexible swab, the patients head should be inclined from vertical (90°) to 70°. Care should be taken to not hyperextend the neck; some patients, especially older adults, may have difficulty with any extension. The swab is inserted into one nostril until it reaches the nasopharynx (at the back and top of the throat). Then, the swab is rotated a few times, gently withdrawn, and placed in a sterile container that contains transport medium.
NEW QUESTION # 195
When venipuncture is performed in edematous tissue, the results will likely be:
Answer: B
Explanation:
When venipuncture is performed in edematous tissue, the results will likely be altered because the sample may contain tissue fluid. Additionally, veins are often harder to locate in edematous tissue, and bleeding may persist longer than usual. Edematous tissue is more prone to injury from the tourniquet because the tissue is stretched. Whenever possible, a nonedematous site should be used for venipuncture. If the edema is because an IV has infiltrated, the phlebotomist must notify the nurse immediately.
NEW QUESTION # 196
Which of the following billing code systems is used for laboratory testing for inpatients?
Answer: C
Explanation:
The billing code system that is used for laboratory testing for inpatients is ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System). It is used to report and bill procedures while patients are hospitalized. Outpatient procedures, on the other hand, are billed using CPT (Current Procedural Terminology) codes. ICD-11 (International Classification of Diseases, 11th Revision) is the latest code system for diagnoses, but it has yet to be adopted in the US. The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) is still the coding system used in the US for documenting a diagnosis.
NEW QUESTION # 197
For blood cultures, if using iodophors for the main disinfectant, how long does it take for the iodophors to adequately disinfect the skin?
Answer: D
Explanation:
Iodophors take 90-120 seconds to adequately disinfect the skin for blood cultures. The usual procedure is to cleanse the skin with a 30-second friction rub with 70% isopropyl alcohol, allow the alcohol to dry completely, then apply the main disinfectant and let it dry for the time recommended by the manufacturer. If the phlebotomist needs to palpate the vein after applying the disinfectant, sterile gloves must be worn.
NEW QUESTION # 198
A vital function of the capillaries is to:
Answer: B
Explanation:
A vital function of the capillaries is to exchange gases (carbon dioxide [C02J for oxygen), nutrients, and metabolic by-products (wastes). Capillaries are extensions of arteriole endothelium and are tiny, thin-walled vessels that carry a mixture of arterial and venous blood. The walls of the capillaries are semipermeable, with tiny openings where endothelial cells in the walls overlap. The density of capillary networks depends on the metabolism of the tissue, so capillaries are dense in muscle and nerve tissue and are less dense in cartilage, the epidermis, and the corneas.
NEW QUESTION # 199
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