MLT 100 Exam #1
A blood culture to evaluate septicemia is performed in: microbiology. hematology. urinalysis. toxicology.
A
A regional laboratory that performs high volume, highly complex or infrequently ordered testing is a: reference laboratory physician's office. wellness clinic. long-term care facility.
A
An employer who fails to provide sufficient personal protective equipment (PPE) for employees may be fined by the: Occupational Safety and Health Administration (OSHA) Centers for Disease Control and Prevention (CDC) Clinical and Laboratory Standards Institute (CLSI) Food and Drug Administration (FDA)
A
Convert the following temperature from Fahrenheit to Celsius 102 degrees F 38.9 degrees C 14 degrees C 77 degrees C 39.2 degrees C
A
Medical Technology is the profession concerned with performing laboratory analyses True False
A
Name the comprehensive written safety plan detailing the proper use and storage of hazardous chemicals in the workplace. chemical hygiene plan OSHA SOP MSDS
A
PInk or Red stopper tubes can be used for Blood Bank! Question options: True False
A
Provide the equivalent measurement for 75 milligrams. Question options: 75,000 micrograms 750 micrograms 750,000 7500 micrograms
A
Provide the equivalent measurement for one gallon. Question options: 3.79 liters 1 liter 2.5 liters 4.2 liters
A
The activities conducted in a laboratory with a certificate of waiver include: tests that are simple to perform and have an insignificant risk for error moderate- or high-complexity lab testing until the lab is determined by survey to be in compliance high complexity tests only physicians to perform microscopy only
A
The best course of action when entering an isolation room is: following the directions from the sign on the door wearing a gown, a mask, and gloves wearing only a gown wearing only a mask
A
The coagulation department tests samples for: prothrombin times bacterial growth electrolytes complete blood counts
A
The color coding of evacuated tubes provides information about all of the following except the: Question options: volume of specimen collected need to invert the tube presence of an anticoagulant type of specimen collected
A
The document designed to protect phlebotomists from contacting hepatitis is the: Bloodborne Pathogen Exposure Control Plan Chemical Hygiene Plan Material Safety Data Sheets procedure manual
A
The most important purpose of a requisition form is: Question options: authorization to perform the procedure location of the patient providing a system to report results monitoring test result turnaround time
A
The presence of a clot is acceptable in: red stopper tubes lavender stopper tubes green stopper tubes light blue stopper tubes
A
The recommended order of draw for a complete blood count (CBC), prothrombin time, and cholesterol is: light blue, red, and lavender light blue, lavender, and red red, lavender, and light blue lavender, light blue, and red
A
The term universal precautions refers to: treating only CERTAIN specimens as infectious. mixing organic chemicals under a hood. wellness clinic available to everyone. universal blood donors.
A
This is the lens power of the scanning objective lens. 4X 40X 10X 100X
A
To complete the chain of infection, all of the following are required except a: contaminated surface. mode of transmission. host. source.
A
To obtain a serum sample for a stat test on a patient receiving anticoagulant therapy, the recommended tube is: Question options: yellow/gray or orange red light green red/gray or gold
A
Transport media are required for throat culture swabs but not for rapid strep tests. True False
A
Which of the following agencies administers the certification test that you will be eligible to take at the end of your 4 semester? ASCP AAMA ASPT AARP
A
Which of the following is NOT part of the magnification system of the microscope? arm 10 X objective lens ocular lenses-arm 4 X objective lens
A
Yellow/gray or orange stopper tubes contain thrombin. Question options: True False
A
set of comprehensive safety guidelines designed to protect patients and health care workers Standard Precautions Universal blood precautions Microscope Transmission precautions
A
Waived test
A category of test defined under CLIA 88 as being simple to perform and having an insignificant risk for error
Quality assessment
A program that monitors the total testing process with the aim of providing the highest patient care
CMS
Agency within the Department of Health and Human services responsible for implementing CLIA 88
A clinical laboratory scientist or medical laboratory scientist (or medical technologist in older terminology) may serve as all of the following except: laboratory manager. pathologist. section supervisor. educator.
B
A patient with influenza would be placed in: airborne isolation. droplet isolation. protective isolation. body fluid isolation.
B
All of the following tubes contain separation gel except: Question options: gold green light green or green-gray red/gray
B
An organic chemical fire is a class: Class A fire Class B fire Class C fire Class D fire
B
As magnification DECREASES, the opening of the iris diaphragm will... stay the samel decrease (get smaller) increase (get bigger)
B
As magnification INCREASES, the field of view will... stay the same decrease (get smaller) increase (get bigger)
B
Black stopper tubes are used for glucose collections. Question options: True False
B
Class C fires involve: Question options: grease or oil electrical equipment wood flammable materials
B
Convert the following temperature from Celsius to Fahrenheit -4 degrees C 14 degrees F 24.8 degrees F 27 degrees F 39.2 degrees F
B
Drawing a lavendar stopper tube before an SST tube can cause a falsely: Question options: decreased glucose value decreased calcium value increased calcium value increased glucose value
B
Epidemiology studies only infectious diseases that impact humans True False
B
Lavender stopper tubes can be used for all of the following except: hematocrits coagulation tests differential counts platelet counts
B
Limited to blood and body fluids visibly contaminated with blood Isolation Universal Precautions Transmission Precautions Pathogenic
B
Provide the equivalent measurement for 1 centimeter. Question options: 1 kilometer 10 millimeters 1 inch 5 millimeters
B
Provide the equivalent measurement for 4 milligrams. 7500 micrograms 4,000 micrograms 750 micrograms 750,000
B
Specimens collected from patients in contact isolation should be: collected in duplicate. double-bagged. delivered to microbiology. collected wearing sterile gloves.
B
Sterile yellow stopper tubes contain thixotropic gel and a clot activator. Question options: True False
B
Tan stopper tubes are used for reticulocyte counts. Question options: True False
B
The Needlestick Safety and Prevention Act requires employers to: test MLTs annually for hepatitis B and HIV involve MLTs in the selection of safety devices provide MLTs with plastic capillary tubes allow MLTs to work flexible schedules
B
The activities conducted in a laboratory with a certificate of registration include: urinalysis only moderate- or high-complexity lab testing until the lab is determined by survey to be in compliance physicians to perform microscopy only waived tests only
B
The anticoagulant present in a light-blue stopper tube is: Ethylenediaminetetraacetic acid (EDTA) sodium citrate heparin potassium oxalate
B
The difference between glass and plastic red stopper tubes is that the: Question options: glass tubes contain heparin plastic tubes contain a clot activator plastic tubes are recommended for blood bank tests glass tubes cannot be used for serology tests
B
The governmental agency that oversees public health care matters in the United States is: Center for Disease Control and Prevention (CDC) Department of Health and Human Services (DHHS) Food and Drug Administration (FDA) Clinical and Laboratory Standards Institute (CLSI)
B
The laboratory employee with an 2-year associate degree who performs clinical testing is the: clinical laboratory scientist. medical laboratory technician. phlebotomist. medical technologist.
B
The most common specimen analyzed in the hematology section is: plasma. whole blood. urine. serum.
B
The ratio of blood to anticoagulant in a light blue stopper tube is: 10:1 9:1 5:1 2:1
B
The tube of choice for trace metal analysis is: red royal blue gold light blue
B
Waived tests are those considered to have an insignificant risk of erroneous results. Which of the following is NOT an example of a waived test? rapid strep tests from throat swabs sodium HIV antibodies prothrombin time
B
White top tubes are used for blood cultures. Question options: True False
B
A phlebotomist draws an outpatient without wearing gloves. The outpatient displays a badge and cites the laboratory for not following the law. The outpatient is an employee of the: National Fire Protection Association (NFPA) Joint Commission (JC) OSHA Centers for Disease Control and Prevention (CDC)
C
An international, nonprofit organization that establishes standards of best current practice for clinical laboratories is Centers for Disease Control and Prevention (CDC) Commission on Office Laboratory Accreditation (COLA) Clinical Laboratory Standards Institute (CLSI) the Joint Commission
C
Convert the following temperature from Celsius to Fahrenheit 20 degrees C Question options: 77 degrees F 14 degrees F 68 degrees F 39.2 degrees F
C
Convert the following temperature from Celsius to Fahrenheit 8 degrees C 77 degrees F 68 degrees F 46.4 degrees F 14 degrees F
C
Failure to tightly seal specimens for sweat electrolytes during collection and transport will cause: decreased values due to exposure to air decreased values due to exposure to light increased values due to evaporation increased values due to cellular contamination
C
Most anticoagulants in blood collectiong tubes prevent clotting by: Question options: releasing heparin binding fibrinogen binding calcium acting as an antithrombin agent
C
One agency that accredits education programs for clinical laboratory personnel is the: North Central Association (NCA) American Society for Clinical Laboratory Science (ASCLS) National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) American Society for Clinical Pathology (ASCP)
C
Personal protective equipment (PPE) should be put on in the following order: gloves, gown, and mask gloves, mask, and gown gown, mask, and gloves mask, gloves, and gown
C
Provide the equivalent measurement for 1 decimeter. 1 microgram 100 microns 100 millimeters 5 millimeters
C
Standard precautions should be followed: when a patient is known to have hepatitis B when a patient is known to be HIV positive with all patients, at all times if a patient is in isolation
C
The agency within Department of Health and Human Services (DHHS) responsible for implementing CLIA'88 is: Clinical and Laboratory Standards Institute (CLSI) Commission on Office Laboratory Accredition (COLA) Centers for Medicare & Medicaid Services (CMS) Health Insurance Portability and Accountability (HIPPA)
C
The difference between plasma and serum is that: serum is the cells of unclotted blood. serum is obtained from a nonclotted specimen plasma is from an unclotted specimen. plasma is obtained from a clotted specimen.
C
The division of Department of Health and Human Services (DHHS) responsible for protecting public health by ensuring the safety and efficacy of foods, drugs, biological products, medical devices, and cosmetics is: Health Insurance Portability and Accountability Act (HIPPA) the Joint Commission Food and Drug Administration (FDA) Clinical and Laboratory Standards Institute (CLSI)
C
The laboratory employee with a 4-year college degree who performs clinical analysis is the: clinical laboratory assistant (CLA) phlebotomist clinical laboratory scientist (CLS) or medical laboratory scientist (MLS) in newer terminology or Medical Technologist (MT) in older terminology medical laboratory technician (MLT)
C
The part of the microscope that holds the objective lenses is called the _______________. objective condenser revolving nosepiece fine adjustment
C
The type of isolation category that always requires a HEPA mask or respirator to be worn is: contact droplet airborne blood and body fluid
C
This is the total magnification of the high dry objective lens. 100X 40X 400X 1000X
C
Transmission-based precautions isolation categories include all of the following except: airborne. droplet. blood and body fluids. contact.
C
What is the first thing a phlebotomist should do in the event of an accidental needle stick? go to the employee health service and get a tetanus booster leave the area so that the patient does not notice the injury decontaminate the site and fill out an incident report check the patient's medical records
C
Where can one find guidance on the minimum performance standards for clinical laboratories? Food and Drug Administration (FDA) Centers for Disease Control and Prevention (CDC) Clinical Laboratory Improvement Amendments of 1988 (CLIA '88) National Institutes of Health
C
Which advancement in clinical science occurred during the second half of the twentieth century? invention of the microscope identification of the smallpox virus replacement with tedious tests with more efficient and sophisticated testing technology addition of protective clothing to daily requirements for staff
C
Which of the following fields is NOT an aspect of clinical microbiology? virology bacteriology pathology parasitology
C
Which of the following is NOT part of the stand or framework of the microscope? stage base ocular lenses arm
C
Which of the following is a current title for clinical laboratory professionals with a 4 year degree? clinical laboratory technician medical laboratory technician medical laboratory scientist medical technologist
C
Which of the following tubes produces a serum sample? Question options: green pink tiger (red-gray) blue
C
Which of these advancements in the clinical laboratory has led to concerns about patient privacy high test volumes staffing with several levels of lab professionals computers automated analyzers
C
CDC
Central lab for the national public health system
Paper
Class A
Organic chemicals
Class B
Electrical fire
Class C
Combustible metal
Class D
Fecal WBCs
Clean container that will keep the stool until slides can be made
A cardiac risk profile is performed in: hematology. serology. coagulation. chemistry.
D
A patient with tuberculosis would be placed in: protective isolation. body fluid isolation. droplet isolation. airborne isolation.
D
Convert the following temperature from Celsius to Fahrenheit -10 degrees C Question options: 39.2 degrees F 77 degrees F 68 degrees F 14 degrees F
D
Convert the following temperature from Celsius to Fahrenheit 4 degrees C Question options: 77 degrees F 68 degrees F 14 degrees F 39.2 degrees F
D
Failure to deliver glucose drawn in a serum separator tube (SST) to the laboratory within the recommended time will cause: Question options: a falsely decreased glucose value a falsely increased glucose value glycolysis both A and C
D
Following an accidental needlestick, the person should be tested for all of the following except: human immunodeficiency virus (HIV) hepatitis C virus (HCV) hepatitis B virus (HBV) hepatitis A virus (HAV)
D
In an evacuated tube, blood flow into the tube depends on: Question options: air pressure gravity blood pressure the vacuum in the tube
D
MLTs must be provided with free immunization for: hepatitis C hepatitis A HIV hepatitis B
D
Provide the equivalent measurement for 1 ounce. 10 grams 5.7 grams 100 grams 28.35 grams
D
Provide the equivalent measurement for 1000 milligrams. Question options: 1 microgram 5 grams 100 microns 1 gram
D
Provide the equivalent measurement for one pint. 4.2 liters 0.25 liters 0.1 liter 0.474 liters
D
Serum separator tubes should not be used for: Question options: blood bank tests therapeutic drug tests serology tests all of the above
D
Urine culture
Midstream clean-catch specimen
Culture
Orange top vial with a transport media to preserve all living cells
CAP
Organization that offers accreditation to clinical labs
O&P test
Pink top vial with a preservative that will kill all living cells
Fecal occult blood
Test card taht will be sent to a lab to have reagents added
Quantitative tests
Timed specimen
SOP
Established procedure to be followed for a given operation or in a given situation
Confirmatory testing
First morning specimen
The Clinical Laboratory and Standards Institure (CLSI) recommends that all patient specimens are delivered to the laboratory no more than 2 hours after collection to reduce pre-examination variables caused by cellular action and the effects of prolonged exposure of specimens to room temperatures, such as: Question options: leakage of coagulation factors into the serum or plasma by cellular metabolism; increased potassium values caused by exposure to room temperature; increased glucose values caused by cellular metabolism glycolysis caused by leakage from cells; increased levels of coagulation factors caused by prolonged exposure to room temperatures; decreased potassium levels caused by cellular metabolism glycolysis caused by exposure to room temperatures; hemolysis and leakage of coagulation factors from the cells; decreased potassium levels in the serum and plasma by cellular utilization glycolysis caused by cells' use of glucose; hemolysis and leakage of potassium from the cells into the plasma or serum; the destruction of coagulation factors from exposure to room temperatures
D
The laboratory is under the direction of a: phlebotomist pharmacist medical assistant pathologist
D
The part of the microscope that control the amount of light entering the specimen much like the iris of your eye controls light is called the iris _______________. fine adjustment objective condenser diaphragm
D
The purpose of protective isolation is to protect: the phlebotomist from infection the phlebotomist after a needlestick the patient from family conflicts a compromised patient from infection
D
The recommended disinfectant for blood and body fluid contamination is: sodium hydroxide. antimicrobial soap. hydrogen peroxide. sodium hypochlorite.
D
The two main areas of the clinical laboratory are: cytology and histology. chemistry and hematology. urinalysis and microbiology. anatomical and clinical.
D
To prevent blood from clotting the specimen must be: collected in a tube containing an anticoagulant. inverted right after collection. centrifuged right after collection. both A and B
D
Waived tests are those considered to have an insignificant risk of erroneous results. Which of the following is NOT an example of a waived test? fructosamine spun hematocrit blood glucose by home meters potassium
D
What are the certification requirements for clinical laboratory professionals? on the job training national certification exam college degree college degree and a national certification exam
D
Which of the following statements applies to the venipuncture procedure? Standard Precautions must be observed the procedure includes preparation of the patient selecting and preparing the puncture site is part of the procedure all of the above
D
Which of the following tubes contains an anticoagulant that does not bind calcium? Question options: Lavender Light blue Gray Green
D
Which specimen should be collected last? Question options: Specimen requiring special handling Clotted specimen Fasting specimen STAT specimen
D
Yellow stopper tubes are used for all of the following except: Question options: human leukocyte antigen (HLA) typing paternity testing blood cultures lead testing
D
Accreditation
Process where an independent agency grants recognition to institutions that meet or exceed standards of quality
Routine testing
Random specimen
FDA
Responsible for ensuring the safety and efficacy of foods, drugs, biological products, medical devices, and cosmetics
