Infection Control Practices Chapter 35 Complete Test Bank

1.

 Which numbered item in the diagram is the first step in wrapping instruments for sterilization?  
 

2.

 Which numbered item in the diagram is the second step in wrapping instruments for sterilization?  
 

3.

 Which numbered item in the diagram is the third step in wrapping instruments for sterilization?  
 

4.

 Which numbered item in the diagram is the fourth step in wrapping instruments for sterilization?  
 

5.

 Which numbered item in the diagram is the fifth step in wrapping instruments for sterilization?  
 

6.

 Which numbered items in the diagram are the sixth and seventh steps in wrapping instruments for sterilization?  
 

7.

 In this diagram, which of the following indicates the correct sequence for wrapping instruments for sterilization?  
 

8.

The common health-associated infection seen in an outpatient setting, called MRSA, is caused by which type of bacteria?  
 

9.

A common health-associated infection seen in an outpatient setting that is caused by a specific type of staph bacterium and results in skin infections that can develop into large abscesses is _______.  
 

10.

The CDC recommends that catheters be used for the least possible amount of time due to which type of infection?  
 

11.

Which type of infection is caused by the entry of infectious microorganisms into the bloodstream by way of a central line?  
 

12.

A clean technique that is based on maintaining cleanliness and preventing the spread of microorganisms in the medical environment is known as which of the following?  
 

13.

Which of the following is a physical aspect of the medical office that contributes to asepsis?  
 

14.

The goal of surgical asepsis in the medical facility is to ____.  
 

15.

The goal of medical asepsis in the medical facility is to ____.  
 

16.

What is the proper placement order when multiple PPEs are needed for the protection of the healthcare worker?  
 

17.

Employers are required by law to supply _______ at no charge to their employees.  
 

18.

Due to several large outbreaks of hepatitis B and C in outpatient settings, recommendations for safe injection practices were included as part of the Guideline for Isolation Precautions established by which of the following?  
 

19.

What is OSHA’s estimate of approximately how many needlestick injuries occur each year?  
 

20.

Influenza, measles, whooping cough, and meningitis are examples of infectious diseases that can be transmitted through which of the following?  
 

21.

If a patient is coughing uncontrollably and there is considerable spray, what PPE should the medical assistant put on before entering the examination room?  
 

22.

Which of the following equipment is categorized as a semi-critical item?  
 

23.

Which of the following equipment is categorized as a critical item?  
 

24.

Approximately what percent of patients will develop an infection at the surgical site?  
 

25.

What is the most common microorganism associated with a surgical site infection?  
 

26.

Classifications of SSIs are dependent on the _______ and extent of the surgical wound.  
 

27.

Which of the following is a process that is required for all instruments that penetrate the skin or that come in contact with normally sterile areas of the tissues and internal organs?  
 

28.

Which of the following is a necessary step for the medical assistant to take when sterilizing instruments using an autoclave?  
 

29.

Which of the following instruments and equipment must be sterilized before use?  
 

30.

The primary method for sterilizing instruments in the medical office is ____.  
 

31.

In which method of sterilization does moisture cause coagulation of proteins within microorganisms at a much lower temperature than is possible with dry heat?  
 

32.

Which of the following is the appropriate way to wrap instruments for sterilization?  
 

33.

As a general rule, double-layer fabric or paper-wrapped sterile packages have a maximum shelf life of ____.  
 

34.

Which of the following is a correct step in cleaning and preheating an autoclave?  
 

35.

Which of the following would cause the autoclave load to not sterilize properly?  
 

36.

Which of the following is a leading factor that would cause an incomplete sterilization of an autoclaved load?  
 

37.

Which of the following is an important step for the medical assistant to remember when running a load through the autoclave?  
 

38.

Part of the medical assistant’s responsibility is to run the autoclave to sterilize instruments, and once a week the MA should include a biological sterilization indicator with a load as a general quality control measure. Today, she notices that the biological indicator from yesterday’s load is positive. What does a positive result mean?  
 

39.

In general, what is the temperature range in degrees Fahrenheit that the autoclave must reach in order to sterilize a load of instruments?  
 

40.

Most autoclaves must reach a certain temperature and pressure to complete the sterilization process. If the temperature must reach 250° to 270°Fahrenheit, what must the pressure range be?  
 

41.

Which of the following is a disadvantage of using muslin to wrap instruments for sterilization?  
 

42.

Which of these diseases is reported to the National Notifiable Disease Surveillance System as required by the CDC?  
 

43.

When wrapping instruments for sterilization, what is the first step that should be taken?  
 

44.

When wrapping items for sterilization, what information must be on the label of the pack?  
 

45.

What is the proper way to wrap hinged instruments?  
 

46.

Any gear worn by a healthcare worker that guards against physical hazards is called ___ ____ ___ (PPE).  
 
________________________________________

47.

A clean technique that is based on maintaining cleanliness and preventing the spread of microorganisms in the medical environment is known as ______ ______.  
 
________________________________________

48.

When wrapping items to sterilize in an autoclave, all hinged instruments should be placed in the ____ position.  
 
________________________________________

49.

Instruments that are wrapped together as a sterile pack should be wrapped _______ so that the steam can reach the instruments inside.  
 
________________________________________

50.

All packs wrapped with muslin must be _______ wrapped.  
 
________________________________________

51.

Any procedure that requires entry into a body cavity or cutting into skin or mucous membranes is called a(n) ________ procedure.  
 
________________________________________

52.

A catheter placed in a large vein, usually the neck, chest, or groin, that is used to administer fluids or medications is a(n) ________.  
 
________________________________________

53.

An infection acquired by a patient in a healthcare facility is known as a(n) ________ infection.  
 
________________________________________

54.

According to the _______ _______ Organization (WHO), a safe injection does not cause injury to the patient, expose the provider to an avoidable risk, or create dangerous environmental waste.  
 
________________________________________

55.

Needlestick injuries are completely preventable if the medical assistant follows OSHA and _____ guidelines.  
 
________________________________________

56.

Self-sheathing needles, retractable needles, and self-blunting needles are examples of __________ devices.  
 
________________________________________

57.

Injection, phlebotomy, and winged steel needles are available with _____ _____ features that will keep the user’s hands behind the needle tip.  
 
________________________________________

58.

The simple and effective commonsense approach to defending yourself and others against infectious agents spread by respiratory droplets such as a cough or sneeze is called respiratory _____/_____ ______.  
 
________________________________________

59.

Surfaces that have been contaminated by an infected patient should be thoroughly cleaned using an EPA-approved disinfectant of 1:10 ______ solution.  
 
________________________________________

60.

Equipment that only comes in contact with intact skin and requires low-level disinfection is categorized as a(n) ________ item.  
 
________________________________________

61.

Equipment that comes in contact with mucous membranes and non-intact skin and requires high-level disinfection is categorized as a(n) ____ item.  
 
________________________________________

62.

An item that enters sterile tissue, body cavities, veins, and arteries and must be sterilized prior to use is categorized as a(n) _______ item.  
 
________________________________________

63.

The medical assistant can help the patient avoid infections before and after surgery by giving her ______ instructions about what she should do before and after the surgical procedure.  
 
________________________________________

64.

Most surgical site infections are _______, which means they are caused by microorganisms found on the skin or in the body of the patient.  
 
________________________________________

65.

Microorganisms brought into the surgical site by medical instruments or equipment are called ________.  
 
________________________________________

66.

The SSI classification that involves only the skin and subcutaneous tissues is called ________ incisional.  
 
________________________________________

67.

The SSI classification that involves tissues such as fascia and muscle is called _____ _____.   
 
________________________________________

68.

The SSI classification that includes organs and cavities but excludes skin, fascia, and muscle is called___/_____.  
 
________________________________________

69.

Adherence to ____ guidelines, careful sterile technique during office procedures, and comprehensive patient education are keys to preventing SSIs in the medical office.  
 
________________________________________

70.

Timing for items to be sterilized in an autoclave should not be started until the unit has reached the proper _____.  
 
________________________________________

71.

If the autoclave does not reach the proper temperature or the temperature is too low, the steam will contain too much ________ and the drying cycle will be insufficient.  
 
________________________________________

72.

The four leading factors that cause incomplete sterilization include incorrect timing, insufficient temperature, overcrowding of packs, and ___________.  
 
________________________________________

73.

The primary method for sterilizing instruments and equipment in the medical office is a(n) ______, which is a device that forces the temperature of steam above the boiling point of water.  
 
________________________________________

74.

A special strip or tag that confirms that the items in an autoclave have been exposed to the correct volume of steam at the correct temperature for the correct length of time is a sterilization ________.  
 
________________________________________

75.

The ________ process is required for all instruments or supplies that will penetrate a patient’s skin or come in contact with any other normally sterile areas of the body.  
 
________________________________________

76.

Prepare sanitized and disinfected instruments and equipment for loading into the ________ by wrapping them in muslin, special porous paper, plastic bags, or envelopes and labeling each pack.  
 
________________________________________

77.

_________ or cold sterilization is used on instruments and equipment that are sensitive to heat.  
 
________________________________________

78.

An endoscope must be sterilized using chemical or _____ sterilization, which uses liquids to eliminate microorganisms.  
 
________________________________________

79.

When reporting a _________ disease, you must fill out the correct form and disease identification number from the health department.  
 
________________________________________

80.

The goal of _____ ______ is to keep organisms from entering the body.  
 
________________________________________

81.

Medical asepsis in the medical office includes keeping the room temperature at approximately ___ Fahrenheit.  
 
________________________________________

82.

Posters published by the ______ should be placed in patient reception areas as a reminder to use tissues and cover coughs to reduce the spread of infectious agents.  
 
________________________________________

83.

The cleaning process that is required for all instruments that penetrate the skin or that come in contact with normally sterile areas of the tissues and internal organs is ____.  
 

84.

Which of the following is necessary when sterilizing items using an autoclave?  
 

85.

Which instruments and equipment must be sterilized?  
 

86.

The primary method for sterilizing instruments is ____.  
 

87.

In which of the following methods of sterilization does moisture cause coagulation of proteins within microorganisms at a much lower temperature than is possible with dry heat?  
 

88.

The appropriate way to wrap instruments for sterilization in the autoclave includes ____.  
 

89.

The maximum shelf life for a sterile pack is ____.  
 

90.

What is the correct way to clean and preheat the autoclave?  
 

91.

Which of the following would render an autoclaved load unsterile?  
 

92.

Which of the following would cause incomplete sterilization of an autoclaved load?  
 

93.

Which of the following is important when running a load through the autoclave?  
 

94.

Which numbered item in the diagram is the first step in wrapping instruments for sterilization?  
 

95.

Which numbered item in the diagram is the second step in wrapping instruments for sterilization?  
 

96.

Which numbered item in the diagram is the third step in wrapping instruments for sterilization?  
 

97.

Which numbered item in the diagram is the fourth step in wrapping instruments for sterilization?  
 

98.

Which numbered item in the diagram is the fifth step in wrapping instruments for sterilization?  
 

99.

Which numbered items in the diagram are the sixth and seventh steps in wrapping instruments for sterilization?  
 

100.

In this diagram, which of the following indicates the correct sequence for wrapping instruments for sterilization?  
 

101.

Part of Josie's responsibility as a medical assistant is to run the autoclave as needed to sterilize instruments. Once a week, she includes a biological sterilization indicator with a load as a general quality control measure. Today, she notices that the biological indicator from yesterday's load is positive. What does this result mean?  
 

102.

The primary method for sterilizing instruments and equipment is the use of pressurized steam in a(n) ________, which is a device that forces the temperature of steam above the boiling point of water.  
 
________________________________________

103.

A tag that confirms that the items in an autoclave have been exposed to the correct volume of steam at the correct temperature for the correct length of time is the sterilization ________.  
 
________________________________________

104.

________ is required for all instruments or supplies that will penetrate a patient's skin or come in contact with any other normally sterile areas of the body.  
 
________________________________________

105.

You should prepare sanitized and disinfected instruments and equipment for loading into the ________ by wrapping them in muslin, special porous paper, plastic bags, or envelopes and labeling each pack.  
 
________________________________________

106.

A physical aspect of the medical office that contributes to asepsis is ____.  
 

107.

The goal of surgical asepsis is to ____.  
 

108.

Which of the following is not part of the respiratory hygiene recommendations established by the CDC?  
 

109.

Which of the following items is not needed to fill out a communicable disease report form?  
 

110.

Which of the following diseases must be reported to the National Notifiable Disease Surveillance System of the CDC?  
 

111.

Which of the following diseases does not have to be reported to the National Notifiable Disease Surveillance System of the CDC?  
 

112.

An infection acquired by a patient in a healthcare facility is known as a(n) ________ infection.  
 
________________________________________