1
ALPP CLC Exam Actual Exam
2026/2027 | Questions with Verified
Answers | 100% Correct | Pass
Guaranteed
.
Domain 1 Questions (1-30)
Q1: A laboratory consultant is hired to improve turnaround time for CBCs in a
midsized clinic. After observation, the consultant notes that the phlebotomy
station is located two floors away from the lab. What is the consultant's MOST
effective initial recommendation?
A. Purchase additional automated hematology analyzers.
B. Implement a pneumatic tube system for sample transport.
C. Cross-train all lab assistants in phlebotomy.
D. Require nurses to draw all laboratory samples.
**Correct Answer: B
Verified Solution & Rationale: A pneumatic tube system eliminates the
transport bottleneck, delivering samples directly to the analyzer and yielding the
fastest measurable reduction in pre-analytical time.
Q2: A lab director asks the consultant to reduce overtime without sacrificing
workload capacity; which metric should the consultant analyze FIRST?
A. Test volume per full-time equivalent (FTE).
B. Average cost per test.
C. Percentage of rejected specimens.
D. Equipment downtime hours.
**Correct Answer: A
Verified Solution & Rationale: Test volume per FTE directly gauges staff
productivity and pinpoints whether staffing levels or workflow balance are the
root causes of excess overtime.
Q3: During a strategic-planning session, the consultant recommends shifting
30% of routine chemistry tests to a core reference lab; which document best
justifies this decision to hospital administration?
,2
A. Equipment service logs.
B. Cost–volume–profit (CVP) analysis.
C. Proficiency-testing scores.
D. Safety incident reports.
**Correct Answer: B
Verified Solution & Rationale: CVP analysis quantifies fixed versus variable
costs and clearly shows the break-even point and long-term savings of referral
versus in-house testing.
Q4: A consultant discovers that reagent inventory turns only twice per year;
what is the MOST immediate operational risk?
A. Reagent recall traceability loss.
B. Reagent expiration and waste.
C. CLIA non-compliance.
D. Increased courier fees.
**Correct Answer: B
Verified Solution & Rationale: Slow turnover maximizes the probability that
reagents will expire before use, leading to costly disposal and potential supply
shortages.
Q5: The LIS vendor will sunset the current middleware next year; which action
should the consultant prioritize FIRST?
A. Negotiate pricing with the incumbent vendor.
B. Convene a multidisciplinary steering committee to map new workflow
requirements.
C. Request IT to purchase backup servers.
D. Schedule extra proficiency-testing events.
**Correct Answer: B
Verified Solution & Rationale: Mapping current and future workflow
requirements ensures that any new middleware or LIS module will support
validated laboratory processes before vendor selection or purchase.
Q6: A consultant observes that morning run controls are consistently out 30
minutes past schedule; which lean tool should be applied FIRST?
A. Value-stream mapping.
B. 5S red-tag event.
C. Kanban cards.
D. Fishbone diagram.
**Correct Answer: D
Verified Solution & Rationale: A fishbone diagram quickly categorizes root
causes of delay (equipment, personnel, method, environment) so targeted
counter-measures can be developed.
Q7: While reviewing personnel files, the consultant notes that competency
assessments for moderate-complexity testing were last performed 18 months
, 3
ago; what is the required frequency under CLIA?
A. Every six months.
B. Annually.
C. Every two years.
D. Only at hire.
**Correct Answer: B
Verified Solution & Rationale: CLIA §493.1451 mandates annual competency
assessment for all personnel performing moderate- or high-complexity testing.
Q8: A hospital lab wants to add direct-to-consumer wellness panels; which
operational element must be finalized BEFORE test launch?
A. Marketing slogan.
B. Self-pay price list.
C. CLIA complexity classification.
D. Courier contract.
**Correct Answer: C
Verified Solution & Rationale: CLIA complexity classification determines the
level of personnel, QC, and accreditation requirements that must be built into
the service model.
Q9: A consultant sees techs manually entering patient demographics twice—
once into the EHR and again into the LIS; what is the BEST solution?
A. Implement bidirectional HL7 interface.
B. Hire more data-entry clerks.
C. Add barcode scanners.
D. Outsource transcription.
**Correct Answer: A
Verified Solution & Rationale: A bidirectional HL7 interface synchronizes data
between EHR and LIS, eliminating duplicate entry and associated transcription
errors.
Q10: The lab’s KPI dashboard shows “number of amended reports” trending
upward; which process should the consultant audit FIRST?
A. Phlebotomy collection.
B. Result verification and autoverification rules.
C. Courier transportation temperatures.
D. Patient insurance eligibility.
**Correct Answer: B
Verified Solution & Rationale: Most post-analytical amendments stem from
verification oversights or flawed autoverification algorithms that release results
before full rule validation.
Q11: A consultant recommends moving the 3rd shift chemistry workload to day
shift; which data set is MOST critical to secure administrative approval?
A. Staff satisfaction survey.
ALPP CLC Exam Actual Exam
2026/2027 | Questions with Verified
Answers | 100% Correct | Pass
Guaranteed
.
Domain 1 Questions (1-30)
Q1: A laboratory consultant is hired to improve turnaround time for CBCs in a
midsized clinic. After observation, the consultant notes that the phlebotomy
station is located two floors away from the lab. What is the consultant's MOST
effective initial recommendation?
A. Purchase additional automated hematology analyzers.
B. Implement a pneumatic tube system for sample transport.
C. Cross-train all lab assistants in phlebotomy.
D. Require nurses to draw all laboratory samples.
**Correct Answer: B
Verified Solution & Rationale: A pneumatic tube system eliminates the
transport bottleneck, delivering samples directly to the analyzer and yielding the
fastest measurable reduction in pre-analytical time.
Q2: A lab director asks the consultant to reduce overtime without sacrificing
workload capacity; which metric should the consultant analyze FIRST?
A. Test volume per full-time equivalent (FTE).
B. Average cost per test.
C. Percentage of rejected specimens.
D. Equipment downtime hours.
**Correct Answer: A
Verified Solution & Rationale: Test volume per FTE directly gauges staff
productivity and pinpoints whether staffing levels or workflow balance are the
root causes of excess overtime.
Q3: During a strategic-planning session, the consultant recommends shifting
30% of routine chemistry tests to a core reference lab; which document best
justifies this decision to hospital administration?
,2
A. Equipment service logs.
B. Cost–volume–profit (CVP) analysis.
C. Proficiency-testing scores.
D. Safety incident reports.
**Correct Answer: B
Verified Solution & Rationale: CVP analysis quantifies fixed versus variable
costs and clearly shows the break-even point and long-term savings of referral
versus in-house testing.
Q4: A consultant discovers that reagent inventory turns only twice per year;
what is the MOST immediate operational risk?
A. Reagent recall traceability loss.
B. Reagent expiration and waste.
C. CLIA non-compliance.
D. Increased courier fees.
**Correct Answer: B
Verified Solution & Rationale: Slow turnover maximizes the probability that
reagents will expire before use, leading to costly disposal and potential supply
shortages.
Q5: The LIS vendor will sunset the current middleware next year; which action
should the consultant prioritize FIRST?
A. Negotiate pricing with the incumbent vendor.
B. Convene a multidisciplinary steering committee to map new workflow
requirements.
C. Request IT to purchase backup servers.
D. Schedule extra proficiency-testing events.
**Correct Answer: B
Verified Solution & Rationale: Mapping current and future workflow
requirements ensures that any new middleware or LIS module will support
validated laboratory processes before vendor selection or purchase.
Q6: A consultant observes that morning run controls are consistently out 30
minutes past schedule; which lean tool should be applied FIRST?
A. Value-stream mapping.
B. 5S red-tag event.
C. Kanban cards.
D. Fishbone diagram.
**Correct Answer: D
Verified Solution & Rationale: A fishbone diagram quickly categorizes root
causes of delay (equipment, personnel, method, environment) so targeted
counter-measures can be developed.
Q7: While reviewing personnel files, the consultant notes that competency
assessments for moderate-complexity testing were last performed 18 months
, 3
ago; what is the required frequency under CLIA?
A. Every six months.
B. Annually.
C. Every two years.
D. Only at hire.
**Correct Answer: B
Verified Solution & Rationale: CLIA §493.1451 mandates annual competency
assessment for all personnel performing moderate- or high-complexity testing.
Q8: A hospital lab wants to add direct-to-consumer wellness panels; which
operational element must be finalized BEFORE test launch?
A. Marketing slogan.
B. Self-pay price list.
C. CLIA complexity classification.
D. Courier contract.
**Correct Answer: C
Verified Solution & Rationale: CLIA complexity classification determines the
level of personnel, QC, and accreditation requirements that must be built into
the service model.
Q9: A consultant sees techs manually entering patient demographics twice—
once into the EHR and again into the LIS; what is the BEST solution?
A. Implement bidirectional HL7 interface.
B. Hire more data-entry clerks.
C. Add barcode scanners.
D. Outsource transcription.
**Correct Answer: A
Verified Solution & Rationale: A bidirectional HL7 interface synchronizes data
between EHR and LIS, eliminating duplicate entry and associated transcription
errors.
Q10: The lab’s KPI dashboard shows “number of amended reports” trending
upward; which process should the consultant audit FIRST?
A. Phlebotomy collection.
B. Result verification and autoverification rules.
C. Courier transportation temperatures.
D. Patient insurance eligibility.
**Correct Answer: B
Verified Solution & Rationale: Most post-analytical amendments stem from
verification oversights or flawed autoverification algorithms that release results
before full rule validation.
Q11: A consultant recommends moving the 3rd shift chemistry workload to day
shift; which data set is MOST critical to secure administrative approval?
A. Staff satisfaction survey.
