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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Collection of Blood and Non-Blood Specimens | 29% | - Order of draw and tube selection - Capillary puncture procedures - Non-blood specimen collection - Venipuncture techniques and procedures |
| Topic 2: Infection Control and Safety | 16% | - Standard precautions and infection control - Biohazard handling and disposal - Needle safety and injury prevention |
| Topic 3: Patient Identification, Assessment, and Site Preparation | 17% | - Site selection and preparation - Patient verification and consent - Patient assessment and special considerations |
| Topic 4: Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Topic 5: Specimen Processing and Transportation | 10% | - Handling, storage and transport requirements - Specimen labeling and documentation - Processing and quality assurance |
| Topic 6: Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities |
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問題 #285
Following capillary blood collection from a heel or finger, a bandage should be applied to the collection site of patients who are:
答案：C
解題說明：
Following capillary blood collection from a heel or finger, a bandage should be applied to the collection site of patients who are 2 years old or older. Newborns and infants younger than 2 should not be bandaged for two reasons. First, the bandage may pose a choking risk because of the child's tendency to put things in the mouth. Second, the skin is too friable and may become irritated or tear when the bandage is removed.
問題 #286
A condition characterized by protrusion of the stomach through a weak area of the diaphragm is known as:
答案：A
解題說明：
Hiatal hernia is a condition marked by protrusion of the stomach through a weak area of the diaphragm. Gastritis is an acute or chronic inflammation of the stomach lining. Peptic ulcer is erosion of the stomach lining. Gastroesophageal reflux disease (GERD) is a relaxation of the lower esophageal sphincter muscle, which allows the contents of the stomach to move up the esophagus.
問題 #287
When decanting a 24-hour urine specimen, which may splash, into a sink to a sanitary sewer, the phlebotomist should:
答案：D
解題說明：
When decanting a 24-hour urine specimen, which may splash, into a sink to a sanitary sewer, the phlebotomist should wear facial protection and a fluid-proof apron in addition to the standard PPE (gloves, lab coat). The phlebotomist should stand close to the sink and pour close to the drain opening. Water should not be running while decanting because this increases the risk of splashing. but copious amounts of water should be run after the decanting is completed.
問題 #288
When attempting venipuncture on a rolling vein, the vein is likelyto move:
答案：A
解題說明：
When attempting venipuncture on a rolling vein, the vein is likely to move laterally because it is not firmly attached to the tissue. Rolling veins are most common in infants and older adults, but they are not uncommon and can occur in any patient. Veins are more likely to roll if the needle punctures the vein on the side rather than in the middle. Stretching the skin tautly and anchoring the vein well with the thumb can help to prevent the vein from rolling.
問題 #289
Which of the following is NOT a cause of vein collapse?
答案：B
解題說明：
A collapsed vein may result from the vacuum draw of the tube, pressure from pulling on the syringe, or if the tourniquet is too tight or too close to the venipuncture site. Frequent venipunctures, whether to draw blood or inject medications, can also cause veins to collapse. Stoppage of blood flow when the tourniquet is removed may simply indicate that the needle is not positioned properly slightly adjusting the needle usually reestablishes blood flow.
問題 #290
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PTC-AMCA考試: https://www.vcesoft.com/PTC-AMCA-pdf.html