Cm chapter 7

1. Quality assessment refers

to:
A. Analysis of testing controls
B. Increased productivity
C. Precise control results
D. Quality of specimens and
patient care
2. During laboratory
accreditation inspections,
procedure manuals are
examined for the presence of:
A. Critical values
B. Procedure references
C. Procedures for specimen
preservation
D. All of the above
3. Urinalysis procedure
manuals are reviewed:
A. By the supervisor on each
shift
B. Weekly by the pathologist
C. Only when a procedure is
changed
D. Annually by a designated
authority

D. Put a cost analysis study in

the procedure manual
5. Indicate whether each of
the following would be
considered a 1) preanalytical,
2) analytical, or 3)
postanalytical factor by
placing the appropriate
number in the
space:
_____ Reagent expiration date
_____ Rejection of a
contaminated specimen
_____ Construction of a LevyJennings chart
_____ Telephoning a positive
Clinitest result
on a newborn
_____ Calibrating the
centrifuge
_____ Collecting a timed urine
specimen
6. Deionized water used for
the preparation of reagents
should be checked for:
A. Calcium content
B. Bacterial content
C. Filter contamination
D. pH, purity, and bacteria

4. As supervisor of the
urinalysis laboratory, you have 7. Would a control sample that
just adopted a new procedure. has accidentally become
You should:
diluted produce a trend or a
shift in the Levy-Jennings plot?
A. Put the package insert in
the procedure manual
A. Trend
B. Put a complete, referenced
B. Shift
procedure in the manual
C. Notify the microbiology
8. A color change that
department
indicates when a patients

specimen or reagent is added 12. State which of the CLIA

correctly would be an example categories is assigned to each
of:
of the following laboratory
tests by placing the
A. External QC
appropriate number in front of
B. Equivalent QC
the test.
C. Internal QC
D. Proficiency testing
1. Waived
2. PPM
9. What steps are taken when 3. Moderate complexity
the results of reagent strip QC 4. High complexity
are outside of the stated
confidence limits?
____A. Reagent strip urinalysis
____B. Urine culture
A. Check the expiration date of ____C. Complete urinalysis
the reagent strip
using
B. Run a new control
the Clinitek 500
C. Open a new reagent strips
____D. Urine microscopic
container
____E. Urine pregnancy test
D. All of the above
13. How often does CLIA 88
require documentation of
10. When a new bottle of qc
technical competency?
material is opened, what
information is placed on the
A. Every 6 months
label?
B. Once a year
C. Twice the first year and then
A. The supervisors initials
annually
B. The lot number
D. Twice the first year and
C. The date and the laboratory then every 5 years
workers initials
D. The time the bottle was
14. Who are the laboratorys
opened
customers in CQI?
11. When a control is run,
what information is
documented?
A. The lot number
B. Expiration date of the
control
C. The test results
D. All of the above

A. Physicians
B. Patients family members
C. Patients
D. All of the above
15. What is the primary goal
of TQM?
A. Increased laboratory
productivity

B. Improved patient outcomes

C. Reliability of test results
D. Precise test results
16. Match the purpose for
developing each of the
following:
1. Flowcharts
2. Cause-and-effect diagrams
3. Pareto charts
4. Run charts
____A. Determine cyclic and
seasonal
Differences compared to
an average
____B. Break down a process
into steps
____C. Identify the major
contributors to a
problem
____D. Determine the cause of
a problem
17. True or False: Most
medical errors are the fault of
individuals, not the system.