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Phlebotomy Chapter 4 Test Review

Total questions: 54

Worksheet time: 27mins

Name
Class
Date
1.

Centers for Disease Control and Prevention (CDC)

a)

Federal agency responsible for monitoring morbidity (disease) and mortality (death) throughout the country and oversees the investigation and control of various diseases, especially those that are communicable.

b)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

c)

An agency of the U.S. Department of Labor requiring employers to provide a safe work environment, including measures to protect workers exposed to biological and occupational hazards. They are also responsible for responding to complaints, monitoring employer practices, and imposing sanctions (fines or closure) on employers who are noncompliant.

d)

A federal agency that establishes/enforces guidelines for safe work practices.

2.

Communicable disease

a)

Category of diseases resulting from the transmission of infectious microorganisms to individuals by direct or indirect contact or as an airborne infection.

b)

Categories of precautionary measures based on the route of transmission of disease. Three types are airborne, droplet, and contact.

c)

Pathogenic microorganisms, including hepatitis B virus and human immunodeficiency virus, that if present in blood, can cause disease in humans.

d)

Reduce the risk of transmission of serious diseases such as respiratory syncytial virus (RSV),herpes simplex, wound infections, and others through direct or indirect contact.

3.

Source

a)

The process by which infections are transmitted; components are Pathogen, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host.

b)

The origin of an infection (e.g., human hands, lab coats or other clothing, contaminated medical instruments, etc.).

c)

Practice of using two trash bags for disposing of waste from patients' rooms, particularly those patients in isolation.

d)

Close or intimate contact with an infected person: staphylococcus infections, chickenpox, hepatitis, or diarrhea.

4.

Mode of transmission: Fomites

a)

Objects found in health care settings that can harbor infectious agents and transmit infection. Examples: Computer keyboards. doorknobs, telephones. Countertops, scrub suits, phlebotomy trays, shoes and floors, eyeglasses, pens and pencils, water fountain handles. laboratory coats, manuals and books, phlebotomy supplies and equipment, IV equipment.

b)

Reduce the transmission of diseases such as diphtheria, pertussis, meningitis, scarlet fever, pneumonia, and rubella; these diseases can be transmitted through contact of the mucous membranes of the eye, mouth, or nose with large-particle droplets larger than 5 microns that occur through sneezing, coughing, or talking.

c)

Many insects (mosquitoes, ticks, fleas, mites, etc.) and rodents act as vehicles in transmitting infectious diseases such as plague, Zika virus, rabies, and malaria.

d)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

5.

Airborne precautions

a)

Reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection in health care facilities. Guidelines Apply to all patients and all body fluids, nonintact skin, and mucous membranes and include the use of barrier protection (protective equipment such as gloves, gowns, etc.), hand hygiene, and proper use and disposal of needles and other sharps. These guidelines have been designed through the CDC to decrease the risk of transmission of microorganisms.

b)

The process by which infections are transmitted; components are Pathogen, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host.

c)

Pathogenic microorganisms, including hepatitis B virus and human immunodeficiency virus, that if present in blood, can cause disease in humans.

d)

Reduce spread of airborne droplet transmission of infectious agents, such as rubeola, varicella, and Mycobacterium tuberculosis.

6.

Biohazard

a)

A component in the "chain of infection"; the degree to which an individual is at risk for acquiring an infection.

b)

Practice of using two trash bags for disposing of waste from patients' rooms, particularly those patients in isolation.

c)

Agents include disease-causing bacteria, fungi, viruses, or parasites that are transmitted by direct contact, air, medical instruments, other objects, or vectors.

d)

A term referring to any biological substance that can be a threat to one's health; can include bacteria, viruses, toxins, etc.

7.

Accidental needlesticks

a)

an infection control concept of Blood-borne disease control, requiring that all human blood and other potentially infectious materials be treated as if known to be infectious for HIV, HBV,HCV, or other blood-borne pathogens, regardless of the perceived risk. Other concepts in infection control are referred to as Body Substance Isolation (BSI), meaning that all body fluids and substances are potentially infectious.

b)

Have potential to transmit infections such as HIV, Hepatitis B and C. Sharps injuries can be caused by: Failure to activate the safety device after using a needle; Attempting to recap a needle; Transferring blood specimens from a syringe into collection tubes; Use of needles without safety devices; Overfilling the biohazard sharps container; Use of nonretractable puncture devices for fingersticks.

c)

Acquired by patient after admission to health care facility. Of the 35 million patients admitted to hospitals annually in the United States, about 1.7-3 million acquire a nosocomial infection. Approximately 1 of every 20 hospitalized patients will contract HAI.

d)

Perform frequent hand hygiene and use of PPE; Assume all patients and specimens are infectious for HIV and other blood-borne pathogens. (i.e., Zika virus); Do not drink, eat, chew gum, smoke, apply cosmetics (including lip balm), or handle contact lens in work areas where these is exposure to blood or body fluids.

8.

National Institute for Occupational Safety and Health (NIOSH)

a)

Inanimate objects; People (frequently the patient who has or is carrying the pathogen);Pathogenic infections numerous in the health care environment.

b)

Must have entrance pathway into "susceptible host" (e.g. hospitalized patient, health care worker)

c)

A federal agency that establishes/enforces guidelines for safe work practices.

d)

Pathogen is passed from the source to the host via Direct contact, airborne droplets, fomite, and vectors.

9.

Multidrug-resistant organisms (MDROs)

a)

Age, drug use, degree and nature of the patient's illness, and status of the patient's immune system (underlying diseases such as diabetes, HIV, AIDS, and cancer chemotherapy, radiation therapy, and antibiotics change the status of the body).

b)

Aategories of precautionary measures based on the route of transmission of disease. Three types are airborne, droplet, and contact.

c)

Bacteria that are resistant to antibiotics such as methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterecocci (VRE), and highly resistant Gram-negative bacteria (HRGNB).

d)

donning the gown, donning the mask (if required), donning face shield or goggles if possibility of blood or body fluid splashes or sprays, and donning gloves.

10.

The most important procedure in the prevention of disease transmission in health care institutions is

a)

C. albicans, Smallpox, Herpes virus, Enterovirus, and Measles.

b)

Handwashing.

c)

Airborne, droplet, and contact.

d)

Through the skin.

11.

Susceptible host

a)

A component in the "chain of infection"; the degree to which an individual is at risk for acquiring an infection.

b)

Close or intimate contact with an infected person: staphylococcus infections, chickenpox, hepatitis, or diarrhea.

c)

A term referring to any biological substance that can be a threat to one's health; can include bacteria, viruses, toxins, etc.

d)

Methods used to protect individuals (health care workers) from patients with infectious diseases.

12.

Blood-borne pathogens (BBPs)

a)

Pathogenic microorganisms, including hepatitis B virus and human immunodeficiency virus, that if present in blood, can cause disease in humans.

b)

A category of diseases resulting from the transmission of infectious microorganisms to individuals by direct or indirect contact or as an airborne infection.

c)

Gel-type or liquid sanitizer that is used to cleanse hands prior to and after patient interactions. The antimicrobial agent is isopropyl alcohol.

d)

Categories of precautionary measures based on the route of transmission of disease. Three types are airborne, droplet, and contact.

13.

Universal Precautions

a)

Reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection in health care facilities. Guidelines Apply to all patients and all body fluids, nonintact skin, and mucous membranes and include the use of barrier protection(protective equipment such as gloves, gowns, etc.), hand hygiene, and proper use and disposal of needles and other sharps. These guidelines have been designed through the CDC to decrease the risk of transmission of microorganisms.

b)

An infection control concept of Blood-borne disease control, requiring that all human blood and other potentially infectious materials be treated as if known to be infectious for HIV, HBV,HCV, or other blood-borne pathogens, regardless of the perceived risk. Other concepts in infection control are referred to as Body Substance Isolation (BSI), meaning that all body fluids and substances are potentially infectious.

c)

Reduce the transmission of diseases such as diphtheria, pertussis, meningitis, scarlet fever, pneumonia, and rubella; these diseases can be transmitted through contact of the mucous membranes of the eye, mouth, or nose with large-particle droplets larger than 5 microns that occur through sneezing, coughing, or talking.

d)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

14.

Double-bagging

a)

Practice of using two trash bags for disposing of waste from patients' rooms, particularly those patients in isolation.

b)

The origin of an infection (e.g., human hands, lab coats or other clothing, contaminated medical instruments, etc.).

c)

A term referring to any biological substance that can be a threat to one's health; can include bacteria, viruses, toxins, etc.

d)

A component in the "chain of infection"; the degree to which an individual is at risk for acquiring an infection.

15.

Alcohol-based (waterless) antiseptic agent

a)

Practice of using two trash bags for disposing of waste from patients' rooms, particularly those patients in isolation.

b)

Inanimate objects; People (frequently the patient who has or is carrying the pathogen); Pathogenic infections numerous in the health care environment.

c)

Pathogenic microorganisms, including hepatitis B virus and human immunodeficiency virus, that if present in blood, can cause disease in humans.

d)

Gel-type or liquid sanitizer that is used to cleanse hands prior to and after patient interactions. The antimicrobial agent is isopropyl alcohol.

16.

Chain of Infection: Pathogen include

a)

Must have entrance pathway into "susceptible host" (e.g. hospitalized patient, health care worker)

b)

Close or intimate contact with an infected person: staphylococcus infections, chickenpox, hepatitis, or diarrhea.

c)

Microorganisms that cause infectious disease include: Bacteria; Fungi; Viruses; Prions; Protozoa; Worms.

d)

Inanimate objects; People (frequently the patient who has or is carrying the pathogen); Pathogenic infections numerous in the health care environment.

17.

All patients' specimens should be handled with caution to prevent the possibility of acquiring blood-borne pathogen infections from infectious organisms found in blood and other body fluids.

a)

Are objects found in health care settings that can harbor infectious agents and transmit infection. Examples: Computer keyboards. doorknobs, telephones. Countertops, scrub suits, phlebotomy trays, shoes and floors, eyeglasses, pens and pencils, water fountain handles. laboratory coats, manuals and books, phlebotomy supplies and equipment, IV equipment.

b)

Such as HIV, Hepatitis B and C. Sharps injuries can be caused by: Failure to activate the safety device after using a needle; Attempting to recap a needle; Transferring blood specimens from a syringe into collection tubes; Use of needles without safety devices; Overfilling the biohazard sharps container; Use of nonretractable puncture devices for fingersticks.

c)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

d)

Examples of body fluids that can potentially carry the HIV, hepatitis B and C viruses, Zika virus, and Ebola virus, as well as other blood borne pathogens include: Blood; Saliva involved in dental procedures; Cerebrospinal fluid; Cell cultures; Human tissues; Semen and vaginal secretions; and All body fluids containing blood.

18.

Chain of infection: Mode of Transmission

a)

Microorganisms that cause infectious disease include: Bacteria; Fungi; Viruses; Prions; Protozoa; Worms.

b)

The process by which infections are transmitted; components are Pathogen, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host.

c)

Inanimate objects; People (frequently the patient who has or is carrying the pathogen); Pathogenic infections numerous in the health care environment.

d)

Pathogen is passed from the source to the host via Direct contact, airborne droplets, fomite, and vectors.

19.

Droplet precautions

a)

Reduce the risk of transmission of serious diseases such as respiratory syncytial virus (RSV), herpes simplex, wound infections, and others through direct or indirect contact.

b)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

c)

Objects found in health care settings that can harbor infectious agents and transmit infection. Examples: Computer keyboards. doorknobs, telephones. Countertops, scrub suits, phlebotomy trays, shoes and floors, eyeglasses, pens and pencils, water fountain handles. laboratory coats, manuals and books, phlebotomy supplies and equipment, IV equipment.

d)

Reduce the transmission of diseases such as diphtheria, pertussis, meningitis, scarlet fever, pneumonia, and rubella; these diseases can be transmitted through contact of the mucous membranes of the eye, mouth, or nose with large-particle droplets larger than 5 microns that occur through sneezing, coughing, or talking.

20.

Antiseptics

a)

Do not wear artificial fingernails or extenders when collecting blood from patients in high-risk hospital areas (e.g., intensive care unit, premature nursery). Keep natural fingernails less than1/4-inch long.

b)

Chemical compounds used to remove or kill pathogenic microorganisms; typically used on medical instruments or countertops.

c)

Chemicals (e.g., 70% isopropyl alcohol, chiorhexidine gluconate, iodine, hexachiorophene chloroxylenol, quaternary ammonium compounds, and triclosan) used to clean human skin byinhibiting the growth of microorganisms.

d)

Federal agency responsible for monitoring morbidity (disease) and mortality (death)throughout the country and oversees the investigation and control of various diseases, especially those that are communicable.

21.

Infection Control and Safety in the Clinical Laboratory include

a)

Federal agency responsible for monitoring morbidity (disease) and mortality (death) throughout the country and oversees the investigation and control of various diseases, federal agency responsible for monitoring morbidity (disease) and mortality (death) throughout the country and oversees the investigation and control of various diseases,

b)

Perform frequent hand hygiene and use of PPE; Assume all patients and specimens are infectious for HIV and other blood-borne pathogens. (i.e., Zika virus); Do not drink, eat, chew gum, smoke, apply cosmetics (including lip balm), or handle contact lens in work areas where these is exposure to blood or body fluids.

c)

Reduce the transmission of diseases such as diphtheria, pertussis, meningitis, scarlet fever, pneumonia, and rubella; these diseases can be transmitted through contact of the mucous membranes of the eye, mouth, or nose with large-particle droplets larger than 5 microns that occur through sneezing, coughing, or talking.

d)

such as HIV, Hepatitis B and C. Sharps injuries can be caused by: Failure to activate the safety device after using a needle; Attempting to recap a needle; Transferring blood specimens from a syringe into collection tubes; Use of needles without safety devices; Overfilling the biohazard sharps container; Use of nonretractable puncture devices for fingersticks.

22.

Factors affecting susceptibility are

a)

Perform frequent hand hygiene and use of PPE; Assume all patients and specimens are infectious for HIV and other blood-borne pathogens. (i.e., Zika virus); Do not drink, eat, chew gum, smoke, apply cosmetics (including lip balm), or handle contact lens in work areas where these is exposure to blood or body fluids.

b)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

c)

Age, drug use, degree and nature of the patient's illness, and status of the patient's immune system (underlying diseases such as diabetes, HIV, AIDS, and cancer chemotherapy, radiation therapy, and antibiotics change the status of the body).

d)

Pathogen is passed from the source to the host via Direct contact, airborne droplets, fomite,and vectors.

23.

CDC recommends using a disinfectant labeled HIVcidal or tuberculocidal or a disinfectant having a chlorine bleach (5.25% sodium hypochlorite) dilution of 1:10 to disinfect

a)

Acquired by patient after admission to health care facility. Of the 35 million patients admitted to hospitals annually in the United States, about 1.7-3 million acquire a nosocomial infection. Approximately 1 of every 20 hospitalized patients will contract HAI.

b)

Tourniquets and items contaminated with blood or other body fluids. All dilute solutions ofchlorine bleach need to be made weekly to prevent the loss of the germicidal activity. The minimal contact time for disinfectants to be effective is 10 minutes.

c)

Do not wear artificial fingernails or extenders when collecting blood from patients in high-risk hospital areas (e.g., intensive care unit, premature nursery). Keep natural fingernails less than 1/4-inch long.

d)

Examples of body fluids that can potentially carry the HIV, hepatitis B and C viruses, Zika virus, and Ebola virus, as well as other blood borne pathogens include: Blood; Saliva involved in dental procedures; Cerebrospinal fluid; Cell cultures; Human tissues; Semen and vaginal secretions; and All body fluids containing blood.

24.

Standard Precautions: Fingernails

a)

Do not wear artificial fingernails or extenders when collecting blood from patients in high-risk hospital areas (e.g., intensive care unit, premature nursery). Keep natural fingernails less than 1/4-inch long.

b)

Agents include disease-causing bacteria, fungi, viruses, or parasites that are transmitted by direct contact, air, medical instruments, other objects, or vectors.

c)

Chemical compounds used to remove or kill pathogenic microorganisms; typically used on medical instruments or countertops.

d)

A term referring to any biological substance that can be a threat to one's health; can include bacteria, viruses, toxins, etc.

25.

Chain of Infection: Portal of Exit

a)

Pathogen exit from infected person via Blood, Body fluids, Wound debris, and released respiratory droplets.

b)

Microorganisms that cause infectious disease include: Bacteria; Fungi; Viruses; Prions; Protozoa; Worms.

c)

S. aureus, MRSA, Group B Streptococcus, E. coli, S. pneumoniae, Gram-negative bacilli, Viruses (i.e. Rotavirus).

d)

Before touching a patient; Before aseptic or cleaning of the procedure sites; After blood or body fluid exposure; After touching a patient; After touching any patient surrounding.

26.

Nosocomial (health care-associated) infection occurs when

a)

The chain of infection is complete.

b)

Gel-type or liquid sanitizer that is used to cleanse hands prior to and after patient interactions. The antimicrobial agent is isopropyl alcohol.

c)

Gloves, gown, mask, hand hygiene.

d)

Airborne, droplet, and contact.

27.

Isolation procedures

a)

Methods used to protect individuals (health care workers) from patients with infectious diseases.

b)

Pathogen is passed from the source to the host via Direct contact, airborne droplets, fomite and vectors.

c)

Must have entrance pathway into "susceptible host" (e.g. hospitalized patient, health care worker)

d)

Reduce the risk of transmission of serious diseases such as respiratory syncytial virus (RSV), herpes simplex, wound infections, and others through direct or indirect contact.

28.

Commonly identified pathogenic agent that affects the skin and causing HAI in patients

a)

C. albicans, Smallpox, Herpes virus, Enterovirus, and Measles.

b)

A federal agency that establishes/enforces guidelines for safe work practices.

c)

Such as toys, toilet, sinks, linens, and water fountains

d)

The chain of infection is complete.

29.

WHO has developed "My 5 Moments in Hand Hygiene"

a)

Federal agency responsible for monitoring morbidity (disease) and mortality (death)throughout the country and oversees the investigation and control of various diseases, especially those that are communicable.

b)

Pathogen exit from infected person via Blood, Body fluids, Wound debris, and released respiratory droplets.

c)

Before touching a patient; Before aseptic or cleaning of the procedure sites; After blood or body fluid exposure; After touching a patient; After touching any patient surrounding.

d)

Precautionary measures and procedures designed, to protect patients who are particularly susceptible or at increased risk of acquiring infections (immunodeficiency disorders such as patients with low white blood cell counts {neutropenic or leukopenic}, patients with bums, and/or immunosuppressed patients).

30.

The HICPAC transmission-based precautions include

a)

Airborne, droplet, and contact.

b)

The chain of infection is complete.

c)

Every third time the hands are cleaned.

d)

Gloves, gown, mask, hand hygiene.

31.

Percutaneous

a)

Discard tourniquets, needle holders after each use.

b)

Such as toys, toilet, sinks, linens, and water fountains

c)

Through the skin.

d)

A component in the "chain of infection"; the degree to which an individual is at risk for acquiring an infection.

32.

Mode of transmission: Direct contact

a)

Chemical compounds used to remove or kill pathogenic microorganisms; typically used on medical instruments or countertops.

b)

The origin of an infection (e.g., human hands, lab coats or other clothing, contaminated medical instruments, etc.).

c)

Practice of using two trash bags for disposing of waste from patients' rooms, particularly those patients in isolation.

d)

Close or intimate contact with an infected person: staphylococcus infections, chickenpox, hepatitis, or diarrhea.

33.

Protective (reverse) isolation

a)

an infection control concept of Blood-borne disease control, requiring that all human blood and other potentially infectious materials be treated as if known to be infectious for HIV,HBV, HCV, or other blood-borne pathogens, regardless of the perceived risk. Other concepts in infection control are referred to as Body Substance Isolation (BSI), meaning that all body fluids and substances are potentially infectious.

b)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

c)

Guidelines designed to address surveillance, reporting, isolation procedures, education, and management of community-acquired, and health care-associated infections.

d)

Precautionary measures and procedures designed, to protect patients who are particularly susceptible or at increased risk of acquiring infections (immunodeficiency disorders such as patients with low white blood cell counts {neutropenic or leukopenic}, patients with bums, and/or immunosuppressed patients).

34.

OSHA requires that hands be washed with soap and water

a)

Every third time the hands are cleaned.

b)

Must have entrance pathway into "susceptible host" (e.g. hospitalized patient, health care worker)

c)

Gloves, gown, mask, hand hygiene.

d)

Airborne, droplet, and contact.

35.

Commonly identified pathogenic agent of HAI (nosocomial infections) in the nursery unit

a)

Guidelines designed to address surveillance, reporting, isolation procedures, education, and management of community-acquired, and health care-associated infections.

b)

S. aureus, MRSA, Group B Streptococcus, E. coli, S. pneumoniae, Gram-negative bacilli, Viruses (i.e. Rotavirus).

c)

Before touching a patient; Before aseptic or cleaning of the procedure sites; After blood or body fluid exposure; After touching a patient; After touching any patient surrounding.

d)

C. albicans, Smallpox, Herpes virus, Enterovirus, and Measles.

36.

Transmission-based precautions

a)

Gel-type or liquid sanitizer that is used to cleanse hands prior to and after patient interactions. The antimicrobial agent is isopropyl alcohol.

b)

Pathogen is passed from the source to the host via Direct contact, airborne droplets, fomite, and vectors.

c)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

d)

Categories of precautionary measures based on the route of transmission of disease. Three types are airborne, droplet, and contact.

37.

Asepsis or aseptic techniques

a)

Objects found in health care settings that can harbor infectious agents and transmit infection. Examples: Computer keyboards. doorknobs, telephones. Countertops, scrub suits, phlebotomy trays, shoes and floors, eyeglasses, pens and pencils, water fountain handles. laboratory coats, manuals and books, phlebotomy supplies and equipment, IV equipment.

b)

Age, drug use, degree and nature of the patient's illness, and status of the patient's immune system (underlying diseases such as diabetes, HIV, AIDS, and cancer chemotherapy, radiation therapy, and antibiotics change the status of the body).

c)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

d)

an infection control concept of Blood-borne disease control, requiring that all human blood and other potentially infectious materials be treated as if known to be infectious for HIV,HBV, HCV, or other blood-borne pathogens, regardless of the perceived risk. Other concepts in infection control are referred to as Body Substance Isolation (BSI), meaning that all body fluids and substances are potentially infectious.

38.

In the process of preparing to enter a patient's isolation room

a)

Inanimate objects; People (frequently the patient who has or is carrying the pathogen); Pathogenic infections numerous in the health care environment.

b)

Reduce the risk of transmission of serious diseases such as respiratory syncytial virus (RSV),herpes simplex, wound infections, and others through direct or in direct contact.

c)

Acquired by patient after admission to health care facility. Of the 35 million patients admitted to hospitals annually in the United States, about 1.7-3 million acquire a nosocomial infection. Approximately 1 of every 20 hospitalized patients will contract HAI.

d)

Donning the gown, donning the mask (if required), donning face shield or goggles if possibility of blood or body fluid splashes or sprays, and donning gloves.

39.

Mode of transmission: Medical instruments

a)

Category of diseases resulting from the transmission of infectious microorganisms to individuals by direct or indirect contact or as an airborne infection.

b)

Discard tourniquets, needle holders after each use.

c)

Airborne, droplet, and contact.

d)

Through mucous membranes of the mouth, eye, and nose.

40.

Mode of transmission: Inanimate objects

a)

Such as toys, toilet, sinks, linens, and water fountains

b)

Methods used to protect individuals (health care workers) from patients with infectious diseases.

c)

Reduce spread of airborne droplet transmission of infectious agents, such as rubeola, varicella, and Mycobacterium tuberculosis.

d)

The process by which infections are transmitted; components are Pathogen, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host.

41.

Chain of infection

a)

Must have entrance pathway into "susceptible host" (e.g. hospitalized patient, health care worker)

b)

Microorganisms that cause infectious disease include: Bacteria; Fungi; Viruses; Prions; Protozoa; Worms.

c)

Pathogen is passed from the source to the host via Direct contact, airborne droplets, fomite, and vectors.

d)

The process by which infections are transmitted; components are Pathogen, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host.

42.

Permucosal

a)

Agents include disease-causing bacteria, fungi, viruses, or parasites that are transmitted by direct contact, air, medical instruments, other objects, or vectors.

b)

Such as toys, toilet, sinks, linens, and water fountains

c)

Through mucous membranes of the mouth, eye, and nose.

d)

May carry infectious agents: tuberculosis, Legionnaire's disease.

43.

Pathogenic

a)

Chemicals (e.g., 70% isopropyl alcohol, chiorhexidine gluconate, iodine, hexachiorophene, chloroxylenol, quaternary ammonium compounds, and triclosan) used to clean human skin by inhibiting the growth of microorganisms.

b)

Agents include disease-causing bacteria, fungi, viruses, or parasites that are transmitted by direct contact, air, medical instruments, other objects, or vectors.

c)

A term referring to any biological substance that can be a threat to one's health; can include bacteria, viruses, toxins, etc.

d)

The process by which infections are transmitted; components are Pathogen, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host.

44.

Mode of transmission: Microscopic airborne droplets

a)

May carry infectious agents: tuberculosis, Legionnaire's disease.

b)

Microorganisms that cause infectious disease include: Bacteria; Fungi; Viruses; Prions; Protozoa; Worms.

c)

categories of precautionary measures based on the route of transmission of disease. Three types are airborne, droplet, and contact.

d)

Must have entrance pathway into "susceptible host" (e.g. hospitalized patient, health care worker)

45.

Infection control programs

a)

Precautionary measures and procedures designed, to protect patients who are particularly susceptible or at increased risk of acquiring infections (immunodeficiency disorders such as patients with low white blood cell counts {neutropenic or leukopenic}, patients with bums, and/or immunosuppressed patients).

b)

Categories of precautionary measures based on the route of transmission of disease. Three types are airborne, droplet, and contact.

c)

Guidelines designed to address surveillance, reporting, isolation procedures, education, and management of community-acquired, and health care-associated infections.

d)

Reduce the risk of transmission of serious diseases such as respiratory syncytial virus (RSV), herpes simplex, wound infections, and others through direct or indirect contact.

46.

Chain of Infection: Portal of Entry Pathogen

a)

Microorganisms that cause infectious disease include: Bacteria; Fungi; Viruses; Prions; Protozoa; Worms.

b)

Inanimate objects; People (frequently the patient who has or is carrying the pathogen); Pathogenic infections numerous in the health care environment.

c)

Must have entrance pathway into "susceptible host" (e.g. hospitalized patient, health care worker)

d)

Close or intimate contact with an infected person: staphylococcus infections, chickenpox, hepatitis, or diarrhea.

47.

Contact precautions

a)

Reduce spread of airborne droplet transmission of infectious agents, such as rubeola, varicella, and Mycobacterium tuberculosis.

b)

Reduce the transmission of diseases such as diphtheria, pertussis, meningitis, scarlet fever, pneumonia, and rubella; these diseases can be transmitted through contact of the mucous membranes of the eye, mouth, or nose with large-particle droplets larger than 5 microns that occur through sneezing, coughing, or talking.

c)

Reduce the risk of transmission of serious diseases such as respiratory syncytial virus (RSV), herpes simplex, wound infections, and others through direct or indirect contact.

d)

Reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection in health care facilities. Guidelines apply to all patients and all body fluids, nonintact skin, and mucous membranes and include the use of barrier protection (protective equipment such as gloves, gowns, etc.), hand hygiene, and proper use and disposal of needles and other sharps. These guidelines have been designed through the CDC to decrease the risk of transmission of microorganisms.

48.

Standard Precautions

a)

Reduce spread of airborne droplet transmission of infectious agents, such as rubeola, varicella, and Mycobacterium tuberculosis.

b)

Reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection in health care facilities. Guidelines apply to all patients and all body fluids, nonintact skin, and mucous membranes and include the use of barrier protection(protective equipment such as gloves, gowns, etc.), hand hygiene, and proper use and disposal of needles and other sharps. These guidelines have been designed through the CDC to decrease the risk of transmission of microorganisms.

c)

An infection control concept of blood-borne disease control, requiring that all human blood and other potentially infectious materials be treated as if known to be infectious for HIV, HBV, HCV, or other blood-borne pathogens, regardless of the perceived risk. Other concepts in infection control are referred to as Body Substance Isolation (BSI), meaning that all body fluids and substances are potentially infectious.

d)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

49.

Chain of infection: Reservoir include

a)

Microorganisms that cause infectious disease include: Bacteria; Fungi; Viruses; Prions; Protozoa; Worms.

b)

Donning the gown, donning the mask (if required), donning face shield or goggles if possibility of blood or body fluid splashes or sprays, and donning gloves.

c)

Inanimate objects; People (frequently the patient who has or is carrying the pathogen); Pathogenic infections numerous in the health care environment.

d)

Categories of precautionary measures based on the route of transmission of disease. Three types are airborne, droplet, and contact.

50.

Mode of transmission: vectors

a)

Chemicals (e.g., 70% isopropyl alcohol, chiorhexidine gluconate, iodine, hexachiorophene, chloroxylenol, quaternary ammonium compounds, and triclosan) used to clean human skin by inhibiting the growth of microorganisms.

b)

Many insects (mosquitoes, ticks, fleas, mites, etc.) and rodents act as vehicles in transmitting infectious diseases such as plague, Zika virus, rabies, and malaria.

c)

Donning the gown, donning the mask (if required), donning face shield or goggles if possibility of blood or body fluid splashes or sprays, and donning gloves.

d)

Agents include disease-causing bacteria, fungi, viruses, or parasites that are transmitted by direct contact, air, medical instruments, other objects, or vectors.

51.

Health Care-Associated (Nosocomial) Infections (HAIs)

a)

Acquired by patient after admission to health care facility. Of the 35 million patients admitted to hospitals annually in the United States, about 1.7-3 million acquire a nosocomial infection. Approximately 1 of every 20 hospitalized patients will contract HAI.

b)

An agency of the U.S. Department of Labor requiring employers to provide a safe work environment, including measures to protect workers exposed to biological and occupational hazards. They are also responsible for responding to complaints, monitoring employer practices, and imposing sanctions (fines or closure) on employers who are noncompliant.

c)

Bacteria that are resistant to antibiotics such as methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterecocci (VRE), and highly resistant Gram-negative bacteria(HRGNB).

d)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

52.

The proper sequence for removal of isolation apparel (PPE) after blood collection in an isolation room

a)

Every third time the hands are cleaned.

b)

Gloves, gown, mask, hand hygiene.

c)

Discard tourniquets, needle holders after each use.

d)

Such as toys, toilet, sinks, linens, and water fountains

53.

Disinfectants

a)

Chemical compounds used to remove or kill pathogenic microorganisms; typically used on medical instruments or countertops.

b)

The origin of an infection (e.g., human hands, lab coats or other clothing, contaminated medical instruments, etc.).

c)

A component in the "chain of infection"; the degree to which an individual is at risk for acquiring an infection.

d)

Practice of using two trash bags for disposing of waste from patients' rooms, particularly those patients in isolation.

54.

Occupational Safety and Health Administration (OSHA)

a)

A degree of cleanliness that prevents infection and the growth of microorganisms. The technique to achieve this condition includes frequent handwashing, use of barrier garments and personal protective equipment (PPE), waste management of contaminated materials, use of cleaning solutions, following standard precautions, and using sterile procedures when necessary.

b)

Such as HIV, Hepatitis B and C. Sharps injuries can be caused by: Failure to activate the safety device after using a needle; Attempting to recap a needle; Transferring blood specimens from a syringe into collection tubes; Use of needles without safety devices; Overfilling the biohazard sharps container; Use of nonretractable puncture devices for fingersticks.

c)

Acquired by patient after admission to health care facility. Of the 35 million patients admitted to hospitals annually in the United States, about 1.7-3 million acquire a nosocomial infection. Approximately 1 of every 20 hospitalized patients will contract HAI.

d)

An agency of the U.S. Department of Labor requiring employers to provide a safe work environment, including measures to protect workers exposed to biological and occupational hazards. They are also responsible for responding to complaints, monitoring employer practices, and imposing sanctions (fines or closure) on employers who are noncompliant.