Infection Control: The New York Requirement

Course #58644-


Study Points

  1. Discuss the standards of professional conduct associated with infection control in the healthcare setting.
  2. Outline the infectious disease process.
  3. Describe various practices that can result in exposure to bloodborne pathogens.
  4. Identify effective strategies to prevent or control infection, including precautions, isolation techniques, hand hygiene, standards for cleaning, and safe injection practices.
  5. Describe the role of surveillance and reporting in an effective infection control program.
  6. Discuss the impact of communicable diseases in healthcare professionals, including the necessity for preplacement evaluations, periodic health assessments, education, and postexposure prophylaxis.
  7. Evaluate the impact and appropriate response to sepsis.

    1 . Which of the following categories of healthcare-associated infections (HAIs) does the Centers for Medicare and Medicaid Services consider to be reasonably preventable?
    A) HIV infection
    B) Ventilator-associated pneumonia
    C) Catheter-related urinary tract infection
    D) Methicillin-resistant Staphylococcus aureus (MRSA) infection

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    2 . Which of the following statements regarding prevention of HAIs is TRUE?
    A) An estimated 70% of HAIs are preventable.
    B) Adherence to prevention guidelines is generally low.
    C) Most professionals comply with hand hygiene guidelines.
    D) There are few evidence-based guidelines for the prevention of infection in healthcare facilities.

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    3 . For which of the following pathogens is the skin not an effective barrier?
    A) Candida spp.
    B) Human papillomavirus
    C) Haemophilus influenzae
    D) Mycobacterium tuberculosis

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    4 . Which of the following statements about the pathogenesis of infection is TRUE?
    A) Commensal bacteria are always a source of infection.
    B) Infection with parasites is as common as infection with bacteria.
    C) Viral nosocomial infections are more common in adults than in children.
    D) Fungal infections frequently occur during prolonged treatment with antibiotics.

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    5 . The greatest risk of morbidity and mortality is associated with infection with
    A) fungi.
    B) viruses.
    C) bacteria.
    D) parasites.

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    6 . Percutaneous exposure to a bloodborne pathogen may occur during
    A) blood splashes.
    B) handling contaminated needles.
    C) infusion of contaminated fluids.
    D) sharing of blood monitoring devices.

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    7 . Airborne Precautions should be used for a patient with
    A) pertussis.
    B) diphtheria.
    C) meningitis.
    D) tuberculosis.

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    8 . When adhering to Droplet Precautions, healthcare professionals should
    A) wear a mask when working within 3 feet of the patient.
    B) wear an N95 respirator when entering the room of the patient.
    C) ensure that the patient's room has 6 to 12 air changes per hour.
    D) not enter the room of the patient if they are susceptible to the disease.

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    9 . Hands should be washed after
    A) removing gloves
    B) contact with a patient's skin.
    C) contact with body fluids or excretions, nonintact skin, or wound dressings.
    D) All of the above

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    10 . With regard to hand hygiene,
    A) compliance is usually more than 80%.
    B) antibacterial soap is more effective than alcohol-based handrub solutions.
    C) reasons given for noncompliance include inconveniences, understaffing, and skin damage.
    D) the impact as an individual strategy in reducing healthcare-associated infections is well documented.

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    11 . Intermediate-level disinfection is defined as
    A) use of a 0.5% chlorine solution to reduce the number of pathogenic organisms on the device.
    B) use of disinfectant to destroy pathogenic organisms (eliminates most bacteria, viruses, and fungi).
    C) use of high-pressure steam (autoclave), dry heat (oven), chemical sterilants, or radiation to eliminate all forms of viable micro-organisms.
    D) a multistep procedure that consists of meticulous cleaning, high-level disinfection with a liquid chemical sterilant or disinfectant, and proper drying.

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    12 . According to Spaulding classification, a device that enters the vascular system is
    A) critical.
    B) noncritical.
    C) less critical.
    D) semicritical.

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    13 . According to World Health Organization classification, an isolation unit in a healthcare facility should be cleaned
    A) using normal cleaning procedures.
    B) using procedures that do not raise dust.
    C) after disinfection of any areas with visible contamination with blood or body fluids.
    D) using a detergent/disinfectant solution, with separate cleaning equipment for each room.

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    14 . Which of the following is NOT an aspect of safe injection practices?
    A) Using aseptic technique
    B) Keeping multidose vials in the immediate patient treatment area
    C) Using a sterile needle and syringe when a multidose vial is used
    D) Using single-dose vials for parenteral medications whenever possible

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    15 . After an occupational exposure to an infectious agent, which of the following should be recorded in the exposed person's confidential medical record?
    A) Date and time of exposure
    B) Details about the exposure source
    C) Details about necessary follow-up
    D) All of the above

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    16 . Healthcare professionals experiencing all of the following symptoms require immediate evaluation by a licensed medical professional, EXCEPT:
    A) Rash
    B) Vomiting
    C) Vesicular lesions
    D) Nasal congestion

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    17 . Healthcare professionals exposed to hepatitis viruses
    A) may safely donate semen.
    B) should be administered ribavirin and interferon.
    C) should refrain from patient-care responsibilities.
    D) should consider receiving hepatitis B immune globulin (HBIG).

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    18 . Susceptible personnel who are exposed to mumps should not work
    A) until proven noninfectious.
    B) until 3 days after parotitis develops.
    C) from the 10th day through the 25th day after last exposure or, if symptoms develop, until five days after onset of parotitis.
    D) from the 4th day through the 28th day after last exposure, unless symptoms develop.

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    19 . According to the New York Department of Health policy regarding HIV testing,
    A) rapid testing is not mandated for occupational exposures.
    B) voluntary HIV testing of the source should not be sought if the HIV serostatus of the source is unknown.
    C) if a rapid test result is positive, the test must be confirmed by an ELISA test.
    D) rules regarding confidentiality and consent for testing in the occupational setting are identical to those for other HIV tests.

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    20 . In hospitalized adult patients, infection with which of the following types of pathogens is increasing most?
    A) Fungal organisms
    B) Gram-positive bacteria
    C) Gram-negative bacteria
    D) Group B streptococcus

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