AMCA Infection Prevention 3 — Questions and Answers
Question 1: Which hand hygiene product is most effective against Clostridium difficile (C. diff) spores?
- Alcohol-based hand rub
- Antibacterial soap and water
- Chlorhexidine gluconate foam
- Plain soap and water (Correct answer)
Correct answer: Plain soap and water
Soap and water with vigorous friction is required for C. difficile because alcohol-based hand rubs do not effectively remove or destroy its spores.
Question 2: What does the term 'sterilization' mean in infection control?
- Reduction of microorganisms to a safe level
- Elimination of all forms of microbial life, including spores (Correct answer)
- Removal of visible dirt and organic matter
- Killing of vegetative bacteria but not spores
Correct answer: Elimination of all forms of microbial life, including spores
Sterilization destroys all forms of microbial life, including highly resistant bacterial spores, which distinguishes it from disinfection and cleaning.
Question 3: A patient is placed on droplet precautions. What is the minimum distance at which a healthcare worker does NOT need to wear a surgical mask?
- 1 foot
- 2 feet
- 3 feet (Correct answer)
- 6 feet
Correct answer: 3 feet
Droplet precautions require a surgical mask when within 3 feet of the patient, as large respiratory droplets typically do not travel beyond that distance.
Question 4: Which of the following is an example of a reservoir in the chain of infection?
- A contaminated catheter
- A cough or sneeze
- A patient's broken skin
- A contaminated water supply (Correct answer)
Correct answer: A contaminated water supply
A reservoir is the habitat where the infectious agent lives and multiplies; a contaminated water supply is a classic environmental reservoir.
Question 5: Standard precautions apply to which patients?
- Only patients with known infectious diseases
- Only patients in intensive care units
- All patients regardless of diagnosis or infection status (Correct answer)
- Only patients who are immunocompromised
Correct answer: All patients regardless of diagnosis or infection status
Standard precautions apply to all patients in all healthcare settings regardless of their diagnosis or presumed infection status.
Question 6: Which intervention is MOST effective in preventing central line-associated bloodstream infections (CLABSIs)?
- Using prophylactic antibiotics routinely
- Performing daily assessment of line necessity and prompt removal (Correct answer)
- Changing the dressing every 24 hours
- Using a multilumen catheter whenever possible
Correct answer: Performing daily assessment of line necessity and prompt removal
Daily assessment of the necessity of a central line and prompt removal when no longer needed is the most effective strategy for preventing CLABSI.
Question 7: What does the acronym PPE stand for in infection control?
- Pathogen Prevention Equipment
- Personal Protective Equipment (Correct answer)
- Patient Protection Environment
- Protective Procedure Essentials
Correct answer: Personal Protective Equipment
PPE stands for Personal Protective Equipment, which includes gloves, gowns, masks, and eye protection used to protect healthcare workers from exposure to infectious agents.
Which hand hygiene product is most effective against Clostridium difficile (C. diff) spores?