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| Section | Weight | Objectives |
|---|---|---|
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Infection Control and Safety | 16% | - Biohazard handling and disposal - Needle safety and injury prevention - Standard precautions and infection control |
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Processing and quality assurance - Handling, storage and transport requirements |
| Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture procedures - Venipuncture techniques and procedures - Order of draw and tube selection - Non-blood specimen collection |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Patient verification and consent - Site selection and preparation |
| Professionalism and Regulatory Compliance | 18% | - Regulatory standards (OSHA, CLSI, HIPAA) - Professional conduct and communication - Ethical and legal responsibilities |
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NEW QUESTION # 135
If a patient complains of nausea after a blood draw, the most appropriate response is to:
Answer: D
Explanation:
If a patient complains of nausea after a blood draw, the most appropriate response is to give the patient an emesis basin (because nausea often leads to vomiting) and encourage deep breathing because this sometimes eases nausea. A cool, damp cloth may also be applied to the patient's forehead. In most cases, nausea subsides within a few moments, but first-aid personnel should be notified. If the patient is lying flat and supine, he or she should be turned to one side to avoid aspiration if vomiting occurs.
NEW QUESTION # 136
Which of the following billing code systems is used for laboratory testing for inpatients?
Answer: D
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 # 137
When a specimen requires immediate chilling, the appropriate procedure is to:
Answer: B
Explanation:
Some specimens, such as those intended for a lactate test, require immediate chilling to maintain the integrity of the sample. CLSI guidelines recommend placing the specimen immediately in a mixture of ice and water, which allows maximum contact between the cooling source and the sample tube. Large cubes of ice will not allow the maximum contact required to maintain appropriate chilling. Dry ice is not recommended due to its excessively low temperature. Refrigerating the sample is not sufficient nor does it allow chilling to continue during transport.
NEW QUESTION # 138
Which of the following statements regarding blood specimens is FALSE?
Answer: D
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 # 139
A sample being designated as QNS means that:
Answer: B
Explanation:
If a sample is designated as QNS, the quantity is not sufficient for the test that has been ordered. In this case, the sample is rejected and another sample must be obtained. QNS is a common reason for rejecting chemistry specimens. The phlebotomist should review requirements for tests to ensure that the volume of the specimen is adequate. Reasons for QNS may include using expired tubes (resulting in decreased vacuum) and not ensuring complete filling of the tube before changing tubes. QNS may also occur if a patient has difficult-to-access veins.
NEW QUESTION # 140
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