TEST BANK for Basic and Applied Concepts of Blood Banking and Transfusion Practices 5th Edition By Paula Howard, All Chapters 1 - 16, Complete Newest Version

Test Bank For Basic & Applied Concepts of Blood Banking and Transfusion

Practices 5th Edition – By Paula Howard

| Verified Chapter's 1 - 16 | Complete

,Table of Contents m m




Part I: Quality and Safety Issues
m m m m m




1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank…………………………….3 Part II: F
m m m m m m m m m m m m m m m m




oundations: Basic Sciences and Reagents
m m m m




2. Immunology: Basic Principles and Applications in the Blood Bank …………………………………………………….8
m m m m m m m m m




3. Blood Banking Reagents: Overview and Applications……………………………………………………………………13 4. Genetic Principl
m m m m m m m m




es in Blood Banking……………………………………………………………………………………….18 Part III: Overview of the Major Blood Gr
m m m m m m m m m m m




oups

5. ABO and H Blood Group Systems and Secretor Status………………………………………………………………….22 6. Rh Blood Group
m m m m m m m m m m m m m




System……………………………………………………………………………………………………26
m




7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, and Platelet Antigens………………………….30 Part IV:
m m m m m m m m m m m m m m




Essentials of Pretransfusion Testing
m m m




8. Antibody mmm Detection mmm and mmm Identification……………………………………………………………………………………34 9. m mmmmm Compatibility mmm




mm Testing………………………………………………………………………………………………………38

10. Blood Bank Automation for Transfusion Services………………………………………………………………………44 Part V: Clinical Con
m m m m m m m m m




siderations in Immunohematology m m




11. Adverse Complications of Transfusions………………………………………………………………………………….46
m m m




12. Hemolytic Disease of the Fetus and Newborn……………………………………………………………………………50 Part VI: Blood Coll
m m m m m m m m m m




ecting and Testing
m m




13. Donor Selection and Phlebotomy………………………………………………………………………………………….55 14. Testing of Donor Bl
m m m m m m m m m




ood…………………………………………………………………………………………………….60 Part VII: Blood Component Preparation and Tra m m m m m m m




nsfusion Therapy m




15. Blood Component Preparation and Therapy…………………………………………………………………………….63
m m m m




16. Transfusion Therapy in Selected Patients……………………………………………………………………………….. 66
m m m m m

,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood Bank Howard:
m m m m m m m m m m m m m m m m m


mBasic & Applied Concepts of Blood Banking and Transfusion Practices, 5th Edition
m m m m m m m m m m m




MULTIPLEmCHOICE

1. Biosafetymlevelsmdetermine:
a. onmwhatmfloormcertainminfectiousmdiseasemtestingmcanmbemperformed.
b. themdegreemofmriskm formcertainmareasmofmamhealthmcaremfacilitymtomexposu
remtom infectiousmdiseases.
c. themamountmofmventilationmrequiredminmamtransfusionmservice.
d. howmmanymbiohazardousmwastemcontainersmamlaboratorymmustmhave.
ANS:m B
OSHAmdefinesmbiosafetymlevelsmbasedmonmpotentialmexposuremtominfectiousmmaterial.

DIF: Levelm1

2. Amlaboratorymtechnologistmdecidedmshemwouldmlikemtombringmherm labmcoatmhomemformlaunderingmbecausem itm hadmtoom manymwrinklesmw
hen
itm wasmreturnedmbymthemlaboratory’smlaundrymservice.m Ismthismpracticemacceptable?
a. Yes,mifmshemusesm10%mbleach
b. Yes,mifmshemclearsmitmwithmhermsupervisor
c. Yes,masmlongmasmshemremovesmthemcoatm andmdoesmnotmwearm itmhome
d. No,mbecausemthemlaboratorymismambiosafetymlevelm2,mandm labmcoatsmmaymn
otmbem removed
ANS:m D
Methodsmofmtransportingmthemlabmcoatm andmthemriskmofmcontaminationmdomnotm permitm healthmcaremworkersmtombringm labmcoatsmhome
m form cleaning.




DIF: Levelm2

3. Personalmprotectivemequipmentm includes:
a. safetymglasses.
b. splashmbarriers.
c. masks.
d. Allmofmthemabove

ANS:m D
Safetymglasses,msplashmbarriers,mandm masksmaremtypesmofmpersonalmprotectivemdevices.

DIF: Levelm1

4. Atm whatmpointm inmthememploymentmprocessmshouldmsafetymtrainingmtakemplace?
a. Duringmorientationmandmtraining
b. Followingmlabmtrainingmwhenmemployeesmarem moremfamiliarmwithmth
eirm responsibilities
c. Followingmthememployees’mfirstmevaluation
d. Beforemindependentmworkmismpermittedmandmannuallymthereafter
ANS:m D
ThemOccupationmSafetymandmHealthmAdministrationmrequiresmsafetymtrainingmbeforemindependentmworkmismpermittedmandmannuallym t
hereafter.

DIF: Levelm1

5. Inmsafetymtraining,memployeesmmustm becomemfamiliarmwithmallmofmthem followingmexcept:
a. tasksmthatm havemanminfectiousmrisk.
b. limitsmofmprotectivemclothingmandmequipment.
c. themappropriatemactionmtomtakemifmexposuremoccurs.
d. howmtomperformmcardiopulmonarymresuscitationmonmamdonormormothermemployee.

ANS:m D
ThemOccupationalmSafetymandmHealthmAdministrationmrequirementsm includemallmofmthosemlistedmexceptm cardiopulmonarymresuscitatio
n.

DIF: Levelm1

6. Bloodmirradiatorsmrequiremallmofmthem followingmsafetymproceduresm except:
a. propermtraining.
b. thatmthemusermhavemamdegreeminmradiology.
c. equipmentm leakmdetection.
d. personalmprotectivemequipment.

ANS:m B
Bloodmbankmandmtransfusionmservicemtechnologistsmrequiremtrainingmbutmnotmamdegreemtomusemambloodmirradiator.

DIF: Levelm2

, 7. Whichmofmthem followingm ismtruemregardingmgoodmmanufacturingmpracticesm(GMPs)?
a. GMPsmaremlegalmrequirementsmestablishedmbymthemFoodmandmDrugmAdministration.
b. GMPsmaremoptionalmguidelinesmwrittenmbymthemAABB.
c. GMPsmaremrequiredmonlymbympharmaceuticalmcompanies.
d. GMPsmarempartmofmthemqualitymcontrolmrequirementsmformbloodmproducts.

ANS:m A
GoodmmanufacturingmpracticesmaremrequirementsmestablishedmbymthemFoodmandmDrugmAdministration.

DIF: Levelm1

8. Whichmofmthemfollowingm ismanmexamplemofmanmunacceptablemrecord-keepingmprocedure?
a. Usingmdittosminmcolumnsmtomsavemtime
b. Recordingmthemdatemandminitialsmnextmtomamcorrection
c. Notmdeletingmthemoriginalmentrymwhenmmakingmamcorrection
d. Alwaysmusingmpermanentm inkmonmallmrecords

ANS:m A
Allmrecordsmmustmbemclearlymwritten.mDittosmaremunacceptable.

DIF: Levelm1

9. Amtechnologistm inmtrainingm noticedmthatmthempersonmtrainingmhermhadmnotm recordedmthemresultsmofmamtest.mTombemhelpful,mshemc
arefullym recordedmthemresultsmshemsawmatm amlatermtime,musingmthemtechnologist’sminitials.mIsmthismanmacceptablemprocedure?
a. Yes;mallmresultsmmustmbemrecordedmregardlessmofmwhomdidmthemtest.
b. No;mshemshouldmhavembroughtmthemerrormtomthemtechnologist’smattention.
c. Yes;mbecausemshemusedmthemothermtechnologist’sminitials.
d. Yes;masmlongmasmshemrecordsmthemresultm inmpencil.

ANS:m B
Thismismanmexamplemofmpoormrecordmkeeping;mresultsmmustm bemrecordedmwhenmthemtestmismperformedmandm bymthempersonmdoingmthe
m test.




DIF: Levelm3

10. Unacceptablemqualitymcontrolmresultsmformthemantiglobulinmtestm performedminmtestmtubesmmaymbemnoticedm if:
a. preventivem maintenancemhasmnotm beenmperformedmonmthemcellmwasher.
b. themtechnologistm performingmthemtestmwasmnevermtrained.
c. themreagentsmusedmweremimproperlymstored.
d. Allmofmthemabove

ANS:m D
Training,mequipmentm maintenance,mandmreagentmqualitymcanmaffectmqualitymcontrol.

DIF: Levelm2

11. Allmofmthem followingmaremtruemregardingmcompetencymtestingm except:
a. itm mustmbemperformedm followingmtraining.
b. itm mustmbemperformedmonmanmannualmbasis.
c. itm ismrequiredmonlymifmthemtechnologistm hasmnomexperience.
d. retrainingmismrequiredmifmtherem ismamfailurem inmcompetencymtesting.

ANS:m C
Allmemployeesmmustmhavemcompetencymtestingm followingmtrainingmandmannuallymthereafter.mIfmtheremismam failureminmcompetencymtes
ting,m retrainingmismrequired.

DIF: Levelm2

12. Whichmofmthemfollowingmorganizationsmarem involvedm inmthemregulationmofmbloodmbanks?
a. ThemJointm Commission
b. AABB
c. CollegemofmAmericanmPathologists
d. FoodmandmDrugmAdministration

ANS:m D
ThemFoodmandmDrugmAdministrationmregulatesmbloodmbanks,mwhereasmthemothermorganizationsmarem involvedminmaccreditation.

DIF: Levelm1

13. Allmofmthem followingmaremresponsibilitiesmofmthemqualitymassurancemdepartmentmofmambloodmbankm except:
a. performingminternalmaudits.
b. performingmqualitymcontrol.
c. reviewingmstandardmoperatingmprocedures.
d. reviewingmandmapprovingmtrainingmprograms.

ANS:m B
Qualitymcontrolmismperformedminmthemlaboratory,mnotmbymthemqualitymassurancemdepartment.

DIF: Levelm2