Test your infection control knowledge

Editor’s note: This sample test was taken from HCPro’s title Infection Control: How to Implement an Effective Approach for Long-Term Care by Brian Garavaglia, PhD. This one-stop resource offers staff quick and convenient access to procedures, policies, and forms to create an effective infection prevention and control program, as well as in-service training to help your infection preventionist—and the entire department—prepare for survey day.

Use the following sample test to assess your or your staff’s infection control competencies. Answer key provided at the end.

 

SAMPLE TEST

Select the answer that best applies.

 

1.What is the most effective method of controlling the spread of infection?

a. Disinfecting all surfaces with a 1:10 bleach solution

b. Sterilizing all supplies, linens, and equipment

c. Hand washing with soap and water

d. Wearing a mask during all patient contact

 

2. How can infection be transmitted during care delivery?

a. Through contact with open wounds

b. Through the patient’s linens

c. Through direct contact with the patient

d. All of the above

 

3. Which of the following diseases is spread by bloodborne pathogens?

a. AIDS

b.Grave’s disease

c. Common cold

d. Hepatitis B

e. All of the above

f. a and d

 

4. Which of the following fluids is mostly likely contain bloodborne pathogens?

a. Bloody emesis

b. Sputum

c. Drinking water

d. Vaginal drainage

e. All of the above

f. a, b, and d

 

5. Which of the following is not a component of standard precautions?

a. HIV testing

b. HBV vaccination

c. Use of PPE

d. Exposure reporting

 

6. Which of these statements reflects the principles of universal precautions?

a. You can only get an infection from patients with AIDS, HBV, and staph and strep infections

b. All used needles can cause infection

c. Only bodily fluids that contain blood can cause infection

d. All of the above

 

7. Which of these practices is dictated by universal precautions?

a. Wear gowns and gloves for all contact with AIDS patients

b. Use a disposable resuscitation aid for performing CPR

c. Wear gloves to perform oral hygiene on the patient

d. Do not carry soiled dressings without proper PPEs

e. All of the above

f. b, c, and d

 

8. When should you wash your hands?

a. Before you apply gloves

b. After handling a bedpan

c. After arriving at the resident’s room and before providing care

d. All of the above

 

9. Which of the following statements describes the appropriate use of PPE?

a. Use a specially designed disposable mask to perform CPR

b. Wear a gown during all patient contact

c. Wear goggles when caring for the patient with an infectious cough

d. All of the above

 

10. Which of the following procedures does not require the use of gloves?

a. Emptying a urinary drainage bag

b. Preparing the patient’s breakfast

c. Applying a clean dressing to an incision

d. Performing a venipuncture

 

11. Which of these principles appropriately applies to handling wastes and disposables?

a. Flush feces down the toilet

b. Break the needle off a syringe before disposing of it

c. Double bag all syringes

d. All of the above

 

12. Which of these principles appropriately applies to changing linens soiled with blood?

a. Fan and shake linens to remove dust

b. Throw dirty linens on the floor to avoid contaminating furniture

c. Hold linens away from your uniform

d. Launder soiled linens with the family laundry

 

13. A portal of entry is:

a. where a microorganism is found

b. where bacteria become colonized

c. where microorganisms enter into the body

d. where the infection starts

 

14. Which of the following is a recommended practice for disposing contaminated syringes?

a. Recap the syringe to limit the spread of bloodborne pathogens

b. Discard the syringe in one piece to avoid accidental punctures

c. Use a sturdy cardboard container for disposal

d. Discard the syringe immediately after injection in the trash in the resident’s room

 

15. How should you clean up a spill of blood or body fluids?

a. Wear a gown, mask, and goggles, and use a sponge

b. Douse the spill with soap and hot water

c. Wear gloves and use the facility’s approved disinfectant and paper towels

d. Use a mixture of glycerin and alcohol

 

16. Which of the following practices does not appropriately apply to handling specimens?

a. Break the needle off the syringe before transporting the specimen

b. Place the specimen in a leak-proof bag or container

c. Wear gloves when handling the specimen

d. Place the specimen on the floor of the facility vehicle if transporting it

 

17. What is asepsis?

a. A systemic infection caused by asbestos

b. A no-touch technique for dressing changes

c. First-aid spray applied to wounds

d. Absence of pathogens

 

18. Which of these is a guiding principle of asepsis?

a. Keep clean and dirty items separate

b. Use a disinfectant solution to bathe your patients

c. Wear gloves for all patient contact

d. Work from cleaner areas to dirtier areas

e. a and d

f. b and c

 

19. Which of these solutions can be used for disinfection of surfaces?

a. 1:10 bleach and water solution

b. Soap and hot water

c. Glycerin and alcohol

d. All of the above

 

20. What do AIDS and hepatitis B have in common?

a. They are caused by a virus

b. They are bloodborne diseases

c. They are transmitted through airborne routes

d. Patients with these diseases must be quarantined

e. All of the above

f. a, b, and c

 

21. What is HBV?

a. High blood volume

b. A blood test for infectious diseases

c. Hepatitis B virus

d. An antibiotic medication

 

22. What is one way that AIDS is spread?

a. Sharing food with the AIDS patient

b. Sexual contact with the person with AIDS

c. Toilet seats in the home of the AIDS patient

d. Getting bitten by the dog owned by the person with AIDS

e. All of the above

f. a, c, and d

 

23. What should you do when caring for a patient with active TB?

a. Wear an isolation gown and gloves

b. Wear a personal respirator

c. Open the window in the patient’s bedroom

d. Let visitors in without masks

e. a and b

 

24. Which of the following is a recommended practice for patients with infections?

a. Drink an adequate amount of fluids

b. Stop taking the antibiotic when they begin to feel better

c. Use the family towel or drinking glass

d. All of the above

 

25. Which of the following are typical signs of a wound infection?

a. Skin that is mottled and cool

b. Diarrhea

c. Redness and hotter skin around the wound area

d. Elevated body temperature and pulse

e. All of the above

f. c and d

 

26. Which of these principles applies to changing a dressing?

a. Wear one pair of gloves to remove the old dressing and put on the new dressing

b. Don’t look at the wound or you may experience nausea and vomiting

c. Dispose of soiled dressings in a securely closed plastic bag

d. All of the above

 

27. What is an exposure incident?

a. An event that you must report to your supervisor as soon as possible

b. Contact with blood or potentially infectious body fluids

c. Inappropriate attire in cold weather

d. a and b

 

28. What is the first action to take if blood splashes into your eye?

a. Call the nursing supervisor

b. Apply an antiseptic ointment

c. Flush the eye with large amounts of clean water, saline, or sterile irrigant

d. Complete an incident report

 

29. Which of the following is not a component of the long-term care facility’s exposure control plan?

a. A way to limit contact with all patients

b. A plan to minimize exposure to airborne or bloodborne pathogens

c. The uniform policy

d. A plan for respiratory protection

 

30. Which of the following factors applies to use of a personal respirator?

a. Remove the respirator after leaving the home

b. The Centers for Medicare and Medicaid Services requires that all employees wear them

c. Wear one only if the TB patient coughs frequently

d. Discard the respirator after use

 

ANSWER KEY

  1. c – Hand washing with soap and water
  2. d – All of the above
  3. f – a and d
  4. f – a, b, and d
  5. a – HIV testing
  6. b – All used needles can cause infection
  7. f – b, c, and d
  8. d – All of the above
  9. a – Use a specially designed disposable mask to perform CPR
  10. b – Preparing the patient’s breakfast
  11. a – Flush feces down the toilet
  12. c – Hold linens away from your uniform
  13. c –Where the microorganism enters the body.
  14. b – Discard the syringe in one piece to avoid accidental punctures
  15. c – Wear gloves and use the agency’s approved disinfectant and paper towels
  16. a – Break the needle off the syringe before transporting the specimen
  17. d – Absence of pathogens
  18. e – a and d
  19. a – 1:10 bleach and water solution
  20. f – a, b, and c
  21. c – Hepatitis B virus
  22. b – Sexual contact with the person with AIDS
  23. b – Wear a personal respirator while in the home
  24. a – Drink an adequate amount of fluids
  25. f – c and d
  26. c – Dispose of soiled dressings in a securely closed plastic bag
  27. d – a and b
  28. c – Flush the eye with large amounts of clean water, saline, or sterile irrigant
  29. c – The uniform policy
  30. a – Remove the respirator after leaving the home

 

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