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| Section | Weight | Objectives |
|---|
| Topic 1: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation
|
| Topic 2: Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection
|
| Topic 3: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness)
|
| Topic 4: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols
|
| Topic 5: Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions
|
| Topic 6: Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs)
|
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Medical Technology AMCA Phlebotomy Technician Certification Exam Sample Questions (Q185-Q190):
NEW QUESTION # 185
Physician office laboratories are most often accredited by:
- A. CAP
- B. The Joint Commission
- C. COLA
- D. CLIA
Answer: C
Explanation:
Physician office laboratories are most often accredited by COLA (Commission on Laboratory Accreditation), which was founded in 1988 with the original intent of inspecting and accrediting physician office laboratories to ensure that they are in compliance with CLIA (Clinical Laboratory Improvement hnendments). COLA has since expanded its mission and now also accredits hospital laboratories and independent laboratories. CMS (Centers for Medicare and Medicaid Services) and The Joint Commission have granted deeming authority to COLA.
NEW QUESTION # 186
When carrying out a rapid test for group A streptococci from a throat swab, if there is no blue control line on the dipstick at 5 minutes, the test is:
- A. Invalid
- B. Inconclusive
- C. Negative
- D. Positive
Answer: A
Explanation:
When carrying out a rapid test for group A streptococci from a throat swab, if there is no blue control line on the dipstick at 5 minutes, the test is invalid, possibly because the dipstick is outdated. For the test a tube is filled with three drops each of reagents A and B and the swab is placed into the tube for 1 minute and rotated at least five times before removal. The dipstick is then placed in the tube for 5 minutes. The blue control line must appear within 5 minutes for a valid test. A positive finding is a pink or purple test line.
NEW QUESTION # 187
When collecting a specimen from a patient in a long-term-care facility, the first thing the phlebotomist should do is to:
- A. Contact the patient prior to arrival.
- B. Enter the patient's room.
- C. Check in at the nursing station.
- D. Knock on the patient's door.
Answer: C
Explanation:
When collecting a specimen from a patient in a long-term-care facility, the first thing that the phlebotomist should do is to check in at the nursing station. The phlebotomist needs to ask for information about any special concerns regarding the patient, such as the need for assistance if the patient is confused or any type of restriction that applies to the patient. As in any other setting, the phlebotomist should always knock on the door or announce his or her arrival before entering the room and explain the purpose of the visit.
NEW QUESTION # 188
The peak time for most drugs after intramuscular injection is approximately which is relevant for timing sample collection for therapeutic drug monitoring.
- A. 2 hours
- B. 30 minutes
- C. 60 minutes
- D. 90 minutes
Answer: C
Explanation:
The peak time for most drugs after intramuscular injection is approximately 60 minutes, whereas the peak time after IV administration is approximately 30 minutes. Oral medications, on the other hand, usually peak after 1-2 hours. Peak levels are assessed to ensure that the patient is not receiving a toxic dose of medication. Medications that are assessed with therapeutic drug monitoring typically have a narrow therapeutic range.
NEW QUESTION # 189
A safe area for capillary puncture in infants is the:
- A. Arch of the foot
- B. Medial plantar surface of the heel
- C. Earlobe
- D. Posterior curvature of the heel
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 # 190
......
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