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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Preparation | 20% | - Patient positioning & comfort - Informed consent & communication - Requisition review & test verification - Patient identification & verification - Site selection & preparation |
| Topic 2: Special Collections | 12% | - Glucose tolerance & dynamic tests - Blood alcohol & legal collections - Therapeutic drug monitoring - Blood cultures & sterile collection - Pediatric & geriatric collections |
| Topic 3: Safety and Compliance | 26% | - HIPAA & patient confidentiality - Bloodborne pathogens & exposure control - Infection control & OSHA standards - Quality control & error prevention - PPE & sharps disposal |
| Topic 4: Routine Blood Collections | 28% | - Venipuncture techniques & equipment - Tourniquet use & vein assessment - Capillary puncture procedures - Order of draw & tube selection - Post-collection care & labeling |
| Topic 5: Specimen Processing & Handling | 14% | - Documentation & tracking - Specimen rejection criteria - Aliquoting & preservation - Transport & storage requirements - Processing & centrifugation |
>> Phlebotomy-Technician최신 업데이트버전 시험자료 <<
IT업계에 종사하는 분들은 치열한 경쟁을 많이 느낄것입니다. 치열한 경쟁속에서 자신의 위치를 보장하는 길은 더 많이 배우고 더 많이 노력하는것 뿐입니다.국제적으로 인정받은 IT인증자격증을 취득하는것이 제일 중요한 부분이 아닌가 싶기도 합니다. 다른 분이 없는 자격증을 내가 소유하고 있다는 생각만 해도 뭔가 안전감이 느껴지지 않나요? 더는 시간낭비하지 말고ExamPassdump의NHA인증 Phlebotomy-Technician덤프로NHA인증 Phlebotomy-Technician시험에 도전해보세요.
질문 # 49
A phlebotomist uses a point-of-care instrument to perform a prothrombin time/INR test on a patient that results in a critical value. Which of the following type of medication should the phlebotomist expect to see on the patient's medication list?
정답：A
설명：
A prothrombin time/INR test evaluates the extrinsic and common coagulation pathways and is commonly used to monitor anticoagulant therapy, especially warfarin. Therefore, when a PT/INR point-of-care result is critically abnormal, the medication category most expected on the patient's list is anticoagulants. Anticoagulants interfere with clot formation and can prolong PT/INR values, creating an increased bleeding risk if outside the therapeutic range. Opioids are analgesics and do not directly monitor through PT/INR. Antidiabetics are associated with glucose monitoring, not coagulation testing. Statins are lipid-lowering medications and are usually monitored through lipid panels and liver-related considerations, not PT/INR. A critical PT/INR value must be handled according to facility policy, documented accurately, and reported through the correct clinical pathway; the phlebotomist does not interpret or treat the result independently. The NHA CPT outline covers point-of-care testing, critical values for POC and CLIA-waived testing, hemostasis, coagulation, and reporting requirements. Reference topics: Special Collections; point-of-care testing; hemostasis and coagulation; critical value reporting.
질문 # 50
A phlebotomist notices that an outpatient appears confused and cannot state their date of birth. Which of the following actions should the phlebotomist take?
정답：D
설명：
The phlebotomist should use an approved alternate identification process. If a patient cannot reliably state their date of birth because of confusion, cognitive impairment, language barrier, or illness, the technician must follow facility policy for identification. This may involve a caregiver, legal guardian, identification band, photo identification, nurse verification, or other approved method depending on the setting. Proceeding using the requisition only is unsafe because the requisition is not the patient. Asking the patient to guess is obviously unreliable and creates wrong-patient risk. Labeling the specimen later in the laboratory is also unsafe because labeling must occur immediately after collection in the patient's presence or according to strict facility procedure. Accurate patient identification is the first major defense against specimen mislabeling, wrong diagnosis, wrong treatment, and patient harm. The phlebotomist must not improvise identity verification just to keep workflow moving. Reference topics: Patient Preparation; patient identification; alternate identification; outpatient collection; specimen labeling.
질문 # 51
A phlebotomist has just performed quality control measurements on a glucose monitor. The values exceed the acceptable limits. Which of the following actions should the phlebotomist take?
정답：D
설명：
When glucose monitor quality control values exceed acceptable limits, the phlebotomist should perform the manufacturer's recommended actions. Out-of-range QC means the instrument, strips, controls, operator technique, storage conditions, or environmental factors may be unreliable. Patient testing should not proceed until the problem is corrected and QC results return to acceptable range according to the device instructions and facility procedure. Cleaning the monitor may be part of troubleshooting, but it is not automatically the complete or correct response unless the manufacturer's protocol identifies contamination as the cause. Replacing batteries may be appropriate only if the device indicates low power or the manufacturer's instructions direct it. Documenting the values is necessary, but documentation alone does not correct the failed QC or validate patient results. The correct professional action is to follow the device-specific troubleshooting and QC procedure, repeat controls when indicated, remove defective materials from use, and notify the appropriate supervisor if unresolved. NHA CPT competencies include point-of-care testing, quality control, CLIA-waived testing, equipment maintenance, and accurate documentation. Reference topics: Special Collections; point-of-care glucose testing; quality control; manufacturer instructions.
질문 # 52
Which of the following actions should a phlebotomist take before leaving an isolation room?
정답：C
설명：
Before leaving an isolation room, the phlebotomist should remove PPE according to the facility's sequence and perform hand hygiene. PPE removal is a high-risk step because contaminated gloves, gowns, masks, or face protection can transfer organisms to the hands, clothing, supplies, or environment. Wearing the same gloves to the next room is a serious infection-control violation and can transmit pathogens between patients. Used needles must be placed immediately into an approved sharps container, not a bedside trash can. Carrying unused supplies back to a clean supply cart may contaminate the clean supply area; supplies taken into isolation rooms should be limited and handled according to facility policy. The phlebotomist should plan ahead, bring only necessary items, follow isolation signage, disinfect reusable equipment, and dispose of contaminated materials appropriately. This question tests infection-control workflow, not simply PPE recognition. Reference topics: Safety and Compliance; isolation precautions; PPE removal; hand hygiene; cross-contamination prevention.
질문 # 53
At which of the following angles should a phlebotomist insert an antecubital venipuncture needle?
정답：A
설명：
For antecubital venipuncture, the needle is inserted bevel up at approximately a 15° to 30° angle, with 30° commonly used as the upper accepted standard for routine venous access. From the options provided, 30° is the best answer. A 10° angle is usually too shallow for antecubital venipuncture and may cause the needle to skim the skin surface or fail to enter the vein lumen. A 45° angle is too steep and increases the risk of passing through the vein, causing hematoma, pain, or arterial/nerve injury depending on site depth and anatomy. A 25° angle can be clinically workable in some routine venipunctures, but this item is asking for the standard recognized insertion angle, and 30° is the expected test answer. Proper angle must be combined with vein anchoring, bevel-up orientation, stable equipment control, and avoidance of excessive probing. The NHA CPT outline specifically includes needle insertion, angle of needle insertion and withdrawal, and routine venipuncture technique. Reference topics: Routine Blood Collections; antecubital venipuncture; angle of needle insertion; needle withdrawal and safety.
질문 # 54
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