PART A Task 2 MULTIPLE CHOICE QUESTIONS Multiple-choice For each question, students should circle the best answer and consider what is wrong with the other three answers Question 1. The MOST effective way to break the chain of infection is by: PC 1.1, Performing hand hygiene. Wearing gloves. Placing patients in isolation. Providing private rooms for all patients. Question 2. A client whom you are caring for has an indwelling urinary catheter. You recognize that the catheter represents a risk for urinary tract infection because: PC 2.2 • • • • It keeps an incontinent patient's skin dry. It can get caught in the linens or equipment. It obstructs the normal flushing action of urine flow. It allows the patient to remain hydrated without having to urinate. Question 3 As a care worker you would need to wear a gown when working with a client who has PC 1.8 ,3.1,KE1.4 • • • • If the patient's hygiene is poor. If the patient has AIDs or hepatitis If you are assisting with med. admin. If blood or body fluids may get on your clothing from a task you plan to perform. Question 4. Identify all options that needs you to remove gloves and perform hand hygiene PC 1.3 • • • • Only after cleaning the bedside. When leaving the room. When you have completed all tasks for the patient. When the specific task you put them on for is completed. Question 5 A client whom you are caring for is placed on contact precautions for an infection with a resistant organism. You notice the client seems to be depressed and withdrawn. The best intervention is to: PC 2.2 • • • • Lower the lighting and reduce noise to calm the client. Reduce the level of precautions to permit greater interaction with the client. Explain the reason for contact precaution and answer the client’s questions to the extend you can. Limit family and other caregiver visits to reduce the risk for spreading the infection. Question 6. After coming in contact with a client on isolation, visitors are encouraged to: KE 6.1 • • • • Wear gloves before eating or handling food. Leave the facility to prevent contamination of others. Perform hand hygiene upon leaving the client's room. Use an empty room to talk with family members. Question 7. As a care worker you are preparing to care for a client with tuberculosis. The specific aspect for the additional Precautions is KE 2 PC1.9 • • • • To have a private room with negative air flow if possible Hand hygiene after gloves are removed Eye protection if splashing is possible. Disposal of sharps in a puncture-resistant container. Question 8. One of the most important methods for reducing the spread of microorganisms if you happened to work for clients who have infectious diseases is KE1.1 • • • • Sterilization of equipment The use of gloves and gowns Maintenance of isolation precautions Hand hygiene before and after client care Question 9. The five moments of hand hygiene include KE 1.1 • • • • • • • Before touching a patient Before a procedure After a procedure or body fluid exposure risk After touching a patient After touching a patient’s surroundings After talking to a patient Before filling the report Question 10. Alcohol based preparations have two distinct advantages over soap and water: PC 1.1 • • • • They kill many more germs They are less drying to your skin They can remove visible soil or contamination They can remove organisms such as Clostridium difficile Question 11. What should you do if your hands touch the sink while you are washing your hands? PC 1.1 • • • • Continue to wash your hands. Add more soap to your hands. Repeat the procedure. Apply more friction during procedure Question 12. How should you dry your hands? PC 1.1,1.2 • • • • Dry your hands thoroughly. Wrists to fingertips in one direction. In a circular motion covering all areas of the hands and wrists. Lightly pat and allow hands to air dry Question 13. Which of the following infections should you use handwashing with soap and water? PC 1.1 • • • • Pneumonia. Methicillin-resistant Staphylococcus aureus. Hepatitis A virus. Clostridium difficile Question 14. Use of alcohol-based waterless antiseptic is encouraged for which types of clients? PC 1.1 • • • • Newborn clients. Immunosuppressed clients. Clients with dermatitis. Clients with lesions Question 15. What are the benefits of performing alcohol-based hand rub when hands are not visibly soiled? Select all that apply. PC 1.1 • • • • Removes all bacteria and viruses. Less drying to hands. Takes less time. More effective than soap and water when hands are not visibly soiled Question 16. Why is it important for you to perform hand hygiene prior to leaving an isolated area? Select all that apply PC 1.1 • • • • To reduce the risk of contaminating yourself. To reduce the risk of contaminating visitors and other clients. To reduce the risk of contaminating fellow health care professionals. To reduce the risk of contaminating the surrounding environment Question 17 You are starting a job. How will you know if you need any extra Personal Protective Equipment? PC 1.3 • • • • By looking at your employer's health and safety policy You will just be expected to know From the risk assessment or method statement A letter will be sent to your home Question 18. Your employer must supply you with Personal Protective Equipment: PC 1.3 • • • • Twice a year If you pay for it If it is in the contract If you need to be protected Question 19. Who is responsible for providing you with Personal Protective Equipment? PC 1.3 • • • • Your employer Your supervisor Your co-worker Yourself Question 20. Personal Protective Equipment is required when PC 1.3• • • • Employers suffer an injury The employees suffer an injury An employee asks for it Engineering, work practice, and administrative controls do not provide sufficient protection against hazards Question 21 How can medical gloves be made reusable? PC 1.3 • • • • With an alcohol based hand rub By sending them off to be reprocessed at a decontamination facility Washing them with water and soap They can’t - medical gloves must always be disposed of after use Question22. What type of PPE requires a fit test to be carried out by a qualified individual before it is used? PC 1.3 • • • • Respiratory masks Long sleeved gowns Fluid resistant face masks (FRSM) Face shields Question23. When must you remove and change out of single use PPE such as gloves and aprons? PC 1.3 • • • • After any patient contact Only if it gets damaged At the end of your shift After completing a ward round Question 24. Select the correct statement about harmless microorganisms KE 5 • • • are beneficial to us and forms the normal flora of our body. These microorganisms are called resident flora/ micro organisms are microorganisms that cause infection, by gaining access into the body normal microbial inhabitants that causes trouble to our immune systems at all times and gain access to a part of the body Question 25. After removing all your PPE what must you do? PC1.7 • • • • Take it home with you Perform hand hygiene Dispose it in general waste Carry it to the next client Question 26. The two principles that needs to be remembered when cleaning PC1.5 • • • • Top to bottom: start cleaning surfaces higher up and work your way to the floor. This method ensures that any particulates or debris fall to the floor which will be cleaned last. Clean to dirty: start cleaning with the cleanest surface first, progressively moving towards the dirtiest surface Bottom to top: start cleaning surfaces lower up and work your way towards up. This method ensures that any particulates or debris will not fall to the floor. Dirty to clean: start cleaning with the dirtiest surface first, progressively moving towards the cleanest surface Question27. Personal protective equipment (PPE) should Select five PC1.3 • • • • • • • • • be appropriate for the type of work give inadequate protection to the user create additional health or safety risks be compatible with other PPE being used one size fit for all must interfere with any medical conditions of the user be easy to use be comfortable comply with relevant Australian Standards Question28.The true facts about using Gloves as a PPE are all except PC1.3 • • • • Health care workers should wear gloves whenever there is a risk of exposure to blood or body substances Health care workers should change their gloves and wash their hands after contact with each patient Health care workers must not change gloves between patients and wash hands after removing gloves Health care workers must wear gloves whenever in direct contact with blood or body fluid, or with contaminated items, equipment, or work surfaces Question 29. Considerations in choosing a type of gown (e.g. long or short-sleeved) that is appropriate for the activity are: except PC 1.3 • • • • the volume of body substances likely to be encountered the extent and type of exposure to blood and body substances the probable type and route of transmission of infectious agents. The price and colour of the gown Question 30. When should you be wearing a mask to protect you from COVID-19? Select three PC1.4 • • • • in areas where community transmission of COVID-19 is high whenever physical distancing is not possible Wearing a mask will also help protect others if you are infected with the virus, but do not have symptoms of infection. A face mask will provide you with complete protection from COVID-19 so wear it always Question 31. What can you do to prevent the spread of COVID-19? Select five PC1.4 • • • • • • • Stay at home when you are unwell, with even mild respiratory symptoms Regularly wash your hands with soap and water or use an alcohol-based hand rub Touch your face as frequently as possible Travel in crowded bus or train everyday Do not touch surfaces that may be contaminated with the virus Stay at least 1.5 metres away from other people (physical distancing) Follow respiratory hygiene and cough etiquette Question 32. Steps in respiratory hygiene includes all except PC 1.4 • • • • Use tissues to contain respiratory secretions Wipe the respiratory secretions on your clothing to prevent the spread to others If no tissues are available, cough or sneeze into the inner elbow rather than the hand Practice hand hygiene after contact with respiratory secretions and contaminated objects/materials Question 33 Select three correct statements regarding cleaning of frequently touched surfaces PC 1.5 • • • • • a risk-assessment approach to identify frequently touched surfaces is needed the frequently touched surfaces don’t need more cleaning as they are same as other surfaces an appropriate thorough cleaning strategy must be coordinated after the risk assessment a cleaning schedule is waste of money and time a cleaning schedule with the housekeeping staff must be put in place Question34 All organization’s cleaning schedule must outline the following except PC 1.5 • • • • • clear responsibilities of staff a roster of duties the frequency of cleaning required the products that should be used to clean specific areas the hourly rate of the cleaning staff Question35. Select three facts related to waste management PC1.7 • • • • • apply standard precautions to protect against exposure to blood and body substances during handling of waste; wash hands following procedure segregation can occur at the point of collection of waste waste should be contained in the appropriate receptacle (identified by colour and label) and disposed of according to the facility waste management plan health care workers should be trained in the correct procedures for waste handling Training is not required for the care staffs as waste handling is not the responsibility of the care worker Question36. Which type of bag is general waste put into?PC1.7 • • • • Containers lined with black bags. Containers lined with clear bags. Sharps containers. Containers lined with yellow bags. Question 37. 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? KE 1.5 • • • • Containers lined with black bags. Containers lined with clear bags. Sharps containers. Containers lined with yellow bags. Question 38 Into which containers are sharps/needles to be disposed of? KE 1.5 • • • • Red pails. Yellow hard-plastic sharps containers. Containers lined with yellow bags. Boxes lined with black/dark green bags. Question 39. As susceptible host is KE4 • • • A susceptible host is a person who is more likely to acquire or develop an infection due to a weakened immune system. A susceptible host is a person who is very unlikely to acquire or develop an infection due to a weakened immune system. A susceptible host is a person who has a high immunity status and will not acquire or develop an infection due to a weakened immune system. Question 40 Infection is: Select correct responses KE 4,6 • • • • the presence and multiplication of bacteria, virus, fungi, and parasites in the body that are not normally present the state in one that can be ‘asymptomatic’, having no signs or symptoms. The absence of multiplication of microorganisms in the body The state of complete physical, mental and social well-being and not merely the absence of disease or infirmity Question 41. Colonisation means KE5 • • • the presence of bacteria in or on the body without causing a disease the state of complete physical, mental and social well-being and not merely the absence of disease or infirmity where the person has symptoms caused by the pathogen. Question42. An example of fungal infection is KE 5 • • • • Tinea. Tuberculosis Tendonitis Tetanus Question 43. An example of virus infection is KE5 • • • • COVID-19 Clostridium difficile Candidiasis Chagas disease Question 44. Fatima is a care worker at a local hospital facility on the orthopaedic ward. Last week, Fatima noticed that the hoist she was using to transfer a resident out of bed had a sling with a tear that had been patched, making it difficult to clean the sling properly. The hoist was currently being used for five residents who were unable to transfer independently. Fatima was concerned as many of the people accessing the services had open wounds from recent hip replacements and were aged between 60 to 84 years of age. Fatima is aware that the people she was supporting were at a greater risk of acquiring an infection. Fatima mentions the issue to her manager, Scott, and asks why something has not been done about the hoist. Scott advises Fatima that this is the first he has heard of the issue as staff clearly aren’t reporting hazards on the incident reporting system. When Scott discusses the lack of reporting at the next staff meeting, he is surprised to discover that very few of the workers are aware of the WHS polices relating to risk management and hazard, incident and injury record keeping. PC 2.1,2.2.2.3,2.4,2.5 44 A: The responsibilities of a healthcare worker have if they identify an infection control hazard in their work environment include all except • • • • The healthcare worker has a responsibility to fully document the hazard The healthcare worker has a responsibility to report to the supervisor The healthcare worker has a responsibility place appropriate signs on the hazard. The healthcare worker has no responsibility to identify, report nor place a sign of hazard 44 B The potential risk to people accessing the service and healthcare workers of using this sling are • • • • infectious microorganisms could reside in the patched areas and be transferred to others The people accessing the service have a breach to the integrity of their skin Health care workers, if unaware of the issue, may have bacteria transfer from the sling to their hands infectious microorganisms could multiply in the patched areas and provide immunity to others • The skin integrity of other people who would use the sling will be maintained well 44C Infection hazards can be identified in the workplace by Select three • • • • • As part of planning major tasks or activities, such as equipment shutdowns Following an incident report By zero participation in training and networking When new knowledge becomes available Doing nothing Question 45 Select four ways in which a health care facility can minimise contamination PC 3.4,3.5 • • • • • • Isolation Intubation Controls Crowding Sterilisation Cleaning Question 46. A nurse gives Matilda dirty instruments for reprocessing. Matilda is carrying these by hand to the instrument reprocessing area. She is stopped by an older person who needs help walking to the toilet. Matilda places the dirty items on the older person’s side table before Select two ways in which Matilda could have minimised contact with the dirty instrument’s KE 1.6 PC 3.4 ,3.7 • • • • Matilda should have worn gloves, as the equipment was already contaminated Matilda should have washed her hands after handling the instruments and before assisting the person Matilda could have used the contaminated instrument for another client Matilda could have just done nothing