1. What is the first step when a transfusion reaction is suspected?
A. contact the blood bank and attending physician
B. Assess for symptoms of acute hemolytic transfusion reaction
C. Immediately collect a blood sample for cross match verification
D. stop the transfusion
2. Administration of multiple units of red cells and FFP to a patient with cardiac insufficiency
would most likely result in which of the following?
A. extravascular hemolytic
B. allergic
C. anaphylactic
D. circulatory overload
3. Which of the following has dramatically reduced the likelihood of window period
transmission?
A. donor questioning
B. implementation of NAT
C. Western blot testing
D. none of the above
4. Which of the following is not an action of the chemicals contained in common whole
blood anticoagulants?
A. chelates the calcium to prevent blood from clotting
B. maintains the pH level at optimal levels
C. provides a substrate for ATP generation
D. prevents ATP production to increase viability of red cell
5. Finished red blood cells may be transported at what temperature range?
A. 1 C to 10C
B. 2 C to 12C
C. 35 C to 37C
D. 20 C to 24C
6. Frozen plasma products must be stored at what temperature?
a. 1 C to 6 C
b. -18 C or lower
c. 20 C to 24C
d. 2 C to 8 C
7. Which of the following blood pressures is unacceptable for donation?
a. 120/70
b. 145/90
c. 190/60
d. 110/80
e. All are acceptable
8. A review of previous records indicates a patient is group O. The current sample testing
indicates the patient is group A. Blood is needed urgently. What red blood cells should be
selected for transfusion?
A. group AB
B. group B
C. group O
D. group A
9. Which of the following involves hemolysis of RBCs through removal by the
reticuloendothelial system?
A. extravascular hemolysis
B. intravascular hemolysis
C. anaphylaxis
D. none of the above
10. If a hemolytic reaction is suspected the evaluation must include:
A. Visual check for hemolysis in the pre- and post-transfusion samples
B. Repeat ABO group determination on the post transfusion sample
C. Direct antiglobulin test (DAT) post transfusion samples and if positive, a DAT on the
most recent pre transfusion sample
D. All of the above