Test Bank For Basic & Applied Concepts of Blood Banking and Transfusion
Practices 5th Edition – By Paula Howard
| Verified Chapter's 1 - 16 | Complete
,Table of Contents m m
Part I: Quality and Safety Issues
m m m m m
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank…………………………….3 Part II: F
m m m m m m m m m m m m m m m m
oundations: Basic Sciences and Reagents
m m m m
2. Immunology: Basic Principles and Applications in the Blood Bank …………………………………………………….8
m m m m m m m m m
3. Blood Banking Reagents: Overview and Applications……………………………………………………………………13 4. Genetic Principl
m m m m m m m m
es in Blood Banking……………………………………………………………………………………….18 Part III: Overview of the Major Blood Gr
m m m m m m m m m m m
oups
5. ABO and H Blood Group Systems and Secretor Status………………………………………………………………….22 6. Rh Blood Group
m m m m m m m m m m m m m
System……………………………………………………………………………………………………26
m
7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens………………………….30 Part IV:
m m m m m m m m m m m m m m
Essentials of Pretransfusion Testing
m m m
8. Antibody mmm Detection mmm and mmm Identification……………………………………………………………………………………34 9. m mmmmm Compatibility mmm
mm Testing………………………………………………………………………………………………………38
10. Blood Bank Automation for Transfusion Services………………………………………………………………………44 Part V: Clinical Con
m m m m m m m m m
siderations in Immunohematology m m
11. Adverse Complications of Transfusions………………………………………………………………………………….46
m m m
12. Hemolytic Disease of the Fetus and Newborn……………………………………………………………………………50 Part VI: Blood Coll
m m m m m m m m m m
ecting and Testing
m m
13. Donor Selection and Phlebotomy………………………………………………………………………………………….55 14. Testing of Donor Bl
m m m m m m m m m
ood…………………………………………………………………………………………………….60 Part VII: Blood Component Preparation and Tra m m m m m m m
nsfusion Therapy m
15. Blood Component Preparation and Therapy…………………………………………………………………………….63
m m m m
16. Transfusion Therapy in Selected Patients……………………………………………………………………………….. 66
m m m m m
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood Bank Howard:
m m m m m m m m m m m m m m m m m
mBasic & Applied Concepts of Blood Banking and Transfusion Practices, 5th Edition
m m m m m m m m m m m
MULTIPLEmCHOICE
1. Biosafetymlevelsmdetermine:
a. onmwhatmfloormcertainminfectiousmdiseasemtestingmcanmbemperformed.
b. themdegreemofmriskm formcertainmareasmofmamhealthmcaremfacilitymtomexposu
remtom infectiousmdiseases.
c. themamountmofmventilationmrequiredminmamtransfusionmservice.
d. howmmanymbiohazardousmwastemcontainersmamlaboratorymmustmhave.
ANS:m B
OSHAmdefinesmbiosafetymlevelsmbasedmonmpotentialmexposuremtominfectiousmmaterial.
DIF: Levelm1
2. Amlaboratorymtechnologistmdecidedmshemwouldmlikemtombringmherm labmcoatmhomemformlaunderingmbecausem itm hadmtoom manymwrinklesmw
hen
itm wasmreturnedmbymthemlaboratory’smlaundrymservice.m Ismthismpracticemacceptable?
a. Yes,mifmshemusesm10%mbleach
b. Yes,mifmshemclearsmitmwithmhermsupervisor
c. Yes,masmlongmasmshemremovesmthemcoatm andmdoesmnotmwearm itmhome
d. No,mbecausemthemlaboratorymismambiosafetymlevelm2,mandm labmcoatsmmaymn
otmbem removed
ANS:m D
Methodsmofmtransportingmthemlabmcoatm andmthemriskmofmcontaminationmdomnotm permitm healthmcaremworkersmtombringm labmcoatsmhome
m form cleaning.
DIF: Levelm2
3. Personalmprotectivemequipmentm includes:
a. safetymglasses.
b. splashmbarriers.
c. masks.
d. Allmofmthemabove
ANS:m D
Safetymglasses,msplashmbarriers,mandm masksmaremtypesmofmpersonalmprotectivemdevices.
DIF: Levelm1
4. Atm whatmpointm inmthememploymentmprocessmshouldmsafetymtrainingmtakemplace?
a. Duringmorientationmandmtraining
b. Followingmlabmtrainingmwhenmemployeesmarem moremfamiliarmwithmth
eirm responsibilities
c. Followingmthememployees’mfirstmevaluation
d. Beforemindependentmworkmismpermittedmandmannuallymthereafter
ANS:m D
ThemOccupationmSafetymandmHealthmAdministrationmrequiresmsafetymtrainingmbeforemindependentmworkmismpermittedmandmannuallym t
hereafter.
DIF: Levelm1
5. Inmsafetymtraining,memployeesmmustm becomemfamiliarmwithmallmofmthem followingmexcept:
a. tasksmthatm havemanminfectiousmrisk.
b. limitsmofmprotectivemclothingmandmequipment.
c. themappropriatemactionmtomtakemifmexposuremoccurs.
d. howmtomperformmcardiopulmonarymresuscitationmonmamdonormormothermemployee.
ANS:m D
ThemOccupationalmSafetymandmHealthmAdministrationmrequirementsm includemallmofmthosemlistedmexceptm cardiopulmonarymresuscitatio
n.
DIF: Levelm1
6. Bloodmirradiatorsmrequiremallmofmthem followingmsafetymproceduresm except:
a. propermtraining.
b. thatmthemusermhavemamdegreeminmradiology.
c. equipmentm leakmdetection.
d. personalmprotectivemequipment.
ANS:m B
Bloodmbankmandmtransfusionmservicemtechnologistsmrequiremtrainingmbutmnotmamdegreemtomusemambloodmirradiator.
DIF: Levelm2
, 7. Whichmofmthem followingm ismtruemregardingmgoodmmanufacturingmpracticesm(GMPs)?
a. GMPsmaremlegalmrequirementsmestablishedmbymthemFoodmandmDrugmAdministration.
b. GMPsmaremoptionalmguidelinesmwrittenmbymthemAABB.
c. GMPsmaremrequiredmonlymbympharmaceuticalmcompanies.
d. GMPsmarempartmofmthemqualitymcontrolmrequirementsmformbloodmproducts.
ANS:m A
GoodmmanufacturingmpracticesmaremrequirementsmestablishedmbymthemFoodmandmDrugmAdministration.
DIF: Levelm1
8. Whichmofmthemfollowingm ismanmexamplemofmanmunacceptablemrecord-keepingmprocedure?
a. Usingmdittosminmcolumnsmtomsavemtime
b. Recordingmthemdatemandminitialsmnextmtomamcorrection
c. Notmdeletingmthemoriginalmentrymwhenmmakingmamcorrection
d. Alwaysmusingmpermanentm inkmonmallmrecords
ANS:m A
Allmrecordsmmustmbemclearlymwritten.mDittosmaremunacceptable.
DIF: Levelm1
9. Amtechnologistm inmtrainingm noticedmthatmthempersonmtrainingmhermhadmnotm recordedmthemresultsmofmamtest.mTombemhelpful,mshemc
arefullym recordedmthemresultsmshemsawmatm amlatermtime,musingmthemtechnologist’sminitials.mIsmthismanmacceptablemprocedure?
a. Yes;mallmresultsmmustmbemrecordedmregardlessmofmwhomdidmthemtest.
b. No;mshemshouldmhavembroughtmthemerrormtomthemtechnologist’smattention.
c. Yes;mbecausemshemusedmthemothermtechnologist’sminitials.
d. Yes;masmlongmasmshemrecordsmthemresultm inmpencil.
ANS:m B
Thismismanmexamplemofmpoormrecordmkeeping;mresultsmmustm bemrecordedmwhenmthemtestmismperformedmandm bymthempersonmdoingmthe
m test.
DIF: Levelm3
10. Unacceptablemqualitymcontrolmresultsmformthemantiglobulinmtestm performedminmtestmtubesmmaymbemnoticedm if:
a. preventivem maintenancemhasmnotm beenmperformedmonmthemcellmwasher.
b. themtechnologistm performingmthemtestmwasmnevermtrained.
c. themreagentsmusedmweremimproperlymstored.
d. Allmofmthemabove
ANS:m D
Training,mequipmentm maintenance,mandmreagentmqualitymcanmaffectmqualitymcontrol.
DIF: Levelm2
11. Allmofmthem followingmaremtruemregardingmcompetencymtestingm except:
a. itm mustmbemperformedm followingmtraining.
b. itm mustmbemperformedmonmanmannualmbasis.
c. itm ismrequiredmonlymifmthemtechnologistm hasmnomexperience.
d. retrainingmismrequiredmifmtherem ismamfailurem inmcompetencymtesting.
ANS:m C
Allmemployeesmmustmhavemcompetencymtestingm followingmtrainingmandmannuallymthereafter.mIfmtheremismam failureminmcompetencymtes
ting,m retrainingmismrequired.
DIF: Levelm2
12. Whichmofmthemfollowingmorganizationsmarem involvedm inmthemregulationmofmbloodmbanks?
a. ThemJointm Commission
b. AABB
c. CollegemofmAmericanmPathologists
d. FoodmandmDrugmAdministration
ANS:m D
ThemFoodmandmDrugmAdministrationmregulatesmbloodmbanks,mwhereasmthemothermorganizationsmarem involvedminmaccreditation.
DIF: Levelm1
13. Allmofmthem followingmaremresponsibilitiesmofmthemqualitymassurancemdepartmentmofmambloodmbankm except:
a. performingminternalmaudits.
b. performingmqualitymcontrol.
c. reviewingmstandardmoperatingmprocedures.
d. reviewingmandmapprovingmtrainingmprograms.
ANS:m B
Qualitymcontrolmismperformedminmthemlaboratory,mnotmbymthemqualitymassurancemdepartment.
DIF: Levelm2
Practices 5th Edition – By Paula Howard
| Verified Chapter's 1 - 16 | Complete
,Table of Contents m m
Part I: Quality and Safety Issues
m m m m m
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank…………………………….3 Part II: F
m m m m m m m m m m m m m m m m
oundations: Basic Sciences and Reagents
m m m m
2. Immunology: Basic Principles and Applications in the Blood Bank …………………………………………………….8
m m m m m m m m m
3. Blood Banking Reagents: Overview and Applications……………………………………………………………………13 4. Genetic Principl
m m m m m m m m
es in Blood Banking……………………………………………………………………………………….18 Part III: Overview of the Major Blood Gr
m m m m m m m m m m m
oups
5. ABO and H Blood Group Systems and Secretor Status………………………………………………………………….22 6. Rh Blood Group
m m m m m m m m m m m m m
System……………………………………………………………………………………………………26
m
7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens………………………….30 Part IV:
m m m m m m m m m m m m m m
Essentials of Pretransfusion Testing
m m m
8. Antibody mmm Detection mmm and mmm Identification……………………………………………………………………………………34 9. m mmmmm Compatibility mmm
mm Testing………………………………………………………………………………………………………38
10. Blood Bank Automation for Transfusion Services………………………………………………………………………44 Part V: Clinical Con
m m m m m m m m m
siderations in Immunohematology m m
11. Adverse Complications of Transfusions………………………………………………………………………………….46
m m m
12. Hemolytic Disease of the Fetus and Newborn……………………………………………………………………………50 Part VI: Blood Coll
m m m m m m m m m m
ecting and Testing
m m
13. Donor Selection and Phlebotomy………………………………………………………………………………………….55 14. Testing of Donor Bl
m m m m m m m m m
ood…………………………………………………………………………………………………….60 Part VII: Blood Component Preparation and Tra m m m m m m m
nsfusion Therapy m
15. Blood Component Preparation and Therapy…………………………………………………………………………….63
m m m m
16. Transfusion Therapy in Selected Patients……………………………………………………………………………….. 66
m m m m m
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood Bank Howard:
m m m m m m m m m m m m m m m m m
mBasic & Applied Concepts of Blood Banking and Transfusion Practices, 5th Edition
m m m m m m m m m m m
MULTIPLEmCHOICE
1. Biosafetymlevelsmdetermine:
a. onmwhatmfloormcertainminfectiousmdiseasemtestingmcanmbemperformed.
b. themdegreemofmriskm formcertainmareasmofmamhealthmcaremfacilitymtomexposu
remtom infectiousmdiseases.
c. themamountmofmventilationmrequiredminmamtransfusionmservice.
d. howmmanymbiohazardousmwastemcontainersmamlaboratorymmustmhave.
ANS:m B
OSHAmdefinesmbiosafetymlevelsmbasedmonmpotentialmexposuremtominfectiousmmaterial.
DIF: Levelm1
2. Amlaboratorymtechnologistmdecidedmshemwouldmlikemtombringmherm labmcoatmhomemformlaunderingmbecausem itm hadmtoom manymwrinklesmw
hen
itm wasmreturnedmbymthemlaboratory’smlaundrymservice.m Ismthismpracticemacceptable?
a. Yes,mifmshemusesm10%mbleach
b. Yes,mifmshemclearsmitmwithmhermsupervisor
c. Yes,masmlongmasmshemremovesmthemcoatm andmdoesmnotmwearm itmhome
d. No,mbecausemthemlaboratorymismambiosafetymlevelm2,mandm labmcoatsmmaymn
otmbem removed
ANS:m D
Methodsmofmtransportingmthemlabmcoatm andmthemriskmofmcontaminationmdomnotm permitm healthmcaremworkersmtombringm labmcoatsmhome
m form cleaning.
DIF: Levelm2
3. Personalmprotectivemequipmentm includes:
a. safetymglasses.
b. splashmbarriers.
c. masks.
d. Allmofmthemabove
ANS:m D
Safetymglasses,msplashmbarriers,mandm masksmaremtypesmofmpersonalmprotectivemdevices.
DIF: Levelm1
4. Atm whatmpointm inmthememploymentmprocessmshouldmsafetymtrainingmtakemplace?
a. Duringmorientationmandmtraining
b. Followingmlabmtrainingmwhenmemployeesmarem moremfamiliarmwithmth
eirm responsibilities
c. Followingmthememployees’mfirstmevaluation
d. Beforemindependentmworkmismpermittedmandmannuallymthereafter
ANS:m D
ThemOccupationmSafetymandmHealthmAdministrationmrequiresmsafetymtrainingmbeforemindependentmworkmismpermittedmandmannuallym t
hereafter.
DIF: Levelm1
5. Inmsafetymtraining,memployeesmmustm becomemfamiliarmwithmallmofmthem followingmexcept:
a. tasksmthatm havemanminfectiousmrisk.
b. limitsmofmprotectivemclothingmandmequipment.
c. themappropriatemactionmtomtakemifmexposuremoccurs.
d. howmtomperformmcardiopulmonarymresuscitationmonmamdonormormothermemployee.
ANS:m D
ThemOccupationalmSafetymandmHealthmAdministrationmrequirementsm includemallmofmthosemlistedmexceptm cardiopulmonarymresuscitatio
n.
DIF: Levelm1
6. Bloodmirradiatorsmrequiremallmofmthem followingmsafetymproceduresm except:
a. propermtraining.
b. thatmthemusermhavemamdegreeminmradiology.
c. equipmentm leakmdetection.
d. personalmprotectivemequipment.
ANS:m B
Bloodmbankmandmtransfusionmservicemtechnologistsmrequiremtrainingmbutmnotmamdegreemtomusemambloodmirradiator.
DIF: Levelm2
, 7. Whichmofmthem followingm ismtruemregardingmgoodmmanufacturingmpracticesm(GMPs)?
a. GMPsmaremlegalmrequirementsmestablishedmbymthemFoodmandmDrugmAdministration.
b. GMPsmaremoptionalmguidelinesmwrittenmbymthemAABB.
c. GMPsmaremrequiredmonlymbympharmaceuticalmcompanies.
d. GMPsmarempartmofmthemqualitymcontrolmrequirementsmformbloodmproducts.
ANS:m A
GoodmmanufacturingmpracticesmaremrequirementsmestablishedmbymthemFoodmandmDrugmAdministration.
DIF: Levelm1
8. Whichmofmthemfollowingm ismanmexamplemofmanmunacceptablemrecord-keepingmprocedure?
a. Usingmdittosminmcolumnsmtomsavemtime
b. Recordingmthemdatemandminitialsmnextmtomamcorrection
c. Notmdeletingmthemoriginalmentrymwhenmmakingmamcorrection
d. Alwaysmusingmpermanentm inkmonmallmrecords
ANS:m A
Allmrecordsmmustmbemclearlymwritten.mDittosmaremunacceptable.
DIF: Levelm1
9. Amtechnologistm inmtrainingm noticedmthatmthempersonmtrainingmhermhadmnotm recordedmthemresultsmofmamtest.mTombemhelpful,mshemc
arefullym recordedmthemresultsmshemsawmatm amlatermtime,musingmthemtechnologist’sminitials.mIsmthismanmacceptablemprocedure?
a. Yes;mallmresultsmmustmbemrecordedmregardlessmofmwhomdidmthemtest.
b. No;mshemshouldmhavembroughtmthemerrormtomthemtechnologist’smattention.
c. Yes;mbecausemshemusedmthemothermtechnologist’sminitials.
d. Yes;masmlongmasmshemrecordsmthemresultm inmpencil.
ANS:m B
Thismismanmexamplemofmpoormrecordmkeeping;mresultsmmustm bemrecordedmwhenmthemtestmismperformedmandm bymthempersonmdoingmthe
m test.
DIF: Levelm3
10. Unacceptablemqualitymcontrolmresultsmformthemantiglobulinmtestm performedminmtestmtubesmmaymbemnoticedm if:
a. preventivem maintenancemhasmnotm beenmperformedmonmthemcellmwasher.
b. themtechnologistm performingmthemtestmwasmnevermtrained.
c. themreagentsmusedmweremimproperlymstored.
d. Allmofmthemabove
ANS:m D
Training,mequipmentm maintenance,mandmreagentmqualitymcanmaffectmqualitymcontrol.
DIF: Levelm2
11. Allmofmthem followingmaremtruemregardingmcompetencymtestingm except:
a. itm mustmbemperformedm followingmtraining.
b. itm mustmbemperformedmonmanmannualmbasis.
c. itm ismrequiredmonlymifmthemtechnologistm hasmnomexperience.
d. retrainingmismrequiredmifmtherem ismamfailurem inmcompetencymtesting.
ANS:m C
Allmemployeesmmustmhavemcompetencymtestingm followingmtrainingmandmannuallymthereafter.mIfmtheremismam failureminmcompetencymtes
ting,m retrainingmismrequired.
DIF: Levelm2
12. Whichmofmthemfollowingmorganizationsmarem involvedm inmthemregulationmofmbloodmbanks?
a. ThemJointm Commission
b. AABB
c. CollegemofmAmericanmPathologists
d. FoodmandmDrugmAdministration
ANS:m D
ThemFoodmandmDrugmAdministrationmregulatesmbloodmbanks,mwhereasmthemothermorganizationsmarem involvedminmaccreditation.
DIF: Levelm1
13. Allmofmthem followingmaremresponsibilitiesmofmthemqualitymassurancemdepartmentmofmambloodmbankm except:
a. performingminternalmaudits.
b. performingmqualitymcontrol.
c. reviewingmstandardmoperatingmprocedures.
d. reviewingmandmapprovingmtrainingmprograms.
ANS:m B
Qualitymcontrolmismperformedminmthemlaboratory,mnotmbymthemqualitymassurancemdepartment.
DIF: Levelm2
