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Test Bank For Basic & Applied Concepts of Blood Banking and Transfusion Practices 6th Edition by Paula R. Howard| 9780443118586| All Chapters 1-16| LATEST

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Test Bank For Basic & Applied Concepts of Blood Banking and Transfusion Practices 6th Edition by Paula R. Howard| 9780443118586| All Chapters 1-16| LATEST

Instelling
Basic & Applied Concepts Of Blood Banking ..5th Ed
Vak
Basic & Applied Concepts Of Blood Banking ..5th Ed

Voorbeeld van de inhoud

,Test Bank For Basic & Applied Concepts Of Blood Banking And Transfusion Practices 6th
Edition – By Paula Howard ISBN: 9780323697392


Table Of Contents

Part I: Quality And Safety Issues

1. Quality Assurance And Regulation Of The Blood Industry: Safety Issues In The Blood Bank




Part II: Foundations: Basic Sciences And Reagents

2. Immunology: Basic Principles And Applications In The Blood Bank

3. Blood Banking Reagents: Overview And Applications

4. Genetic Principles In Blood Banking




Part III: Overview Of The Major Blood Groups

5. ABO And H Blood Group Systems And Secretor Status

6. Rh Blood Group System

7. Other Red Cell Blood Group Systems, Human Leukocyte Antigens, And Platelet Antigens




Part IV: Essentials Of Pretransfusion Testing

8. Antibody Detection And Identification

9. Compatibility Testing

,10. Blood Bank Automation For Transfusion Services




Part V: Clinical Considerations In Immunohematology

11. Adverse Complications Of Transfusions

12. Hemolytic Disease Of The Fetus And Newborn




Part VI: Blood Collecting And Testing

13. Donor Selection And Phlebotomy

14. Testing Of Donor Blood




Part VII: Blood Component Preparation And Transfusion Therapy

15. Blood Component Preparation And Therapy

16. Transfusion Therapy In Selected Patients

,Chapter 01: Quality Assurance And Regulation Of The Blood Industry And Safety
Issues In The Blood Bank
Howard: Basic & Applied Concepts Of Blood Banking And Transfusion Practices, 6th
Edition


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
ANSWER: B
The Centers For Medicare And Medicaid Services Administers CLIA, Medicare, Medicaid,
And HIPAA.

DIFFICULTY: Level 1REF: 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
ANSWER: 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.

DIFFICULTY: Level 2REF: P. 14

3. Personal Protective Equipment Includes:
a. Safety Glasses.
b. Splash Barriers.
c. Masks.
d. All Of The Above
ANSWER: D
Safety Glasses, Splash Barriers, And Masks Are Types Of Personal Protective Devices.

DIFFICULTY: Level 1REF: 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
ANSWER: D
The Occupation Safety And Health Administration Requires Safety Training Before
Independent Work Is Permitted And Annually Thereafter.

DIFFICULTY: Level 1REF: 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.
ANSWER: D
The Occupational Safety And Health Administration Requirements Include All Of Those
Listed Except Cardiopulmonary Resuscitation.

DIFFICULTY: Level 1REF: 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.
ANSWER: B
Blood Bank And Transfusion Service Technologists Require Training But Not A Degree To
Use A Blood Irradiator.

DIFFICULTY: Level 2REF: P. 16

7. Which Of The Following Is True Regarding Good Manufacturing Practices (Gmps)?
a. Gmps Are Legal Requirements Established By The Food And Drug Administration.
b. Gmps Are Optional Guidelines Written By The AABB.
c. Gmps Are Required Only By Pharmaceutical Companies.
d. Gmps Are Part Of The Quality Control Requirements For Blood Products.
ANSWER: A
Good Manufacturing Practices Are Requirements Established By The Food And Drug
Administration.

DIFFICULTY: Level 1REF: P. 5

8. Which Of The Following Is An Example Of An Unacceptable Record-Keeping Procedure?
a. Using Dittos In Columns To Save Time
b. Recording The Date And Initials Next To A Correction
c. Not Deleting The Original Entry When Making A Correction
d. Always Using Permanent Ink On All Records
ANSWER: A
All Records Must Be Clearly Written. Dittos Are Unacceptable.

, DIFFICULTY: Level 1REF: P. 7

9. A Technologist In Training Noticed That The Person Training Her Had Not Recorded The
Results Of A Test. To Be Helpful, She Carefully Recorded The Results She Saw At A Later
Time, Using The Technologist’s Initials. Is This An Acceptable Procedure?
a. Yes; All Results Must Be Recorded Regardless Of Who Did The Test.
b. No; She Should Have Brought The Error To The Technologist’s Attention.
c. Yes; Because She Used The Other Technologist’s Initials.
d. Yes; As Long As She Records The Result In Pencil.
ANSWER: B
This Is An Example Of Poor Record Keeping; Results Must Be Recorded When The Test Is
Performed And By The Person Doing The Test.

DIFFICULTY: Level 3REF: P. 8

10. Unacceptable Quality Control Results For The Antiglobulin Test Performed In Test Tubes
May Be Noticed If:
a.Preventive Maintenance Has Not Been Performed On The Cell Washer.
b.The Technologist Performing The Test Was Never Trained.
c.The Reagents Used Were Improperly Stored.
d.All Of The Above
ANSWER: D
Training, Equipment Maintenance, And Reagent Quality Can Affect Quality Control.

DIFFICULTY: Level 2REF: P. 5

11. All Of The Following Are True Regarding Competency Testing Except:
a. It Must Be Performed Following Training.
b. It Must Be Performed On An Annual Basis.
c. It Is Required Only If The Technologist Has No Experience.
d. Retraining Is Required If There Is A Failure In Competency Testing.
ANSWER: C
All Employees Must Have Competency Testing Following Training And Annually
Thereafter. If There Is A Failure In Competency Testing, Retraining Is Required.

DIFFICULTY: Level 2REF: P. 10

12. Which Of The Following Organizations Are Involved In The Regulation Of Blood Banks?
a. The Joint Commission
b. AABB
c. College Of American Pathologists
d. Food And Drug Administration
ANSWER: D
The Food And Drug Administration Regulates Blood Banks, Whereas The Other
Organizations Are Involved In Accreditation.

DIFFICULTY: Level 1REF: P. 2

,13. All Of The Following Are Responsibilities Of The Quality Assurance Department Of A Blood
Bank
Except:
a. Performing Internal Audits.
b. Performing Quality Control.
c. Reviewing Standard Operating Procedures.
d. Reviewing And Approving Training Programs.
ANSWER: B
Quality Control Is Performed In The Laboratory, Not By The Quality Assurance Department.

DIFFICULTY: Level 2REF: P. 5

14. The Standard Operating Procedure Is A Document That:
a. Helps Achieve Consistency Of Results.
b. May Be Substituted With Package Inserts.
c. Is Necessary Only For Training New Employees.
d. Must Be Very Detailed To Be Accurate.
ANSWER: A
Standard Operating Procedures Are Written Procedures That Help Achieve Consistency And
Should Be Clear And Concise.

DIFFICULTY: Level 2REF: P. 8

15. Employee Training Takes Place:
a. After Hiring And Following Implementation Of New Procedures.
b. Following Competency Assessment.
c. Only For New Inexperienced Employees.
d. As Procedures Are Validated.
ANSWER: A
Training Occurs With All New Employees Regardless Of Their Experience And Following
Implementation Of New Procedures.

DIFFICULTY: Level 1REF: P. 10

16. Plans That Provide The Framework For Establishing Quality Assurance In An Organization
Are:
a. Current Good Manufacturing Practices.
b. Standard Operating Procedures.
c. Change Control Plan.
d. Continuous Quality Improvement Plan.
ANSWER: D
The Total Quality Management Or Continuous Quality Improvement Plan Are Part Of The
Quality Assurance Program In An Organization.

DIFFICULTY: Level 1REF: P. 4

17. A Facility Does Not Validate A Refrigerator Before Use. What Is A Potential Outcome?
a. The Facility Is In Violation Of Current Good Manufacturing Practices And
Could Be Cited By The Food And Drug Administration.

, b. The Facility Is In Compliance If The Equipment Functions Properly.
c. The Facility Is In Compliance If The Blood Products Stored In It Are Not Transfused.
d. The Facility Is In Violation Of AABB And May No Longer Be Members.
ANSWER: A
Validation Of Equipment Is A Current Good Manufacturing Practice, Which Is A Legal
Requirement Established By The Food And Drug Administration.

DIFFICULTY: Level 2REF: P. 12

18. In A Routine Audit Of A Facilities Blood Collection Area, The Quality Assurance
Department Found That The Blood Bags Used On That Particular Day Had Expired. What Is
The Appropriate Course Of Action?
a. Initiate A Root Cause Analysis And Quarantine The Blood Collected In The
Expired Bags.
b. Call The Food And Drug Administration To Report The Incident.
c. Change The Expiration Date On The Bags To Avoid Legal Issues.
d. Fire The Donor Room Supervisor, And Discard The Blood Collected In The
Expired Bags.
ANSWER: A
A Root Cause Analysis Will Determine The Factors That Contributed To The Error And
Result In A Plan To Prevent Further Errors.

DIFFICULTY: Level 3REF: P. 11

19. Several Units Were Released To A Hospital By Mistake Before All Viral Marker
Testing Was Completed. What Is The Appropriate Course Of Action?
a. The Error Is Reportable, And The Food And Drug Administration Must Be Contacted.
b. Ask The Hospital To Avoid Transfusion And Quickly Complete The Testing.
c. Perform A Root Cause Analysis And, If The Units Are Found To Be Negative,
Report The Test Result To The Hospital.
d. Recall Only The Units That Are Positive For Viral Markers.
ANSWER: A
Release Of Untested Units Is A Reportable Error To The Food And Drug Administration.

DIFFICULTY: Level 3REF: P. 11


MATCHING

Match The Government Or Accrediting Agencies With The Description That Best Fits Their
Purpose.
a. Ensures Safe And Healthful Working Conditions
b. Ensures The Safety And Efficacy Of Biologics, Drugs, And Devices
c. Provides Peer-Reviewed Accreditation For Hospital Laboratories
d. Professional Organization That Accredits Blood Banks And Transfusion Services
e. Makes Recommendations To The Occupational Safety And Health
Administration Regarding The Prevention Of Disease Transmission
1. FDA

, 2. OSHA
3. CDC
4. AABB
5. CAP

1. B DIFFICUL Level 1
ANSWE TY:
R:
2. A DIFFICUL Level 1
ANSWE TY:
R:
3. E DIFFICUL Level 1
ANSWE TY:
R:
4. D DIFFICUL Level 1
ANSWE TY:
R:
5. C DIFFICUL Level 1
ANSWE TY:
R:

Match The Following Descriptions With The Appropriate Terms.
a. The CAP Survey Is An Example
b. Systematic Evaluations To Determine Whether Procedures Are Being Followed
c. Testing To Determine The Accuracy And Precision Of Reagents And Equipment
d. Process Of Standardizing An Instrument Against A Known Value
e. Removal Of Products From The Market That Might Compromise The Safety
Of The Recipient
f. Degree To Which A Measurement Represents The True Value
g. Establishing That A Specific Process Produces An Expected Result
h. Evaluation Of An Employee’s Ability To Perform A Specific Skill
i. Investigation And Identification Of The Factors That Contributed To An Error
j. Maximizes The Duration Of Equipment And Increases The Reliability
Of The Equipment
k. System To Plan And Implement Changes To Prevent Problems

6. Root Cause Analysis
7. Recall
8. Accuracy
9. Validation
10. Calibration
11. Quality Control
12. Proficiency Test
13. Competency Assessment
14. Change Control
15. Audit
16. Preventive Maintenance

6. I DIFFICUL Level 1
ANSWE TY:
R:
7. E DIFFICUL Level 1
ANSWE TY:
R:
8. F DIFFICUL Level 1

, ANSWE TY:
R:
9. G DIFFICUL Level 1
ANSWE TY:
R:
10. D DIFFICUL Level 1
ANSWER: TY:
11. C DIFFICUL Level 1
ANSWER TY:
:
12. A DIFFICUL Level 1
ANSWER: TY:
13. H DIFFICUL Level 1
ANSWER: TY:
14. K DIFFICUL Level 1
ANSWER: TY:
15. B DIFFICUL Level 1
ANSWER: TY:
16. J DIFFICUL Level 1
ANSWER: TY:

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