Test Bank For Basic & Applied Concepts of Blood Banking and T
I I I I I I I I I I I
Practices 5th Edition – By Paula Howard
I I I I I I
| Verified Chapter's 1 - 16 | Complete
,Table of Contents I I
Part I: Quality and Safety Issues
I I I I I
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank……………………
I I I I I I I I I I I I I
ons: Basic Sciences and Reagents
I I I I
2. Immunology: Basic Principles and Applications in the Blood Bank ……………………………………………………. I I I I I I I I I
3. BloodBanking Reagents: Overview and Applications……………………………………………………………………13
I I I I I
4. Genetic PrinciplesinBloodBanking……………………………………………………………………………………….18 Par
I I I I I I
or Blood Groups
I I
5. ABO and H Blood Group Systems and Secretor Status………………………………………………………………….22
I I I I I I I I I I
6.RhBloodGroupSystem……………………………………………………………………………………………………26
I I I I
7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens……………………
I I I I I I I I I I I
als of Pretransfusion Testing
I I I
8. Antibody Detection and Identification……………………………………………………………………………………34
III III III I
9. 9. Compatibility Testing………………………………………………………………………………………………………38
IIIII IIIII
10. BloodBank Automation forTransfusion Services………………………………………………………………………44
I I I I I
ations in Immunohematology I I
11. AdverseComplicationsofTransfusions………………………………………………………………………………….46 I I I
12. Hemolytic Disease of the Fetus and Newborn……………………………………………………………………………50 I I I I I I I
Iand Testing I
13. DonorSelectionandPhlebotomy………………………………………………………………………………………….55
I I I I I
14. TestingofDonorBlood…………………………………………………………………………………………………….60 Part V
I I I I I I
eparation and Transfusion Therapy I I I
15. BloodComponentPreparationandTherapy…………………………………………………………………………….63
I I I I
16. TransfusionTherapyinSelectedPatients……………………………………………………………………………….. 66 I I I I I
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood Bank
I I I I I I I I I I I I I I I I
pplied Concepts of Blood Banking and Transfusion Practices, 5th Edition
I I I I I I I I I
MULTIPLEICHOICE
1. BiosafetyIlevelsIdetermine:
a. onIwhatI floorIcertainIinfectiousIdiseaseItestingIcanIbeIperformed.
b. theIdegreeIofIriskIforIcertainIareasIofIaIhealthIcareIfacilityItoIexposureItoI in
fectiousIdiseases.
c. theIamountIofIventilationIrequiredI inIaItransfusionIservice.
d. howImanyIbiohazardousIwasteIcontainersIaI laboratoryImustIhave.
ANS:I B
OSHAIdefinesIbiosafetyIlevelsIbasedIonIpotentialIexposureItoIinfectiousImaterial.
DIF: LevelI1
2. AIlaboratoryItechnologistIdecidedIsheIwouldI likeItoIbringI herI labIcoatIhomeI forIlaunderingIbecauseI itI hadIt
itI wasIreturnedIbyItheIlaboratory’sIlaundryIservice.I IsIthisIpracticeIacceptable?
a. Yes,IifIsheIusesI10%Ibleach
b. Yes,IifIsheIclearsIitI withIherIsupervisor
c. Yes,IasIlongIasIsheIremovesItheIcoatI andIdoesInotIwearI itI home
d. No,IbecauseItheI laboratoryIisIaIbiosafetyIlevelI2,IandIlabIcoatsImayInotIbeI re
moved
ANS:I D
MethodsIofItransportingItheI labIcoatI andItheIriskIofIcontaminationIdoI notI permitI healthIcareIworkersItoIbr
.
DIF: LevelI2
3. PersonalIprotectiveIequipmentI includes:
a. safetyIglasses.
b. splashIbarriers.
c. masks.
d. AllIofItheIabove
ANS:I D
SafetyIglasses,IsplashIbarriers,IandI masksIareItypesIofIpersonalIprotectiveIdevices.
DIF: LevelI1
4. AtI whatI pointIinItheIemploymentIprocessIshouldIsafetyItrainingItakeIplace?
a. DuringIorientationIandItraining
b. FollowingIlabItrainingIwhenIemployeesIareI moreIfamiliarIwithItheirI re
sponsibilities
c. FollowingItheIemployees’IfirstIevaluation
d. BeforeIindependentI workIisIpermittedIandIannuallyIthereafter
ANS:I D
TheIOccupationISafetyIandIHealthIAdministrationIrequiresIsafetyItrainingIbeforeIindependentI workIisIperm
.
DIF: LevelI1
, 7. WhichIofItheIfollowingI isItrueIregardingIgoodImanufacturingIpracticesI(GMPs)?
a. GMPsIareI legalIrequirementsIestablishedIbyItheIFoodIandIDrugIAdministration.
b. GMPsIareIoptionalIguidelinesIwrittenIbyItheIAABB.
c. GMPsIareIrequiredIonlyIbyIpharmaceuticalIcompanies.
d. GMPsIareIpartIofItheIqualityIcontrolIrequirementsIforIbloodIproducts.
ANS:I A
GoodImanufacturingIpracticesIareIrequirementsIestablishedIbyItheIFoodIandIDrugIAdministration.
DIF: LevelI1
8. WhichIofItheI followingI isIanIexampleIofIanIunacceptableIrecord-keepingIprocedure?
a. UsingIdittosIinIcolumnsItoIsaveItime
b. RecordingItheIdateIandI initialsInextItoIaIcorrection
c. NotIdeletingItheIoriginalIentryIwhenImakingIaIcorrection
d. AlwaysIusingIpermanentI inkIonIallIrecords
ANS:I A
AllIrecordsImustI beIclearlyIwritten.IDittosIareIunacceptable.
DIF: LevelI1
9. AItechnologistI inItrainingI noticedIthatItheIpersonItrainingIherIhadInotI recordedItheIresultsIofIaItest.IToIbeIh
ordedItheIresultsIsheIsawIatI aIlaterItime,IusingItheItechnologist’sIinitials.IIsIthisIanIacceptableIprocedure?
a. Yes;IallIresultsImustIbeIrecordedIregardlessIofIwhoI didItheItest.
b. No;IsheIshouldIhaveIbroughtItheIerrorItoItheItechnologist’sIattention.
c. Yes;IbecauseIsheIusedItheIotherItechnologist’sIinitials.
d. Yes;IasIlongIasIsheIrecordsItheIresultI inIpencil.
ANS:I B
ThisIisIanIexampleIofIpoorIrecordIkeeping;IresultsImustI beIrecordedIwhenItheItestIisIperformedIandI byItheI
DIF: LevelI3
10. UnacceptableIqualityIcontrolIresultsIforItheIantiglobulinItestI performedI inItestItubesImayIbeInoticedI if:
a. preventiveI maintenanceIhasInotIbeenIperformedIonItheIcellIwasher.
b. theItechnologistIperformingItheItestIwasIneverItrained.
c. theIreagentsIusedIwereIimproperlyIstored.
d. AllIofItheIabove
ANS:I D
Training,IequipmentI maintenance,IandIreagentI qualityIcanIaffectIqualityIcontrol.
DIF: LevelI2
11. AllIofItheIfollowingIareItrueIregardingIcompetencyItestingI except:
a. itI mustI beIperformedIfollowingItraining.
b. itI mustIbeIperformedIonIanIannualIbasis.
c. itI isIrequiredIonlyIifItheItechnologistI hasInoIexperience.
d. retrainingIisIrequiredI ifIthereI isIaIfailureI inIcompetencyItesting.
ANS:I C
AllIemployeesImustI haveIcompetencyItestingI followingItrainingIandIannuallyIthereafter.IIfIthereIisIaIfailure
ainingI isIrequired.
DIF: LevelI2
12. WhichIofItheI followingIorganizationsIareI involvedI inItheIregulationIofIbloodIbanks?
I I I I I I I I I I I
Practices 5th Edition – By Paula Howard
I I I I I I
| Verified Chapter's 1 - 16 | Complete
,Table of Contents I I
Part I: Quality and Safety Issues
I I I I I
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank……………………
I I I I I I I I I I I I I
ons: Basic Sciences and Reagents
I I I I
2. Immunology: Basic Principles and Applications in the Blood Bank ……………………………………………………. I I I I I I I I I
3. BloodBanking Reagents: Overview and Applications……………………………………………………………………13
I I I I I
4. Genetic PrinciplesinBloodBanking……………………………………………………………………………………….18 Par
I I I I I I
or Blood Groups
I I
5. ABO and H Blood Group Systems and Secretor Status………………………………………………………………….22
I I I I I I I I I I
6.RhBloodGroupSystem……………………………………………………………………………………………………26
I I I I
7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens……………………
I I I I I I I I I I I
als of Pretransfusion Testing
I I I
8. Antibody Detection and Identification……………………………………………………………………………………34
III III III I
9. 9. Compatibility Testing………………………………………………………………………………………………………38
IIIII IIIII
10. BloodBank Automation forTransfusion Services………………………………………………………………………44
I I I I I
ations in Immunohematology I I
11. AdverseComplicationsofTransfusions………………………………………………………………………………….46 I I I
12. Hemolytic Disease of the Fetus and Newborn……………………………………………………………………………50 I I I I I I I
Iand Testing I
13. DonorSelectionandPhlebotomy………………………………………………………………………………………….55
I I I I I
14. TestingofDonorBlood…………………………………………………………………………………………………….60 Part V
I I I I I I
eparation and Transfusion Therapy I I I
15. BloodComponentPreparationandTherapy…………………………………………………………………………….63
I I I I
16. TransfusionTherapyinSelectedPatients……………………………………………………………………………….. 66 I I I I I
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood Bank
I I I I I I I I I I I I I I I I
pplied Concepts of Blood Banking and Transfusion Practices, 5th Edition
I I I I I I I I I
MULTIPLEICHOICE
1. BiosafetyIlevelsIdetermine:
a. onIwhatI floorIcertainIinfectiousIdiseaseItestingIcanIbeIperformed.
b. theIdegreeIofIriskIforIcertainIareasIofIaIhealthIcareIfacilityItoIexposureItoI in
fectiousIdiseases.
c. theIamountIofIventilationIrequiredI inIaItransfusionIservice.
d. howImanyIbiohazardousIwasteIcontainersIaI laboratoryImustIhave.
ANS:I B
OSHAIdefinesIbiosafetyIlevelsIbasedIonIpotentialIexposureItoIinfectiousImaterial.
DIF: LevelI1
2. AIlaboratoryItechnologistIdecidedIsheIwouldI likeItoIbringI herI labIcoatIhomeI forIlaunderingIbecauseI itI hadIt
itI wasIreturnedIbyItheIlaboratory’sIlaundryIservice.I IsIthisIpracticeIacceptable?
a. Yes,IifIsheIusesI10%Ibleach
b. Yes,IifIsheIclearsIitI withIherIsupervisor
c. Yes,IasIlongIasIsheIremovesItheIcoatI andIdoesInotIwearI itI home
d. No,IbecauseItheI laboratoryIisIaIbiosafetyIlevelI2,IandIlabIcoatsImayInotIbeI re
moved
ANS:I D
MethodsIofItransportingItheI labIcoatI andItheIriskIofIcontaminationIdoI notI permitI healthIcareIworkersItoIbr
.
DIF: LevelI2
3. PersonalIprotectiveIequipmentI includes:
a. safetyIglasses.
b. splashIbarriers.
c. masks.
d. AllIofItheIabove
ANS:I D
SafetyIglasses,IsplashIbarriers,IandI masksIareItypesIofIpersonalIprotectiveIdevices.
DIF: LevelI1
4. AtI whatI pointIinItheIemploymentIprocessIshouldIsafetyItrainingItakeIplace?
a. DuringIorientationIandItraining
b. FollowingIlabItrainingIwhenIemployeesIareI moreIfamiliarIwithItheirI re
sponsibilities
c. FollowingItheIemployees’IfirstIevaluation
d. BeforeIindependentI workIisIpermittedIandIannuallyIthereafter
ANS:I D
TheIOccupationISafetyIandIHealthIAdministrationIrequiresIsafetyItrainingIbeforeIindependentI workIisIperm
.
DIF: LevelI1
, 7. WhichIofItheIfollowingI isItrueIregardingIgoodImanufacturingIpracticesI(GMPs)?
a. GMPsIareI legalIrequirementsIestablishedIbyItheIFoodIandIDrugIAdministration.
b. GMPsIareIoptionalIguidelinesIwrittenIbyItheIAABB.
c. GMPsIareIrequiredIonlyIbyIpharmaceuticalIcompanies.
d. GMPsIareIpartIofItheIqualityIcontrolIrequirementsIforIbloodIproducts.
ANS:I A
GoodImanufacturingIpracticesIareIrequirementsIestablishedIbyItheIFoodIandIDrugIAdministration.
DIF: LevelI1
8. WhichIofItheI followingI isIanIexampleIofIanIunacceptableIrecord-keepingIprocedure?
a. UsingIdittosIinIcolumnsItoIsaveItime
b. RecordingItheIdateIandI initialsInextItoIaIcorrection
c. NotIdeletingItheIoriginalIentryIwhenImakingIaIcorrection
d. AlwaysIusingIpermanentI inkIonIallIrecords
ANS:I A
AllIrecordsImustI beIclearlyIwritten.IDittosIareIunacceptable.
DIF: LevelI1
9. AItechnologistI inItrainingI noticedIthatItheIpersonItrainingIherIhadInotI recordedItheIresultsIofIaItest.IToIbeIh
ordedItheIresultsIsheIsawIatI aIlaterItime,IusingItheItechnologist’sIinitials.IIsIthisIanIacceptableIprocedure?
a. Yes;IallIresultsImustIbeIrecordedIregardlessIofIwhoI didItheItest.
b. No;IsheIshouldIhaveIbroughtItheIerrorItoItheItechnologist’sIattention.
c. Yes;IbecauseIsheIusedItheIotherItechnologist’sIinitials.
d. Yes;IasIlongIasIsheIrecordsItheIresultI inIpencil.
ANS:I B
ThisIisIanIexampleIofIpoorIrecordIkeeping;IresultsImustI beIrecordedIwhenItheItestIisIperformedIandI byItheI
DIF: LevelI3
10. UnacceptableIqualityIcontrolIresultsIforItheIantiglobulinItestI performedI inItestItubesImayIbeInoticedI if:
a. preventiveI maintenanceIhasInotIbeenIperformedIonItheIcellIwasher.
b. theItechnologistIperformingItheItestIwasIneverItrained.
c. theIreagentsIusedIwereIimproperlyIstored.
d. AllIofItheIabove
ANS:I D
Training,IequipmentI maintenance,IandIreagentI qualityIcanIaffectIqualityIcontrol.
DIF: LevelI2
11. AllIofItheIfollowingIareItrueIregardingIcompetencyItestingI except:
a. itI mustI beIperformedIfollowingItraining.
b. itI mustIbeIperformedIonIanIannualIbasis.
c. itI isIrequiredIonlyIifItheItechnologistI hasInoIexperience.
d. retrainingIisIrequiredI ifIthereI isIaIfailureI inIcompetencyItesting.
ANS:I C
AllIemployeesImustI haveIcompetencyItestingI followingItrainingIandIannuallyIthereafter.IIfIthereIisIaIfailure
ainingI isIrequired.
DIF: LevelI2
12. WhichIofItheI followingIorganizationsIareI involvedI inItheIregulationIofIbloodIbanks?