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

TESTBANK n




BASIC&APPLIED CONCEPTS OFBLOOD BANKINGAND TRANSFUSION
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PRACTICES 4TH EDITION
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Paula R. Howard
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,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in
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the Blood Bank
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Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 4th
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Edition
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MULTIPLE CHOICE n




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




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




ANS: B n




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




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




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




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




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 n




ANS: D n




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




3. Personal protective equipment includes: n n n




a. safety glasses. n




b. splash barriers. n




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




ANS: D n




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




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




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




n responsibilities

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




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




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




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. n n n n n




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 n




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




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




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




d. personal protective equipment. n n




ANS: B n




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 n REF: p. 16 n n n




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.n n n n n n n




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 n




Good manufacturing practices are requirements established by the Food and Drug
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Administration.
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DIF: Level 1 n REF: p. 5 n n n




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 n n n n n n




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




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




ANS: A n




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




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. n n n n n n n




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




ANS: B n




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 n REF: p. 8 n n n




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




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




b. the technologist performing the test was never trained.
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c. the reagents used were improperly stored. n n n n n




d. All of the above n n n




ANS: D n




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




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. n n n n n n n n n n




ANS: C n




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 n REF: p. 10 n n n




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




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




d. Food and Drug Administration n n n




ANS: D n




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 n REF: p. 2 n n n