Collection Providers Competency Quiz (Non-Australian)

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1. Which of the following best describes the principle of Universal Precautions?

   A) Handle all patient specimens as if infectious
   B) Use handling precautions only with specimens containing blood-borne pathogens
   C) All samples are safe unless tested positive for HIV and/or HBV
   D) Gloves universally protect the collector from exposure to pathogens

2. Which of the following is not a Universal Precaution practices?

   A) Avoiding direct contact with blood and/or body fluids
   B) Wearing gloves while in contact with patients or samples
   C) Keeping work area clean and decontaminated
   D) Sending used needles to DDC in the shipping bag or box

3. What are blood-borne pathogens?

   A) Bacteria or microorganisms present in blood or body fluid capable of causing disease
   B) Bacteria present on patient skin
   C) Pathogenic microorganisms present only in blood
   D) Cancer cells

4. How can you properly clean/decontaminate work surfaces?

   A) Clean with water
   B) Wipe with Windex
   C) Wipe surface with diluted bleach (1 part bleach to 9 parts water)
   D) All of the above

5. A collector may share client information with:

   A) Wife or relative of a tested patient
   B) Close personal friends
   C) DDC employees only
   D) All of the above

6. A relative of a tested party calls for schedule and testing information you:

   A) Confirm who they are and tell them only that the patient is scheduled for paternity testing
   B) Apologize, all information relating to testing is confidential and you cannot discuss whether a person has contacted you or is scheduled for collection
   C) Give them any information available, because they are very angry and say they have been asked to call by the patient
   D) Hang up

7. What are acceptable forms of client identification?

   A) A government, employee or student photo ID
   B) Photo taken at the time of collection
   C) Recent photo that identifies the tested party
   D) All of the above

8. What can you do if no ID is available for the child? (if non-New York State collection)

   A) Take a good photo of the child (with tested parties if possible)
   B) Complete a mutual ID form if all tested parties are together (if non-New York State collection)
   C) Proceed with no identification
   D) A or B

9. Which of the following are required for chain of custody?

   A) Properly completed and signed consent form
   B) Photo or photo ID
   C) Complete and accurate information on the sample label
   D) Sealed specimens secured with tamper tape
   E) All of the above

10. Testing on samples cannot be performed when:

    A) Clients’ or collector’s signature on consent form is missing
    B) A Client under 18 yrs of age signs their own consent for testing
    C) Name on consent form is spelled differently on sample
    D) Client sample has not been sealed
    E) All of the above

11. Who can consent to have a child tested?

    A) Alleged father
    B) Relative
    C) Mother who is a minor (under 18 yrs age)
    D) Legal guardian
    E) Any of the above
    F) C or D

12. What information on the consent form is needed for statistical calculations?

    A) Client’s age
    B) Date of collection
    C) Client’s race
    D) All of the above

13. What is the preferred sample for parentage testing?

    A) Blood
    B) Buccal cells swab
    C) Hair roots
    D) Ear wax

14. Why are buccal cell samples the preferred sample type?

    A) It is safe and comfortable for the client
    B) The results are accurate even after patient has received a blood transfusion
    C) Minimal chance of exposure to blood-borne pathogens
    D) All of the above

15. Which of the following is a source of buccal sample contamination?

    A) Contact of sample swab with table, chair, or floor
    B) Contact of sample swab with another person’s sample
    C) Touching the Dacron swab tip with hands
    D) All of the above

16. A collector must refuse to do a collection or have a witness to the collection if:

    A) The client is a minor
    B) The client is angry
    C) The client is sick
    D) The client is a relative or friend

17. What measures are to be taken to prevent sample mix-ups?

    A) Label and collect one client sample at a time
    B) Seal the buccal envelope and ask client to verify the sample labeling immediately following collection
    C) Never pre-label all of the buccal envelopes or tubes for all parties to be tested at the same time
    D) All of the above

18. Which of the following repeated errors may result in a collector’s removal from the DDC draw site directory?

    A) Sample mix-up (e.g. mother’s sample labeled as the child)
    B) Samples received by DDC unlabeled or mislabeled
    C) Incomplete paperwork
    D) No collector signature on the sample collection form
    E) Any or all of the above

19. Blood collection requires certification or documented experience due to:

    A) Increase risk of bloodborne pathogen exposure
    B) Risk of injury to client
    C) Exposure to sharps
    D) Required knowledge of bloodborne pathogen precautions and measures
    E) All of the above

20. The items or forms the collector initials or signs include:

    A) Consent identification and consent form
    B) Client sample
    C) Copies of identification, including photo taken at collection
    D) Both A and B
    E) All of the above

21. As a collector providing services to DDC, which of the following should be avoided:

    A) Present a professional appearance
    B) Maintain confidentiality
    C) Provide a clean and neat collection facility or area
    D) Collect anywhere you can find a table, regardless of clutter or dirt

22. After collection has been completed:

    A) Allow clients to leave, then seal the package
    B) Have clients witness the sealing of the package
    C) Ask clients to seal the package
    D) Give the package to clients for shipping and delivery

23. Which of the following is an acceptable shipping practice?

    A) Call courier as soon as collection happens
    B) If another person for the same case is coming the next day, wait for all clients before sending the package to DDC
    C) Hold cases and send once a week
    D) All of the above

24. Tamper tape provides evidence of sample security. Where is the tamper tape placed?

    A) On the side of the buccal swab envelope
    B) Across the sealed end of the buccal swab envelope or zip lock bag
    C) On the back of the Client Identification and Consent form
    D) None of the above

25. Forgot to put the instant camera in the zip lock bag?

    A) Break the tamper tape and place in the bag
    B) Place the camera in the shipping bag outside the zip lock bag
    C) Hold camera for next case
    D) Start over and recollect the case

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