Basic applied concepts of blood banking and transfusion practices 5th edition

Test Bank For Basic & Applied Concepts of Blood Banking and T
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Practices 5th Edition – By Paula Howard
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|Verified Chapter's 1 -16 | Complete
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,Table of Contents s s




Part I: Quality andSafety Issues
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1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank…………
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Foundations: Basic Sciences andReagents
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2. Immunology:BasicPrinciplesandApplicationsintheBloodBank…………………………………………………….8 s s s s s s s s s




3. BloodBanking Reagents: Overview and Applications……………………………………………………………………13
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BloodBanking……………………………………………………………………………………….18 Part III: Overview ofthe M
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5. ABO and H Blood Group Systems and Secretor Status………………………………………………………………….
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System……………………………………………………………………………………………………26
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7. OtherRedCellBloodGroupSystems,HumanLeukocyteAntigens,andPlateletAntigens………………………
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Essentials ofPretransfusionTesting
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8. Antibody Detection and Identification……………………………………………………………………………………34 9
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s Testing………………………………………………………………………………………………………38

10. Blood Bank Automation for Transfusion Services……………………………………………………………………
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Considerations inImmunohematology
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11. AdverseComplicationsofTransfusions………………………………………………………………………………….46
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12. HemolyticDiseaseoftheFetusandNewborn……………………………………………………………………………50 s s s s s s




andTesting
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13. Donor Selection and Phlebotomy………………………………………………………………………………………….55
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Blood…………………………………………………………………………………………………….60
s s Part VII: Blood Comp
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TransfusionTherapy
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15. BloodComponentPreparationandTherapy…………………………………………………………………………….63
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16. TransfusionTherapyinSelectedPatients………………………………………………………………………………..66 s s s s s

,Chapter 01: Quality Assurance andRegulation ofthe BloodIndustry and Safety Issues inthe BloodBank
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AppliedConcepts ofBloodBanking andTransfusion Practices, 5thEdition
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MULTIPLE CHOICE s




1. Biosafety levels determine: s s




a. on what floor certain infectious disease testing can be performed.
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b. the degree of risk for certain areas of a health care facility to exposure to
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sinfectious diseases. s




c. the amount of ventilation required in a transfusion service.
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d. how many biohazardous waste containers a laboratory must have.
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ANS: B s




OSHA defines biosafety levels based on potential exposure to infectious material.
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DIF: Level 1 s




2. A laboratory technologist decided she would like to bring her lab coat home for laundering because it had t
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it was returned bythe laboratory’s laundry service. Is this practice acceptable?
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a. Yes, if she uses 10% bleach s s s s s




b. Yes, if she clears it with her supervisor s s s s s s s




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 be
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removed s




ANS: D s




Methods of transporting the lab coat and the risk of contamination do not permit health care workers to br
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cleaning.
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DIF: Level 2 s




3. Personal protective equipment includes: s s s




a. safety glasses. s




b. splash barriers. s




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




ANS: D s




Safety glasses, splash barriers, and masks are types of personal protective devices.
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DIF: Level 1 s




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




b. Following lab training when employees are more familiar with their s s s s s s s s s




sresponsibilities
c. Following the employees’ first evaluation s s s s




d. Before independent work is permitted and annuallythereafter s s s s s s s




ANS: D s




The Occupation Safety and Health Administration requires safetytraining before independent work is perm
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sthereafter.

DIF: Level 1 s

, 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. s s s s s s s




c. GMPs are required only by pharmaceutical companies. s s s s s s




d. GMPs are part of the quality control requirements for blood products. s s s s s s s s s s




ANS: A s




Good manufacturing practices are requirements established by the Food and Drug Administration.
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DIF: Level 1 s




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 s s s s s s




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




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




ANS: A s




All records must be clearly written. Dittos are unacceptable.
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DIF: Level 1 s




9. A technologist in training noticed that the person training her had not recorded the results of a test. To be h
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s recorded the results she saw at a later time, using the technologist’s initials. Is this an acceptable procedu
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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.s s s s s s s s s




ANS: B s




This is an example of poor record keeping; results must be recorded when the test is performed and by the
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DIF: Level 3 s




10. Unacceptable quality control results for the antiglobulin test performed in test tubes may be noticed if: s s s s s s s s s s s s s s s




a. preventive maintenance has not been performed on the cell washer. s s s s s s s s s




b. the technologist performing the test was never trained.
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c. the reagents used were improperly stored. s s s s s




d. All of the above s s s




ANS: D s




Training, equipment maintenance, and reagent quality can affect quality control.
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DIF: Level 2 s




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. s s s s s s s s s s




ANS: C s




All employees must have competency testing following training and annually thereafter. If there is a failure
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sretraining is required. s s




DIF: Level 2 s




12. Which of the following organizations are involved in the regulation of blood banks?
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