Deck 22: Safety

Question 1

Which of the following is true for the expanded regime of postexposure prophylaxis?
a.uses longer treatment times
b.uses a higher concentration of the drugs
c.adds additional drugs, including protease inhibitors in the regime
d.adds reverse transcriptase inhibitors to the protocol

Answer 1

adds additional drugs, including protease inhibitors in the regime

Question 2

Liquid nitrogen
a.is inert and safe
b.is dangerous because it can replace the oxygen in the room
c.is explosive
d.B and C

Answer 2

is dangerous because it can replace the oxygen in the room

Question 3

If a blood exposure was on a mucous membrane, the protocol is to
a.rinse with vodka and then water and then tell the supervisor
b.do none of these
c.rinse Listerine and then water and then tell the supervisor
d.rinse with a large volume of saline and then tell the supervisor

Answer 3

rinse with a large volume of saline and then tell the supervisor

Question 4

What testing will be done for the health care worker after a needlestick?
a.antibody to hepatitis B surface antigen
b.HIV
c.hepatitis C
d.all of the above

Question 5

Gloves should be worn when anyone in the lab
a.handles body fluids, blood and excreta
b.handles potentially contaminated items
c.opens drawers and doors in the laboratory
d.all of the above
e.A and B only

Question 6

What things are considered in determining the exposure code for HIV?
a.whether a mucous membrane was exposed or it was a needlestick with a large bore needle
b.whether the patient was symptomatic
c.whether the patient had HIV
d.all of the above

Question 7

Increasing order of exposure regarding HIV risk is
a.blood on intact skin, blood on mucus membrane, tears in a cut
b.external body fluid on skin, internal body fluid on mucus membrane, internal body fluid by needlestick
c.solid needle, large bore needle, small bore needle
d.none of the above

Question 8

What bloodborne virus can survive on surfaces for more than 1 week?
a.hepatitis C
b.hepatitis B
c.HIV
d.all of the above

Question 9

Which of the following would have HEPA filtered air blowing into the hood?
a.a chemical containment hood
b.a biological containment hood
c.both A and B
d.none of the above

Question 10

The risk of seroconverting to hepatitis B after a needlestick decreases by
a.80% if you are properly immunized
b.75% if you are properly immunized
c.90-95% if you are properly immunized
d.100% if you are properly immunized

Question 11

Follow-up for hepatitis C includes either
a.anti-HCV antibody at 6 months or HCV RNA at 4 to 6 weeks
b.anti-HCV antibody or HCV RNA at 4 to 6 weeks
c.anti-HCV antibody or HCV RNA at 6 months
d.none of the above

Question 12

An injured person must have an unrestricted path to an eye wash station of less than what distance?
a.10 feet
b.20 feet
c.50 feet
d.100 feet

Question 13

Risk assessment for HIV seroconversion in determining postexposure prophylaxis has
a.3 components: (1) your general health, (2) the type of exposure-needle stick or mucous membrane-and (3) the source patient's HIV health status
b.4 components: (1) your general health, (2) the type of exposure-needle stick or mucous membrane-and (3) the source patient's HIV health status and resistance status of the strain of HIV
c.2 components: (1) your general health and (2) the source patient's HIV health status
d.2 components: (1) the type of exposure-needle stick or mucous membrane-and (2) the source patient's HIV health status

Question 14

The National Fire Protection Association Diamond has
a.4 parts: flammability, reactivity, special risks, and health risks
b.5 parts: flammability, reactivity, special and health risks, and infectivity
c.3 parts: flammability, reactivity, and health risks
d.2 parts: explosion risk and infection risk

Question 15

After a needlestick in the employees clinic, a lab technician
a.will immediately take you to the laboratory so you can reenact how it happened
b.will ask you for the lot number of the needle or other medical instrument that was involved in your injury
c.will start you on postexposure prophylaxis immediately
d.will take your history to determine whether you have any risk factors for HIV, hepatitis, or tetanus

Question 16

The best way to prevent blood exposure is to
a.wear gloves
b.be familiar with the safety equipment and use it
c.wear a buttoned lab coat that goes past your knees
d.use eye and face protection
e.all of the above

Question 17

What are the first three things in order that you should do if you get a needlestick?
a.squeeze out a drop of blood, wash your hands, and tell your supervisor
b.squeeze out a drop of blood, put bleach on your hand, and wash your hands
c.tell your supervisor, squeeze out a drop of blood, and wash your hands
d.wash your hands, squeeze out as much blood as possible, and tell your supervisor

Question 18

The rate of seroconversion to HIV after a needle stick is _____, and the rate after a mucous membrane exposure is _________.
a.10%, lower
b.10%, higher
c.0.3%, lower
d.0.5%, lower

Question 19

If you are female, and receive a needlestick you should be tested for the following in the clinic
a.antibody to hepatitis B surface antigen, HIV, hepatitis C, and tetanus
b.hepatitis B surface antigen, HIV, hepatitis C, and tetanus
c.antibody to hepatitis B surface antigen, HIV, and hepatitis C
d.hepatitis B surface antigen, HIV, and hepatitis C

Question 20

Source patients should be tested for the following
a.if they give their consent, HIV, hepatitis B, hepatitis C, AST/ALT, and alkaline phosphatase levels
b.if consent is not needed, HIV, hepatitis B, hepatitis C, AST/ALT, and alkaline phosphatase levels
c.if they give their consent, HIV, hepatitis B, hepatitis D, hepatitis C, AST/ALT, and alkaline phosphatase levels
d.if consent is not needed, HIV, hepatitis B, hepatitis D, hepatitis C, AST/ALT, and alkaline phosphatase levels

Question 21

What is the most common way for needlestick accidents to occur?
a.drawing blood from a child
b.drawing blood from a prisoner
c.recapping a needle
d.disposing of trash from a hospital laboratory

Question 22

What should the source patient be tested for after a needlestick if he or she agrees?
a.hepatitis A, B, C; HIV; AST/ALT; and alkaline phosphatase
b.hepatitis B and C, HIV, AST/ALT, and alkaline phosphatase
c.tetanus, hepatitis B and C, and AST/ALT
d.hepatitis B and C, HIV, and AST/ALT

Question 23

If a tube of blood breaks in the centrifuge, the policy is to
a.open the centrifuge immediately and clean it
b.wait 10 minutes and then open the centrifuge to clean it
c.wait 20 minutes and then open and clean it
d.wait 30 minutes and then open and clean it

Question 24

Which of the following is true regarding keeping food in a laboratory refrigerator?
a.The food has not yet been opened.
b.The food is in an airtight container.
c.The food is rinsed before eating.
d.The food should never be kept in a laboratory refrigerator.

Question 25

Which of the following would not be procedure under universal precaution guidelines?
a.cleaning up spills with 10% bleach
b.wearing a lab coat in all areas in the hospital
c.washing hands after but not before putting on gloves
d.none of the above would follow universal precaution guidelines

Question 26

OSHA requires that employers offer which of these vaccines to hospital employees who may be at risk for
a.hepatitis A
b.hepatitis B
c.hepatitis C
d.HIV

Question 27

What is an MSDS?
a.a document that contains the reactivity and toxicity information about a material
b.a document that contains the proper first aid in case of exposure to a chemical
c.a document that shows where the safety material in the lab is
d.all of the above
e.A and B