Infection Control: The New York Requirement

1. Which of the following categories of healthcare-associated infections (HAIs) does the Centers for
Medicare & 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
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.
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
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.
5. The greatest risk of morbidity and mortality is associated with infection with
A. Fungi.
B. Viruses.
C. Bacteria.
D. Parasites.
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.
7. Airborne Precautions should be used for a patient with
A. Pertussis.
B. Diphtheria.
C. Meningitis.
 D. Tuberculosis.
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.
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
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.
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.
12. According to Spaulding classification, a device that enters the vascular system is
A. Critical.
B. Noncritical.
C. Less critical.
D. Semicritical.
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.
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
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
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
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).
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 12th day through the 25th day after last exposure.
D. From the 4th day through the 28th day after last exposure, unless symptoms develop.
19. According to the New York Department of Health policy regarding HIV testing,
A. Rapid testing is not mandated for occupational exposures.
B. Specific informed consent for HIV testing is not required.
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.
20. In hospitalized adult patients, sepsis is primarily the result of infection with
A. Fungal organisms.
B. Gram-positive bacteria.
C. Gram-negative bacteria.
D. Group B streptococcus.