TEST BANK for Basic and Applied Concepts of Blood Banking and Transfusion Practices 5th Edition By Paula Howard, All Chapters 1 - 16, Complete Newest Version

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 v v




Part I: Quality and Safety Issues
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1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank…………………………….3 Part II:
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Foundations: Basic Sciences andReagents
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2. Immunology:BasicPrinciplesandApplicationsintheBloodBank …………………………………………………….8 v v v v v v v v v




3. BloodBanking Reagents: Overview and Applications……………………………………………………………………13 4. Genetic Principlesin
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BloodBanking……………………………………………………………………………………….18 Part III: Overview of the Major Blood Groups
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5. ABO and H Blood Group Systems and Secretor Status………………………………………………………………….22
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System……………………………………………………………………………………………………26
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7. Other RedCell Blood GroupSystems, HumanLeukocyte Antigens,andPlatelet Antigens………………………….30 Part IV:
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Essentials ofPretransfusion Testing
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8. Antibody Detection and Identification……………………………………………………………………………………34 9. Compatibility
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v Testing………………………………………………………………………………………………………38

10. Blood Bank Automation for Transfusion Services………………………………………………………………………44 Part V: Clinical
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Considerations inImmunohematology
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11. AdverseComplicationsofTransfusions………………………………………………………………………………….46
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12. Hemolytic Disease of the Fetus and Newborn……………………………………………………………………………50
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Collecting and Testing
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13. Donor Selection and Phlebotomy………………………………………………………………………………………….55 14. Testing of Donor
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Blood…………………………………………………………………………………………………….60
v v Part VII: Blood Component Preparation and
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Transfusion Therapy
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15. BloodComponentPreparationandTherapy…………………………………………………………………………….63
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16. TransfusionTherapyinSelectedPatients………………………………………………………………………………..66 v v v v v

,Chapter 01: Quality Assurance and Regulation of the BloodIndustry and Safety Issues in the Blood Bank Howard: Basic &
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AppliedConcepts of BloodBanking andTransfusion Practices, 5th Edition
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MULTIPLE CHOICE v




1. Biosafety levels determine: v v




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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vinfectious diseases. v




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 v




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




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




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




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 v




ANS: D v




Methods of transporting the lab coat and the risk of contamination do not permit health care workers to bring lab coats home for
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cleaning.
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DIF: Level 2 v




3. Personal protective equipment includes: v v v




a. safety glasses. v




b. splash barriers. v




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




ANS: D v




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




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




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




vresponsibilities
c. Following the employees’ first evaluation v v v v




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




ANS: D v




The Occupation Safety and Health Administration requires safety training before independent work is permitted and annually
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vthereafter.

DIF: Level 1 v




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. v v v v v




b. limits of protective clothing and equipment. v v v v v




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: D v




The Occupational Safety and Health Administration requirements include all of those listed except cardiopulmonary resuscitation.
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DIF: Level 1 v




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




b. that the user have a degree in radiology. v v v v v v v




c. equipment leak detection. v v




d. personal protective equipment. v v




ANS: B v




Blood bank and transfusion service technologists require training but not a degree to use a blood irradiator.
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DIF: Level 2 v

, 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. v v v v v v v v v v




b. GMPs are optional guidelines written by the AABB. v v v v v v v




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




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




ANS: A v




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




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 v v v v v v




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




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




ANS: A v




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




9. A technologist in training noticed that the person training her had not recorded the results of a test. To be helpful, she carefully
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v recorded the results she saw at a later time, using 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. v v v v v v v v v




ANS: B v




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




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




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




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




d. All of the above v v v




ANS: D v




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




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. v v v v v v v v v v




ANS: C v




All employees must have competency testing following training and annually thereafter. If there is a failure in competency testing,
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vretraining is required. v v




DIF: Level 2 v




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




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




d. Food and Drug Administration v v v




ANS: D v




The Food and Drug Administration regulates blood banks, whereas the other organizations are involved in accreditation.
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DIF: Level 1 v




13. All of the following are responsibilities of the quality assurance department of a blood bank except:
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a. performing internal audits. v v




b. performing quality control. v v




c. reviewing standard operating procedures. v v v




d. reviewing and approving training programs. v v v v




ANS: B v




Quality control is performed in the laboratory, not by the quality assurance department.
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DIF: Level 2 v