Infection Control (16%)
CPCT/A · 48 questions
- A hospitalized adult has new watery diarrhea and is on contact precautions for suspected Clostridioides difficile, needing vital signs and linen help. The room has gown, gloves, soap, and alcohol sanitizer available. Which CDC Standard plus Transmission-based Precautions and hand hygiene combination should the PCT/A apply during this assignment?
- A PCT enters a single room to check vitals on an adult with productive cough and suspected tuberculosis, with an N95 available, gloves, gown, and alcohol sanitizer at the doorway. The patient is coughing without a mask and the PCT just shook hands on greeting. Which infection prevention sequence meets CDC Standard plus airborne Transmission-based Precautions and hand hygiene?
- A patient with sudden watery diarrhea tests positive for Clostridioides difficile, shares a bathroom, needs a bedpan, and has soiled hands and linens. Gowns and gloves are required plus dedicated equipment. Which combined precaution and hand-hygiene action should the PCT apply to limit spread?
- A hospitalized adult has new watery diarrhea, a test ordered for Clostridioides difficile, shares a bathroom, and needs vital signs and linen change with the door closed and supplies stocked outside the room. The PCT has no open skin lesions but will have contact with stool and surrounding surfaces. Which precaution and hand hygiene combination should the PCT apply for this care?
- On a crowded medical unit with a new measles case, an influenza patient, and a wound infection, a technician must move between rooms with shared equipment. Hands are visibly clean between tasks and alcohol sanitizer and sinks are available. Which CDC Standard and Transmission-based Precautions and hand hygiene plan should the technician follow for these assignments?
- In a 24-bed medical unit, a technician must care for a patient with draining MRSA wound infection and another with suspected influenza cough, with alcohol sanitizer, gowns, gloves, masks, and eye protection available. Turnover is rapid and hand sinks are nearby. Which combined use of CDC Standard and Transmission-based Precautions and hand hygiene is correct?
- A PCT/A finishes vital signs for a patient on airborne plus contact precautions in a negative-pressure room and must exit without contaminating self or hallway. Gown, gloves, N95, and face shield were worn inside the room. Which donning-aware doffing sequence should the PCT/A use to remove PPE correctly after this combined-precautions care?
- A PCT prepares to enter the room of a patient with influenza-like illness requiring droplet plus contact precautions, has a gown, surgical mask, goggles, and gloves ready, has clean hands, and will provide close bedside care and remove a soiled gown afterward. Which donning and doffing sequence should the PCT follow to maintain protection and prevent self-contamination?
- A PCT prepares to check vital signs on an isolation patient with influenza, has a gown, gloves, surgical mask, and goggles ready, and must later remove them without self-contamination before hand hygiene. Which correct donning and doffing sequence should the PCT follow for PPE?
- A PCT prepares to leave an isolation room for Clostridioides difficile diarrhea after changing linens, wearing a gown and gloves with hand sanitizer and a sink nearby. Which donning-verified doffing and hygiene sequence correctly prevents self-contamination and spore spread?
- Outside an isolation room for a patient with profuse diarrhea and vomiting, a technician must enter to check vitals and then exit to handle clean linens. Gown, gloves, mask with goggles, and hand sanitizer are available at the doorway station. Which PPE donning and doffing sequence should the technician use for this contact-precaution entry?
- A patient care technician prepares to enter the room of an adult patient on contact and droplet precautions for influenza who needs vital signs. A gown, surgical mask, goggles, and gloves are available at the doorway with hand sanitizer. Which donning sequence should the technician follow to achieve correct PPE protection?
- A long-term care unit has new cases of MRSA wound infections and C. difficile diarrhea plus a recent CAUTI, and staff review hand hygiene, catheter care, and room cleaning. The PCT must explain prevention to a new aide. Which chain-of-infection explanation should the PCT give to address these common HAIs correctly?
- A long-term care resident with an indwelling urinary catheter develops fever and cloudy urine, a roommate carries MRSA in the nose, and a third resident has watery diarrhea later confirmed as C. difficile on a 60-resident wing with shared toilets. Which chain-of-infection explanation best guides your prevention priorities?
- A PCT is assigned to a patient with new watery diarrhea testing positive for C. difficile and a roommate with a urinary catheter and a healing MRSA wound. The PCT must check vital signs in both beds, empty the catheter bag, and tidy the shared bathroom. Which infection-control sequence best reflects the chain of infection and precautions for common HAIs such as CAUTI, MRSA, and C. difficile?
- A long-term care resident with an indwelling urinary catheter develops fever and burning urine, while the roommate on antibiotics develops watery diarrhea and the unit notes recent lapses in hand hygiene and shared equipment cleaning. Which chain-of-infection and HAI explanation should the PCT use for CAUTI and C. difficile prevention?
- A technician reviews a unit huddle on rising Clostridioides difficile cases where patients share bathrooms and staff move between rooms. The discussion covers reservoirs, portals, and transmission. Which chain-of-infection explanation should the technician use to guide C. difficile prevention?
- A nursing assistant cares for older adults on a unit with recent diarrhea illness and wound infections, handles bedpans, linens, and catheters, and must prevent spread between rooms. The nurse mentions C. difficile, MRSA, and CAUTI during huddle. Which infection prevention action best interrupts the chain of infection for common HAIs?
- You are cleaning a shared blood pressure cuff between patients on a busy medical-surgical unit. The disinfectant wipe label requires the surface to stay visibly wet for the full contact time and then air-dry, and the next patient is already waiting. Which disinfectant dry-time practice maintains effective infection prevention on shared equipment?
- You are assigned to clean shared glucometers and a blood pressure cuff between patients on a busy clinic afternoon, with manufacturer wipes available and the label stating a two-minute wet contact time. Turnover pressure is high and the next patient is waiting. Which disinfectant dry time practice should you follow to complete disinfection of this shared equipment?
- A PCT cleans a shared glucometer and blood pressure cuffs in a busy med-surg room after use. The facility policy requires EPA-registered wipes, visible wet contact, and air drying on a clean surface. Which disinfection technique should the PCT use to meet required disinfectant dry times?
- A busy hospital technician must reuse a glucometer, stethoscope, and blood pressure cuff between patients, has facility-approved disinfectant wipes, gloves, and a wall clock, and notices visible soil on the cuff. The manufacturer label requires surfaces to remain visibly wet for the stated contact time. Which equipment disinfection sequence should the technician follow to satisfy cleaning and disinfectant dry times?
- In a busy primary care office you must prepare a shared glucometer and a reusable blood pressure cuff between patients, and the disinfectant wipe label states a two-minute wet contact time followed by air drying. The schedule is behind and the next patient is already roomed. Which equipment disinfection technique correctly applies disinfectant contact and dry time for shared devices?
- In a long-term care facility you must clean a shared blood pressure cuff, pulse oximeter probe, and bedside table between residents. The disinfectant wipe label requires the surface to stay visibly wet for two minutes and air-dry. Which disinfection practice should the PCT follow to meet equipment disinfection and dry-time requirements?
- During morning rounds on a busy telemetry unit you change linens soiled with blood, replace a full sharps container from a bedside procedure, and notice an overfilled red bag bin with used gloves and gauze in the hallway. OSHA bloodborne pathogen rules and facility waste segregation guide your actions. Which biohazardous waste and sharps disposal sequence best meets OSHA segregation and handling requirements?
- A PCT finishes morning glucose checks and dressing changes for three medical patients in one room. The tray holds used lancets, bloodied gauze, an uncapped needle, and a full sharps box nearby. Which disposal action should the PCT take to meet OSHA biohazardous waste and sharps rules?
- A medical assistant in a clinic must dispose of a blood-filled gauze dressing, a used glucose lancet, and a cracked glass capillary tube after bedside testing, with red biohazard bags and puncture-resistant sharps containers nearby. Facility policy follows OSHA Bloodborne Pathogens disposal rules. Which OSHA-compliant disposal action should the technician take for the contaminated sharps and biohazard waste?
- After helping with wound care in a hospital room you have blood-soaked gauze, a used glucose lancet, and an overfilled sharps box with needles sticking out. Housekeeping is delayed and another PCT asks to recap the needle for safety. Which biohazardous waste and sharps disposal action should the PCT take per OSHA standards?
- After morning rounds on an isolation unit you have used needles, blood-soaked gauze, a cracked specimen tube, and an overfilled sharps box, with housekeeping waiting and a new admission arriving soon. Which OSHA-compliant biohazardous waste and sharps disposal action should you take to clear the room safely?
- After a bedside glucose check and venipuncture in a hospital room, you have a used lancet, a bloodied needle, saturated gauze, and an empty saline flush wrapper on the tray. The sharps container is half full and the biohazard bag is nearby, and housekeeping is waiting to enter. Which OSHA-compliant disposal separates biohazardous waste and sharps correctly?
- A patient care technician sustains a needlestick from a used venipuncture needle while recapping in a busy outpatient clinic, with visible blood on the glove and a small puncture that bleeds slightly. The exposure control plan is posted at the sharps station. Which post-exposure sequence should the technician follow to comply with the exposure control plan after occupational exposure?
- A PCT sustains a needlestick from a used venipuncture needle while recapping in a busy outpatient clinic, with visible blood on the finger and a source patient still present. The clinic has a written exposure control plan and sharps containers nearby. Which immediate response best follows the exposure control plan after this occupational exposure?
- A PCT sustains a needlestick from a used needle during bedside sharps disposal, has a small puncture with slight bleeding, and the source patient is still in the room. The facility has a written exposure control plan requiring immediate care and reporting. Which immediate response best follows the exposure control plan after occupational exposure?
- A patient care technician sustains a needlestick from a used needle during cleanup in a crowded emergency department, with visible blood on the glove and a small puncture. The source patient is present, sharps container is nearby, and the supervisor is on site. Which immediate response best follows the exposure control plan after occupational exposure?
- In the emergency department you sustain a needlestick from a used needle while clearing a tray, with a small puncture that bleeds slightly. The source patient is still in the room and the exposure control plan is posted at the nurses station. Which immediate sequence best follows the exposure control plan after occupational exposure?
- During morning rounds in a 40-bed hospital unit, you sustain a needlestick from a used needle while recapping, with blood splashing near your eye, and you are unsure of the source patient’s infection status. Which exposure control plan action should you take first after occupational exposure?
- In an outpatient clinic treatment room, you assist with a sterile dressing change on an adult patient's leg wound. The provider asks you to set up the sterile field on a cleaned overbed table while the patient is positioned and alert. Which sterile-field action best maintains aseptic and sterile technique during setup?
- A PCT/A prepares a small procedure tray in a clinic room for a sterile dressing change, with limited table space and a drape kit available. The field must stay sterile until the nurse arrives in 5 minutes. Which technique best establishes and maintains the sterile field?
- A PCT is asked to set up a sterile field on a small bedside table for a nurse dressing change, with limited space, a wandering roommate, and a need to leave the field briefly. The kit contains a drape, gauze, and solution. Which setup behavior maintains sterile field integrity during preparation?
- A PCT is asked to set up a sterile dressing tray in a small double room while the roommate watches television and the patient needs to cough. The outer wrap is intact and the tray will be used within minutes. Which sterile field setup and maintenance technique best preserves sterility until use?
- In an outpatient clinic procedure room, the nurse asks you to set up a sterile tray for a minor procedure, the wrapped kit is dry and intact with a future expiration date, and you must keep the field ready until the provider arrives. Which sterile field setup and maintenance action best preserves aseptic technique?
- A nurse asks the technician to open a sterile dressing tray for a bedside change in a small double room where a visitor is present, the trash bin is full, and the bedside table is cluttered. Which sterile field setup and maintenance approach preserves aseptic and sterile technique?
- In a fast-paced same-day surgery center, you receive bloodied forceps and scissors after a minor procedure. The central sterile department is down the hall, and the instruments must not be sterilized on the unit. Which preparation step best prepares soiled equipment for sterile processing and transport?
- After a bedside procedure in a long-term care facility, you collect reusable metal instruments visibly soiled with blood, the utility room is shared with clean storage, and sterilization is handled by central supply off-site. How should you prepare soiled equipment for sterile processing and pickup?
- After a wound care procedure on an isolation unit, a PCT/A gathers bloody forceps, scissors, and a kidney basin with dried blood, needing transport to sterile processing with limited water access. Which preparation best readies soiled equipment for sterile processing?
- After a dressing change, a PCT must handle bloody forceps and scissors for central processing while the next admission waits and the utility room is shared. Which preparation of soiled reusable equipment best protects staff and preserves instruments for sterile processing?
- After a bedside procedure in a clinic room, a PCT must handle bloody forceps and scissors with limited counter space before transport to sterile processing. Which preparation step readies soiled instruments for sterile processing without spreading contamination?
- After a bedside suture removal the technician must handle bloody forceps and scissors, a disposable drape soaked with blood, and a reusable kidney basin with clots for return to sterile processing. Which soiled-equipment preparation protects staff and preserves sterilization processing?