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:x p.x16
7. Whichxofxthexfollowingxisxtruexregardingxgoodxmanufacturingxpracticesx(GMPs)?
a. GMPsxarexlegalxrequirementsxestablishedxbyxthexFoodxandxDrugxAdministration.
b. GMPsxarexoptionalxguidelinesxwrittenxbyxthexAABB.
c. GMPsxarexrequiredxonlyxbyxpharmaceuticalxcompanies.
d. GMPsxarexpartxofxthexqualityxcontrolxrequirementsxforxbloodxproducts.
ANS:x A
GoodxmanufacturingxpracticesxarexrequirementsxestablishedxbyxthexFoodxandxDrugxAdministr
ation.
DIF: Levelx1 REF:x p.x5
8. Whichxofxthexfollowingxisxanxexamplexofxanxunacceptablexrecord-keepingxprocedure?
a. Usingxdittosxinxcolumnsxtoxsavextime
b. Recordingxthexdatexandxinitialsxnextxtoxaxcorrection
c. Notxdeletingxthexoriginalxentryxwhenxmakingxaxcorrection
d. Alwaysxusingxpermanentxinkxonxallxrecords
ANS:x A
Allxrecordsxmustxbexclearlyxwritten.xDittosxarexunacceptable.
, DIF: Levelx1 REF:x x p.x7
9. Axtechnologistxinxtrainingxnoticedxthatxthexpersonxtrainingxherxhadxnotxrecordedxthexresultsx
ofxaxtest.xToxbexhelpful,xshexcarefullyxrecordedxthexresultsxshexsawxatxaxlaterxtime,xusingxth
extechnologist’sxinitials.xIsxthisxanxacceptablexprocedure?
a. Yes;xallxresultsxmustxbexrecordedxregardlessxofxwhoxdidxthextest.
b. No;xshexshouldxhavexbroughtxthexerrorxtoxthextechnologist’sxattention.
c. Yes;xbecausexshexusedxthexotherxtechnologist’sxinitials.
d. Yes;xasxlongxasxshexrecordsxthexresultxinxpencil.
ANS:x B
Thisxisxanxexamplexofxpoorxrecordxkeeping;xresultsxmustxbexrecordedxwhenxthextestxisxperfo
rmedxandxbyxthexpersonxdoingxthextest.
DIF: Levelx3 REF:x p.x8
10. Unacceptablexqualityxcontrolxresultsxforxthexantiglobulinxtestxperformedxinxtestxtubesxmayx
bexnoticedxif:
a. preventivexmaintenancexhasxnotxbeenxperformedxonxthexcellxwasher.
b. thextechnologistxperformingxthextestxwasxneverxtrained.
c. thexreagentsxusedxwereximproperlyxstored.
d. Allxofxthexabove
ANS:x D
Training,xequipmentxmaintenance,xandxreagentxqualityxcanxaffectxqualityxcontrol.
DIF: Levelx2 REF:x p.x5
11. Allxofxthexfollowingxarextruexregardingxcompetencyxtestingxexcept:
a. itxmustxbexperformedxfollowingxtraining.
b. itxmustxbexperformedxonxanxannualxbasis.
c. itxisxrequiredxonlyxifxthextechnologistxhasxnoxexperience.
d. retrainingxisxrequiredxifxtherexisxaxfailurexinxcompetencyxtesting.
ANS:x C
Allxemployeesxmustxhavexcompetencyxtestingxfollowingxtrainingxandxannuallyxthereafter.xIf
xtherexisxaxfailurexinxcompetencyxtesting,xretrainingxisxrequired.
DIF: Levelx2 REF:x p.x10
12. Whichxofxthexfollowingxorganizationsxarexinvolvedxinxthexregulationxofxbloodxbanks?
a. ThexJointxCommission
b. AABB
c. CollegexofxAmericanxPathologists
d. FoodxandxDrugxAdministration
ANS:x D
ThexFoodxandxDrugxAdministrationxregulatesxbloodxbanks,xwhereasxthexotherxorganizationsxa
rexinvolvedxinxaccreditation.
DIF: Levelx1 REF:x p.x2
,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:x p.x16
7. Whichxofxthexfollowingxisxtruexregardingxgoodxmanufacturingxpracticesx(GMPs)?
a. GMPsxarexlegalxrequirementsxestablishedxbyxthexFoodxandxDrugxAdministration.
b. GMPsxarexoptionalxguidelinesxwrittenxbyxthexAABB.
c. GMPsxarexrequiredxonlyxbyxpharmaceuticalxcompanies.
d. GMPsxarexpartxofxthexqualityxcontrolxrequirementsxforxbloodxproducts.
ANS:x A
GoodxmanufacturingxpracticesxarexrequirementsxestablishedxbyxthexFoodxandxDrugxAdministr
ation.
DIF: Levelx1 REF:x p.x5
8. Whichxofxthexfollowingxisxanxexamplexofxanxunacceptablexrecord-keepingxprocedure?
a. Usingxdittosxinxcolumnsxtoxsavextime
b. Recordingxthexdatexandxinitialsxnextxtoxaxcorrection
c. Notxdeletingxthexoriginalxentryxwhenxmakingxaxcorrection
d. Alwaysxusingxpermanentxinkxonxallxrecords
ANS:x A
Allxrecordsxmustxbexclearlyxwritten.xDittosxarexunacceptable.
, DIF: Levelx1 REF:x x p.x7
9. Axtechnologistxinxtrainingxnoticedxthatxthexpersonxtrainingxherxhadxnotxrecordedxthexresultsx
ofxaxtest.xToxbexhelpful,xshexcarefullyxrecordedxthexresultsxshexsawxatxaxlaterxtime,xusingxth
extechnologist’sxinitials.xIsxthisxanxacceptablexprocedure?
a. Yes;xallxresultsxmustxbexrecordedxregardlessxofxwhoxdidxthextest.
b. No;xshexshouldxhavexbroughtxthexerrorxtoxthextechnologist’sxattention.
c. Yes;xbecausexshexusedxthexotherxtechnologist’sxinitials.
d. Yes;xasxlongxasxshexrecordsxthexresultxinxpencil.
ANS:x B
Thisxisxanxexamplexofxpoorxrecordxkeeping;xresultsxmustxbexrecordedxwhenxthextestxisxperfo
rmedxandxbyxthexpersonxdoingxthextest.
DIF: Levelx3 REF:x p.x8
10. Unacceptablexqualityxcontrolxresultsxforxthexantiglobulinxtestxperformedxinxtestxtubesxmayx
bexnoticedxif:
a. preventivexmaintenancexhasxnotxbeenxperformedxonxthexcellxwasher.
b. thextechnologistxperformingxthextestxwasxneverxtrained.
c. thexreagentsxusedxwereximproperlyxstored.
d. Allxofxthexabove
ANS:x D
Training,xequipmentxmaintenance,xandxreagentxqualityxcanxaffectxqualityxcontrol.
DIF: Levelx2 REF:x p.x5
11. Allxofxthexfollowingxarextruexregardingxcompetencyxtestingxexcept:
a. itxmustxbexperformedxfollowingxtraining.
b. itxmustxbexperformedxonxanxannualxbasis.
c. itxisxrequiredxonlyxifxthextechnologistxhasxnoxexperience.
d. retrainingxisxrequiredxifxtherexisxaxfailurexinxcompetencyxtesting.
ANS:x C
Allxemployeesxmustxhavexcompetencyxtestingxfollowingxtrainingxandxannuallyxthereafter.xIf
xtherexisxaxfailurexinxcompetencyxtesting,xretrainingxisxrequired.
DIF: Levelx2 REF:x p.x10
12. Whichxofxthexfollowingxorganizationsxarexinvolvedxinxthexregulationxofxbloodxbanks?
a. ThexJointxCommission
b. AABB
c. CollegexofxAmericanxPathologists
d. FoodxandxDrugxAdministration
ANS:x D
ThexFoodxandxDrugxAdministrationxregulatesxbloodxbanks,xwhereasxthexotherxorganizationsxa
rexinvolvedxinxaccreditation.
DIF: Levelx1 REF:x p.x2
