Test Bank For Basic & Applied Concepts of Blood Banking
Practices 6th Edition – By Paula Howard
| Verified Chapter's 1 - 16 | Complete
,Table of Contents II! II!
Part I:Qualityand Safety Issues II! I! I! I! II!
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank…… I! I! I! I! I! II! I! I! I! I! I! I! I!
I I ! Part II: Foundations: BasicSciencesand Reagents
I! I! I! I! I! I!
2. Immunology:BasicPrinciplesandApplicationsintheBloodBank ………………………………… I! I! I! I! I! I! I! I! I!
3. Blood Banking Reagents: Overview and Applications……………………………………………… I! I! I! I! I!
I I ! 4.GeneticPrinciplesinBloodBanking…………………………………………………………………
I! I! I! I! I!
I I ! Part III:Overview of the Major BloodGroups
II! I! II! I! II! II! I!
5. ABO and H Blood Group Systems and Secretor Status……………………………………………
I! I! I! I! I! I! I! I! I!
I I ! 6. Rh
I! Blood
I!
System……………………………………………………………………………………………………
I!
7. OtherRedCellBloodGroupSystems,HumanLeukocyteAntigens, andPlateletAntigens………… I! I! I! I! I! I! I! I! I! I! I!
I I ! PartIV: Essentials of PretransfusionTesting
I! I! II! I! I!
8. Antibody II! II! I I ! Detection II! II! I I ! and II! II!
I I ! Identification……………………………………………………………………………………34 I I ! 9. II! II! II! II! I I ! C
II! Testing………………………………………………………………………………………………………38
10. Blood Bank Automation for Transfusion Services………………………………………………… I! I! I! I! I!
I I ! Part V: ClinicalConsiderationsinImmunohematology
I! I! I! I! I!
11. AdverseComplicationsof Transfusions…………………………………………………………… I! I! I!
12. Hemolytic Disease of the Fetus and Newborn……………………………………………………… I! I! I! I! I! I!
I I ! Part VI: Blood Collectingand Testing I! I! I! I! I!
13. Donor Selection and Phlebotomy……………………………………………………………………
I! I! I! I!
I I ! 14.TestingofDonorBlood………………………………………………………………………………
I! I! I! I!
I I ! PartVII:Blood ComponentPreparationandTransfusionTherapy
I! I! I! I! I! I! I!
15. BloodComponentPreparationandTherapy……………………………………………………… I! I! I! I!
16. TransfusionTherapyinSelectedPatients………………………………………………………… I! I! I! I!
,Chapter 01: QualityAssurance andRegulationof the BloodIndustryandSafety Issuesinthe Blood
II! II! I! II! I! I! I! II! I! I! I! II! I! I! II!
Basic& AppliedConcepts of BloodBanking andTransfusionPractices, 6thEdition
I! I! II! I! II! I! I! II! I! I! II! I!
MULTIPLE CHOICE II!
1. Biosafety levels determine: II! II!
a. on what floor certain infectious disease testing can be performed. II! II! II! II! II! II! II! II! II!
b. the degree ofrisk for certain areas ofa health care facilityto exposure to II! II! I! II! II! II! II! I! II! II! II! I! II! II!
I infectious diseases.
I ! II!
c. the amount ofventilation required in a transfusion service.
II! II! I! II! II! II! II! II!
d. how many biohazardous waste containers a laboratory must have.
II! II! II! II! II! II! II! II!
ANS: B I I !
OSHA defines biosafety levels based on potential exposure to infectious material.
II! II! II! II! II! II! II! II! II! II!
DIF: Level 1 II!
2. A laboratorytechnologist decided she would like to bring her lab coat home for laundering because
II! I! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
it was returned bythe laboratory’s laundry service. Is this practice acceptable?
II! II! II! I! II! II! II! II! II! II! II!
a. Yes, if she uses 10% bleach II! II! II! II! II!
b. Yes, if she clears it with her supervisor II! II! II! II! II! II! II!
c. Yes, as long as she removes the coat and does not wear it home II! II! II! II! II! II! II! II! II! II! II! II! II!
d. No, because the laboratory is a biosafety level2, and lab coats may not be II! II! II! II! II! II! II! I! II! II! II! II! II! II!
removed I I !
ANS: D I I !
Methods oftransporting the lab coat and the risk ofcontamination do not permit health care workers t
II! I! II! II! II! II! II! II! II! I! II! II! II! II! II! II! II!
Icleaning.
I !
DIF: Level 2 II!
3. Personal protective equipment includes: I! II! II!
a. safetyglasses. I!
b. splash barriers. II!
c. masks.
d. Allof the above I! I! II!
ANS: D I I !
Safetyglasses, splash barriers, and masks are types ofpersonalprotective devices.
I! II! II! II! II! II! II! II! I! I! II!
DIF: Level 1 II!
4. At what point in the employment process should safetytraining take place?
II! II! II! II! II! II! II! II! I! II! II!
a. During orientation and training II! II! II!
b. Following lab training when employees are more familiar with their II! II! II! II! II! I I! II! II! II!
Iresponsibilities
I !
c. Following the employees’ first evaluation II! II! II! II!
d. Before independent work is permitted and annuallythereafter II! II! II! II! II! II! I!
ANS: D I I !
The Occupation Safetyand Health Administration requires safetytraining before independent work is p
II! II! I! II! II! II! II! I! II! II! II! II! II!
I thereafter.
I !
DIF: Level 1 II!
5. In safetytraining, employees must become familiar with all ofthe following except:
II! I! II! II! II! II! II! II! II! I! II! II!
a. tasks that have an infectious risk. II! II! II! II! II!
b. limits ofprotective clothing and equipment. II! I! II! II! II!
, 7. Which ofthe following is true regarding good manufacturing practices (GMPs)?
II! I! II! II! II! II! II! II! II! II!
a. GMPs are legalrequirements established by the Food and Drug Administration. II! II! I! II! II! II! II! II! II! II!
b. GMPs are optionalguidelines written by the AABB. II! II! I! II! II! II! II!
c. GMPs are required only by pharmaceutical companies. II! II! II! II! II! II!
d. GMPs are part ofthe qualitycontrol requirements for blood products. II! II! II! I! II! I! I! II! II! II!
ANS: A I I !
Good manufacturing practices are requirements established by the Food and Drug Administration.
II! II! II! II! II! II! II! II! II! II! II!
DIF: Level 1 II!
8. Which ofthe following is an example ofan unacceptable record-keeping procedure?
II! I! II! II! II! II! II! I! II! II! II!
a. Using dittos in columns to save time II! II! II! II! II! II!
b. Recording the date and initials next to a correction II! II! II! II! II! II! II! II!
c. Not deleting the original entrywhen making a correction
II! II! II! II! I! II! II! II!
d. Always using permanent ink on all records II! II! II! II! II! II!
ANS: A I I !
Allrecords must be clearly written. Dittos are unacceptable.
I! II! II! II! II! II! II! II!
DIF: Level 1 II!
9. A technologist in training noticed that the person training her had not recordedthe results of a test. To
II! II ! II! II! II! II! II! II! II! II! II! II! I! II! II! II! II! II! II
I I ! recordedthe results she saw at a later time, using the technologist’s initials. Is this an acceptable pr
I! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Yes; allresults must be recorded regardless ofwho did the test.
II! I! II! II! II! II! II! I! II! II! II!
b. No; she should have brought the errorto the technologist’s attention.
II! II! II! II! II! II! I! II! II! II!
c. Yes; because she used the other technologist’s initials.
II! II! II! II! II! II! II!
d. Yes; as long as she records the result in pencil.
II! II! II! II! II! II! II! II! II!
ANS: B I I !
This is an example of poor record keeping; results must be recorded when the test is performed and by
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
DIF: Level 3 II!
10. Unacceptable quality controlresults for the antiglobulin test performed in test tubes may be noticed if II! II! I! II! II! II! II! II! II! II! II! II! II! II! II!
a. preventive maintenance has not been performed onthe cell washer. II! II! II! II! II! II! I! II! II!
b. the technologist performing the test was never trained.
II! II! II! II! II! II! II!
c. the reagents used were improperlystored. II! II! II! II! I!
d. Allof the above I! I! II!
ANS: D I I !
Training, equipment maintenance, and reagent qualitycan affect quality control.
II! II! II! II! II! I! II! II! II!
DIF: Level 2 II!
11. Allof the following are true regarding competency testing except:
I! I! II! II! II! II! II! II! II!
a. it must be performed following training.
II! II! II! II! II!
b. it must be performed on an annual basis.
II! II! II! II! II! II! II!
c. it is required only ifthe technologist has no experience.
II! II! II! II! I! II! II! II! II!
d. retraining is required if there is a failure in competency testing. II! II! II! II! II! II! II! II! II! II!
ANS: C I I !
All employees must have competencytesting following training and annually thereafter. Ifthere is a fa
II! II! II! II! I! II! II! II! II! II! II! I! II! II! II!
I retraining is required.
I ! II! II!
DIF: Level 2 II!
12. Which ofthe following organizations are involved in the regulation ofblood banks?
II! I! II! II! II! II! II! II! II! II! I! II!
a. The Joint Commission II! II!
b. AABB
c. College ofAmerican Pathologists II! I! II!
Practices 6th Edition – By Paula Howard
| Verified Chapter's 1 - 16 | Complete
,Table of Contents II! II!
Part I:Qualityand Safety Issues II! I! I! I! II!
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank…… I! I! I! I! I! II! I! I! I! I! I! I! I!
I I ! Part II: Foundations: BasicSciencesand Reagents
I! I! I! I! I! I!
2. Immunology:BasicPrinciplesandApplicationsintheBloodBank ………………………………… I! I! I! I! I! I! I! I! I!
3. Blood Banking Reagents: Overview and Applications……………………………………………… I! I! I! I! I!
I I ! 4.GeneticPrinciplesinBloodBanking…………………………………………………………………
I! I! I! I! I!
I I ! Part III:Overview of the Major BloodGroups
II! I! II! I! II! II! I!
5. ABO and H Blood Group Systems and Secretor Status……………………………………………
I! I! I! I! I! I! I! I! I!
I I ! 6. Rh
I! Blood
I!
System……………………………………………………………………………………………………
I!
7. OtherRedCellBloodGroupSystems,HumanLeukocyteAntigens, andPlateletAntigens………… I! I! I! I! I! I! I! I! I! I! I!
I I ! PartIV: Essentials of PretransfusionTesting
I! I! II! I! I!
8. Antibody II! II! I I ! Detection II! II! I I ! and II! II!
I I ! Identification……………………………………………………………………………………34 I I ! 9. II! II! II! II! I I ! C
II! Testing………………………………………………………………………………………………………38
10. Blood Bank Automation for Transfusion Services………………………………………………… I! I! I! I! I!
I I ! Part V: ClinicalConsiderationsinImmunohematology
I! I! I! I! I!
11. AdverseComplicationsof Transfusions…………………………………………………………… I! I! I!
12. Hemolytic Disease of the Fetus and Newborn……………………………………………………… I! I! I! I! I! I!
I I ! Part VI: Blood Collectingand Testing I! I! I! I! I!
13. Donor Selection and Phlebotomy……………………………………………………………………
I! I! I! I!
I I ! 14.TestingofDonorBlood………………………………………………………………………………
I! I! I! I!
I I ! PartVII:Blood ComponentPreparationandTransfusionTherapy
I! I! I! I! I! I! I!
15. BloodComponentPreparationandTherapy……………………………………………………… I! I! I! I!
16. TransfusionTherapyinSelectedPatients………………………………………………………… I! I! I! I!
,Chapter 01: QualityAssurance andRegulationof the BloodIndustryandSafety Issuesinthe Blood
II! II! I! II! I! I! I! II! I! I! I! II! I! I! II!
Basic& AppliedConcepts of BloodBanking andTransfusionPractices, 6thEdition
I! I! II! I! II! I! I! II! I! I! II! I!
MULTIPLE CHOICE II!
1. Biosafety levels determine: II! II!
a. on what floor certain infectious disease testing can be performed. II! II! II! II! II! II! II! II! II!
b. the degree ofrisk for certain areas ofa health care facilityto exposure to II! II! I! II! II! II! II! I! II! II! II! I! II! II!
I infectious diseases.
I ! II!
c. the amount ofventilation required in a transfusion service.
II! II! I! II! II! II! II! II!
d. how many biohazardous waste containers a laboratory must have.
II! II! II! II! II! II! II! II!
ANS: B I I !
OSHA defines biosafety levels based on potential exposure to infectious material.
II! II! II! II! II! II! II! II! II! II!
DIF: Level 1 II!
2. A laboratorytechnologist decided she would like to bring her lab coat home for laundering because
II! I! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
it was returned bythe laboratory’s laundry service. Is this practice acceptable?
II! II! II! I! II! II! II! II! II! II! II!
a. Yes, if she uses 10% bleach II! II! II! II! II!
b. Yes, if she clears it with her supervisor II! II! II! II! II! II! II!
c. Yes, as long as she removes the coat and does not wear it home II! II! II! II! II! II! II! II! II! II! II! II! II!
d. No, because the laboratory is a biosafety level2, and lab coats may not be II! II! II! II! II! II! II! I! II! II! II! II! II! II!
removed I I !
ANS: D I I !
Methods oftransporting the lab coat and the risk ofcontamination do not permit health care workers t
II! I! II! II! II! II! II! II! II! I! II! II! II! II! II! II! II!
Icleaning.
I !
DIF: Level 2 II!
3. Personal protective equipment includes: I! II! II!
a. safetyglasses. I!
b. splash barriers. II!
c. masks.
d. Allof the above I! I! II!
ANS: D I I !
Safetyglasses, splash barriers, and masks are types ofpersonalprotective devices.
I! II! II! II! II! II! II! II! I! I! II!
DIF: Level 1 II!
4. At what point in the employment process should safetytraining take place?
II! II! II! II! II! II! II! II! I! II! II!
a. During orientation and training II! II! II!
b. Following lab training when employees are more familiar with their II! II! II! II! II! I I! II! II! II!
Iresponsibilities
I !
c. Following the employees’ first evaluation II! II! II! II!
d. Before independent work is permitted and annuallythereafter II! II! II! II! II! II! I!
ANS: D I I !
The Occupation Safetyand Health Administration requires safetytraining before independent work is p
II! II! I! II! II! II! II! I! II! II! II! II! II!
I thereafter.
I !
DIF: Level 1 II!
5. In safetytraining, employees must become familiar with all ofthe following except:
II! I! II! II! II! II! II! II! II! I! II! II!
a. tasks that have an infectious risk. II! II! II! II! II!
b. limits ofprotective clothing and equipment. II! I! II! II! II!
, 7. Which ofthe following is true regarding good manufacturing practices (GMPs)?
II! I! II! II! II! II! II! II! II! II!
a. GMPs are legalrequirements established by the Food and Drug Administration. II! II! I! II! II! II! II! II! II! II!
b. GMPs are optionalguidelines written by the AABB. II! II! I! II! II! II! II!
c. GMPs are required only by pharmaceutical companies. II! II! II! II! II! II!
d. GMPs are part ofthe qualitycontrol requirements for blood products. II! II! II! I! II! I! I! II! II! II!
ANS: A I I !
Good manufacturing practices are requirements established by the Food and Drug Administration.
II! II! II! II! II! II! II! II! II! II! II!
DIF: Level 1 II!
8. Which ofthe following is an example ofan unacceptable record-keeping procedure?
II! I! II! II! II! II! II! I! II! II! II!
a. Using dittos in columns to save time II! II! II! II! II! II!
b. Recording the date and initials next to a correction II! II! II! II! II! II! II! II!
c. Not deleting the original entrywhen making a correction
II! II! II! II! I! II! II! II!
d. Always using permanent ink on all records II! II! II! II! II! II!
ANS: A I I !
Allrecords must be clearly written. Dittos are unacceptable.
I! II! II! II! II! II! II! II!
DIF: Level 1 II!
9. A technologist in training noticed that the person training her had not recordedthe results of a test. To
II! II ! II! II! II! II! II! II! II! II! II! II! I! II! II! II! II! II! II
I I ! recordedthe results she saw at a later time, using the technologist’s initials. Is this an acceptable pr
I! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Yes; allresults must be recorded regardless ofwho did the test.
II! I! II! II! II! II! II! I! II! II! II!
b. No; she should have brought the errorto the technologist’s attention.
II! II! II! II! II! II! I! II! II! II!
c. Yes; because she used the other technologist’s initials.
II! II! II! II! II! II! II!
d. Yes; as long as she records the result in pencil.
II! II! II! II! II! II! II! II! II!
ANS: B I I !
This is an example of poor record keeping; results must be recorded when the test is performed and by
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
DIF: Level 3 II!
10. Unacceptable quality controlresults for the antiglobulin test performed in test tubes may be noticed if II! II! I! II! II! II! II! II! II! II! II! II! II! II! II!
a. preventive maintenance has not been performed onthe cell washer. II! II! II! II! II! II! I! II! II!
b. the technologist performing the test was never trained.
II! II! II! II! II! II! II!
c. the reagents used were improperlystored. II! II! II! II! I!
d. Allof the above I! I! II!
ANS: D I I !
Training, equipment maintenance, and reagent qualitycan affect quality control.
II! II! II! II! II! I! II! II! II!
DIF: Level 2 II!
11. Allof the following are true regarding competency testing except:
I! I! II! II! II! II! II! II! II!
a. it must be performed following training.
II! II! II! II! II!
b. it must be performed on an annual basis.
II! II! II! II! II! II! II!
c. it is required only ifthe technologist has no experience.
II! II! II! II! I! II! II! II! II!
d. retraining is required if there is a failure in competency testing. II! II! II! II! II! II! II! II! II! II!
ANS: C I I !
All employees must have competencytesting following training and annually thereafter. Ifthere is a fa
II! II! II! II! I! II! II! II! II! II! II! I! II! II! II!
I retraining is required.
I ! II! II!
DIF: Level 2 II!
12. Which ofthe following organizations are involved in the regulation ofblood banks?
II! I! II! II! II! II! II! II! II! II! I! II!
a. The Joint Commission II! II!
b. AABB
c. College ofAmerican Pathologists II! I! II!
