Free Practice Quiz Question List

5 Specimen Acceptance and Rejection Online Quiz Questions

Use this free practice quiz with 20 questions to review 5 Specimen Acceptance and Rejection, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

A specimen meets the requirements for one requested test but may not meet the requirements for another. Should the laboratory assess it separately against the criteria for each test?

A
True
B
False

Choose one

1 point

A blood tube arrives underfilled for a test that requires a specific blood-to-additive ratio. What is the appropriate next step?

A
Report the result because the tube arrived at the laboratory.
B
Check the test-specific criteria; if the specimen is unacceptable, document the reason, contact the submitting service, and request recollection.
C
Adjust the result to account for the low specimen volume.
D
Accept the specimen if the submitting service confirms that it was collected correctly.

Fill in the blank

1 point

A specimen arrives after the maximum time allowed for the requested test. The laboratory should assess whether it is outside the test's .

Written response

1 point

What kind of written criteria should a laboratory use to determine whether a specimen is suitable for a requested test?

Choose all

1 point

A laboratory is reviewing a specimen before testing. Which checks are part of assessing its acceptability? Select all that apply.

A
Whether the container has the required identifiers and agrees with the order.
B
Whether the specimen type, collection device, additive, or container is appropriate for the test.
C
Whether the quantity and condition meet the test requirements.
D
Whether transport and storage met the required timing and conditions.
E
Whether the requested test and other required information are clear and present.
F
Whether the specimen was collected by the most experienced staff member.

Choose one

1 point

A difficult-to-recollect specimen has a defect that may affect testing. Which approach is appropriate?

A
Proceed with testing because recollection is difficult.
B
Ask the submitting service to correct the label informally and then test.
C
Use an approved exception process in which a qualified person assesses the risk under laboratory policy.
D
Accept the specimen automatically if it is cerebrospinal fluid.

True or false

1 point

A submitting service calls with a corrected patient name for a specimen whose label does not match the order. The laboratory may change the label informally and proceed with testing. Is this statement true or false?

A
True
B
False

Written response

1 point

What procedure should laboratory staff follow for a specimen identification discrepancy instead of guessing or informally changing the label?

Fill in the blank

1 point

When documenting a specimen accepted by exception, record the decision and, when applicable, its .

Choose all

1 point

A specimen is placed on hold. Which details should be included in the approved record? Select all that apply.

A
The specimen and test involved.
B
The specific reason for the rejection, hold, or exception.
C
The decision and its authorizer, when applicable.
D
The time of the action.
E
Whom the laboratory contacted, the instructions given, and the submitting service's response.
F
Any recollection request or agreed next step.
G
Only the patient's name, without recording the decision.

Choose one

1 point

A specimen cannot be processed as submitted. Which notification gives the submitting service the information it needs to respond?

A
Tell the service only that testing is delayed, without identifying the affected test or reason.
B
Identify the affected specimen or test, explain why it cannot be processed as submitted, and state whether recollection or corrected information is needed.
C
Wait until the next routine communication, even if the specimen is time-sensitive.
D
Send the specimen back without contacting the submitting service.

Open ended

1 point

A cerebrospinal fluid specimen is difficult to recollect, but its patient identifiers do not match the order. Explain how the laboratory should handle the discrepancy, including when an exception may be considered and what to do if identity cannot be established.

Choose one

1 point

A specimen arrives with an incomplete or unclear order. What should laboratory staff do?

A
Test the specimen and infer the missing order information from the specimen itself.
B
Follow the applicable test-specific procedure to determine the next action; do not assume missing information.
C
Reject every specimen with any incomplete order, regardless of laboratory policy.
D
Change the order to the most commonly requested test.

Choose one

1 point

A properly identified specimen is hemolyzed, but the requested tests may differ in their susceptibility to hemolysis. How should the laboratory decide whether to proceed?

A
Reject the specimen for every test because any hemolysis makes a specimen unusable.
B
Apply the acceptance criteria separately to each requested test.
C
Accept the specimen for every test if its label matches the order.
D
Choose which tests to perform based only on the specimen quantity.

True or false

1 point

If a specimen defect requires rejection for one requested test, the laboratory must automatically reject the same specimen for every other requested test.

A
True
B
False

Choose one

1 point

A specimen label does not match the order. Which response best follows safe specimen-identification practice?

A
Correct the label based on the most likely patient identity.
B
Ask the submitting service for an informal confirmation and change the label.
C
Follow the authorized identification-correction or exception procedure.
D
Proceed with testing if the specimen type and quantity are suitable.

Written response

1 point

A laboratory is deciding whether a specimen is suitable for a requested examination. What kind of criteria should guide that decision? Enter the exact two-word criterion category.

Choose one

1 point

A blood tube arrives underfilled for a test that requires a specific blood-to-additive ratio. What is the best next step?

A
Check the test-specific acceptance criteria and, if the specimen is unacceptable, document the reason, contact the submitting service, and request recollection.
B
Test the specimen and report the result without further action.
C
Add material to the tube until it reaches the expected level.
D
Reject the specimen automatically without checking the test requirements.

Written response

1 point

If a specimen's identity cannot be established under the authorized procedure, what follow-up should be requested when possible? Enter the requested action.

Choose one

1 point

A laboratory rejects a specimen. Which documentation entry best captures the decision and follow-up?

A
Record only that the specimen was rejected.
B
Record the specimen and reason, but omit whom the laboratory contacted and what happens next.
C
Record the submitting service’s response, but omit the decision and its authorizer when applicable.
D
Record the specimen and test, reason, decision and authorizer when applicable, time, whom the laboratory contacted, instructions given, the submitting service’s response, and any recollection request or agreed next step.