LAB MAN Flashcards
1
Q
- Which of the following sections of the
clinical laboratory is regulated by the Food
and Drug Administration?
A. Chemistry
B. Blood bank
C. Serology
D. Hematology
A
B. Blood bank
2
Q
- In order to plan for the future, one must
first determine where the organization
stands. A SWOT analysis should be
performed to determine both internal and
external factors. The term “SWOT” stands
for which of the following?
A. Successes, Weaknesses, Opportunities,
Threats
B. Strengths, Weaknesses, Opportunities,
Threats
C. Strengths, Weaknesses, Opportunities,
Testing
D. Successes, Wastes, Opportunities,
Threats
A
B. Strengths, Weaknesses, Opportunities,
Threats
3
Q
- A number of management styles are used
by supervisors in laboratories. Which of the
following is a management style that includes
the employee in decisions about how to
accomplish tasks and encourages creativity?
A. Autocratic
B. Persuasive
C. Empowerment
D. Democratic
A
C. Empowerment
3
Q
- What is the meaning of the abbreviation
FTE?
A. Full-time equivalent
B. Full-time expenditure
C. Fixed total expenditure
D. Fixed-timely equivalency
A
A. Full-time equivalent
4
Q
- Most laboratories have a definite structure
that establishes the formal setup of the
various departments and levels. Which of
the following refers to this structure?
A. Administration table
B. Laboratory directory
C. Report of contact
D. Organizational chart
A
D. Organizational chart
5
Q
- In a budget, which of the following terminologies is used to describe money spent
for a nonexpendable item that has a life
expectancy greater than one fiscal year?
A. Expenditure
B. Annual cost
C. Capital expenditure
D. Depreciable item
A
C. Capital expenditure
6
Q
- Which of the following governmental legislations has had the greatest impact on the
regulation of the laboratory industry?
A. Clinical Laboratory Improvement Act
B. Medicare and Medicaid
C. Fair Labor Standards Act
D. Occupational Safety and Health Administration Act
A
A. Clinical Laboratory Improvement Act
7
Q
- Which of the following is the process by
which a competent public authority grants
permission to an organization or an individual to engage in a specific professional
practice, occupation, or activity?
A. Accreditation
B. Certification
C. Licensure
D. Credentialing
A
C. Licensure
8
Q
- Delegation is a responsibility of most
laboratory managers. Effective delegation
occurs when:
A. The employee is given the freedom to
decide what to do
B. The employee has a limited time to
complete the assignment
C. The manager assigns responsibility,
authority, and accountability to the
employee
D. The manager offers the assignment to
the most senior employee
A
C. The manager assigns responsibility,
authority, and accountability to the
employee
9
Q
- A proper understanding of why a laboratory may become liable for the actions of
its personnel requires a basic knowledge
of the laws involved. This area is known as
tort law and involves three types of wrongful conduct. Which of the following is
considered wrongful conduct?
A. Occupational injuries
B. Negligent acts
C. Personal leaves
D. Requesting work reassignment
A
B. Negligent acts
10
Q
- DRG is a commonly used abbreviation.
Which of the following statements is
associated with DRGs?
A. Capitated contracts for services
B. Diagnosis and payment
C. Lean 6 Sigma strategies
D. Decision-making responsibilities of
managers
A
B. Diagnosis and payment
11
Q
- Which of the following is associated
with the outpatient PPS system of
reimbursement?
A. DRG
B. Capitated rate
C. APC
D. PPO
A
C. APC
12
Q
- Which of the following factors is needed
for an effective employee performance
appraisal?
A. Employee–supervisor discussion with
written evaluation
B. Organization standards
C. Current cash flow documentation
D. Kaizen review
A
A. Employee–supervisor discussion with
written evaluation
13
Q
- Which of the following is associated with
benchmarking?
A. Measurement of labor-hours with
worked and paid productivity
B. Employee safety records
C. Performance standards
D. CAP accreditation
A
A. Measurement of labor-hours with
worked and paid productivity
14
Q
- Which of the following is a part of the
budget-making process as related to
laboratories?
A. ICD-10 codes
B. Performance standards
C. Organization chart
D. Projected volume of testing
A
D. Projected volume of testing
15
Q
- Which of the following areas of questioning in the interview process is inappropriate
or illegal?
A. References
B. Age
C. Education
D. Experience
A
B. Age
16
Q
- Which of the following should be included
in a job description?
A. Incumbent name
B. Promotion potential
C. Qualifications and job duties
D. Job securities
A
C. Qualifications and job duties
17
Q
- Disciplinary action is a responsibility of
supervision. Which of the following characteristics should be included for discipline
to be effective and positive?
A. Public
B. Casual
C. Timely
D. Written
A
C. Timely
18
Q
- Which of the following voluntary agencies develops and implements blood bank
practices for the clinical laboratory?
A. OSHA
B. FDA
C. AABB
D. PPS
A
C. AABB
19
Q
- Which of the following is associated with
the goals of a laboratory continuing education program?
A. Cost-cutting measures
B. Elimination of promotional opportunity
C. Staff development
D. Increased workload
A
C. Staff development
20
Q
- Which of the following is considered a line
item of the laboratory budget?
A. Labor union dues
B. Legal fees
C. Maintenance and repair of instruments
D. Electricity
A
C. Maintenance and repair of instruments
21
Q
- Which of the following agencies is generally responsible for the inspection and
accreditation of clinical laboratories in the
United States?
A. CAP
B. NCA
C. CDC
D. ASCP
A
A. CAP
22
Q
- What is the strategic process of attracting
and maintaining a customer base called?
A. Marketing
B. Discretionary factors
C. Market environment
D. Product differentiation factors
A
A. Marketing
23
Q
- For marketing purposes, which of the following terms best describes the laboratory
customer?
A. Captive market
B. Patient–physician as partners
C. Discretionary buyer
D. Person or organization paying the bill
A
C. Discretionary buyer
23
Q
- Assume that the chemistry analyzer in the
laboratory of a 500-bed hospital yields
60,000 profiles per year made up of 10
results each. The number of quality control
(QC) tests performed per year numbers
2400, and the total direct labor cost is $1.50
per test. The cost for a year’s supply of QC
reagents is $3000. What are the QC direct
labor cost per profile and the QC consumable cost per profile, respectively?
A. $0.05, $0.06
B. $0.06, $0.05
C. $0.08, $0.05
D. $0.60, $1.25
A
B. $0.06, $0.05
24
Q
- Your lab has added a new test. It is important that you determine what the breakeven
point is in the number of tests. The revenue per unit has been $10.00, whereas your
fixed cost is $400.00 and your variable cost
is $2.00. What is the breakeven point, if
you expect your net income to be zero (no
profit and no loss)?
A. 45
B. 48
C. 50
D. 52
A
C. 50
25
Q
- A laboratory has 14,159 total hours paid.
Of the total hours paid, 1263 hours are
nonproductive hours. Assuming that a fulltime employee works 2080 hours annually,
what is the total number of FTEs needed
to run the laboratory and the number of
productive FTEs, respectively?
A. 6.2, 5.8
B. 6.8, 6.2
C. 7.4, 6.8
D. 11.2, 10.2
A
B. 6.8, 6.2
26
Q
- As a result of fraud and abuse identified by
the Office of the Inspector General (OIG),
what are laboratories required to develop?
A. Chemical hygiene plan
B. Compliance plan
C. PPE plan
D. Quality control plan
A
B. Compliance plan
27
Q
- Which of the following refers to the portion (percentage) of the cost of an item or
service that the Medicare beneficiary must
pay?
A. Deductible
B. Balance bill
C. Coinsurance
D. Reasonable charges
A
C. Coinsurance
28
Q
- Which of the following established
the Equal Employment Opportunity
Commission (EEOC)?
A. Title VII of the Civil Rights Act of
1964
B. Age Discrimination Employment Act
of 1967
C. Rehabilitation Act of 1973
D. The Equal Pay Act of 1963
A
A. Title VII of the Civil Rights Act of
1964
29
Q
- Which of the following refers to a program
where the overall activities conducted by
the institution are directed toward assuring
the ongoing quality of the products and
services provided?
A. Quality control
B. Cost containment
C. Value stream analysis
D. Continuous quality improvement
A
D. Continuous quality improvement
30
Q
- Who introduced the use of statistical tools
in decision making, in problem solving,
and for troubleshooting the production
process?
A. Philip Crosby
B. Joseph Juran
C. James Westgard
D. Edward Deming
A
D. Edward Deming
31
Q
- Your laboratory is considering expansion.
You will have to buy land and build a new
lab. One of the financial aspects to consider is the annual depreciation of the project.
The total cost of the project is $800,000
($200,000 for the land and $600,000 for the
building). At current estimates, the building
is expected to be used for 20 years, with a
salvage value of $40,000. What is the annual depreciation of the project?
A. $38,000/year
B. $30,000/year
C. $28,000/year
D. $10,000/year
A
C. $28,000/year
32
Q
- Which of the following processes is designed to measure the value (level of success) of performing diagnostic tests and
other services related to the improvement
of a patient’s disease or condition?
A. Clinical pathways
B. Outcomes assessment
C. Clinical practice guidelines
D. Quality assurance
A
B. Outcomes assessment
33
Q
- Which of the following categories of
personnel is required in laboratories
performing tests using high-complexity
methodology?
A. General supervisor
B. Clinical consultant
C. Technical consultant
D. Director
A
A. General supervisor
33
Q
- Which of the following is not contained in
the standard operating procedure manual
(SOPM)?
A. Literature references
B. Control procedures
C. Reference ranges
D. Personnel requirements
A
D. Personnel requirements
34
Q
- When a manager does not possess the expertise or knowledge to implement change
and the resisters have significant power to
impede the efforts, which of the following
strategies for change will be used?
A. Facilitation and support
B. Participation and involvement
C. Negotiation and agreement
D. Manipulation and co-optation
A
B. Participation and involvement
35
Q
- The struggle is underway, and the behavior
of the participants makes the existence
of the conflict apparent to others who are
not directly involved. What is this stage of
conflict known as?
A. Perceived
B. Felt
C. Manifest
D. Latent
A
C. Manifest
36
Q
- Influence exerted through the control of
support services, such as a safety officer or
quality assurance coordinator, which provide recommendations to the manager and
set policies, is a type of authority known as:
A. Staff
B. Line
C. Formal
D. Functional
A
A. Staff
37
Q
- What is horizontal communication?
A. The official communication message
generated by the business activities of
the organization
B. The formal messages that are channeled
through the hierarchical network of the
organization
C. The activity that occurs during the normal conduct of business among departments, managers, and staff
D. Live discourse in which all parties
exchange ideas and information and
receive spontaneous feedback
A
C. The activity that occurs during the normal conduct of business among departments, managers, and staff
38
Q
- Which of the following agencies develops
and monitors engineering and work practice controls?
A. The Centers for Disease Control and
Prevention
B. Occupational Safety and Health
Administration
C. The Joint Commission
D. College of American Pathologists
A
B. Occupational Safety and Health
Administration
39
Q
- Which of the following refers to the
continuum of care under one common
computerized communication channel that
links hospitals, labs, pharmacies, physicians,
employers, payers, and medical information
systems?
A. Common Healthcare Integrated Network
B. Continuum Health Internal Network
C. Community Health Information Network
D. Computerized Health Information
Network
A
C. Community Health Information Network
40
Q
- Which of the following budgeting processes attempts to set expenditures on a
variable workload volume?
A. Operational
B. Capital
C. Project
D. Flexible
A
D. Flexible
40
Q
- In addition to preparing a capital budget for
the institution’s own use, federal and state
regulations require healthcare facilities to
submit capital plans on certain projects for
approval and to obtain a:
A. Certificate of Approval
B. Certificate of Need
C. Capital Budget Appropriation
D. Capital Need Assessment
A
B. Certificate of Need
41
Q
- What will be the payback period be for a
new chemistry analyzer that costs $150,000
and produces an annual income of
$420,000?
A. 2.3 months
B. 2.8 months
C. 4.3 months
D. 33.6 months
A
C. 4.3 months
41
Q
- Which of the following is not a part of the
calculation of the total cost per test?
A. Direct and indirect labor
B. Direct and indirect materials
C. Equipment and overhead costs
D. Depreciation
A
D. Depreciation
42
Q
- Which of the following best describes the
role of a team leader?
A. Decision-maker
B. Taking minutes at team meetings
C. Leading, guiding, and teaching
D. Terminating employees
A
C. Leading, guiding, and teaching
43
Q
- What is the primary coding system that is
used by the federal government to determine levels of reimbursement at the procedural level for Medicare services?
A. CAP codes
B. CPT codes
C. Modifiers
D. ICD-10 codes
A
B. CPT codes
44
Q
- Your laboratory wants to buy a new hematology analyzer. In determining the total
cost per test analysis, you need to know
what the cost will be for equipment per
test. The analyzer costs $55,000 and has
a useful life of 7 years. After the 1-year
warranty expires, the annual maintenance
contract will cost $8000. You estimate that
you will perform 3500 tests per year on this
analyzer. What is the equipment cost for
each test performed?
A. $1.38
B. $2.10
C. $2.81
D. $4.20
A
D. $4.20
45
Q
- Which of the following styles of directing
allows an employee to determine the task
and how to accomplish the task in order to
help the manager solve a problem?
A. Coaching
B. Autocratic
C. Empowerment
D. Authoritative
A
C. Empowerment
