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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Specimen Processing and Transportation | 10% | - Handling, storage and transport requirements - Specimen labeling and documentation - Processing and quality assurance |
| Topic 2: Patient Identification, Assessment, and Site Preparation | 17% | - Site selection and preparation - Patient verification and consent - Patient assessment and special considerations |
| Topic 3: Infection Control and Safety | 16% | - Needle safety and injury prevention - Standard precautions and infection control - Biohazard handling and disposal |
| Topic 4: Professionalism and Regulatory Compliance | 18% | - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities - Professional conduct and communication |
| Topic 5: Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture techniques and procedures - Capillary puncture procedures - Order of draw and tube selection - Non-blood specimen collection |
| Topic 6: Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
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NEW QUESTION # 26
At room temperature, EDTA specimens for ESR should be tested within:
Answer: B
Explanation:
At room temperature, EDTA specimens for erythrocyte sedimentation rate (ESR) must be tested within 4 hours: refrigerated specimens must be tested within 12 hours. The ESR is used to diagnose acute infection or inflammatory processes in disease. The test is typically performed on whole blood collected in a lavender/purple EDTA tube. The test determines how quickly RBCs (erythrocytes) settle to the bottom of the specimen tube. Inflammation or infection tends to speed this process.
NEW QUESTION # 27
When collecting a blood sample from a geriatric patient, it is important to recognize that
Answer: C
Explanation:
When collecting a blood sample from a geriatric patient, it is important to recognize that the veins are more likely to collapse or roll because the tissue and veins are less elastic and the veins are less secured. Older adults often have skin that is thinner and more friable, with less underlying subcutaneous fat, than that of younger people. Although this may make vessels easier to visualize, they may be more difficult to access. Blood flow may be slower because of the narrowing of vessels that occurs with age.
NEW QUESTION # 28
Which of the following tests requires that the specimen be chilled?
Answer: D
Explanation:
The specimen for a lactic acid test must be chilled. Other tests that require a chilled specimen include catecholamines, ammonia, pyruvate, adrenocorticotropic hormone, parathyroid hormone, metanephrines (plasma), and gastrin. Chilling the specimen slows the cell metabolism that otherwise continues and protects analytes that are altered by heat. Most specimens that require chilling are chilled in an ice-and-water slurry. A few specimens, such as homocysteine in the gel tube, are chilled on a cooler rack.
NEW QUESTION # 29
When carrying out POC testing for PT/INR with an analyzer such as the CoaguChek XS Plus, a capillary drop should generally be applied to the test strip or other collection device within:
Answer: D
Explanation:
When carrying out point-of-care (POC) testing for PT/INR with an analyzer such as the CoaguCheck XS Plus, a capillary blood drop should generally be applied to the test strip or other collection device within 15 seconds. A capillary tube may be used to collect the drop of blood and apply it to the test strip. The drop should be transferred by holding it near the test strip or collection device while avoiding touching or wiping the blood onto the strip or device.
NEW QUESTION # 30
A safe area for capillary puncture in infants is the:
Answer: B
Explanation:
The medial or lateral plantar surface of the heel is the preferred site for capillary puncture in infants. The earlobe or arch or other areas of the foot should not be used for puncture. The posterior curvature of the heel should not be used, as the bone may be only I mm deep in this area.
NEW QUESTION # 31
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