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Question 1

The abbreviation QCM stands for:

Answer 1

Quality Cost Management

Question 2

The Clinical and Laboratory Standards Institute recognizes a hierarchy of processes that lead to the achievement of quality. These processes include all of the following EXCEPT:

Quality Assurance
Total Quality Management
Quality Management System
Quality Communication

Answer 2

Quality Communication

Question 3

TQM healthcare team member’s responsibilities may include all of the following EXCEPT:

Monitoring processes
Ensuring patient satisfaction
Monitoring patient vital signs
Documenting processes

Answer 3

Monitoring patient vital signs

Question 4

A system used to measure and manage the cost of quality is referred to as:

Answer 4

Quality Cost Management

Question 5

highest level of quality oversight?

Answer 5

Total Quality Management

Question 6

Which of the following is a system of quality objectives and the methods used to monitor the achievement of those objectives?

Answer 6

Quality Management System

Question 7

Which of the following is a system of activities which assess operational processes for the delivery of services?

Answer 7

Quality Assurance

Question 8

Which of the following is a system of activities that ensure that specific steps in a process meet acceptable standards?

Answer 8

Quality Control

Question 9

Which of the following is the accrediting agency that performs inspections by observing procedures to ensure compliance with the laboratory’s SOP?

Answer 9

College of American Pathologists

Question 10

What is the term for an activity that ensures test results obtained will yield the same or similar results if the test is repeated?

Answer 10

Validation

Question 11

All of the following are examples of when a validation process is required EXCEPT:

When adopting the use of a new test
When purchasing a new instrument to perform the test
When selecting the proper blood tube to use
When a new lot of controls are put into use

Answer 11

When selecting the proper blood tube to use

Question 12

All quality control tests for each analyte tested on each instrument should be documented onto:

Answer 12

Quality Control log sheets

Question 13

Quality assessment and process improvement involves all of the following EXCEPT:

Reviewing documentation
Discovering weaknesses in a process
Making processes easier to perform
Recording minimum and maximum temperatures

Answer 13

Recording minimum and maximum temperatures

Question 14

A Levey-Jennings chart is:

Answer 14

A graph showing acceptable limits for QC

Question 15

Results showing an upward or downward progression are referred to as a/an:

Answer 15

Trend

Question 16

A sudden jump in results that continue at the higher or lower level are referred to as a/an:

Answer 16

Shift

Question 17

Differences in trends and shifts that may be due to performance among staff members are known as:

Answer 17

Systematic errors

Question 18

Errors that occur with no predictable pattern are:

Answer 18

random errors

Question 19

Which of the following is NOT likely to cause a random error?

Using outdated reagents
Operator procedural error
Equipment failure
Replacing a machine with a newer model

Answer 19

Replacing a machine with a newer model

Question 20

Quality control documentation may include recording all of the following EXCEPT:

Room temperature
Incubator temperature
Refrigerator temperature
Outdoor temperature

Answer 20

Outdoor temperature

Question 21

Fixing problems that have occurred is known as:

Answer 21

Corrective action

Question 22

Determining ways to prevent errors from happening in the future is known as:

Answer 22

Preventive action

Question 23

An external analysis of routine samples in order to evaluate the performance of a laboratory and its personnel is:

Answer 23

Proficiency Testing

Question 24

Observing staff performing activities and determining adherence to policies and procedures is known as:

Answer 24

Competency Assessment

Question 25

Which of the following terms refers to examining records for processes and procedures that were performed?

Answer 25

Audit

Question 26

Which of the following is NOT an example of a corrective action? Performing controls on the glucometer Turning up the setting on a refrigerator that is too cold Discarding outdated reagents Calling the manufacturer to correct an instrument problem

Answer 26

Performing controls on the glucometer

Question 27

Which of the following is NOT a reason a patient specimen must be recollected? Blood clotted in tube Blood hemolyzed Insufficient amount of blood drawn Patient illness

Answer 27

Patient illness

Question 28

How is the quality control of the centrifuges performed?

Answer 28

By checking the speed calibration and rotations per minute

Question 29

How is the quality control of incubators and water baths performed?

Answer 29

By recording temperatures to determine if the instrument is at the correct temperature prior to use

Question 30

How is the quality control of refrigerators and freezers performed?

Answer 30

By recording minimum and maximum temperatures on a daily basis

Question 31

How is quality control for patient identification performed?

Answer 31

Using a two-identifier system to ensure the correct patient is being drawn

Question 32

How do you ensure quality control of specimen labeling?

Answer 32

Review of labels to determine if the required information is on the tube to ensure correct patient identification

Question 33

What is the definition of turnaround time?

Answer 33

The time between placing the test order to receiving results

Question 34

For the most accurate results, what is the best time of day to draw plasma cortisol levels?

Answer 34

Between 7:00 A.M and 9:00 A.M.

Question 35

What does the abbreviation SOP stand for?

Answer 35

Standard operating procedure

Question 36

A patient is scheduled to have a timed lab test at 9:00 A.M., but does not arrive until 3:00 P.M. What should the phlebotomist do?

Answer 36

Notify the ordering practitioner immediately

Question 37

When performing controls and repeat failures occur, all of the following should be done EXCEPT: Continue using machine or system Calibration Repair Check expiration dates on reagents

Answer 37

Continue using machine or system

Question 38

QAPI is also called:

Answer 38

CQI

Question 39

The purpose of documenting problems is

Answer 39

to identify areas where improvements need to be made.