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

Test BankForBasic&AppliedConceptsofBloodBankingand Transfusion
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Practices5thEdition– ByPaula Howard
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|Verified Chapter's 1 -16 |Complete
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,Table ofContents e e




PartI:QualityandSafetyIssues
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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:BasicSciencesandReagents
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2. Immunology:BasicPrinciplesandApplicationsintheBloodBank…………………………………………………….8 e e e e e e e e e




3. Blood Banking Reagents: Overview and Applications……………………………………………………………………13 4. Genetic Principles in
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BloodBanking……………………………………………………………………………………….18 PartIII:OverviewoftheMajorBloodGroups
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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. OtherRedCellBloodGroupSystems,HumanLeukocyteAntigens,andPlateletAntigens………………………….30 PartIV:
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EssentialsofPretransfusionTesting
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8. Antibody Detection and Identification……………………………………………………………………………………34 9. Compatibility
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e Testing………………………………………………………………………………………………………38

10. Blood Bank Automation for Transfusion Services………………………………………………………………………44 Part V: Clinical
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ConsiderationsinImmunohematology
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11. AdverseComplicationsofTransfusions………………………………………………………………………………….46
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12. HemolyticDiseaseoftheFetusand Newborn……………………………………………………………………………50 Part VI:BloodCollecting
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andTesting
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13. Donor Selection and Phlebotomy………………………………………………………………………………………….55 14. Testing of Donor
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Blood…………………………………………………………………………………………………….60
e e Part VII: Blood Component Preparation and
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TransfusionTherapy
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15. BloodComponentPreparationandTherapy…………………………………………………………………………….63
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16. TransfusionTherapyinSelectedPatients………………………………………………………………………………..66 e e e e e

,Chapter01:QualityAssuranceandRegulationoftheBloodIndustryandSafetyIssuesintheBloodBank Howard:Basic&
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AppliedConceptsofBloodBankingandTransfusionPractices, 5thEdition
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MULTIPLE CHOICE e




1. Biosafety levels determine: e e




a. on what floor certain infectious disease testing can be performed.
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b. the degreeofrisk for certain areas ofa health care facilityto exposureto
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einfectious diseases. e




c. the amount ofventilation required in a transfusion service.
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d. how many biohazardous waste containers a laboratorymust have.
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ANS: B e




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




2. A laboratorytechnologist decided she would like to bring her labcoat home for laundering because it had too manywrinkles when
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it was returned bythe laboratory’s laundry service. Isthis practice acceptable?
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a. Yes, if she uses 10% bleach e e e e e




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




c. Yes, as long as she removes the coat and does not wear it home e e e e e e e e e e e e e




d. No, because the laboratory is a biosafety level2, and lab coats may not be
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removed e




ANS: D e




Methodsoftransporting the lab coat andthe risk ofcontamination do not permit health care workersto bring lab coats home for cleaning.
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DIF: Level 2 e




3. Personalprotective equipment includes: e e e




a. safetyglasses. e




b. splash barriers. e




c. masks.
d. Allofthe above e e e




ANS: D e




Safetyglasses, splash barriers, and masks are types ofpersonalprotective devices.
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DIF: Level 1 e




4. At what point inthe employment process should safetytraining take place?
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a. During orientation and training e e e




b. Following labtraining when employees are more familiar with their e e e e e e e e e




eresponsibilities
c. Following the employees’ first evaluation e e e e




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




ANS: D e




The Occupation Safetyand Health Administration requires safetytraining before independent work is permitted and annually thereafter.
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DIF: Level 1 e




5. In safetytraining, employees must become familiar withall ofthe following except:
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a. tasksthat have an infectious risk. e e e e e




b. limits ofprotective clothing and equipment. e e e e e




c. the appropriate action to take if exposureoccurs. e e e e e e e




d. how to performcardiopulmonaryresuscitation on a donor or other employee. e e e e e e e e e e




ANS: D e




The OccupationalSafetyand Health Administration requirements include all ofthose listed except cardiopulmonary resuscitation.
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DIF: Level 1 e




6. Blood irradiatorsrequire allof the following safety procedures except:
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a. proper training. e




b. that the user have a degree inradiology. e e e e e e e




c. equipment leak detection. e e




d. personalprotective equipment. e e




ANS: B e




Blood bank and transfusion service technologists require training but not a degreeto use a blood irradiator.
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DIF: Level 2 e

, 7. Which ofthe following is true regarding good manufacturing practices (GMPs)?
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a. GMPs are legalrequirements established bythe Food and Drug Administration. e e e e e e e e e e




b. GMPs are optionalguidelines written bythe AABB. e e e e e e e




c. GMPs are required only bypharmaceutical companies. e e e e e e




d. GMPs are part ofthe qualitycontrolrequirementsfor blood products. e e e e e e e e e e




ANS: A e




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




8. Which ofthe following is an example ofan unacceptable record-keeping procedure?
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a. Using dittos incolumns to save time e e e e e e




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




c. Not deleting the original entrywhen making a correction e e e e e e e e




d. Always using permanent ink on all records e e e e e e




ANS: A e




Allrecords must be clearlywritten. Dittos are unacceptable.
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DIF: Level 1 e




9. A technologist intraining noticed that the person training her had not recordedthe results of a test. To be helpful, she carefully
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e recordedthe results she saw at alater time, using the technologist’s initials. Is this an acceptable procedure?
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a. Yes; allresults must be recorded regardless ofwho did the test.
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b. No; she should have brought the errorto thetechnologist’s attention.
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c. Yes; because she used the other technologist’s initials. e e e e e e e




d. Yes; as long as she recordsthe result inpencil. e e e e e e e e e




ANS: B e




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




10. Unacceptable quality controlresults for the antiglobulin test performed intest tubes may be noticed if: e e e e e e e e e e e e e e e




a. preventive maintenance has not beenperformed onthe cell washer. e e e e e e e e e




b. thetechnologist performing the test was never trained.
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c. the reagents used were improperlystored. e e e e e




d. Allofthe above e e e




ANS: D e




Training, equipment maintenance, and reagent qualitycan affect quality control.
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DIF: Level 2 e




11. Allofthe following are trueregarding 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 onlyifthe technologist has no experience.
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d. retraining is required if there is a failure in competency testing. e e e e e e e e e e




ANS: C e




All employees must have competencytesting following training and annuallythereafter. Ifthere is a failure incompetencytesting,
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eretraining is required. e e




DIF: Level 2 e




12. Which ofthe following organizations are involved inthe regulation ofblood banks?
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a. The Joint Commission e e




b. AABB
c. College ofAmericanPathologists e e e




d. Food and Drug Administration e e e




ANS: D e




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




13. Allofthe following are responsibilities ofthe qualityassurance department ofa blood bank except:
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a. performing internal audits. e e




b. performing quality control. e e




c. reviewing standard operating procedures. e e e




d. reviewing and approving training programs. e e e e




ANS: B e




Qualitycontrol is performed in the laboratory, not bythe quality assurance department.
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DIF: Level 2 e