Test Bank For Basic & Applied Concepts of Blood Banking
Practices 5th Edition – By Paula Howard
| Verified Chapter's 1 - 16 | Complete
,Table of Contents
Part I: Quality and Safety Issues
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank………
Foundations: Basic Sciences and Reagents
2. Immunology: Basic Principles and Applications in the Blood Bank …………………………………………………
3. Blood Banking Reagents: Overview and Applications……………………………………………………………………
in Blood Banking……………………………………………………………………………………….18 Part III: Overview of t
5. ABO and H Blood Group Systems and Secretor Status…………………………………………………………………
System……………………………………………………………………………………………………26
7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens………………
Essentials of Pretransfusion Testing
8. Antibody Detection and Identification……………………………………………………………………………………34
Testing………………………………………………………………………………………………………38
10. Blood Bank Automation for Transfusion Services…………………………………………………………………
Considerations in Immunohematology
11. Adverse Complications of Transfusions………………………………………………………………………………….46
12. Hemolytic Disease of the Fetus and Newborn………………………………………………………………………
Collecting and Testing
13. Donor Selection and Phlebotomy………………………………………………………………………………………….5
Blood…………………………………………………………………………………………………….60 Part VII: Blood Comp
Transfusion Therapy
15. Blood Component Preparation and Therapy…………………………………………………………………………….63
16. Transfusion Therapy in Selected Patients……………………………………………………………………………….. 66
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood
Basic & Applied Concepts of Blood Banking and Transfusion Practices, 5th Edition
MULTIPLE CHOICE
1. Biosafety levels determine:
a. on what floor certain infectious disease testing can be performed.
b. the degree of risk for certain areas of a health care facility to exposure
to infectious diseases.
c. the amount of ventilation required in a transfusion service.
d. how many biohazardous waste containers a laboratory must have.
ANS: B
OSHA defines biosafety levels based on potential exposure to infectious material.
DIF: Level 1
2. A laboratory technologist decided she would like to bring her lab coat home for laundering because it
it was returned by the laboratory’s laundry service. Is this practice acceptable?
a. Yes, if she uses 10% bleach
b. Yes, if she clears it with her supervisor
c. Yes, as long as she removes the coat and does not wear it home
d. No, because the laboratory is a biosafety level 2, and lab coats may not
be removed
ANS: D
Methods of transporting the lab coat and the risk of contamination do not permit health care workers
cleaning.
DIF: Level 2
3. Personal protective equipment includes:
a. safety glasses.
b. splash barriers.
c. masks.
d. All of the above
ANS: D
Safety glasses, splash barriers, and masks are types of personal protective devices.
DIF: Level 1
4. At what point in the employment process should safety training take place?
a. During orientation and training
b. Following lab training when employees are more familiar with their
responsibilities
c. Following the employees’ first evaluation
d. Before independent work is permitted and annually thereafter
ANS: D
The Occupation Safety and Health Administration requires safety training before independent work is
thereafter.
DIF: Level 1
, 7. Which t of t the t following t is t true t regarding t good t manufacturing t practices t (GMPs)?
a. GMPs t are t legal t requirements t established t by t the t Food t and t Drug t Administration.
b. GMPs t are t optional t guidelines t written t by t the t AABB.
c. GMPs t are t required t only t by t pharmaceutical t companies.
d. GMPs t are t part t of t the t quality t control t requirements t for t blood t products.
ANS: t A
Good t manufacturing t practices t are t requirements t established t by t the t Food t and t Drug t Administra
DIF: Level t 1
8. Which t of t the t following t is t an t example t of t an t unacceptable t record-keeping t procedure?
a. Using t dittos t in t columns t to t save t time
b. Recording t the t date t and t initials t next t to t a t correction
c. Not t deleting t the t original t entry t when t making t a t correction
d. Always t using t permanent t ink t on t all t records
ANS: t A
All t records t must t be t clearly t written. t Dittos t are t unacceptable.
DIF: Level t 1
9. A t technologist t in t training t noticed t that t the t person t training t her t had t not t recorded t the t results
helpful, t she t carefully t recorded t the t results t she t saw t at t a t later t time, t using t the t technologist
acceptable t procedure?
a. Yes; t all t results t must t be t recorded t regardless t of t who t did t the t test.
b. No; t she t should t have t brought t the t error t to t the t technologist’s t attention.
c. Yes; t because t she t used t the t other t technologist’s t initials.
d. Yes; t as t long t as t she t records t the t result t in t pencil.
ANS: t B
This t is t an t example t of t poor t record t keeping; t results t must t be t recorded t when t the t test t is t perfo
t doing t the t test.
DIF: Level t 3
10. Unacceptable t quality t control t results t for t the t antiglobulin t test t performed t in t test t tubes t may t be
a. preventive t maintenance t has t not t been t performed t on t the t cell t washer.
b. the t technologist t performing t the t test t was t never t trained.
c. the t reagents t used t were t improperly t stored.
d. All t of t the t above
ANS: t D
Training, t equipment t maintenance, t and t reagent t quality t can t affect t quality t control.
DIF: Level t 2
11. All t of t the t following t are t true t regarding t competency t testing t except:
a. it t must t be t performed t following t training.
b. it t must t be t performed t on t an t annual t basis.
c. it t is t required t only t if t the t technologist t has t no t experience.
d. retraining t is t required t if t there t is t a t failure t in t competency t testing.
ANS: t C
All t employees t must t have t competency t testing t following t training t and t annually t thereafter. t If t th
competency t testing, t retraining t is t required.
DIF: Level t 2
Practices 5th Edition – By Paula Howard
| Verified Chapter's 1 - 16 | Complete
,Table of Contents
Part I: Quality and Safety Issues
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank………
Foundations: Basic Sciences and Reagents
2. Immunology: Basic Principles and Applications in the Blood Bank …………………………………………………
3. Blood Banking Reagents: Overview and Applications……………………………………………………………………
in Blood Banking……………………………………………………………………………………….18 Part III: Overview of t
5. ABO and H Blood Group Systems and Secretor Status…………………………………………………………………
System……………………………………………………………………………………………………26
7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens………………
Essentials of Pretransfusion Testing
8. Antibody Detection and Identification……………………………………………………………………………………34
Testing………………………………………………………………………………………………………38
10. Blood Bank Automation for Transfusion Services…………………………………………………………………
Considerations in Immunohematology
11. Adverse Complications of Transfusions………………………………………………………………………………….46
12. Hemolytic Disease of the Fetus and Newborn………………………………………………………………………
Collecting and Testing
13. Donor Selection and Phlebotomy………………………………………………………………………………………….5
Blood…………………………………………………………………………………………………….60 Part VII: Blood Comp
Transfusion Therapy
15. Blood Component Preparation and Therapy…………………………………………………………………………….63
16. Transfusion Therapy in Selected Patients……………………………………………………………………………….. 66
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood
Basic & Applied Concepts of Blood Banking and Transfusion Practices, 5th Edition
MULTIPLE CHOICE
1. Biosafety levels determine:
a. on what floor certain infectious disease testing can be performed.
b. the degree of risk for certain areas of a health care facility to exposure
to infectious diseases.
c. the amount of ventilation required in a transfusion service.
d. how many biohazardous waste containers a laboratory must have.
ANS: B
OSHA defines biosafety levels based on potential exposure to infectious material.
DIF: Level 1
2. A laboratory technologist decided she would like to bring her lab coat home for laundering because it
it was returned by the laboratory’s laundry service. Is this practice acceptable?
a. Yes, if she uses 10% bleach
b. Yes, if she clears it with her supervisor
c. Yes, as long as she removes the coat and does not wear it home
d. No, because the laboratory is a biosafety level 2, and lab coats may not
be removed
ANS: D
Methods of transporting the lab coat and the risk of contamination do not permit health care workers
cleaning.
DIF: Level 2
3. Personal protective equipment includes:
a. safety glasses.
b. splash barriers.
c. masks.
d. All of the above
ANS: D
Safety glasses, splash barriers, and masks are types of personal protective devices.
DIF: Level 1
4. At what point in the employment process should safety training take place?
a. During orientation and training
b. Following lab training when employees are more familiar with their
responsibilities
c. Following the employees’ first evaluation
d. Before independent work is permitted and annually thereafter
ANS: D
The Occupation Safety and Health Administration requires safety training before independent work is
thereafter.
DIF: Level 1
, 7. Which t of t the t following t is t true t regarding t good t manufacturing t practices t (GMPs)?
a. GMPs t are t legal t requirements t established t by t the t Food t and t Drug t Administration.
b. GMPs t are t optional t guidelines t written t by t the t AABB.
c. GMPs t are t required t only t by t pharmaceutical t companies.
d. GMPs t are t part t of t the t quality t control t requirements t for t blood t products.
ANS: t A
Good t manufacturing t practices t are t requirements t established t by t the t Food t and t Drug t Administra
DIF: Level t 1
8. Which t of t the t following t is t an t example t of t an t unacceptable t record-keeping t procedure?
a. Using t dittos t in t columns t to t save t time
b. Recording t the t date t and t initials t next t to t a t correction
c. Not t deleting t the t original t entry t when t making t a t correction
d. Always t using t permanent t ink t on t all t records
ANS: t A
All t records t must t be t clearly t written. t Dittos t are t unacceptable.
DIF: Level t 1
9. A t technologist t in t training t noticed t that t the t person t training t her t had t not t recorded t the t results
helpful, t she t carefully t recorded t the t results t she t saw t at t a t later t time, t using t the t technologist
acceptable t procedure?
a. Yes; t all t results t must t be t recorded t regardless t of t who t did t the t test.
b. No; t she t should t have t brought t the t error t to t the t technologist’s t attention.
c. Yes; t because t she t used t the t other t technologist’s t initials.
d. Yes; t as t long t as t she t records t the t result t in t pencil.
ANS: t B
This t is t an t example t of t poor t record t keeping; t results t must t be t recorded t when t the t test t is t perfo
t doing t the t test.
DIF: Level t 3
10. Unacceptable t quality t control t results t for t the t antiglobulin t test t performed t in t test t tubes t may t be
a. preventive t maintenance t has t not t been t performed t on t the t cell t washer.
b. the t technologist t performing t the t test t was t never t trained.
c. the t reagents t used t were t improperly t stored.
d. All t of t the t above
ANS: t D
Training, t equipment t maintenance, t and t reagent t quality t can t affect t quality t control.
DIF: Level t 2
11. All t of t the t following t are t true t regarding t competency t testing t except:
a. it t must t be t performed t following t training.
b. it t must t be t performed t on t an t annual t basis.
c. it t is t required t only t if t the t technologist t has t no t experience.
d. retraining t is t required t if t there t is t a t failure t in t competency t testing.
ANS: t C
All t employees t must t have t competency t testing t following t training t and t annually t thereafter. t If t th
competency t testing, t retraining t is t required.
DIF: Level t 2
