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Chapters 11,12-16 test Flashcards | StudBud
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Chapters 11,12-16 test
Chapters 11,12-16 test
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1
Supervisor asks employee to perform a glucose test and return results to supervisor. Employee is performing?
Compliance testing
QC
Competency testing
Patient testing
2
The primary goal of QMS is to?
Reduce medical errors
Increase laboratory efficiency
Increase employee satisfaction
Monitor laboratory productivity
3
Phlebotomist is unfamiliar with how to perform a arterial puncture but doesn’t anyway resulting nerve injury, example of
Battery
Malpractice
Unethical practice
Negligence
4
Drawing excess amounts of blood from a premature infant can cause?
Arteriospasm
All of the above
Iatrogenic anemia
Infection
5
Dermal punctures are often performed on?
Patients receiving chemotherapy
Diabetic patients
Geriatric patients
All of the above
6
An advantage of POCT is?
Inventory management
A large number of operators
Fast TAT
Billing mechanisms
7
Bone marrow is collected from?
Radius
Iliac crest
Lumbar vertebrae
Femur
8
The six steps of Lean are?
Sustain, straighten, staff, support, sort, safety
Sort, straighten, scrub, safety, standardize, sustain
Sustain, sweep, scour, staff, sort, stop
Sort, straighten, sweep, support, shine, stop
9
The maximum length of a puncture device used on the heel is?
2 mm
1 mm
1.5 mm
2.5 mm
10
Which of the following tests requires a patient to collect a 72-hour fecal specimen?
Fecal fat analysis
Fecal occult blood
Fecal culture and sensitivity
Fecal O & P
11
Procedural controls that verify that the test kit and added reagents and performing correctly are called?
Electronic controls
Proficiency testing
Internal controls
External controls
12
An unexpected patient death that is not related to that patients illness is termed a?
Root cause error
Professional liability
Sentinel event
Human error
13
The concentration of this analyte is higher in blood collected by dermal puncture than by venipuncture?
Glucose
Calcium
Total protein
Potassium
14
Ethics are defined as?
The patients right to know
Standards of right and wrong
All of the above
Legally required conduct
15
Sweat electrolytes are collected are collected to confirm the diagnosis of?
RSV
Lactose intolerance
Cystic fibrosis
Peptic ulcers
16
The blood specimen for this must be protected from light?
CBC
PKU
CBGs
Bilirubin
17
A procedure manual is?
A documentation of compliance with good practice
Given to the patient before testing
All of the above
Used to document QC
18
When obtaining a specimen collected by inserting a flexible mini-tip culture swab through the nose?
Buccal
Serous fluid
Gastric
NP
19
An error in correctly reporting a patients test result is considered a/an?
Preexamination variable
Examination variable
Post examination variable
All of the above
20
In addition to documenting patient and QC results, which of the following must be recorded when performing POCT?
All of the above
Accrediting agency
Reagent/kit expiration
Test complexity
21
Errors most commonly associated with PT(INR) results are?
Adequate application of the specimen
Cleansing and drying the capillary puncture site
Prematurely performing capillary puncture before test strip/cartridge
Using first drop of blood collected by dermal puncture than
22
Phlebotomists involvement with the patient care partnership includes the patients right to?
Continuity of care
A clean and safe environment
Privacy
All of the above
23
Pleural fluid is collected to diagnose?
Joint
Chest
Lymph node
Heart
24
When obtaining specimen for group A strep test, swabbing which of following areas could possibly have negative result?
Noticeable white patches
Tonsils
Tongue
Back of throat
25
Consent for HIV testing?
Requires written consent
Must adhere to state laws
Must be done on an opt-out basis
Must be done on an opt-in basis
26
Phlebotomist tells a patient who refuses to have blood drawn to calm down or they will hold them down is committing?
Defamation
Battery
Assault
Negligence
27
The agency that sets the standards and guidelines for POCT is?
The joint commission (TJC)
College of American pathologists (CAP)
Clinical laboratory improvement amendments (CLIA)
Food and Drug administration (FDA)
28
Six sigma methodology is a?
Statistical determination of variable and error reduction
Departmental assessment of variables
Departmental assessment or errors and quality
QA method to control variables
29
Documentation required in a phlebotomy department includes a/an?
Procedure manual
Reference manual
Both a & c
Evaluation of TATs
30
The law that specifically addresses the privacy of health information is the?
Patient Care Partnership
Clinical Laboratory Improvement amendments
TJC
HIPPA
31
Why should a dermal puncture site be warmed?
To prevent clotting
To cause hemoconcentration
To increase blood flow
To prevent hemolysis
32
A urine specimen for routine urinalysis cannot be delivered to the laboratory within 2 hours, what should the phleb. Do?
Refridgerate the specimen
Add a boric acid preservative
Reject the specimen
Freeze the specimen
33
Which urine test requires a patient to collect a clean-catch midstream specimen?
Culture and sensitivity test
24-hour protein test
Pregnancy test
Drug test
34
A test included in a newborn screen that requires placement of blood in circles on filter paper is?
Bilirubin
PKU
Electrolytes
CBC
35
Serum or plasma must be separated from cells with ___ minutes from collection?
60
120
45
30
36
The test used to monitor Coumadin (warfarin) therapy is?
PT (INR)
PFT
APTT
ACT
37
Wiping away the first drop of blood?
Stimulate platelets and faster clotting
Increases blood flow
Cause air bubbles to enter the tube
Prevents specimen contamination
38
Sputum specimens are collected to diagnose?
Strep throat
TB
Cystic fibrosis
Endocarditis
39
On newborns, dermal punctures are performed on the?
Back of the heel
Earlobe
Medial/lateral plantar areas of the heel
Index finger
40
Acceptable QC can ensure?
Correct performance of the test
All of the above
Correct functioning of testing materials
Integrity of the testing materials
41
The recommended specimen for urine pregnancy testing is a?
Random specimen
First morning specimen
Timed collection
Midstream clean catch specimen
42
Documentation of a laboratory’s overall quality of work is provided in the laboratory’s?
QMS
QC records
Quality essentials
Quality indicators
43
An arterialized specimen must be collected for which of the following tests?
Newborn screen tests
Malaria blood smear
Blood gases
Bilirubin
44
Risk management departments develop policies to protect the?
Employer
Employees
All of the above
Patients
45
What is the focus of an RCA?
Personnel errors
Physician errors
Process errors
Patient errors
46
When a dermal puncture device is selected, the most critical consideration is the?
Tests requested
Amount of blood needed
Depth of the incision
Width of the incision
47
QC includes?
Instrument calibration
All of the above
Using standards and controls
Following a standardized procedure
48
Where is POCT most often performed?
Hospital laboratory
Patient’s bedside
ED
Research laboratory
49
Safe operation of the centrifuge excludes?
Unplugging the centrifuge to clean it with bleach
Stopping the centrifuge using the brake
Placing tubes of equal size and volume across from each other
Firmly fastening the top before operations