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| Section | Objectives |
|---|---|
| Special Collections | - Pediatric and geriatric considerations - Capillary puncture (fingerstick/heel stick) - Non-routine specimen collection methods |
| Specimen Processing and Handling | - Common errors and rejection criteria - Quality assurance procedures - Specimen transport and storage |
| Safety and Compliance | - HIPAA and patient confidentiality - OSHA regulations and patient safety - Infection control and standard precautions |
| Routine Blood Collections | - Equipment selection and use - Venipuncture procedures - Order of draw |
| Patient Preparation | - Patient identification and communication - Specimen labeling procedures - Site selection and preparation |
>> Phlebotomy-Technician専門トレーリング <<
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質問 # 73
A phlebotomist is performing a glucose tolerance test. Which of the following actions should the phlebotomist take after the patient drinks the glucose solution?
正解:C
解説:
After the patient drinks the glucose solution, the phlebotomist should start timing according to the test protocol. Glucose tolerance testing depends on strict timed specimen collection after ingestion of a measured glucose load. If timing is inaccurate, the results may be invalid or misleading. The patient should not eat crackers because additional food intake can alter glucose results. Exercise should also be avoided unless specifically directed because physical activity can affect glucose metabolism. Collecting all remaining specimens immediately defeats the purpose of the timed test, which evaluates the body's glucose response over defined intervals. The phlebotomist must verify fasting status, collect the baseline specimen if required, ensure the patient consumes the glucose solution within the allowed time, document the time finished, and collect subsequent specimens at exact ordered intervals. If the patient vomits, eats, leaves, or misses a timed draw, the phlebotomist should follow facility policy and notify appropriate personnel. Reference topics: Special Collections; glucose tolerance testing; timed specimens; patient preparation; test protocol compliance.
質問 # 74
Which of the following tube additives promotes clot formation?
正解:B
解説:
Silica promotes clot formation and is commonly used as a clot activator in serum separator tubes and other serum collection tubes. Its function is to accelerate the clotting process so serum can be separated after appropriate clotting time and centrifugation. Heparin is the opposite; it is an anticoagulant that inhibits thrombin activity and is used when plasma is required, especially for many chemistry tests. Oxalate is also an anticoagulant, commonly paired with sodium fluoride in gray-top tubes, where oxalate inhibits clotting and fluoride helps preserve glucose by inhibiting glycolysis. Citrate is another anticoagulant, usually in light-blue tubes for coagulation testing, where the blood-to-additive ratio is critical. This question tests additive function, not tube color memorization alone. A phlebotomist must know whether a tube is intended to produce serum, plasma, or whole blood because incorrect tube selection directly creates preanalytical error and possible specimen rejection. Reference topics: Routine Blood Collections; tube additives; clot activators; order of draw; specimen integrity. NHA's CPT test plan includes equipment, collection tubes, additives, and routine blood collection procedures.
質問 # 75
Which of the following actions should the phlebotomist take after filling the last tube of a venipuncture procedure?
正解:B
解説:
After the last tube has filled, the phlebotomist must complete the venipuncture termination sequence safely. The correct action from the choices is to withdraw the needle from the puncture site. In routine venipuncture, the tourniquet is released before needle removal, then the needle is withdrawn smoothly, the safety device is activated, and pressure is applied with clean gauze or cotton only after the needle is out. Applying cotton while the needle is still inserted can cause the needle to cut or traumatize the vein. Cleaning the site with antiseptic occurs before puncture, not after collection. A warm compress is not part of routine completion; it may be used only for selected complications or difficult venous access before collection. The NHA CPT outline specifically includes standard tourniquet removal, needle removal, safety-device use, post-procedural care, and bandaging as routine blood collection competencies. Reference topics: Routine Blood Collections; removing tourniquet, tubes, and needle; post-procedural patient care.
質問 # 76
Which of the following transmission-based precautions should a phlebotomist follow when performing collections for a patient who has a Clostridium difficile infection?
正解:C
解説:
Clostridium difficile infection requires contact precautions because the organism is transmitted primarily by the fecal-oral route through contaminated hands, surfaces, equipment, and patient-care environments. A phlebotomist entering the room must follow posted isolation instructions, use appropriate PPE, and perform meticulous hand hygiene. For C. difficile, soap-and-water handwashing is especially important because alcohol-based hand rubs do not reliably destroy spores. Airborne precautions are used for diseases transmitted by small droplet nuclei, such as tuberculosis. Droplet precautions are used for organisms spread through respiratory droplets, such as influenza or pertussis. Reverse isolation is used to protect severely immunocompromised patients from external contamination, not to protect staff and other patients from C. difficile. Contact precautions directly address the transmission route. The phlebotomist should also avoid bringing unnecessary supplies into the room, disinfect reusable equipment according to policy, and prevent cross-contamination during specimen handling. Reference topics: Safety and Compliance; infection control; transmission-based precautions; PPE; isolation procedures; hand hygiene.
質問 # 77
Which of the following actions should a phlebotomist take after removing gloves?
正解:B
解説:
The phlebotomist should perform hand hygiene after removing gloves. Gloves reduce contamination but do not replace hand hygiene. Hands can become contaminated during glove removal, and gloves may have microscopic defects. Putting used gloves in a lab coat pocket is a contamination hazard. Sanitizing gloves for reuse is incorrect because medical gloves used during patient care are single-use items and should be discarded appropriately. Touching clean supplies immediately after glove removal without hand hygiene can contaminate the clean supply area and spread organisms to future patients. Proper glove workflow includes performing hand hygiene before gloving when indicated, wearing gloves for blood collection, avoiding unnecessary surface contact while gloved, removing gloves without contaminating the hands, discarding them properly, and performing hand hygiene afterward. This question tests routine infection-control behavior. Many healthcare-associated contamination events happen through simple missed hand hygiene after glove removal. Reference topics: Safety and Compliance; hand hygiene; glove removal; standard precautions; contamination prevention.
質問 # 78
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この驚くほど高く受け入れられている試験に適合するには、Phlebotomy-Technician学習教材のような上位の実践教材で準備する必要があります。彼らは時間とお金の面で最良の選択です。 Phlebotomy-Technicianトレーニング準備のすべての内容は、素人にfされているのではなく、この分野のエリートによって作成されています。弊社の優秀なヘルパーによる効率に魅了された数万人の受験者を引き付けたリーズナブルな価格に沿ってみましょう。難しい難問は、Phlebotomy-Technicianクイズガイドで解決します。
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