Ch 35 Infection Control Practices

What is the correct way to clean and preheat the autoclave? A. Fill the water reservoir with tap water B. Check the discharge lines and valves for obstruction C. Overheat the chamber to warm it D. Clean the autoclave after several uses E. Load cold instruments into an overheated chamber

Check the discharge lines and valves for obstruction

Which of the following is a disadvantage of using muslin to wrap instruments for sterilization? A. It is more susceptible to contamination B. It is hard to handle C. It is too bulky D. It stays wet too long E. It comes unwrapped more easily

It is more susceptible to contamination

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 _______. A. strep B. MRSA C. Clostridium D. CLABSI E. CAUTI

MRSA

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? A. Sanitation B. Sterilization C. Medical asepsis D. Surgical asepsis E. Disinfection

Medical asepsis

What is the proper way to wrap hinged instruments? A. Placed in the open position B. Wrapped in gauze C. Placed in a pile one on top of the other D. Single wrapped E. Using porous paper only

Placed in the open position

Which of the following is the appropriate way to wrap instruments for sterilization? A. Placing all instruments together with surfaces touching B. Use only double-thickness muslin to wrap instruments C. Place all hinged instruments in the closed position D. Wrap each instrument in the fabric as loosely as possible E. Use plastic tape to close the pack

Use only double-thickness muslin to wrap instruments

Which of the following is a necessary step for the medical assistant to take when sterilizing instruments using an autoclave? A. Placing the instruments in the closed position B.Preheating the instruments before placing them in the unit C. Using distilled water in the unit D. Taking each instrument out of the unit by hand E. Drying the instruments with a towel after sterilization

Using distilled water in the unit

Which instruments and equipment must be sterilized? A. Vaginal specula and curettes B. Stethoscopes and tuning forks C. Endotracheal tubes D. Nasal specula E. Blood pressure cuffs

Vaginal specula and curettes

Which of the following instruments and equipment must be sterilized before use? A. Vaginal specula and curettes B. Stethoscopes and tuning forks C. Endotracheal tubes D. Nasal specula E. Blood pressure cuffs

Vaginal specula and curettes

When wrapping instruments for sterilization, what is the first step that should be taken? A. Place instruments in the center of the wrap B. Wash hands and don gloves C. Select type and size of wrapper D. Place an indicator in center of wrap E. Open all hinged instruments

Wash hands and don gloves

The goal of surgical asepsis in the medical facility is to ____. A. reduce the number of microorganisms in the office B. clean all surfaces daily to promote cleanliness C. educate patients about their role in healthcare D. prevent microorganisms from spreading through the office E. keep organisms from entering the body

keep organisms from entering the body

Classifications of SSIs are dependent on the _______ and extent of the surgical wound. A. depth B. width C. type D. location E. drainage

location

Employers are required by law to supply _______ at no charge to their employees. A. scrubs B. study shoes C. lab coats D. personal protective equipment E. insurance

personal protective equipment

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? A. 15 to 30 pounds of pressure B. 20 to 35 pounds of pressure C. 10 to 20 pounds of pressure D. 25 to 40 pounds of pressure E. 30 to 45 pounds of pressure

15 to 30 pounds of pressure

In general, what is the temperature range in degrees Fahrenheit that the autoclave must reach in order to sterilize a load of instruments? A. 120°-140° B. 160°-180° C. 220°-240° D. 250°-270° E. 280°-300°

250°-270°

Approximately what percent of patients will develop an infection at the surgical site? A. 2% B. 3% C. 4% D. 5% E. 6%

3%

As a general rule, double-layer fabric or paper-wrapped sterile packages have a maximum shelf life of ____. A. 30 days B. 60 days C. 90 days D. 1 year E. 2 years

30 days

The maximum shelf life for a sterile pack is ____. A. 30 days B. 60 days C. 90 days D. 1 year E. 2 years

30 days

What is OSHA's estimate of approximately how many needlestick injuries occur each year? A. 100,000 B. 300,000 C. 500,000 D. 700,000 E. 800,000

800,000

Which of the following would cause the autoclave load to not sterilize properly? A. Steam temperature of 212°F or 100°C B. Wrapping the instruments in muslin C. Air trapped inside the chamber because of blocked discharge lines D. Placing hinged instruments in the open position E. Refilling the reservoir with distilled water before operating

Air trapped inside the chamber because of blocked discharge lines

Which of the following would render an autoclaved load unsterile? A. Steam temperature of 212°F or 100°C B. Wrapping the instruments in muslin C. Air trapped inside the chamber because of blocked discharge lines D. Placing hinged instruments in the open position E. Refilling the water reservoir before operating

Air trapped inside the chamber because of blocked discharge lines

In which method of sterilization does moisture cause coagulation of proteins within microorganisms at a much lower temperature than is possible with dry heat? A. Microwave processing B. Gas processing C. Autoclaving D. Chemical processing E. Ultrasonic processing

Autoclaving

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? A. Microwave processing B. Gas processing C. Autoclaving D. Chemical processing E. Ultrasonic processing

Autoclaving

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? A. WHO B. OSHA C. CDC D. AMA E. HITECH

CDC

Which of the following is a correct step in cleaning and preheating an autoclave? A. Fill the water reservoir with tap water B. Check the discharge lines and valves for obstruction C. Overheat the chamber to warm it D. Clean the autoclave after several uses E. Load cold instruments into an overheated chamber

Check the discharge lines and valves for obstruction

When wrapping items for sterilization, what information must be on the label of the pack? A. Date and time B. Date and contents of pack C. Date, time, and contents of pack D. Date, your initials, and contents of pack E. Date, time, and your initials

Date, your initials, and contents of pack

Which of the following is a physical aspect of the medical office that contributes to asepsis? A. A dimly lit office with a temperature of 82°F B. A sign that eating and drinking are permitted in the waiting room only C. Designating a section of the reception room for sick patients D. Allowing the trash cans to become full before emptying E. Providing pens for patients to sign in so they don't use their own

Designating a section of the reception room for sick patients

Which of the following is an important step for the medical assistant to remember when running a load through the autoclave? A. If the load contains both wrapped packs and individual instruments, place the instruments above the wrapped packs. B. After the steam cycle and before the drying cycle, open the door to the autoclave 1 inch. C. Do not unload any packs or instruments with wet wrappings. D. Place each item immediately in a cold location when unloading. E. Do not touch the outside of the wrapped packs.

Do not unload any packs or instruments with wet wrappings.

Which of the following equipment is categorized as a semi-critical item? A. Blood pressure cuff B. Reflex hammer C. Endoscope D. Stethoscope E. Surgical instrument

Endoscope

If a patient is coughing uncontrollably and there is considerable spray, what PPE should the medical assistant put on before entering the examination room? A. Gloves and mask B. Mask and goggles C. Gloves, gown, goggles and mask D. Gown, mask, and face shield E. Gloves, mask, and face shield

Gloves, gown, goggles and mask

What is the proper placement order when multiple PPEs are needed for the protection of the healthcare worker? A. Face mask, gloves, and gown B. Gown, face mask, and gloves C. Gown, gloves, and face mask D. Face mask, gown, and gloves E. Gloves, gown, and face mask

Gown, face mask, and gloves

Which of these diseases is reported to the National Notifiable Disease Surveillance System as required by the CDC? A. Chickenpox B. Yeast infection C. Stomach ulcer D. Rubella E. Endometriosis

Rubella

What is the most common microorganism associated with a surgical site infection? A. Streptococcus B. Staphylococcus C. Clostridium D. CLABSI E. CAUTI

Staphylococcus

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? A. Sterilization B. Sanitization C. Purification D. Disinfection E. Ultrasonic cleaning

Sterilization

Which of the following equipment is categorized as a critical item? A. Blood pressure cuff B. Reflex hammer C. Endoscope D. Stethoscope E. Surgical instrument

Surgical instrument

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? A. The proper temperature was not reached B. The pressure in the autoclave was not high enough C. There was not enough steam in the autoclave D. The water reservoir on the autoclave is running low E. The items in that load are not sterile

The items in that load are not sterile

The primary method for sterilizing instruments in the medical office is ____. A. chemical process B. autoclaving C. gas process D. dry heat process E. soaking in bleach

autoclaving

The primary method for sterilizing instruments is ____. A. chemical processes B. autoclaving C. gas processes D. dry heat processes E. washing with bleach

autoclaving

The CDC recommends that catheters be used for the least possible amount of time due to which type of infection? A. Strep B. Staph C. Clostridium D. CLABSI E. CAUTI

cauti

Which type of infection is caused by the entry of infectious microorganisms into the bloodstream by way of a central line? A. Strep B. Staph C. Clostridium D. CLABSI E. CAUTI

clabsi

The goal of medical asepsis in the medical facility is to ____. A. reduce the number of microorganisms in the medical environment after they leave the body B. sterilize all surfaces daily to promote cleanliness C. educate patients about their role in healthcare D. prevent microorganisms from spreading through the office E. keep organisms from entering the body

reduce the number of microorganisms in the medical environment after they leave the body

Influenza, measles, whooping cough, and meningitis are examples of infectious diseases that can be transmitted through which of the following? A. Respiratory droplets B. Casual touch C. Blood borne D. Sweat E. Sexual contact

respiratory droplets

The common health-associated infection seen in an outpatient setting, called MRSA, is caused by which type of bacteria? A. Strep B. Staph C. Clostridium D. CLABSI E. CAUTI

staph

Which of the following is a leading factor that would cause an incomplete sterilization of an autoclaved load? A. Temperature of 250° to 270°F B. 15 to 30 pounds of pressure in the chamber C. Steam temperature of 212°F D. Allowing the autoclave to cool before emptying E. Too short a time period

too short a time period

Which of the following is necessary when sterilizing items using an autoclave? A. Placing the instruments in the closed position B. Preheating the instruments before placing them in the unit C. Using distilled water in the unit D. Taking each instrument out of the unit by hand E. Drying the instruments with a towel after sterilization

using distilled water in the unit

The appropriate way to wrap instruments for sterilization in the autoclave includes ____. A. placing the instruments together with surfaces touching B. using double-thickness muslin to wrap instruments C. placing all hinged instruments in the closed position D. wrapping each instrument in the fabric as loosely as possible with the ends open E. using electrical tape to close the wrapping

using double-thickness muslin to wrap instruments