1.
Which hand hygiene method is more effective at killing bacteria?
Correct Answer
B. Soap and water
Explanation
Soap and water is not as effective as alcohol-based hand rub.
2.
Which of the following is the FIRST priority in preventing infections when providing care for a client?
Correct Answer
C. Hand washing
Explanation
Hand washing is the first priority in preventing infections when providing care for a client because it is the most effective way to remove and kill germs on the hands. Proper hand hygiene helps to prevent the spread of infection from the nurse to the client or from one client to another. Wearing gloves provides a barrier between the nurse's hands and potentially infectious materials, but it is not as effective as hand washing in removing germs. Using a barrier between client's furniture and nurse's bag helps to prevent the spread of germs, but it is not the first priority. Wearing gowns and goggles may be necessary in certain situations, but they are not the first priority in preventing infections.
3.
The nurse in charge is evaluating the infection control procedures on the unit. Which finding indicates a break in technique and the need for education of staff?
Correct Answer
C. A nurse with open, weeping lesions of the hands puts on gloves before giving direct client care.
Explanation
There is no need to wear gloves when feeding a client. However, universal precautions (treating all blood and body fluids as if they are infectious) should be observed in all situations. A client with active tuberculosis should be on respiratory precautions. Having the client wear a mask when leaving his private room is appropriate. Persons with exudative lesions or weeping dermatitis should not give direct client care or handle client-care equipment until the condition resolves. Strict isolation requires the use of mask, gown, and gloves.
4.
The charge nurse observes a new staff nurse who is changing a dressing on a surgical wound. After carefully washing her hands the nurse dons sterile gloves to remove the old dressing. After removing the dirty dressing, the nurse removes the gloves and dons a new pair of sterile gloves in preparation for cleaning and redressing the wound. The most appropriate action for the charge nurse is to:
Correct Answer
D. Interrupt the procedure to inform the nurse of the need to wash her hands after removal of the dirty dressing and gloves.
Explanation
Nonsterile gloves are adequate to remove the old dressing. However, the use of sterile gloves does not put the client in danger so discussion of this can wait until later. The staff nurse is doing two things incorrectly. Nonsterile gloves are adequate to remove the old dressing. The nurse should wash her hands after removing the soiled dressing and before donning sterile gloves to clean and dress the wound. The nurse should wash her hands after removing the soiled dressing and before donning the sterile gloves to clean and dress the wound. Not doing this compromises client safety and should be brought to the immediate attention of the nurse. The staff nurse is doing two things incorrectly. Nonsterile gloves are adequate to remove the old dressing. However, the use of sterile gloves does not put the client in danger so discussion of this can wait until later. However, the nurse should wash her hands after removing the soiled dressing and before donning sterile gloves to clean and dress the wound. Not doing this compromises client safety and should be brought to the immediate attention of the nurse.
5.
A client has been placed in blood and body fluid isolation. The nurse is instructing auxiliary personnel in the correct procedures. Which statement by the nursing assistant indicates the best understanding of the correct protocol for blood and body fluid isolation?
Correct Answer
B. Gloves should be worn for contact with non intact skin, mucous membranes, or soiled items.
Explanation
Masks should only be worn during procedures that are likely to cause splashes of blood or body fluid. Gloves should be worn for all contact with blood and body fluids, non intact skin and mucous membranes; for handling soiled items; and for performing venipuncture. Gowns should be worn during procedures that are likely to cause splashes of blood or body fluids. A private room is only indicated if the client’s hygiene is poor.
6.
Definition.
It is a collective term for those activities intended to protect people from infections.
Correct Answer
B. Infection Prevention and Control
Explanation
Infection prevention and control refers to the various measures and practices implemented to protect individuals from acquiring infections. This includes following standard precautions, understanding the mechanisms of infection, and being aware of the modes of transmission. By implementing infection prevention and control measures, healthcare professionals and individuals can reduce the spread of infections and maintain a safe and healthy environment.
7.
Definition.
It is a set of infection control practices that healthcare personnel use to reduce transmission of microorganisms in healthcare settings.
Correct Answer
C. Standard Precautions
Explanation
Standard Precautions refer to a set of infection control practices that healthcare personnel follow to minimize the transmission of microorganisms in healthcare settings. These precautions include hand hygiene, the use of personal protective equipment (such as gloves, masks, and gowns), safe injection practices, safe handling and disposal of sharps, and respiratory hygiene/cough etiquette. By implementing these measures, healthcare workers can protect themselves and their patients from the spread of infections.
8.
What are the 5 moments of hand hygiene? (Select all that apply)
Correct Answer(s)
A. Before patient contact
B. Before aseptic task
D. After body fluid exposure risk
E. After patient contact
F. After contact with patient surroundings
Explanation
The correct answer is Before patient contact, Before aseptic task, After body fluid exposure risk, After patient contact, After contact with patient surroundings. These moments of hand hygiene are important in preventing the spread of infection. Before patient contact, hands should be cleaned to reduce the risk of transferring pathogens to the patient. Before aseptic task, hands should be cleaned to maintain a sterile environment. After body fluid exposure risk, hands should be cleaned to remove any potential contamination. After patient contact, hands should be cleaned to prevent the spread of pathogens to other patients or surfaces. After contact with patient surroundings, hands should be cleaned to reduce the risk of cross-contamination.
9.
What are the type of PPE use in health care?
Correct Answer(s)
A. Gloves
B. Gowns/aprons
C. Masks and respirators
F. Goggles
G. Face shields
Explanation
The types of PPE used in healthcare include gloves, gowns/aprons, masks and respirators, goggles, and face shields. These protective equipment are necessary to prevent the spread of infections and to protect healthcare workers from potential hazards in their work environment. Gloves are used to protect hands from contamination, gowns/aprons provide full body protection, masks and respirators protect the respiratory system, goggles protect the eyes, and face shields protect the face from splashes and droplets.
10.
You're providing care to a patient with Clostridium Difficile. After removing the appropriate PPE, you would perform hand hygiene by?
Correct Answer
B. Using soap and water
Explanation
After providing care to patients with C. Diff, Noravirus, or Rotavirus, you must perform hand hygiene by washing the hands with ONLY soap and water. Hand-sanitizer is not sufficent enough in killing the germs in these conditions.