Deck 1: Basics of Asepsis

Question 1

Which of the following precautions should be used with airborne transmission precautions?
I.Private room should be used
II.Gowns and gloves should be worn
III.Caregivers should wear respiratory protection consisting of a NIOSH N-95 mask or other OSHA-approved respiratory filtration device
IV.During transport the patient should wear NIOSH N-95 mask

A) I and III
B) II and IV
C) I, III, and IV
D) I, II, III, and IV

Answer 1

I and III

Question 2

Which of the following statements is FALSO concerning the removal of a gown aseptically?

A) Begin by untying the waist tie, and then wash the hands because the area from the waist down is considered dirty.
B) Untie the neck tie and shrug the shoulders forward so that the gown slips off the body down the arms.
C) Allow the gown to slip down so that it can be grasped inside at the neck of the gown. Fold the gown inside out and dispose of it appropriately.
D) Remove the gown by pulling it off from the sleeves before washing your hands.

Answer 2

Remove the gown by pulling it off from the sleeves before washing your hands.

Question 3

If two patients are infected with the same microorganism and neither patient has another infection,they may be placed in the same room.This is defined as _______________

A) contact precaution.
B) cohorting.
C) standard precaution.
D) respiratory hygiene/cough etiquette.

Answer 3

cohorting.

Question 4

What is defined as a microorganism capable of causing disease in humans?

A) Pathogenic microorganism
B) Hospital-acquired infection
C) Virulent microorganism
D) Cross-contamination

Question 5

Place in the correct order the proper sequence of hand washing.
I.Liberally apply soap
II.Adjust water flow and temperature
III.Turn off water aseptically
IV.Wash with friction
V.Wet forearms,wrists,and hands

A) I., II., III., IV., V.
B) II., III., I., IV., V.
C) II., V., I., IV., III.
D) II., I., IV., V., III.

Question 6

Handling patient care equipment soiled with blood,body fluids,secretions,or excretions requires special management.These include all of the following EXCEPT __________________.

A) the use of gloves is required, and mask/eye protection and use of a cover gown may also be required if there is a risk of splashing or spraying.
B) all permanent equipment soiled with body fluids should be decontaminated with appropriate cleaning products prior to use in the care of another patient.
C) the handling of this equipment does not require the same precautions as patient care situations in which the practitioner may come in contact with these secretions.
D) all disposable equipment should be properly disposed of and handled with other contaminated waste.

Question 7

What precaution should be followed for all health care settings and with all patients regardless of diagnosis?

A) Standard precautions
B) Use of a cover gown
C) Use of a mask
D) Droplet precautions

Question 8

What is the most important way to minimize indirect contact transmission?

A) Isolation
B) Disposable equipment
C) Handwashing
D) Antibiotics

Question 9

What is the most frequent cause of needle sticks?

A) Attempting to recap a needle
B) Removing discarded needles or syringes from sharps containers
C) Attempting to force a needle into an already full container
D) Using puncture-proof containers

Question 10

What is a term used to describe various barrier devices to protect one's clothing,skin,or mucous membranes from contact with infectious material?

A) Asepsis
B) Isolation guidelines
C) Personal protective equipment
D) Transmission prevention

Question 11

What is defined as an infection a patient develops while in the hospital and did not have before hospital admission?

A) Pathogenic infection
B) Virulent infection
C) Hospital-acquired infection
D) Microorganism

Question 12

Place in the correct order the proper aseptic removal of personal protective equipment. I.Remove the gown
II.Remove the mask
III.Remove the gloves

A) III., II., I.
B) II., I., III.
C) I., II., III.
D) II., III., I.

Question 13

Tuberculosis is transmitted by ______________.

A) Vehicle transmission
B) Vectorborne transmission
C) Direct contact transmission
D) Airborne transmission

Question 14

Respiratory hygiene/cough etiquette applies to patients,visitors,and practitioners with symptoms of respiratory illness and includes ________________

A) education of the facility staff, patients, and visitors.
B) posted signage with appropriate instructions.
C) control measures.
D) all of these.

Question 15

Place in the proper sequence the donning of personal protective equipment aseptically.
I.Application of the mask
II.Application of the gown
III.Application of the gloves

A) I., II., III.
B) II., I., III.
C) III., II., I
D) I., III., II.

Question 16

What method of transmission of microorganisms would you need to be most cautious of while performing procedures such as assisting with bronchoscopy,suctioning artificial airways,or changing a ventilator circuit?

A) Vectorborne transmission
B) Vehicle transmission
C) Indirect contact transmission
D) Droplet transmission

Question 17

What type of patient precautions should be employed for patients with mycobacterium tuberculosis,measles or varicella?

A) Contact precautions
B) Airborne precautions
C) Droplet precautions
D) Vectorborne precautions

Question 18

What should be done after performing a procedure on a patient prior to touching other surfaces in the patient's room?

A) remove the gloves
B) apply a cover gown
C) wash your hands
D) A and C

Question 19

What is the most common cause of hospital acquired infections?

A) Direct contact transmission
B) Indirect contact transmission
C) Airborne transmission
D) Vehicle transmission

Question 20

When performing tracheostomy care,which piece of personal protective equipment should be used to protect the health care provider from being splashed in the eyes with contaminated secretions?

A) Mask
B) Goggles
C) HEPA mask
D) Cover gown

Question 21

A patient with pseudomonas aeruginosa cultured in his sputum requires frequent tracheostomy care.What precautions need to be taken?

Question 22

Respiratory care equipment is usually _______ because it is too difficult and costly to keep it _______.

A) disinfected; aseptic
B) in standard precaution states; isolated
C) aseptic; sterile
D) isolated; aseptic

Question 23

A patient with extensive burns requires oxygen therapy via face tent with a large volume nebulizer.What type of precautions should the respiratory care practitioner use in caring for the patient?

Question 24

The soap and water scrub lasting _______________ is the most common hand washing protocol used in the hospital setting,but a scrub that lasts ___________ is performed prior to surgery and before entry into specialized areas such as the newborn ICU or burn unit.

A) 15 second; 5 minute
B) 5 minute; 10 minute
C) 5 second; 15 minute
D) 15 second;15 second

Question 25

When microorganisms that are present in everyday environments cause infection when the body's defense mechanisms are impaired are called _______________.

A) Virulence
B) Cross contamination
C) Opportunistic infections
D) Hospital acquired infections

Question 26

What is defined as the complete destruction of all forms of microorganisms?

A) Isolation
B) Standard precautions
C) Asepsis
D) Sterility

Question 27

Which of the following are precautions that should be taken with sharps?
1)Do not attempt to force a needle or sharp instrument into an already full container.
2)Do not attempt to remove discarded needles or syringes from sharps containers.
3)Do not ever attempt to recap a needle.

A)2 and 3
B)1,2,3
C)1 only
D)3 only

Question 28

A COPD patient is admitted to the hospital for an exacerbation of the disease.What precautions should the respiratory care practitioner take to prevent this patient from getting a hospital acquired infection?