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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Venipuncture techniques and procedures - Order of draw and tube selection - Capillary puncture procedures |
| Topic 2: Infection Control and Safety | 16% | - Standard precautions and infection control - Biohazard handling and disposal - Needle safety and injury prevention |
| Topic 3: Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Ethical and legal responsibilities - Regulatory standards (OSHA, CLSI, HIPAA) |
| Topic 4: Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
| Topic 5: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Patient assessment and special considerations - Site selection and preparation |
| Topic 6: Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Processing and quality assurance - Handling, storage and transport requirements |
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NEW QUESTION # 27
When collecting a capillary blood specimen for bilirubin from a newborn receiving phototherapy for jaundice, it is especially important to:
Answer: D
Explanation:
When collecting a capillary blood specimen for bilirubin from a newborn receiving phototherapy for jaundice, it is especially important to turn off the phototherapy light during collection because exposure of the blood sample to the light may break down the bilirubin. The specimen must be obtained carefully to prevent hemolysis and placed in an amber microcollection container, or the container should be covered with aluminum foil to protect the contents from light The blood specimen should be collected as soon after the request as possible because accurate timing can help to determine the rate of bilirubin increase.
NEW QUESTION # 28
Which of the following billing code systems is used for laboratory testing for inpatients?
Answer: A
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 # 29
When collecting a specimen from a patient in a long-term-care facility, the first thing the phlebotomist should do is to:
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 # 30
Proper procedure for capillary puncture in an infant or small child includes:
Answer: C
Explanation:
In performing a capillary puncture in an infant or small child, grasp all of the child's fingers between your fingers and thumb; grasping only one finger may cause the finger to twist if the child tries to pulls away. Bandages should not be applied to infants or children younger than 2 years of age, as they may present a choking hazard or may stick and cause the skin to tear during removal. For heelstick procedures, the infant or child should be lying face up, with the foot lower than the torso.
NEW QUESTION # 31
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: D
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 # 32
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