DRAH Infection Prevention & Control Nursing Competency Module Test Questions 1) I am following standard precautions if I a) b) c) d) 2) Handle all blood and bodily fluids (except sweat) as potentially infectious Choose appropriate PPE for the activity to prevent exposure Use a single dose vial to administer one dose to one patient All of the above Respiratory etiquette is a part of standard precautions and includes all of the following: a) b) 3) True False Compliance with hand hygiene is monitored a) b) Immediately before I enter a room or care area only Immediately before I enter a room or care area and immediately after or at the time I exit a room or care area Immediately before I exit a room or care area only None of the above c) d) 4) Use of waterless hand cleaners are indicated for all of the following reasons: a) b) 5) If your hands are visibly dirty or contaminated with blood, body fluids, or other material After contact with patients with Clostridium difficile (C.diff) After exposure to known or suspected Bacillus anthracis (anthrax) True False Preventing the spread of infection includes: a) b) c) d) e) 6) Covering your mouth/nose when you sneeze or cough Using tissue and disposing of them immediately after use Cleaning your hands after contact with respiratory secretions Hand hygiene, standard precautions, transmission-based precautions, keeping the environment clean Preventing device-related infections Aseptic practices A and B only All of the above Droplet precautions require the use of gown and gloves to enter a patient’s room or care area. a) b) True False 1 DRAH Infection Prevention & Control Nursing Competency Module Test Questions 7) Gloves should always be worn when transporting a patient. a) b) 8) If a patient is placed on Airborne precautions, the healthcare worker should either wear an N95 respirator or PAPR. a) b) 9) N95 respirator Nothing Surgical/procedure mask Where in the medical record should the RN document that a patient has been placed on isolation so that ALL members of the healthcare team can see their isolation status in the medical record? a) b) c) d) 12) True False When transporting a patient on Airborne or Droplet precautions, the patient should wear a a) b) c) 11) True False The RN should provide education to the patient and family regarding transmission-based precautions, document that education was provided in the medical record, and remember to give the patient and visitors educational materials & brochures located within the units. a) b) 10) True False A patient note within the medical record. There is no specific location in the medical record. Under the administrative data section (admin tab on the visual flowsheet ) of the medical record. The healthcare team can look at the patient’s door to find the correction isolation status. A patient is actively stooling and has been admitted for rule out C.diff colitis, the RN should: a) b) c) d) e) Place the patient on Contact Enteric precautions Enter Contact Enteric isolation status within the administrative data section of the medical record Provide educational brochure to patient and family, along with documentation that education was provided daily Perform hand hygiene with soap and water after caring for this patient All of the above 2 DRAH Infection Prevention & Control Nursing Competency Module Test Questions 13) If a patient is admitted with a history of MRSA GREATER than 1 year ago, without a negative culture noted, the RN should: a) b) c) d) 14) Which of the following PDI surface disinfectant wipes has the correct corresponding kill times? a) b) c) d) e) f) 15) e) Perform hand hygiene prior to accessing these devices Scrub the hub with alcohol for at least 15 seconds Assess the need of the central line daily with the physician Ensure the CHG Tegaderm dressing is clean, dry, intact and within date Document central line assessment findings in the medical record All of the above The environment can facilitate transmission of infection within the healthcare setting. a) b) 18) Assess the need of the catheter daily with the physician. Insert these catheters aseptically and maintain sterility when collecting urine specimens. Keep the drainage tube free of kinks and not let the drainage bag touch the floor. Secure the device properly with a Stat Lock and ensure that perineal care was performed. All of the above In the prevention of central line associated bloodstream infections (CLABSIs) it is best to a) b) c) d) e) f) 17) Sani-Cloth AF3 wipes (grey top) kills microorganisms in 3 minutes Sani-Cloth AF3 wipes (grey top) kills microorganisms in 4 minutes Sani-Cloth Bleach wipes(orange top) kills microorganisms in 4 minutes Sani-Cloth Bleach wipes (orange top) kills microorganisms in 3 minutes. A and C only B and D only In the prevention of catheter associated urinary tract infections (CAUTIs) it is best to a) b) c) d) 16) Not initiate contact precautions. Initiate contact precautions. Notify the MD to order a MRSA screening. Both B and C True False The microbiology lab notifies the RN that the patient has a urine culture positive for E.coli ESBL, the nurse would a) b) c) Do nothing as this type of organism does not require isolation Immediately initiate droplet precautions and document in the medical record Educate the patient on airborne precautions and initiate per hospital protocol 3 DRAH Infection Prevention & Control Nursing Competency Module Test Questions d) 19) All specimens of blood or body fluids should be transported in a DUHS approved container labeled with a biohazard symbol for identification while transporting to the lab. a) b) 20) Using the admin data tab, change the patient’s isolation status to reflect that contact isolation precautions were initiated and provide education to the patient and family. True False I pledge to perform hand hygiene prior to entering and exiting a patient’s room or care area. a) b) Yes No 4