Clinical lab operations Ch 1 Review Questions

14. All the following characteristics are accurate for the influence of Health Insurance Portability and Accountability Act (HIPAA) except: a. Replaces federal, state, or other laws that grant individuals even greater privacy protections than HIPAA b. Covers entities that are free to retain or adopt more protective policies or practices c. Establishes a minimum standard for security of electronic health information and the electronic interchange of information d. Directly effects the laboratory information system (LIS)

a

16. Chain-of-custody procedures must be followed for: a. Blood specimens for alcohol level determination b. Routine urinalysis for glucose and ketones c. Therapeutic drug threshold determinations d. Throat swabs of group A beta streptococcus screening

a

7. A hospital chief operating officer is responsible for: a. Implementing policies and oversight of daily activities b. Finances c. Setting policy and guiding the organization d. Overseeing the hospital information system

a

9. What is the best description of the purpose of the Commission on Office Laboratory Accreditation (COLA) pertaining to the clinical laboratory? a. Sets accreditation requirements for physician office laboratories (POLs) b. Administers both CLIA '88 and Medicare programs c. CMS has given COLA deemed status to act on the government's behalf to certify clinical laboratories d. Nonprofit educational group that establishes consensus standards for maintaining a high-quality laboratory organization

a

2. The role of the laboratory supervisor or manager is to: a. Supervise technical aspects of testing. b. Supervise business functions of testing. c. Examine surgically removed organs. d. Screen cytology for Pap smears.

a (b would be lab directors)

1 The correct designation for a generalist laboratory professional with a bachelor's degree certified by the American Society for Clinical Pathology is: a. Medical laboratory technician b. Medical laboratory scientist c. Medical technician d. Medical technologist

b

10. What is the best description of the purpose of the Centers for Medicare and Medicaid Services (CMS) pertaining to the clinical laboratory? a. Sets accreditation requirements for physician office laboratories (POLs) b. Administers both CLIA '88 and Medicare programs c. CMS has given itself deemed status to act on the government's behalf to certify clinical laboratories d. Nonprofit educational group that establishes consensus standards for maintaining a high-quality laboratory organization

b

5 The role of provider-performed microscopy (PPM) is the: a. Continuation of the process of evaluating and monitoring all aspects of the laboratory to ensure accuracy of test results b. Specific microscopic tests (wet mounts) performed by a physician for his or her own patients c. Means by which quality control between laboratories is maintained d. Process of performing laboratory testing at the bedside of the patient and a means of decentralizing some of the laboratory testing

b

15. In order to perform a venipuncture on a newly admitted hospital patient, a phlebotomist needs to: a. Ask for the patient's written permission to perform the procedure. b. Verify that the patient has specifically named the drawing of blood in the admissions papers. c. Realize that an admitted hospital patient has given implied consent to routine procedures such as phlebotomy. d. Verify with the patient's primary care provider that phlebotomy is covered as a routine procedure.

c

3 Which of the following acts, agencies, or organizations was created to make certain the quality of work done in the laboratory is reliable? a. Centers for Medicare and Medicaid Services (CMS) b. Occupational Safety and Health Administration (OSHA) c. Clinical Laboratory Improvement Amendments of 1988 (CLIA '88) d. Centers for Disease Control and Prevention

c

6 The newest direction for laboratory testing procedures is: a. Larger automated instruments b. Networked systems for point-of-care testing c. Molecular diagnostic techniques in various laboratory departments d. Robotic specimen handling

c

8. What is the best description of the purpose of the College of American Pathologists (CAP) pertaining to the clinical laboratory? a. Sets accreditation requirements for physician office laboratories (POLs) b. Administers both CLIA '88 and Medicare programs c. CMS has given CAP deemed status to act on the government's behalf to certify clinical laboratories d. Nonprofit educational group that establishes consensus standards for maintaining a high-quality laboratory organization

c

11. The role of point-of-care testing (POCT) compared with in-laboratory testing is the: a. Continuation of the process of evaluating and monitoring all aspects of the laboratory to ensure accuracy of test results b. Specific microscopic tests (wet mounts) performed by a physician for his or her own patients c. Means by which quality control between laboratories is maintained d. Process of performing laboratory testing at the bedside of the patient and a means of decentralizing some of the laboratory testing

d

12. Sally is seeing her new primary care provider for the first time. When she signs in, she is asked to sign papers for the release of medical records, including her laboratory results. According to the Health Insurance Portability and Accountability Act (HIPAA), she must authorize release of records before __________ would be permitted to receive and review her records. a. Her insurance company b. Her attorney c. Her husband d. Any of the above

d

13. In which of the following laboratory situations is a verbal report permissible? a. When the patient is going directly to the physician's office and wants to have the report available b. When the report cannot be found at the nurse's station c. When preoperative test results are needed by the anesthesiologist d. None of the above

d

17. Medical ethics: a. Has strict guidelines b. Applies to laboratory professionals c. Includes situational ethics d. Both b and c

d

4 Laboratories performing which of the following types of tests need to be enrolled in a CLIA-approved proficiency testing program? a. Waived b. Moderately complex c. Highly complex d. Both b and c

d

CLSI a. Sets accreditation requirements for physician office laboratories (POLs) b. Administers both the CLIA '88 and Medicare programs. c. CMS has given it deemed status to act on the government's behalf to certify clinical laboratories. d. Nonprofit educational group that establishes consensus standards for maintaining a high-quality laboratory organization. e. Accredits health care facilities and sets standards for quality assessment programs in those facilities.

d

Lisa works in the laboratory at a small community hospital in a small Midwestern town. She received orders to draw blood from a newly admitted patient for a complete blood count (CBC) and a metabolic chemistry panel. When Lisa arrived in the patient's room, she discovered that the patient was Carla, her best friend's mother. She chatted with Carla for a bit and then headed back to the lab to complete testing on the samples. Thirty minutes later, Betsy, who is one of Carla's friends, called the lab to talk with Lisa. Apparently, Carla posted on a social media site that Lisa had drawn her blood and Betsy was calling to get all of the details. "I called Carla to find out what's going on, but she's being evasive. I'm watching her dog so I need to know the real scoop...." 18. What should Lisa do? a. It is acceptable to share information with Betsy because Carla stated on social media that she was in the hospital. b. Politely tell Betsy she cannot comment on patients in the hospital. c. Thank Betsy for her concern and tell her that Carla seemed "okay." d. Politely tell Betsy she cannot talk about work with people who are not employed at the hospital.

d