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NEEDLE STICK INJURY

Total questions: 83

Worksheet time: 42mins

Name
Class
Date
1.

Which of the following material exposes the healthcare worker to dangerous and deadly bloodborne pathogens

a)

contaminated needle sticks

b)

contaminated sharps

c)

splash exposures

d)

all of the above

2.

Which of the following statement regarding needle stick injuries is true? a) A is correct & B is wrong. b) Any injury caused due to cut/puncture in the skin is called a needle stick injury?

a)

A is correct & b is wrong

b)

B is correct & a is wrong

c)

Both are correct

d)

Both are incorrect

3.

When do you think needle stick injuries occur in healthcare personnel

a)

any time when people use needles

b)

any time when people disassemble needle

c)

any time when people dispose the needles

d)

all of the above

4.

Which of these is not sharp

a)

needles and hypodermic needles

b)

scalpels

c)

broken glass

d)

pens

5.

Which of the following material is included in sharps

a)

lancets & needle

b)

pens & speculums

c)

pins, staples & cutters

d)

razor blade & scissors

e)

metal wire & retractors & clamps

6.

What are the risks following needle stick injury

a)

hepatitis B virus

b)

hepatitis C virus

c)

both a & b

d)

all of the above

7.

What type of dieseases can be transmitted for the needle stick or sharp injuries

a)

infectious diseases

b)

blood-borne viruses

c)

both a & b

d)

none of the above

8.

Which of the following viruses are included in blood borne viruses

a)

hepatitis b virus

b)

hepatitis c virus

c)

hiv

d)

all of the above

9.

Which of the following viruses leads to acquired Immune deficiency syndrome (aids)

a)

hiv (human immunodeficiency virus)

b)

hbv ( hepatitis B virus)

c)

hcv (hepatitis C virus )

d)

all of the above

10.

Is it true that even small amounts of infectious fluid can spread certain diseases effectively

a)

yes

b)

no

11.

Complete the statement given below with the correct options: The sharps or needles can create a cut in the skin which allows contact with:

a)

Blood only

b)

body fluids

c)

any of the above

d)

none of the above

12.

Which of the following personalities can have transmitted infection due to needle stick injury

a)

healthcare workers

b)

laboratory researchers

c)

veterinarian staff

d)

all of the above

13.

Choose the correct option for the given statement" Needlestick or sharp injuries can transmit many other diseases involving"

a)

only virus & bacteria

b)

viruses, bacteria, fungi,& other microorganism's

c)

only fungi & virus

d)

only parsites and bacteria

14.

Which of the following disease can not be transmitted through a needlestick or sharp injury

a)

cutaneous gonorrhea

b)

diphtheria

c)

brucellosis

d)

cryptococcosis

e)

None of the above

15.

Which of the following diseases is not caused by fungus

a)

blastomycosis

b)

cryptococcosis

c)

diphtheria

d)

all of the above

16.

Which of the following is not a disease caused by bacteria

a)

brucellosis

b)

cryptococcosis

c)

diphtheria

d)

both a & b

17.

Which of the following disease is caused by a virus

a)

herpes

b)

diphtheria

c)

cutaneous gonorrhea

d)

blastomycosis

18.

Match the following, a) parasitic diseases/ infection, b) Bacterial diseases/infection

a)

A-4,6 B- 1,2,3,5

b)

A-3,2,1 : B-4,5,6

c)

A-5: B-1,2,3,5,6

d)

A-1,4: B-2,3,5,6

19.

Choose the correct option for the given statement, Treponema palladium bacteria is responsible for the disease named

a)

tuberculosis

b)

syphilis

c)

malaria

d)

toxoplsmosis

20.

Which of the following activities can lead to injury, after the use and before the disposal of the hollow bore needle?

a)

on the way to disposal

b)

improper disposal

c)

during disposal

d)

all of the above

21.

During needle use, which of the following activities can not cause needle stick injury

a)

collision with sharp or worker

b)

during use of safer devices & techniques

c)

transferring the equipment

d)

access to iv line

22.

Which of the following activities can lead to injury, after the use and before the disposal of the solid sharps

a)

sharps left in unusual location

b)

during clean up

c)

both a & b

d)

none of the above

23.

Out of 100% how many sharp injuries happen during the use of the sharp item

a)

30%

b)

50%

c)

70%

d)

90%

24.

Which of the following activities are conducted during the use of the sharp item

a)

processing specimen

b)

collision with sharp or worker

c)

handle, pass, transfer, equipment or specime

d)

suture needle handling

e)

all of the above

25.

Which of the following factors does not influence the needle stick injury

a)

equipment design

b)

size of the hospital

c)

nature of the procedure

d)

recapping, and disposal of needle

e)

staff

experience

26.

Which of the following is one of the most deadly hazards that a laboratory technician face on daily basis

a)

non communicable disease

b)

every infection

c)

blood borne pathogens

d)

all of the above

27.

How we can reduce the needle stick injury

a)

worker education

b)

work practice controls

c)

safe needle devices use

d)

all of the above

28.

How much needle stick injury are preventable

a)

>80 injury

b)

<40% injury

c)

>40% injury

d)

< 80% injury

29.

Which of the following is not helpful in reducing / preventing needle stick injury

a)

safe recapping procedures

b)

double gloving

c)

improved equipment design

d)

surveillance program

30.

Which among the following is helpful in reducing/ preventing needle stick injury

a)

following recommended guidelines

b)

effective disposal systems

c)

employee training

d)

all of the baove

31.

Which of the following recommended guidelines help in preventing needle stick injury

a)

used items should be disposed immediately, no need of recapping

b)

healthcare workers should cover open skin areas or lesions witha dry dressings

c)

both a & b

d)

none of the above

32.

Choose the accurate recommended guidelines for the prevention of needle stick/injury: a) Needles should be recapped, b) used items should be placed immediately in designated puncture resistant container. c) protect eyes , nose and mouth from splashes

a)

a & b is correct

b)

b & c are correct

c)

a & c are correct

d)

all are correct

33.

What type of safety engineered devices are helpful in preventing needle stick injury

a)

protected needle devices

b)

needle free systems with self-seaking parts

c)

both a & b

d)

none of the above

34.

Complete the statement with accurate option: a) Use of sealing needle port is an example of

a)

recommended guidelines

b)

improved equipment design

c)

effective disposal system

d)

none of the above

35.

Choose the accurate characterstics of the disposal container for needle disposal

a)

wide mouth

b)

puncture proof

c)

both a & b

d)

both b & c

36.

When to replace the disposal container from collection room

a)

before completely filled

b)

when three quarters full `

c)

when completely filled

d)

both a & b

37.

Complete the statement given below. Make sure container are--------, --------& --------according to local regulations for biomedical waste

a)

sealed, collected and disposed

b)

full, sealed & replaced

c)

hard, wide mouth & easy to dispose

d)

none of the above

38.

Suppose you are a healthcare worker in a hospital and while working you found needles into at the bedside or thrown into the regular garbage. what will you do?

a)

put up the needle and put int appropriate container

b)

report the incidence

c)

ask for housekeeping staff to dispose it into appropriates container and disinfect the area

d)

none of the above

39.

Choose the correct option for the given statement, a healthcare worker should be trained about?

a)

how to protect themselves during the needle use

b)

how to protect others who may encounter device during or alter procedures

c)

both a & b

d)

none of the above

40.

Choose the categories of Do & Don'ts for the statement given below to prevent the needle stick injury.a) Move an exposed needle tip towards an unprotected hand. b) Place the cap of the needle on a flat surface and scoop it onto the tip of a syringe. c) Keep the free hand away from the sheath and well behind the exposed needle.

a)

A- Do, B-Don't, C- Do

b)

A-Don't, B-Do, C- Do

c)

A-Do, B- Do, C- Dont

d)

A-Dont, B- Dont, C- Do

41.

How does the surveillance and ensure it is covered

a)

by assessing the wound and ensure it is covered

b)

by providing in-depth analysis of accidents

c)

by checking hand-to-hand passage of sharp instruments

d)

both a & b

42.

What is the goal of the surveillance program in the prevention of needle stick / sharp injury

a)

determining the rate of injuries

b)

investigating the factors that cause the injuries

c)

identifying areas in which the prevention program needs improvement

d)

ensuring that injured workers receive proper treatment.

e)

all of the above

43.

What is the full form of OSHA?

a)

occupational service and hospital administration

b)

occupational safety and health administration

c)

occupational safety and health assessment

d)

occupational sharps and hospital accidents

44.

Which of the following guidelines explained under OSHA bloodborne pathogens standard in needlestick / sharp injury

a)

latest post-exposure assessment guidelines

b)

prophylaxix

c)

treatment guidelines

d)

all of the above

45.

Before exposure to needle stick injury, which of the following is not provided by the employer to their employees

a)

confidential testing

b)

timely treatment and medication

c)

details about the exposure source

d)

counseling, education, and follow-up testing

46.

In needle stick or sharp injury, the confidential testing is not done for which of the following

a)

tuberculosis

b)

hiv

c)

hepatitis B virus

d)

hepatitis C virus

47.

Complete the statement with the accurate option given below, a) The access to post- exposure treatment and prophylactic medications within --------of exposure

a)

4 hours

b)

2 hours

c)

6 hours

d)

1 hours

48.

Which of the following is included in the steps for needle stick injuries?

a)

wash needlestick with soap and water

b)

wash needlestick with soap and water followed by irrigation with bleach solution

c)

report needlestick to your supervisor

d)

both 1 & 3

49.

Which of the following is not true about the follow- up steps for needle stick injuries?

a)

alert the supervisor

b)

identify the source of patient

c)

report to employee health services

d)

confidential test is not required

50.

How to start the process of identifying the source patient

a)

with the supervisor consent

b)

with patient consent

c)

with the consent of the physician of the concerned patient

d)

any of the above

51.

Who all need to be informed about needle stick injury to the staff

a)

employee health services

b)

emergency department

c)

designated treatment facility

d)

all of the above

e)

none of the above

52.

What is the full form of PEP, in needle stick injury

a)

post exposure prophylaxis

b)

post event plan

c)

post expiratory pressure

d)

personnel exchange program

53.

When to get PEP in needle stick or sharp injury

a)

when the source patient is unknown

b)

when the test is positive for hiv, hbv & hcv

c)

both a & b

d)

none of the above

54.

Complete the statement, Hiv PEP includes the -----------& ----------------- for most exposure

a)

3-weeks regimen of 3 drugs

b)

4-weeks regimen of 2 drugs

c)

6-weeks regimen of 3 drugs

d)

5-week regimen of 2 drugs

55.

Which of the following drugs are included in post -exposure prophylaxis of hiv

a)

Zidovudine

b)

stavudine

c)

lamivudine

d)

didanosine

e)

all of the above

56.

The expanded regimen for hiv exposures due to needle stick injury includes how many drugs?

a)

5 drugs

b)

4 drugs

c)

3 drugs

d)

2 drugs

57.

Post exposure prophylaxis is not available for which blood borne pathogen

a)

hiv

b)

hepatitis b

c)

hepatitis c

d)

none of the above

58.

Which of the following statement is not correct about hepatitis b , a) If vaccinated get HBIG and initiate HB vaccine series, b) If unvaccinated: no treatment,

a)

both are correct

b)

both are incorrect

c)

a is correct & b is wrong

d)

B is correct and a is wrong

59.

Why do we need to document the exposure to needle stick injury in detail?

a)

for the personal records

b)

for the employer

c)

for workers compensation

d)

all of the above

60.

According to the new needlestick law, which of the following should not be mentioned in the confidential sharps injury log?

a)

which caustic agents applied to the wound

b)

brand of device involved in the incident

c)

department where the exposure incident occurred

d)

type of device involved i the incident

61.

Which ofthe following should be mentioned in the confidential sharps injury log?

a)

patient details

b)

an explanation of how the incident occured

c)

both a & b

d)

none of the above

62.

How to decide the follow up and post-exposure prophylaxis schedule in case of a needle stick or sharp injury?

a)

depending on the risk

b)

on the basis of patient availability

c)

on the basis of physician interest

d)

none of the above

63.

What does a patient need to do in the follow up period of needle stick injury?

a)

receive monitoring

b)

receive follow up of pep

c)

all of the above

d)

take precautions to prevent exposing others until follow up testing is done

64.

Which of the following is not a reason for blood or body fluid spillage

a)

Laboratory sample breaks in the phlebotomy area

b)

assisting with patient mobility

c)

excessive bleeding during the procedure

d)

laboratory sample breaks during transportation

65.

Which of the following is not a reason for blood or body fluid spillage?

a)

laboratory sample breaks in the phlebotomy area

b)

excessive bleeding during the procedure

c)

laboratory sample breaks during transportation

d)

assisting with patient mobility

66.

Why do we need to manage blood or body fluid management?

a)

to ensure patient safety

b)

to ensure safety of healthcare professional

c)

both a & b

d)

none of the above

67.

Choose the correct option, Infectious agents called----------- can be transmitted in contaminated blood

a)

pathogens

b)

plasma

c)

hormones

d)

dermis

68.

Which of the following is included in the basic principle of blood & body fluid spill management?

a)

removing the spillage with disposable paper towels

b)

use of personal protective equipment

c)

use item that can be used by a single patient, multiple times

d)

all of the above

69.

Arrange the following in sequence

a)

wear a gown or facial protection (if chances of splashes)---> wear gloves---> Collect required equipment for spill management----->Inspect the spillage area for splash inspection

b)

Inspect the spillage area for splash inspection ----> wear gloves---> wear a gown or facial protection (if chances of splashes)---> collect required equipment for spill management

c)

Collect required equipment for spill management ---> inspect for spillage area for splash inspection---> wear gloves-->wear a gown or facial protection(if chances of splashes)

d)

Inspect the spillage area for splash inspection --->wear gloves ---> wear a gown or facial protection (if chances of splashes)---> collect required equipment for spill management

70.

According to the principle of spill management what should be done and what should be avoided? a) Add cleaning liquids to spills. b) Generation of aerosols from spilled material.

a)

A-Do, B-Avoid

b)

A-Avoid, B-Do

c)

A-Avoid, B- Avoid

d)

A-Do, B-Do

71.

Which of the following is not a principle of spill management

a)

standard precautions: use of personal protective equipment

b)

spills should be cleared up be before the area is cleaned

c)

avoid adding cleaning liquids to spills increases the size of the spill

d)

avoid generation of aerosols from spilled material

e)

none of the above

72.

Which of the following factors does not affect spill management in a hospital

a)

spill size & type

b)

planning of spill management

c)

location

d)

contact

e)

pathogen involved

73.

Choose the incorrect example regarding the nature of the spill

a)

food & drink

b)

sputum

c)

urine of blood

d)

vomit & feces

74.

Which of the following pathogen are included in the stool (feces) sample spill

a)

viruses

b)

bacteria

c)

protozoan

d)

any of the above

75.

Choose the correct microorganism's that can be present in a sputum

a)

plasmodium falciparum (protozoa)

b)

clostridium tetani (virus)

c)

mycobacterium tuberculosis (bacteria)

d)

mycobacterium leprae bacteria)

76.

Match the following with a correct option, a) spot size spill 1. >10cm, B) small size spill 2. few drops, C ) large size spill 3. <10 cm

a)

A-2, b-3, c-1

b)

A-1, B-2, C-3

c)

A-3, B-2, C-1

d)

A-3, B-1, C-2

77.

Does the factor "Type of surface" affects spill management

a)

No, because the spill management will remain the same in any case

b)

yes, because there are two types of surfaces like carpet or impervious flooring so the management will be different for both of them

c)

No, because using large containers will prevent the spill so no need for spill management

d)

none of the above

78.

The spill can occur in which of the following areas and affect sill management

a)

If contained areas (laboratories)

b)

public or clinical area

c)

public location or within community premises

d)

all of the above

79.

Choose the equipment needed during the spillage cleaning

a)

mops

b)

cleaning bucket

c)

cleaning agents

d)

all of the above

80.

How to clean a spill in an area where cleaning materials are not available

a)

with the help of wet towel

b)

with the help of disposable spill kit

c)

with the help of bucket full of water

d)

any of the above

81.

Which of the following materials is not stored/available in a spill kit

a)

leak proof bag

b)

5 sachets of 10,000 ppm chlorine

c)

band-aids

d)

scraper and pan

e)

a plastic apron

82.

Which of the following material is available in a spill kit

a)

sodium hypochlorite

b)

rubber gloves

c)

eye protection

d)

respiratory protection device

e)

all of the above

83.

Which of the following PPE should be used during the procedure of spill management for safety purposes?

a)

shoe/hair cover

b)

disposable gown

c)

mask

d)

gloves

e)

all of the above

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