Basic & Applied Concepts of Blood Banking and Transfusion Practices – 4th Edition Paula R. Howard | Complete Test Bank with Answers

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,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety
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Issues in the Blood Bank
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Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices,
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4th Edition
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MULTIPLE CHOICE TH




1. Which of the following agencies administers the Clinical Laboratory
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Improvement Amendments?
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a. AABB
b. Centers for Medicare and Medicaid Services TH TH TH TH TH



c. OSHA
d. Food and Drug Administration TH TH TH




ANS: T H B
The Centers for Medicare and Medicaid Services administers CLIA, Medicare, Medicaid, and
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HIPAA.
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DIF: Level 1 TH REF: T H T H p. 3 TH




2. A laboratory technologist decided she would like to bring her lab coat home for
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laundering because it had too many wrinkles when returned by the laboratory’s
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laundry service. Is this practice acceptable?
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a. Yes, if she uses 10% bleach TH TH TH TH TH



b. Yes, if she clears it with her supervisor
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c. Yes, as long as she removes the coat and does not wear it home
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d. No, because the laboratory is a biosafety level 2, and lab coats may not
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be removed TH TH




ANS: T H D
Methods of transporting the lab coat and the risk of contamination do not permit health
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care workers to bring lab coats home for cleaning.
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DIF: Level 2 TH REF: T H T H p. 14 TH




3. Personal protective equipment includes: TH TH TH



a. safety glasses. TH



b. splash barriers. TH



c. masks.
d. All of the above TH TH TH




ANS: T H D
Safety glasses, splash barriers, and masks are types of personal protective devices.
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DIF: Level 1 TH REF: T H T H p. 14 TH




4. At what point in the employment process should safety training take place?
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a. During orientation and training TH TH TH



b. Following lab training when employees are more familiar with TH TH TH TH TH TH TH TH



their responsibilities
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, c. Following the employees’ first evaluation TH TH TH TH



d. Before independent work is permitted and annually thereafter
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ANS: T H D
The Occupation Safety and Health Administration requires safety training before independent
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work is permitted and annually thereafter.
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DIF: Level 1 TH REF: T H T H p. 17 TH




5. In safety training, employees must become familiar with all of the following except:
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a. tasks that have an infectious risk.
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b. limits of protective clothing and equipment.
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c. the appropriate action to take if exposure occurs.
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d. how to perform cardiopulmonary resuscitation on a donor or other employee.
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ANS: T H D
The Occupational Safety and Health Administration requirements include all of those
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listed except cardiopulmonary resuscitation.
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DIF: Level 1 TH REF: T H T H p. 13 TH




6. Blood irradiators require all of the following safety procedures except:
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a. proper training. TH



b. that the user have a degree in radiology.
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c. equipment leak detection. TH TH



d. personal protective equipment. TH TH




ANS: T H B
Blood bank and transfusion service technologists require training but not a degree to use a
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blood irradiator.
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DIF: Level 2 TH REF: T H T H p. 16 TH




7. Which of the following is true regarding good manufacturing practices (GMPs)?
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a. GMPs are legal requirements established by the Food and Drug Administration.
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b. GMPs are optional guidelines written by the AABB.
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c. GMPs are required only by pharmaceutical companies.
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d. GMPs are part of the quality control requirements for blood products.
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ANS: T H A
Good manufacturing practices are requirements established by the Food and Drug
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Administration.
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DIF: Level 1 TH REF: T H T H p. 5 TH




8. Which of the following is an example of an unacceptable record-keeping procedure?
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a. Using dittos in columns to save time TH TH TH TH TH TH



b. Recording the date and initials next to a correction TH TH TH TH TH TH TH TH



c. Not deleting the original entry when making a correction
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d. Always using permanent ink on all records TH TH TH TH TH TH




ANS: T H A
All records must be clearly written. Dittos are unacceptable.
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, DIF: Level 1 TH REF: T H T H p. 7 TH




9. A technologist in training noticed that the person training her had not recorded the results
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of a test. To be helpful, she carefully recorded the results she saw at a later time, using
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the technologist’s initials. Is this an acceptable procedure?
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a. Yes; all results must be recorded regardless of who did the test.
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b. No; she should have brought the error to the technologist’s attention.
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c. Yes; because she used the other technologist’s initials.
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d. Yes; as long as she records the result in pencil.
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ANS: T H B
This is an example of poor record keeping; results must be recorded when the test is
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performed and by the person doing the test.
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DIF: Level 3 TH REF: T H T H p. 8 TH




10. Unacceptable quality control results for the antiglobulin test performed in test tubes may
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be noticed if:
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a. preventive maintenance has not been performed on the cell washer.TH TH TH TH TH TH TH TH TH



b. the technologist performing the test was never trained.
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c. the reagents used were improperly stored.
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d. All of the above TH TH TH




ANS: T H D
Training, equipment maintenance, and reagent quality can affect quality control.
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DIF: Level 2 TH REF: T H T H p. 5 TH




11. All of the following are true regarding competency testing except:
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a. it must be performed following training.
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b. it must be performed on an annual basis.
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c. it is required only if the technologist has no experience.
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d. retraining is required if there is a failure in competency testing.
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ANS: T H C
All employees must have competency testing following training and annually thereafter. If
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there is a failure in competency testing, retraining is required.
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DIF: Level 2 TH REF: T H T H p. 10 TH




12. Which of the following organizations are involved in the regulation of blood banks?
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a. The Joint Commission TH TH



b. AABB
c. College of American Pathologists TH TH TH



d. Food and Drug Administration TH TH TH




ANS: T H D
The Food and Drug Administration regulates blood banks, whereas the other organizations are
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involved in accreditation.
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DIF: Level 1 TH REF: T H T H p. 2 TH