Module A

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  1. Which of the following are required, under the .0206 rule Infection Prevention; Healthcare Settings? [10]
  2. Healthcare facilities must have a written infection control policy
  3. Healthcare facilities must designate a staff member to oversee the function of infection control
  4. Staff member must attend an infection control course approved by the state
  5. All of the above
  6. True or False: NC General Statue requires a physician or other licensed medical professional to report communicable diseases to the local health department in which the patient resides. [10]
  7. True
  8. False
  9. True or False: Approval of NC Infection Control Rule .0206 occurred, due to findings of severely lacking infection control practices in areas such as disinfection and sterilization. [10]
  10. True
  11. False
  12. True or False: Healthcare personnel with weeping dermatitis on their hands can provide direct patient care. [10]
  13. True
  14. False
  15. Which of the following statements, pertaining to the 0206 rule, is correct? [10]
  16. Only the physician can be responsible for infection control and take the .0206 course
  17. If the trained, designated staff member leaves the healthcare facility someone else must be designated and attend the course.
  18. Ambulatory surgical centers are NOT included in the .0206 Rule
  19. Rule 0206 is a Federal Law and must be followed.
  20. True or False: Providing annual OSHA Training meets all the training required by the 0206 Rule. [10]
  21. True
  22. False
  23. True or False: NC Medical Waste Rules includes containers of needles as regulated medical waste. [10]
  24. True
  25. False
  26. True or False: Needlesticks are the most frequent cause of occupational exposure and pose the most significant risk for transmitting HIV, Hepatitis B or Hepatitis C . [10]
  27. True
  28. False
  29. Which of the following are included under the .0206 rule Infection Prevention; Healthcare Settings? [10]
  30. EMS workers
  31. Private, physician owned, medical practices
  32. Local Health Departments
  33. All of the above
  34. True or False: A physician must wait for lab reports confirming the communicable disease before making a report to the health department. [10]
  35. True
  36. False

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Module B

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  1. A new employee has received 2 of 3 shots in the Hepatitis B series, but does not wish to receive the final shot. The employee must: [10]
  2. Get the last shot... it is required
  3. Nothing else is required
  4. Sign a declincation form
  5. Quit their job
  6. Self-sheathing needles are an example of: [10]
  7. Engineering Controls
  8. Personal Protective Equipment
  9. Administrative Controls
  10. Work Practice Controls
  11. Which of the following items is NOT required to have a warning (biohazard) label? [10]
  12. A red sharps container
  13. Medication refrigerator
  14. Specimens containers, if the facility uses Standard Precautions and the specimens are not transported outside the facility
  15. All of the above.
  16. True or False: Employees may wear PPE outside of the work area (i.e., area where work involving occupational exposure occurs or where the contamination of surfaces may occur). [10]
  17. True
  18. False
  19. True or False: Employers must keep a record of all sharps injuries. [10]
  20. True
  21. False
  22. True or False: All employees must have access to the exposure control plan. [10]
  23. True
  24. False
  25. True or False: Gloves used for patient care can be washed between patients and reused. [10]
  26. True
  27. False
  28. True or False: Employers must include front-line employees when choosing and evaluating sharps safety devices. [10]
  29. True
  30. False
  31. True or False: Employees are responsible for providing, laundering, cleaning, repairing, replacing, and disposing of PPE. [10]
  32. True
  33. False
  34. True or False: The bloodborne pathogen exposure control plan must be reviewed and updated annually. [10]
  35. True
  36. False

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Module C

 The chain of infection includes which of the following components? [12.5]

  • Planned entry, Weather conditions, Mode of transmission, Location of procedure, Primary Care giver
  • Agent, Environment, Susceptible host, Reservoir, Procedures, Planned exit
  • Susceptible host, Agent, Portal of entry, Reservoir, Mode of transmission, Portal of exit
  • Portal to facility, Success of treatment, Patient attitude, Physician training, Planned exit

 A disease or condition in which a germ enters the body and grows in number is called: [12.5]

  • Host
  • Infection
  • Reservoir
  • Portal of exit

 Germs can be spread indirectly through: [12.5]

  • a cough in the face
  • a needlestick
  • shared medical equipment
  • a hand shake

 What is the single most effective way to prevent the spread of infections? [12.5]

  • Hand hygiene
  • Geting a good night's sleep
  • Avoiding sick people
  • Covering coughs

 When should you wash your hands with soap and water? [12.5]

  • After removing gloves
  • Before providing care for a patient
  • Before an aseptic procedure
  • Hands are visibly soiled

 True or False: It is ok to leave patients with an airborne spread infection in the waiting room? [12.5]

  • True
  • False

 True or False: Ice can be a common source for the spread of infection? [12.5]

  • True
  • False

 True or False: A cut in the skin is both a portal of entry and portal of exit for a germ. [12.5]

  • True
  • False

Module D

 Which of these items can be used for multiple patients? [12.5]

  • Insulin pen
  • Small bag of saline
  • Single dose vials
  • Multidose vials

 Which of the following is TRUE about single dose vials? [12.5]

  • It is okay to use a single dose medication for more than one patient.
  • Prefilled syringes can be drawn up for multiple patients from a single dose vial.
  • Single-use medications should be dedicated to a single patient for a single procedure.
  • For cost containment it is okay to purchase vials containing quantities in excess of those needed for a single patient.

 In the past decade, what has been the most significant (source) route of exposure of bloodborne pathogen transmission? [12.5]

  • Healthcare worker to patient
  • Patient to patient
  • Healthcare worker to healthcare worker
  • Patient to healthcare worker

 True or False: If you change the needle between each patient, it is OK to keep using the same syringe. [12.5]

  • True
  • False

 True or False: Medications can be prepared adjacent to areas where potentially contaminated items are placed. [12.5]

  • True
  • False

 True or False: It is acceptable to leave a needle or other device inserted in the septum of a medication vial for multiple medication draws. [12.5]

  • True
  • False

 True or False: Unsafe injection practices have led to the transmission of HIV, Hepatitis B, Hepatitis C and bacterial infections. [12.5]

  • True
  • False

 True or False: If you cannot see blood contamination on a glucometer, it is ok to use it again without cleaning it. [12.5]

  • True
  • False

Module E

 True or False: I don’t need to perform hand hygiene if I only touched the exam table and didn’t touch the patient. [12.5]

  • True
  • False

 True or False: It is important to perform hand hygiene after removing your gloves. [12.5]

  • True
  • False

 Which of these is NOT considered sterile in an operating room? [12.5]

  • The gloves of the surgeon
  • Anything below the operative level
  • The Instruments
  • Front of the gown from chest high to the operative level

 True or False: Maintaining a clean environment is just as important as hand hygiene in controlling the spread of infections. [12.5]

  • True
  • False

 True or False: Many epidemiologically important pathogens (like MRSA) can survive on surfaces for days to months. [12.5]

  • True
  • False

 True or False: Alcohol based hand rubs are the preferred method of hand hygiene. [12.5]

  • True
  • False

 Why should you wash your hands BEFORE providing patient care? [12.5]

  • So I do not transmit a germ to the patient.
  • I wear gloves and do not need to wash my hands.
  • So I do not spread germs around the office.
  • So I do not give myself a germ.

 Why should you wash your hands AFTER contact with blood or body fluids? [12.5]

  • So I do not give the patient something.
  • So I do not get sick or spread germs around the office.
  • I do not perform hand hygiene.
  • I wear gloves so my hands are clean.

Module F

 Which of these microorganisms is the MOST resistant to disinfection? [12.5]

  • Spores
  • Fungi
  • Vegetative bacteria
  • Viruses
  • Mycobacteria

 True or False: Critical instruments penetrate or enter normally sterile tissue or spaces. [1]

  • True
  • False

 High-level disinfection should be used to process which types of objects? [12.5]

  • Quasi-critical items
  • Critical items
  • Semi-critical items
  • Non-critical items

 Which of these is NOT a method of sterilization? [12.5]

  • Hydrogen peroxide gas plasma
  • Ethylene oxide
  • Steam
  • Disinfectant wipe

 Sterilizer monitoring using a biological indicator (BI) should be performed at least how often? [12.5]

  • Never
  • Weekly
  • Daily
  • Monthly

 True or False: Blood pressure cuffs are considered non-critical items. [12.5]

  • True
  • False

 True or False: Internal chemcial indicators should be used to validate that a sterilant has penetrated the pack or wrap. [12.5]

  • True
  • False

 Which is the correct method for loading a sterilizer? [12.5]

  • All items and packages should be arranged so that all surfaces can be exposed to the sterilant.
  • Pack it full, the heat will kill everything.
  • Only one pack at a time, that way you know it is sterile.
  • Unwrapped so that you know the instruments were fully exposed.

Module G

 True or False: You don’t have to disinfect a hydrotherapy tub between uses if you use a plastic liner. [12.5]

  • True
  • False

 Which is NOT a way for toys to be cleaned? [12.5]

  • The kids lick them so they are clean.
  • Dilute bleach solution
  • Soap and water
  • EPA-registered disinfectant

 True or False: Healthcare workers who handle medications should avoid direct hand contact with medications. [12.5]

  • True
  • False

 True or False: Medication can be stored in the same refrigerator as lab specimens. [12.5]

  • True
  • False

 Vaginal specula should be processed by which method? [12.5]

  • Scrub thoroghly and rinse with hot water
  • clean thne rinse with iodophor or alcohol
  • Use a low-level disinfectant
  • Steam sterilization or soaking in a high-level disinfectant

 True or False: Infrared coagulation units should be high-level disinfected using a 1:10 bleach solution. [12.5]

  • True
  • False

 True or False: Applanation tonometer tips should be rinsed with water between each patient and disinfected at least once a day. [12.5]

  • True
  • False

 How often should a hot pack hydrocollator be emptied and cleaned? [12.5]

  • Never, that water is hot
  • Every two weeks
  • Monthly
  • Daily