RMA Infection Control and Safety Practices 2

Question 1

Which of the following is the HIGHEST level of microbial destruction on the Spaulding classification scale?

Accepted Answer

Sterilization

Answer

Sterilization destroys ALL forms of microbial life including the most resistant bacterial endospores, representing the highest level of microbial elimination in the Spaulding classification system.

Question 2

When performing hand hygiene before a clean procedure, how long should alcohol-based hand rub be rubbed on the hands?

Accepted Answer

Until the hands feel dry (approximately 20–30 seconds)

Answer

WHO and CDC guidelines specify that alcohol-based hand rub should be applied and rubbed until completely dry, which takes approximately 20–30 seconds, to ensure adequate antimicrobial contact time.

Question 3

A healthcare worker sustains a needlestick injury from a needle used on a patient with known HIV infection. What is the FIRST action the medical assistant should take?

Accepted Answer

Wash the wound thoroughly with soap and water

Answer

The first response to a needlestick injury is immediate, thorough washing of the wound with soap and water, followed by reporting to the supervisor and seeking occupational health evaluation for post-exposure prophylaxis (PEP).

Question 4

Which transmission-based precaution category applies to a patient diagnosed with influenza?

Accepted Answer

Droplet precautions

Answer

Influenza spreads primarily via large respiratory droplets that travel up to 3–6 feet; droplet precautions (surgical mask, eye protection within 3 feet) are required — not airborne precautions.

Question 5

When disposing of a used scalpel blade, which action is CORRECT per OSHA bloodborne pathogen standards?

Accepted Answer

Use forceps or a blade remover to transfer directly into a sharps container without recapping

Answer

OSHA mandates that sharps such as scalpel blades must be placed directly into a puncture-resistant, leak-proof sharps container immediately after use — without recapping, bending, or manipulating the sharp edge in any way.

RMA Practice Test

RMA Practice Test

RMA Infection Control and Safety Practices 2