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Flashcards in Blood-borne Diseases Deck (67)
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1
Q

Would a company that handles billing and coding for other health care facilities be required to develop an exposure control plan?
Yes, because the company is part of the health care industry.
Yes, because the company employees nurses.
No, because no employees are at risk of exposure to blood or bodily fluids.
No, because the company is not part of the health care industry.

A

No, because no employees are at risk of exposure to blood or bodily fluids.

2
Q
Which agency developed the Bloodborne Pathogens Standard?
 OSHA
 FDA
 Congress
 CDC
A

OSHA

3
Q

Who must follow the regulations in the Bloodborne Pathogens Standard?
Health care facilities and their employees
Health care facilities, employees and patients
Health care facilities and patients
Health care employees and patients

A

Health care facilities and their employees

4
Q
Which of the following is an example of a safer medical device?
 Sterile gauze
 A glucose monitoring device
 A tuberculosis needle
 Self-sheathing needle
A

Self-sheathing needle

5
Q

A facility’s exposure control plan must include which of the following?
A list of employees who have not attended training
Certificates that all employees have been vaccinated
A description of how the facility is reducing the risk of exposure
The brands of personal protective equipment used by the facility

A

A description of how the facility is reducing the risk of exposure

6
Q

What ratio of bleach to water should be used to disinfect spills?

1: 2
1: 10
1: 1
1: 100

A

1:10

7
Q
Tina was sanitizing a surgical blade when the blade sliced through her glove and cut her finger. Where does this exposure event need to be recorded?
 Training records
 Exposure control plan
 Standard precautions
 Sharps injury log
A

Sharps injury log

8
Q

If an employee declines to be vaccinated for Hepatitis B, which of the following is true?
The employee will have to pay for the vaccination in the future.
The employee can receive the vaccination anytime in the future for free
The employee has 10 days to become vaccinated or be fired.
The employee can be fined by OSHA

A

The employee can receive the vaccination anytime in the future for free

9
Q

Which of the following occurred as a result of the Bloodborne Pathogens Standard?
Health care facilities must create an exposure control plan
Health care facilities must carry accidental needlestick insurance
Health care workers were to be trained how to interact with ill patients.
Patients were granted a Bill of Rights

A

Health care facilities must create an exposure control plan

10
Q

What is the purpose of the exposure determination part of a facility’s exposure control plan?
To list departments with a history of great customer service
To list all employees or job roles that may be at risk of exposure to blood or bodily fluid
To list job roles that will be evaluated for safety
To list departments where an exposure has occurred in the past

A

To list all employees or job roles that may be at risk of exposure to blood or bodily fluid

11
Q
At least how often must employees be trained on bloodborne pathogens?
 Only when an employee begins employment
 Every 30 days
 Once a year
 Every five years
A

Once a year

12
Q

How did the Needlestick Safety and Prevention Act affect the Bloodborne Pathogens Standard?
The regulations in the Needlestick Safety and Prevention Act made the regulations in the standard obsolete and not needed.
The standard was updated to emphasize safer medical devices and a sharps injury log.
The act increased the fines for facilities who did not follow the regulations in the standard.
The act suggested specific sharps that facilities must use to meet the regulations in the standard.

A

The standard was updated to emphasize safer medical devices and a sharps injury log.

13
Q

After an exposure incident, who gives a written opinion of the incident to the facility?
The employee’s family doctor
OSHA
The employee involved in the incident
The supervisor in-charge at the time of the incident

A

The employee’s family doctor

14
Q

Adam has an exposure incident. How long is his medical record maintained by his facility?
5 years
Until Adam leaves employment at the facility
10 years after Adam leaves employment at the facility
30 years after Adam leaves employment at the facility

A

30 years after Adam leaves employment at the facility

15
Q
What three bloodborne pathogens are health care workers at an increased risk of being exposed to?
 HIV, Hepatitis A and Hepatitis B
 AIDS, Staphylococcus and Lyme
 Measles, Staphylococcus and HIV
 HIV, Hepatitis B and Hepatitis C
A

HIV, Hepatitis B and Hepatitis C

16
Q
What color is used to mark biohazardous waste?
 Blue
 Green
 Yellow
 Red or orange
A

Red or orange

17
Q

What is offered to employees who have been determined to be at risk of exposure?
A free HIV test when they start working at the facility
Free Hepatitis B vaccination
One free set of personal protective equipment each day
Free Hepatitis C vaccination

A

Free Hepatitis B vaccination

18
Q

A patient was hemorrhaging and blood splashed in Marc’s mouth. Which of the following is NOT true?
Marc will be offered lab testing to see if infection has occurred.
A medical record will be created for Marc and contain information about the exposure incident.
The exposure incident will be recorded in the sharps injury log.
Marc may be given antiviral medication to help prevent infection.

A

The exposure incident will be recorded in the sharps injury log.

19
Q
Although the strains of hepatitis are different in many ways, what is common to all of the strains?
 They are caused by bacteria.
 They are all caused by virus.
 They are all acute illnesses.
 There is a vaccine for each strain.
A

They are all caused by virus.

20
Q
How long can symptoms of acute hepatitis last?
 Several hours to a day
 A few days to one week
 Several months to a year
 Six weeks to two months
A

Several months to a year

21
Q

Which of the following can cause infectious disease?
Cells, virus, atoms, amoeba
Virus, bacteria, fungi, protozoa
Fungi, plants, animal dander, dust
Sneezing, allergens, biochemicals, experiments

A

Virus, bacteria, fungi, protozoa

22
Q
Since patients can test negative during seroconversion, when should a second test be given?
 The next day
 3 months after a suspected infection
 8 months after a suspected infection
 1 year after a suspected infection
A

3 months after a suspected infection

23
Q
Which drug is used to treat chronic hepatitis B?
 morphine
 Atropia
 Interferon
 Paracetamol
A

Interferon

24
Q

Which of the following does NOT transmit HIV?
Direct blood contact with infected blood or blood products
From mother to baby in breast milk
Sharing a drinking glass with an infected person
Unprotected sexual contact

A

Sharing a drinking glass with an infected person

25
Q

A patient asks if she and her partner need condoms since they are both HIV positive. What is the appropriate response?
No, you are both positive so unprotected sex is okay.
No, HIV can be cured after treatment.
No, you only need condoms if you are not being treated for HIV.
Yes, you still need condoms as the disease can mutate and reinfect.

A

Yes, you still need condoms as the disease can mutate and reinfect.

26
Q
Most HIV tests use a blood sample, but there are also tests that use which of the following?
 Breast milk
 Oral fluids
 Tears
 Sweat
A

Oral fluids

27
Q
How does HIV affect the human body?
 It reduces the body's core temperature
 It attacks the immune system
 It causes constant, severe pain
 It clogs the arteries
A

It attacks the immune system

28
Q

Which of the following describes mode of transmission?
A process for killing pathogens
The method by which a pathogen is transmitted
The way a pathogen is treated once it enters the body
A description of the susceptible host

A

The method by which a pathogen is transmitted

29
Q

Which of the following is true about a person living with HIV?
The person should not be allowed in public places
The person is not contagious
The person can be treated and cured
The person may live for many years after infection

A

The person may live for many years after infection

30
Q

What is the chain of infection?
A model of bacteria multiplication
A description of how to prevent infection
A description of how pathogens mutate
The process a pathogen follows as it is transmitted from person to person

A

The process a pathogen follows as it is transmitted from person to person

31
Q

What must every patient do prior to being tested for HIV?
Not eat or drink anything for 12 hours before the test
Sign a waiver for the results to be sent to their insurance company
Give informed consent for the testing
Give their name and birth date

A

Give informed consent for the testing

32
Q
James suffers from chronic Hepatitis C and Bill has both Hepatitis B and D. As end stage patients, they are both being treated for what?
 Cirrhosis
 Short-term memory loss
 Gastrointestinal discomfort
 Kidney disease
A

Cirrhosis

33
Q
What is hepatitis?
 Inflammation of the liver
 Stomach disorder
 Inflammation of the stomach lining
 Kidney disorder
A

Inflammation of the liver

34
Q
Which of the hepatitis strains are preventable with a vaccine?
 Hepatitis E
 Hepatitis C and hepatitis D
 Hepatitis A and hepatitis B
 Hepatitis A
A

Hepatitis A and hepatitis B

35
Q
Which of the following is NOT a step in the chain of infection?
 Personal protective equipment
 Portal of exit
 Portal of entry
 Susceptible host
A

Personal protective equipment

36
Q
HIV is transmitted through which of the following?
 Air
 Saliva
 Blood
 Water
A

Blood

37
Q
HIV is NOT transmitted through which of the following?
 Blood transfusions
 Organ transplant
 Public toilets and sinks
 Use of contaminated needles
A

Public toilets and sinks

38
Q
What are the two types of HIV testing?
 Anonymous and Confidential
 Antibodies and Blood
 Reportable and Public Information
 Acute and chronic
A

Anonymous and Confidential

39
Q
Hepatitis B and C use what modes of transmission?
 Sexual contact and bloodborne
 Casual and sexual contact
 Bloodborne and vectorborne
 Foodborne and vectorborne
A

Sexual contact and bloodborne

40
Q
Where can HIV-infected patients and their families find resources?
 Community, state and federal agencies
 Local news agencies
 At the DMV
 In the yellow pages or dial 411
A

Community, state and federal agencies

41
Q

What is the best way to break the chain of infection?
Make sick patients wear a mask
Isolate the patient
Wash hands before and after every patient
Use gloves

A

Wash hands before and after every patient

42
Q

What is seroconversion?
The development of antibodies as a result of infection
The result of an HIV test
The result of a hepatitis test
The number of T-helper cells that have been destroyed as a result of HIV infection

A

The development of antibodies as a result of infection

43
Q
What type of reporting method is used for HIV/AIDS cases?
 Infection route
 Birth date
 Name
 Social security number
A

Name

44
Q

What should a health care worker do with bedsheets that are soaked with blood?
Place them in a biohazardous linens bag.
Place them in a biohazardous trash bag.
Place them in a trash bag and send to the incinerator.
Double-bag them, put them in a biohazardous trash bag, and tape the top closed.

A

Place them in a biohazardous linens bag.

45
Q

How can you tell whether a trash container is for regular or biohazardous waste?
It all ends up in the same container eventually, so only sort waste if you have time.
A biohazardous container has a red bag marked with the universal biohazardous symbol.
There is only one biohazardous waste container per facility and it is located near the nurse station.
A regular waste container uses a yellow bag.

A

A biohazardous container has a red bag marked with the universal biohazardous symbol.

46
Q

Which of the following is true about face masks?
They should be put on after donning gloves.
They can be reused after they have been disinfected.
They cannot be reused.
They do not have to be changed if they get wet.

A

They cannot be reused.

47
Q

When should gloves be donned if you are wearing additional PPE?
Before donning a gown
Before donning a mask
Before donning eyewear
After donning a gown, masks, and eyewear

A

After donning a gown, masks, and eyewear

48
Q

Which of the following is true?
Recap a needle using a two-handed method.
Spills should be cleaned with pure bleach.
Hospital-based infections are not a major cause of death.
All body fluids should be considered infectious.

A

All body fluids should be considered infectious.

49
Q

What should be done after a spill is wiped up with a cloth?
Use soap and water to kill pathogens.
Disinfect the area with a bleach solution.
Avoid using the area for 24 hours.
Open a window to air out the room.

A

Disinfect the area with a bleach solution.

50
Q

What is the best way to prevent the spread of infection?
Avoid patient contact
Dispose of waste in the appropriate container
Use personal protective equipment
Wash your hands frequently

A

Wash your hands frequently

51
Q

Why is it important for health care workers to wear personal protective equipment?
Standard precautions require it
For protection from pathogens
For protection from blood and bodily fluid
All of the above

A
  • Standard precautions require it
  • For protection from pathogens
  • For protection from blood and bodily fluid
52
Q

Which patients should be considered infectious?
Patients with a cough and fever
Pediatric and elderly patients
Homeless and addicted patients
All patients should be considered infectious

A

All patients should be considered infectious

53
Q
The strings and elastic bands of masks and eyewear are considered \_\_\_\_\_?
 Contaminated
 Sterile
 Biohazardous
 Clean
A

Clean

54
Q
Which of the following is NOT considered a sharp?
 Surgical blades
 Needles
 Razors
 Probe covers
A

Probe covers

55
Q
When should gowns be worn?
 When contact with blood or bodily fluid is likely
 When you are wearing gloves
 When the patient is HIV-positive
 When you are bathing a patient
A

When contact with blood or bodily fluid is likely

56
Q

When should standard precautions be used?
When you are using pure bleach to clean a spill
For all patients, regardless of their illness
When patients are vomiting or coughing
When you will be touching a patient’s skin

A

For all patients, regardless of their illness

57
Q

Which of the following is true?
Standard precautions only need to be followed for patients with communicable diseases.
Every body fluid must be considered infectious.
Sharps may be reused if they are cleaned and sterilized.
Urine and vomit are infectious materials.

A

Every body fluid must be considered infectious.

58
Q

How long can a single pair of gloves be used?
Until a glove tears
Until a glove looks visibly contaminated
During care for a couple of patients
During care for one patient

A

During care for one patient

59
Q
What can you use as a barrier between you and bloodborne pathogens?
 Patient drape
 Uniform
 Alcohol hand sanitizer
 Personal protective equipment
A

Personal protective equipment

60
Q
Where should a disposable gown be placed after use?
 In the linens closet
 In a biohazardous linens bag
 In a biohazardous waste container
 In a trash can
A

In a biohazardous waste container

61
Q

What types of PPE should be available to employees of a nursing home?
Gloves, masks, eyewear, gowns and CPR shields
Gloves and CPR shields
Gloves, masks and eyewear
Gloves, gowns and CPR shields

A

Gloves, masks, eyewear, gowns and CPR shields

62
Q
Which agency developed standard precautions?
 CDC
 OSHA
 ADA
 Congress
A

CDC

63
Q
The outside of a gown is considered \_\_\_\_\_?
 Clean
 Neutral
 Contaminated
 Sterile
A

Contaminated

64
Q

When should hands be washed when you will be wearing gloves?
No need to wash hands when wearing gloves
Before donning gloves
After removing gloves
Both before and after wearing gloves

A

Both before and after wearing gloves

65
Q
How should a blood-soaked piece of gauze be disposed of?
 Red biohazardous waste bag
 Black trash bag
 Infectious linens bag
 Puncture-proof sharps container
A

Red biohazardous waste bag

66
Q

How is a used sharp disposed of?
Drop the entire sharp into a sharps container.
Recap or break any needles and drop into a sharps container.
Rinse the sharp under running water and place in the biohazardous waste container.
Wrap the sharp in gauze and place in a biohazardous waste container.

A

Drop the entire sharp into a sharps container.

67
Q

When should health care workers wash their hands?
Every 20 minutes
Only when they are visibly dirty
At the beginning of the work day
Before providing care and between patients

A

Before providing care and between patients