TEST BANK
BASIC & APPLIED CONCEPTS OF BLOOD BANKING AND
TRANSFUSION PRACTICES 4TH EDITION
Paula R. Howard
,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, 4th
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
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: 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.
ANS: A
Good manufacturing practices are requirements established by the Food and Drug
Administration.
DIF: Level 1 REF: 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
ANS: A
All records must be clearly written. Dittos are unacceptable.
, DIF: Level 1 REF: p. 7
9. A stechnologist sin straining snoticed sthat sthe sperson straining sher shad snot srecorded sthe
sresults sof sa stest. sTo sbe shelpful, sshe scarefully srecorded sthe sresults sshe ssaw sat sa slater
stime, susing sthe stechnologist’s sinitials. sIs sthis san sacceptable sprocedure?
a. Yes; sall sresults smust sbe srecorded sregardless sof swho sdid sthe stest.
b. No; sshe sshould shave sbrought sthe serror sto sthe stechnologist’s sattention.
c. Yes; sbecause sshe sused sthe sother stechnologist’s sinitials.
d. Yes; sas slong sas sshe srecords sthe sresult sin spencil.
ANS: s B
This sis san sexample sof spoor srecord skeeping; sresults smust sbe srecorded swhen sthe stest sis
sperformed sand sby sthe sperson sdoing sthe stest.
DIF: Level s3 REF: s s p. s8
10. Unacceptable squality scontrol sresults sfor sthe santiglobulin stest sperformed sin stest stubes
smay sbe snoticed sif:
a. preventive smaintenance shas snot sbeen sperformed son sthe scell swasher.
b. the stechnologist sperforming sthe stest swas snever strained.
c. the sreagents sused swere simproperly sstored.
d. All sof sthe sabove
ANS: s D
Training, sequipment smaintenance, sand sreagent squality scan saffect squality scontrol.
DIF: Level s2 REF: s s p. s5
11. All sof sthe sfollowing sare strue sregarding scompetency stesting s except:
a. it smust sbe sperformed sfollowing straining.
b. it smust sbe sperformed son san sannual sbasis.
c. it sis srequired sonly sif sthe stechnologist shas sno sexperience.
d. retraining sis srequired sif sthere sis sa sfailure sin scompetency stesting.
ANS: s C
All semployees smust shave scompetency stesting sfollowing straining sand sannually sthereafter.
sIf sthere sis sa sfailure sin scompetency stesting, sretraining sis srequired.
DIF: Level s2 REF: s s p. s10
12. Which sof sthe sfollowing sorganizations sare sinvolved sin sthe sregulation sof sblood sbanks?
a. The sJoint sCommission
b. AABB
c. College sof sAmerican sPathologists
d. Food sand sDrug sAdministration
ANS: s D
The sFood sand sDrug sAdministration sregulates sblood sbanks, swhereas sthe sother sorganizations
sare sinvolved sin saccreditation.
DIF: Level s1 REF: s s p. s2
BASIC & APPLIED CONCEPTS OF BLOOD BANKING AND
TRANSFUSION PRACTICES 4TH EDITION
Paula R. Howard
,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, 4th
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
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: 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.
ANS: A
Good manufacturing practices are requirements established by the Food and Drug
Administration.
DIF: Level 1 REF: 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
ANS: A
All records must be clearly written. Dittos are unacceptable.
, DIF: Level 1 REF: p. 7
9. A stechnologist sin straining snoticed sthat sthe sperson straining sher shad snot srecorded sthe
sresults sof sa stest. sTo sbe shelpful, sshe scarefully srecorded sthe sresults sshe ssaw sat sa slater
stime, susing sthe stechnologist’s sinitials. sIs sthis san sacceptable sprocedure?
a. Yes; sall sresults smust sbe srecorded sregardless sof swho sdid sthe stest.
b. No; sshe sshould shave sbrought sthe serror sto sthe stechnologist’s sattention.
c. Yes; sbecause sshe sused sthe sother stechnologist’s sinitials.
d. Yes; sas slong sas sshe srecords sthe sresult sin spencil.
ANS: s B
This sis san sexample sof spoor srecord skeeping; sresults smust sbe srecorded swhen sthe stest sis
sperformed sand sby sthe sperson sdoing sthe stest.
DIF: Level s3 REF: s s p. s8
10. Unacceptable squality scontrol sresults sfor sthe santiglobulin stest sperformed sin stest stubes
smay sbe snoticed sif:
a. preventive smaintenance shas snot sbeen sperformed son sthe scell swasher.
b. the stechnologist sperforming sthe stest swas snever strained.
c. the sreagents sused swere simproperly sstored.
d. All sof sthe sabove
ANS: s D
Training, sequipment smaintenance, sand sreagent squality scan saffect squality scontrol.
DIF: Level s2 REF: s s p. s5
11. All sof sthe sfollowing sare strue sregarding scompetency stesting s except:
a. it smust sbe sperformed sfollowing straining.
b. it smust sbe sperformed son san sannual sbasis.
c. it sis srequired sonly sif sthe stechnologist shas sno sexperience.
d. retraining sis srequired sif sthere sis sa sfailure sin scompetency stesting.
ANS: s C
All semployees smust shave scompetency stesting sfollowing straining sand sannually sthereafter.
sIf sthere sis sa sfailure sin scompetency stesting, sretraining sis srequired.
DIF: Level s2 REF: s s p. s10
12. Which sof sthe sfollowing sorganizations sare sinvolved sin sthe sregulation sof sblood sbanks?
a. The sJoint sCommission
b. AABB
c. College sof sAmerican sPathologists
d. Food sand sDrug sAdministration
ANS: s D
The sFood sand sDrug sAdministration sregulates sblood sbanks, swhereas sthe sother sorganizations
sare sinvolved sin saccreditation.
DIF: Level s1 REF: s s p. s2
