Test Bank Laboratory and Diagnostic Testing in Ambulatory Care, 4th Edition by Marti Garrels

Description

1. The substance being tested is known as the
2. cellular structure.
3. pathogen.
4. chemical standard.
5. analyte.

ANS: D

An analyte is the substance being tested.

REF: p. 1 OBJ: 1

1. Simple tests which are easily performed and present no harm to the patient if incorrectly performed are known as waved tests.
2. CD4
3. OPIM
4. BBPS
5. CLIA

ANS: D

Clinical Laboratory Improvement Amendment tests are easily performed usually in the home, at the bedside or in a provider office, are easily interpreted, and post no risk to the patient if incorrectly performed.

REF: p. 1 | p. 7 OBJ: 3

1. What is the most important factor which contributes to laboratory personal safety?
2. Proper use of PPE
3. OSHA training
4. Proper hand hygiene
5. A commitment to working safely

ANS: D

The laboratory needs the commitment of every employee to provide and maintain a safe work environment.

REF: p. 19 OBJ: 7

1. Which of the following is the metric unit for length?
2. cc
3. in
4. ml
5. mm

ANS: C

mm is the metric unit for millimeter and used to measure length. CC is cubic centimeter and used to measure volume, “in” is the English measurement of inch or length and ml is the metric measurement used for milliliter or volume.

REF: p. 13 OBJ: 5

1. A concentration expressed in milligrams per deciliter (mg/dL) measures the
2. amount of the specimen.
3. weight of the specimen.
4. temperature of the specimen.
5. volume of the specimen.

ANS: D

mg/dL measures the weight of the analyte per volume or the concentration of the specimen. The amount of the specimen may be measured in milliliters. The temperature would most likely be measured in Celsius and the weight of the specimen may be measured in milligrams.

REF: p. 12 OBJ: 5

1. The Hazardous Materials Information System uses a five-part rectangle to identify hazards; the white section indicates
2. flammable substance.
3. health hazard.
4. reactivity.
5. need for PPE.

ANS: D

The white section represents a need for using PPE; red is used for flammability; yellow represents reactivity; blue represents a health hazard.

REF: p. 22 OBJ: 6

1. When would a provider use laboratory test rests?
2. To monitor a patient’s treatment
3. To establish a diagnosis
4. To screen for a disorder
5. All are correct.

ANS: D

A provider may use all of the above to determine the condition of patient.

REF: p. 3 OBJ: 2

1. Which of the following laboratory professional may acquire the credential PBT, RPT, or CPT.
2. Pathologist
3. Phlebotomist
4. Medical technologist
5. None are correct.

ANS: B

A phlebotomist may obtain the professional credential of Phlebotomy Technician, Registered Phlebotomy Technician, or Certified Phlebotomy Technician.

REF: p. 5 OBJ: 2

1. A patient who is in homeostasis will most likely product what type of laboratory results?
2. Results within the normal reference range
3. Results which are extremely high
4. Results which are extremely low
5. Results which are invalid due to an inadequate analyte level

ANS: A

Homeostasis is a steady chemical and physical balance of the body. When a person is in homeostasis they are likely to have laboratory results within the normal range.

REF: p. 4 OBJ: 3

1. A laboratory requisition form will usually require the demographics of the patient, the insurance billing information, and which of the following?
2. Status of the specimen
3. A list of tests to be performed
4. Date and time of specimen collection
5. All are correct.

ANS: D

All are correct and also may include any additional results needed by the provider and a bar code for referencing the laboratory results to the requisition.

REF: p. 8 OBJ: 4

1. Which unit of measurement begins with water freezing at zero degrees and boiling at 100 degrees?
2. Fahrenheit
3. Celsius
4. Kelvin
5. None are correct.

ANS: B

Celsius uses the temperature scale of water freezing at zero and boiling at 100 degrees. Fahrenheit uses the temperature scale with water freezing at 32 degrees and boiling at 212 degrees.

REF: p. 12 OBJ: 5

1. An infected person who is carrying an infection agent may be known as a/an
2. reservoir host.
3. associated pathogen.
4. susceptible host.
5. origin of transmission.

ANS: A

The reservoir host is the infected person who carries an infectious agent.

REF: p. 13 OBJ: 7

1. How long should hands be rubbed together when using an alcohol based hand rub?
2. 15 to 25 seconds
3. 25 to 45 seconds
4. 1 minute
5. 2 minutes

ANS: A

When using an alcohol based hand rub, hands must be rubbed together until the alcohol drives; approximately 15 to 25 seconds.

REF: p. 16 OBJ: 7

1. How do engineering controls isolate and remove bloodborne pathogens from the workplace?
2. The use of biohazard bags
3. The use of non-breakable supplies
4. The use of safety needles
5. All are correct.

ANS: D

All are correct and also include the use of OSHA standards.

REF: p. 19 OBJ: 8

1. What is the most common bloodborne pathogen?
2. HIV
3. Hepatitis C
4. Ebola virus
5. HBV

ANS: D

HBV of Hepatitis B virus is the most common bloodborne pathogen which produces flulike symptoms which may not appear for 6 months after infection.

REF: p. 18 OBJ: 7

COMPLETION

1. The substance being tested in a specimen, such as glucose or cholesterol in a blood specimen, is a(n) .

ANS:

analyte

The analyte is the chemical constituent being measured. The substance being tested, such as glucose, BUN, or cholesterol in a blood specimen is the analyte.

REF: p. 1 OBJ: 1

1. Laboratory orders indicating what tests are to be performed will be found on the .

ANS:

laboratory requisition

Laboratory requisitions are written orders which indicate which tests to be performed by the provider. These orders may be in written or electronic form.

REF: p. 2 OBJ: 1

1. Tests that provide simple, unvarying results and require minimal judgment and interpretation are tests.

ANS:

CLIA-waived CLIA waived

Tests performed in an ambulatory care setting which are simple and require a minimal amount of judgment to interpret are designated as CLIA (Clinical Laboratory Improvement Amendment)-waived tests.

REF: p. 7 OBJ: 3

1. The clotting ability of blood is called .

ANS:

coagulation

Coagulation is changing from a liquid to a solid as in the ability of the blood to clot.

REF: p. 1 OBJ: 1

1. A steady state of internal chemical and physical balance is referred to as .

ANS:

homeostasis

Homeostasis is the state of equilibrium kept by the body through physiologic processes.

REF: p. 2 OBJ: 1

1. An outpatient health care setting in which patients are treated and sent home is a(n) .

ANS:

ambulatory care setting

Ambulatory care settings may be a provider office, clinic, or outpatient surgical center.

REF: p. 7 OBJ: 3

1. The numerical range of analyte values with which the general population will consistently show similar results 95% of the time is called the .

ANS:

reference range

The reference range is used for comparison of test results since 95% of the general population (or where healthy people) will generally fall within the analyte value.

REF: p. 3 OBJ: 4

1. is a test result indicating a threat to a patient’s health.

ANS:

Critical value panic value

The critical value or panic value is a laboratory test result which is so out of the ordinary it presents a threat to the immediate health or life of the patient.

REF: p. 4 OBJ: 4

1. A patient’s willingness to follow his or her treatment plan and take an active role in his or her health care is

.

ANS:

compliance

patient compliance

Patient compliance or the patient taking an active role in his/her treatment is often an important part of the treatment plan.

REF: p. 1 OBJ: 1

1. The abbreviation POL means .

ANS:

physician’s office laboratory

Only accepted and standard abbreviations should ever be used within the health care settings.

REF: p. 3 OBJ: 1

1. The abbreviation PPE means .

ANS:

personal protective equipment

Personal protective equipment may include gloves, gowns, and masks. Only accepted and standard abbreviations should ever be used within the health care setting.

REF: p. 3 OBJ: 1

1. The abbreviation POCT is .

ANS:

point-of-care testing

Point-of-care testing may be done at the bedside. Only accepted and standard abbreviations should ever be used within the health care setting.

REF: p. 3 OBJ: 1

1. CDC stands for .

ANS:

Centers for Disease Control and Prevention

The Center for Disease Control acts as the national public health institute of the United States. Only accepted and standard abbreviations should ever be used within the health care setting.

REF: p. 3 OBJ: 1

1. OSHA is the abbreviation for .

ANS:

Occupational Safety and Health Administration

The Occupational Safety and Health Administration sets standards for the health and safety of workers within the United States. Only accepted and standard abbreviations should ever be used within the health care setting.

REF: p. 3 OBJ: 1

1. The abbreviation HCAI stands for .

ANS:

health care-associated infection health care associated infection

Health care-associated infections are infections patients get while receiving care for other diseases. Only accepted and standard abbreviations should ever be used within the health care setting.

REF: p. 3 OBJ: 1

TRUE/FALSE

1. Evaluation and research of population health status is the most common reason for laboratory testing.

ANS: F

The most common reason laboratory tests performed are to assist in the diagnosis and treatment of patients.

REF: p. 3 OBJ: 2

1. Acute disorders are long lasting and debilitating.

ANS: F

Disorders which are long lasting and debilitating are chronic conditions. Acute conditions are usually of a short duration.

REF: p. 3 OBJ: 1

1. A disease caused by the lack of insulin or the inability of the body to regulate blood sugar levels is diabetes mellitus.

ANS: T

Diabetes mellitus is caused by the body’s inability to utilize glucose due to either the lack of or insufficient amount of insulin.

REF: p. 4 OBJ: 1

1. Thrombosis is the ability of the blood.

ANS: F

The ability of the blood to clot is known as coagulation. Thrombosis is the formation of clot.

REF: p. 2 OBJ: 1

1. The assumption that all body fluids are potentially infectious is known as Universal Precautions.

ANS: T

Universal Precautions is the assumption that all body fluids are potentially infectious and requires health care professionals to take precautions from exposure through the use of personal protection devices.

REF: p. 2 OBJ: 7

1. A reference range is a series of tests associated with one particulate organ or disease.

ANS: F

A series of tests associated with one particular organ or disease is a panel or profile. A reference range is the numeric range of analyte value where 95% of the general population falls.

REF: p. 9 OBJ: 3

1. Parenteral contact of body fluid is blood entering the body through a needlestick.

ANS: T

Parenteral contact may occur when blood enters the body through a needlestick, bite, cut, splash, or abrasion.

REF: p. 16 OBJ: 7

1. Learning to pick up heavy objects may be taught within a class on ergonomics.

ANS: T

Ergonomic practices include learning proper movements or body mechanics which will promote less work-related injuries.

REF: p. 23 OBJ: 8

1. Point-of-care testing may be performed at a patient’s bedside, in an examination room, or in a patient’s home.

ANS: T

POC testing may be performed by a testing device which is portable, able to be performed with relatively minimal training and may be used by both medical professionals and lay people.

REF: p. 6 OBJ: 3

1. When recording whole numbers, a zero should always be placed after the decimal.

ANS: F

A zero should never be placed after the decimal of a whole number to avoid misinterpretation