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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Specimen Processing and Transportation | 10% | - Specimen transportation requirements - Specimen processing procedures - Specimen labeling and documentation |
| Topic 2: Infection Control and Safety | 16% | - Infection control procedures - Safety protocols and equipment |
| Topic 3: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Venipuncture techniques - Patient recovery and adverse reactions - Capillary collection techniques |
| Topic 4: Professionalism and Regulatory Compliance | 18% | - Professional conduct and ethics - Regulatory compliance and standards |
| Topic 5: Equipment Selection and Maintenance | 10% | - Equipment maintenance and care - Phlebotomy equipment selection |
| Topic 6: Patient Identification, Assessment and Site Preparation | 17% | - Patient assessment - Venipuncture site preparation - Patient identification verification |
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問題 #44
During a venipuncture, if the patient cries out and complains of severe pain, the most appropriate response is to:
答案:A
解題說明:
During a venipuncture, if the patient cries out and complains of severe pain, the most appropriate response is to immediately remove the needle even if it is in the middle of a draw. Severe pain may be an indication of damage to a nerve. Symptoms of nerve injury may additionally include shooting pain or shock-like electrical pain, tingling numbness, or tremor in the limb. If the blood draw must still be done, another site (such as the opposite arm) must be selected. The injury must be documented, and the ordering healthcare provider must be notified.
問題 #45
What is the recommended minimum time a blood specimen should be allowed to clot to produce a quality sample?
答案:B
解題說明:
After a specimen ofblood is removed from the body, the minimum time it will take to clot is generally 30 minutes for blood with appropriate clotting mechanisms. Most laboratories process serum after allowing 30 minutes (but no more than 60 minutes) for clotting. Blood clots can occur even in tubes with an anticoagulant if the tube is not inverted properly to mix the additive with the specimen. Even small clots may alter test results, so specimens should be examined prior to processing.
問題 #46
All of the following are prohibited under Centers for Disease Control and Prevention (CDC) guidelines for hand hygiene in healthcare settings EXCEPT:
答案:D
解題說明:
In healthcare settings, routine handwashing using plain soap and water is required to prevent spread of infection; alcohol-based antiseptic hand cleaners may also be used. Artificial nails or nails longer than one-quarter inch are prohibited. After handwashing, a clean paper towel should be used to turn off the faucet to prevent contamination.
問題 #47
Which of the following characteristics of a urine sample is indicative of a pathological condition?
答案:A
解題說明:
A long-lasting white foam may indicate renal disease; deeply pigmented yellow foam on yellow-brown or yellow-green urine may indicate the presence of bilirubin or biliverdin, which are associated with hepatitis. Normal urine may range in color from pale yellow to dark amber. Bacteria and epithelial cells are indicative of a pathological condition only when present in large quantities.
問題 #48
If the antecubital veins cannot be used for specimen collection, the next site to consider is the:
答案:B
解題說明:
If the antecubital veins cannot be used for specimen collection, the next site to consider is the dorsal (top) surface of the hand. The veins on the lateral wrist above the thumb lie near the radial nerve, so this site should be avoided. The palmar surface of the hand poses increased risk of nerve and tendon involvement. The veins in the foot should not be used without specific physician orders because of an increased risk of necrosis and thrombophlebitis.
問題 #49
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