Which process is mandatory to practice a profession in a specific state?
A. Certification
B. Accreditation
C. Licensure
D. Registration
Correct Answer: C
Explanation: Licensure is state-granted and legally required.
Which organization provides certification for laboratory professionals?
A. CAP
B. ASCP
C. OSHA
D. CMS
Correct Answer: B
Explanation: ASCP certifies individuals (e.g., MLS).
CLIA ‘88 primarily regulates:
A. Research laboratories
B. All human diagnostic testing
C. Pharmaceutical manufacturing
D. Hospital accreditation
Correct Answer: B
Explanation: CLIA regulates all lab testing on human specimens (except research).
Which agency enforces CLIA regulations?
A. FDA
B. CDC
C. CMS
D. EPA
Correct Answer: C
Explanation: CMS enforces CLIA.
What determines CLIA test complexity?
A. Cost of test
B. Turnaround time
C. 7 criteria scoring system
D. Specimen type
Correct Answer: C
Explanation: Includes knowledge, training, QC, interpretation, etc.
Which test complexity requires the highest personnel qualifications?
A. Waived
B. PPM
C. Moderate
D. High complexity
Correct Answer: D
Explanation: High complexity tests require advanced education/training.
Which standard is known as the “Right-to-Know Law”?
A. CLIA
B. HIPAA
C. Hazard Communication Standard
D. Bloodborne Pathogen Standard
Correct Answer: C
Explanation: Requires informing workers about chemical hazards.
HIPAA regulates:
A. Lab safety
B. Patient privacy
C. Test complexity
D. Infection control
Correct Answer: B
Explanation: Protects patient health information (PHI).
Universal precautions assume:
A. Only known infected patients are infectious
B. All specimens are noninfectious
C. All blood/body fluids are infectious
D. Only airborne pathogens are dangerous
Correct Answer: C
Explanation: Treat all specimens as potentially infectious.
Which is an engineering control?
A. Handwashing
B. PPE
C. Sharps container
D. Training
Correct Answer: C
Explanation: Engineering controls physically remove hazards.
Which specimen is considered infectious?
A. Sweat
B. Tears
C. CSF
D. Urine
Correct Answer: C
Explanation: CSF is always considered infectious.
Which tube must be completely filled for accurate results?
A. EDTA
B. Heparin
C. Citrate
D. Fluoride
Correct Answer: C
Explanation: Requires 9:1 blood-to-anticoagulant ratio.
What happens if citrate tube is underfilled?
A. ↓ clotting time
B. ↑ clotting time
C. No effect
D. Hemolysis
Correct Answer: B
Explanation: Excess anticoagulant falsely prolongs clotting.
Which additive inhibits glycolysis?
A. EDTA
B. Heparin
C. Sodium fluoride
D. Citrate
Correct Answer: C
Explanation: Preserves glucose.
Which tube is used for CBC?
A. Red
B. Green
C. Lavender
D. Gray
Correct Answer: C
Explanation: EDTA preserves cell morphology.
Correct order of draw begins with:
A. EDTA
B. Serum
C. Blood culture
D. Heparin
Correct Answer: C
Explanation: Prevents contamination.
Which contamination causes ↑ potassium?
A. Heparin
B. EDTA
C. Citrate
D. Fluoride
Correct Answer: B
Explanation: EDTA contains potassium.
Tourniquet applied too long causes:
A. Hemodilution
B. Hemoconcentration
C. Hemolysis
D. Coagulation
Correct Answer: B
Explanation: Leads to ↑ proteins, K⁺, lactate.
Fist pumping during venipuncture causes:
A. ↓ potassium
B. ↑ potassium
C. ↓ glucose
D. ↓ calcium
Correct Answer: B
Explanation: Muscle activity releases K⁺.
Drawing above IV line causes:
A. Hemolysis
B. Contamination
C. Dilution
D. Clotting
Correct Answer: C
Explanation: IV fluids dilute specimen.
Hemolysis falsely increases:
A. Sodium
B. Potassium
C. Calcium
D. Chloride
Correct Answer: B
Explanation: RBCs release intracellular K⁺.
Which causes microclots?
A. Overmixing
B. Undermixing
C. Hemolysis
D. Lipemia
Correct Answer: B
Explanation: Inadequate mixing → fibrin clots.
Which specimen requires protection from light?
A. Glucose
B. Bilirubin
C. Sodium
D. Creatinine
Correct Answer: B
Explanation: Light degrades bilirubin.
Which test requires chilling?
A. Bilirubin
B. Ammonia
C. Sodium
D. Hemoglobin
Correct Answer: B
Explanation: Prevents metabolic changes.