EXAM CONTAINS 160
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Using mechanical friction when prepping will NOT aid in ____
A. Removal of resident bacteria
B. Removal of dirt and oil
C.The effectiveness of antimicrobials
D.Removal of transient bacteria - answer-A. Removal of resident bacteria
Sharps injuries in the OR are especially hazardous because surgical procedures
often involve substantial amounts of blood and other possibly infectious body fluids.
The most common cause of sharps injuries in the OR is _____, followed by _____:
A. Scalpels, bone cutters
B. Scalpels, syringes
C.Sharp suture needles, scalpels
D.Hypodermic syringes, sharp suture needles - answer-C. Sharp suture needles,
scalpels
All of the following are examples of hazard elimination for sharps safety EXCEPT:
A. Using electrosurgery instead of a scalpel when making a surgical incision
B. Requiring at-risk health care workers to participate in annual trainings on sharps
safety
C.Ensuring that the facility only uses needleless IV systems
D.Eliminating the use of injectable needles when feasible and clinically appropriate -
answer-B. Requiring at-risk health care workers to participate in annual trainings
on sharps safety
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, Examples of appropriate administrative controls to prevent sharps injuries include
all of the following EXCEPT:
A.Developing and updating sharps policies and procedures
B.Incorporating sharps safety prevention into a new or existing committee structure
C.Allowing only doctors to handle sharps
D. Educating and training employees on the proper handling and disposal of
sharps and safety engineered devices - answer-C. Allowing only doctors to handle
sharps
All are UNSAFE practices in the OR EXCEPT which of the following?
A.Passing sharps hand-to-hand between team members during orthopedic surgery
B.Waiting until after surgery to say something if you observe unsafe sharps handling
C.Carefully recapping contaminated needles using a scooping technique
D. Disposing of sharps in an unlabeled bag - answer-C. Carefully recapping
contaminated needles using a scooping technique
Which of the following is NOT an appropriate work practice control to prevent sharps
injuries in the OR?
A.Use of a neutral or safe zone when passing sharps between team members
B.Grasping and manipulating needles and scalpel blades with instruments or suture
packs instead of fingers
C.Wearing a colored pair of gloves outside a standard pair during surgery
D. During microscopic surgeries, placing the sharp in the surgeon's hand and
having the surgeon place the sharp in the designated neutral zone to return it to
the scrub person
E. Grasping a needle with a blunt instrument when suturing - answer-C. Wearing a
colored pair of gloves outside a standard pair during surgery
Which of the following is NOT an appropriate response to a sharps injury in the
workplace?
A.Immediately wash the area with soap and water and seek medical treatment
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, B.Report the injury to your supervisor as soon as possible
C.Report the injury to your supervisor only if the wound becomes infected
D. Discuss with your supervisor the risk of infection based on the infection
status of the patient and the presence of blood and other body fluids at time of
injury - answer-C. Report the injury to your supervisor only if the wound becomes
infected
Choose the FALSE statement about introducing safety engineered sharps devices in
health care settings?
A. Sharps products under consideration should primarily be evaluated by
administrators who can compare them to benchmarking standards
B. Sharps products under consideration by a facility should be evaluated by
front-line users trained in correct use of the device
C. Final product selections should be based on results of a one-page tester
survey tool that is easy to complete and score and includes room for comments
D. Safety engineered devices must be evaluated every year - answer-A. Sharps
products under consideration should primarily be evaluated by administrators who
can compare them to benchmarking standards
Bloodborne pathogen exposure control plans must conform to all of the following
EXCEPT:
A.Be written and must follow federal, state, and local rules and regulations
B.Establish and define work restrictions for health care workers who have
transmissible bloodborne infections
C.Specify processes for education, training, competency evaluation, evaluation of
the efficacy and utility of sharps safety devices, and annual review of sharps
safety issues
D. Be posted in every room in which sharps are handled - answer-D. Be posted
in every room in which sharps are handled
Double gloving is an example of using PPE to reduce the risk of sharps injuries.
Based on available evidence about its effectiveness, double gloving should be
practiced:
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, A.When the surgeon gives consent to do so
B.During all surgical procedures
C.When there is a written policy requiring the use of double gloves during surgery
D. When the surgical patient is known to have a bloodborne pathogen infection -
answer-B. During all surgical procedures
Engineering controls help prevent sharps injuries. Which statement about safety
engineered devices is FALSE?
A. Safety engineered devices include blunt-tip needles, single-use scalpels,
retractable scalpels, and needles with sliding sheaths or needle guards
B. Studies have not yet shown that safety engineered devices significantly
reduce needlestick injuries, but they should be used anyway as a precaution
C. Safety engineered devices should be used during surgery unless their use
could negatively affect patient safety
D. Blunt-tip needles are safety engineered devices designed to penetrate
muscle and fascia, but not skin - answer-B. Studies have not yet shown that safety
engineered devices significantly reduce needlestick injuries, but they should be
used anyway as a precaution
Which statement about neutral zones is FALSE?
A. A kidney basin is appropriate for a neutral zone
B. The neutral zone should be designated during preoperative briefing
C.When moving a sharp to the neutral zone, give verbal notice such as saying
"sharp"
D.Only one sharp and one hand at a time should be in the neutral zone
E. The sharp should be positioned for easy retrieval by the surgeon - answer-A. A
kidney basin is appropriate for a neutral zone
If a needle must be-recapped, the proper technique to use is:
A.Hold the cap with your fingers sideways and slide the needle into the cap with
your other hand
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