Complete A+ Test Bank For BASIC & APPLIED CONCEPTS OF BLOOD BANKING AND TRANSFUSION PRACTICES 5TH EDITION BY PAULA R HOWARD/All Chapters

TESTBANK
b

,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the
b b b b b b b b b b b b b b




Blood Bank
b b




MULTIPLE CHOICE b




1. Which of the following agencies administers the Clinical Laboratory Improvement
b b b b b b b b b




bAmendments?
a. AABB
b. Centers for Medicare and Medicaid Services b b b b b




c. OSHA
d. Food and Drug Administration b b b




ANS: B b




The Centers for Medicare and Medicaid Services administers CLIA, Medicare, Medicaid, and
b b b b b b b b b b b




HIPAA.
b




DIF: Level 1 b REF: p. 3 b b




2. A laboratory technologist decided she would like to bring her lab coat home for laundering
b b b b b b b b b b b b b b




bbecause it had too many wrinkles when returned by the laboratory’s laundry service. Is this
b b b b b b b b b b b b b b




bpractice acceptable? b




a. Yes, if she uses 10% bleach b b b b b




b. Yes, if she clears it with her supervisorb b b b b b b




c. Yes, as long as she removes the coat and does not wear it home
b b b b b b b b b b b b b




d. No, because the laboratory is a biosafety level 2, and lab coats may not be
b b b b b b b b b b b b b b




removed b




ANS: D b




Methods of transporting the lab coat and the risk of contamination do not permit health care workers
b b b b b b b b b b b b b b b b




to bring lab coats home for cleaning.
b b b b b b b




DIF: Level 2 b REF: p. 14 b b




3. Personal protective equipment includes: b b b




a. safety glasses. b




b. splash barriers. b




c. masks.
d. All of the above b b b




ANS: D b




Safety glasses, splash barriers, and masks are types of personal protective devices.
b b b b b b b b b b b




DIF: Level 1 b REF: p. 14 b b




4. At what point in the employment process should safety training take place?
b b b b b b b b b b b




a. During orientation and training b b b




b. Following lab training when employees are more familiar with their b b b b b b b b b




b responsibilities

, c. Following the employees’ first evaluation b b b b




d. Before independent work is permitted and annually thereafter
b b b b b b b




ANS: D b




The Occupation Safety and Health Administration requires safety training before independent work
b b b b b b b b b b b




is permitted and annually thereafter.
b b b b b




DIF: Level 1 b REF: p. 17 b b




5. In safety training, employees must become familiar with all of the following except:
b b b b b b b b b b b b




a. tasks that have an infectious risk.
b b b b b




b. limits of protective clothing and equipment.
b b b b b




c. the appropriate action to take if exposure occurs.
b b b b b b b




d. how to perform cardiopulmonary resuscitation on a donor or other employee.
b b b b b b b b b b




ANS: D b




The Occupational Safety and Health Administration requirements include all of those listed except
b b b b b b b b b b b b




cardiopulmonary resuscitation.
b b




DIF: Level 1 b REF: p. 13 b b




6. Blood irradiators require all of the following safety procedures except:
b b b b b b b b b




a. proper training. b




b. that the user have a degree in radiology.
b b b b b b b




c. equipment leak detection. b b




d. personal protective equipment. b b




ANS: B b




Blood bank and transfusion service technologists require training but not a degree to use a blood
b b b b b b b b b b b b b b b




irradiator.
b




DIF: Level 2 b REF: p. 16 b b




7. Which of the following is true regarding good manufacturing practices (GMPs)?
b b b b b b b b b b




a. GMPs are legal requirements established by the Food and Drug Administration.
b b b b b b b b b b




b. GMPs are optional guidelines written by the AABB.
b b b b b b b




c. GMPs are required only by pharmaceutical companies.
b b b b b b




d. GMPs are part of the quality control requirements for blood products.
b b b b b b b b b b




ANS: A b




Good manufacturing practices are requirements established bythe Food and Drug Administration.
b b b b b b b b b b b




DIF: Level 1 b REF: p. 5 b b




8. Which of the following is an example of an unacceptable record-keeping procedure?
b b b b b b b b b b b




a. Using dittos in columns to save time b b b b b b




b. Recording the date and initials next to a correction b b b b b b b b




c. Not deleting the original entry when making a correction
b b b b b b b b




d. Always using permanent ink on all records b b b b b b




ANS: A b




All records must be clearly written. Dittos are unacceptable.
b b b b b b b b

, DIF: Level 1 b REF: p. 7 b b b




9. A technologist in training noticed that the person training her had not recorded the results of a test.
b b b b b b b b b b b b b b b b b




To be helpful, she carefully recorded the results she saw at a later time, using the technologist’s
b b b b b b b b b b b b b b b b b




initials. Is this an acceptable procedure?
b b b b b b




a. Yes; all results must be recorded regardless of who did the test.
b b b b b b b b b b b




b. No; she should have brought the error to the technologist’s attention.
b b b b b b b b b b




c. Yes; because she used the other technologist’s initials.
b b b b b b b




d. Yes; as long as she records the result in pencil. b b b b b b b b b




ANS: B b




This is an example of poor record keeping; results must be recorded when the test is performed and
b b b b b b b b b b b b b b b b b




by the person doing the test.
b b b b b b




DIF: Level 3 b REF: p. 8 b b




10. Unacceptable quality control results for the antiglobulin test performed in test tubes may be b b b b b b b b b b b b b




noticed if:
b b




a. preventive maintenance has not been performed on the cell washer. b b b b b b b b b




b. the technologist performing the test was never trained.
b b b b b b b




c. the reagents used were improperly stored.
b b b b b




d. All of the above b b b




ANS: D b




Training, equipment maintenance, and reagent quality can affect quality control.
b b b b b b b b b




DIF: Level 2 b REF: p. 5 b b




11. All of the following are true regarding competency testing except:
b b b b b b b b b




a. it must be performed following training.
b b b b b




b. it must be performed on an annual basis.
b b b b b b b




c. it is required only if the technologist has no experience.
b b b b b b b b b




d. retraining is required if there is a failure in competency testing. b b b b b b b b b b




ANS: C b




All employees must have competency testing following training and annually thereafter. If there is
b b b b b b b b b b b b b




a failure in competency testing, retraining is required.
b b b b b b b b




DIF: Level 2 b REF: p. 10 b b




12. Which of the following organizations are involved in the regulation of blood banks?
b b b b b b b b b b b b




a. The Joint Commission b b




b. AABB
c. College of American Pathologists b b b




d. Food and Drug Administration b b b




ANS: D b




The Food and Drug Administration regulates blood banks, whereas the other organizations are
b b b b b b b b b b b b




involved in accreditation.
b b b




DIF: Level 1 b REF: p. 2 b b