Question 1

Small volume nebulizers produce bacterial aerosols that have been commonly associated with which of the following diseases?

Accepted Answer

A)  Pseudomonas aeruginosa 
B)  Measles 
C)  Small pox 
D)  Nosocomial pneumonia 
A)  Pseudomonas aeruginosa 
B)  Measles 
C)  Small pox 
D)  Nosocomial pneumonia D

Question 2

What vaccination does OSHA require hospital employers to provide?

Accepted Answer

A)  Tuberculosis 
B)  Smallpox 
C)  Hepatitis B 
D)  Streptococcus pneumoniae 
A)  Tuberculosis 
B)  Smallpox 
C)  Hepatitis B 
D)  Streptococcus pneumoniae C

Question 3

What is the minimum recommended time for handwashing in the health care environment?

Accepted Answer

A)  5 sec 
B)  15 sec 
C)  30 sec 
D)  60 sec 
A)  5 sec 
B)  15 sec 
C)  30 sec 
D)  60 sec B

Question 4

Which of the following steps for disinfection of a bronchoscope is false?

Accepted Answer

A)  The first step is cleaning the scope. 
B)  Disinfection is done by immersion in a liquid disinfectant. 
C)  The device is stored lying flat to promote drying. 
D)  Drying techniques can include forced air. 
A)  The first step is cleaning the scope. 
B)  Disinfection is done by immersion in a liquid disinfectant. 
C)  The device is stored lying flat to promote drying. 
D)  Drying techniques can include forced air.

Question 5

The unit residence asked you to reduce the risk of contamination caused by condensation in the circuit of a mechanically ventilated patient. Which of the following would help to reduce or eliminate condensation in this patient's circuit?

Accepted Answer

A)  Using a heat and moisture exchange (HM
E)  
B)  By draining the circuit on a daily basis 
C)  By not using any form of heater at all 
D)  By lowering the temperature in the heater 
A)  Using a heat and moisture exchange (HM
E)  
B)  By draining the circuit on a daily basis 
C)  By not using any form of heater at all 
D)  By lowering the temperature in the heater

Question 6

Which of the following statements is false regarding the use of alcohol disinfectants?

Accepted Answer

A)  Their activity drops when diluted below 50% concentration. 
B)  Alcohols are good for surface cleaning of stethoscope bells and diaphragms. 
C)  They can damage rubber tubing. 
D)  They are considered sporicidal. 
A)  Their activity drops when diluted below 50% concentration. 
B)  Alcohols are good for surface cleaning of stethoscope bells and diaphragms. 
C)  They can damage rubber tubing. 
D)  They are considered sporicidal.

Question 7

What is the first step in equipment processing for reuse on another patient?

Accepted Answer

A)  Drying the equipment 
B)  Cleaning the equipment 
C)  Disinfecting the equipment 
D)  Sterilizing the equipment 
A)  Drying the equipment 
B)  Cleaning the equipment 
C)  Disinfecting the equipment 
D)  Sterilizing the equipment

Question 8

Which of the following statements is NOT true regarding the use of soaps to clean equipment?

Accepted Answer

A)  Soaps act by lowering the surface tension. 
B)  Soaps work poorly in hard water. 
C)  Soaps have good bactericidal activity. 
D)  Soaps can help remove organic material. 
A)  Soaps act by lowering the surface tension. 
B)  Soaps work poorly in hard water. 
C)  Soaps have good bactericidal activity. 
D)  Soaps can help remove organic material.

Question 9

Which of the following is the most common source of patient infections?

Accepted Answer

A)  Large volume nebulizers 
B)  Small volume nebulizers 
C)  Internal circuits of a ventilator 
D)  Oxygen therapy devices 
A)  Large volume nebulizers 
B)  Small volume nebulizers 
C)  Internal circuits of a ventilator 
D)  Oxygen therapy devices

Question 10

Which of the following is an example of indirect contact transmission involving fomites?

Accepted Answer

A)  Use of a sterile needle on a pneumonia patient 
B)  Use of a dirty laryngoscope blade on another patient 
C)  Drinking tap water 
D)  Inhaling tuberculosis pathogens in the emergency department 
A)  Use of a sterile needle on a pneumonia patient 
B)  Use of a dirty laryngoscope blade on another patient 
C)  Drinking tap water 
D)  Inhaling tuberculosis pathogens in the emergency department

Question 11

What is the recommended dilution level of bleach according to the CDC for cleaning up blood spills?

Accepted Answer

A)  1:1 
B)  1:5 
C)  1:10 
D)  1:20 
A)  1:1 
B)  1:5 
C)  1:10 
D)  1:20

Question 12

Which of the following statements is false regarding the use of ETO for sterilization?

Accepted Answer

A)  It is harmless to rubber and plastics. 
B)  It will penetrate prewrapping. 
C)  Acute exposure is of little consequence. 
D)  It is useful for equipment that cannot be autoclaved. 
A)  It is harmless to rubber and plastics. 
B)  It will penetrate prewrapping. 
C)  Acute exposure is of little consequence. 
D)  It is useful for equipment that cannot be autoclaved.

Question 13

Which of the following statements is false regarding the use of glutaraldehyde?

Accepted Answer

A)  It is a true sterilizing agent when used properly. 
B)  It can retain activity up to 90 days once activated. 
C)  It is used for disinfection on surfaces due to cost. 
D)  It can cause significant tissue inflammation in workers who use it. 
A)  It is a true sterilizing agent when used properly. 
B)  It can retain activity up to 90 days once activated. 
C)  It is used for disinfection on surfaces due to cost. 
D)  It can cause significant tissue inflammation in workers who use it.

Question 14

What is the purpose of an inspiratory HEPA filter in a ventilator circuit?

Accepted Answer

A)  The purpose is to serve as a heated thermistor that prevents condensation from forming in the circuits. 
B)  It prevents pathogens from being expelled into the surroundings. 
C)  When placed between the ventilator and the circuit, it can eliminate bacteria. 
D)  None of the above. 
A)  The purpose is to serve as a heated thermistor that prevents condensation from forming in the circuits. 
B)  It prevents pathogens from being expelled into the surroundings. 
C)  When placed between the ventilator and the circuit, it can eliminate bacteria. 
D)  None of the above.

Question 15

How do endotracheal tubes increase the risk of infection?

Accepted Answer

A)  By increasing bleeding risks 
B)  Providing surfaces for biofilms to develop 
C)  By reducing neutrophil effectiveness 
D)  By increasing mucociliary escalator clearance 
A)  By increasing bleeding risks 
B)  Providing surfaces for biofilms to develop 
C)  By reducing neutrophil effectiveness 
D)  By increasing mucociliary escalator clearance

Question 16

Which of the following are categories under Expanded Precautions?
1) Contact Precautions
2) Droplet Precautions
3) Standard Precautions
4) Airborne Infection Isolation

Accepted Answer

A) 1 and 2 only 
B) 1, 2, and 4 only 
C) 2, 3, and 4 only 
D) 1, 2, 3, and 4 
A) 1 and 2 only 
B) 1, 2, and 4 only 
C) 2, 3, and 4 only 
D) 1, 2, 3, and 4

Question 17

What is included in a Prevention Bundle?
1) The use of multiple evidence-based best practices to prevent device-related infection.
2) Recent research supports the use of cost-effective measurements.
3) An ongoing process of monitoring patients and personnel for the acquisition of infection in the health care setting.
4) Using prophylactic antibiotic therapy on all hospitalized patients.

Accepted Answer

A) 1 and 2 only 
B) 1, 2, and 3 only 
C) 2, 3, and 4 only 
D) 1, 2, 3, and 4 
A) 1 and 2 only 
B) 1, 2, and 3 only 
C) 2, 3, and 4 only 
D) 1, 2, 3, and 4

Question 18

What is the most common route of pathogen transmission in the hospital setting?

Accepted Answer

A)  Indirect contact 
B)  Droplet transmission 
C)  Airborne transmission 
D)  Surgical transmission 
A)  Indirect contact 
B)  Droplet transmission 
C)  Airborne transmission 
D)  Surgical transmission

Question 19

Which of the following is the simplest level of infection control based on the recognition that all blood, body fluids, secretions, and excretions may contain transmissible infections agents?

Accepted Answer

A)  Contact Precautions 
B)  Droplet Precautions 
C)  Standard Precautions 
D)  Airborne Infection Isolation 
A)  Contact Precautions 
B)  Droplet Precautions 
C)  Standard Precautions 
D)  Airborne Infection Isolation

Question 20

Which of the following organisms is NOT destroyed by a disinfection agent?

Accepted Answer

A)  Gram-negative cocci 
B)  Bacterial spores 
C)  Gram-positive rods 
D)  Viruses 
A)  Gram-negative cocci 
B)  Bacterial spores 
C)  Gram-positive rods 
D)  Viruses

Exam 4: Principles of Infection Prevention and Control

Small volume nebulizers produce bacterial aerosols that have been commonly associated with which of the following diseases?

What vaccination does OSHA require hospital employers to provide?

What is the minimum recommended time for handwashing in the health care environment?

Which of the following steps for disinfection of a bronchoscope is false?

The unit residence asked you to reduce the risk of contamination caused by condensation in the circuit of a mechanically ventilated patient. Which of the following would help to reduce or eliminate condensation in this patient's circuit?

Which of the following statements is false regarding the use of alcohol disinfectants?

What is the first step in equipment processing for reuse on another patient?

Which of the following statements is NOT true regarding the use of soaps to clean equipment?

Which of the following is the most common source of patient infections?

Which of the following is an example of indirect contact transmission involving fomites?

What is the recommended dilution level of bleach according to the CDC for cleaning up blood spills?

Which of the following statements is false regarding the use of ETO for sterilization?

Which of the following statements is false regarding the use of glutaraldehyde?

What is the purpose of an inspiratory HEPA filter in a ventilator circuit?

How do endotracheal tubes increase the risk of infection?

Which of the following are categories under Expanded Precautions? 1) Contact Precautions 2) Droplet Precautions 3) Standard Precautions 4) Airborne Infection Isolation

What is the most common route of pathogen transmission in the hospital setting?

Which of the following is the simplest level of infection control based on the recognition that all blood, body fluids, secretions, and excretions may contain transmissible infections agents?

Which of the following organisms is NOT destroyed by a disinfection agent?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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