Test Bank For Basic and Applied Concepts of Blood Banking and Transfusion Practices, 4th Edition

TESTBANK
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,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the
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Blood Bank
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MULTIPLE CHOICE v




1. Which of the following agencies administers the Clinical Laboratory Improvement
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vAmendments?
a. AABB
b. Centers for Medicare and Medicaid Services v v v v v




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




ANS: B v




The Centers for Medicare and Medicaid Services administers CLIA, Medicare, Medicaid, and
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HIPAA.
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DIF: Level 1 v REF: p. 3 v v




2. A laboratory technologist decided she would like to bring her lab coat home for laundering
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vbecause it had too many wrinkles when returned by the laboratory’s laundry service. Is this
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vpractice acceptable? v




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




b. Yes, if she clears it with her supervisor v v v v v v v




c. Yes, as long as she removes the coat and does not wear it home
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d. No, because the laboratory is a biosafety level 2, and lab coats may not be
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removed v




ANS: D v




Methods of transporting the lab coat and the risk of contamination do not permit health care workers
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to bring lab coats home for cleaning.
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DIF: Level 2 v REF: p. 14 v v




3. Personal protective equipment includes: v v v




a. safety glasses. v




b. splash barriers. v




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




ANS: D v




Safety glasses, splash barriers, and masks are types of personal protective devices.
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DIF: Level 1 v REF: p. 14 v v




4. At what point in the employment process should safety training take place?
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a. During orientation and training v v v




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




v responsibilities

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




d. Before independent work is permitted and annually thereafter
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ANS: D v




The Occupation Safety and Health Administration requires safety training before independent work
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is permitted and annually thereafter.
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DIF: Level 1 v REF: p. 17 v v




5. In safety training, employees must become familiar with all of the following except:
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a. tasks that have an infectious risk.
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b. limits of protective clothing and equipment.
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c. the appropriate action to take if exposure occurs.
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d. how to perform cardiopulmonary resuscitation on a donor or other employee.
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ANS: D v




The Occupational Safety and Health Administration requirements include all of those listed except
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cardiopulmonary resuscitation.
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DIF: Level 1 v REF: p. 13 v v




6. Blood irradiators require all of the following safety procedures except:
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a. proper training. v




b. that the user have a degree in radiology.
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c. equipment leak detection. v v




d. personal protective equipment. v v




ANS: B v




Blood bank and transfusion service technologists require training but not a degree to use a blood
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irradiator.
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DIF: Level 2 v REF: p. 16 v v




7. Which of the following is true regarding good manufacturing practices (GMPs)?
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a. GMPs are legal requirements established by the Food and Drug Administration.
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b. GMPs are optional guidelines written by the AABB.
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c. GMPs are required only by pharmaceutical companies.
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d. GMPs are part of the quality control requirements for blood products.
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ANS: A v




Good manufacturing practices are requirements established bythe Food and Drug Administration.
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DIF: Level 1 v REF: p. 5 v v




8. Which of the following is an example of an unacceptable record-keeping procedure?
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a. Using dittos in columns to save time v v v v v v




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




c. Not deleting the original entry when making a correction
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d. Always using permanent ink on all records v v v v v v




ANS: A v




All records must be clearly written. Dittos are unacceptable.
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, DIF: Level 1 v REF: p. 7 v v v




9. A technologist in training noticed that the person training her had not recorded the results of a test.
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To be helpful, she carefully recorded the results she saw at a later time, using the technologist’s
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initials. Is this an acceptable procedure?
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a. Yes; all results must be recorded regardless of who did the test.
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b. No; she should have brought the error to the technologist’s attention.
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c. Yes; because she used the other technologist’s initials.
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d. Yes; as long as she records the result in pencil. v v v v v v v v v




ANS: B v




This is an example of poor record keeping; results must be recorded when the test is performed and
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by the person doing the test.
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DIF: Level 3 v REF: p. 8 v v




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




noticed if:
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a. preventive maintenance has not been performed on the cell washer. v v v v v v v v v




b. the technologist performing the test was never trained.
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c. the reagents used were improperly stored.
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d. All of the above v v v




ANS: D v




Training, equipment maintenance, and reagent quality can affect quality control.
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DIF: Level 2 v REF: p. 5 v v




11. All of the following are true regarding competency testing except:
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a. it must be performed following training.
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b. it must be performed on an annual basis.
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c. it is required only if the technologist has no experience.
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d. retraining is required if there is a failure in competency testing. v v v v v v v v v v




ANS: C v




All employees must have competency testing following training and annually thereafter. If there is
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a failure in competency testing, retraining is required.
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DIF: Level 2 v REF: p. 10 v v




12. Which of the following organizations are involved in the regulation of blood banks?
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a. The Joint Commission v v




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




d. Food and Drug Administration v v v




ANS: D v




The Food and Drug Administration regulates blood banks, whereas the other organizations are
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involved in accreditation.
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DIF: Level 1 v REF: p. 2 v v