Infection Prevention and Control Cic STUDY Group Infection Prevention and Control

Objectives Discuss isolation systems and antisepsis Review cleaning, disinfection and sterilization Explore key infection control principles for special populations Consider bioterrorism preparedness and disaster planning

QUESTION TWENTY-TWO Which of the following healthcare workers is at the LOWEST risk for occupational acquisition of syphilis? a. Housekeeping b. Laboratory technician c. Labor and delivery room nurses d. Emergency room nurses Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-TWO Which of the following healthcare workers is at the LOWEST risk for occupational acquisition of syphilis? a. Housekeeping b. Laboratory technician c. Labor and delivery room nurses d. Emergency room nurses Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-THREE When doing in-services on the nursing units about sterile supplies and instruments, what misconception is MOST likely to be heard from the nurses? a. If an indicator has turned black, the package of instruments has been sterilized. b. Glutaraldehyde should not be sued by someone who has not been trained to use it. c. A sterilizer can kill all the germs on dirty instruments. d. If an instrument package has not expired but has become moist, it should not be used. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-THREE When doing in-services on the nursing units about sterile supplies and instruments, what misconception is MOST likely to be heard from the nurses? a. If an indicator has turned black, the package of instruments has been sterilized. b. Glutaraldehyde should not be sued by someone who has not been trained to use it. c. A sterilizer can kill all the germs on dirty instruments. d. If an instrument package has not expired but has become moist, it should not be used. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-FOUR A nurse calls you about what articles of personal protection are needed when assisting a physician in draining a large abscess at the bedside. She will have to hold the patient to keep him from jerking during the procedure. You recommend the following articles: a. Gloves and face shield b. Gloves and gown c. Gown, gloves and mask d. Gown, gloves, and face shield Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-FOUR A nurse calls you about what articles of personal protection are needed when assisting a physician in draining a large abscess at the bedside. She will have to hold the patient to keep him from jerking during the procedure. You recommend the following articles: a. Gloves and face shield b. Gloves and gown c. Gown, gloves and mask d. Gown, gloves, and face shield Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-FIVE You have to review the procedures at an outpatient surgical center. Instruments that will come in contact with mucous membranes or non-intact skin require at least: a. Low-level disinfection b. Intermediate-level disinfection c. High-level disinfection d. Sterilization Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-FIVE You have to review the procedures at an outpatient surgical center. Instruments that will come in contact with mucous membranes or non-intact skin require at least: a. Low-level disinfection b. Intermediate-level disinfection c. High-level disinfection d. Sterilization Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-SIX At your infection Control Committee Meeting, the Director of the Central Sterile Processing Department reports on plans to change the chemical used for high0-livel disinfection of endoscopes. The chemical name is unfamiliar to you. Your first action after the meeting would be: a. Tell the Director that products cannot be changed until researched and approved by the Infection Control Committee. b. Go to the Internet to research the product. c. Go to the Director to get the product information they have related to FDA approval, processing time, etc. d. Find out the planned implementation time so you will have time to research the product then present it to the Products Committee. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-SIX At your infection Control Committee Meeting, the Director of the Central Sterile Processing Department reports on plans to change the chemical used for high0-livel disinfection of endoscopes. The chemical name is unfamiliar to you. Your first action after the meeting would be: a. Tell the Director that products cannot be changed until researched and approved by the Infection Control Committee. b. Go to the Internet to research the product. c. Go to the Director to get the product information they have related to FDA approval, processing time, etc. d. Find out the planned implementation time so you will have time to research the product then present it to the Products Committee. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-SEVEN When caring for patients receiving dialysis, their risk of infection is reduced by all of the following EXCEPT: a. Knowledgeable, well-trained staff b. Strict adherence to aseptic technique during all procedures c. Monitoring of patients following procedures for signs of infection d. Comprehensive baseline testing of all patients for immune system deficiencies before beginning procedures. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-SEVEN When caring for patients receiving dialysis, their risk of infection is reduced by all of the following EXCEPT: a. Knowledgeable, well-trained staff b. Strict adherence to aseptic technique during all procedures c. Monitoring of patients following procedures for signs of infection d. Comprehensive baseline testing of all patients for immune system deficiencies before beginning procedures. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-EIGHT The risk of an employee being exposed to blood or body fluids is higher when dealing with mental health patients for all the following reasons EXCEPT: a. When they are unlocked after being locked for a time period, they may lash out without warning. b. Mental illness manifestations may include aggressive or violent behaviors. c. Side effects of medications may produce vomiting or diarrhea. d. Mental illness patients may be sexually active while in the facility and spread sexually transmitted diseases. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-EIGHT The risk of an employee being exposed to blood or body fluids is higher when dealing with mental health patients for all the following reasons EXCEPT: a. When they are unlocked after being locked for a time period, they may lash out without warning. b. Mental illness manifestations may include aggressive or violent behaviors. c. Side effects of medications may produce vomiting or diarrhea. d. Mental illness patients may be sexually active while in the facility and spread sexually transmitted diseases. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-NINE Milieu infections may be monitored as an infection control surveillance in the behavioral health setting. These infections develop because: a. Invasive devices are used as frequently in the population as in normal acute care facilities. b. Patients may refuse antibiotics due to their mental status. c. Patients may leave the facility on passes or be involved in drug or sexual encounters. d. Medications may have adverse reactions in this population. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION TWENTY-NINE Milieu infections may be monitored as an infection control surveillance in the behavioral health setting. These infections develop because: a. Invasive devices are used as frequently in the population as in normal acute care facilities. b. Patients may refuse antibiotics due to their mental status. c. Patients may leave the facility on passes or be involved in drug or sexual encounters. d. Medications may have adverse reactions in this population. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY The involvement of an ICP during disaster preparation is: a. Not as important as Safety personnel until after the initial phase of the disaster. b. Very important in planning stages for bioterrorism disasters only. c. Important for all types of disaster during planning and preparation but not during actual response phase. d. Very important when developing the policies and procedures. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY The involvement of an ICP during disaster preparation is: a. Not as important as Safety personnel until after the initial phase of the disaster. b. Very important in planning stages for bioterrorism disasters only. c. Important for all types of disaster during planning and preparation but not during actual response phase. d. Very important when developing the policies and procedures. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-ONE Infection Control priorities in a disaster include all of the following EXCEPT: a. Drinking water for employees and victims. b. Sterilization of instruments and disinfection of equipment. c. Maintaining ability to prepare food for employees and victims. d. Obtaining medication from vendors not affected by disaster. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-ONE Infection Control priorities in a disaster include all of the following EXCEPT: a. Drinking water for employees and victims. b. Sterilization of instruments and disinfection of equipment. c. Maintaining ability to prepare food for employees and victims. d. Obtaining medication from vendors not affected by disaster. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-TWO During a potential bioterrorism event, the role of the ICP would place him/her in the: a. Laboratory b. Safety Office c. Command Central d. Emergency Room Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-TWO During a potential bioterrorism event, the role of the ICP would place him/her in the: a. Laboratory b. Safety Office c. Command Central d. Emergency Room Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-THREE What type of precautions should be used for patients with suspected pneumonic plague? a. Surgical mask worn when within 3 feet of the patient, door may be open. b. Negative pressure isolation room with use of N95 mask. c. Normal ventilation, but door must remain closed and N95 mask worn. d. No mask required, but patient must be in a private room and contacts should be treated for exposure. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-THREE What type of precautions should be used for patients with suspected pneumonic plague? a. Surgical mask worn when within 3 feet of the patient, door may be open. b. Negative pressure isolation room with use of N95 mask. c. Normal ventilation, but door must remain closed and N95 mask worn. d. No mask required, but patient must be in a private room and contacts should be treated for exposure. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-FOUR You have just been hired as the Infection Control Officer at a large Adolescent Behavioral Health Center. There is not IC Program in place currently. Which of the following should you perform FIRST: a. Write infection definitions and a surveillance plan. b. Set up an Infection Control Committee. c. Perform an Infection Risk Assessment of the facility. d. Determine your job description and reporting structure. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-FOUR You have just been hired as the Infection Control Officer at a large Adolescent Behavioral Health Center. There is not IC Program in place currently. Which of the following should you perform FIRST: a. Write infection definitions and a surveillance plan. b. Set up an Infection Control Committee. c. Perform an Infection Risk Assessment of the facility. d. Determine your job description and reporting structure. Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-FIVE One of the biggest concerns in a Correctional Facility is associated with ventilation. The disease which is monitored very closely due to this problem is: a. Tuberculosis b. Chickenpox c. RSV d. Meningitis Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

QUESTION THIRTY-FIVE One of the biggest concerns in a Correctional Facility is associated with ventilation. The disease which is monitored very closely due to this problem is: a. Tuberculosis b. Chickenpox c. RSV d. Meningitis Nutty, C. (2007). 2007 APIC Certification Study Guide. Washington, DC: Association for Professionals in Infection Control and Epidemiology, Inc., 196-291.

Good luck with your CIC STUDIES!