Worksheets311 Final
Total questions: 50
Worksheet time: 25mins
Which of the following would not be considered a protocol for cleaning a spill when blood or other body fluids are involved?
Use the PASS method to properly dispose of blood or body fluid.
All universal (standard) precautions are followed, and contaminated materials are properly disposed of.
You must wear gloves, face shield, and protective eyewear.
You must wear aprons, and hair and shoe coverings.
Which is not one of the major areas of testing in the examination of the urine?
analytical
physical
chemical
microscopic
Urine should be:
very alkaline.
slightly alkaline.
very acidic.
slightly acidic.
Biohazard waste receptacles bear the biohazard symbol and:
are lined with red plastic bags.
are not to be used in the critical care unit.
are only to be used in the critical care unit.
can be used for any type of waste.
The __________ is a new, single unified system for standardizing and harmonizing the classification and labeling of chemicals, making it more effective, consistent, and easier to understand.
Global System of Communication Standard
Hazard Communication System
Globally Harmonized System
Biohazardous Global Standard
Occult blood specimens collected from a stool sample are common screening tools for early detection of possible:
colon cancer.
leukemia.
liver disease.
stomach cancer.
When collecting a specimen for substance abuse analysis the _____ of a urine specimen is immediately checked for following collection and is recorded with the patient observing you.
pH
volume
temperature
color
When using the Ictotest, if the mat shows a _____ color, the urine sample contains bilirubin.
yellowish to orange
bluish to green
reddish to orange
bluish to purple
A urine sample from a patient with hepatitis will have a ____ foam if shaken.
white
green
orange
yellow
When documenting in the patient’s chart and on the logbooks, the initials ________ would be used in the case of not having enough urine to perform the ordered testing, unless otherwise specified per laboratory protocol.
“CMA” (indicating the MAs credentialing and ability to perform the procedure)
“NSQ” (non-sufficient quantity)
“QNS” (quantity not sufficient)
all the initials indicated should be used
When a microscope is not in use, its cord should be:
allowed to dangle.
kept tightly wrapped.
kept loosely wrapped.
left plugged in.
You should wipe the eyepieces of the microscope with ____ after each use to avoid the transmission of diseases.
water
a dry paper towel
straight bleach
a disinfectant
Which of the following is not a purpose of a quality assurance program?
to ensure positive test results
to evaluate the quality and effectiveness of health care
to ensure accuracy in testing procedures
to ensure validity in testing procedures
The ocular lens of a microscope should be cleaned with:
lens tissue paper.
a damp paper towel.
a dry paper towel.
compressed air.
How many eyepieces does a monocular microscope have?
zero
one
two
three
For a midstream clean-catch specimen, patients should be instructed to cleanse the genital area _____ using an antiseptic wipe.
from back to front in a single motion
from front to back in a single motion
several times from side to side
back and forth several times from front to back
The high-power field (hpf) objective magnifies an object approximately ___ times.
20
30
40
50
The purpose of safety data sheets (SDSs) in a health care setting is:
to import chemicals properly.
to transport chemicals between practices.
to provide information about working with or handling a particular chemical substance.
all of the responses are correct
When collecting a throat swab from a patient for the rapid test or routine culture, you swab:
the lips, cheeks, gums, teeth, tongue, and peritonsillar area.
the cheeks, gums, and peritonsillar area.
only the cheeks and peritonsillar area.
only the peritonsillar area.
It is recommended that a patient collect ____ specimen(s) for occult blood specimen testing.
no more than one
at least three
at least five
no more than five
Refrigerators used to store reagents, test kits, or biological specimens are labeled with a biohazard symbol and bear the legend:
Only for Storage of Food and Medications
Not for Storage of Food or Medications
Only for Reagents, Test Kits, and Biological Specimens
Keep at 32 degrees F or below
For moderately complex tests, Clinical Laboratory Improvement Amendments (CLIA) mandates that there be a clinical consultant with a minimum of a(n) _____ degree.
bachelor's
doctoral
master's
associate's
When performing Gram staining, if the microorganisms on the slide are identified as Gram positive, they will appear:
bright red to maroon.
bright yellow to dark orange.
dark green to light blue.
dark blue to violet.
After you clean a spill involving bodily fluids such as blood or urine, the area must be thoroughly cleaned with an effective disinfectant or:
an industrial biohazard chemical.
pads placed on the affected area and left for at least 20 minutes.
a 10 percent solution of household bleach.
a 10-second steam solution.
Which of the following statements is true regarding sharps containers?
Must be easily accessible to employees
Must be located as close as feasible to the immediate area where sharps are used
Must be closed using the locking mechanism in the container when the sharps reach the full line indicated on the container
All of the responses are correct
Your responsibilities will include the ability to evaluate the lab and medical environment to identify safe versus unsafe working conditions. Some examples of evaluating the environment can include:
using a checklist, perform a safety inspection at intervals according to institution policy and preparing a report on the findings.
verifying that needlestick prevention devices (safety needles) are used and proper disposal is performed.
identifying safety techniques that can be used in responding to accidental exposure to blood, other body fluids, and chemicals.
all of the responses are correct
Reagent strips are:
expensive.
unreliable.
convenient.
slow acting.
Catheterization is usually performed by a:
urologist.
medical assistant.
patient.
general practitioner.
What is the normal value of mucus in a urine sample?
heavy
much
slight
moderate
If you notice that a urine specimen has a very strong ammonia-like smell, it probably indicates that the patient has:
low blood sugar.
high blood sugar.
phenylketonuria.
a urinary tract infection.
What color is bilirubin?
red to orange
blue to purple
yellow to orange
green to blue
Specific gravity is defined as the weight of substances dissolved in a specimen as compared with those found in:
distilled water.
pure alcohol.
mineral water.
iodine.
A quality control program does not monitor:
instruments used in testing.
personnel technique in performing tests.
reagents used in testing.
patient reactions to tests.
Which agency provides the application for a certificate of waiver?
Department of Labor (DOL)
Food and Drug Administration (FDA)
Centers for Medicare and Medicaid Services (CMS)
Occupational Safety and Health Administration (OSHA)
When using the oil-immersion lens objective, how much oil should be used?
none at all
a very sparing amount
a moderate amount
an ample amount
A brown color when describing urine is usually associated with:
blood.
old blood.
Pyridium.
jaundice.
Laboratory tests on a certificate of waiver may be billed to:
Medicare but not Medicaid.
Medicaid but not Medicare.
Medicare and Medicaid.
neither Medicare nor Medicaid.
Urine specimens that have a high number of bacteria will have a characteristic smell of:
ammonia.
bleach.
sulfur.
vinegar.
When checking the clarity of a urine specimen, which of these descriptions is considered worst?
cloudy
turbid
hazy
clear
Analyzing health care results as reported in __________ and __________ also be a part of your duties. Each practice will have their own protocols on how to handle and distribute lab reports to the providers.
tables and specimen samples
graphs and tables
specimen samples and graphs
normal and abnormal values
Other bodies that provide regulation inspections of a physician’s office laboratory (POL) are:
COLA (an independent accreditor).
Occupational Safety and Health Administration (OSHA).
Centers for Medicare and Medicaid Services (CMS).
all of the responses are correct
Unless the manufacturer’s instructions state otherwise, proper handling of reagent strips includes all but which of the following?
keeping them refrigerated
protecting them from light
capping them tightly once a strip has been removed
protecting them from exposure to moisture
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 are administered by the:
Department of Labor (DOL).
Occupational Safety and Health Administration (OSHA).
Food and Drug Administration (FDA).
Centers for Medicare and Medicaid Services (CMS).
Identify Clinical Laboratory Improvement Amendments (CLIA)–waived test(s) associated with the purpose of detecting pH, glucose, ketones, blood, bilirubin, urobilinogen, leukocytes, and specific gravity.
glucose
urinalysis
hemoglobin A1c
all of the responses are correct
During microscopic examination of a urine sample, bacteria and epithelial cells may be quantified as:
enlarged.
few.
clear.
heavy.
Which of the following is not one of the three laboratory classifications under the Clinical Laboratory Improvement Amendments (CLIA) of 1988?
mandatory
waived
moderately complex, including the subcategory of provider-performed microscopy procedures (PPMP)
highly complex
The waived status for diagnostic testing is granted according to the:
difficulty in performing the test.
importance of the results of the test.
expense of the test.
amount of preparation required on the part of the patient for the test.
The Hazard Communication Standard (HCS) requires all labels to have pictograms on them, alerting all users of the chemical hazards they are being exposed to. Which of the following is not a hazard requiring a label and/or pictogram?
an unexploded bomb
corrosion
skull and crossbones
flame over circle
Generally a sufficient amount of urine for testing would fill a _______ test tube with enough left over to wet the chemical test strip and be used for culture if ordered.
10 mL
10 mg
10 mcd
.01 mL
The agency that established guidelines concerning contact with blood and body fluids, referred to as universal precautions, is:
Centers for Disease Control and Prevention (CDC).
Occupational Safety and Health Administration (OSHA).
Department of Health and Human Services (HHS).
Clinical Laboratory Improvement Amendments (CLIA).
