TEST BANK
,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 iin itraining inoticed ithat ithe iperson itraining iher ihad inot irecorded ithe iresults
iof ia itest. iTo ibe ihelpful, ishe icarefully irecorded ithe iresults ishe isaw iat ia ilater itime, iusing
ithe itechnologist’s iinitials. iIs ithis ian iacceptable iprocedure?
a. Yes; iall iresults imust ibe irecorded iregardless iof iwho idid ithe itest.
b. No; ishe ishould ihave ibrought ithe ierror ito ithe itechnologist’s iattention.
c. Yes; ibecause ishe iused ithe iother itechnologist’s iinitials.
d. Yes; ias ilong ias ishe irecords ithe iresult iin ipencil.
ANS: i B
This iis ian iexample iof ipoor irecord ikeeping; iresults imust ibe irecorded iwhen ithe itest iis
iperformed iand iby ithe iperson idoing ithe itest.
DIF: Level i3 REF: i p. i8
10. Unacceptable iquality icontrol iresults ifor ithe iantiglobulin itest iperformed iin itest itubes imay
ibe inoticed iif:
a. preventive imaintenance ihas inot ibeen iperformed ion ithe icell iwasher.
b. the itechnologist iperforming ithe itest iwas inever itrained.
c. the ireagents iused iwere iimproperly istored.
d. All iof ithe iabove
ANS: i D
Training, iequipment imaintenance, iand ireagent iquality ican iaffect iquality icontrol.
DIF: Level i2 REF: i p. i5
11. All iof ithe ifollowing iare itrue iregarding icompetency itesting iexcept:
a. it imust ibe iperformed ifollowing itraining.
b. it imust ibe iperformed ion ian iannual ibasis.
c. it iis irequired ionly iif ithe itechnologist ihas ino iexperience.
d. retraining iis irequired iif ithere iis ia ifailure iin icompetency itesting.
ANS: i C
All iemployees imust ihave icompetency itesting ifollowing itraining iand iannually ithereafter. iIf
ithere iis ia ifailure iin icompetency itesting, iretraining iis irequired.
DIF: Level i2 REF: i p. i10
12. Which iof ithe ifollowing iorganizations iare iinvolved iin ithe iregulation iof iblood ibanks?
a. The iJoint iCommission
b. AABB
c. College iof iAmerican iPathologists
d. Food iand iDrug iAdministration
ANS: i D
The iFood iand iDrug iAdministration iregulates iblood ibanks, iwhereas ithe iother iorganizations
iare iinvolved iin iaccreditation.
DIF: Level i1 REF: i p. i2
,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 iin itraining inoticed ithat ithe iperson itraining iher ihad inot irecorded ithe iresults
iof ia itest. iTo ibe ihelpful, ishe icarefully irecorded ithe iresults ishe isaw iat ia ilater itime, iusing
ithe itechnologist’s iinitials. iIs ithis ian iacceptable iprocedure?
a. Yes; iall iresults imust ibe irecorded iregardless iof iwho idid ithe itest.
b. No; ishe ishould ihave ibrought ithe ierror ito ithe itechnologist’s iattention.
c. Yes; ibecause ishe iused ithe iother itechnologist’s iinitials.
d. Yes; ias ilong ias ishe irecords ithe iresult iin ipencil.
ANS: i B
This iis ian iexample iof ipoor irecord ikeeping; iresults imust ibe irecorded iwhen ithe itest iis
iperformed iand iby ithe iperson idoing ithe itest.
DIF: Level i3 REF: i p. i8
10. Unacceptable iquality icontrol iresults ifor ithe iantiglobulin itest iperformed iin itest itubes imay
ibe inoticed iif:
a. preventive imaintenance ihas inot ibeen iperformed ion ithe icell iwasher.
b. the itechnologist iperforming ithe itest iwas inever itrained.
c. the ireagents iused iwere iimproperly istored.
d. All iof ithe iabove
ANS: i D
Training, iequipment imaintenance, iand ireagent iquality ican iaffect iquality icontrol.
DIF: Level i2 REF: i p. i5
11. All iof ithe ifollowing iare itrue iregarding icompetency itesting iexcept:
a. it imust ibe iperformed ifollowing itraining.
b. it imust ibe iperformed ion ian iannual ibasis.
c. it iis irequired ionly iif ithe itechnologist ihas ino iexperience.
d. retraining iis irequired iif ithere iis ia ifailure iin icompetency itesting.
ANS: i C
All iemployees imust ihave icompetency itesting ifollowing itraining iand iannually ithereafter. iIf
ithere iis ia ifailure iin icompetency itesting, iretraining iis irequired.
DIF: Level i2 REF: i p. i10
12. Which iof ithe ifollowing iorganizations iare iinvolved iin ithe iregulation iof iblood ibanks?
a. The iJoint iCommission
b. AABB
c. College iof iAmerican iPathologists
d. Food iand iDrug iAdministration
ANS: i D
The iFood iand iDrug iAdministration iregulates iblood ibanks, iwhereas ithe iother iorganizations
iare iinvolved iin iaccreditation.
DIF: Level i1 REF: i p. i2
