Elsivier Lab Man

Question 1

During the morning rush, your laboratory manager comes into the laboratory and starts explaining a new policy regarding vacation requests. Word spreads of the change throughout the day, and the message has changed somewhat. Several in the laboratory are upset and complain to the laboratory man-ager. Which of the following actions is the most appropriate way to handle such a situation?
a. Nothing should be changed, it was handled appropriately
b. The manager should have posted the change on the bulletin board in the break room
c. The manager should have announced the policy on each shift
d. The manager should have discussed and distributed the policy at a laboratory meeting, or several laboratory meetings, so that all employees heard the policy from the manager

Answer 1

d. The manager should have discussed and distributed the policy at a laboratory meeting, or several laboratory meetings, so that all employees heard the policy from the manager

Question 2

What is the most important role of the manager in charge?
a. Independent decision making
b. Communication
c. Informal discussions
d. None of the above

Answer 2

b. Communication

Question 3

Your laboratory was just inspected by CAP. Your inspector noted a phase I (lower level) citation that the hematology laboratory space is quite small. What action should the laboratory take?
a. Submit a written plan to CAP outlining that the laboratory will reorganize the space to meet the needs of the department
b. Immediately begin remodeling the laboratory, because this type of citation must be corrected within 30 days
c. Ignore the phase I citation, because it is only a recommendation
d. Reply to the CAP that space issue is not their concern

Answer 3

a. Submit a written plan to CAP outlining that the laboratory will reorganize the space to meet the needs of the department

Question 4

The role of NAACLS is to:
a. Accredit laboratories
b. Offer certification examinations
c. Offer continuing education
d. Accredit educational programs

Answer 4

d. Accredit educational programs

Question 5

COLA is similar to which of the following agencies?
a. CAP
b. TJC
с. ААВВ
d. ASCLS

Answer 5

a. CAP

Question 6

Your laboratory is going to begin offering drug testing to local employers. While setting up the laboratory, you will likely work with which of the following agencies for accreditation of the laboratory?
a. COLA
b. SAMHSA
с. AABB
d. CLSI

Answer 6

b. SAMHSA

Question 7

7. _ CMS
8. _ FDA
9. _ DOT
   a. Regulates shipments of human specimens
   b. Approves new testing procedures and methods
   c. Regulate laboratory testing via CLIA

Answer 7

c.
b
a

Question 8

Job descriptions can be viewed as a summary of the findings obtained from a job analysis.
a. True
b. False

Answer 8

a. True

Question 9

Which of the following items should not be contained within a job advertisement?
a. Name of organization
b. Starting salary
c. Position title
d. Certification/licensure requirements

Answer 9

b. Starting salary

Question 10

Which of the following qualifications is(are) necessary to be an effective evaluator?
a. Knowledge of job and work being done
b. Proximity to the person being judged
c. Time to conduct the review
d. All of the above

Answer 10

d. All of the above

Question 11

There is no relationship between an evaluation instrument and the job description.
a. True
b. False

Answer 11

b. False

Question 12

Rewards such as a reserved parking spot or the ability to attend conferences may be used to recognize employee accomplishments.
a. True
b. False

Answer 12

a. True

Question 13

Which of the following is a benefit of teams in the workplace?
a. Sense of accomplishment
b. Increased communication
c. Relief for employees
d. All of the above

Answer 13

d. All of the above

Question 14

Which of the following is a category for justification of capital expenditures?
a. Replacement
b. Cost reduction
c. New equipment
d. All of the above

Answer 14

d. All of the above

Question 15

Which of the following government regulations apply standards for employers to apply for medical leave of absence:

a. CAP
b. FMLA
c. CLMA
d. CLSI

Answer 15

b. FMLA

Question 16

You are the lead chemistry MLS. Your laboratory manager has asked you to evaluate two new methods for cholesterol analysis. In your evaluation, you found that method A was very accurate and precise and that method B was not very accurate and precise.
However, the laboratory will make more money by investing in method B. Which of the following decisions would exhibit professionalism?
a. Recommend method A to your laboratory man-ager. It is important that the laboratory produce the most accurate and precise results
b. Recommend method B to your laboratory man-ager. It is important that the laboratory make as much money as possible
c. State that you are unable to make a recommenda-tion, because no difference in the methods was noted
d. Recommend that you need more time to evaluate both methods

Answer 16

a. Recommend method A to your laboratory man-ager. It is important that the laboratory produce the most accurate and precise results

Question 17

The three Rs of customer service include results, rela-tionships, and reliability.
a. True
b. False

Answer 17

b. False

Question 18

Legal personnel issues in the clinical laboratory include all of the following except:
a. Medical leaves
b. Reimbursement
c. Termination procedures
d. Interview questions

Answer 18

b. Reimbursement

Question 19

Which of the following regulates overtime pay?
a. NLRB
b. FLSA
c. EPA
d. FMLA

Answer 19

b. FLSA

Question 20

A hospital is reimbursed under the Medicare DRG program according to which of the following?
a. Amount of service provided
b. Costs incurred in providing care
c. Nature of the illness
d. Profit margin of the laboratory

Answer 20

c. Nature of the illness

Question 21

Which statement describes the appropriate scheduling process?
a. Matching the people presently working in the laboratory with current workload requirements
b. The setting of long-term goals and objectives for the number and types of personnel needed to meet the labor requirements of the laboratory
c. Allow a democratic approach and have the staff schedule when they want to work
d. Placing all of the experienced personnel on one shift

Answer 21

a. Matching the people presently working in the laboratory with current workload requirements

Question 22

Which of the following is a goal of an interview?
a. Establish social contacts
b. Evaluate applicant’s skills and personality
c. Discuss the religious background of the applicant
d. Discuss prior arrests of the applicant

Answer 22

b. Evaluate applicant’s skills and personality

Question 23

Annual budget assumptions
are based on
a. Estimated direct costs
b. Estimated indirect costs
c. Projected reimbursement and revenue
d. All of the above

Answer 23

d. All of the above

Question 24

Ambulatory Payment Category (APC) codes are used for reimbursement purposes for which of the following?
a. Inpatients
b. Medicare inpatients
c. Outpatient and emergency room patients
d. None of the above

Answer 24

c. Outpatient and emergency room patients

Question 25

According to most managed care plans, the type of reimbursement similar to federal systems is:
a. Capitation
b. Per diem
c. Per case
d. Carve out

Answer 25

c. Per case

Question 26

Budgets should be reviewed.
_ to identify
budget variances.
a. Weekly
b. Monthly
c. Quarterly
d. Annually

Answer 26

b. Monthly

Question 27

When calculating the costs per billable tests, the total test volume in the laboratory is not needed.
a. True
b. False

Answer 27

b. False

Question 28

Which of the following agency(ies) developed the Medical Compliance Plan (MCP)?
a. CAP
b. TjC
c. HHS OIG
d. NAACIS

Answer 28

c. HHS OIG

Question 29

The Clinical Laboratory Improvement Act of 1988
applies to which of the following?
a. All clinical laboratories
b. Hospital laboratories only
c. Laboratories engaged in interstate commerce only
d. Physician office laboratories only

Answer 29

a. All clinical laboratories

Question 30

What is the purpose of a compliance plan?
a. Reduce fraud and abuse billing practices
b. Monitor employee compliance to safety practices
c. Train employees on customer satisfaction
d. Ensure fairness in scheduling

Answer 30

a. Reduce fraud and abuse billing practices

Question 31

Which organization publishes guidelines for writing technical procedures that are usually acceptable to agencies that govern laboratory operations, such as CAP and COLA?
a. AABB
b. CLSI
c. OSHA
d. ASM

Answer 31

b. CLSI

Question 32

Which of the following arrangements offers the most instrument service coverage and “piece of mind” for laboratory managers?
a. Pay as needed for time and materials
b. Establishing a service contract for key instruments
c. Fingers crossed that nothing breaks down
d. Order new instruments when the warranty runs out on the old one

Answer 32

b. Establishing a service contract for key instruments

Question 33

Given the following information, calculate the needed FTEs.
Standard unit: 0.5
Number of billable tests in 14 days: 10,000
a. 62.5
b. 125
c. 250
d. None of the above

Answer 33

a. 62.5

Question 34

Productivity can be calculated by which of the following?
a. Dividing actual hours worked by earned hours and multiply by 100
b. Dividing earned hours by actual hours and multiply by 100
c. Calculating the number of people on your staff and dividing by the number of shifts
d. Comparing the number of radiology technicians in comparison to laboratory technicians

Answer 34

a. Dividing actual hours worked by earned hours and multiply by 100

Question 35

Legal institutional issues in the clinical laboratory include all of the following except:
a. Confidentiality
b. Job announcements
c. Procedures
d. Chain of custody

Answer 35

b. Job announcements

Question 36

PRN employees are useful in the scheduling process because they help to decrease overtime and increase flexibility.
a. True
b. False

Answer 36

a. True

Question 37

When using the 8 and 80 payroll regulation and guidelines, are employees paid overtime when they work more than 8 hours in one day?
a. Yes, the employees would be paid overtime
b. No, the employees would not be paid overtime because they must have worked more than 80 hours also
c. It depends on how the employees desire to be paid
d. The employees are not paid overtime regardless of how many hours are worked

Answer 37

a. Yes, the employees would be paid overtime

Question 38

You are in charge of planning the schedule for the day shift. Your laboratory manager asks that you identify three ways to reduce the labor costs for that shift. Of the following, which is not a way to reduce the costs?
a. Use PRN employees to reduce overtime costs
b. Switch to a 40-hour work week
c. Schedule your most educated and trained employees during first shift
d. Use a mix of highly educated employees and relatively new employees

Answer 38

c. Schedule your most educated and trained employees during first shift

Question 39

As part of the Blood-borne Pathogens Plan, employers must offer the hepatitis B vaccine to all employees at the expense of the clinical laboratory (or organization).
a. True
b. False

Answer 39

a. True

Question 40

Which of the following components should not be
included in a written procedure?
a. Test method
b. Cost per billable test
c. Quality control procedures
d. Reagents and media needs

Answer 40

b. Cost per billable test

Question 41

Which of the following agencies has the inspection authority for laboratory accreditation?
a. CAP
b. TJC
c. State health departments
d. All of the above

Answer 41

d. All of the above

Question 42

Which of the following questions can be legally asked during an interview?
a. What is your date of birth?
b. Where have you previously worked?
c. Do you have any dependents?
d. Do you have any long-term health problems?

Answer 42

b. Where have you previously worked?

Question 43

Which of the following methods would be most helpful during the interview to assess an applicant’s abilities to resolve problems in a mature manner?
a. Read a scenario and ask the applicant how he or she would react if in the situation
b. Directly ask the applicant if he or she is mature
c. Observe the applicant during the interview
d. There is no way to assess these abilities during the interview process

Answer 43

a. Read a scenario and ask the applicant how he or she would react if in the situation

Question 44

An educational learning objective must:
a. Be written in broad terms
b. Not be measurable
c. Be provided after the educational unit ends
d. Explain exactly what the student should be able to do

Answer 44

d. Explain exactly what the student should be able to do

Question 45

The cognitive learning domain includes which of the following?
a. Evaluation
b. Demonstration
c. Attitudes
d. Motor skills

Answer 45

a. Evaluation

Question 46

Being described as a team player falls primarily within which learning domain?
a. Cognitive
b. Psychomotor
c. Affective
d. Level III

Answer 46

c. Affective

Question 47

Which of the following learning objectives is appropriately written?
a. The student will understand how to perform urine microscopy
b. The student will be able to accurately list the steps in performing a venipuncture
c. The student will be aware of professional behavior
d. The student will not make mistakes

Answer 47

b. The student will be able to accurately list the steps in performing a venipuncture

Question 48

An examination question that includes a comprehensive list of laboratory tests from a given patient and requests the examinee to make a diagnosis is an example of a question that belongs to which taxonomic level?
a. Level I
b. Level II
c. Level III
d. Level IV

Answer 48

c. Level III