Term
Which Action will compromise the quality of a specimen?
A.Drawing electrolytes in an amber tube
B.Mixing Serum separator tube five times
C. Partially Filling a liquid EDTA Tube
D. Placing a cold agglutinin in a heat block |
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Definition
| C. Partially filling a liquid EDTA Tube |
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Term
A national organization that sets standards for Phlebotomy Procedures is the
A.) ASCP
B.) NAACLS
C.) NCA
D.) CLSI |
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Definition
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Term
The Joint Commission's Sentinel Event QI program policy is designed to do all of the following except
A. demonstrate flexibility in setting QC measures.
B. identify unfavorable events for immediate investigation.
C. improve the safety of patients in healthcare institutions.
D. prevent unfavorable events from happening again. |
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Definition
| A. demonstrate flexibility in setting QC measures |
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Term
Chilling will adversely affect the quality of test results for which of the following analyte?
A. Ammonia
B. Lactic Acid
C. Potassium
D. Renin |
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Definition
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Term
A clinical laboratory “path of workflow” is all of the following except
A. defined as the steps necessary to deliver a product or service.
B. made up of preanalytical, analytical, and postanalytical processes.
C. monitored throughout the process by quality indicators.
D. overseen by the hospital administrator through periodic reports. |
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Definition
D. overseen by the hospital administrator through periodic reports
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Term
Three of the following conditions are reasons a specimen could be rejected for analysis, Which one is not?
A. A bilirubin specimen is icteric
B. A CBC specimen contains clots
C. A fasting glucose specimen is lipemic
D. An electrolyte specimen is hemolyzed |
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Definition
A. A bilirubin specimen is icteric
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Term
An example of a QA indicator is:
A. All phlebotomists will carefully follow universal precautions.
B. No eating, drinking, or smoking are allowed in laboratory work areas.
C. The blood culture contamination rate will not exceed the national rate.
D. Watching for the patient's implied consent before blood collection. |
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Definition
| c. the blood culture contamination rate will not exceed the national rate. |
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Term
The purpose of the Joint Commission's Office of Quality Monitoring is to:
a. Evaluate and track complaints related to care
b. Implement immediate response to safety issues
c. Inspect healthcare facilities for accreditation
D. Set specific patient safety goals to improve care |
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Definition
A. evaluate and track complaints related to care
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Term
Some test specimens require immediate cooling in ice and water slurry to
a. prevent activation of cold agglutinins
b. prevent the specimen from clotting
c. separate serum more completely
d. slow down metabolic processes |
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Definition
d. slow down metabolic processes
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Term
Which one of the following is not included in the various phases of malpractice litigation ?
A. A complaint against the defendant is filed by the plaintiff.
B. A healthcare institution is informed of an injury to a patient.
C. Appeal of the jury decision is begun by the losing party .
D. Depositions are given while a court reporter records every word. |
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Definition
B. A healthcare institution is informed of an injury to a patient.
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Term
One of the key players in bringing
quality assessment review techniques
to healthcare is the ___. |
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Definition
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Term
____ emphasize quality assurance in collecting and performing blood
work using waived testing kits |
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Definition
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Term
| A global, non profit, standards-developing organization with representatives from the profession, industry and government who use a consensus process to develop voluntary guidelines and standards for all areas of the laboratory is ___. |
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Definition
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Term
| True or False? A good way to avoid lawsuits is to consistently perform venipunctures as rapidly as possible so as to get the results to the physician quickly. |
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Definition
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Term
| True or False? As healthcare providers go about their daily activities, there are many activities that, if performed without reasonable care and skill, could result in a lawsuit. |
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Definition
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Term
| True or False? Labeling of a specimen must be exact. |
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Definition
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Term
One of NPSG's specified 2014 goals for the laboratory is to
A.) decrease sick days
b.) identify safety issues
c.) improve communication
d.) increase proficiency testing |
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Definition
| c.) improve communication |
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Term
Which one of the following is found in a procedure manual?
A.)description of QC Checks for equipment used
b.) instruction for reporting errors
c.)listing of all revision dates for the procedure
d.) references to applicable CLIA regulations |
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Definition
| c.listing of all revision dates for the procedure |
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Term
QC protocols prohibit use of outdated evacuated tubes because
A.) additives that speed up clotting become crystallized in the tube
B.) bacteria begin to grow in these tubes, yielding erroneous results
C.) stoppers may shrink, allowing specimen leakage if the tube is inverted
D.)tubes may not fill completely, changing additive-to-sample ratios. |
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Definition
| D.) tubes may not fill completely changing additive-to-sample ratios. |
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Term
Unauthorized release of confidential patient information is called
A.) a type of negligence
B.) failure to use due care
C.) invasion of privacy
D.) Violation of Discovery |
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Definition
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Term
Which analyte test result will be adversely affected by chilling?
A) Ammonia
B) Lactic acid
C) Potassium
D) Renin |
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Definition
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Term
Significant gaps in the quality of testing practices in physicians' offices resulted in the recent development of:
A) behavioral competencies.
B) good laboratory practices.
C) quality indicators.
D) test threshold values. |
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Definition
| B.) Good laboratory practices |
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Term
Which one of the following conditions is LEAST likely to be a reason for specimen rejection?
A) An icteric bilirubin specimen
B) A clotted specimen for a CBC
C) A lipemic fasting glucose specimen
D) A hemolyzed electrolyte specimen |
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Definition
| A.) An icteric bilirubin specimen |
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Term
Which of the following is an example of a QA indicator?
A) All phlebotomists will carefully follow universal precautions.
B) No eating, drinking, or smoking are allowed in laboratory work areas.
C) The blood culture contamination rate will not exceed the national rate.
D) The phlebotomist watches for the patient's implied consent before blood collection. |
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Definition
| C) The blood culture contamination rate will not exceed the national rate. |
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Term
The definition of a minor is anyone
A) who is not self-supporting.
B) who is not the age of majority.
C) younger than 18 years of age.
D) younger than 21 years of age. |
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Definition
| B) who is not the age of majority. |
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Term
One of the screening criteria used by The Joint Commission to determine accreditation of the clinical laboratory is the category Immediate Threat to Health and Safety. An example of not meeting this criterion would be
A) absence of a QC program for each area of laboratory.
B) lack of documentation of ongoing education for staff.
C) recurrent problems with patient identification.
D) use of unlicensed personnel in state that requires it. |
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Definition
| C) recurrent problems with patient identification. |
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Term
Which preanalytical factor that can affect validity of test results is not always under the phlebotomist's control?
A) Patient identification
B) Patient preparation
C) Specimen collection
D) Specimen handling |
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Definition
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Term
Vaccination against HBV involves
A) a dose of vaccine, a second dose 1 month later, a third dose 6 months later.
B) one single dose of vaccine that normally confers immunity for a lifetime.
C) three doses of vaccine, each 3 months apart, then yearly doses thereafter.
D) none of the answers are correct. |
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Definition
| A) a dose of vaccine, a second dose 1 month later, a third dose 6 months later. |
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Term
Which of the following is an example of a potential permucosal exposure to biohazardous microorganisms?
A) Drinking water from a contaminated glass
B) Getting stuck by a needle used on an AIDS patient
C) Rubbing an eye with a contaminated hand
D) Touching infectious material with chapped hands |
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Definition
| C) Rubbing an eye with a contaminated hand |
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Term
In what instance might a patient be placed in protective isolation?
A) The patient has chickenpox.
B) The patient has hepatitis.
C) The patient has severe burns.
D) The patient has tuberculosis. |
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Definition
| C) The patient has severe burns. |
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Term
Which of the following is an example of a work practice control that reduces the risk of exposure to bloodborne pathogens?
A) A biohazard symbol
B) An exposure control plan
C) Hand decontamination
D) HBV vaccination |
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Definition
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Term
The Needlestick Safety and Prevention Act directed OSHA to revise the BBP standard in all of the following areas EXCEPT
A) availability of vaccination against HBV for all employees.
B) modification of definitions relating to engineering controls.
C) new requirements for record-keeping for all needle sticks.
D) obtaining employee input in selecting engineering controls. |
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Definition
| A) availability of vaccination against HBV for all employees. |
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Term
Occupational exposure to bloodborne pathogens can occur if which of the following happens while the healthcare worker is performing his or her duties?
A) A human bite breaks the skin.
B) Blood comes in contact with a cut.
C) Body fluids splash into the mouth.
D) All of the options are correct. |
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Definition
| D) All of the options are correct. |
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Term
Which type of PPE must be removed after leaving the patient's room and closing the door?
A) Face mask
B) Gloves
C) Gown
D) Respirator |
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Definition
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Term
To comply with the latest HazCom revision, the label of a hazardous chemical must include a
A) GHS hazard statement.
B) hazard class pictogram.
C) severity signal word.
D) All of the options are correct. |
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Definition
| D) All of the options are correct. |
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Term
CLSI guidelines state that scrubs or slacks worn in the lab should be how far off of the floor?
A) ½ to 1 inch
B) 1 to 1½ inches
C) 1½ to 2 inches
D) 2 to 2½ inches |
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Definition
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Term
A sign posted on the door of a patient in contact isolation states that all who enter the room must use soap and water to wash their hands before leaving the room. This is a sign that the patient may be infected with a spore-forming microbe such as
A) Clostridium difficile.
B) Bordetella pertussis.
C) Neisseria meningitides.
D) All of the options are correct. |
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Definition
| A) Clostridium difficile. |
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Term
A body fluid splash to the eyes requires the victim to immediately flush the eyes with water or sterile saline for a minimum of
A) 3 minutes.
B) 5 minutes.
C) 10 minutes.
D) 15 minutes. |
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Definition
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Term
An N-95 respirator must be worn when entering the room of a patient who has which type of precaution sign on the door?
A) Airborne
B) Contact
C) Droplet
D) Standard |
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Definition
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Term
| The abbreviation HAI, which stands for ________________ ________________ ______________, is applied to infections acquired in all _________________settings including ___________ _________. |
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Definition
-Healthcare associated infection
-Healthcare
-Home care |
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Term
| According to an HAI prevalence study, for the first time, the most common healthcare associated pathogen is ________________ _____________. |
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Definition
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Term
| The most important means of breaking the chain of infections is ________ __________. |
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Definition
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Term
| Eating fresh _____________and whole grains can help a person stay _______________. |
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Definition
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