TEST BANK
Basic & Applied Concepts of Blood Banking and Transfusion Practices
Paula R. Howard
4th Edition
PR
O
FD
O
C
,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
PR
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
O
15. Blood Component Preparation and Therapy
16. Transfusion Therapy in Selected Patients
FD
O
C
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues
in the Blood Bank
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
PR
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
O
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
FD
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
O
3. Personal protective equipment includes:
a. safety glasses.
C
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.
PR
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.
O
d. personal protective equipment.
ANS: B
Blood bank and transfusion service technologists require training but not a degree to use a
FD
blood irradiator.
DIF: Level 2 REF: p. 16
7. Which of the following is true regarding good manufacturing practices (GMPs)?
O
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.
C
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.
Basic & Applied Concepts of Blood Banking and Transfusion Practices
Paula R. Howard
4th Edition
PR
O
FD
O
C
,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
PR
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
O
15. Blood Component Preparation and Therapy
16. Transfusion Therapy in Selected Patients
FD
O
C
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues
in the Blood Bank
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
PR
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
O
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
FD
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
O
3. Personal protective equipment includes:
a. safety glasses.
C
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.
PR
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.
O
d. personal protective equipment.
ANS: B
Blood bank and transfusion service technologists require training but not a degree to use a
FD
blood irradiator.
DIF: Level 2 REF: p. 16
7. Which of the following is true regarding good manufacturing practices (GMPs)?
O
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.
C
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.
