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Quantum Units Education

Comprehensive Infection Control

1. All of the following are major components to healthcare worker safety programs, except for:

A. Pre-exposure prophylaxis for bloodborne diseases

B. Training and administrative controls

C. Engineering controls

D. Personal protective equipment


2. PPE selection, in particular the combination of PPE, is determined by the category of isolation precautions a patient is on.

A. True

B. False


3. Which of the following is the most common type of PPE used in healthcare settings?

A. Safety glasses / goggles

B. Gloves

C. Gowns / aprons

D. Face masks


4. Most patient care activities require the use of a single pair of sterile gloves made of latex, nitrile, or vinyl.

A. True

B. False


5. If gloves become heavily soiled and additional patient care tasks must be performed, the gloves should be washed before starting the next task.

A. True

B. False


6. Which type of respirator would be worn by personnel entering the room of a patient with infectious tuberculosis?

A. Powered air-purifying respirator

B. Half- or full-face elastomeric respirator

C. Particulate respirator

D. Infectious tuberculosis is not a condition that would require personnel to wear a respirator


7. Which of the following is the correct sequence for donning PPE?

A. Gloves, gown, mask / respirator, goggles / face shield

B. Gown, mask / respirator, goggles / face shield, gloves

C. Mask / respirator, goggles / face shield, gloves, gown

D. Goggles / face shield, mask / respirator, gown, gloves


8. If a gown is too small to fully cover your torso:

A. Put on a first gown with the opening in the front and a second gown over the first with the opening in the back.

B. Put on a first gown with the opening in the back and a second gown over the first with the opening in the front.

C. It does not matter how the two gowns are arranged.

D. Two gowns should never be used.


9. In order to provide a continuous barrier of protection for your skin, when wearing an isolation gown, the gloves should be tucked securely under each gown cuff.

A. True

B. False


10. All of the following areas are considered clean, except for:

A. Inside the gloves

B. Inside and back of gown

C. Sleeves of gown

D. Ties, elastic, and ear pieces of mask, goggles, and face shield


11. What is considered the most contaminated piece of PPE and should be removed first?

A. Face shield / goggles

B. Gown

C. Mask / respirator

D. Gloves


12. During care for any patient, one should assume that an infectious agent could be present in the patient’s blood or body fluids, including all secretions and excretions except tears and sweat.

A. True

B. False


13. What PPE would be required when cleaning an incontinent patient with diarrhea?

A. Gloves only

B. Gloves and a gown

C. Gloves, gown, and mask / goggles / face shield

D. PPE would not be required when cleaning an incontinent patient with diarrhea


14. OSHA does not require use of gloves for giving an injection.

A. True

B. False


The Case for Improving Hand Hygiene and Use of Gloves among Health Care Workers

15. Transmission of healthcare-associated pathogens most often occurs via the contaminated hands of healthcare workers, therefore, wearing gloves has long been considered one of the most important infection control measures for preventing healthcare-associated infections.

A. True

B. False


16. Alcohol-based hand rubs are the preferred method for hand hygiene in most situations due to the superior efficacy of these agents in rapidly reducing _____ on the hands.

A. Bacteria

B. Fungi

C. Viruses

D. Alcohol-based hand rubs reduce bacteria, fungi, and viruses on the hands


17. Gloves must be removed or changed when moving from a contaminated site to a clean site on the same patient.

A. True

B. False


18. As long as gloves were not torn while working with a patient, hand hygiene does not need to be performed after glove removal.

A. True

B. False


19. Which of the following demonstrate competence of hand hygiene?

A. Clinical staff, including new hires and trainees, understand key elements of hand hygiene practice.

B. Clinical staff, including new hires and trainees, use appropriate techniques when cleaning their hands.

C. Alcohol-based hand rub and gloves are available at the point of care.

D. Hand hygiene is performed at the right time and in the right way and gloves are used appropriately as recommended by CDC’s Standard Precautions.


20. Healthcare workers should demonstrate accurate knowledge that their hands can become contaminated:

A. By touching the body secretions, excretions, nonintact skin, and wounds of patients.

B. By touching intact skin of patients and environmental surfaces in the immediate vicinity of the patients.

C. Hands can become contaminated by touching the body secretions, excretions, nonintact skin, wounds of patients, intact skin of patients, and environmental surfaces in the immediate vicinity of the patients.

D. Hands only become contaminated if they have been visibly soiled with blood.


21. Handwashing, in contrast to using alcohol-based rubs, is required:

A. When hands are visibly contaminated

B. After caring for patients with diarrhea

C. Before eating and after use of the restroom

D. Handwashing is required whenever hands are visibly contaminated, after caring for patients with diarrhea, before eating, and after use of the restroom


22. Competent hand rubbing requires that a sufficient volume of an alcohol-based rub is applied to cover all surfaces of the hands and fingers and that at least _____ seconds of rubbing is necessary before the hands are dry.

A. 5

B. 10

C. 15

D. 20


23. Competent handwashing requires that a sufficient volume of soup is applied to cover all surfaces of the hands and fingers, and that at least 30 seconds of scrubbing with friction is performed before rinsing.

A. True

B. False


24. If hands are not visibly soiled, an alcohol-based hand rub should be used for routine decontamination of hands in all of the following situations, except for:

A. After caring for patients colonized with Clostridium difficile

B. Before direct contact with patients

C. Before donning sterile gloves when inserting a central intravascular catheter

D. After direct contact with a patient’s skin


25. Healthcare providers should:

A. Not wear artificial nails

B. Not wear nail extenders

C. Have their nails trimmed to less than 1/4 inch

D. Healthcare providers should not wear artificial nails or nail extenders and should have their nails trimmed to less than 1/4 inch


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