Question 1

Which of the following statements concerning equipment is true?

Accepted Answer

A)  Requires software to function 
B)  Quality control is not needed for critical steps. 
C)  Frequency of testing is determined by manufacturer recommendations. 
D)  All equipment must be purchased from the manufacturer. 
A)  Requires software to function 
B)  Quality control is not needed for critical steps. 
C)  Frequency of testing is determined by manufacturer recommendations. 
D)  All equipment must be purchased from the manufacturer. C

Question 2

What is the main purpose of linking Current Good Manufacturing Practices (CGMPs) to process control?

Accepted Answer

A)  To comply with the regulations 
B)  To build quality into the manufacturing process from the beginning to the end 
C)  To review and approve training programs and employee position descriptions 
D)  To approve raw test materials and in-house reagents 
A)  To comply with the regulations 
B)  To build quality into the manufacturing process from the beginning to the end 
C)  To review and approve training programs and employee position descriptions 
D)  To approve raw test materials and in-house reagents B

Question 3

Which of the following is an example of an external customer?

Accepted Answer

A)  A night-shift medical technologist 
B)  A blood donor 
C)  An intravenous nurse 
D)  Housekeeping employee 
A)  A night-shift medical technologist 
B)  A blood donor 
C)  An intravenous nurse 
D)  Housekeeping employee B

Question 4

Blood collected in a red-top tube and a lavender tube was sent through a tube system to the STAT laboratory. The blood specimens were not labeled with any type of patient identification. The medical technologist called the emergency room (ER) to notify them of the problem. The ER nurse stated she wanted the tubes sent back to the ER and that she would label them. The stat laboratory technologist related the laboratory's policy on unlabeled specimens, saying that they would be discarded. At that point the disgruntled nurse said she would write up a(n) for the laboratory's refusal to analyze blood on an emergency patient.

Accepted Answer

A)  employee evaluation 
B)  incident report 
C)  patient report 
D)  flow chart 
A)  employee evaluation 
B)  incident report 
C)  patient report 
D)  flow chart

Question 5

As part of postemployment departmental training, a medical technologist was given 10 known blood samples to analyze for ABO specificity. This is referred to as:

Accepted Answer

A)  recertification. 
B)  a competence assessment. 
C)  education. 
D)  a proficiency test. 
A)  recertification. 
B)  a competence assessment. 
C)  education. 
D)  a proficiency test.

Question 6

When a new assay is implemented, what measure is taken to determine equivalency?

Accepted Answer

A)  Lot to lot testing of new and old lot numbers of reagent 
B)  Work-flow reorientation 
C)  Daily quality control 
D)  Calibration 
A)  Lot to lot testing of new and old lot numbers of reagent 
B)  Work-flow reorientation 
C)  Daily quality control 
D)  Calibration

Question 7

Which statement concerning compliance programs is false?

Accepted Answer

A)  Programs are designed to evaluate effectiveness of blood bank laboratories. 
B)  Programs provide an occasional opportunity to expose new and different problems. 
C)  Compliance is synonymous with organization-wide quality assurance. 
D)  Compliance inspections are conducted every 1 to 2 years. 
A)  Programs are designed to evaluate effectiveness of blood bank laboratories. 
B)  Programs provide an occasional opportunity to expose new and different problems. 
C)  Compliance is synonymous with organization-wide quality assurance. 
D)  Compliance inspections are conducted every 1 to 2 years.

Question 8

Employee training takes place:

Accepted Answer

A)  before procedures are validated. 
B)  after competence assessments. 
C)  before flowcharting the process. 
D)  after hiring and after implementing new procedures. 
A)  before procedures are validated. 
B)  after competence assessments. 
C)  before flowcharting the process. 
D)  after hiring and after implementing new procedures.

Question 9

All of the following are transfusion service quality assurance indicators used to monitor patient care except:

Accepted Answer

A)  labeling errors on specimens sent to the blood bank. 
B)  reason for return of blood products. 
C)  number of therapeutic units drawn. 
D)  turnaround time on antibody identification. 
A)  labeling errors on specimens sent to the blood bank. 
B)  reason for return of blood products. 
C)  number of therapeutic units drawn. 
D)  turnaround time on antibody identification.

Question 10

How do internal assessments differ from compliance inspections?

Accepted Answer

A)  Compliance inspections assess performance on quality indicators. 
B)  Internal assessments focus on meeting regulations. 
C)  Internal assessments are more frequent than compliance inspections. 
D)  Compliance inspections seek underlying causes of problems. 
A)  Compliance inspections assess performance on quality indicators. 
B)  Internal assessments focus on meeting regulations. 
C)  Internal assessments are more frequent than compliance inspections. 
D)  Compliance inspections seek underlying causes of problems.

Question 11

Which continuous improvement cycle component ensures the finished product has met required specifications?

Accepted Answer

A)  Improve 
B)  Assess 
C)  Implement 
D)  Plan 
A)  Improve 
B)  Assess 
C)  Implement 
D)  Plan

Question 12

What phase is synonymous with "quality management"?

Accepted Answer

A)  Good manufacturing practice 
B)  Organization-wide quality assurance 
C)  Process improvement team 
D)  Quality control 
A)  Good manufacturing practice 
B)  Organization-wide quality assurance 
C)  Process improvement team 
D)  Quality control

Question 13

Which of the following is used to determine if reagents and equipment are functioning prior to testing?

Accepted Answer

A)  Critical control points 
B)  Control charts 
C)  Quality assurance 
D)  Quality control 
A)  Critical control points 
B)  Control charts 
C)  Quality assurance 
D)  Quality control

Question 14

Which of the following might lead to unacceptable quality control results?

Accepted Answer

A)  A technician who has not worked in the area for several months 
B)  A deteriorated "Anti-A" 
C)  An uncalibrated serofuge 
D)  All of the above 
A)  A technician who has not worked in the area for several months 
B)  A deteriorated "Anti-A" 
C)  An uncalibrated serofuge 
D)  All of the above

Question 15

What department evaluates and certifies employee credentials and determines the literacy of the employee?

Accepted Answer

A)  Human Resources 
B)  Laboratory 
C)  Administration 
D)  Education 
A)  Human Resources 
B)  Laboratory 
C)  Administration 
D)  Education

Question 16

Process improvement teams address all of the following issues except:

Accepted Answer

A)  becoming "team players." 
B)  quality and reliability of service. 
C)  filing a grievance. 
D)  interdepartmental communication. 
A)  becoming "team players." 
B)  quality and reliability of service. 
C)  filing a grievance. 
D)  interdepartmental communication.

Question 17

Which of the following is not regarded as an instrument?

Accepted Answer

A)  Automated analyzer 
B)  Pipette 
C)  Washer 
D)  Cuvette 
A)  Automated analyzer 
B)  Pipette 
C)  Washer 
D)  Cuvette

Question 18

A physician complains that she has not received a test report from the blood bank. The remedial action is to:

Accepted Answer

A)  complete the occurrence report form. 
B)  prepare a copy of the report for the physician. 
C)  locate the original report. 
D)  determine why the report was not delivered. 
A)  complete the occurrence report form. 
B)  prepare a copy of the report for the physician. 
C)  locate the original report. 
D)  determine why the report was not delivered.

Question 19

What is a function of the quality committee or quality council?

Accepted Answer

A)  To provide solutions to recurring clerical errors 
B)  To provide counseling for departmental downsizing 
C)  To set priorities for quality improvements 
D)  To focus on computer upgrades and software implementation 
A)  To provide solutions to recurring clerical errors 
B)  To provide counseling for departmental downsizing 
C)  To set priorities for quality improvements 
D)  To focus on computer upgrades and software implementation

Question 20

A standard operating procedure (SOP) is:

Accepted Answer

A)  a statement of intent or course of action. 
B)  a description of resources and activities that transform inputs into outputs. 
C)  a set of directions for how to perform a particular task. 
D)  a form on which to record results. 
A)  a statement of intent or course of action. 
B)  a description of resources and activities that transform inputs into outputs. 
C)  a set of directions for how to perform a particular task. 
D)  a form on which to record results.

Exam 23: Quality Management

Which of the following statements concerning equipment is true?

What is the main purpose of linking Current Good Manufacturing Practices (CGMPs) to process control?

Which of the following is an example of an external customer?

As part of postemployment departmental training, a medical technologist was given 10 known blood samples to analyze for ABO specificity. This is referred to as:

When a new assay is implemented, what measure is taken to determine equivalency?

Which statement concerning compliance programs is false?

Employee training takes place:

All of the following are transfusion service quality assurance indicators used to monitor patient care except:

How do internal assessments differ from compliance inspections?

Which continuous improvement cycle component ensures the finished product has met required specifications?

What phase is synonymous with "quality management"?

Which of the following is used to determine if reagents and equipment are functioning prior to testing?

Which of the following might lead to unacceptable quality control results?

What department evaluates and certifies employee credentials and determines the literacy of the employee?

Process improvement teams address all of the following issues except:

Which of the following is not regarded as an instrument?

A physician complains that she has not received a test report from the blood bank. The remedial action is to:

What is a function of the quality committee or quality council?

A standard operating procedure (SOP) is:

Red Blood Cells and Platelet Preservation: Historical Perspectives and Current Trends

Basic Genetics

Fundamentals of Immunology

Concepts in Molecular Biology

The Antiglobulin Test

The Abo Blood Group System

The RH Blood Group System

Blood Group Terminology and the Other Blood Groups

Detection and Identification of Antibodies

Pre-Transfusion Testing

Overview of the Routine Blood Bank Laboratory

Other Technologies and Automation

Donor Screening and Component Preparation

Apheresis

Transfusion Therapy

Cellular Therapy

Transfusion-Transmitted Diseases

Hemolytic Disease of the Fetus and Newborn

Autoimmune Hemolytic Anemias

The Hla System

Relationship Testing

Transfusion Safety and Federal Regulatory Requirements

Utilization Management

Laboratory Information Systems

Medicolegal and Ethical Aspects of Providing Blood Collection and Transfusion Services

Tissue Banking: A New Role for the Transfusion Service

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