CLIA Safety & Risk Management in Clinical Labs 2

Question 1

Under OSHA's Bloodborne Pathogen Standard, which of the following is required when engineering controls alone cannot eliminate exposure risk?

Accepted Answer

Use appropriate personal protective equipment (PPE)

Answer

Terminate the task immediately

Answer

File an incident report before proceeding

Answer

Obtain supervisor approval before continuing

Question 2

A clinical laboratory receives a chemical shipment without a Safety Data Sheet (SDS). What is the MOST appropriate immediate action?

Accepted Answer

Return the shipment and request an SDS before use

Answer

Use the chemical with extra caution until the SDS arrives

Answer

Download a generic SDS from the internet as a substitute

Answer

Treat the chemical as non-hazardous until classified

Question 3

Which CLIA requirement specifically addresses the prevention of specimen mix-ups in the pre-analytical phase?

Accepted Answer

Patient specimen identification and integrity requirements

Answer

Daily calibration verification

Answer

Proficiency testing enrollment

Answer

Personnel competency assessment schedules

Question 4

In a clinical lab, an autoclave used for decontamination of biohazardous waste must be tested for efficacy using:

Accepted Answer

Biological indicators containing Geobacillus stearothermophilus spores

Answer

Chemical indicator strips placed inside every load

Answer

Temperature-sensitive tape on the exterior of bags

Answer

A monthly visual inspection of the chamber

Question 5

A laboratory technician accidentally ingests a small amount of an unknown chemical. After calling Poison Control, which document should be consulted for additional medical information to provide to emergency responders?

Accepted Answer

The chemical's Safety Data Sheet (SDS), Section 4

Answer

The laboratory's quality manual

Answer

The personnel competency file

Answer

The CLIA certificate of compliance

Question 6

Which of the following best describes a 'near miss' in the context of laboratory risk management?

Accepted Answer

An unplanned event that did not result in harm but had the potential to do so

Answer

An error that reached the patient and caused harm

Answer

A proficiency testing failure reported to CMS

Answer

A calibration drift detected during daily QC

Question 7

When a laboratory employee is exposed to a bloodborne pathogen via needlestick, which timeline applies for the initial HIV post-exposure prophylaxis (PEP) to be most effective?

Accepted Answer

Within 72 hours of exposure

Answer

Within 1 week of exposure

Answer

Within 24 hours of exposure only

Answer

PEP is equally effective regardless of time