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TEST BANK FOR MODERN BLOOD BANKING & TRANSFUSION PRACTICES 6TH EDITION UPDATE BY DENISE M. HARMENING.pdf

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Test Bank for Modern Blood Banking & Transfusion Practices, 6th Edition by Denise M. Harmening – Latest Updated Edition Your Essential Study Tool for Mastering Blood Banking and Transfusion Science! The Test Bank for Modern Blood Banking & Transfusion Practices, 6th Edition by Denise M. Harmening is an invaluable resource for students, professionals, and anyone seeking to master the critical concepts in blood banking and transfusion science. This test bank is specifically designed to help you understand the foundational and advanced concepts of blood banking, while preparing you for exams, certification, and clinical practice in transfusion medicine. With updated content based on the latest research and clinical practices, this test bank is your key to mastering the critical topics that define blood banking and transfusion practices. Whether you're studying for a certification exam, enhancing your clinical knowledge, or preparing for practical applications, this test bank will provide the comprehensive practice questions you need to succeed. Why You Need This Test Bank: 1. Comprehensive Coverage of Blood Banking and Transfusion Practices This test bank covers all the essential topics in modern blood banking and transfusion practices, including: Blood Donor Selection: Understanding the processes of blood collection, donor eligibility, and donor screening. Blood Group Systems: Mastering the classification and identification of blood groups, including ABO, Rh, and rare blood group systems. Antibody Detection and Identification: Learning techniques for identifying blood group antibodies and their significance in transfusion practices. Blood Component Therapy: Understanding the preparation, storage, and clinical use of blood components (red blood cells, plasma, platelets, cryoprecipitate). Transfusion Reactions: Identifying and managing transfusion-related complications, including hemolytic reactions, allergic reactions, and transfusion-associated infections. Crossmatching and Compatibility Testing: Gaining expertise in blood crossmatching techniques and compatibility testing for safe transfusions. Emerging Trends in Transfusion Medicine: The latest developments in blood transfusion safety, transfusion medicine technology, and clinical practices. The test bank ensures that all these crucial areas of knowledge are covered with a focus on practical application, allowing you to succeed in both academic and clinical settings. 2. NCLEX®-Style and Exam-Ready Questions Designed to help you prepare for certification exams and licensing exams like the NCLEX® or the Blood Bank Certification Exam, the test bank includes a variety of NCLEX®-style questions and clinical scenarios that reflect the format and rigor of real-world exams. Sample NCLEX®-Style Question: A nurse is preparing to administer a blood transfusion to a patient. Which of the following actions is most critical before starting the transfusion? A) Assessing the patient’s vital signs B) Checking the patient’s blood type and matching it with the donor’s blood type C) Informing the patient of the potential risks of transfusion D) Administering a pre-medication to prevent reactions Answer: B) Checking the patient’s blood type and matching it with the donor’s blood type Rationale: The most critical action before administering a blood transfusion is ensuring that the donor's and recipient's blood types are compatible to prevent hemolytic reactions. This is typically done via a crossmatch. 3. Real-World Clinical Scenarios This test bank includes realistic clinical scenarios that allow you to apply blood banking and transfusion knowledge to practical situations. These scenarios are designed to reflect the kind of decisions and critical thinking required in the clinical setting. Sample Clinical Scenario: A patient has received a transfusion of red blood cells and begins to show signs of a hemolytic reaction (fever, chills, and back pain). Which of the following actions should the nurse take immediately? A) Administer an antihistamine to treat the reaction B) Stop the transfusion and notify the physician C) Continue the transfusion and monitor the patient D) Initiate fluid resuscitation and prepare for surgery Answer: B) Stop the transfusion and notify the physician Rationale: A hemolytic reaction is a serious transfusion complication that requires immediate action. The transfusion should be stopped, and the physician should be notified so that appropriate interventions can be implemented, including managing the patient’s symptoms and identifying the cause of the reaction. 4. Detailed Rationales and Explanations Each question in the test bank is followed by a detailed rationale explaining the correct answer and offering insight into the underlying principles behind each concept. These rationales help reinforce your understanding of transfusion medicine and allow you to learn from both correct and incorrect answers. Example Rationale: Question: What is the primary purpose of blood typing and crossmatching before a blood transfusion? A) To prevent transfusion-associated lung injury (TRALI) B) To ensure compatibility and prevent immune reactions C) To determine the hemoglobin level of the patient D) To assess the need for platelet transfusion Answer: B) To ensure compatibility and prevent immune reactions Rationale: Blood typing and crossmatching are essential for ensuring that the donor's blood is compatible with the recipient’s blood type. Incompatibility can result in immune reactions, such as hemolytic transfusion reactions, which can be life-threatening. 5. Content Aligned with Latest Blood Banking Practices This test bank is updated to reflect the latest trends and best practices in blood banking and transfusion medicine. You’ll find information on cutting-edge technologies, new diagnostic techniques, and emerging trends in transfusion safety. Key Updates Include: New Blood Group Systems: Information on newly discovered antigens and blood group systems beyond ABO and Rh. Cellular Therapy and Stem Cell Transplants: The latest information on blood component therapies, including cellular therapy, stem cell transplants, and the use of donor stem cells in transfusion medicine. Transfusion-Related Acute Lung Injury (TRALI): Understanding the prevention, diagnosis, and management of TRALI, a serious complication of transfusion. Advanced Crossmatching Technology: The role of molecular techniques in improving blood compatibility testing. 6. Ideal for Exam and Certification Preparation This test bank is an excellent resource for preparing for a variety of exams, including: Blood Bank Certification Exams: Essential for those seeking to become certified in blood banking (e.g., by the American Society for Clinical Pathology, ASCP). Clinical Practice: A perfect companion for clinical practice, providing a comprehensive review of the skills and knowledge needed to perform in the field. Nursing and Medical Exams: Helpful for nursing, medical, and laboratory science students preparing for exams that include transfusion medicine and blood banking concepts. Why Choose This Test Bank? Comprehensive Coverage: All aspects of blood banking, from donor selection to blood component therapy, transfusion reactions, and safety protocols. NCLEX®-Style Questions: Multiple-choice, fill-in-the-blank, and clinical scenario questions to help you prepare for exams. Real-World Application: Clinical scenarios that allow you to practice critical thinking and decision-making in blood transfusion situations. Detailed Rationales: Learn not just the right answers, but also why certain choices are correct or incorrect. Up-to-Date Content: Latest advancements in transfusion science, including new diagnostic methods and safety practices. Perfect for All Learning Levels: Ideal for students in blood banking, nursing, medical, and clinical laboratory programs, as well as professionals seeking to refresh their knowledge. Master Blood Banking and Transfusion Science Today! The Test Bank for Modern Blood Banking & Transfusion Practices, 6th Edition by Denise M. Harmening is a must-have study tool for anyone looking to succeed in blood banking and transfusion medicine. With its comprehensive questions, real-world scenarios, and up-to-date content, it will provide you with the knowledge and confidence you need for exams, certification, and clinical practice. Get your copy now and start mastering blood banking and transfusion practices for academic and professional success!

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Institution
Nursing Pharmacology
Course
Nursing pharmacology

Content preview

TEST BANK FOR
MODERN BLOOD
BANKING &
TRANSFUSION
PRACTICES 6TH
EDITION DENISE M.
HARMENING

,TEST BANK FOR MODERN BLOOD BANKING
& TRANSFUSION PRACTICES
6TH EDITION
DENISE M. HARMENING

, Chapter 1 RBCs and Platelet Preservation: Historical Perspectives and Current Trends

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. Which metabolic pathway is responsible for generating 90% of the ATP for the RBC?
a. Pentose phosphate shunt c. Glycolysis
b. Luebering-Rapoport shunt d. Methemoglobin reductase

____ 2. A unit of blood was returned to the blood bank before it was spiked. Apparently the patient’s IV failed. The
unit of blood was outside the blood bank for 35 minutes. Which of the statements below is most accurate?
a. The unit of blood should be discarded immediately.
b. The unit of blood can be returned to inventory.
c. The unit of blood must be transfused within 4 hours or be discarded at the end of that time.
d. The unit of blood must be transfused with 24 hours.

____ 3. What is the average diameter of a platelet?




m
er as
a. 5 to 10 µm c. 1 to 2 µm
b. 2 to 4 µm d. 4 to 6 µm




co
eH w
____ 4. In the normal hemoglobin-oxygen dissociation curve, what percentage of oxygen is released to the tissues




o.
when PO2 averages 40 mm Hg?
a. 75%
rs e c. 100%
ou urc
b. 25% d. 50%

____ 5. What factors are known to influence platelet metabolism and function?
a. Storage temperature c. Platelet count
o

b. Initial pH d. All of the above
aC s
vi y re


____ 6. Which of the following red blood cell morphologies may be present on the peripheral blood smear as a result
of loss of RBC membrane?
a. Spherocytes c. Burr cells
b. Target cells d. Schistocytes
ed d




____ 7. What does the term autologous transfusion refer to?
ar stu




a. A parent donating blood for his or her child
b. An individual donating blood for a friend
c. An individual donating blood for a relative
is




d. An individual donating blood for his or her own transfusion
Th




____ 8. What is the primary function of hemoglobin?
a. Iron metabolism c. Oxygen transport
b. Porphyrin synthesis d. Signal transduction
sh




____ 9. All of the following areas of red blood cell biology are crucial for normal erythrocyte survival except:
a. Cellular metabolism. c. Site of the ABO antigen attachment.
b. RBC membrane. d. Hemoglobin structure.




This study source was downloaded by 100000826342158 from CourseHero.com on 09-15-2021 17:54:15 GMT -05:00


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, ____ 10. What is the correct biochemical composition of the RBC membrane?
a. 52% protein, 40% lipid, 8% carbohydrate
b. 40% protein, 8% lipid, 52% carbohydrate
c. 8% protein, 52% lipid, 40% carbohydrate
d. 8% lipid, 40% carbohydrate, 52% protein

____ 11. All of the following biochemical changes are associated with loss of red blood cell viability upon storage
except:
a. Decreased pH. c. Increased ATP level.
b. Loss of red blood cell function. d. Decreased glucose consumption.

____ 12. Which red blood cell preservative has a storage time of 35 days?
a. ACD c. AS-1
b. CPDA-1 d. CPD

____ 13. The RBC membrane is relatively permeable to all of the following except:




m
er as
a. Chloride. c. Bicarbonate.
b. Sodium. d. Water.




co
eH w
____ 14. What percentage of platelets is sequestered in the spleen as functional reserve after being released from the




o.
bone marrow?
a. 30%
rs e c. 10%
ou urc
b. 50% d. 25%

____ 15. What is the major biochemical consideration in platelet storage?
a. Glucose metabolism c. Production of carbon dioxide
o

b. Oxygen supply d. Regulation of pH
aC s


____ 16. What would the hemoglobin-oxygen dissociation curve depict in a patient exhibiting clinical signs of
vi y re



alkalosis?
a. Normal c. Shift to the right
b. Shift to the left d. None of the above
ed d




____ 17. Name the main lipid components of a red blood cell membrane.
ar stu




a. Phospholipid c. Glycolipid
b. Sphingomyelin d. Glycophorin A

____ 18. The ABO blood groups were discovered in 1901 by whom?
is




a. Charles Drew c. Loutit and Mollison
Th




b. Karl Landsteiner d. Edward Lindeman

____ 19. A standing order of platelets was shipped to your facility by your supplier. It was inadvertently left in the
corner of the department until discovered 36 hours later. What would the appropriate action be for the blood
sh




banker?
a. If the temperature in the box was 22 +/- 2°C and the platelet swirl seemed OK, it would be
OK to accept the unit into inventory.
b. The platelets have fallen outside the supplier’s quality assurance. The unit should be
discarded because the pH has probably dropped too low and platelet activation has been
compromised.
c. If the temperature was 1°C to 6°C and the platelet swirl seemed OK, it would be OK to


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Institution
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Course
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