LAB MAN Flashcards

1
Q
  1. 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

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2
Q
  1. 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 β€œSWOT” 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

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3
Q
  1. 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

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3
Q
  1. 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

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4
Q
  1. 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

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5
Q
  1. 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

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6
Q
  1. 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

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7
Q
  1. 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

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8
Q
  1. 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

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9
Q
  1. 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

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10
Q
  1. 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

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11
Q
  1. 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

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12
Q
  1. 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

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13
Q
  1. 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

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14
Q
  1. 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

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15
Q
  1. 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

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16
Q
  1. 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

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17
Q
  1. 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

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18
Q
  1. 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

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19
Q
  1. 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

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20
Q
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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
  1. 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