HAC Healthcare Aide Safety & Infection Control 3 — Questions and Answers
Question 1: Which hand hygiene method is NOT acceptable when hands are visibly soiled with blood or body fluids?
- Washing with soap and water for 20 seconds
- Using an alcohol-based hand rub (Correct answer)
- Using antimicrobial soap and water
- Washing with plain soap and water
Correct answer: Using an alcohol-based hand rub
Alcohol-based hand rubs are ineffective on visibly soiled hands; soap and water must be used to physically remove the contamination.
Question 2: A patient is placed on airborne precautions for suspected tuberculosis. Which respiratory protection must the healthcare aide wear when entering the room?
- A standard surgical mask
- An N95 respirator or higher (Correct answer)
- A cloth face covering
- No mask is needed if the aide is vaccinated
Correct answer: An N95 respirator or higher
Airborne precautions for tuberculosis require at least an N95 respirator because TB bacteria travel on small particles that surgical masks cannot filter.
Question 3: A healthcare aide finds a used needle on the floor of a patient's room. What is the correct way to dispose of it?
- Pick it up carefully with two fingers and recap it
- Use a dustpan and broom to sweep it into the trash
- Use a mechanical device or forceps to place it directly into a sharps container (Correct answer)
- Wrap it in a paper towel and put it in the regular trash
Correct answer: Use a mechanical device or forceps to place it directly into a sharps container
Sharps must never be recapped by hand or placed in regular trash; a mechanical device or forceps should be used to place them in a puncture-resistant sharps container.
Question 4: Which of the following actions breaks the chain of infection at the 'mode of transmission' link?
- Treating an infected patient with antibiotics
- Requiring visitors with colds to wear masks (Correct answer)
- Identifying susceptible residents
- Isolating a source patient in a private room
Correct answer: Requiring visitors with colds to wear masks
Requiring masks for visitors with colds interrupts the route by which pathogens travel from a reservoir to a new host.
Question 5: A healthcare aide is helping transfer a resident from a bed to a wheelchair. The resident suddenly says their legs feel weak. What should the aide do?
- Complete the transfer quickly before the resident falls
- Lower the resident safely back onto the bed and call for help (Correct answer)
- Have the resident stand still while you get help
- Continue the transfer but move more slowly
Correct answer: Lower the resident safely back onto the bed and call for help
Unexpected weakness during a transfer is a safety concern; the aide should return the resident safely to the bed and summon assistance.
Question 6: What does the term 'fomite' refer to in the context of infection control?
- A bloodborne pathogen found in saliva
- An inanimate object that can carry and transfer pathogens (Correct answer)
- A protective gel used to decontaminate skin
- A type of airborne microorganism
Correct answer: An inanimate object that can carry and transfer pathogens
A fomite is any non-living object (such as a doorknob, stethoscope, or bed rail) that can harbor and transmit infectious agents.
Question 7: A healthcare aide receives a verbal report that a new resident is on droplet precautions. Before entering the room, where should the aide don required PPE?
- Inside the patient's room at the bedside
- Outside the patient's room before entering (Correct answer)
- In the hallway nursing station
- It doesn't matter as long as it's worn upon contact
Correct answer: Outside the patient's room before entering
PPE for droplet precautions must be donned before entering the patient's room to prevent exposure when opening the door.
Which hand hygiene method is NOT acceptable when hands are visibly soiled with blood or body fluids?