Deck 11: Quality Assurance

Question 1

CLSI standards are often used to monitor processes during activities for

A) Quality Assurance
B) Quality Assessment
C) Quality Documentation
D) Quality Management

Answer 1

Quality Assurance

Question 2

Which event will most likely affect patient satisfaction with the laboratory?

A) Results took a little longer than expected.
B) The phlebotomist was perceived as being rude.
C) The laboratory waiting area had music playing.
D) The phlebotomist forgot to wear her name badge.

Answer 2

The phlebotomist was perceived as being rude.

Question 3

A process that is usually implemented on an institutional level is

A) Competency Assessment
B) Proficiency Testing
C) Quality Control
D) Total Quality Management

Answer 3

Total Quality Management

Question 4

Accuracy in test results is how

A) appropriate the results are for the diagnosis.
B) correct the results are.
C) quickly results are reported.
D) easy the results are to interpret.

Question 5

The focus of Quality Assurance is on the processes that involve (check all that apply)

A) analytical process.
B) reporting of results.
C) training of personnel.
D) turn-around time.
E) All of the above

Question 6

This is an institution-wide concept that involves all members of the health care team in creating quality processes to improve customer satisfaction.

A) Quality assurance
B) quality management
C) quality improvements
D) None of these

Question 7

When should quality control activities be in place?

A) pre-evaluation phase of testing
B) evaluation phase of testing
C) post-evaluation phase of testing
D) all of these

Question 8

Ensuring that patients understand the purpose of collecting timed specimens at the appropriate time is a function of

A) quality assurance
B) quality control
C) competency assessment
D) proficiency testing

Question 9

Deviations of the results for control substances are referred to as

A) standards
B) variances
C) parameters
D) none of these

Question 10

The way in which a procedure, such as blood collection, is performed is documented in the

A) Quality Assessment Form
B) Standard Operating Procedures
C) Competency Assessment Form
D) Proficiency Testing Materials

Question 11

Checking the expiration dates on evacuated tubes and swabs used to collect non-blood specimens is an activity of

A) quality assurance
B) quality control
C) competency assessment
D) proficiency testing

Question 12

Testing samples with a known amount of analyte is an activity of

A) quality assurance
B) quality control
C) competency assessment
D) proficiency testing

Question 13

Keeping nails trimmed when performing phlebotomy procedures is a part of

A) quality assurance
B) quality control
C) competency assessment
D) proficiency testing

Question 14

Checking the speed on centrifuges used to process blood specimens is an activity of

A) quality assurance
B) quality control
C) competency assessment
D) proficiency testing

Question 15

A control substance (check all that apply)

A) can be a liquid or freeze-dried serum
B) is used to perform quality control
C) is supplied by a reputable manufacturer
D) contains a known amount of an analyte
E) All of the above

Question 16

Validation is used to assess

A) individual competency
B) laboratory proficiency
C) consistency of results
D) trends in test results

Question 17

When performing quality control on an instrument, one of the two levels of control is out of range. What is the most appropriate next step?

A) Run only the STAT tests and rerun the control later.
B) Repeat the control after verifying expiration date and proper handling.
C) Run all patient specimens, then repeat the control.
D) Throw out both controls and start all over again.

Question 18

Results of quality control testing are recorded (check all that apply)
i. on each patient's chart
ii. on special log sheets
iii. in the S.O.P. manual
iv. onto Levy-Jennings charts

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 19

A sudden jump in control value results, though still in range, that continues for several days is a (check all that apply)
i. shift
ii. trend
iii. systematic error
iv. random error

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 20

A gradual increase or decrease in control value results, though still in range, that continues for several days is a (check all that apply)
i. shift
ii. trend
iii. systematic error
iv. random error

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 21

Which error in quality control results occurs when an out-date control substance is used? (check all that apply)

A) shift
B) trend
C) systematic error
D) random error

Question 22

Which error in quality control results occurs when a brief power outage happens during an instrument run? (check all that apply)

A) shift
B) trend
C) systematic error
D) random error

Question 23

Quality control activities include recording temperatures for (check all that apply)

A) freezers
B) incubators
C) refrigerators
D) the lab room
E) All of the above

Question 24

The reviewing of documentation and making changes to process is

A) TQM
B) QA
C) QAPI
D) QC

Question 25

Informing the nursing unit about a specimen with questionable integrity and redrawing the patient is an example of

A) corrective action
B) preventive action
C) incident reporting
D) none of these

Question 26

Comparing the performance of a laboratory with that of other laboratories is a function of

A) audit and evaluation
B) competency assessment
C) proficiency testing
D) continuing education

Question 27

Examining records for processes and procedures that were performed is the purpose of the

A) audit
B) competency assessment
C) evaluation
D) proficiency testing

Question 28

Determining the acceptability of both outcomes and processes performed is the purpose of the

A) audit
B) competency assessment
C) evaluation
D) proficiency testing

Question 29

A procedure used to check and adjust settings on an instrument is called

A) audit and evaluation
B) calibration
C) corrective action
D) preventive maintenance

Question 30

Prior to use on patients, glucometers and other instruments should be

A) calibrated
B) controlled
C) both
D) neither

Question 31

Validation ensures that results are (check all that apply)
i. accurate
ii. controlled
iii. precise
iv. delta checked

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 32

Validation is required when (check all that apply)
i. new personnel are hired.
ii. a new instrument is purchased.
iii. a new lot of reagents is put into use.
iv. a delta check is obtained.

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 33

Quality control checks are performed

A) everytime a test is performed.
B) at least once a day every day a test is performed.
C) once when every new lot of control is received.
D) whenever the technician feels like it.

Question 34

A Levy-Jennings chart (check all that apply)
i. is a graph showing acceptable limits.
ii. is used to graph control results.
iii. is used to chart patient results.
iv. can help detect trends and shifts in test performance.

A) i, ii, and iii
B) i, iii, and iv
C) ii, iii, and iv
D) i, ii, and iv

Question 35

Which statement is FALSE regarding Levy-Jennings charts?

A) They are graphs showing acceptable control limits.
B) Controls from all instruments can be charted on the same graph.
C) Levy-Jennings graphs can detect a trend in test results.
D) Levy-Jennings graphs can detect a shift in test results.

Question 36

For some specimen storage conditions, the highest and lowest temperatures must be recorded. Which is the most appropriate thermometer for this use?

A) electronic
B) mercury
C) minimum / maximum
D) red-dyed solvent

Question 37

Determining ways to prevent errors from happening in the future is the purpose of

A) audit and evaluation
B) corrective action
C) preventive action
D) process improvement

Question 38

Fixing problems that have occurred is the purpose of

A) audit and evaluation
B) corrective action
C) preventive action
D) process improvement

Question 39

Precision in test results is how

A) appropriate the results are for the diagnosis.
B) correct the results are.
C) easy the results are to interpret.
D) reproducible the results are.

Question 40

A delta check is

A) a change in patient results from one time to the next
B) a shift or a trend in control values
C) the degree of calibration needed for an instrument
D) the act of checking and rechecking results prior to reporting

Question 41

A phlebotomist is asked to recollect a specimen from a patient because of a delta check error. This means that

A) the results obtained on the first specimen were considerably different from the previous result on the same patient.
B) the specimen that was submitted the first time was collected in the wrong evacuated tube.
C) the specimen that was submitted the first time was collected at the incorrect time.
D) the collection container was dropped and the specimen was spilled not leaving enough for testing.

Question 42

Quality Cost Management in phlebotomy includes the cost of (check all that apply)

A) equipment and supplies needed for specimen collection
B) recollecting specimens when results are in question
C) maintaining customer satisfaction
D) training new employees
E) All of the above

Question 43

A quality management system (QMS) monitors

A) organizational structure of the laboratory
B) the procedures, processes, and resources needed
C) the functions that most directly involve laboratory personnel
D) the functions of quality assurance and quality control.
E) All of the above

Question 44

-This image represents test values that are

A) accurate but not precise
B) precise but not accurate
C) neither accurate nor precise
D) both accurate and precise

Question 45

-This image represents test values that are

A) accurate but not precise
B) precise but not accurate
C) neither accurate nor precise
D) both accurate and precise

Question 46

-This image represents test values that are

A) accurate but not precise
B) precise but not accurate
C) neither accurate nor precise
D) both accurate and precise