Test Bank Docx Cleanliness In Clinical Settings Chapter.4

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

Multiple Choice

1. Which of the following standards must be followed when performing wound care?
   1. Clean technique is used for all treatment procedures.
   2. Standard precautions dictate the use of only gown and gloves.
   3. Sterile technique is used for most procedures.
   4. Visual inspection is used to detect contamination.
2. Which of the following is true of Standard Precautions?
   1. They apply only in certain practice settings or environments.
   2. They are characterized by the use of gowns, gloves, and shoe coverings.
   3. They are designed only for pediatric and geriatric patients.
   4. They are to be used with anyone at risk for the presence of pathogens.
3. Which of the following is true regarding personal protective equipment (PPE)?
   1. When full PPE has been worn, gloves are usually the last item removed.
   2. Long-sleeved laboratory coats have been shown to be effective barriers to infection transmission.
   3. The order of doffing is not important, as long as all items are disposed of properly.
   4. Airborne Precautions require that the clinician wear a respirator when working with the patient.
4. What is the main source of transmission of methicillin-resistant Staphylococcus aureus (MRSA) to patients in a hospital?
   1. Family members and other hospital visitors
   2. Hospital equipment and instruments
   3. Hospital linens and bathroom surfaces
   4. The hands of healthcare workers
5. Infection transmitted through shared toys that have not been properly cleaned between uses is an example of which of the following?
   1. Airborne transmission
   2. Direct contact transmission
   3. Droplet transmission
   4. Indirect contact transmission
6. Which of the following PPE should be worn when treating a patient with influenza?
   1. Gloves, gown, N95 respirator mask
   2. Gloves, gown, mask with face shield
   3. Gloves, gown
   4. Gloves, mask with face shield
7. When is it advisable for the clinician to use hand washing rather than the application of a hand sanitizer?
   1. When the hand sanitizer has been used three to four times consecutively
   2. When organic material such as blood is visible
   3. When the patient has MRSA infection
   4. When the patient is in the coronary care unit
8. Which of the following represents bad practice in hand washing?
   1. Drying hands thoroughly, because doing so facilitates skin cracking
   2. Turning the handle of the water off with a clean hand
   3. Washing between fingers as well as on top of the hands
   4. Washing for a total of 45 seconds
9. A clinician was out sick with a cold last week and still has an intermittent cough. Which of the following is acceptable practice for the clinician while walking through the hospital between patient treatment sessions?
   1. Coughing into one’s sleeve or elbow if a tissue isn’t available
   2. If a tissue is available, coughing into it and placing it in the laboratory coat pocket
   3. Maintaining a distance of 2 feet from others
   4. Donning a clean gown for each patient encounter
10. During which of the following situations would the wearing of gloves be MOST appropriate?
    1. You are cleaning the therapy treatment area at the end of the day in your inpatient rehabilitation unit.
    2. You are opening packages of clean linens to place in the covered linen storage shelves.
    3. You are educating the patient’s family on fall risks.
    4. You have an open wound on your forearm where your kitten scratched you.
11. While working in the acute care setting, a therapist is transferring a patient with Staphylococcus aureus in his sputum to the bedside chair. The patient has several small skin tears and is coughing intermittently. Which of the following PPE is most appropriate for this situation?
    1. Gloves and mask
    2. Gloves only
    3. Gown and gloves
    4. Gown, gloves, and mask
12. When working in a busy outpatient pediatric clinic, which toys would be MOST appropriate to use?
    1. Large balls and other items that are cleaned at least once monthly
    2. Large crayons that are wiped down at the end of each day
    3. Small, hand-sized stuffed toys that the child can easily manipulate
    4. Small toys that can be placed in the dishwasher after each use
13. After completing wound care with a patient in the hospital room, there are two cloth towels with visible wound drainage. What is the MOST appropriate way to dispose of the towels?
    1. Place them in the linen drop at the end of the hall.
    2. Place them in bags designated for disposal of biohazardous linens.
    3. Place them on the floor in the bathroom so the cleaning team can get them.
    4. Place them in the trash in the patient’s room.
14. Which option BEST describes how you would use PPE when working with a patient on the oncology unit of a hospital?
    1. Gown and gloves are removed before leaving the patient’s room.
    2. Gown and mask are removed after you leave the patient’s room.
    3. Gloves and mask are donned after you are inside the room.
    4. Gown and gloves are donned after you are inside the room.
15. Which of the following pathogens is generally spread by airborne transmission?
    1. Cytomegalovirus
    2. MRSA
    3. Rubeola (measles)
    4. Vancomycin-resistant enterococci
16. Which of the following is true regarding enteric precautions?
    1. They are a form of droplet precautions.
    2. They require hand washing rather than hand hygiene with sanitizer.
    3. The clinician must wear a respirator when working with the patient.
    4. They are intended primarily to protect immunocompromised patients.
17. After treating a patient on contact precautions, what should be done at the conclusion of the treatment?
    1. Leave the patient’s room with the gloves on and go to the nearest sink to remove the gloves and perform hand washing.
    2. Remove the gloves in the patient’s room and go directly to the closest sink outside the room to perform hand washing.
    3. Remove the gloves by pulling one off with a gloved hand and then gently pulling off the other glove by the fingertips.
    4. 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.
18. Which of the following describes a “clean” environment appropriate for cleansing a wound?
    1. A cleared surface that is at least 10 feet away from other objects
    2. A surface covered with a clean towel or a clean, disposable paper sheet
    3. A cleared surface that has been wiped with a bleach solution
    4. A cleared area immediately adjacent to the wound care supplies
19. Which of the following statements BEST describes practice in a sterile field?
    1. A roll of sterile tape to be used to secure dressings is placed on the work surface.
    2. Sterile gloves are used to set up the sterile field.
    3. The dressing packages are placed unopened on the sterile work surface.
    4. The sterile instruments are dropped from the containers onto the work surface.