HEMA-TURGEON Flashcards
- The function (or functions) of a hematology
laboratory is (are) to
A. confirm the physician’s impression of a possible
hematological disorder
B. establish or rule out a diagnosis
C. screen for asymptomatic disorders
D. all of the above
D. all of the above
- The major intended purpose of the laboratory safety
manual is to
A. protect the patient and laboratory personnel
B. protect laboratory and other hospital personnel
C. comply with local health and state regulatory
requirements
D. comply with OSHA regulations
A. protect the patient and laboratory personnel
- Which of the following is not an appropriate safety
practice?
A. Disposing of needles in biohazard, puncture-proof
containers
B. Frequent handwashing
C. Sterilizing lancets for reuse
D. Keeping food out of the same areas as specimens
C. Sterilizing lancets for reuse
- If a blood specimen is spilled on a laboratory bench
or floor area, the first step in cleanup should be
A. wear gloves and a lab coat
B. absorb blood with disposable towels
C. clean with freshly prepared 1% chlorine solution
D. wash with water
B. absorb blood with disposable towels
- Which of the following procedures is the most basic
and effective in preventing nosocomial infections?
A. Washing hands between patient contacts
B. Wearing laboratory coats
C. Isolating infectious patients
D. Isolating infectious specimens
A. Washing hands between patient contacts
- HBV and HIV may be directly transmitted in the
occupational setting by all of the following except
A. parenteral inoculation with contaminated blood
B. exposure of intact skin to contaminated blood or
certain body fluids
C. exposure of intact mucous membranes to
contaminated blood or certain body fluids
D. sharing bathroom facilities with an HIV-positive
person
D. sharing bathroom facilities with an HIV-positive
person
- The likelihood of infection after exposure to HBV
infected or HIV-infected blood or body fluids depends
on all of the following factors except the
A. source (anatomical site) of the blood or fluid
B. concentration of the virus
C. duration of the contact
D. presence of nonintact skin
A. source (anatomical site) of the blood or fluid
- Standard precautions have been instituted in clinical
laboratories to prevent _____ exposures of healthcare
workers to bloodborne pathogens such as HIV and HBV.
A. parenteral
B. nonintact mucous membrane
C. nonintact skin
D. all of the above
D. all of the above
- Exposure to _____ constitutes the major source of
HIV and HBV infection in healthcare personnel.
A. sputum
B. blood
C. urine
D. semen
B. blood
- The transmission of HBV is _____ probable than
transmission of HIV.
A. less
B. more
B. more
- Gloves for medical use may be
A. sterile or nonsterile
B. latex or vinyl
C. used only once
D. all of the above
D. all of the above
Questions 12 and 13: Diluted bleach for disinfecting
work surfaces, equipment, and spills should be
prepared daily by preparing a _____ (12) dilution of
household bleach. This dilution requires _____ (13) mL
of bleach diluted to 100 Ml with H2O.
13._____
A. 1
B. 10
C. 25
D. 50
B. 10
Questions 12 and 13: Diluted bleach for disinfecting
work surfaces, equipment, and spills should be
prepared daily by preparing a _____ (12) dilution of
household bleach. This dilution requires _____ (13) mL
of bleach diluted to 100 Ml with H2O.
12._____
A. 1:5
B. 1:10
C. 1:20
D. 1:100
B. 1:10
- The laboratory procedure manual does not need to
include
A. test method, principle of the test, and clinical
applications
B. specimen collection and storage procedures
C. the name of the supplier of common laboratory
chemicals
D. QC techniques, procedures, normal values, and
technical sources of error
C. the name of the supplier of common laboratory
chemicals
- Which of the following statements is not a
nonanalytical factor in a Quality Assessment system?
A. Qualified personnel and established laboratory
policies
B. Monitoring the standard deviation and reporting
results of normal and abnormal controls
C. Maintenance of a procedure manual and the use of
appropriate methodology
D. Preventive maintenance of equipment and correct
specimen collection
B. Monitoring the standard deviation and reporting
results of normal and abnormal controls
- In which of the following laboratory situations is a
verbal report permissible?
A. When the patient is going directly to the physician’s
office and would like to have the report available
B. When the report cannot be found at the nurse’s
station
C. When emergency test results are needed by a
physician
D. None of the above
C. When emergency test results are needed by a
physician
Questions 17 through 19: Match the following terms
with the best description.
A. The value is known in a specimen similar to a
patient’s whole blood or serum.
B. Closeness to the true value
C. The process of monitoring accuracy
D. Comparison to a known physical constant
- __B___ Accuracy
Questions 17 through 19: Match the following terms
with the best description.
A. The value is known in a specimen similar to a
patient’s whole blood or serum.
B. Closeness to the true value
C. The process of monitoring accuracy
D. Comparison to a known physical constant
- __A___ Control
Questions 17 through 19: Match the following terms
with the best description.
A. The value is known in a specimen similar to a
patient’s whole blood or serum.
B. Closeness to the true value
C. The process of monitoring accuracy
D. Comparison to a known physical constant
- __D___ Calibration
Questions 20 through 22: Match the following terms
with the best description.
A. How close test results are when repeated.
B. A purified substance of a known composition.
C. The process of monitoring accuracy and
reproducibility of known control results.
D. The value is unknown.
- __A___ Precision
Questions 20 through 22: Match the following terms
with the best description.
A. How close test results are when repeated.
B. A purified substance of a known composition.
C. The process of monitoring accuracy and
reproducibility of known control results.
D. The value is unknown.
- __B___ Standards
- Which of the following is not a function of a
quantitative QC program?
A. Monitors the correct functioning of equipment,
reagents, and individual technique
B. Confirms the correct identity of patient specimens
C. Compares the accuracy of controls to reference
values
D. Detects shifts in control values
B. Confirms the correct identity of patient specimens
Questions 20 through 22: Match the following terms
with the best description.
A. How close test results are when repeated.
B. A purified substance of a known composition.
C. The process of monitoring accuracy and
reproducibility of known control results.
D. The value is unknown.
- __C___ Quality
Questions 24 through 27: Match the following terms
with the appropriate description.
A. The difference between the upper and lower
measurements in a series of results
B. The expression of the position of each test result to
the average
C. The arithmetic average
D. The degree to which test data vary about the average
- __C___ Mean
Questions 24 through 27: Match the following terms
with the appropriate description.
A. The difference between the upper and lower
measurements in a series of results
B. The expression of the position of each test result to
the average
C. The arithmetic average
D. The degree to which test data vary about the average
- __B___ Standard deviation
Questions 24 through 27: Match the following terms
with the appropriate description.
A. The difference between the upper and lower
measurements in a series of results
B. The expression of the position of each test result to
the average
C. The arithmetic average
D. The degree to which test data vary about the average
- __D___ Variance
Questions 24 through 27: Match the following terms
with the appropriate description.
A. The difference between the upper and lower
measurements in a series of results
B. The expression of the position of each test result to
the average
C. The arithmetic average
D. The degree to which test data vary about the average
- __A___ Range
- The z score measures
A. how many standard deviations a particular number is
from the right or left of the mean
B. the sum of the squared differences from the mean
C. the square root of the variance from the mean
D. the expression of the position of each test result to
the average
A. how many standard deviations a particular number is
from the right or left of the mean
- The coefficient of variation is the
A. sum of the squared differences from the mean
B. square root of the variance from the mean
C. standard deviation expressed as a percentage of the
mean
D. degree to which test data vary about the average
C. standard deviation expressed as a percentage of the
mean
- Acceptable limits of a control value must fall
A. within ±1 standard deviation of the mean
B. between 1 and 2 standard deviations of the mean
C. within ±2 standard deviations of the mean
D. within ±3 standard deviations of the mean
C. within ±2 standard deviations of the mean
- A trend change in QC data is
A. a progressive change all in one direction away from
the mean for at least 3 days
B. an abrupt shift in the control values
C. scattered variations from the mean
D. a progressive change in various directions away from
the mean for at least 1 week
A. a progressive change all in one direction away from
the mean for at least 3 days
- Which of the following statements is true of a
Gaussian curve?
A. It represents the standard deviation.
B. It represents the coefficient of variation.
C. It represents variance of a population.
D. It represents a normal bell-shaped distribution.
D. It represents a normal bell-shaped distribution.
- A continuously increasing downward variation in a
control sample in one direction from the mean can
indicate
A. deterioration of reagents used in the test
B. deterioration of the control specimen
C. deterioration of a component in an instrument
D. all of the above
D. all of the above
- Which characteristic is inaccurate with respect to the
anticoagulant K3 EDTA?
A. Removes ionized calcium (Ca2+) from fresh whole
blood by the process of chelation
B. Is used for most routine coagulation studies
C. Is the most commonly used anticoagulant in
hematology
D. Is conventionally placed in lavender-stoppered
evacuated tubes
B. Is used for most routine coagulation studies
- Two standard deviations (2 SD) from the mean in a
normal distribution curve would include
A. 99% of all values
B. 95% of all values
C. 75% of all values
D. 68% of all values
B. 95% of all values
- When the coagulation of fresh whole blood is
prevented through the use of an anticoagulant, the
straw-colored fluid that can be separated from the
cellular elements is
A. serum
B. plasma
C. whole blood
D. platelets
B. plasma
- Heparin inhibits the clotting of fresh whole blood by
neutralizing the effect of
A. platelets
B. ionized calcium (Ca2+)
C. fibrinogen
D. thrombin
D. thrombin
Questions 4 through 7: Match the conventional color
coded stopper with the appropriate anticoagulant.
A. RED
B. LAVENDER
C. BLUE
D. GREEN
- __B___ EDTA
Questions 4 through 7: Match the conventional color
coded stopper with the appropriate anticoagulant.
A. RED
B. LAVENDER
C. BLUE
D. GREEN
- __D___ Heparin
Questions 4 through 7: Match the conventional color
coded stopper with the appropriate anticoagulant.
A. RED
B. LAVENDER
C. BLUE
D. GREEN
- __C___ Sodium citrate
Questions 4 through 7: Match the conventional color
coded stopper with the appropriate anticoagulant.
A. RED
B. LAVENDER
C. BLUE
D. GREEN
- __A___ No anticoagulant
Questions 8 through 12: The following five procedural
steps are significant activities in the performance of a
venipuncture. Place these steps in the correct sequence
A. Select an appropriate site and prepare the site.
B. Identify the patient, check test requisitions, assemble
equipment, wash hands, and put on latex gloves.
C. Remove tourniquet, remove needle, apply pressure
to site, and label all tubes.
D. Reapply the tourniquet and perform the
venipuncture.
E. Introduce yourself and briefly explain the procedure
to the patient.
- __E___
Questions 8 through 12: The following five procedural
steps are significant activities in the performance of a
venipuncture. Place these steps in the correct sequence
A. Select an appropriate site and prepare the site.
B. Identify the patient, check test requisitions, assemble
equipment, wash hands, and put on latex gloves.
C. Remove tourniquet, remove needle, apply pressure
to site, and label all tubes.
D. Reapply the tourniquet and perform the
venipuncture.
E. Introduce yourself and briefly explain the procedure
to the patient.
- __B___
Questions 8 through 12: The following five procedural
steps are significant activities in the performance of a
venipuncture. Place these steps in the correct sequence
A. Select an appropriate site and prepare the site.
B. Identify the patient, check test requisitions, assemble
equipment, wash hands, and put on latex gloves.
C. Remove tourniquet, remove needle, apply pressure
to site, and label all tubes.
D. Reapply the tourniquet and perform the
venipuncture.
E. Introduce yourself and briefly explain the procedure
to the patient.
- __D___