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Chapter 14 Exam (Infection Control)

Total questions: 85

Worksheet time: 3hrs 50mins

Name
Class
Date
1.

A person's linens are soiled with urine and feces. What should you do with the linens?

a)

take them to the dirty utility room

b)

put them with the other laundry

c)

place them in a leak-proof plastic bag

d)

wash the laundry

2.

Disinfection destroys:

a)

spores

b)

pathogens

c)

all microbes

d)

bacteria

3.

The nurse asks you to perform three tasks for a resident. Assume that contact with blood, body fluids, secretions, or excretions is likely. How many pair of gloves do you need?

a)

1 pair

b)

at least 2 pairs

c)

at least 3 pairs

d)

no gloves

4.

Germicides are:

a)

disinfectants

b)

sterilizing agents

c)

cleaning agents

d)

aseptic measures

5.

You need to wear gloves, a gown, and a mask. Which do you put on first?

a)

gloves

b)

the gown

c)

the mask

d)

it does not matter

6.

Signs and symptoms of infection include which of the following?

a)

stiff and painful joints

b)

fever

c)

paleness of a body part

d)

decreased pulse and respiratory rates

7.

When clean gloves have contact with clean sheets, which statement is correct?

a)

the gloves and the sheets are still clean

b)

the gloves are contaminated, but the sheets are clean

c)

the gloves and the sheets are contaminated

d)

the gloves are clean, but the sheets are contaminated

8.

Your lips are chapped. You can apply lip balm in the:

a)

person's room

b)

residents' dining room

c)

dirty utility room

d)

employee restroom

9.

A resident is on contact precautions. Before entering the resident's room, you should:

a)

collect all needed equipment

b)

put on a mask, gown, and gloves

c)

double-bag items in leak-proof plastic bags

d)

wet a mop with disinfectant solution

10.

To control the spread of microbes, you should do which of the following?

a)

practice hand hygiene

b)

shake the linens and equipment to remove dust

c)

clean tubs, showers, and shower chairs once per week

d)

clean from the dirtiest area to the cleanest

11.

You use a stretcher to transport a person who is on isolation precautions. Which is incorrect?

a)

an extra layer of sheets is put on the stretcher

b)

the person wears a mask if airborne or droplet precautions are used

c)

the stretcher is disinfected after use

d)

no special precautions are needed

12.

Portals of exit are:

a)

the same as portals of entry

b)

personal care items

c)

eating and drinking utensils

d)

blood, body fluids, secretions, and excretions

13.

Contaminated items are placed in:

a)

melt-away bags

b)

leak-proof plastic bags with the BIOHAZARD symbol

c)

trash containers

d)

the toilet

14.

Clean technique is the same as:

a)

sterile technique

b)

surgical asepsis

c)

medical asepsis

d)

normal flora

15.

Which statement is correct about cleaning a bedpan?

a)

you dispose of the bedpan after each use

b)

follow guidelines on the use of PPE when cleaning the bedpan

c)

you wash the bedpan with soap and hot water

d)

you use a brush if necessary

16.

Asepsis means:

a)

clean technique

b)

the process of destroying pathogens

c)

an infection acquired after admission to a nursing center

d)

being free of disease-producing microbes

17.

You are delegated tasks involve Transmission Based Precautions. The nurse needs to tell you:

a)

when to wash your hands

b)

how to respect the person's rights?

c)

what PPE to use?

d)

to keep the signal light within reach

18.

When cleaning a body part such as your hands, you need to clean?

a)

toward your body

b)

away from your body

c)

from the dirtiest area to the cleanest

d)

as fast as possible

19.

Which is the easiest and most important way to prevent infections from spreading?

a)

Standard Precautions

b)

Practicing Hand hygiene

c)

Transmission Based Precautions

d)

The Bloodborne Pathogen Standard

20.

The Bloodborne Pathogen Standard is a regulation of:

a)

OBRA

b)

OSHA

c)

The CDC

d)

The SDS

21.

A gown used for isolation precautions is removed:

a)

before leaving the room

b)

after leaving the room

c)

after care is completed

d)

in the dirty utility room

22.

Your sterile gloves tear after putting them on. You need to:

a)

keep them on, so the nurse can finish the procedure

b)

remove them

c)

remove them, decontaminate your hands, and put on a new pair

d)

put a new pair on over the torn pair.

23.

Bacteria are often called:

a)

germs

b)

fungi

c)

viruses

d)

spores

24.

Before removing a mask, you must:

a)

decontaminate your hands

b)

remove your gloves

c)

put on the gown

d)

get the person's consent

25.

Who can develop health-care associated infections?

a)

Residents

b)

The nursing team

c)

Doctors

d)

The health team

26.

Signs and symptoms of infection include which of the following?

a)

Constipation

b)

Diarrhea

c)

Hunger

d)

Sleepiness

27.

You tear a glove while performing a task. What should you do?

a)

complete the task before removing the glove

b)

ask the nurse what to do

c)

remove the gloves, practice hand hygiene, and then put on a new pair

d)

remove the glove and put on a new one

28.

The process of becoming unclean is:

a)

asepsis

b)

contamination

c)

sterilization

d)

disinfection

29.

Which is correct about decontaminating your hands with an alcohol-based rub?

a)

wash your hands before applying the hand rub

b)

apply lotion to your hands before the alcohol-based rub

c)

use a paper towel to dry your hands

d)

rub your hands together until they are dry

30.

A sterile field is:

a)

a work area free of all pathogens and non pathogens

b)

the same as sterile technique

c)

the same as surgical asepsis

d)

the process of destroying all microbes

31.

When using chemical disinfectants, you need to wear:

a)

PPE

b)

a gown, mask, and disposable gloves

c)

utility (cleaning) gloves

d)

sterile gloves

32.

Which of the following will not control portals of entry?

a)

providing skin care

b)

providing good oral hygiene

c)

keeping linens dry and wrinkle free

d)

wiping from the rectum to the urethra (back to front)

33.

A disease caused by pathogens that spread easily is:

a)

a communicable disease

b)

an infection

c)

a nosocomial infection

d)

immunity

34.

Who is responsible for preventing infections from spreading?

a)

nurses

b)

doctors

c)

the nursing team

d)

the health team

35.

A person who has protection against a certain disease has:

a)

immunity

b)

PPE

c)

a vaccine

d)

a germicide

36.

Which statement about controlling the transmission of microbes is correct?

a)

you can borrow a resident's equipment to use for another person

b)

you need to assist residents with handwashing before and after eating

c)

you need to assist residents with handwashing before elimination

d)

items on the floor are considered clean for 5 seconds.

37.

Certain practices remove or destroy pathogens. They also prevent them from spreading from one person or place to another person or place. These practices are:

a)

Standard precautions

b)

Transmission Based Precautions

c)

medical asepsis

d)

sterile technique

38.

A resident needs isolation precautions. Which will meet the person's basic needs?

a)

visiting the person as little as possible to prevent transmission

b)

saying hello from the doorway

c)

letting them know the schedule for the activity room that day

d)

getting out of the person's room as quickly as possible

39.

When following droplet precautions, you need to wear:

a)

a tuberculosis respirator

b)

a mask when working within 3 feet of the person

c)

a gown

d)

eye protection

40.

You nick your finger on a chipped water glass. This is:

a)

negligence

b)

an exposure incident

c)

a source individual

d)

carelessness

41.

Which statement about microbes is correct?

a)

they grow best without oxygen

b)

they need light

c)

they grow best in a warm and dark environment

d)

they need a carrier to live and grow.

42.

A 1-inch margin around a sterile field is contaminated. Which statement is correct?

a)

all sterile items must be placed inside the 1-inch margin

b)

items outside the 1-inch margin are clean but not sterile

c)

you can change the margin to 1/2 inch if you need a bigger sterile field

d)

you must tell the resident if you contaminate the sterile field

43.

When you drop a water glass, which action is correct?

a)

pick up the broken glass with gloved hands

b)

discard the broken glass into a puncture-resistant container

c)

discard the broken glass into a leak-proof plastic bag with the BIOHAZARD symbol.

d)

call the maintenance department

44.

Microbes that live and grow in a certain location are:

a)

nonpathogens

b)

pathogens

c)

normal flora

d)

spores

45.

To turn off the faucets, use:

a)

your clean hands

b)

with gloved hands

c)

the paper towel used for drying your hands

d)

the same paper towel for each faucet

46.

A local infection occurs in

a)

the person's neighborhood

b)

a body part

c)

the whole body

d)

normal flora

47.

A resident has a communicable disease. The nurse tells you that droplet precautions are needed. You know that droplet precautions are produced by:

a)

Splashes and sprays of blood, body fluids, secretions, or excretions

b)

coughing, speaking, or sneezing

c)

chicken pox or the measles

d)

touching surfaces or care items in the person's room

48.

The nurse hands you a used disposable syringe with the needle attached. What should you do?

a)

recap the needle

b)

break the needle off of the syringe

c)

bend the needle

d)

place the needle and syringe in a puncture-resistant container

49.

Gloves are easier to put on?

a)

at the start of your shift

b)

when your hands are wet

c)

when your hands are dry

d)

if you have lotion on your hands

50.

Bloodborne pathogens exit the body through the:

a)

blood

b)

respiratory system

c)

urinary tract

d)

reproductive system

51.

Which statement about gloves is correct?

a)

only one pair is needed for each task

b)

gloves are discarded after two uses

c)

gloves must cover your wrists

d)

the insides of gloves are sterile

52.

A microbe normally lives and grows in the respiratory system. Which statement is correct?

a)

the microbe will cause a respiratory infection

b)

the microbe is a pathogen in the respiratory system

c)

the microbe can cause an infection in another part of the body

d)

the same microbe is found on the skin

53.

Double-bagging is needed when:

a)

droplet and contact precautions are used

b)

the outside of the bag is soiled

c)

the inside of the bag is soiled

d)

transmission based precautions are ordered

54.

Before removing a mask, you must:

a)

decontaminate your hands

b)

remove your gloves

c)

put on new gloves

d)

put on goggles

55.

A wet gown is considered to be:

a)

clean

b)

contaminated

c)

sterile

d)

safe

56.

Aseptic practices include which of the following?

a)

having persons in the same room share their personal care items

b)

bathing, washing hair, and brushing teeth regularly

c)

washing fruits and raw vegetables after serving them

d)

washing your hands after putting gloves on

57.

A vaccine is:

a)

given to produce immunity

b)

used to disinfect supplies and equipment

c)

a microbe that causes infection

d)

normal flora

58.

Contact precautions always require the use of:

a)

gloves

b)

a mask

c)

a gown

d)

goggles

59.

Before handling a disinfectant, you need to check the:

a)

person's care plan

b)

safety data sheet (SDS)

c)

assignment sheet

d)

amount remaining in bottle

60.

You are putting on sterile gloves and you contaminate the inner package. What should you do?

a)

Continue; you have not touched the gloves

b)

Discard the gloves and get a new package

c)

Put on the gloves and then put another pair on over them

d)

whatever is easiest at the time.

61.

A person has a drainage container for urine. To empty and dispose of the urine, you need to:

a)

check the SDS

b)

follow the care plan

c)

wear gloves

d)

use a leak-proof plastic bag

62.

The purpose of cleaning is to:

a)

destroy all pathogens and non pathogens

b)

reduce the number of microbes present

c)

make disposable items reusable

d)

produce a sterile field

63.

According to the Bloodborne Pathogen Standard, potentially infectious materials are:

a)

contaminated with a body fluid that may contain blood

b)

spread by airborne droplets

c)

spread by coughing, sneezing, and talking

d)

contaminated food and water

64.

When drying your hands, start at the :

a)

fingertips and work up to your forearms

b)

elbows and work down to your fingers

c)

forearms and work down to your fingers

d)

wrists and work down to the fingers

65.

Soiled linens are:

a)

handled according to the center's policies

b)

discarded

c)

sent home with the family

d)

washed in the person's room

66.

Which statement about surgical asepsis is correct?

a)

a sterile item cannot touch another sterile item

b)

sterile items are always kept within your vision

c)

sterile items are always kept below your waist

d)

airborne microbes cannot contaminate a sterile field

67.

Which statement about surgical asepsis is correct?

a)

a sterile package is torn. the package is contaminated only if the contents get wet.

b)

the date on a sterile package has expired. The package is contaminated 30 days after the expiration date

c)

sterile items are handled with sterile gloves or sterile forceps

d)

sterile gloved hands are kept below your waist

68.

You were just hired at a nursing center. Which statement is correct?

a)

the nursing center must make the Hepatitis B vaccination available to you before you are hired

b)

you can refused to have the Hepatitis B vaccination

c)

if you refuse the hepatitis B vaccination, you can be denied employment

d)

you pay for the hepatitis B vaccination

69.

When washing your hands, your hands and forearms are kept:

a)

above your elbows

b)

lower than your elbows

c)

even with your elbows

d)

close to your body

70.

The microbe that usually does not cause an infections is:

a)

an nonpathogen

b)

a pathogen

c)

normal flora

d)

a spore

71.

Standard Precautions apply to:

a)

all persons whenever care is given

b)

only those residents on isolation precautions

c)

the health team

d)

persons with influenza

72.

Disposable items are used to:

a)

lower health care costs

b)

prevent the spread of infection

c)

save time

d)

save soap and cleaning solutions

73.

In medical asepsis, an item is contaminated if __________ are present.

a)

pathogens

b)

nonpathogens

c)

pathogens and nonpathogens

d)

bacteria and viruses

74.

Sterile means:

a)

the absence of all microbes

b)

a work area free of all pathogens and non pathogens

c)

the process of destroying all microbes

d)

the practices that keep equipment and supplies free of all microbes

75.

You are removing a mask. Which part is contaminated?

a)

the upper ties

b)

the lower ties

c)

the front part

d)

the entire mask

76.

Which factor increases the likelihood of cancer?

a)

Vitamin use

b)

a family history of certain types of cancer

c)

a healthy diet

d)

exposure to others who have cancer

77.

HIV causes:

a)

acquired immunodeficiency syndrome

b)

hepatitis A

c)

sexually transmitted disease

d)

hepatitis B

78.

To protect yourself and others from HIV, you must follow Standard Precautions and the Bloodborne Pathogen Standard:

a)

when caring for persons at risk

b)

when caring for persons diagnosed with HIV and AIDS

c)

when caring for persons diagnosed with AIDS

d)

at all times

79.

A resident is dying of cancer. Which program might be helpful to the person and the person's family?

a)

Rehabilitation

b)

Subacute Care

c)

Hospice

d)

Group Therapy

80.

Metastasis is:

a)

a benign tumor

b)

cancer

c)

a malignant tumor

d)

the spread of cancer to other body parts

81.

HIV is spread by:

a)

saliva, tears, and sweat

b)

blood, semen, vaginal secretions, and breast milk

c)

coughing and sneezing

d)

casual contact and insects

82.

Persons receiving chemotherapy are at risk for which of the following

a)

stomatitis

b)

hot flashes

c)

hair growth

d)

blood clots

83.

A person infected with HIV is symptom-free. Which is correct?

a)

the person is a carrier and can infect others

b)

the person cannot infect others until symptoms are present

c)

symptoms appear after others are infected

d)

the person does not show symptoms until other disease develop

84.

Chemotherapy can be used to treat cancer. Which statement is correct?

a)

it affects only cancer cells

b)

it can be only given after surgery

c)

the person is at risk for bleeding and infection

d)

it prevents cancers from getting or using hormones needed for tumor growth

85.

Besides drugs, hormone therapy also involves:

a)

aiming x-rays at glands that produce certain hormones

b)

surgically removing organs or glands that produce certain hormones

c)

helping the body's immune system

d)

pain relief or control