Urinalysis & Body Fluids: Safety & QA

Indicate whether each of the following would be considered 1) preexamination, 2) examination, or 3) postexamination factor: _____ reagent expiration date _____ rejecting a contaminated specimen _____ constructing a Levy-Jennings chart _____ telephoning a positive Clinitest result on a newborn _____ calibrating the centrifuge _____ collecting a timed urine specimen

2,1,2,3,2,1

The classification of a fire that can be extinguished with water is: a. Class A b. Class B c. Class C d. Class D

a. Class A

When combining acid and water, ensure that: a. acid is added to water b. water is added to acid c. they are added simultaneously d. water is slowly added to acid

a. acid is added to water

The best way to break the chain of infection is: a. Hand sanitizing b. Personal protective equipment c. Aerosol prevention d. decontamination

a. hand sanitizing

All of the following are safe to do when removing the source of an electric shock EXCEPT: a. pulling the person away form the instrument b. turning off the circuit breaker c. using a glass container to move the instrument d. unplugging the instrument

a. pulling the person away from the instrument

An employee who is accidentally exposed to a possible blood-borne pathogen should immediately: a. report to a supervision b. flush the area with water c. clean the area with disinfectant d. receive HIV prophylaxis

a. report to a supervisor

The first thing to do when a fire is discovered is to: a. rescue the persons in danger b. activate the alarm system c. close doors to other areas d. extinguish the fire if possible

a. rescue the person in danger

All of the following should be discarded in biohazardous waste containers EXCEPT: a. urine specimen containers b. towels used for decontamination c. disposable lab coats d. blood collection tubes

a. urine specimen containers

An employee can learn the carcinogenic potential of potassium chloride by consulting the: a. chemical hygiene plan b. Material safety data sheets c. OSHA standards d. urinalysis procedure manual

b. Material Safety Data Sheets

Personnel in the urinalysis laboratory should wear lab coats that: a. do not have buttons b. are fluid-resistant c. have short sleeves d. have full-length zippers

b. are fluid resistant

The NPFA classification symbol contains information on all of the following EXCEPT: a. fire hazards b. biohazards c. reactivity d. health hazards

b. biohazards

An employee who accidentally spills acid on his arm should immediately: a. neutralize the acid with a base b. hold the arm under running water for 15 minutes c. consult MSDS d. wrap the arm in gauze and go to the emergency room

b. hold the arm under running water for 15 minutes

If a red rash is observed after removing gloves, the employee: a. may be washing her hands too often b. may have developed a latex allergy c. should apply cortisone cream d. should not rub hands so vigorously

b. may have developed a latex allergy

The acronym PASS refers to: a. presence of vital chemicals b. operation of a fire extinguisher c. labeling of hazardous material d. presence of radioactive substances

b. operation of a fire extinguisher

As supervisor of the urinalysis laboratory, you have just adopted a new procedure. You should: a. put the package insert in the procedure manual b. put a complete, referenced procedure in the manual c. notify the microbiology department d. put a cost analysis study in the procedure manual

b. put a complete, referenced procedure in the manual

Employers are required to provide free immunization for: a. HIV b. HTLA-1 c. HBV d. HCV

c. HBV

A color change that indicates that a sufficient amount of patient's specimen or reagent is added correctly to the test system would be an example of: a. External QC b. Equivalent QC c. Internal QC d. Proficiency testing

c. Internal QC

The system used by firefighters when a fire occurs in the laboratory is: a. MSDS b. RACE c. NFPA d. PASS

c. NFPA

An employer who fails to provide sufficient gloves for the employees may be fined by the: a. CDC b. NFPA c. OSHA d. FDA

c. OSHA

In the urinalysis laboratory, the primary source in the chain of infection would be: a. Patients b. Needlesticks c. Specimens d. Biohazardous waste

c. Specimens

Centrifuging an uncapped specimen may produce a biological hazard in the form of: a. vectors b. sharps contamination c. aerosols d. specimen contamination

c. aerosols

A class ABC fire extinguisher contains: a. sand b. water c. dry chemicals d. acid

c. dry chemicals

When a new bottle of QC material is opened, what information is placed on the label? a. the supervisor's initials b. the lot number c. the date and lab worker's initials c. the time the bottle was opened

c. the date and lab worker's initails

The testing of sample from an outside agency and the comparison of results with participating labs is called: a. External QC b. Electronic QC c. Internal QC d. Proficiency testing

d. Proficiency testing

During laboratory accreditation inspections, procedure manuals are examined for the presence of: a. critical values b. procedure references c. procedure for specimen preservation d. all of the above

d. all of the above

What steps are taken when the results of reagent strip QC are outside of the stated confidence limits? a. check the expiration date of the reagent strip b. run a new control c. open a new reagent strips container d. all of the above

d. all of the above

When a control is run, what information is documented? a. the lot number b. expiration date of the control c. the test results d. all of the above

d. all of the above

Pipetting by mouth is: a. acceptable for urine but not semen b. not acceptable without proper training c. acceptable for reagents but not specimens d. not acceptable in the lab

d. not acceptable in the lab

Employees should not work with radioisotopes if they are: a. wearing contact lenses b. allergic to iodine c. sensitive to latex d. pregnant

d. pregnant

Quality assessment refers to: a. analysis of testing controls b. increased productivity c. precise control results d. quality of specimens and patient care

d. quality of specimens and patient care

A possible physical hazard in the hospital is: a. wearing closed toed shoes b. not wearing jewelry c. having short hair d. running to answer the phone

d. running to answer the phone

An acceptable disinfectant for blood and body fluid decontamination it: a. sodium hydroxide b. antimicrobial soap c. hydrogen peroxide d. sodium hypochlorite

d. sodium hypochlorite

The current routine infection control policy developed by CDC and followed in all health-care settings is: a. Universal Precautions b. Isolation Precautions c. Blood & Body Fluid Precautions d. Standard Precautions

d. standard precautions

Proper handwashing includes all of the following EXCEPT: a. using warm water b. rubbing to create a lather c. rinsing hands in a downward position d. turning on the water with a paper towel

d. turning on the water with a paper towel