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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: Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage
|
| Topic 3: Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection
|
| Topic 4: Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture techniques - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs) - Special collection procedures (blood cultures, glucose tolerance tests)
|
| Topic 5: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation
|
| Topic 6: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness)
|
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Medical Technology AMCA Phlebotomy Technician Certification Exam Sample Questions (Q19-Q24):
NEW QUESTION # 19
Which of the following is an appropriate method of applying pressure to stop bleeding after venipuncture in the antecubital area?
- A. Applying a cotton ball pressure dressing
- B. Maintaining direct pressure for 3-5 seconds
- C. Applying a gauze pressure dressing
- D. Flexing the elbow sharply
Answer: C
Explanation:
Applying a gauze pressure dressing is an appropriate method of applying pressure to stop bleeding after venipuncture in the antecubital area. The patient should be advised to keep the dressing in place for at least 15 minutes. Direct pressure may be applied for a few minutes by the patient (if monitored) or by the phlebotomist. Cotton and rayon balls should not be used to apply pressure to the venipuncture site because they may stick to the wound and dislodge the platelet plug.
NEW QUESTION # 20
When using an evacuated tube system for venipuncture, the phlebotomist can determine that a tube is properly filled when the:
- A. Volume fills the tube completely.
- B. Volume appears adequate on examination.
- C. Volume fills to the "full" line.
- D. Vacuum is exhausted.
Answer: D
Explanation:
When using an evacuated tube system for venipuncture, the phlebotomist can determine that a tube is properly filled when the vacuum is exhausted. Each type of tube has a vacuum that will provide the volume necessary for getting the correct ratio of blood to the tube additive (if any) and the tests that may be run on the sample. Typical volumes are 2.0-8.5 mL. The tube should also be examined after filling to ensure that it appears to contain the correct volume.
NEW QUESTION # 21
At room temperature, EDTA specimens for ESR should be tested within:
- A. 6 hours
- B. 2 hours
- C. 1 hour
- D. 4 hours
Answer: D
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 # 22
When collecting a blood specimen from a patient in an isolation room, the phlebotomist should place the collection tray:
- A. On the bedside table
- B. On a table or chair outside of the room
- C. At the nurse's station or another secured area
- D. On a table or chair immediately inside the room
Answer: C
Explanation:
When collecting a blood specimen from a patient in an isolation room, the phlebotomist should collect the needed supplies and place the collection tray at the nurse's station or in another secured area. The tray should not be left unattended in a public area. Any supplies taken into the isolation room are considered contaminated and cannot then be used for other patients, so they must be properly disposed of. Tourniquets used for isolation rooms should be dedicated to the patient or disposable.
NEW QUESTION # 23
Exercise increases blood levels of all of the following EXCEPT:
- A. Liver enzymes
- B. Cholesterol
- C. Protein
- D. Skeletal muscle enzymes
Answer: A
Explanation:
Exercise may increase blood levels of protein, insulin, glucose, cholesterol, and skeletal muscle enzymes, but it does not affect liver enzyme levels.
NEW QUESTION # 24
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