Ambulatory Care Test Infection Control and Prevention 2 — Questions and Answers
Question 1: Which vaccine is recommended annually for all ambulatory care healthcare personnel regardless of prior vaccination history?
- Hepatitis B
- Influenza (Correct answer)
- Varicella
- MMR
Correct answer: Influenza
Annual influenza vaccination is recommended for all healthcare personnel to protect both staff and vulnerable patients.
Question 2: When should a sharps container be replaced in an ambulatory care clinic?
- When completely full
- When three-quarters full (Correct answer)
- At the end of every shift
- Once per week
Correct answer: When three-quarters full
Sharps containers should be replaced when three-quarters full to prevent overfilling and needlestick injuries.
Question 3: A healthcare worker experiences a needlestick injury from a known HIV-positive patient. What is the first action to take?
- Report to occupational health immediately
- Wash the site thoroughly with soap and water (Correct answer)
- Apply a tourniquet above the injury
- Begin post-exposure prophylaxis (PEP) immediately
Correct answer: Wash the site thoroughly with soap and water
The immediate first step after a needlestick injury is to wash the site thoroughly with soap and water before reporting.
Question 4: Which isolation category requires placement of patients in separate rooms or cohorting with similar infections?
- Standard precautions
- Contact precautions (Correct answer)
- Droplet precautions
- Airborne precautions
Correct answer: Contact precautions
Contact precautions require private rooms or cohorting because pathogens like MRSA spread via direct or indirect contact.
Question 5: Which pathogen is most commonly associated with outbreaks in ambulatory endoscopy suites due to inadequate reprocessing?
- Staphylococcus aureus
- Pseudomonas aeruginosa
- Hepatitis C virus (Correct answer)
- Candida albicans
Correct answer: Hepatitis C virus
Hepatitis C virus outbreaks in endoscopy settings have been linked to inadequate reprocessing of scopes and unsafe injection practices.
Question 6: In an ambulatory care setting, what is the primary purpose of an infection control risk assessment (ICRA)?
- To track employee vaccination rates
- To identify and mitigate infection risks from construction or renovation (Correct answer)
- To audit hand hygiene compliance
- To evaluate antibiotic stewardship programs
Correct answer: To identify and mitigate infection risks from construction or renovation
An ICRA is conducted before construction or renovation to identify and control risks such as airborne fungal spores that could harm immunocompromised patients.
Which vaccine is recommended annually for all ambulatory care healthcare personnel regardless of prior vaccination history?