Test Bank: Basic & Applied Concepts of Blood Banking and Transfusion Practices (4th Edition)

TESTBANK x




BASIC & APPLIED CONCEPTS OF BLOOD BANKING AND TRANSFUSION
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PRACTICES 4TH EDITION
x x x




Paula R. Howard
x x

,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in
x x x x x x x x x x x x x




the Blood Bank
x x x




Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 4th
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Edition
x




MULTIPLE CHOICE x




1. Which of the following agencies administers the Clinical Laboratory Improvement
x x x x x x x x x



x Amendments?
a. AABB
b. Centers for Medicare and Medicaid Services x x x x x



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




ANS: x B
The Centers for Medicare and Medicaid Services administers CLIA, Medicare, Medicaid, and
x x x x x x x x x x x



HIPAA.
x




DIF: Level 1 x REF: x x p. 3 x




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



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



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



c. Yes, as long as she removes the coat and does not wear it home
x x x x x x x x x x x x x



d. No, because the laboratory is a biosafety level 2, and lab coats may not be
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removed x




ANS: x D
Methods of transporting the lab coat and the risk of contamination do not permit health care
x x x x x x x x x x x x x x x



workers to bring lab coats home for cleaning.
x x x x x x x x




DIF: Level 2 x REF: x x p. 14 x




3. Personal protective equipment includes: x x x



a. safety glasses. x



b. splash barriers. x



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




ANS: x D
Safety glasses, splash barriers, and masks are types of personal protective devices.
x x x x x x x x x x x




DIF: Level 1 x REF: x x p. 14 x




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



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



x responsibilities

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



d. Before independent work is permitted and annually thereafter
x x x x x x x




ANS: x D
The Occupation Safety and Health Administration requires safety training before independent
x x x x x x x x x x



work is permitted and annually thereafter.
x x x x x x




DIF: Level 1 x REF: x x p. 17 x




5. In safety training, employees must become familiar with all of the following except:
x x x x x x x x x x x x



a. tasks that have an infectious risk. x x x x x



b. limits of protective clothing and equipment.
x x x x x



c. the appropriate action to take if exposure occurs.
x x x x x x x



d. how to perform cardiopulmonary resuscitation on a donor or other employee.
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ANS: x D
The Occupational Safety and Health Administration requirements include all of those listed
x x x x x x x x x x x



except cardiopulmonary resuscitation.
x x x




DIF: Level 1 x REF: x x p. 13 x




6. Blood irradiators require all of the following safety procedures except:
x x x x x x x x x



a. proper training. x



b. that the user have a degree in radiology.
x x x x x x x



c. equipment leak detection. x x



d. personal protective equipment. x x




ANS: x B
Blood bank and transfusion service technologists require training but not a degree to use a
x x x x x x x x x x x x x x



blood irradiator.
x x




DIF: Level 2 x REF: x x p. 16 x




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.
x x x x x x x



c. GMPs are required only by pharmaceutical companies.
x x x x x x



d. GMPs are part of the quality control requirements for blood products.
x x x x x x x x x x




ANS: x A
Good manufacturing practices are requirements established by the Food and Drug
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Administration.
x




DIF: Level 1 x REF: x x p. 5 x




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 x x x x x x



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



c. Not deleting the original entry when making a correction
x x x x x x x x



d. Always using permanent ink on all records x x x x x x




ANS: x A
All records must be clearly written. Dittos are unacceptable.
x x x x x x x x

, DIF: Level 1 x REF: x x p. 7 x




9. A technologist in training noticed that the person training her had not recorded the results of a
x x x x x x x x x x x x x x x x



xtest. To be helpful, she carefully recorded the results she saw at a later time, using the
x x x x x x x x x x x x x x x x



xtechnologist’s initials. Is this an acceptable procedure? x x x x x x



a. Yes; all results must be recorded regardless of who did the test.
x x x x x x x x x x x



b. No; she should have brought the error to the technologist’s attention.
x x x x x x x x x x



c. Yes; because she used the other technologist’s initials.
x x x x x x x



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




ANS: x B
This is an example of poor record keeping; results must be recorded when the test is
x x x x x x x x x x x x x x x



performed and by the person doing the test.
x x x x x x x x




DIF: Level 3 x REF: x x p. 8 x




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



x noticed if: x



a. preventive maintenance has not been performed on the cell washer. x x x x x x x x x



b. the technologist performing the test was never trained.
x x x x x x x



c. the reagents used were improperly stored.
x x x x x



d. All of the above x x x




ANS: x D
Training, equipment maintenance, and reagent quality can affect quality control.
x x x x x x x x x




DIF: Level 2 x REF: x x p. 5 x




11. All of the following are true regarding competency testing except:
x x x x x x x x x



a. it must be performed following training.
x x x x x



b. it must be performed on an annual basis.
x x x x x x x



c. it is required only if the technologist has no experience.
x x x x x x x x x



d. retraining is required if there is a failure in competency testing.
x x x x x x x x x x




ANS: x C
All employees must have competency testing following training and annually thereafter. If
x x x x x x x x x x x



there is a failure in competency testing, retraining is required.
x x x x x x x x x x




DIF: Level 2 x REF: x x p. 10 x




12. Which of the following organizations are involved in the regulation of blood banks?
x x x x x x x x x x x x



a. The Joint Commission x x



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



d. Food and Drug Administration x x x




ANS: x D
The Food and Drug Administration regulates blood banks, whereas the other organizations are
x x x x x x x x x x x x



involved in accreditation.
x x x




DIF: Level 1 x REF: x x p. 2 x