NHA 提供的認證具有一種震撼力，業界人士都知道，擁有 Phlebotomy-Technician 認證指南，將意味著在全球範圍內可獲得一個令人羨慕的工作和豐厚的優惠待遇。而 Fast2test的 Phlebotomy-Technician 權威考試題庫軟件是 NHA 認證廠商的授權產品，可以保證考生第一次參加 Phlebotomy-Technician 考試的考生即可順利通過，否則承諾全額退款。
| Section | Objectives |
|---|---|
| Topic 1: Specimen Processing and Handling | - Quality assurance procedures - Specimen transport and storage - Common errors and rejection criteria |
| Topic 2: Special Collections | - Non-routine specimen collection methods - Capillary puncture (fingerstick/heel stick) - Pediatric and geriatric considerations |
| Topic 3: Routine Blood Collections | - Order of draw - Equipment selection and use - Venipuncture procedures |
| Topic 4: Patient Preparation | - Specimen labeling procedures - Patient identification and communication - Site selection and preparation |
| Topic 5: Safety and Compliance | - Infection control and standard precautions - HIPAA and patient confidentiality - OSHA regulations and patient safety |
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問題 #43
A phlebotomist receives a specimen without a patient identifier on the tube. Which of the following actions should the phlebotomist expect?
答案：C
解題說明：
The laboratory should reject an unlabeled specimen. A specimen without patient identification cannot be reliably linked to the correct patient, even if a requisition is nearby or a provider verbally confirms the order. Labeling a tube later from the requisition is unsafe because it breaks the chain between patient, collection event, and specimen. Testing based only on an order number does not meet safe identification practice. Verbal confirmation after the fact cannot correct an unlabeled specimen because the tube's identity was not secured at the bedside or collection site. Proper labeling should occur immediately after collection in the presence of the patient, using required identifiers such as full name, date of birth, medical record number, date/time of collection, and collector identity according to facility policy. Mislabeling and unlabeled specimens are serious preanalytical errors that can cause wrong diagnosis, wrong treatment, transfusion risk, and patient harm. Reference topics: Processing Specimens; specimen labeling; patient identification; rejection criteria; preanalytical error.
問題 #44
Which of the following is the correct method for cleaning a small blood spill?
答案：A
解題說明：
A small blood spill should be cleaned using an approved disinfectant according to facility policy. Blood is treated as potentially infectious, so spill response requires gloves, appropriate PPE, containment, removal of visible material, disinfection with correct contact time, and proper disposal of contaminated materials. Dry gauze alone does not disinfect the surface and can spread contamination. Air freshener has no disinfection role. Covering the spill and leaving it to dry is unsafe because dried blood may still represent a contamination hazard and creates exposure risk for staff and patients. The specific disinfectant may vary by facility, but it must be appropriate for bloodborne pathogens and used as directed. The phlebotomist must also avoid direct hand contact, dispose of materials in designated biohazard waste when required, and perform hand hygiene after glove removal. This question tests standard precautions, environmental safety, and infection-control discipline. Reference topics: Safety and Compliance; blood spill cleanup; disinfectants; standard precautions; biohazard waste.
問題 #45
Which of the following actions should a phlebotomist take if blood flow stops during an evacuated tube collection?
答案：B
解題說明：
If blood flow stops during an evacuated tube collection, the phlebotomist may gently adjust the needle position. Blood flow can stop if the bevel rests against the vein wall, the needle partially exits the vein, the needle passes through the vein, or the tube vacuum is defective. Small, controlled adjustments are acceptable, but aggressive probing is not. Rotating the needle 360 degrees is dangerous and can injure the vein, surrounding tissue, or nerves. Removing the tube and shaking it does not correct needle placement and can hemolyze the specimen. Pulling the needle almost completely out is unsafe because it can leave the vein, cause hematoma, or create a needlestick risk. If gentle adjustment does not restore flow, the phlebotomist should discontinue the attempt according to facility policy and consider recollection. Patient safety and specimen quality are more important than forcing a failed draw. Reference topics: Routine Blood Collections; troubleshooting venipuncture; blood flow failure; needle adjustment; complications prevention.
問題 #46
Which of the following tests should a phlebotomist anticipate to complete for a patient who has a fever of unknown origin?
答案：C
解題說明：
For a patient with fever of unknown origin, the phlebotomist should anticipate blood culture collection. Blood cultures are ordered to detect microorganisms in the bloodstream and are especially important when infection, bacteremia, or sepsis is suspected. Fever without a known source is a classic clinical reason for obtaining cultures before antimicrobial therapy when possible. ESR may support evaluation of inflammation, but it does not identify bloodstream infection. Immunology tests may be used for immune or infectious disease investigations, but they are not the primary phlebotomy collection expected for fever of unknown origin. Rapid plasma renin evaluates the renin-angiotensin system and is associated with blood pressure and endocrine evaluation, not unexplained fever. Blood culture collection requires strict aseptic technique, correct antiseptic contact time, proper bottle order, adequate volume, correct number of sets, documentation of collection site, and timely transport. Contamination can produce false-positive results and inappropriate treatment. NHA CPT competencies include blood culture collection, special collections, infection control, site preparation, bottle handling, and specimen integrity. Reference topics: Special Collections; blood cultures; fever workup; contamination prevention.
問題 #47
Which of the following should a phlebotomist review on a requisition prior to collection for an outpatient draw?
答案：D
解題說明：
Before collecting an outpatient specimen, the phlebotomist must review the requisition to confirm what test is ordered and what specimen requirements apply. Specimen requirements include tube type, additive, minimum volume, handling conditions, fasting status, timing, temperature, light protection, and whether the specimen requires special processing or transport. This step prevents preanalytical errors such as collecting the wrong tube, insufficient volume, wrong timing, or improperly handled specimens. Medications and allergies can be clinically relevant during patient interview, but they are not the primary item reviewed on the requisition for collection accuracy unless the test requirement specifically involves medication timing or patient compliance. Insurance authorization is administrative and should not drive the technical collection step. The requisition is the controlling document for collection, because it links patient identification, ordering provider, diagnosis or test code, test priority, and ordered tests. The NHA CPT outline includes obtaining, reviewing, and verifying orders or requisitions, confirming testing requirements, and understanding requisition field requirements. Reference topics: Patient Preparation; requisition review; testing requirements; specimen requirements; outpatient collection workflow.
問題 #48
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