Test Bank For Basic & Applied Concepts of Blood Banking
Practices 5th Edition – By Paula Howard
| Verified Chapter's 1 - 16 | Complete
,Table of Contents Qg Qg
Part I: Quality and Safety Issues
Qg Qg Qg Qg Qg
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank……
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qg II: Foundations: Basic Sciences and Reagents
Qg Qg Qg Qg Qg
2. Immunology: Basic Principles and Applications in the Blood Bank ………………………………………………
Qg Qg Qg Qg Qg Qg Qg Qg Qg
3. Blood Banking Reagents: Overview and Applications……………………………………………………………
Qg Qg Qg Qg Qg
Principles in Blood Banking……………………………………………………………………………………….18
Qg Qg Qg Qg Q g Part
Qg Major Blood Groups
Qg Qg
5. ABO and H Blood Group Systems and Secretor Status……………………………………………………………
Qg Qg Qg Qg Qg Qg Qg Qg Qg
Group System……………………………………………………………………………………………………26
Qg Qg
7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens…………
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qg IV: Essentials of Pretransfusion Testing
Qg Qg Qg Qg
8. Antibody Qg Qg Q g Detection Qg Qg Q g and Qg Qg Q g Identification………………………………………………………………………………
Qg Compatibility Qg Qg Qg Qg Q g Testing………………………………………………………………………………………………………38
10. Blood Bank Automation for Transfusion Services……………………………………………………………………
Qg Qg Qg Qg Qg
Qg Considerations in Immunohematology Qg Qg
11. Adverse Complications of Transfusions………………………………………………………………………………….46
Q
g Qg Q
g
12. Hemolytic Disease of the Fetus and Newborn…………………………………………………………………………
Qg Qg Qg Qg Qg Qg
Qg Collecting and Testing Qg Qg
13. Donor Selection and Phlebotomy………………………………………………………………………………………….55
Qg Qg Qg Qg
Blood…………………………………………………………………………………………………….60
Qg Q g Part VII: Blood Comp
Qg Qg Qg
Qg Transfusion Therapy Qg
15. Blood Component Preparation and Therapy…………………………………………………………………………….63
Qg Qg Qg Qg
16. Transfusion Therapy in Selected Patients……………………………………………………………………………….. 66
Qg Qg Qg Qg Qg
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the B
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 5th Edition
Q g Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
MULTIPLE CHOICE Qg
1. Biosafety levels determine: Qg Qg
a. on what floor certain infectious disease testing can be performed.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
b. the degree of risk for certain areas of a health care facility to
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
exposure to infectious diseases.
Qg Qg Q g Qg
c. the amount of ventilation required in a transfusion service.
Qg Qg Qg Qg Qg Qg Qg Qg
d. how many biohazardous waste containers a laboratory must have.
Qg Qg Qg Qg Qg Qg Qg Qg
ANS: B Qg
OSHA defines biosafety levels based on potential exposure to infectious material.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 1 Qg
2. A laboratory technologist decided she would like to bring her lab coat home for laundering b
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
wrinkles when
Qg Qg
it was returned by the laboratory’s laundry service. Is this practice acceptable?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Yes, if she uses 10% bleach
Qg Qg Qg Qg Qg
b. Yes, if she clears it with her supervisor
Qg Qg Qg Qg Qg Qg Qg
c. Yes, as long as she removes the coat and does not wear it home
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
d. No, because the laboratory is a biosafety level 2, and lab coats
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
may not be removed
Qg Qg Qg Q g
ANS: D Qg
Methods of transporting the lab coat and the risk of contamination do not permit health care
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
home for cleaning.
Qg Qg Q g
DIF: Level 2 Qg
3. Personal protective equipment includes:
Qg Qg Qg
a. safety glasses. Qg
b. splash barriers. Qg
c. masks.
d. All of the above Qg Qg Qg
ANS: D Qg
Safety glasses, splash barriers, and masks are types of personal protective devices.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 1 Qg
4. At what point in the employment process should safety training take place?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. During orientation and training Qg Qg Qg
b. Following lab training when employees are more familiar with
Qg Qg Qg Qg Qg Qg Qg Qg
their responsibilities
Qg Q g
c. Following the employees’ first evaluation Qg Qg Qg Qg
d. Before independent work is permitted and annually thereafter
Qg Qg Qg Qg Qg Qg Qg
ANS: D Qg
The Occupation Safety and Health Administration requires safety training before independent w
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
annually
Qg thereafter. Q g
DIF: Level 1 Qg
, 7. Which of the following is true regarding good manufacturing practices (GMPs)?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. GMPs are legal requirements established by the Food and Drug Administration.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
b. GMPs are optional guidelines written by the AABB.
Qg Qg Qg Qg Qg Qg Qg
c. GMPs are required only by pharmaceutical companies.
Qg Qg Qg Qg Qg Qg
d. GMPs are part of the quality control requirements for blood products.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
ANS: A Qg
Good manufacturing practices are requirements established by the Food and Drug Administratio
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 1 Qg
8. Which of the following is an example of an unacceptable record-keeping procedure?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Using dittos in columns to save time Qg Qg Qg Qg Qg Qg
b. Recording the date and initials next to a correction Qg Qg Qg Qg Qg Qg Qg Qg
c. Not deleting the original entry when making a correction
Qg Qg Qg Qg Qg Qg Qg Qg
d. Always using permanent ink on all records Qg Qg Qg Qg Qg Qg
ANS: A Qg
All records must be clearly written. Dittos are unacceptable.
Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 1 Qg
9. A technologist in training noticed that the person training her had not recorded the results of
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
helpful, she carefully
Qg recorded the results she saw at a later time, using the technologist’s
Qg Qg Q g Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
acceptable procedure?
Qg Qg
a. Yes; all results must be recorded regardless of who did the test.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
b. No; she should have brought the error to the technologist’s attention.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
c. Yes; because she used the other technologist’s initials.
Qg Qg Qg Qg Qg Qg Qg
d. Yes; as long as she records the result in pencil.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
ANS: B Qg
This is an example of poor record keeping; results must be recorded when the test is perform
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
doing the test.
Qg Qg Qg
DIF: Level 3 Qg
10. Unacceptable quality control results for the antiglobulin test performed in test tubes may be n
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. preventive maintenance has not been performed on the cell washer.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
b. the technologist performing the test was never trained.
Qg Qg Qg Qg Qg Qg Qg
c. the reagents used were improperly stored.
Qg Qg Qg Qg Qg
d. All of the above Qg Qg Qg
ANS: D Qg
Training, equipment maintenance, and reagent quality can affect quality control.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 2 Qg
11. All of the following are true regarding competency testing except:
Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. it must be performed following training.
Qg Qg Qg Qg Qg
b. it must be performed on an annual basis.
Qg Qg Qg Qg Qg Qg Qg
c. it is required only if the technologist has no experience.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
d. retraining is required if there is a failure in competency testing.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
ANS: C Qg
All employees must have competency testing following training and annually thereafter. If ther
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
competency testing,
Qg retraining is required. Qg Q g Qg Qg
DIF: Level 2 Qg
Practices 5th Edition – By Paula Howard
| Verified Chapter's 1 - 16 | Complete
,Table of Contents Qg Qg
Part I: Quality and Safety Issues
Qg Qg Qg Qg Qg
1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank……
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qg II: Foundations: Basic Sciences and Reagents
Qg Qg Qg Qg Qg
2. Immunology: Basic Principles and Applications in the Blood Bank ………………………………………………
Qg Qg Qg Qg Qg Qg Qg Qg Qg
3. Blood Banking Reagents: Overview and Applications……………………………………………………………
Qg Qg Qg Qg Qg
Principles in Blood Banking……………………………………………………………………………………….18
Qg Qg Qg Qg Q g Part
Qg Major Blood Groups
Qg Qg
5. ABO and H Blood Group Systems and Secretor Status……………………………………………………………
Qg Qg Qg Qg Qg Qg Qg Qg Qg
Group System……………………………………………………………………………………………………26
Qg Qg
7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens…………
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qg IV: Essentials of Pretransfusion Testing
Qg Qg Qg Qg
8. Antibody Qg Qg Q g Detection Qg Qg Q g and Qg Qg Q g Identification………………………………………………………………………………
Qg Compatibility Qg Qg Qg Qg Q g Testing………………………………………………………………………………………………………38
10. Blood Bank Automation for Transfusion Services……………………………………………………………………
Qg Qg Qg Qg Qg
Qg Considerations in Immunohematology Qg Qg
11. Adverse Complications of Transfusions………………………………………………………………………………….46
Q
g Qg Q
g
12. Hemolytic Disease of the Fetus and Newborn…………………………………………………………………………
Qg Qg Qg Qg Qg Qg
Qg Collecting and Testing Qg Qg
13. Donor Selection and Phlebotomy………………………………………………………………………………………….55
Qg Qg Qg Qg
Blood…………………………………………………………………………………………………….60
Qg Q g Part VII: Blood Comp
Qg Qg Qg
Qg Transfusion Therapy Qg
15. Blood Component Preparation and Therapy…………………………………………………………………………….63
Qg Qg Qg Qg
16. Transfusion Therapy in Selected Patients……………………………………………………………………………….. 66
Qg Qg Qg Qg Qg
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the B
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 5th Edition
Q g Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
MULTIPLE CHOICE Qg
1. Biosafety levels determine: Qg Qg
a. on what floor certain infectious disease testing can be performed.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
b. the degree of risk for certain areas of a health care facility to
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
exposure to infectious diseases.
Qg Qg Q g Qg
c. the amount of ventilation required in a transfusion service.
Qg Qg Qg Qg Qg Qg Qg Qg
d. how many biohazardous waste containers a laboratory must have.
Qg Qg Qg Qg Qg Qg Qg Qg
ANS: B Qg
OSHA defines biosafety levels based on potential exposure to infectious material.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 1 Qg
2. A laboratory technologist decided she would like to bring her lab coat home for laundering b
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
wrinkles when
Qg Qg
it was returned by the laboratory’s laundry service. Is this practice acceptable?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Yes, if she uses 10% bleach
Qg Qg Qg Qg Qg
b. Yes, if she clears it with her supervisor
Qg Qg Qg Qg Qg Qg Qg
c. Yes, as long as she removes the coat and does not wear it home
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
d. No, because the laboratory is a biosafety level 2, and lab coats
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
may not be removed
Qg Qg Qg Q g
ANS: D Qg
Methods of transporting the lab coat and the risk of contamination do not permit health care
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
home for cleaning.
Qg Qg Q g
DIF: Level 2 Qg
3. Personal protective equipment includes:
Qg Qg Qg
a. safety glasses. Qg
b. splash barriers. Qg
c. masks.
d. All of the above Qg Qg Qg
ANS: D Qg
Safety glasses, splash barriers, and masks are types of personal protective devices.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 1 Qg
4. At what point in the employment process should safety training take place?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. During orientation and training Qg Qg Qg
b. Following lab training when employees are more familiar with
Qg Qg Qg Qg Qg Qg Qg Qg
their responsibilities
Qg Q g
c. Following the employees’ first evaluation Qg Qg Qg Qg
d. Before independent work is permitted and annually thereafter
Qg Qg Qg Qg Qg Qg Qg
ANS: D Qg
The Occupation Safety and Health Administration requires safety training before independent w
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
annually
Qg thereafter. Q g
DIF: Level 1 Qg
, 7. Which of the following is true regarding good manufacturing practices (GMPs)?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. GMPs are legal requirements established by the Food and Drug Administration.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
b. GMPs are optional guidelines written by the AABB.
Qg Qg Qg Qg Qg Qg Qg
c. GMPs are required only by pharmaceutical companies.
Qg Qg Qg Qg Qg Qg
d. GMPs are part of the quality control requirements for blood products.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
ANS: A Qg
Good manufacturing practices are requirements established by the Food and Drug Administratio
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 1 Qg
8. Which of the following is an example of an unacceptable record-keeping procedure?
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Using dittos in columns to save time Qg Qg Qg Qg Qg Qg
b. Recording the date and initials next to a correction Qg Qg Qg Qg Qg Qg Qg Qg
c. Not deleting the original entry when making a correction
Qg Qg Qg Qg Qg Qg Qg Qg
d. Always using permanent ink on all records Qg Qg Qg Qg Qg Qg
ANS: A Qg
All records must be clearly written. Dittos are unacceptable.
Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 1 Qg
9. A technologist in training noticed that the person training her had not recorded the results of
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
helpful, she carefully
Qg recorded the results she saw at a later time, using the technologist’s
Qg Qg Q g Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
acceptable procedure?
Qg Qg
a. Yes; all results must be recorded regardless of who did the test.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
b. No; she should have brought the error to the technologist’s attention.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
c. Yes; because she used the other technologist’s initials.
Qg Qg Qg Qg Qg Qg Qg
d. Yes; as long as she records the result in pencil.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
ANS: B Qg
This is an example of poor record keeping; results must be recorded when the test is perform
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
doing the test.
Qg Qg Qg
DIF: Level 3 Qg
10. Unacceptable quality control results for the antiglobulin test performed in test tubes may be n
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. preventive maintenance has not been performed on the cell washer.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
b. the technologist performing the test was never trained.
Qg Qg Qg Qg Qg Qg Qg
c. the reagents used were improperly stored.
Qg Qg Qg Qg Qg
d. All of the above Qg Qg Qg
ANS: D Qg
Training, equipment maintenance, and reagent quality can affect quality control.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Level 2 Qg
11. All of the following are true regarding competency testing except:
Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. it must be performed following training.
Qg Qg Qg Qg Qg
b. it must be performed on an annual basis.
Qg Qg Qg Qg Qg Qg Qg
c. it is required only if the technologist has no experience.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
d. retraining is required if there is a failure in competency testing.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
ANS: C Qg
All employees must have competency testing following training and annually thereafter. If ther
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
competency testing,
Qg retraining is required. Qg Q g Qg Qg
DIF: Level 2 Qg
