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Clean Needle Technique

49 Questions
Clean Needle Technique

Answer the questions and complete using lower case

Questions and Answers
  • 1. 
    These is not a natural barriers against pathogens
    • A. 

      Skin and mucous membrames of nose, throat, urethra, rectum

    • B. 

      Stomach acid, tears urine

    • C. 

      Nails

    • D. 

      Acidity of vaginal secretions

  • 2. 
    _____________ infections are infections caused by pathogens that the patient is already carrying (puncutre the peritoneum and the intestine.  On the other hand, ___________________ infections are infections caused by pathogens acquired form antoher or by the environment
  • 3. 
    This is not a subtype of the hepatitis virus
    • A. 

      Hepatitis A

    • B. 

      Hepatitis C

    • C. 

      Hepatitis X

    • D. 

      Hepatis B

    • E. 

      Hepatitis E

  • 4. 
    Hepatitis A and E are transmitted via fecal contaminated food and water
    • A. 

      True

    • B. 

      False

  • 5. 
    Hepatitis BCD are trasnmitted by
    • A. 

      Fecal-contamination

    • B. 

      Blood

    • C. 

      Sexual exposure

    • D. 

      A and b

    • E. 

      B and c

  • 6. 
    • A. 

      True

    • B. 

      False

  • 7. 
    Bloodborne pathogens that causes the great risk to health care workers are: ___,  ____ and _______ virus
  • 8. 
    This is a common symptom of hepatitis
    • A. 

      Loss of appetite, fatigue

    • B. 

      Mild fever, nausea and vomiting, abdominal pain

    • C. 

      Muscle or joint aches

    • D. 

      All of of the above

  • 9. 
    Persons who come into frequent contact with blood and blood products, such as administrative assistants, person without any sexual contact, and no IV drug users are at great risk of HBV
    • A. 

      T ruee

    • B. 

      False

  • 10. 
    • A. 

      Incubation period from 50 to 180 days, begins with midl flu-like sings and symptoms followed by a period of extreme fatige and depression, which can extend for several months; symptoms last 2-6 weeks

    • B. 

      Last from a few weeks to several months, it does not lead to chronic infection, transmission is mainly via-fecal-contaminated food and water.

    • C. 

      Symtoms are less severe; symptoms usually begin 7 weeks following infection; onset of symptoms may range from 2 to 24 weeks

    • D. 

      Acute state 1 - 2 weeks massive replication patient may asymptomatic or have a flu like syndrome

  • 11. 
    • A. 

      True

    • B. 

      False

  • 12. 
    People at greatest risk fo HCV are
    • A. 

      People who recieved a blood tranfusion before 1990

    • B. 

      IV drug users who share needles

    • C. 

      Household members and sexual partners of infected person

    • D. 

      Person in medical fields exposed to infected blood

    • E. 

      All of the above

  • 13. 
     antiviral medicationfor HCV is now available that has been shown to be helpful for some people with HCV
    • A. 

      True

    • B. 

      False

  • 14. 
    Hepatitis      incubation      transmission     onset     vaccine  chronicA
    • A. 

      15-50 dyas, fecal-oral, abrupt, yes, no

    • B. 

      20 90 days, bloodborne, insidiuos , yes, 5 to 10%

    • C. 

      50- 180 days, bloodborne, isidious-slowly, no, 60 to 70%

    • D. 

      15-60 days, fecal-oral, abrupt, no no

    • E. 

      Unknown, unknown, unknown, no, unknown

  • 15. 
    Hepatitis      incubation      transmission     onset     vaccine  chronicB
    • A. 

      50- 180 days, bloodborne, isidious-slowly, no, 5% to 10%

    • B. 

      Unknown, unknown, unknown, no, unknown

    • C. 

      15-50 days, fecal-oral, abrupt, yes, no

    • D. 

      20 90 days, bloodborne, insidiuos , yes, 60% to 70%

    • E. 

      15-60 days, fecal-oral, abrupt, no no

  • 16. 
    Hepatitis      incubation      transmission     onset     vaccine  chronicC
    • A. 

      15-50 days, fecal-oral, abrupt, yes, no

    • B. 

      50- 180 days, bloodborne, isidious-slowly, no, 5% to 10%

    • C. 

      20 90 days, bloodborne, insidiuos , yes, 60 to 70%

    • D. 

      Unknown, unknown, unknown, no, unknown

    • E. 

      15-60 days, fecal-oral, abrupt, no no

  • 17. 
    Hepatitis      incubation      transmission     onset     vaccine  chronicE
    • A. 

      Unknown, unknown, unknown, no, unknown

    • B. 

      15-60 days, fecal-oral, abrupt, no no

    • C. 

      15-50 days, fecal-oral, abrupt, yes, no

    • D. 

      20 90 days, bloodborne, insidiuos , yes, 5 to 10%

  • 18. 
  • 19. 
    Two types of HIV virus have been identified_______ and ________
  • 20. 
    • A. 

      True

    • B. 

      False

  • 21. 
    Unlike HBV, there is not evidence to prove HIV is spread by any form of casual contact (exchange of body fluids, blood, semen, or vaginal secretions) and the adherence to CDCP recommended procedures for universal precautions reduces the risk of HIV transmission to negligigle levels
    • A. 

      True

    • B. 

      False

  • 22. 
    Anyone in a profession with a low risk of blood exposure is in danger of contracting the virus which causes AIDS
    • A. 

      True

    • B. 

      False

  • 23. 
    Testing for HIV-Aids is voluntrary for
    • A. 

      Persons in professions with a high-risk exposure

    • B. 

      Persons who have had sexually transmitted disease

    • C. 

      Men who have had sex with men

    • D. 

      Any woman thinking of becoming preganant

    • E. 

      All of the above

  • 24. 
    In the health care workplace, the risk of infection from exposure to contaminated blood is much grater for ________________and __________
  • 25. 
    The risk of contracting HBV and HIV is extremely low if universal precautions are followed
    • A. 

      True

    • B. 

      False

  • 26. 
    This is not included in the Universal precuations defined by CDCP
    • A. 

      Use gloves, mask gowns

    • B. 

      Use of goggles

    • C. 

      Use of prevetion techniques appropriates to the healthcare setting

    • D. 

      Share drinking glass

  • 27. 
    Indicate the basic steps of the basic needle technique
    • A. 

      A) always wash hands between patiens, b) always immdiately isoate used needles c) always stablbish a clean field e) always use sterile needles f) always wash hands just prior to inserting needles if hand have been contaminated

    • B. 

      A) always wash hands between patiens, e) always use sterile needles c) always stablbish a clean field f) always wash hands just prior to inserting needles if hand have been contaminated b) always immdiately isolate used needles

    • C. 

      E) always use sterile needles a) always wash hands between patiens, b) always immdiately isoate used needles c) always stablbish a clean field f) always wash hands just prior to inserting needles if hand have been contaminated

    • D. 

      A) always wash hands between patiens, b) always immdiately isoate used needles e) always use sterile needles f) always wash hands just prior to inserting needles if hand have been contaminated c) always stablbish a clean field

  • 28. 
    Beside using sterile needles, public health agencies identify hand wahshing as the single most important action in preventing cross-infecgtions
    • A. 

      True

    • B. 

      False

  • 29. 
    Sterilization
    • A. 

      The introduction of disease-causing agents into or onto previoulsy clean or sterile objects, making them impure or unclean

    • B. 

      The use of procedures that destory all microbial, including viruses

    • C. 

      Techniques for preventing infection during invasive procedures such as surgical operations, dressing wounds, or procedures involving a puncture of the skin

    • D. 

      Products designed to reduce the density of microbial life oon living tissue, particularly on the skin of the patient or practitioner.

    • E. 

      The use of chemical and procedures desined to destroy or reduce the number of pathogens on inanimate objects such as equipment and clinic surfaces.

  • 30. 
    The introduction of disease-causing agents into or onto previoulsy clean or sterile objects, making them impure or unclean
  • 31. 
    The use of procedures that  destory all microbial, including viruses
  • 32. 
    Techniques for preventing infection during invasive procedures such as surgical operations, dressing wounds, or procedures involving a puncture of the skin
  • 33. 
    Products designed to reduce the density of microbial life oon living tissue, particularly on the skin of the patient or practitioner.
  • 34. 
    The use of chemical and procedures desined to destroy or reduce the number of pathogens on inanimate objects such as equipment and clinic surfaces.
  • 35. 
    The use of techniques (antisepsis, desinfection, sterilization, washing, etc) designed to reduce the risk of infecti on of patietns, practitioners, and office personnel by killin or reducing the strengh of pathogens, thereby reducing the changes for contact between the pathogens and the patients and personnel.
  • 36. 
    The chemical employed in desinfection.  They should only be used on inanimated objects, and are not to be confused with antiseptics that are applied to the body.
  • 37. 
    The area that has been prepared to contain the equipment necessary for acupuncture, in such a way as to protect the steriliry of the needles. By extension, this includes not only the clean surface or which equipment will be placed, but also the patient;s skin around the selected acuuncture points, and anything that touches the skin.
  • 38. 
    These are recommendationf for parctitioners yearly physical including PPD test (TB)Clothing: lab coatHand carePersonal healthtesting for ________, _________,_________, and ______
  • 39. 
    This is not recommended equipment for acupucnture practitioners
    • A. 

      Acupuncture needle

    • B. 

      Needle guide tube and needle tray

    • C. 

      Seringe

    • D. 

      Sevr stra or plum-blossom needle

    • E. 

      Cupping device

  • 40. 
    These are the basic steps when applying CNT  in an acupuncture treatment 
    • A. 

      position the patient establishing a clean work area, handswahing, preparing the needle insertion site, using sterile needle and guide tubes palpating the point

    • B. 

      Position the patient, handswahing, preparing the needle insertion site, palpating the point using sterile needle and guide tubes

    • C. 

      Establishing a clean work area, position the patient, handswahing, preparing the needle insertion site, palpating the point using sterile needle and guide tubes

    • D. 

      palpating the point establishing a clean work area, position the patient, preparing the needle insertion site, using sterile needle and guide tubes handswahing,

  • 41. 
    Handwahsinga) warm water at least 10 seco with fractionwash the entire surface of the handsrun water ove the hands again to celam themdry hands carefully using a clean paper towerliquid soap and throughlyb) warm water at least 10 seco with fractionliquid soap and throughlyrun water ove the hands again to celam themdry hands carefully using a clean paper towerwash the entire surface of the handsc) warm water at least 10 seco with fractionliquid soap and throughlydry hands carefully using a clean paper towerwash the entire surface of the handsrun water ove the hands again to celam themd) warm water at least 10 seco with fractionliquid soap and throughlywash the entire surface of the handsrun water ove the hands again to celam themdry hands carefully using a clean paper tower
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 42. 
    This is not recommended as an equipment for acupuncture
    • A. 

      Needles, cupping devices

    • B. 

      Spatula

    • C. 

      Seven-star or plum blosson needles

    • D. 

      Guide tubes

  • 43. 
    It is strongly recommended that acupuncturist always wash their handsa) inmediately before the acupuncture procedureb) after contact with blood or body fluids or obvious environmental contaminantsc) at the end of a treatmentd)whenever their hands become contaminated during treatment
    • A. 

      True

    • B. 

      False

  • 44. 
    According to CDCP _____ isopropyl alcohol is adequate for preparing patient's skin for inserting a needle.
    • A. 

      60%

    • B. 

      50%

    • C. 

      45%

    • D. 

      70%

  • 45. 
    This is not a recommended swab technique when cleaning point area with alcohol swab
    • A. 

      One way swab

    • B. 

      Back and forth swab

    • C. 

      Rotary scrubbing motion, spirilaling out form the center

    • D. 

      None of the above

  • 46. 
    It is critical that the needle shaft be maintained in a sterile state prior to insertion.  After removal from the package, nothing must touch the shaft.
    • A. 

      True

    • B. 

      False

  • 47. 
    It is strongly recommended that if bleeding does occur during cupping, practitioners take the following stepsa) gather gloves and cleaning materialsremove the cups, taking care to prevent body fluids from spreading or splashingclean up any bleeding that has occurredstop the bleeding through use of appropriate pressureput on glovesb) gather gloves and cleaning materialsremove the cups, taking care to prevent body fluids from spreading or splashingstop the bleeding through use of appropriate pressureput on glovesclean up any bleeding that has occurredc)remove the cups, taking care to prevent body fluids from spreading or splashing gather gloves and cleaning materialsstop the bleeding through use of appropriate pressureput on glovesclean up any bleeding that has occurredd) gather gloves and cleaning materialsput on glovesremove the cups, taking care to prevent body fluids from spreading or splashingstop the bleeding through use of appropriate pressureclean up any bleeding that has occurredisolate the cupshandle and dispose of all materials used as biohazardous wastesterilize the cups using a double sterilazation procedure
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 48. 
    Cleaning of spills of blood or body fluids requires a on step procedure.  Using rubber gloves, the spill should be cleaned once with soap and water.
    • A. 

      True

    • B. 

      False

  • 49. 
    Match the correct definitiona) delivers moist heat in the form of saturated steam under pressure.  The sudden drop of pressure at the end of the cycle breaks down the cell walls of resistant spores.  it is critical that a pressurized steam bath be maintained at 250 degrees F, 15 pounds pressure for 30 min.  The pressure must be released quicly at the end of the sterilization processb) sterilizers provide heat air without steam pressure.  They requiere a longer sterilization time, 2 hous of exposure at 338 degrees F.c) For the protection of the practitioners and staff, used needles and other contaminated equipment should have a preliminary sterilization immediately after use.  Instruments should be soaked in a chemical desifectant for the preliminary sterilization.  A final sterilization must be done after reusable and other equipment be inspected carefully following the first sterilization, glvoe should be worm during this procedure, and instruments should be soaked in water with or without detergent to loosen any material that may remain, wiped carefully and rinsed thoroughly.
    • A. 

      A) double sterilization, b) dry sterilization c) autoclave

    • B. 

      A) autoclave, b) double sterilization, c) dry sterilization

    • C. 

      A) autoclave, b) dry sterilzation, c) double sterilization

    • D. 

      Non of the above

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