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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
| Topic 2: Infection Control and Safety | 16% | - Needle safety and injury prevention - Standard precautions and infection control - Biohazard handling and disposal |
| Topic 3: Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture procedures - Venipuncture techniques and procedures - Non-blood specimen collection - Order of draw and tube selection |
| Topic 4: Patient Identification, Assessment, and Site Preparation | 17% | - Site selection and preparation - Patient assessment and special considerations - Patient verification and consent |
| Topic 5: Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Processing and quality assurance - Handling, storage and transport requirements |
| Topic 6: Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Ethical and legal responsibilities - Regulatory standards (OSHA, CLSI, HIPAA) |
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NEW QUESTION # 10
During a blood draw and collection in multiple vacuum tubes, if the third tube fails to fill, the most appropriate initial response is to:
Answer: A
Explanation:
During a blood draw and collection in multiple vacuum tubes, if the third tube fails to fill, the most appropriate initial response is to try a different vacuum tube. Tubes sometimes lose their vacuum. If the new tube also does not fill, then the phlebotomist should check to make sure that the entire bevel of the needle is completely under the skin. If a new tube does not solve the problem and the needle is in the correct place, the venipuncture may need to be discontinued and a new site tried.
NEW QUESTION # 11
If a patient must do a 72-hour stool collection for fecal fat analysis, the stool should be kept under what conditions during the collection period?
Answer: A
Explanation:
If a patient must do a 72-hour stool collection for fecal fat analysis, the stool should be kept under refrigeration during the collection period. The patient is provided a large gallon container with a lid and written and verbal instructions. The patient should be cautioned to avoid contaminating the stool specimen with urine, which may alter the test results. One method of collecting the stool is to place plastic wrap securely over the back half of the toilet bowl. Special collection devices are also available.
NEW QUESTION # 12
An individual with which type of blood can be a blood donor to individuals with any of the four blood types?
Answer: B
Explanation:
Because type O blood lacks antigens, an individual with type O blood can be a donor to individuals with any of the four blood types: thus, a person with type O blood is known as a universal donor.
NEW QUESTION # 13
Which of the following statements regarding blood specimens is FALSE?
Answer: C
Explanation:
Because outpatient specimens are not obtained during the basal state, normal values may differ slightly from those of inpatients. Hemoglobin (Hgb), hematocrit (Hct), and red blood cell (RBC) counts may have higher normal ranges at higher elevations. Caffeinated beverages may affect cortisol levels. Ingestion of lipids (fats) such as butter or cheese may increase blood lipid content, giving blood specimens a cloudy or milky appearance.
NEW QUESTION # 14
In the United States, all laboratory testing, except for research, is regulated by:
Answer: C
Explanation:
In the United States, all laboratory testing, except for research, is regulated by Centers for Medicare and Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA). CLIA is 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 procedures followed properly. The CDC partners with CMS and the Food and Drug Administration (FDA) in supporting CLIA programs.
NEW QUESTION # 15
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