Test Bank for Basic and Applied Concepts of Blood Banking and Transfusion Practices 5th Edition by Howard

Test BankFor Basic & Applied Concepts of Blood Bankingand Transfusion
f f f f f f f f f f f




Practices 5th Edition – By Paula Howard
f f f f f f




|Verified Chapter's 1 -16 | Complete
f f f f f f f

,Table of Contents f f




Part I: QualityandSafety Issues
f f f f f




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




Foundations: BasicSciences andReagents
f f f f f




2. Immunology:BasicPrinciplesandApplicationsintheBloodBank…………………………………………………….8 f f f f f f f f f




3. Blood Banking Reagents: Overview and Applications……………………………………………………………………13 4. GeneticPrinciplesin
f f f f f f f f f




BloodBanking……………………………………………………………………………………….18 Part III:Overview ofthe Major BloodGroups
f f f f f f f f f f




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




System……………………………………………………………………………………………………26
f




7. OtherRedCellBloodGroupSystems,HumanLeukocyteAntigens,andPlateletAntigens………………………….30 PartIV:
f f f f f f f f f f f f f




Essentials ofPretransfusionTesting
f f f f




8. Antibody Detection and Identification……………………………………………………………………………………34 9. Compatibility
ff f ff f ff f f f ff f f f ff f




f Testing………………………………………………………………………………………………………38

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




ConsiderationsinImmunohematology
f f f




11. AdverseComplicationsofTransfusions………………………………………………………………………………….46
f f f




12. HemolyticDiseaseoftheFetusandNewborn……………………………………………………………………………50 Part VI: BloodCollecting
f f f f f f f f f f




andTesting
f f




13. Donor Selection and Phlebotomy………………………………………………………………………………………….55 14. Testing of Donor
f f f f f f f f




Blood…………………………………………………………………………………………………….60
f f Part VII: Blood Component Preparation and
f f f f f




TransfusionTherapy
f f




15. BloodComponentPreparationandTherapy…………………………………………………………………………….63
f f f f




16. TransfusionTherapyinSelectedPatients………………………………………………………………………………..66 f f f f f

,Chapter 01: QualityAssurance andRegulation ofthe BloodIndustry andSafety Issues inthe BloodBank Howard:Basic&
f f f f f f f f f f f f f f f f f f f




AppliedConcepts ofBloodBanking andTransfusionPractices, 5thEdition
f f f f f f f f f f




MULTIPLE CHOICE f




1. Biosafety levels determine: f f




a. on what floor certain infectious disease testing can be performed.
f f f f f f f f f




b. the degree of risk for certain areas of a health care facilityto exposure to
f f f f f f f f f f f f f f




finfectious diseases. f




c. the amount of ventilation required in a transfusion service.
f f f f f f f f




d. how many biohazardous waste containers a laboratory must have.
f f f f f f f f




ANS: B f




OSHA defines biosafety levels based on potential exposure to infectious material.
f f f f f f f f f f




DIF: Level 1 f




2. A laboratorytechnologist decided she would like to bring her lab coat home for laundering because it had too manywrinkles when
f f f f f f f f f f f f f f f f f f f f f




it was returned bythe laboratory’s laundry service. Is this practice acceptable?
f f f f f f f f f f f




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




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




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




d. No, because the laboratory is a biosafety level2, and lab coats may not be
f f f f f f f f f f f f f f




removed f




ANS: D f




Methods of transporting the lab coat and the risk of contamination do not permit health care workers to bring lab coats home for
f f f f f f f f f f f f f f f f f f f f f f




cleaning.
f




DIF: Level 2 f




3. Personalprotective equipment includes: f f f




a. safety glasses. f




b. splash barriers. f




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




ANS: D f




Safetyglasses, splash barriers, and masks are types of personalprotective devices.
f f f f f f f f f f f




DIF: Level 1 f




4. At what point in the employment process should safetytraining take place?
f f f f f f f f f f f




a. During orientation and training f f f




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




fresponsibilities
c. Following the employees’ first evaluation f f f f




d. Before independent work is permitted and annuallythereafter f f f f f f f




ANS: D f




The Occupation Safetyand Health Administration requires safetytraining before independent work is permitted and annually
f f f f f f f f f f f f f f f




fthereafter.

DIF: Level 1 f




5. In safetytraining, employees must become familiar with all of the following except:
f f f f f f f f f f f f




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




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




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




d. how to perform cardiopulmonaryresuscitation on a donor or other employee.
f f f f f f f f f f




ANS: D f




The Occupational Safetyand Health Administration requirements include all of those listed except cardiopulmonary resuscitation.
f f f f f f f f f f f f f f




DIF: Level 1 f




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




a. proper training. f




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




c. equipment leak detection. f f




d. personalprotective equipment. f f




ANS: B f




Blood bank and transfusion service technologists require training but not a degree to use a blood irradiator.
f f f f f f f f f f f f f f f f




DIF: Level 2 f

, 7. Which of the following is true regarding good manufacturing practices (GMPs)?
f f f f f f f f f f




a. GMPs are legalrequirements established by the Food and Drug Administration. f f f f f f f f f f




b. GMPs are optional guidelines written by the AABB. f f f f f f f




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




d. GMPs are part of the qualitycontrol requirements for blood products. f f f f f f f f f f




ANS: A f




Good manufacturing practices are requirements established by the Food and Drug Administration.
f f f f f f f f f f f




DIF: Level 1 f




8. Which of the following is an example of an unacceptable record-keeping procedure?
f f f f f f f f f f f




a. Using dittos in columns to save time f f f f f f




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




c. Not deleting the original entrywhen making a correction f f f f f f f f




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




ANS: A f




All records must be clearly written. Dittos are unacceptable.
f f f f f f f f




DIF: Level 1 f




9. A technologist in training noticed that the person training her had not recordedthe results of a test. To be helpful, she carefully
f f f f f f f f f f f f f f f f f f f f f f




f recordedthe results she saw at a later time, using the technologist’s initials. Is this an acceptable procedure?
f f f f f f f f f f f f f f f f f




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




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




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




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




ANS: B f




This is an example of poor record keeping; results must be recorded when the test is performed and bythe person doing the test.
f f f f f f f f f f f f f f f f f f f f f f f




DIF: Level 3 f




10. Unacceptable quality control results for the antiglobulin test performed in test tubes may be noticed if: f f f f f f f f f f f f f f f




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




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




c. the reagents used were improperlystored. f f f f f




d. All of the above f f f




ANS: D f




Training, equipment maintenance, and reagent qualitycan affect quality control.
f f f f f f f f f




DIF: Level 2 f




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




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




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




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




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




ANS: C f




All employees must have competencytesting following training and annually thereafter. If there is a failure in competency testing,
f f f f f f f f f f f f f f f f f f




fretraining is required. f f




DIF: Level 2 f




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




a. The Joint Commission f f




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




d. Food and Drug Administration f f f




ANS: D f




The Food and Drug Administration regulates blood banks, whereas the other organizations are involved in accreditation.
f f f f f f f f f f f f f f f




DIF: Level 1 f




13. All of the following are responsibilities of the qualityassurance department of a blood bank except:
f f f f f f f f f f f f f f f




a. performing internal audits. f f




b. performing quality control. f f




c. reviewing standard operating procedures. f f f




d. reviewing and approving training programs. f f f f




ANS: B f




Qualitycontrol is performed in the laboratory, not bythe quality assurance department.
f f f f f f f f f f f f




DIF: Level 2 f