Question 1

Which of the following organisms has been associated with health care-associated infections in patients using a poorly disinfected bronchoscope?

Accepted Answer

A) M. tuberculosis 
B) Pseudomonas aeruginosa 
C) Klebsiella 
D) both A and B 
A) M. tuberculosis 
B) Pseudomonas aeruginosa 
C) Klebsiella 
D) both A and B D

Question 2

All of the following factors increase the risk of surgical patients for developing postoperative pneumonia except:

Accepted Answer

A) obesity 
B) prolonged intubation 
C) history of smoking 
D) all the above 
A) obesity 
B) prolonged intubation 
C) history of smoking 
D) all the above D

Question 3

Which of the following characteristics is true for iodophors as disinfectants?

Accepted Answer

A) water soluble 
B) nonstaining 
C) less irritating to tissue 
D) all the above 
A) water soluble 
B) nonstaining 
C) less irritating to tissue 
D) all the above D

Question 4

What vaccination does OSHA require hospital employers to provide?

Accepted Answer

A) tuberculosis 
B) smallpox 
C) hepatitis B 
D) Streptococcus pneumoniae 
A) tuberculosis 
B) smallpox 
C) hepatitis B 
D) Streptococcus pneumoniae

Question 5

What techniques are used by most hospitals to reduce host susceptibility to infection?

Accepted Answer

A) immunization 
B) chemoprophylaxis 
C) surveillance 
D) both A and B 
A) immunization 
B) chemoprophylaxis 
C) surveillance 
D) both A and B

Question 6

About how many people die each year in the United States from hospital-acquired infections (HAIs)?

Accepted Answer

A) 5,000 
B) 25,000 
C) 90,000 
D) 250,000 
A) 5,000 
B) 25,000 
C) 90,000 
D) 250,000

Question 7

Which of the following statements is NOT true regarding the use of glutaraldehyde?

Accepted Answer

A) It is a true sterilizing agent when used properly. 
B) It can retain activity up to 90 days once activated. 
C) It is not used for disinfection on surfaces due to cost. 
D) It can cause significant tissue inflammation in workers who use it. 
A) It is a true sterilizing agent when used properly. 
B) It can retain activity up to 90 days once activated. 
C) It is not used for disinfection on surfaces due to cost. 
D) It can cause significant tissue inflammation in workers who use it.

Question 8

What is the first step in equipment processing for reuse on another patient?

Accepted Answer

A) drying the equipment 
B) cleaning the equipment 
C) disinfecting the equipment 
D) sterilizing the equipment 
A) drying the equipment 
B) cleaning the equipment 
C) disinfecting the equipment 
D) sterilizing the equipment

Question 9

Which of the following statements is NOT true regarding the use of ETO for sterilization?

Accepted Answer

A) It is harmless to rubber and plastics. 
B) Will penetrate prewrapping. 
C) Acute exposure is of little consequence. 
D) It is useful for equipment that cannot be autoclaved. 
A) It is harmless to rubber and plastics. 
B) Will penetrate prewrapping. 
C) Acute exposure is of little consequence. 
D) It is useful for equipment that cannot be autoclaved.

Question 10

Which of the following statements is NOT true regarding the use of phenolics as a disinfectant?

Accepted Answer

A) They are bactericidal. 
B) They are fungicidal. 
C) They are ineffective on surfaces shortly after application. 
D) They cause tissue irritation. 
A) They are bactericidal. 
B) They are fungicidal. 
C) They are ineffective on surfaces shortly after application. 
D) They cause tissue irritation.

Question 11

What is the minimum recommended time for handwashing in the health care environment?

Accepted Answer

A) 5 seconds 
B) 15 seconds 
C) 30 seconds 
D) 60 seconds 
A) 5 seconds 
B) 15 seconds 
C) 30 seconds 
D) 60 seconds

Question 12

What solution should be used to disinfect the surfaces of the room of a patient who was infected with C. difficile?

Accepted Answer

A) 70% ethyl alcohol 
B) 5.25% sodium hypochlorite 
C) 1% sodium benzoate 
D) 5% iodine solution 
A) 70% ethyl alcohol 
B) 5.25% sodium hypochlorite 
C) 1% sodium benzoate 
D) 5% iodine solution

Question 13

What is the most common, efficient, and easiest sterilization method?

Accepted Answer

A) ETO 
B) flash sterilization 
C) steam sterilization 
D) use of hydrochlorofluorcarbon 
A) ETO 
B) flash sterilization 
C) steam sterilization 
D) use of hydrochlorofluorcarbon

Question 14

Which of the following is an example of indirect contact transmission involving fomites?

Accepted Answer

A) use of a sterile needle on a pneumonia patient 
B) use of a dirty nebulizer on another patient 
C) drinking tap water 
D) inhaling tuberculosis pathogens in the emergency department 
A) use of a sterile needle on a pneumonia patient 
B) use of a dirty nebulizer on another patient 
C) drinking tap water 
D) inhaling tuberculosis pathogens in the emergency department

Question 15

Which of the following organisms is NOT destroyed by a disinfection agent?

Accepted Answer

A) gram-negative cocci 
B) bacterial spores 
C) gram-positive rods 
D) viruses 
A) gram-negative cocci 
B) bacterial spores 
C) gram-positive rods 
D) viruses

Question 16

Approximately what percent of patients receiving mechanical ventilation develop pneumonia as a complication?

Accepted Answer

A) 1% 
B) 10% 
C) 15% 
D) 25% 
A) 1% 
B) 10% 
C) 15% 
D) 25%

Question 17

Which of the following statements is NOT true regarding the use of sterile gloves in the hospital setting?

Accepted Answer

A) They should be worn for all invasive procedures. 
B) They should not be used as a substitute for handwashing. 
C) The same pair can be used on numerous patients if noninvasive procedures are done. 
D) They may have small invisible defects that cause contamination of the user's hands. 
A) They should be worn for all invasive procedures. 
B) They should not be used as a substitute for handwashing. 
C) The same pair can be used on numerous patients if noninvasive procedures are done. 
D) They may have small invisible defects that cause contamination of the user's hands.

Question 18

If you are caring for a patient who is suspected of having SARS, at what distance from the patient is it recommended to wear an effective filtration mask?

Accepted Answer

A) 6 feet 
B) 10 feet 
C) 12 feet 
D) 15 feet 
A) 6 feet 
B) 10 feet 
C) 12 feet 
D) 15 feet

Question 19

How do endotracheal tubes increase the risk of infection?

Accepted Answer

A) impeding local host defenses 
B) providing surfaces for biofilms to develop 
C) by reducing neutrophil effectiveness 
D) both A and B 
A) impeding local host defenses 
B) providing surfaces for biofilms to develop 
C) by reducing neutrophil effectiveness 
D) both A and B

Question 20

What should be used to wipe down the surface of devices that cannot be immersed in water?

Accepted Answer

A) 70% ethyl alcohol 
B) warm soapy water 
C) strong detergent 
D) bleach 
A) 70% ethyl alcohol 
B) warm soapy water 
C) strong detergent 
D) bleach

Exam 4: Principles of Infection Control

Which of the following organisms has been associated with health care-associated infections in patients using a poorly disinfected bronchoscope?

All of the following factors increase the risk of surgical patients for developing postoperative pneumonia except:

Which of the following characteristics is true for iodophors as disinfectants?

What vaccination does OSHA require hospital employers to provide?

What techniques are used by most hospitals to reduce host susceptibility to infection?

About how many people die each year in the United States from hospital-acquired infections (HAIs)?

Which of the following statements is NOT true regarding the use of glutaraldehyde?

What is the first step in equipment processing for reuse on another patient?

Which of the following statements is NOT true regarding the use of ETO for sterilization?

Which of the following statements is NOT true regarding the use of phenolics as a disinfectant?

What is the minimum recommended time for handwashing in the health care environment?

What solution should be used to disinfect the surfaces of the room of a patient who was infected with C. difficile?

What is the most common, efficient, and easiest sterilization method?

Which of the following is an example of indirect contact transmission involving fomites?

Which of the following organisms is NOT destroyed by a disinfection agent?

Approximately what percent of patients receiving mechanical ventilation develop pneumonia as a complication?

Which of the following statements is NOT true regarding the use of sterile gloves in the hospital setting?

If you are caring for a patient who is suspected of having SARS, at what distance from the patient is it recommended to wear an effective filtration mask?

How do endotracheal tubes increase the risk of infection?

What should be used to wipe down the surface of devices that cannot be immersed in water?

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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