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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Handling, storage and transport requirements - Processing and quality assurance |
| Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture procedures - Order of draw and tube selection - Venipuncture techniques and procedures - Non-blood specimen collection |
| Patient Identification, Assessment, and Site Preparation | 17% | - Site selection and preparation - Patient assessment and special considerations - Patient verification and consent |
| Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities |
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Infection Control and Safety | 16% | - Needle safety and injury prevention - Standard precautions and infection control - Biohazard handling and disposal |
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NEW QUESTION # 21
According to the ADA, to ensure accessibility to patients on crutches or in wheelchairs, at least one space next to the phlebotomy chair must have a minimum area of:
Answer: C
Explanation:
According to the Americans with Disabilities Act (ADA), to ensure accessibility to patients on crutches or in wheelchairs, at least one space next to the phlebotomy chair must have a minimum area of 30 x 48 inches. Space should be available for a wheelchair to turn 1800. There must be adequate space on either side of the phlebotomy chair for transfers to and from gurneys, wheelchairs, or stretchers, and both sides must allow access to the patient. A bariatric phlebotomy chair should be available for large patients.
NEW QUESTION # 22
When collecting a capillary blood sample after a fingerstick or heelstick, it is generally necessary to:
Answer: D
Explanation:
When collecting a capillary blood sample after a fingerstick or heelstick it is generally necessary to wipe away the first drop with a gauze pad because this first drop is likely to be contaminated and may contain some alcohol from the antiseptic, which may cause hemolysis or prevent the blood from forming drops. However, some point-of-care (POC) testing devices, such as those for glucose testing, recommend using the first drop, making them exceptions to the rule.
NEW QUESTION # 23
If the antecubital veins cannot be used for specimen collection, the next site to consider is the:
Answer: D
Explanation:
If the antecubital veins cannot be used for specimen collection, the next site to consider is the dorsal (top) surface of the hand. The veins on the lateral wrist above the thumb lie near the radial nerve, so this site should be avoided. The palmar surface of the hand poses increased risk of nerve and tendon involvement. The veins in the foot should not be used without specific physician orders because of an increased risk of necrosis and thrombophlebitis.
NEW QUESTION # 24
Specimens for which of the following tests require centrifugation?
Answer: D
Explanation:
Specimens for cholesterol testing require centrifugation. Tests that are carried out on whole blood, such as CBC, hemoglobin A1c, whole blood lead analysis, and cyclosporine do not require centrifugation; however, if they are accidentally centrifuged, it may be possible to carry out testing on some specimens after the specimens are examined by a technician. Collection tubes with whole blood specimens are usually placed in a device that gently rocks the tubes while awaiting examination.
NEW QUESTION # 25
The most common reason for rejecting a specimen for chemistry is:
Answer: B
Explanation:
The most common reason for rejecting a specimen for chemistry is hemolysis, whereas the most common reason for rejecting a specimen for hematology is clotting. Other reasons that specimens may be rejected include overfilling or underfilling a tube, because this alters the required ratio of additive to specimen and can interfere with the testing results. Specimens transported and handled in the wrong collection tube, at the wrong temperature, with the wrong additive, or with exposure to light (if photosensitive) may also be rejected.
NEW QUESTION # 26
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