CNA Ch. 5 Review
True
Giving mouth care requires that NA's wear gloves (True or False)
Employee
Use provided personal protective equipment as indicated or as appropriate (Employee or Employer)
Airborne
Used to guard against TB and chickenpox (Airborne, Contact, or Droplet Precaution?)
Droplet
Used when microorganisms do not stay suspended in the air and travel only short distances (normally not more than three feet) (Airborne, Contact, or Droplet Precaution?)
Contact
Used when there is a risk of spreading or contracting a microorganism from touching an infected object or person (Airborne, Contact, or Droplet Precaution?)
Infection
Occurs when pathogens invade the body and multiply
False
Under Standard Precautions, body fluids do not include saliva (True or False)
Healthcare-associated infection
Infections acquired in healthcare settings during the delivery of medical care
False
Infections are less dangerous in the elderly than they are in younger people (True or False)
Employee
Follow all facility policies and procedures (Employee or Employer)
Employee
Follow resident care plans and assignments (Employee or Employer)
True
Following Standard Precautions means treating all blood, body fluids, non-intact skin, and mucous membranes as if they were infected (True or False)
True
Frequent handwashing can help prevent the spread of VRE (True or False)
False
Handwashing will not help control the spread of MRSA (True or False)
Contact
Helps prevent Clostridium difficile and bacterial conjunctivitis (Airborne, Contact, or Droplet Precaution?)
Airborne
Helps prevent the spread of illnesses transmitted through the air (Airborne, Contact, or Droplet Precaution?)
d. It weakens the immune system so that the body cannot fight infection
How does the human immunodeficiency virus (HIV) affect the body? a. It cuts off blood supply to the brain b. It causes inadequate nutritional intake by damaging the gastrointestinal system c. It causes diabetes in otherwise healthy people d. It weakens the immune system so that the body cannot fight infection
d. 20 sec
How long should a NA use friction when lathering and washing her hands? a. 2 min b. 5 sec c. 18 sec d. 20 sec
Airborne
May require the use of a special mask, such as an N95 or HEPA mask (Airborne, Contact, or Droplet Precaution?)
Infection Prevention
Measures practiced in healthcare facilities to prevent and control the spread of disease
True
Methicillin-resistant Staphylococcus aureus (MRSA) is almost always spread through direct physical contact (True or False)
Droplet
Microorganisms can be spread by coughing, sneezing, talking, laughing, or suctioning (Airborne, Contact, or Droplet Precaution?)
Mucous
Personal protective equipment (PPE) should be worn if there is a chance the NA could come into contact with (BLANK)
True
Proper handwashing and handling of contaminated wastes can help prevent Clostridium difficile (True or False)
Employer
Provide continuing in-service education on infection prevention (Employee or Employer)
Employer
Provide personal protective equipment for use and train how to use properly (Employee or Employer)
c. Cannot infect others
Someone with latent TB infection a. Shows symptoms b. Infects others within three feet c. Cannot infect others d. Infects others who have a compromised immune system
b. Wearing gloves if there is a possibility of coming into contact with blood, body fluids, mucous membranes, or broken skin
Standard Precautions include the following measures: a. Washing hands after taking off gloves but not before putting on gloves b. Wearing gloves if there is a possibility of coming into contact with blood, body fluids, mucous membranes, or broken skin c. Touching body fluids with bare hands d. Disposing of sharps in plastic bags
b. On every single person under a NA's care
Standard Precautions should be practiced a. Only on people who look like they have a blood borne disease b. On every single person under a NA's care c. Only on people who request that the NA follow them d. Only on people who have tuberculosis
Contact
Transmission can occur with skin-to-skin contact during transfers or bathing (Airborne, Contact, or Droplet Precaution?)
b. In addition to Standard Precautions
Transmission-Based Precautions are used a. With every resident under a NA care b. In addition to Standard Precautions c. Instead of Standard Precautions d. When a NA decides that they are appropriate for particular residents
b. An airborne disease
Tuberculosis is a. A bloodborne disease b. An airborne disease c. A non-infectious disease d. An untreatable disease
a. By coughing
Tuberculosis may be transmitted a. By coughing b. By dancing c. By wearing gloves d. Through a protective mask
True
VRE can cause life-threatening infections in people with weak immune systems (True or False)
False
Waste containing blood or body fluids should be disposed of in the residents trash can (True or False)
False
Waste that contains blood can be disposed of in the trash can (True or False)
b. Hep B
Employers must offer a free vaccine to protect NA's from a. HIV/AIDS b. Hep B c. Hep c d. All bloodborne diseases
Employer
Establish infection prevention procedures and exposure control plan (Employee or Employer)
Goggles
(BLANK) provide protection for the eyes
False
An NA should wash her hands before donning gloves (True or False)
Droplet
Helps protect against transmission of mumps (Airborne, Contact, or Droplet Precaution?)
Dirty
In healthcare, objects that have been contaminated with pathogens
Employer
Provide free hep B vaccinations (Employee or Employer)
Suseptible
A (BLANK) host is an uninfected person who could get sick
Reservoir
A (BLANK) is a place where a pathogen lives and grows
Causative Agent
A (BLANK) is the pathogenic microorganism that causes disease
Mask
A (BLANK) should be worn when caring for residents with respiratory illnesses
False
A NA should recap used syringes before putting then in a biohazard container (True or False)
False
A NA should use her hands to pick up large pieces of broken glass and use a broom and dustpan for smaller pieces (True or False)
d. Every time the NA touches something
A NA will come into contact with microorganisms a. Only in public areas of the facility b. Only by breathing close to infected residents c. Only when bathing a resident d. Every time the NA touches something
Pathogen
A harmful microorganism
False
A mask and protective goggles may need to be worn when emptying a bedpan (True or False)
Gown
A mask, gloves, goggles, face shield, and (BLANK) are all examples of PPE
Sterilization
A measure that destroys all microorganisms, including pathogens
a. Can infect others
A person with TB disease a. Can infect others b. Doesn't show symptoms c. Must eat a pureed diet d. Cannot infect others
Disinfection
A process that kills pathogens, but doesn't destroy all pathogens
Microorganism/Microbe
A tiny living thing that is only visible under a microscope
c. Personal protective equipment (PPE)
According to OSHA employers must give all employees, residents, and visitors (BLANK) to use when needed a. Syringe caps b. Manual Data Set (MDS) assessments c. Personal protective equipment (PPE) d. Medical charts
d. In addition to washing with soap and water
Alcohol-based hand rubs are used a. With water for max effectiveness b. When facilities have run out of antimicrobial soap c. To prevent dry and cracked skin d. In addition to washing with soap and water
False
An NA doesn't need to wear gloves to clean up a very small spill (True or False)
True
An absorbing powder may be used to absorb the spill before removing it (True or False)
Systematic Infection
An infection that is in the bloodstream and is spread throughout the body
Localized Infection
An infection that is limited to a specific location in the body
Portal of Exit
Any body opening on an infected person that allows pathogens to leave is a (BLANK)
False
Blood circulation is increased as a person ages (True or False)
a. Infected blood entering the bloodstream
Bloodborne diseases can be transmitted by a. Infected blood entering the bloodstream b. Hugging a person with a bloodborne disease c. Being in the same room as a person with a bloodborne disease d. Talking to a person with a bloodborne disease
False
Both hand sanitizes and washing hands with soap and water are considered equally effective when dealing with C diff
a. Hand washing with soap and water and using alcohol-based rubs
Centers for Disease Control and Prevention (CDC) defines hand hygiene as a. Hand washing with soap and water and using alcohol-based rubs b. Using only alcohol-based rubs when hands are visibly soiled c. Rinsing hands with water d. Not washing hands more than once per day
Droplet
Covering the nose and mouth with a tissue when a person sneezes or coughs and washing hands immediately after sneezing are parts of these precautions (Airborne, Contact, or Droplet Precaution?)
d. Equipment that is only used by one resident
Dedicated equipment refers to a. Equipment that is used by multiple residents b. Equipment donated to one resident by another resident and/or his family c. Equipment that is disposable d. Equipment that is only used by one resident
b. Carried away from the NA's uniform
Dirty linen should be a. Shaken to remove contaminants before taking it to the soiled linen room b. Carried away from the NA's uniform c. Bagged outside of the residents room d. Stored in the same area as clean linen
True
Disinfectant should be placed directly on the spilled fluid before absorbing and removing the fluid (True or False)
b. 1 time
How many times can disposable equipment be used before it needs to be discarded? a. 3 times b. 1 time c. 2 times if it is washed in between uses d. Indefinitely if it is sterilized
a. Dirty area is inside
How should dirty linen be rolled or folded? a. Dirty area is inside b. Clean area is inside c. Dirty area is on top d. Clean area is tucked underneath dirty area
d. Sharps should be placed in bio hazard containers
How should sharps such as needles by disposed of? a. Sharps should be placed in blue recycling containers b. Sharps should be placed in break room trash cans c. Sharps should be placed inside used gloves and then put in the outside trash receptacle d. Sharps should be placed in bio hazard containers
Employee
Immediately report any exposure to infection, blood, or body fluids (Employee or Employer)
a. Contact with infected blood or body fluids
In health care, the most common way to get a bloodborne disease is by a. Contact with infected blood or body fluids b. Sharing infected needles between residents c. Being in the same room as a resident with bloodborne disease d. Sexual contact with an infected resident
Clean
In healthcare, objects that have not been contaminated with pathogens
False
Increasing the use of antibiotics helps lower the risk of developing C. diff (True or False)
True
It is normal for a person's immune system to grow weaker as he or she ages (True or False)
True
Limited mobility increased the risk of pressure ulcers among the elderly (True or False)
True
MRSA can be spread through indirect contact by touching objects contaminated by a person with MRSA (True or False)
True
NA's play an important role in protecting elderly residents from infections (True or False)
False
Nutrition and fluid intake are not a factor in preventing infection (True or False)
False
Once vancomycin-resistant enterococcus (VRE) is established, it is relatively easy to get rid of it (True or False)
Disposable
Only to be used once and the discarded
Employee
Participate in continuing in-service education programs covering infection prevention (Employee or Employer)
Transmission
Pathogens travel from one person to another through a mode of (BLANK)
c. Who have weakened immune systems
TB disease is more likely to develop in people a. Who live near the mountains b. Whose relatives had it when they were kids c. Who have weakened immune systems d. Who work alone
Employee
Take advantage of the free hep B vaccination (Employee or Employer)
Portal of Entry
Th (BLANK) is any body opening on an infected person that allows pathogens to enter
a. Healthcare employers must have a written exposure control plan designed to eliminate or reduce employee exposure to infectious material
The Bloodborne Pathogens Standard is a law that requires that a. Healthcare employers must have a written exposure control plan designed to eliminate or reduce employee exposure to infectious material b. Healthcare employers must only accept residents who are healthy upon admission c. Healthcare employers must charge employees a discounted fee for hep B vaccinations d. Healthcare employers must disclose info about residents bloodborne diseases to the public
d. Hazards on the job
The Occupational Safety and Health Administration (OSHA) is a federal government agency that protects workers from a. Unfair employment practices b. Sexual harassment c. Workplace violence d. Hazards on the job
False
The elderly are less likely than younger people to have healthcare-associated-infections (True or False)
True
The elderly have a higher risk for infection than younger people (True or False)
a. Medications can no longer kill the specific bacteria
The word resistant in multidrug-resistant TB (MDR-TB) means that a. Medications can no longer kill the specific bacteria b. The infected person doesn't want to treat his or her disease c. Doctors don't know what causes the disease d. The infected person will die from the disease
1. Remove and discard gloves 2. Remove goggles or face shield 3. Remove and discard gown 4. Remove and discard mask 5. Wash hands
What is the correct order for doffing (removing) PPE?
1. Wash hands 2. Put on gown 3. Put on mask 4. Put on goggles or face shield 5. Put on gloves
What is the correct order for donning (putting on) PPE?
c. He or she has the same basic human needs
When a resident is in isolation a. He or she should be avoided until the time in isolation is completed b. NA will be unable to preform care for him or her c. He or she has the same basic human needs d. NA shouldn't practice Standard Precautions
a. NA is stuck by a needle
Which of the following does OSHA consider a significant exposure? a. NA is stuck by a needle b. Resident makes a compliant against an NA c. NA does not discard her PPE properly d. NA was recently diagnosed with cancer
c. They are practiced in addition to Standard Precautions
Which of the following is true of Transmission-Based Precautions? a. A NA doesn't need to practice Standard Precautions if he practices Transmission-Based Precautions b. They are exactly the same as Standard Precautions c. They are practiced in addition to Standard Precautions d. They are never practiced at the same time that Standard Precautions are used
c. HBV is can be transmitted through blood or needles that are contaminated with the virus
Which of the following is true of hepatitis B (HBV) a. There is no vaccine for HBV b. HBV is cause by jaundice c. HBV is can be transmitted through blood or needles that are contaminated with the virus d. HBV is caused by fecal-oral contamination
b. NA should remove PPE before exiting a residents room
Which of the following is true of wearing PPE while caring for residents in isolation? a. NA will have to decide for themselves which PPE they must wear while caring for residents in isolation b. NA should remove PPE before exiting a residents room c. NA will always wear the same PPE while caring for all residents in isolation d. NA should remove PPE after exiting a residents room
c. They harbor bacteria and increase risk of contamination
Why is it a bad idea for a NA to wear artificial nails to work? a. Residents may not like them b. They may be damaged during resident care c. They harbor bacteria and increase risk of contamination d. They may be damaged by frequent hand washing
c. To protect the employees health and the health of others
Why is it important for am employee to report any potential exposures immediately? a. So that the employee can be terminated to avoid infecting others b. To avoid any appearances of negligence on the part of the facility c. To protect the employees health and the health of others d. So that the employee can warn residents of possible epidemic
