Test Bank For
Basic & Applied Concepts of Blood Banking and Transfusion
Practices Author: Paula R. Howard
6th Edition
,Table of contents
Part I: Quality and Safety Issues
1.Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank
Part II: Foundations: Basic Sciences and Reagents
2. Immunology: Basic Principles and Applications in the Blood Bank
3.Blood Banking Reagents: Overview and Applications
4.Genetic Principles in Blood Banking
Part III: Overview of the Major Blood Groups
5.ABO and H Blood Group Systems and Secretor Status
6.Rh Blood Group System
7.Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens
Part IV: Essentials of Pretransfusion Testing
8.Antibody Detection and Identification
9.Compatibility Testing
10. Blood Bank Automation for Transfusion Services
Part V: Clinical Considerations in Immunohematology
11. Adverse Complications of Transfusions
12. Hemolytic Disease of the Fetus and Newborn
Part VI: Blood Collecting and Testing
13. Donor Selection and Phlebotomy
14. Testing of Donor Blood
Part VII: Blood Component Preparation and Transfusion Therapy
15. Blood Component Preparation and Therapy
16. Transfusion Therapy in Selected Patients
,Chapter 01: Quality Assurance And Regulation Of The Blood Industry And Saf
The Blood Bank Howard: Basic & Applied Concepts Of Blood Banking And Trans
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 Mat
DIF: Level 1
2. A Laboratory Technologist Decided She Would Like To Bring Her Lab Coat Home
Because It Had Too Many Wrinkles When It Was Returned By The Laboratory’s L
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 P
Workers To Bring Lab Coats Home For 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
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 Be
Permitted And Annually Thereafter.
DIF: Level 1
5. In Safety Training, Employees Must Become Familiar With All Of The Followin
a. Tasks That Have An Infectious Risk.
, 7. Which Of The Following Is True Regarding Good Manufacturing Practices (Gmps
a. Gmps Are Legal Requirements Established By The Food And Drug Administrat
b. Gmps Are Optional Guidelines Written By The AABB.
c. Gmps Are Required Only By Pharmaceutical Companies.
d. Gmps Are Part Of The Quality Control Requirements For Blood Products.
ANS: A
Good Manufacturing Practices Are Requirements Established By The Food And D
DIF: Level 1
8. Which Of The Following Is An Example Of An Unacceptable Record-Keeping Proc
a. Using Dittos In Columns To Save Time
b. Recording The Date And Initials Next To A Correction
c. Not Deleting The Original Entry When Making A Correction
d. Always Using Permanent Ink On All Records
ANS: A
All Records Must Be Clearly Written. Dittos Are Unacceptable.
DIF: Level 1
9. A Technologist In Training Noticed That The Person Training Her Had Not Rec
Results Of A Test. To Be Helpful, She Carefully Recorded The Results She Sa
Time, Using The Technologist’s Initials. Is This An Acceptable Procedure?
a. Yes; All Results Must Be Recorded Regardless Of Who Did The Test.
b. No; She Should Have Brought The Error To The Technologist’s Attention.
c. Yes; Because She Used The Other Technologist’s Initials.
d. Yes; As Long As She Records The Result In Pencil.
ANS: B
This Is An Example Of Poor Record Keeping; Results Must Be Recorded When Th
By The Person Doing The Test.
DIF: Level 3
10. Unacceptable Quality Control Results For The Antiglobulin Test Performed In
Noticed If:
a. Preventive Maintenance Has Not Been Performed On The Cell Washer.
b. The Technologist Performing The Test Was Never Trained.
c. The Reagents Used Were Improperly Stored.
d. All Of The Above
ANS: D
Training, Equipment Maintenance, And Reagent Quality Can Affect Quality Con
DIF: Level 2
11. All Of The Following Are True Regarding Competency Testing Except:
a. It Must Be Performed Following Training.
b. It Must Be Performed On An Annual Basis.
c. It Is Required Only If The Technologist Has No Experience.
d. Retraining Is Required If There Is A Failure In Competency Testing.
ANS: C
All Employees Must Have Competency Testing Following Training And Annually
A Failure In Competency Testing, Retraining Is Required.
DIF: Level 2
Basic & Applied Concepts of Blood Banking and Transfusion
Practices Author: Paula R. Howard
6th Edition
,Table of contents
Part I: Quality and Safety Issues
1.Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank
Part II: Foundations: Basic Sciences and Reagents
2. Immunology: Basic Principles and Applications in the Blood Bank
3.Blood Banking Reagents: Overview and Applications
4.Genetic Principles in Blood Banking
Part III: Overview of the Major Blood Groups
5.ABO and H Blood Group Systems and Secretor Status
6.Rh Blood Group System
7.Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens
Part IV: Essentials of Pretransfusion Testing
8.Antibody Detection and Identification
9.Compatibility Testing
10. Blood Bank Automation for Transfusion Services
Part V: Clinical Considerations in Immunohematology
11. Adverse Complications of Transfusions
12. Hemolytic Disease of the Fetus and Newborn
Part VI: Blood Collecting and Testing
13. Donor Selection and Phlebotomy
14. Testing of Donor Blood
Part VII: Blood Component Preparation and Transfusion Therapy
15. Blood Component Preparation and Therapy
16. Transfusion Therapy in Selected Patients
,Chapter 01: Quality Assurance And Regulation Of The Blood Industry And Saf
The Blood Bank Howard: Basic & Applied Concepts Of Blood Banking And Trans
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 Mat
DIF: Level 1
2. A Laboratory Technologist Decided She Would Like To Bring Her Lab Coat Home
Because It Had Too Many Wrinkles When It Was Returned By The Laboratory’s L
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 P
Workers To Bring Lab Coats Home For 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
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 Be
Permitted And Annually Thereafter.
DIF: Level 1
5. In Safety Training, Employees Must Become Familiar With All Of The Followin
a. Tasks That Have An Infectious Risk.
, 7. Which Of The Following Is True Regarding Good Manufacturing Practices (Gmps
a. Gmps Are Legal Requirements Established By The Food And Drug Administrat
b. Gmps Are Optional Guidelines Written By The AABB.
c. Gmps Are Required Only By Pharmaceutical Companies.
d. Gmps Are Part Of The Quality Control Requirements For Blood Products.
ANS: A
Good Manufacturing Practices Are Requirements Established By The Food And D
DIF: Level 1
8. Which Of The Following Is An Example Of An Unacceptable Record-Keeping Proc
a. Using Dittos In Columns To Save Time
b. Recording The Date And Initials Next To A Correction
c. Not Deleting The Original Entry When Making A Correction
d. Always Using Permanent Ink On All Records
ANS: A
All Records Must Be Clearly Written. Dittos Are Unacceptable.
DIF: Level 1
9. A Technologist In Training Noticed That The Person Training Her Had Not Rec
Results Of A Test. To Be Helpful, She Carefully Recorded The Results She Sa
Time, Using The Technologist’s Initials. Is This An Acceptable Procedure?
a. Yes; All Results Must Be Recorded Regardless Of Who Did The Test.
b. No; She Should Have Brought The Error To The Technologist’s Attention.
c. Yes; Because She Used The Other Technologist’s Initials.
d. Yes; As Long As She Records The Result In Pencil.
ANS: B
This Is An Example Of Poor Record Keeping; Results Must Be Recorded When Th
By The Person Doing The Test.
DIF: Level 3
10. Unacceptable Quality Control Results For The Antiglobulin Test Performed In
Noticed If:
a. Preventive Maintenance Has Not Been Performed On The Cell Washer.
b. The Technologist Performing The Test Was Never Trained.
c. The Reagents Used Were Improperly Stored.
d. All Of The Above
ANS: D
Training, Equipment Maintenance, And Reagent Quality Can Affect Quality Con
DIF: Level 2
11. All Of The Following Are True Regarding Competency Testing Except:
a. It Must Be Performed Following Training.
b. It Must Be Performed On An Annual Basis.
c. It Is Required Only If The Technologist Has No Experience.
d. Retraining Is Required If There Is A Failure In Competency Testing.
ANS: C
All Employees Must Have Competency Testing Following Training And Annually
A Failure In Competency Testing, Retraining Is Required.
DIF: Level 2
