UA unit 1//// part 1

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question
1)Laboratory equipment and other inanimate objects serve as what in the chain of infection?
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Reservoir
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2)The chain of infection includes all of the following except a:
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Disinfectant
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3)You arrive to work in the clinical laboratory with a small cut on your hand. Your supervisor pulls you from specimen collection (phlebotomy) duties for the day, citing chain of infection protocols. Why is your supervisor concerned about the cut on your hand?
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Because you have a point of entry that could expose you to infectious agents
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4) Centrifuging an uncapped tube of urine is most likely to produce a/an:
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Aerosol
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5) Which of the following guidelines tells laboratory personnel to consider all patients as possible carriers of blood-borne pathogens?
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Standard precautions
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6) The Centers for Disease Control (CDC) recommends that universal precautions be followed when encountering:
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Specimens containing visible blood
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7) Which of the following CDC guidelines considers all moist body substances to be potentially infectious and stresses hand washing?
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Standard precautions
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8) The Occupational Exposure to Blood-Borne Pathogens Standard is:
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A law enforced by Occupational Safety and Health Administration (OSHA)
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9) A laboratory worker who observes a red hand rash after removing gloves should:
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Avoid wearing latex gloves in the future
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10) Plexiglas shields are used in the laboratory when urine tube specimens are being:
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Uncapped for analysis
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11) A urine specimen received in the laboratory is leaking in a transport bag. What is the next course of action?
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It should be rejected
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12) Lab coats worn in the urinalysis lab should:
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Be completely buttoned
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13) Proper hand washing includes all of the following procedures except:
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Using a paper towel to turn on the water faucet
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14) The acceptable method for disposing of urine specimens is:
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Pouring down the sink followed by copious amounts of water
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15) Disinfection of the sink in the urinalysis laboratory should be performed:
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On a daily basis
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16) Safety precautions observed in the urinalysis laboratory include all of the following except:
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Centrifuging only uncapped tubes
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17) The source, method of transmission, and host are all deemed:
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Components of the chain of infection
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18) Which of the following is a practice that all laboratory workers must avoid?
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Manually recapping needles
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19) Before using a water hose on a burning chemical cabinet, a firefighter would visually check that what is posted on the outside of the cabinet?
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National Fire Protection Association (NFPA) symbol
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20) Laboratory personnel wear special monitory badges when working frequently with which of the following hazards?
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Radioactive
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21) When encountering a person experiencing an electrical shock, the first thing to do is:
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Turn off the circuit breaker for area
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22) When a fire is discovered in the laboratory, you should do all of the following except:
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Leave the door open when evacuating
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23) The acronym RACE is used when encountering a/an:
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Fire
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24) Which of the following items found in the laboratory should be securely fastened to 25) a nonmovable object?
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Compressed gas cylinders
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26) The most commonly available fire extinguisher in a hospital is:
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Type ABC
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27) When using a fire extinguisher, which action do you perform first?
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Pull the pin
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28) Variables that are included in a quality assurance program include all of the following except:
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Clinical
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29) Clinical laboratory personnel have the least control over which of the following conditions?
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Pre-examination variables
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30) When you receive a specimen and a requisition form that do not match, you should:
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Notify the personnel who collected the specimen
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31) When a critical value is obtained in the laboratory:
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The result must be reported to the health-care provider
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32) The ability to obtain the published result on a control sample is referred to as:
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Accuracy
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33) Obtaining the same result after testing the same specimen three times is called test:
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Precision
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34) The highest acceptable range for confidence limits in the clinical laboratory is:
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±3 SD
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35) A procedure with a coefficient of variation of 10% is considered:
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Imprecise
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36) When plotted on a Levy-Jennings chart, a control that has been left on the counter overnight instead of being refrigerated might show a/an:
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Shift
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37) Proficiency testing should be performed:
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By personnel performing the tests routinely
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38) The least regulated level of Clinical Laboratory Improvement Amendments (CLIA) testing categories is:
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Waived
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39) A urinalysis laboratory that subscribes to an external proficiency testing program from which all samples are tested by the supervisor is an example of:
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Right things done wrong
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40) True/False: Personnel in the urinalysis laboratory are best protected from blood-borne pathogen exposure when following standard precautions.
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True
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41) True/False: It is not necessary to change gloves when performing tasks on the same patient.
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False
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42) True/False: OSHA requires employers to provide free immunization for hepatitis B virus (HBV) to workers in urinalysis.
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True
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43) True/False: Hands should be washed before and after testing each urine specimen.
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False
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44) True/False: A paper towel used to absorb a urine spill is discarded in a biohazard container.
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True
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45) True/False: It is acceptable to recap a needle on a syringe containing urine, but not blood.
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False
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46) True/False: Only nontoxic chemicals can be pipetted by mouth.
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False
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47) True/False: The MSDS should be provided to laboratories by chemical manufacturers or vendors.
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True
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48) True or false: Electrical current can pass through glass and wood.
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False
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49) True or false: Flammable chemicals must be stored in explosion-proof refrigerators.
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True
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50) True or false: When lifting heavy objects, laboratory workers should bend their knees.
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True
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53) State the six components of the chain of infection.
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Infectious agent, reservoir, portal of exit, means of transmission, portal of entry, susceptible host
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54) Who is responsible for laundering nondisposable lab coats?
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Employer
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55) When gloves are removed, what is the next action taken?
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Hand sanitizing
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56) What two activities are paper towels used for when washing the hands?
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Drying the hands and turning off the water
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57) Name three blood-borne pathogens.
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HBV, HCV, and HIV
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58) What document does OSHA require all laboratories to have on file when using hazardous chemicals?
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Chemical hygiene plan
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59) What are the diamond-shaped, color-coded labels placed on chemical cabinets in the urinalysis lab called?
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NFPA symbols
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60) A laboratory worker who is pregnant should avoid areas designated by what hazard symbol?
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Radioactive
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61) Describe the type of shoes that should be worn in the laboratory.
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Comfortable, closed-toe
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62) All of the following are components of normal urine except:
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Amino acids
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63) To determine if a specimen is urine, measure the concentrations of:
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Urea and creatinine
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64) The average daily volume of urine produced by a normal adult is approximately:
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1200 mL
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65) A person exhibiting oliguria would have a urine volume of:
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200 to 500 mL
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66) Which of the following terms is correctly matched with urine output?
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Polyuria: 3000 mL in 24 hours
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67) The polyuria associated with diabetes mellitus is caused by:
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The presence of excess glucose in the urine
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68) Urine from a patient with diabetes insipidus has:
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Increased volume and decreased specific gravity
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69) A patient with polyuria shows a high specific gravity in the urine. The patient should be evaluated for:
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Diabetes mellitus
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70) Persons taking diuretics can be expected to produce:
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Polyuria
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71) A urine specimen may be rejected by the laboratory for all of the following reasons except:
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The container uses a screw-top lid
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72) An unpreserved urine specimen left at room temperature overnight will have decreased:
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Glucose and ketones
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73) Which of the following will be least affected in an unpreserved specimen left at room temperature overnight?
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Protein
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74) Red blood cells will disintegrate more rapidly in urine that is:
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Dilute and alkaline
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75) The primary cause of the changes that take place in unpreserved urine is:
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Bacterial growth
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76) Which of the following urine chemicals will deteriorate when exposed to light?
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Bilirubin
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