Exam Fully Solved 2026-2027 Updated.
Pre-analytical variables in laboratory testing include - Answer Specimen acceptability
Which of the following is not a potential source of post analytical errors
1) Excessive delay in reporting or retrieving a test result
2) Interpretation of results
3) Verbal notification of test results
4) Labeling the specimen at the nurses station - Answer Labeling the specimen at the nurses
station
A pre-analytical error could be introduced by - Answer Vigorously shaking of blood tube to
prevent clotting
The most important diagnosis and therapeutic management decision tool used to interpret test
results is - Answer Reference intervals
A clean catch urine is submitted to the laboratory for routine urinalysis and culture. The routine
urinalysis is done first, and three hours later, the specimen is sent to the microbiology
department for culture. The specimen should - Answer Be rejected due to the time delay
Urine sample should be examined within one hour avoiding because - Answer Bacterial
contamination will cause alkalinization of the urine
A urine specimen comes to laboratory seven hours after it is obtained. It is acceptable for
culture only if the specimen has been stored - Answer At 4-7°C
Pre-analytical errors are major contributors to total laboratory errors. Examples of obvious pre-
analytical errors are - Answer Specimen collected in the wrong container
Unlabeled specimen
QNS, hemolyzed or lipemic specimens
True or false analytical errors are not obvious to providers - Answer True
Laboratory should monitor and track pre-analytical indicators of quality to develop strategies to
identify root causes of air and develop counter measures. Examples of pre-analytical quality
,indicators include - Answer Rate of an accurate test order entry into laboratory information
system
The first procedure to be followed if the blood gas instrument is out of control for all
parameters is - Answer Recalibrate, then repeat control
Upon completion of a run of cholesterol test, the technician recognizes that the controls are not
within the two standard deviations confidence range. What is the appropriate course of action -
Answer Run a new set of controls and repeat specimens
The following data were calculated on a series of 30 determinations of serum uric acid control:
mean = 5.8 mg/dL, 1 standard deviation = 0.15 mg/dL. If confidence limits are set at +/- 2
Standard deviations, which of the following represents the allowable limits for the control -
Answer 5.50 to 6.10 mg/dL
What are the three steps of an individualized quality control plan (IQCP) - Answer Risk
assessment, quality control plan, quality assessment
A delta check is a method that - Answer Monitors patient samples day today
On Monday a patient's hemoglobin determination was 11.3 g/dL (113 g/L), and on Tuesday it
measured 11.8 g/dL (118 g/L). The standard deviation of the method used is +/- 2 g/dL (2 g/L).
Which of the following can be concluded about the hemoglobin values given - Answer There
is no significant change in the patient's hemoglobin concentration
A benefit of micro essays, such as point of care methods, include - Answer Reduced sample
volume
The use of security system such as firewalls and data encryption for electronica transmission of
patient data from a laboratory information system to a remote location or required for - Answer
HIPAA
Which action by the phlebotomist will comply with the college of American pathologists
(CAP)patient safety goal to improve patient and sample identification at the time of specimen
collection and the joint commission patient safety goal to improve the accuracy of patient
identification - Answer Match the name and medical record number on the patient's ID
bracelet to the name and medical record number on the pre-printed collection label
Employees are guaranteed the right to engage in self organization and collective bargaining
through representatives of their choice, or to refrain from these activities by which of the
following - Answer National Labour relations act
, Which organization was formed to encourage the voluntary attainment of uniformly high
standards in institutional medical care - Answer The joint commission JCAHO
The process by which an agency or organization uses predetermined standards to evaluate and
recognize a program of study in an institution is called - Answer Accreditation
CLIA Was established to provide oversight to - Answer Any Lab performing patient testing
According to CLIA who is responsible for classifying lab test complexity - Answer FDA (food
and drug administration)
CAP Requires refrigerator temperatures to be recorded - Answer Daily
A paper or electronic report of lab results must include - Answer The name and address of
the testing laboratory
HIPAA is a federal law that requires - Answer confidentiality of patients health care
information between 2 organizations
Your friend calls and ask you to access his test results. Which of the following does this violate -
Answer HIPAA
An individualized quality control plan (IQCP) does not require - Answer Revalidation of test
performance
A quality management system (QMS) is a system for designing, implementing, maintaining, and
managing quality in a laboratory. A fundamental element of a QMS is training and competency
assessment of testing personnel. What training is required - Answer When there is a change
in the medical director of the lab
Which of the following require laboratories to establish a chemical hygiene plan - Answer
OSHA (occupational safety and health ac)
Package inserts may be used - Answer as a reference in a procedure
Auto verification of test results requires all of the following to be established by the laboratory -
Answer Patient results entered into the LIS via an instrument interface
Patient results evaluated based on validated rules to find in the LIS