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Laboratory Errors and Quality Management

Total questions: 62

Worksheet time: 31mins

Name
Class
Date
1.

Which phase has the highest number of laboratory errors

a)

Analytical

b)

Post analytical

c)

Pre analytical

d)

Reporting

2.

The main purpose of a Quality Management System is

a)

Faster processing

b)

Reduce staff

c)

Ensure accurate results and patient safety

d)

Replace SOPs

3.

What is the first step in the pre analytical phase

a)

Tube selection

b)

Patient identification

c)

QC running

d)

Result reporting

4.

Which document controls how procedures are performed

a)

Receipt book

b)

SOP

c)

Stock sheet

d)

Lab manual

5.

An SOP must include

a)

Patient results

b)

Rules

c)

Version number and approval signature

d)

Reagent expiry dates

6.

QC ensures

a)

Building cleanliness

b)

Accuracy of test results

c)

Faster service

d)

Improved patient flow

7.

EQA helps with

a)

Billing

b)

Comparing performance with other labs

c)

Staff leave planning

d)

Mixing samples

8.

Most common vein for venipuncture

a)

Basilic vein

b)

Dorsal veins

c)

Median cubital vein

d)

Foot veins

9.

Maximum tourniquet time allowed

a)

Five minutes

b)

One minute or less

c)

Ten minutes

d)

Thirty seconds

10.

Excessive tourniquet time may cause

a)

Decreased potassium

b)

Hemoconcentration and hemolysis

c)

Increased WBC

d)

No change

11.

QNS means

a)

Quality Needed Soon

b)

Quantity Not Sufficient

c)

Quick Numerical Sample

d)

Not a lab term

12.

Fainting patient must

a)

Continue procedure

b)

Stop and lay flat

c)

Give water

d)

Shake patient

13.

Factor that affects fasting glucose

a)

Drawing blood from right arm

b)

Tight clothes

c)

Exercise before test

d)

Drinking water

14.

Hemolysis caused by

a)

Drying alcohol

b)

Using small needle

c)

Correct angle

d)

Gentle mixing

15.

Tubes must be mixed gently to

a)

Color sample

b)

Avoid clotting and hemolysis

c)

Warm sample

d)

Increase volume

16.

Occurrence Management is for

a)

Cleaning equipment

b)

Reporting errors

c)

Increasing samples

d)

Rewriting SOPs

17.

PDCA promotes

a)

Faster workflow

b)

Continuous improvement

c)

Staff discipline

d)

Reduce stock cost

18.

QSE for training

a)

Customer Service

b)

Personnel

c)

Facilities

d)

Documents

19.

A mislabeled sample is a

a)

Minor deviation

b)

Critical error

c)

Acceptable

d)

Post analytical issue

20.

Posture matters because it

a)

Affects clothing

b)

Affects blood concentration

c)

Helps vein visibility

d)

Reduces waiting time

21.

Most important step before blood collection

a)

Tube selection

b)

Patient identification

c)

Label writing

d)

Cleaning table

22.

Pre analytical error example

a)

Calibration error

b)

Wrong patient preparation

c)

Calculation error

d)

Late reporting

23.

QSE for procurement

a)

Equipment

b)

Inventory

c)

Documents

d)

Assessment

24.

Hemolysis risk increases with

a)

Dry alcohol

b)

Small needle

c)

Gentle inversion

d)

Correct order

25.

Long tourniquet time result in

a)

Low potassium

b)

High protein and calcium

c)

Low hematocrit

d)

Low glucose

26.

Test that requires fasting

a)

CBC

b)

Lipid profile

c)

ESR

d)

Sodium

27.

Wrong tube is a

a)

Analytical error

b)

Pre analytical error

c)

Post analytical error

d)

QC error

28.

EDTA tube color

a)

Blue

b)

Red

c)

Lavender

d)

Grey

29.

Basilic vein avoided because

a)

Too visible

b)

Near nerves and artery

c)

Too small

d)

For children only

30.

Probing needle causes

a)

Fainting

b)

Nerve injury

c)

Hemoconcentration

d)

Low hemoglobin

31.

First step if dizzy

a)

Speed up

b)

Stop immediately

c)

Push chair

d)

Continue

32.

Clotted EDTA tube means

a)

Correct

b)

Insufficient mixing

c)

Too much blood

d)

Good ratio

33.

What is the primary purpose of CAPA in quality management?

a)

To identify and eliminate defects

b)

To enhance customer satisfaction

c)

To ensure compliance with regulations

d)

To improve employee training

34.

Documentation errors affect

a)

Customer service

b)

Documents and Records

c)

Facilities

d)

Personnel

35.

Test most affected by posture

a)

Sodium

b)

Total protein

c)

ESR

d)

Uric acid

36.

Sample to reject

a)

Full tube

b)

Hemolyzed sample

c)

Correct label

d)

Fresh sample

37.

PDCA used for

a)

Stock

b)

Improvement

c)

Reporting

d)

Labels

38.

Which of the following is a component of Quality Control?

a)

Training

b)

Reporting

c)

Equipment Calibration

d)

audit

39.

Labeling after leaving patient is

a)

Acceptable

b)

Serious error

c)

Not important

d)

Part of PDCA

40.

QC must be run

a)

Optional

b)

Regularly

c)

Yearly

d)

If problem

41.

Reduce TAT by

a)

Skipping steps

b)

Following SOPs

c)

Wrong tubes

d)

Avoid QC

42.

Mandatory label item

a)

Height

b)

Name

c)

Nurse name

d)

Phone

43.

Fist clenching increases

a)

Glucose

b)

Potassium

c)

Creatinine

d)

Sodium

44.

Avoid drawing

a)

Opposite arm

b)

Above IV line

c)

Normal arm

d)

Preferred vein

45.

Incorrect posture increases

a)

Platelets

b)

Triglycerides

c)

ESR

d)

Reticulocytes

46.

QSE for safety training

a)

Facilities and Safety

b)

Inventory

c)

Customer service

d)

Assessment

47.

Prevent hematoma

a)

Slow entry

b)

Immediate pressure

c)

Large needle

d)

Long tourniquet

48.

Sign of nerve injury

a)

Discomfort

b)

Electric shock

c)

Bleeding

d)

Numb arm

49.

Hemoconcentration due to

a)

Low pressure

b)

Long tourniquet

c)

Correct technique

d)

Low RBC

50.

Control out of range means

a)

Continue

b)

Stop and investigate

c)

Ignore

d)

Report

51.

Quality indicator

a)

Register

b)

Rejection rate

c)

Hours of collection time

d)

Temperature

52.

Mix blood to

a)

Prevent clotting

b)

Color sample

c)

Warm it

d)

Increase WBC

53.

Anxious patient shows

a)

Calm

b)

Hyperventilation

c)

Stable pulse

d)

Normal BP

54.

QSE for trained staff

a)

Personnel

b)

Assessment

c)

Facilities

d)

Documents

55.

Missing training records mean

a)

Organization issue

b)

Personnel failure

c)

Purchasing issue

d)

Safety issue

56.

Wrong fasting instruction is

a)

Post analytical

b)

Pre analytical

c)

Analytical

d)

Reporting

57.

High hemolysis rate shows

a)

Good training

b)

Poor technique

c)

Clean area

d)

Correct mixing

58.

What should be done prior to performing a venipuncture?

a)

Wear mask

b)

Check patient’s name

c)

Tell patient to keep hand on the table

d)

Ask if patient can collect report

59.

Clotted CBC affects

a)

Cell count

b)

Glucose

c)

Lipids

d)

Thyroid

60.

Exercise affects

a)

Urea

b)

Glucose

c)

ESR

d)

Ammonia

61.

Documentation errors cause

a)

Traceability loss

b)

Better accuracy

c)

No impact

d)

Faster workflow

62.

Resting before collection helps

a)

Clothing

b)

Stabilize blood volume

c)

Sleep

d)

Comfort only