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| Section | Weight | Objectives |
|---|---|---|
| Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Collection of Blood and Non-Blood Specimens | 29% | - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw - Capillary puncture techniques - Non-blood specimen collection (urine, swabs) |
| Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
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問題 #169
Proper technique for needle insertion includes:
答案:B
解題說明:
The proper technique for anchoring the vein before venipuncture is known as the L hold technique. It involves using the fingers to support the back of the patient's arm below the elbow and placing the thumb 1 to 2 inches below and slightly to the side of the venipuncture site to pull the patients skin toward the wrist. The C hold technique, or the two-finger technique, should not be used because it may result in the needle springing back into the phlebotomist's index finger if the patient pulls his or her arm back Pushing down on the needle during insertion is painful and may increase the risk of blood leakage. Advancing the needle too slowly may prolong the patients discomfort.
問題 #170
A urine sample is considered acidic if its pH is:
答案:B
解題說明:
All aqueous (water-based) solutions have a PH, which is the negative logarithm of the concentration of hydrogen ions. The solution is considered acidic at a pH of less than 7 and alkaline (or basic) at a pH of greater than 7. Because urine is a water-based solution, the same definitions apply. Urine is therefore considered acidic if its pH is less than 7. Urine is typically acidic, but can also be alkaline; the normal pH range for urine is 4.5-8.
問題 #171
An individual with which type of blood can be a blood donor to individuals with any of the four blood types?
答案:B
解題說明:
Because type O blood lacks antigens, an individual with type O blood can be a donor to individuals with any of the four blood types: thus, a person with type O blood is known as a universal donor.
問題 #172
The phlebotomist is NOT required to use an N95 (or equivalent) respirator when entering the room of a patient with which of the following communicable diseases, even when the phlebotomist is not immune to the disease?
答案:D
解題說明:
An N95 or equivalent respirator must be worn by all healthcare personnel entering the room of a patient known or suspected to have a disease that is spread through airborne transmission if the healthcare worker is not immune to the disease. These diseases include chickenpox, measles, COVID-19, and tuberculosis. Many healthcare facilities require the use of N95 or equivalent respirators by all personnel who may be exposed to these diseases even if they are immune due to vaccination or previous infection. However, for diseases that are spread through droplet transmission, such as influenza and the common cold, a surgical mask provides adequate protection.
問題 #173
If a person's blood is type O, what plasma agglutinin is present in the person's blood?
答案:B
解題說明:
Blood type is determined by the presence or absence of antigens on the red blood cells (RBCs). If a person's blood is type A. there are A antigens on the RBCs, and the plasma agglutinin (antibody) that is present in the person's blood is anti-B. Type B blood has B antigens on the RBCs and anti-A agglutinins in the plasma. Type O blood has no antigens on the RBCs but both anti-A and anti-B agglutinins in the plasma. Individuals with type O blood, specifically O-negative blood, are considered universal donors due to their lack of antigens, making the blood less likely to be rejected or result in a transfusion reaction.
問題 #174
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