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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Processing and quality assurance - Handling, storage and transport requirements |
| Topic 2: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Order of draw and tube selection - Venipuncture techniques and procedures - Capillary puncture procedures |
| Topic 3: Infection Control and Safety | 16% | - Needle safety and injury prevention - Biohazard handling and disposal - Standard precautions and infection control |
| Topic 4: Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
| Topic 5: Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities |
| Topic 6: Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Site selection and preparation - Patient verification and consent |
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NEW QUESTION # 269
If a patient reports a history of episodes of syncope, the most appropriate response is to:
Answer: D
Explanation:
If a patient reports a history of episodes of syncope, the most appropriate response is to place the patient in a recumbent position, either lying flat or reclining in a chair, so that he or she does not fall or experience injury if an episode of syncope occurs. Syncope is fainting that occurs with a sudden drop in blood pressure, and is sometimes associated with stress or fear. Patients who are fearful of needles or the sight of blood are especially at risk for syncope during venipuncture.
NEW QUESTION # 270
Which of the following billing code systems is used for laboratory testing for inpatients?
Answer: C
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 # 271
HCV exposure may occur through:
Answer: B
Explanation:
Hepatitis C virus (HCV) infection may occur through exposure to blood and serum and is primarily transmitted through sexual contact and needle sharing. However, it is rarely found in urine or semen and is not associated with phlebotomy procedures.
NEW QUESTION # 272
If a patient has undergone bilateral mastectomies with surgeries 5 years apart, what venipuncture site should the phlebotomist select?
Answer: D
Explanation:
If a patient has undergone bilateral mastectomies with surgeries 5 years apart, the phlebotomist should ask the physician for instructions regarding the appropriate site. If policy precludes the use of the lower extremities, the venipuncture site is usually the arm on the side with the most distant mastectomy because the healing is more advanced. However, placing a tourniquet on the side of a mastectomy increases the risk of lymphedema, and the impaired lymphatic filtering and drainage also increases the risk of infection.
NEW QUESTION # 273
The chain of custody for a blood specimen begins with the:
Answer: B
Explanation:
The chain of custody for a blood specimen, such as one for drug testing, begins with the initial contact with the patient when the venipuncture is carried out. A chain of custody form or other record should be filled out, and information is entered with each specimen transfer from the initial one until the final disposition. Each person involved must be identified and must sign or initialize the form/record, and each process carried out on the sample must described. The sample must be stored in a secured and restricted storage site.
NEW QUESTION # 274
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