TESTBANK
|
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in
| | | | | | | | | | | | |
the Blood Bank
| | |
MULTIPLE |CHOICE
1. Which |of |the |following |agencies |administers |the |Clinical |Laboratory |Improvement
Amendments?
|
a.AABB
b.Centers |for |Medicare |and |Medicaid |Services
c.OSHA
d.Food |and |Drug |Administration
ANS: | B
The |Centers |for |Medicare |and |Medicaid |Services |administers |CLIA, |Medicare, |Medicaid, |and
|HIPAA.
DIF: Level |1 REF: | p. |3
2. A |laboratory |technologist |decided |she |would |like |to |bring |her |lab |coat |home |for |laundering
|because |it |had |too |many |wrinkles |when |returned |by |the |laboratory’s |laundry |service. |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 |permit |health |care
|workers |to |bring |lab |coats |home |for |cleaning.
DIF: Level |2 REF: | p. |14
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 |devices.
DIF: Level |1 REF: | p. |14
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 |before |independent
|work |is |permitted |and |annually |thereafter.
DIF: Level |1 REF: | p. |17
5. In |safety |training, |employees |must |become |familiar |with |all |of |the |following |except:
a. tasks |that |have |an |infectious |risk.
b. limits |of |protective |clothing |and |equipment.
c. the |appropriate |action |to |take |if |exposure |occurs.
d. how |to |perform |cardiopulmonary |resuscitation |on |a |donor |or |other |employee.
ANS: | D
The |Occupational |Safety |and |Health |Administration |requirements |include |all |of |those |listed
|except |cardiopulmonary |resuscitation.
DIF: Level |1 REF: | p. |13
6. Blood |irradiators |require |all |of |the |following |safety |procedures |except:
a. proper |training.
b. that |the |user |have |a |degree |in |radiology.
c. equipment |leak |detection.
d. personal |protective |equipment.
ANS: | B
Blood |bank |and |transfusion |service |technologists |require |training |but |not |a |degree |to |use |a |blood
|irradiator.
DIF: Level |2 REF: | p. |16
7. Which |of |the |following |is |true |regarding |good |manufacturing |practices |(GMPs)?
a. GMPs |are |legal |requirements |established |by |the |Food |and |Drug |Administration.
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 |Drug |Administration.
DIF: Level |1 REF: | p. |5
8. Which |of |the |following |is |an |example |of |an |unacceptable |record-keeping |procedure?
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 REF: | | p. |7
9. A |technologist |in |training |noticed |that |the |person |training |her |had |not |recorded |the |results |of |a
|test. |To |be |helpful, |she |carefully |recorded |the |results |she |saw |at |a |later |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 |the |test |is |performed
|and |by |the |person |doing |the |test.
DIF: Level |3 REF: | p. |8
10. Unacceptable |quality |control |results |for |the |antiglobulin |test |performed |in |test |tubes |may |be
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 |control.
DIF: Level |2 REF: | p. |5
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 |thereafter. |If |there
|is |a |failure |in |competency |testing, |retraining |is |required.
DIF: Level |2 REF: | p. |10
12. Which |of |the |following |organizations |are |involved |in |the |regulation |of |blood |banks?
a. The |Joint |Commission
b. AABB
c. College |of |American |Pathologists
d. Food |and |Drug |Administration
ANS: | D
The |Food |and |Drug |Administration |regulates |blood |banks, |whereas |the |other |organizations |are
|involved |in |accreditation.
DIF: Level |1 REF: | p. |2
|
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in
| | | | | | | | | | | | |
the Blood Bank
| | |
MULTIPLE |CHOICE
1. Which |of |the |following |agencies |administers |the |Clinical |Laboratory |Improvement
Amendments?
|
a.AABB
b.Centers |for |Medicare |and |Medicaid |Services
c.OSHA
d.Food |and |Drug |Administration
ANS: | B
The |Centers |for |Medicare |and |Medicaid |Services |administers |CLIA, |Medicare, |Medicaid, |and
|HIPAA.
DIF: Level |1 REF: | p. |3
2. A |laboratory |technologist |decided |she |would |like |to |bring |her |lab |coat |home |for |laundering
|because |it |had |too |many |wrinkles |when |returned |by |the |laboratory’s |laundry |service. |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 |permit |health |care
|workers |to |bring |lab |coats |home |for |cleaning.
DIF: Level |2 REF: | p. |14
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 |devices.
DIF: Level |1 REF: | p. |14
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 |before |independent
|work |is |permitted |and |annually |thereafter.
DIF: Level |1 REF: | p. |17
5. In |safety |training, |employees |must |become |familiar |with |all |of |the |following |except:
a. tasks |that |have |an |infectious |risk.
b. limits |of |protective |clothing |and |equipment.
c. the |appropriate |action |to |take |if |exposure |occurs.
d. how |to |perform |cardiopulmonary |resuscitation |on |a |donor |or |other |employee.
ANS: | D
The |Occupational |Safety |and |Health |Administration |requirements |include |all |of |those |listed
|except |cardiopulmonary |resuscitation.
DIF: Level |1 REF: | p. |13
6. Blood |irradiators |require |all |of |the |following |safety |procedures |except:
a. proper |training.
b. that |the |user |have |a |degree |in |radiology.
c. equipment |leak |detection.
d. personal |protective |equipment.
ANS: | B
Blood |bank |and |transfusion |service |technologists |require |training |but |not |a |degree |to |use |a |blood
|irradiator.
DIF: Level |2 REF: | p. |16
7. Which |of |the |following |is |true |regarding |good |manufacturing |practices |(GMPs)?
a. GMPs |are |legal |requirements |established |by |the |Food |and |Drug |Administration.
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 |Drug |Administration.
DIF: Level |1 REF: | p. |5
8. Which |of |the |following |is |an |example |of |an |unacceptable |record-keeping |procedure?
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 REF: | | p. |7
9. A |technologist |in |training |noticed |that |the |person |training |her |had |not |recorded |the |results |of |a
|test. |To |be |helpful, |she |carefully |recorded |the |results |she |saw |at |a |later |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 |the |test |is |performed
|and |by |the |person |doing |the |test.
DIF: Level |3 REF: | p. |8
10. Unacceptable |quality |control |results |for |the |antiglobulin |test |performed |in |test |tubes |may |be
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 |control.
DIF: Level |2 REF: | p. |5
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 |thereafter. |If |there
|is |a |failure |in |competency |testing, |retraining |is |required.
DIF: Level |2 REF: | p. |10
12. Which |of |the |following |organizations |are |involved |in |the |regulation |of |blood |banks?
a. The |Joint |Commission
b. AABB
c. College |of |American |Pathologists
d. Food |and |Drug |Administration
ANS: | D
The |Food |and |Drug |Administration |regulates |blood |banks, |whereas |the |other |organizations |are
|involved |in |accreditation.
DIF: Level |1 REF: | p. |2
