Deck 4: Keeping It Clean: Maintaining Cleanliness in the Clinical Environment

Question 1

You are doing a rotation in the wound care department of a large hospital. In setting up the treatment area, to which of the following standards must you adhere?

A) Clean technique is used for all treatment procedures.
B) Standard precautions dictate the use of only gown and gloves.
C) Sterile technique is used for most procedures.
D) Visual inspection is used to detect contamination.

Answer 1

A

Question 2

You are working in a large county hospital and have to see patients all over the facility. You had a summer cold last week and still have a bit of a cough. Which of the following would be acceptable practice as you walk through the hospital on your way to see your next patient?

A) Cough into your sleeve or elbow if you don't have a tissue.
B) If you have a tissue, cough into it and place it in your laboratory coat pocket.
C) Make sure that you maintain a distance of at least 2 ft between yourself and others.
D) Don a clean gown.

Answer 2

A

Question 3

You are working in a busy outpatient pediatric clinic. You have a new evaluation today, and you want to make sure that you have appropriate toys with which to engage the child. Which of the following would be most appropriate for use in this setting?

A) Large balls and other items that are cleaned at least once monthly
B) Large crayons that are wiped down at the end of each day
C) Small, hand-sized stuffed toys that the child can easily manipulate
D) Small toys that can be placed in the dishwasher after each use

Answer 3

D

Question 4

You are working at the hospital on the oncology floor, and you are going to see a patient who requires contact precautions. Which option best describes how you would use personal protective equipment?

A) Gown and gloves are removed before leaving the patient's room.
B) Gown and mask are removed after you leave the patient's room.
C) Gloves and mask are donned after you are inside the room.
D) Gown and gloves are donned after you are inside the room.

Question 5

You have just completed a treatment in a patient's room, during which you wore gloves. What should you do at the conclusion of the treatment?

A) Leave the patient's room with the gloves on and go to the nearest sink to remove the gloves and wash your hands.
B) Remove the gloves in the patient's room and go directly to the closest sink outside the room to wash your hands.
C) Remove the gloves by pulling one off with a gloved hand and then gently pulling off the other glove by the fingertips.
D) Remove the gloves by pulling one off with a gloved hand, and then slide the fingers of the exposed hand inside the other glove to remove it.

Question 6

Which of the following criteria is used to determine the extent of protection against infection used during patient interactions?

A) The profession of the clinician working with the patient
B) The type of facility in which the patient is being treated
C) The concern expressed by the patient and/or family members
D) The level of physical interaction between patient and clinician

Question 7

Which of the following pathogens is generally spread by airborne transmission?

A) Cytomegalovirus
B) Methicillin-resistant Staphylococcus aureus
C) Rubeola (measles)
D) Vancomycin-resistant enterococci

Question 8

Which of the following represents bad practice in hand washing?

A) Drying your hands thoroughly, because doing so facilitates skin cracking
B) Turning the handle of the water off with your clean hand
C) Washing between your fingers as well as on top of the hands
D) Washing for a total of 45 sec

Question 9

Which of the following is true of standard precautions?

A) They apply only in certain practice settings or environments.
B) They are characterized by the use of gowns, gloves, and shoe coverings.
C) They are designed only for pediatric and geriatric patients.
D) They are to be used with anyone at risk for the presence of pathogens.

Question 10

You are working on a surgical service in a large acute-care hospital. Your next patient has a history of methicillin-resistant Staphylococcus aureus in his sputum. You are going to help him to transfer to the bedside chair for a bath. You observe that he has several small skin tears and that he is coughing intermittently. Which of the following personal protective equipment is most appropriate for this situation?

A) Gloves and mask
B) Gloves only
C) Gown and gloves
D) Gown, gloves, and mask

Question 11

When is it advisable for the clinician to use hand washing rather than the application of a hand sanitizer?

A) When the hand sanitizer has been used three to four times consecutively
B) When organic material such as blood is visible
C) When the patient has methicillin-resistant Staphylococcus aureus infection
D) When the patient is in the coronary care unit

Question 12

Which of the following describes a "clean" environment appropriate for cleansing a wound?

A) A cleared surface that is at least 10 ft away from other objects
B) A surface covered with a clean towel or a clean, disposable paper sheet
C) A cleared surface that has been wiped with a bleach solution
D) A cleared area immediately adjacent to the wound care supplies

Question 13

Which of the following is an element of the infection process?

A) A means to leave the host
B) A mode of transmission
C) A moist environment
D) A source of nutrition

Question 14

What is the main source of transmission of methicillin-resistant Staphylococcus aureus to patients in a hospital?

A) Family members and other hospital visitors
B) Hospital equipment and instruments
C) Hospital linens and bathroom surfaces
D) The hands of health-care workers

Question 15

Which of the following is a step in typical donning and doffing of personal protective equipment?

A) The order of doffing is not important, as long as all items are disposed of properly.
B) Hand hygiene is performed before donning personal protective equipment and after doffing it.
C) In most cases when doffing personal protective equipment, the gloves are removed last.
D) When donning gown and gloves, the gloves are typically put on first.

Question 16

During which of the following situations would the wearing of gloves be most appropriate?

A) You are cleaning the therapy treatment area at the end of the day in your inpatient rehabilitation unit.
B) You are opening packages of clean linens to place in the covered linen storage shelves.
C) You are providing education for the patient and family.
D) You have an open wound on your forearm where your kitten scratched you.

Question 17

Infection transmitted through shared toys that have not been cleaned between uses is an example of

A) airborne transmission.
B) direct contact transmission.
C) droplet transmission.
D) indirect contact transmission.

Question 18

You have just finished performing wound care with a patient in his hospital room. You are cleaning up and have two cloth towels with wound drainage on them. How should you dispose of the towels?

A) Place them in the linen drop at the end of the hall.
B) Place them in bags designated for disposal of biohazardous linens.
C) Place them on the floor in the bathroom so the cleaning team can get them.
D) Place them in the trash in the patient's room.

Question 19

You are treating a patient on the bone marrow transplant unit. Which of the following would you be most likely to encounter during the treatment of this patient?

A) The patient has two small plants in the room when you enter.
B) The patient is placed in a private room with negative air pressure.
C) When you arrive to see the patient, you find her in the dining room eating lunch.
D) When you arrive at the patient's room, you find her returning from the radiology department wearing a mask.
Completion
Complete each statement.

Question 20

Which of the following statements best describes practice in a sterile field?

A) A roll of sterile tape to be used to secure dressings is placed on the work surface .
B) Sterile gloves are used to set up the sterile field.
C) The dressing packages are placed unopened on the sterile work surface.
D) The sterile instruments are dropped from the containers onto the work surface.

Question 21

Which health-care environments are particularly prone to incidents of increased health-care-associated infections? ____________________

Question 22

List two precautions that health-care facilities take to limit the spread of infection caused by visitors.

Question 23

Infections that are acquired in a hospital are called ________________infections.

Question 24

________________are infections acquired in any health-care setting.
Short Answer

Question 25

List three common patient responses to staying in isolation rooms while hospitalized.