Chapter 3 Safety And Infection Control Exam Prep Strasinger

Chapter 3: Safety and Infection Control

Multiple Choice

1. To complete the chain of infection, all of the following are required except a:

A. source.

B. contaminated surface.

C. mode of transmission.

D. host.

2. An infection contracted by a patient while in the hospital is termed:

A. antibiotic resistant.

B. staphylococcal.

C. healthcare-associated infection.

D. biological hazard.

3. Transmission-based precaution isolation categories include all of the following except:

A. blood and body fluids.

B. contact.

C. airborne.

D. droplet.

4. Personal protective equipment (PPE) should be removed:

A. before leaving an isolation room.

B. without touching the outside of the PPE.

C. before double-bagging the specimen.

D. without touching the inside of the PPE.

5. A patient with tuberculosis would be placed in:

A. protective isolation.

B. body fluid isolation.

C. droplet isolation.

D. airborne isolation.

6. Specimens collected from patients in contact isolation should be:

A. collected in duplicate.

B. double-bagged.

C. delivered to microbiology.

D. collected wearing sterile gloves.

7. The recommended disinfectant for blood and body fluid contamination is:

A. sodium hydroxide.

B. antimicrobial soap.

C. hydrogen peroxide.

D. sodium hypochlorite.

8. An employer who fails to provide sufficient personal protective equipment (PPE) for employees may be fined by the:

A. Occupational Safety and Health Administration (OSHA).

B. Centers for Disease Control and Prevention (CDC).

C. Clinical and Laboratory Standards Institute (CLSI).

D. Food and Drug Administration (FDA).

9. Antibody titers are performed on phlebotomists to detect immunity to all of the following except:

A. tetanus.

B. hepatitis B.

C. rubella.

D. chicken pox.

10. The term standard precautions refers to:

A. universal blood donors.

B. mixing organic chemicals under a hood.

C. wellness clinics available to everyone.

D. treating all specimens as infectious.

11. Biohazardous materials include all of the following except:

A. organic chemicals.

B. plasma.

C. wound cultures.

D. cerebrospinal fluid.

12. The first thing a phlebotomist should do when preparing to enter an isolation room is:

A. put on gloves.

B. read the isolation sign.

C. assemble the equipment.

D. check with the nursing station.

13. The purpose of protective isolation is to protect:

A. a compromised patient from infection.

B. the phlebotomist after a needlestick.

C. the patient from family conflicts.

D. the phlebotomist from infection.

14. Proper handwashing includes all of the following except:

A. rubbing to create a lather.

B. using warm water.

C. rinsing hands in a downward position.

D. using a paper towel to turn the water on.

15. The document designed to protect phlebotomists from contacting hepatitis is the:

A. Safety Data Sheets.

B. Chemical Hygiene Plan.

C. procedure manual.

D. Bloodborne Pathogen Exposure Control Plan.

16. A phlebotomist draws an outpatient without wearing gloves. The outpatient displays a badge and cites the laboratory for not following the law. The outpatient is an employee of the:

A. Centers for Disease Control and Prevention (CDC).

B. National Fire Protection Association (NFPA).

C. Occupational Safety and Health Administration (OSHA).

D. The Joint Commission (TJC).

17. In addition to changing gloves between every patient, phlebotomists should also:

A. change their laboratory coats.

B. disinfect the phlebotomy tray.

C. double-bag the specimens.

D. sanitize their hands.

18. Personal protective equipment (PPE) should be put on in the following order:

A. gloves, gown, and mask.

B. mask, gloves, and gown.

C. gown, mask, and gloves.

D. gloves, mask, and gown.

19. A phlebotomist who observes a rash on the hands when gloves are removed:

A. should avoid washing hands in warm water.

B. may have developed a latex allergy.

C. should report this to a supervisor.

D. both B and C.

20. Phlebotomists may easily encounter a chemical hazard in the laboratory when:

A. passing through the chemistry department.

B. preparing 24-hour urine specimen containers that require a preservative.

C. plugging microhematocrit tubes drawn by fingerstick.

D. drawing blood from a patient in the oncology unit.

21. The type of isolation category that always requires a gown to be worn is:

A. contact.

B. airborne.

C. blood and body fluid.

D. droplet.

22. In which isolation category should a phlebotomist remove personal protective equipment (PPE) after leaving the patient’s room?

A. Contact.

B. Protective.

C. Droplet.

D. Blood and body fluid.

23. Centrifuging an uncapped specimen may produce a biologic hazard in the form of:

A. vectors.

B. sharps contamination.

C. aerosols.

D. specimen contamination.

24. Which is not a criteria for protective gowns?

A. They must be made of cotton.

B. They must cover the entire body.

C. They must have long sleeves.

D. They must have tightly fitting cuffs.

25. Phlebotomists must be provided with free immunization for:

A. hepatitis C.

B. hepatitis A.

C. hepatitis B.

D. HIV.

26. The Needlestick Safety and Prevention Act requires employers to:

A. allow phlebotomists to work flexible schedules.

B. involve phlebotomists in the selection of safety devices.

C. provide phlebotomists with plastic capillary tubes.

D. test phlebotomists annually for hepatitis B and HIV.

27. A phlebotomist who receives an accidental needlestick should immediately:

A. be given zidovudine.

B. receive an injection of hepatitis B immune globulin (HBIG).

C. notify a supervisor.

D. both B and C.

28. To comply with the current Bloodborne Pathogens Standard, phlebotomists must:

A. discard sharps only into containers attached to the wall.

B. activate the needle protection device before removing the needle from the holder.

C. decontaminate needle holders between each patient.

D. activate the needle protective device and discard the needle and the holder as one unit.

29. Following an accidental needlestick, the phlebotomist should be tested for all of the following except:

A. hepatitis B virus (HBV).

B. human immunodeficiency virus (HIV).

C. hepatitis A virus (HAV).

D. hepatitis C virus (HCV).

30. A phlebotomist who accidentally spills acid on his or her arm should immediately:

A. neutralize the acid with a base.

B. consult the Safety Data Sheets (SDS) for carcinogenic information.

C. hold the arm under running water for 15 minutes.

D. wrap the arm in gauze and go to the emergency department.

31. Before cleaning up a chemical spill, the phlebotomist should consult the:

A. Safety Data Sheets (SDS).

B. procedure manual.

C. laboratory director.

D. National Fire Protection Association (NFPA) manual.

32. A phlebotomist who is pregnant should not collect specimens from patients:

A. receiving chemotherapy.

B. receiving radiation therapy.

C. in labor and delivery.

D. in the nursery.

33. The code word PASS refers to:

A. storage of volatile chemicals.

B. operation of a fire extinguisher.

C. labeling of hazardous material.

D. the presence of radioactive material.

34. The system used by firefighters when a fire occurs in a laboratory is the:

A. Safety Data Sheets (SDS).

B. National Fire Protection Association (NFPA).

C. Rescue-alarm-contain-extinguish (RACE).

D. Pull-aim-squeeze-sweep (PASS).

35. A class ABC fire extinguisher contains:

A. water.

B. acid.

C. sand.

D. dry chemicals.

36. The first thing to do when encountering a fire is to:

A. sound the fire alarm.

B. use the fire extinguisher.

C. evacuate the area.

D. remove anyone in danger.

37. In the chain of infection, a fomite represents which of the following?

A. An infection almost ready to jump to a new host.

B. A mite or other arthropod.

C. Equipment and other objects soiled with blood or body fluids.

D. A patient identified as having a particular infection.

38. The majority of healthcare-associated infections, or those acquired in a health-care setting, are caused by which of the following?

A. Personnel not following established infection-control procedures.

B. Blood transfusions carrying hepatitis.

C. Contaminated surgical instruments.

D. Radiation from radiology procedures.

39. Why is knowledge of the chain of infection important as a phlebotomist?

A. To protect from exposure to a pathogen.

B. To ensure test results are accurate.

C. To prevent errors in technique.

D. To enable proper selection of venipuncture equipment.

40. A place where an infectious agent can live and multiply is called the:

A. vector.

B. droplet.

C. pathogen.

D. reservoir.

41. All of the following are infectious agents except:

A. fungi.

B. rashes.

C. viruses.

D. bacteria.

42. Which of the following is true about healthcare-associated infections?

A. The term refers only to infections acquired by a patient as a result of being an inpatient.

B. The Health and Human Services Agency monitors and analyzes infection control in the health-care setting.

C. The majority of the reasons they occur is health-care personnel are not following infection-control practices.

D. Most of the infections can be treated with antiviral medications.

43. Combustible metal

44. Paper

45. Organic chemicals

46. Electrical

KEY: Topic: Fire hazards

DIF: Level 1

Learning Objective: 3.17

KEY: Topic: Fire hazards

DIF: Level 1

Learning Objective: 3.17

Short Answers

47. Explain the purpose of the Globally Harmonized System (GHS) labeling system.

48. List precautions observed by phlebotomists to avoid physical hazards.

49. Describe the six components of the chain of infection and provide a way to break each segment of the chain.