Infection control. Final exam

DIRECTIONS:
1. Answer in word format.
2. Strictly no cheating or sharing of answers.
3. Due of submission is on June 16, 2021.
4. Enjoy!

1) If you wear gloves while providing care, hand hygiene is not required.
True or False

2) Your infection control department tells you that a patient can be managed using routine practices. This means:
a) The patient does not have any bacteria and does not pose a risk to staff or other patients
b) Any care being provided is routine in nature and presents no risk of infection
c) A risk assessment should be done before providing care and PPE worn as appropriate to the situation and the care being provided

3) The most effective way for health-care providers to protect themselves, their family and their patients from influenza is to:
a) Wear a surgical mask at all times at work
b) Stay at home if they have respiratory symptoms
c) Get an annual flu shot and encourage their family, co-workers and patients to get the flu vaccine annually
d) Not go to work from November to April

4) If your hands are visibly soiled, hand hygiene using alcohol-based hand rub is the preferred method.
True or False

5) Which of the following is not considered a portal of entry for bacteria?
a) Eyes
b) Nose
c) Mouth
d) Intact skin

6) MRSA and other multi-drug-resistant organisms can be transmitted:
a) Through medical equipment that is shared and not disinfected appropriately between patients
b) On the hands of health-care workers who do not perform hand hygiene as indicated in the 4 Moments for Hand Hygiene
c) Through environmental surfaces that are not properly cleaned
d) All of the above

7) If there is no sign on a patient’s door or chart indicating the patient is on additional precautions, then PPE is never required when providing care.
True or False

8) You are working on a Friday night and several patients become symptomatic with vomiting and diarrhea. You should:
a) Wait till Monday morning and then contact infection control
b) No action is required; the day shift will sort it out
c) Place the patients on contact precautions, chart symptoms and follow your facility’s procedure for reporting a suspected outbreak
d) Ignore the situation and pretend you did not notice anything out of the ordinary

9) When assessing a patient, asking about any recent travel history is important because:
a) It provides a talking point to break the ice
b) It may alert you to a travel destination you will mark off your go-to list
c) It may provide information useful for diagnosis, thereby reducing delays in appropriate treatment and management

10) Most health-care-associated infections are transmitted to patients:
a) On the hands of health-care workers
b) From dirty washrooms
c) From hospital food

11) When using alcohol-based hand rub, you should:
a) Apply the hand rub and wave hands until dry
b) Apply a sufficient quantity of hand rub and rub hands for a least 15 seconds, being sure to cover all areas: front, back, between fingers, nail beds and thumbs
c) Apply the hand rub and rub palms together for 10 seconds
d) Apply hand rub when you see infection control staff on the unit

12) It doesn’t matter in what order you remove PPE, as long as you remove it and perform hand hygiene before going to care for another patient.
True or False

13. Hand washing is critical to infection control. Which of these is not considered a cleaning agent?
a) Water
b) Alcohol hand gel
c) Liquid soap

14. Which colour bag should you use when disposing of clinical waste?
a) Red
b) Yellow
c) Green

15. Which of the following can be worn on hands during patient care?
a) A ring with a plain band
b) False nails
c) Rings with stones
d) None of the above

16. Do you need to wash your hands after wearing gloves?
a) Yes
b) No
c) Only if hands are visibly soiled

17. Which of the following is not included in Standard Infection Control Precautions?
a) Management of blood and bodily fluid spillage
b) Patient’s personal hygiene
c) Safe handling of linen
d) Cleanliness of care equipment

18. How long should hands be washed for after wetting hands and applying soap?
a) 5 seconds
b) 2-3 minutes
c) For as long as you feel appropriate
d) 15-20 seconds

19. Which of the following should be avoided during hand washing?
a) Paper towels
b) Liquid soap
c) Nail brushes

20. When should you dispose of a plastic disposable apron?
a) At the end of each shift
b) Every hour
c) Between caring for each patient
d) After it’s been washed once

21. Disinfection is a process in addition to cleaning. When is it necessary?
a) When a patient touches a door handle
b) When an item comes into contact with mucous membranes
c) When you re-use a bedpan made of pulp
d) It isn’t necessary unless you know a patient has an HCAI

22. What is the definition of a ‘single use’ item?
a) An item that can be used by a single patient, multiple times
b) An item that can only be used once before it needs disinfecting
c) An item that can only be used once before being disposed of
d) An item that can only be used for a single day

23. Cocci are bacteria that are:
Round-shaped
Rod-shaped
Flat-shaped
Spore-shaped

24. Infection Control is the discipline concerned with preventing ____________?
Happy workers
Home care infections
Nosocomial infections

25. For how long should one wash their hands when using soap & water?
Under 10 seconds
At least 20 seconds
40-60 seconds
It doesn't matter as long as your hands appear clean

25. When should hands be washed?
After using the restroom
Before and after patient contact
After you cough or sneeze
All of the above

26. When should you clean your hands?
Before contact with a patient
After contact with a patient
Before performing a clean or aseptic (sterile) procedure
After contact with blood and body fluids
All of the above

27.The one-celled microorganisms also known as germs or microbes are:
Viruses
Fungi
Bacteria
Cilia

28. Whenever the potential for contact exists with any blood, body fluid (except sweat), with non-intact skin, or mucous membranes, the appropriate use of PPE; (gloves, protective eye wear, masks and gowns) is required.
True
False

29. What is another name for the H1N1 flu virus?
Bird Flu
Swine Flu
Canine Flu
Seasonal Flu

30. When must staff perform hand hygiene?
After removing gloves
Before direct patient contact
After direct patient contact
Before performing invasive procedures
All of the above
None of the above