TEST BANK
BASIC & APPLIED CONCEPTS OF BLOOD BANKING AND
TRANSFUSION PRACTICES 4TH EDITION
Paula R. Howard
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues
in the Blood Bank
Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 4th
Edition
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 atechnologist ain atraining anoticed athat athe aperson atraining aher ahad anot arecorded athe
aresults aof aa atest. aTo abe ahelpful, ashe acarefully arecorded athe aresults ashe asaw aat aa alater
atime, ausing athe atechnologist’s ainitials. aIs athis aan aacceptable aprocedure?
a. Yes; aall aresults amust abe arecorded aregardless aof awho adid athe atest.
b. No; ashe ashould ahave abrought athe aerror ato athe atechnologist’s aattention.
c. Yes; abecause ashe aused athe aother atechnologist’s ainitials.
d. Yes; aas along aas ashe arecords athe aresult ain apencil.
ANS: a B
This ais aan aexample aof apoor arecord akeeping; aresults amust abe arecorded awhen athe atest ais
aperformed aand aby athe aperson adoing athe atest.
DIF: Level a3 REF: a a p. a8
10. Unacceptable aquality acontrol aresults afor athe aantiglobulin atest aperformed ain atest atubes
amay abe anoticed aif:
a. preventive amaintenance ahas anot abeen aperformed aon athe acell awasher.
b. the atechnologist aperforming athe atest awas anever atrained.
c. the areagents aused awere aimproperly astored.
d. All aof athe aabove
ANS: a D
Training, aequipment amaintenance, aand areagent aquality acan aaffect aquality acontrol.
DIF: Level a2 REF: a a p. a5
11. All aof athe afollowing aare atrue aregarding acompetency atesting a except:
a. it amust abe aperformed afollowing atraining.
b. it amust abe aperformed aon aan aannual abasis.
c. it ais arequired aonly aif athe atechnologist ahas ano aexperience.
d. retraining ais arequired aif athere ais aa afailure ain acompetency atesting.
ANS: a C
All aemployees amust ahave acompetency atesting afollowing atraining aand aannually athereafter.
aIf athere ais aa afailure ain acompetency atesting, aretraining ais arequired.
DIF: Level a2 REF: a a p. a10
12. Which aof athe afollowing aorganizations aare ainvolved ain athe aregulation aof ablood abanks?
a. The aJoint aCommission
b. AABB
c. College aof aAmerican aPathologists
d. Food aand aDrug aAdministration
ANS: a D
The aFood aand aDrug aAdministration aregulates ablood abanks, awhereas athe aother
aorganizations aare ainvolved ain aaccreditation.
DIF: Level a1 REF: a a p. a2
BASIC & APPLIED CONCEPTS OF BLOOD BANKING AND
TRANSFUSION PRACTICES 4TH EDITION
Paula R. Howard
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues
in the Blood Bank
Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 4th
Edition
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 atechnologist ain atraining anoticed athat athe aperson atraining aher ahad anot arecorded athe
aresults aof aa atest. aTo abe ahelpful, ashe acarefully arecorded athe aresults ashe asaw aat aa alater
atime, ausing athe atechnologist’s ainitials. aIs athis aan aacceptable aprocedure?
a. Yes; aall aresults amust abe arecorded aregardless aof awho adid athe atest.
b. No; ashe ashould ahave abrought athe aerror ato athe atechnologist’s aattention.
c. Yes; abecause ashe aused athe aother atechnologist’s ainitials.
d. Yes; aas along aas ashe arecords athe aresult ain apencil.
ANS: a B
This ais aan aexample aof apoor arecord akeeping; aresults amust abe arecorded awhen athe atest ais
aperformed aand aby athe aperson adoing athe atest.
DIF: Level a3 REF: a a p. a8
10. Unacceptable aquality acontrol aresults afor athe aantiglobulin atest aperformed ain atest atubes
amay abe anoticed aif:
a. preventive amaintenance ahas anot abeen aperformed aon athe acell awasher.
b. the atechnologist aperforming athe atest awas anever atrained.
c. the areagents aused awere aimproperly astored.
d. All aof athe aabove
ANS: a D
Training, aequipment amaintenance, aand areagent aquality acan aaffect aquality acontrol.
DIF: Level a2 REF: a a p. a5
11. All aof athe afollowing aare atrue aregarding acompetency atesting a except:
a. it amust abe aperformed afollowing atraining.
b. it amust abe aperformed aon aan aannual abasis.
c. it ais arequired aonly aif athe atechnologist ahas ano aexperience.
d. retraining ais arequired aif athere ais aa afailure ain acompetency atesting.
ANS: a C
All aemployees amust ahave acompetency atesting afollowing atraining aand aannually athereafter.
aIf athere ais aa afailure ain acompetency atesting, aretraining ais arequired.
DIF: Level a2 REF: a a p. a10
12. Which aof athe afollowing aorganizations aare ainvolved ain athe aregulation aof ablood abanks?
a. The aJoint aCommission
b. AABB
c. College aof aAmerican aPathologists
d. Food aand aDrug aAdministration
ANS: a D
The aFood aand aDrug aAdministration aregulates ablood abanks, awhereas athe aother
aorganizations aare ainvolved ain aaccreditation.
DIF: Level a1 REF: a a p. a2
