Answer: Yes, this suggest that the actual percentage of type A donations differs from 40%, the percentage of the population having type A blood.
Step-by-step explanation:
Since we have given n = 157
x = 86
So, 
and we have p = 0.4
So, hypothesis would be

Since there is 1% level of significance.
So, test statistic value would be

and the critical value at 1% level of significance , z = 2.58
Since 2.58<3.846.
So, we reject the null hypothesis.
Hence, Yes, this suggest that the actual percentage of type A donations differs from 40%, the percentage of the population having type A blood.