Deck 7: Point-Of-Care Testing

Question 1

Which of the following is a hematology point-of-care test (POCT)?

A) Hemoglobin
B) Hematocrit
C) Erythrocyte sedimentation rate
D) All of the above

Answer 1

D

Question 2

To determine the proper maintenance of a Glucometer,the blood collector should:

A) attend a proficiency class.
B) read the package insert.
C) contact the manufacturer.
D) consult with another employee.

Answer 2

B

Question 3

External controls are required:

A) each time a new test kit is opened.
B) with each new lot.
C) with each new shipment of test supplies.
D) All of the above

Answer 3

B

Question 4

A procedure manual differs from a package insert by containing:

A) reagent storage requirements.
B) sources of error.
C) test procedure steps.
D) instructions for recording results.

Question 5

According to Clinical Laboratory Improvement Amendments (CLIA),a test that can be purchased over the counter for home use is called:

A) waived.
B) moderate complexity.
C) inaccurate.
D) high complexity.

Question 6

One of the main advantages of point-of-care testing (POCT) is:

A) faster turnaround time of test results.
B) no quality control is necessary.
C) training is not necessary.
D) the dilutional effect on operators.

Question 7

Which of the following statements refers to point-of-care testing (POCT)?

A) Testing is performed at the patient's bedside.
B) Portable instruments are available for testing.
C) Blood collectors are trained to perform POCT.
D) All of the above

Question 8

A blood collector is authorized to perform which of the following tests on urine?

A) Physical examination
B) Chemical examination
C) Pregnancy test
D) All of the above

Question 9

Prothrombin time (PT)/international normalized ratio (INR),activated partial thromboplastin time (APTT),and the activated clotting time (ACT) are associated with which laboratory department?

A) Hematology
B) Chemistry
C) Coagulation
D) Serology

Question 10

A blood collector performing a test on a standardized sample received from a monitoring agency is performing:

A) proficiency testing.
B) quality control.
C) waived testing.
D) documentation.

Question 11

Which phase of laboratory testing involves failure to identify the patient correctly in the point-of-care testing (POCT) device?

A) Preexamination phase
B) Examination phase
C) Postexamination phase
D) Proficiency phase

Question 12

Manufactured controls with known values are called:

A) electronic controls.
B) external controls.
C) internal controls.
D) procedural controls.

Question 13

During which phase of laboratory testing are critical values addressed?

A) Preexamination phase
B) Examination phase
C) Postexamination phase
D) Proficiency phase

Question 14

The Clinical Laboratory Improvement Amendments (CLIA) regulations are administered by:

A) the College of American Pathologists (CAP).
B) the Centers for Medicare and Medicaid Services (CMS).
C) the Commission on Laboratory Accreditation (COLA).
D) The Joint Commission (TJC).

Question 15

Two levels of commercial quality control samples are performed to determine:

A) the reliability of the test system.
B) proper storage of test materials.
C) correct performance of the test.
D) All of the above

Question 16

If an operator is not performing a test correctly,this will be detected through:

A) documentation.
B) calibration.
C) panic values.
D) quality control.

Question 17

Point-of-care testing (POCT) is routinely performed in which of the following areas?

A) Physician's office
B) Intensive care unit
C) Operating room
D) All of the above

Question 18

When performing point-of-care testing (POCT),an operator must be sure to document results of:

A) patient tests.
B) quality control.
C) electronic controls.
D) All of the above

Question 19

Sample collection is part of the:

A) preexamination phase.
B) examination phase.
C) postexamination phase.
D) proficiency phase.

Question 20

Proficiency testing is required for which levels of Clinical Laboratory Improvement Amendments (CLIA) complexity?

A) Provider-performed microscopy procedures (PPMP)
B) Moderate
C) High
D) All of the above

Question 21

Clinical Laboratory Improvement Amendments (CLIA) regulations only apply to point-of-care testing (POCT) when the patient is charged for the test.

Question 22

On-site inspections are not required for the Clinical Laboratory Improvement Amendments (CLIA) category of provider-performed microscopy procedures (PPMP).

Question 23

Clinical Laboratory Improvement Amendments (CLIA) requires documentation of competency assessment for personnel performing point-of- care testing (POCT).

Question 24

Point-of-care testing (POCT) is performed as part of patient-focused care.

Question 25

A method used to monitor the accuracy of procedures is:

A) quality control.
B) quality management.
C) proficient testing.
D) competency testing.

Question 26

The most standardized method of reporting a prothrombin time (PT) result is the international normalized ratio (INR).

Question 27

Patient results may be reported if one out of two quality control levels are in range.

Question 28

Point-of-care testing (POCT) analyzers are available to measure arterial blood gases and electrolytes.

Question 29

Most point-of-care testing (POCT) falls into the Clinical Laboratory Improvement Amendments (CLIA) complexity category of provider-performed microscopy procedures (PPMP).

Question 30

Operators must memorize all test procedures for point-of-care testing (POCT).

Question 31

Package inserts can be interchanged between kits from different manufacturers.