American Medical Certification Association (AMCA) Phlebotomy Practice Exam

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When is a Chain of Custody required?

For routine blood tests
When a paternity test is ordered
For cholesterol screening
When administering vaccinations

The correct answer is: When a paternity test is ordered

A Chain of Custody is required primarily to ensure that evidence is collected, preserved, and presented in a consistent and unaltered manner. It is especially important in situations where the test results may have legal implications, such as a paternity test. The process of establishing a Chain of Custody involves documenting everyone who handles the sample, the time and location of collection, and any transfers of the sample. This meticulous tracking helps to uphold the integrity of the evidence, which is critical in legal scenarios where the results can influence parental rights or responsibilities. Routine blood tests, cholesterol screenings, and administering vaccinations do not typically involve situations that require such stringent protocols for handling samples. While these procedures are important for healthcare, they do not impact legal matters in the same way as paternity tests, making the need for a Chain of Custody unnecessary in those contexts.