CIC Hand Hygiene & Isolation Precautions 2

Question 1

Which of the following is classified as a 'moment' for hand hygiene according to WHO's Five Moments framework?

Accepted Answer

After body fluid exposure risk

Answer

Before entering the hospital

Answer

Before speaking with the patient

Answer

After reviewing the patient chart

Question 2

A hand hygiene compliance audit shows 45% compliance on a surgical unit. Which intervention has the strongest evidence for sustained improvement?

Accepted Answer

Multimodal strategy including product availability, education, reminders, and feedback

Answer

Mandatory in-service training once per year

Answer

Disciplinary action for non-compliant staff

Answer

Replacing gloves with alcohol-based hand rub dispensers

Question 3

A patient with vancomycin-resistant Enterococcus (VRE) bacteremia is admitted. What precaution level is appropriate?

Accepted Answer

Contact Precautions

Answer

Standard Precautions only

Answer

Droplet Precautions

Answer

Airborne Infection Isolation

Question 4

Which action best describes 'doffing' personal protective equipment correctly?

Accepted Answer

Removing the gown first, then gloves, using gloved hands

Answer

Removing gloves last to protect hands from contamination on other PPE

Answer

Removing the respirator before the gloves

Answer

Removing all PPE simultaneously at the doorway

Question 5

What hand hygiene product is recommended for routine care when hands are not visibly soiled?

Accepted Answer

Alcohol-based hand rub (60–95% ethanol or isopropanol)

Answer

Antimicrobial soap and water (minimum 60 seconds)

Answer

Plain (non-antimicrobial) soap and water

Answer

Chlorhexidine wipes

Question 6

Which patient population requires Protective (Reverse) Isolation rather than transmission-based precautions?

Accepted Answer

Severely immunocompromised patients (e.g., allogeneic HSCT recipients)

Answer

Patients with active Clostridioides difficile infection

Answer

Patients colonized with ESBL-producing organisms

Answer

Patients on mechanical ventilation

Question 7

How frequently should hand hygiene compliance monitoring be conducted to meet The Joint Commission standards?

Accepted Answer

Quarterly at minimum with ongoing monitoring

Answer

Annually

Answer

Only when an outbreak is suspected

Answer

Monthly during flu season only