PTC-AMCA Exam Prep - PTC-AMCA Study Guide - PTC-AMCA Pass Test
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Medical Technology AMCA Phlebotomy Technician Certification Exam Sample Questions (Q215-Q220):
NEW QUESTION # 215
When a specimen requires immediate chilling, the appropriate procedure is to:
- A. Place the specimen in a mixture of ice and water.
- B. Place the specimen in the refrigerator.
- C. Place the specimen on dry ice.
- D. Place the specimen on cubes of ice.
Answer: A
Explanation:
Some specimens, such as those intended for a lactate test, require immediate chilling to maintain the integrity of the sample. CLSI guidelines recommend placing the specimen immediately in a mixture of ice and water, which allows maximum contact between the cooling source and the sample tube. Large cubes of ice will not allow the maximum contact required to maintain appropriate chilling. Dry ice is not recommended due to its excessively low temperature. Refrigerating the sample is not sufficient nor does it allow chilling to continue during transport.
NEW QUESTION # 216
All of the following are blood gas values EXCEPT:
- A. Option B
- B. Option C
- C. Option A
- D. Option D
Answer: D
Explanation:
Although values for hematocrit (Hct) are often measured by blood gas analyzers, Hct is not a blood gas value; it is part of a complete blood count (CBC). Bicarbonate (HC03), PH, and partial pressure of carbon dioxide (pC02) are all blood gas values.
NEW QUESTION # 217
All lab samples should be handled according to:
- A. Standard precautions
- B. Airborne precautions
- C. Universal precautions
- D. Contact precautions
Answer: A
Explanation:
All lab samples should be handled according to standard precautions, which combine universal precautions and body substance isolation, because of the concern that not all infectious processes are obvious or identified. With body substance isolation, gloves must be worn for all contact with blood, body fluids, and any moist body surface such as mucous membranes. With universal precautions, all blood and body fluids are considered potentially infectious. Standard precautions also require respiratory hygiene/cough etiquette.
NEW QUESTION # 218
All of the following statements regarding tourniquet application are true EXCEPT:
- A. A tourniquet may be applied over the patient's sleeve.
- B. Two tourniquets may be used together.
- C. The patient should be told to pump his fist.
- D. A tourniquet should not be applied over an open sore.
Answer: C
Explanation:
When applying a tourniquet, fist pumping should be discouraged, as it may make vein location more difficult or cause changes in blood components that may affect test results. A tourniquet may be applied over a patient's sleeve if the sleeve is too tight and cannot be rolled up far enough. Because a tourniquet may have a tendency to roll or twist on the arm of an obese patient two tourniquets may be stacked and used together. A tourniquet should never be placed over an open sore.
NEW QUESTION # 219
A venipuncture should never be carried out proximal to a PICC line because:
- A. A large discard volume is required.
- B. Doing so increases the risk of thrombophlebitis.
- C. The blood will be diluted.
- D. The catheter may be damaged.
Answer: D
Explanation:
A venipuncture should never be carried out proximal to a peripherally inserted central catheter (PICC) line because the catheter may be damaged when the tourniquet is applied or the needle is inserted and could even break, causing fragments to migrate. If possible, the arm with a PICC line should be avoided for blocd draws: however, if it is absolutely necessary, the tourniquet must be placed and the venipuncture performed distal to the PICC line.
NEW QUESTION # 220
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