Chapter 12 Quality Essentials

16) Results of quality control testing are recorded: (Choose all that apply)

B) on special log sheets. D) on Levey-Jennings charts.

50) Quality assurance (QA) assesses processes for delivery of quality

B) services. and product

54) To ensure the quality of a timed test patients

B) should be informed of the importance of adhering to the procedure schedule.

43) If the phlebotomist is unsure of a procedure for specimen collection, the best place to find correct information is the:

B) standard operating procedure manual.

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

10B) quality control.

11) Testing samples with a known amount of analyte is an activity of:

11B) quality control.

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

12B) quality control

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

C) Minimum/maximum

22) Reviewing documentation and making changes to a process is a function of:

C) QAPI (quality assessment and process improvement).

38) Quality cost management in phlebotomy includes the cost of: (Choose all that apply)

) equipment and supplies needed for specimen collection. B) recollecting specimens when results are in question. C) maintaining customer satisfaction. D) training new employees.

21) Quality control activities include recording temperatures for: (Choose all that apply)

) freezers. B) incubators. C) refrigerators. D) the lab room.

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

) proficiency testing.

7) A sudden jump in control value results, though still in range, that continues for several days is a:

) shift.

36) A delta check is:

A) used to confirm the validity of patient results.

51) Quality assurance activities include monitoring: (Choose all that apply.)

A) whether SOP is being followed. B) whether turnaround time are being met.

4) Validation is used to assess:

C) consistency of results.

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

C) preventive action.

58) Monitoring of quality that is only performed by an outside laboratory includes

C) proficiency testing

41) When a phlebotomist checks a needle for the expiration date or defects before a venipuncture, the process is called:

C) quality control (QC).

37) 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.

6) Documenting an employee's ability to perform tasks correctly is an example of

A) Competency assessmen

6) 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

46) In what phase of laboratory testing are phlebotomists most frequently involved?

A) Pre-examination

49) A quality management system (QMS) is

A) a set of quality objectives established to meet goals. B) a set of methods to monitor achievement of objectives.

28) Validation ensures that results are: (Choose all that apply)

A) accurate. C) precise.

4) The focus of quality assurance is on the processes that involve the: (Choose all that apply)

A) analytical process. B) reporting of results. C) training of personnel. D) turnaround time.

3) A control material: (Choose 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.

59) Monitoring of quality that is performed by laboratory personnel includes

A) competency assessment B) process improvement D) quality assessment audit

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

A) corrective action.

52) Indicators used to measure quality must be: (Choose all that apply.)

A) observable events B) measurable C) well-defined and specific D) essential to the process

39) A quality management system (QMS) monitors: (Choose all that apply)

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.

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

A) quality assurance.

26) The phlebotomist is the "face of the laboratory." This phrase is reflected in the definition of:

A) total quality management (TQM).

31) Which statement is FALSE regarding Levey-Jennings charts?

B) Controls from all instruments can be charted on the same graph.

5) When the technician performs a routine quality control on a point-of-care instrument, one of the two levels of control is out of range. What is the most appropriate next step?

B) Repeat the control after verifying expiration date and proper handling.

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

B) The phlebotomist was perceived as being rude.

20) At what level will a phlebotomist be involved in Levey-Jennings charts?

B) To record control data

5) Which of the following is an institution-wide concept that involves all members of the healthcare team in creating quality processes to improve customer satisfaction?

B) Total quality management

29) Validation is required when: (Choose all that apply)

B) a new instrument is purchased. C) a new lot of reagents are put into use.

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

B) calibration.

3) Accuracy in test results is a measure of how:

B) correct the results are.

34) Fixing problems that have occurred is the primary purpose of:

B) corrective action.

55) If a control result is out of range for any particular test: (Choose all that apply.)

B) expiration dates of the control is checked prior to continuing testing. C) expiration dates of other reagents or equipment are checked prior to continuing testing

8) A phlebotomist participating in continuing education or training is an example of (a):

B) preventive action.

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

B) standard operating procedures.

18) A gradual increase or decrease in control value results, though still in range, that continues for several days is a:

B) trend.

57) Evaluating the performance of a laboratory in obtaining accurate test results in comparison to other laboratories is an example of

C) Proficiency testing

9) Which error in quality control results occurs when an outdated control material is used?

D) Random error

53) Which is least likely an example of a quality indicator?

D) adherence to test guidelines

30) A Levey-Jennings chart: (Choose all that apply)

D) can help detect trends and shifts in test performance. A) is a graph showing acceptable limits. B) is used to graph control results.

45) The process of documenting a phlebotomist's ability to perform assigned tasks is:

D) competency assessment.

44) Forms used to document problems with specimen collection and handling, testing procedures, and equipment that affects patient safety are called:

D) incident forms.

42) A phlebotomist explains why the specimen must be collected at a specific time and that the result is affected by the time of day and whether the patient has been moving. That phlebotomist is explaining diurnal variations, which is a part of ________ to guarantee quality results.

D) quality assurance (QA).

35) Precision in test results is a measure of how:

D) reproducible the results are.

2) The highest level of quality oversight, which is usually implemented on an institutional level, is:

D) total quality management.

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

audit