1.
Mr. Abdulrahim will have to change the dressing on her injured right leg twice a day. The dressing will be a sterile dressing, using 4 X 4's, normal saline irrigant, and abdominal pads. Which statement best indicates that Mrs. Jones understands the importance of maintaining asepsis?
Correct Answer
C. “If I question the sterility of any dressing material, I should not use it.”
Explanation
The correct answer indicates that Mrs. Jones understands the importance of maintaining asepsis because it emphasizes the need to question the sterility of any dressing material. This shows that she recognizes the importance of using sterile supplies and is aware that using non-sterile materials can increase the risk of infection. It demonstrates a good understanding of the principles of aseptic technique and the importance of maintaining a sterile environment when changing dressings.
2.
What is the type of Category E medical waste?
Correct Answer
D. Used gauze
Explanation
Category E medical waste refers to non-sharp, non-hazardous waste materials that may contain potentially infectious substances. Used gauze falls under this category as it is a common medical waste item that is considered non-sharp and non-hazardous. It is used for absorbing blood or other bodily fluids and is disposed of as medical waste to prevent the spread of infections.
3.
Which statement describes one type of biomedical waste?
Correct Answer
B. Waste that is saturated to the point of dripping with blood or body fluids contaminated with blood.
Explanation
The correct answer is "Waste that is saturated to the point of dripping with blood or body fluids contaminated with blood." This statement describes one type of biomedical waste that is considered hazardous due to the potential presence of bloodborne pathogens. It indicates that the waste is heavily contaminated with blood or body fluids to the extent that it is saturated and dripping, posing a risk of infection and disease transmission if not properly handled and disposed of.
4.
When is the ideal time that a sharp container must be disposed?
Correct Answer
C. After it is 2/3 full
Explanation
The ideal time to dispose of a sharp container is after it is 2/3 full. This is because filling it beyond this point increases the risk of accidental needlesticks or injuries when trying to close or handle the container. By disposing of the container when it is 2/3 full, it ensures that there is still enough space to safely close and seal the container without any risk of exposure to the sharp objects inside.
5.
In infection control principle, the statement “the patient can be managed using routine practices” means:
Correct Answer
C. A risk assessment should be done before providing care and PPE worn as appropriate to the situation and the care being provided.
Explanation
The statement "the patient can be managed using routine practices" means that a risk assessment should be conducted before providing care to the patient. This assessment will help determine the appropriate personal protective equipment (PPE) that should be worn based on the situation and the type of care being provided. It implies that there is a possibility of infection or risk involved, and precautions should be taken accordingly.
6.
Standard Precautions are used in:
Correct Answer
B. All Patient of THC
Explanation
Standard Precautions are used in all patients of THC. THC stands for Transmission-Based Precautions, which are additional infection control measures used for patients with known or suspected infections that can be transmitted through different routes (such as airborne, droplet, or contact). Standard Precautions include practices such as hand hygiene, the use of personal protective equipment, safe injection practices, and proper handling and disposal of contaminated materials. These precautions are important in preventing the spread of infections and protecting both healthcare workers and patients.
7.
Hand Hygiene is not required if you wear gloves while providing care.
Correct Answer
B. False
Explanation
Hand hygiene is still required even if gloves are worn while providing care. Gloves are not a substitute for proper hand hygiene as they can become contaminated during use. Hand hygiene should be performed before putting on gloves, after removing gloves, and whenever necessary during glove use to prevent the spread of germs and maintain infection control.
8.
Gastrostomy feeding container must be disposed in:
Correct Answer
A. Medical Waste Bag
Explanation
The correct answer is Medical Waste Bag because a gastrostomy feeding container is a medical device that comes into contact with bodily fluids and potentially infectious materials. Therefore, it should be disposed of in a designated medical waste bag to prevent any potential spread of infection or contamination. Domestic waste bags and general waste bags are not specifically designed to handle medical waste and may not have the necessary precautions in place to ensure safe disposal.
9.
The most important factor in deciding if a patient needs an additional precautions beyond Standard precautions is:
Correct Answer
B. The patient’s diagnosis
Explanation
The most important factor in deciding if a patient needs additional precautions beyond Standard precautions is the patient's diagnosis. Different diagnoses carry different risks of transmission, and certain conditions may require specific precautions to prevent the spread of infection. Therefore, understanding the patient's diagnosis is crucial in determining the level of precautions needed to ensure the safety of both the patient and healthcare providers.
10.
Objects that may be capable of causing punctures or cuts, that may have been exposed to blood or body fluids including scalpels, needles, glass ampoules, test tubes, and slides, are considered Biomedical Waste. How should these objects be disposed of?
Correct Answer
C. Sharps containers.
Explanation
Objects that may cause punctures or cuts and have been exposed to blood or body fluids should be disposed of in sharps containers. Sharps containers are specifically designed to safely dispose of items such as scalpels, needles, glass ampoules, test tubes, and slides, which are considered biomedical waste. Using containers lined with black bags, clear bags, or yellow bags may not provide the necessary level of safety and containment for these potentially hazardous objects.
11.
A client is diagnosed with methicillin-resistant staphylococcus aureus pneumonia. What type of isolation is MOST appropriate for this client?
Correct Answer
D. Contact isolation
Explanation
Contact or Body Substance Isolation (BSI) involves the use of barrier protection (e.g. gloves, mask, gown, or protective eyewear as appropriate) whenever direct contact with anybody fluid is expected. When determining the type of isolation to use, one must consider the mode of transmission. The hands of personnel continue to be the principal mode of transmission for methicillin-resistant staphylococcus aureus (MRSA). Because the organism is limited to the sputum in this example, precautions are taken if contact with the patient's sputum is expected. A private room and BSI, along with good hand washing techniques, are the best defense against the spread of MRSA pneumonia.
12.
Which of the following is the FIRST priority in preventing infections when providing care for a client?
Correct Answer
A. Handwashing
Explanation
Handwashing is the first priority in preventing infections when providing care for a client because it is the most effective and basic method of reducing the transmission of harmful microorganisms. It helps to remove dirt, germs, and bacteria from the hands, preventing their spread to the client or other surfaces. Handwashing is essential before and after every client interaction, as well as before and after any invasive procedures. It is a simple yet vital practice that significantly reduces the risk of infection for both the client and the healthcare provider.
13.
Abdulrahim, a 1-year-old child has a staph skin infection. His brother has also developed the same infection. Which behavior by the children is most likely to have caused the transmission of the organism?
Correct Answer
A. Bathing together.
Explanation
Bathing together is the most likely behavior that caused the transmission of the staph skin infection between Abdulrahim and his brother. Staphylococcus bacteria can easily spread through direct contact with infected skin or contaminated surfaces. By bathing together, the children have a higher chance of coming into contact with each other's infected skin, allowing the bacteria to transfer from one person to another. Coughing on each other, sharing pacifiers, and eating off the same plate may also facilitate the spread of infections, but in this case, bathing together is the most probable cause.
14.
What is the name of the medical waste storage facility contracted by the Tulip HCC?
Correct Answer
D. Home Health Care Center
Explanation
New Cleaning Establishment is the facility will dispose of the medical waste. Home Health Care Center is the storage facility in Mussafah.
15.
Needles must be re-sheathed, bent, or broken during use.
Correct Answer
B. False
Explanation
Needles must not be re-sheathed, bent or broken during use.
16.
Sharp containers should be rigid and puncture-resistant. Remove and dispose all sharp containers if 2/3 full.
Correct Answer
A. True
Explanation
Sharp containers should be rigid and puncture-resistant in order to safely contain and dispose of sharp objects such as needles or blades. This is important to prevent accidental injuries and potential exposure to bloodborne pathogens. Additionally, it is recommended to remove and dispose of sharp containers when they are 2/3 full to ensure that there is enough space for proper containment and to avoid overfilling, which could lead to spills or punctures. Therefore, the statement is true.
17.
What is the example of Category E medical waste?
Correct Answer
D. Used gloves
Explanation
Used gloves are an example of Category E medical waste because they are contaminated with bodily fluids or potentially infectious materials. Category E medical waste includes items that pose a risk of infection to healthcare workers and the general public. Proper disposal of used gloves is essential to prevent the spread of diseases and maintain a safe healthcare environment.
18.
What is the major indicator to improve the quality and outcome of patient care and the occupational-related risks among health care workers and staff?
Correct Answer
C. Infection Prevention and Control
Explanation
Infection prevention and control is the major indicator to improve the quality and outcome of patient care and the occupational-related risks among healthcare workers and staff. By implementing effective infection prevention and control measures, healthcare facilities can minimize the spread of infections, protect patients and staff from harm, and enhance the overall quality of care. This includes practices such as hand hygiene, proper use of personal protective equipment, sterilization and disinfection of equipment, and adherence to infection control protocols. By prioritizing infection prevention and control, healthcare facilities can create a safer environment for both patients and healthcare workers.
19.
What is the hand hygiene technique when your hand is visibly soiled?
Correct Answer
B. Hand Hygiene with soap and water
Explanation
When your hands are visibly soiled, the most effective hand hygiene technique is to wash your hands with soap and water. This is because soap and water can help remove dirt, grime, and visible contaminants from the hands, ensuring thorough cleaning. Alcohol-based hand rubs may not be as effective in this case as they are primarily designed to kill germs and bacteria rather than remove visible dirt. Wearing gloves can provide a barrier but does not address the issue of cleaning the hands themselves.