Continuous Education: Hand Hygiene
Questions and Answers
- 1.
Which of the following is the FIRST priority in preventing infections when providing care for a client?
- A.
Handwashing
- B.
Wearing gloves
- C.
Using a barrier between client’s furniture and nurse’s bag
- D.
Wearing gowns and goggles
Correct Answer
A. HandwashingExplanation
Handwashing is the FIRST priority in preventing infections when providing care for a client because it is the most effective way to remove germs and prevent the spread of infection. Proper hand hygiene helps to eliminate bacteria and viruses that may be present on the hands, reducing the risk of transmission to the client or other individuals. Wearing gloves, using barriers, and wearing gowns and goggles are all important infection control measures, but they should be used in addition to handwashing, not as a substitute.Rate this question:
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- 2.
What are we trying to reduce or eliminate when we are doing handwashing?
- A.
Viruses
- B.
Bacteria
- C.
Fungi
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
When we are doing handwashing, we are trying to reduce or eliminate viruses, bacteria, and fungi. Handwashing is a crucial practice to maintain proper hygiene and prevent the spread of infectious diseases. Viruses, bacteria, and fungi can all be present on our hands and can cause various illnesses. By washing our hands with soap and water, we can effectively remove these microorganisms and reduce the risk of infection. Therefore, the correct answer is "All of the above."Rate this question:
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- 3.
The most effective way to break the chain of infection is by:
- A.
Practicing good hand hygiene
- B.
Wearing gloves
- C.
Placing clients in isolation
- D.
Providing private rooms for clients
Correct Answer
A. Practicing good hand hygieneExplanation
Practicing good hand hygiene is the most effective way to break the chain of infection because our hands come into contact with various surfaces and objects that may be contaminated with pathogens. By washing our hands regularly and properly, we can remove these pathogens and prevent their transmission to ourselves or others. Hand hygiene is a simple and cost-effective measure that can significantly reduce the risk of infection in healthcare settings and in our daily lives. Wearing gloves, placing clients in isolation, and providing private rooms for clients can also help prevent the spread of infection, but they are not as universally applicable or as effective as practicing good hand hygiene.Rate this question:
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- 4.
Standard Precautions are used in:
- A.
Patients with presence of Infection
- B.
Not needed at all
- C.
All Patient of THC
Correct Answer
C. All Patient of THCExplanation
Standard Precautions are a set of infection control practices that healthcare providers use to prevent the transmission of infections. These precautions should be applied to all patients, regardless of whether they have a known infection or not. Therefore, they are used in all patients, including those with THC (Tetrahydrocannabinol) - the main psychoactive component of cannabis. Applying Standard Precautions helps to protect both the healthcare providers and the patients from the spread of infectious diseases.Rate this question:
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- 5.
What is the hand hygiene technique should perform when your hand is visibly soiled?
- A.
Hand Hygiene with soap and water
- B.
Hand Hygiene with Alcohol-based Hand Rub
- C.
Routine decontamination
Correct Answer
A. Hand Hygiene with soap and waterExplanation
When hands are visibly soiled, the most effective hand hygiene technique is to wash them with soap and water. Soap helps to remove dirt, grime, and visible contaminants from the hands, while water helps to rinse them away. This method is recommended over using an alcohol-based hand rub, as the latter may not effectively clean visibly dirty hands. Routine decontamination is a general term that does not specifically address visibly soiled hands, so it is not the correct answer in this case.Rate this question:
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- 6.
Which of the following is recommendation of the World Health Organization (WHO)? Perform hand hygiene:
- A.
Before and after having direct contact with patients
- B.
With alcohol-based hand rub if hands are not visibly soiled
- C.
After removing gloves
- D.
Before handling an invasive device (regardless of whether or not gloves are used)
- E.
All are WHO recommendations
Correct Answer
E. All are WHO recommendationsExplanation
The World Health Organization (WHO) recommends performing hand hygiene before and after having direct contact with patients, with alcohol-based hand rub if hands are not visibly soiled, after removing gloves, and before handling an invasive device, regardless of whether or not gloves are used. These recommendations are important to prevent the spread of infections in healthcare settings and ensure the safety of both healthcare workers and patients.Rate this question:
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- 7.
What is the importance of hand hygiene?
- A.
To have comfortable environment.
- B.
Prevention of infection.
- C.
To maintain the cleanliness.
Correct Answer
B. Prevention of infection.Explanation
Hand hygiene is important for the prevention of infection. By practicing good hand hygiene, such as washing hands with soap and water or using hand sanitizers, the spread of harmful bacteria, viruses, and other pathogens can be significantly reduced. This is crucial in preventing the transmission of diseases, especially in healthcare settings where the risk of infection is high. Regular hand hygiene also helps to protect individuals from getting sick and promotes overall public health by minimizing the spread of germs.Rate this question:
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- 8.
Select all that apply.Standard precautions includes?
- A.
Hand hygiene at the ‘‘5 moments’’ described by the WHO, including before and after each patient contact.
- B.
Care in the use and disposal of sharps
- C.
The correct use of personal protective equipment for contact with all blood, body fluids, secretions and excretions (except sweat).
- D.
Providing care in a suitably clean environment with adequately decontaminated equipment.
- E.
The safe disposal of waste.
- F.
The safe management of used linen.
Correct Answer(s)
A. Hand hygiene at the ‘‘5 moments’’ described by the WHO, including before and after each patient contact.
B. Care in the use and disposal of sharps
C. The correct use of personal protective equipment for contact with all blood, body fluids, secretions and excretions (except sweat).
D. Providing care in a suitably clean environment with adequately decontaminated equipment.
E. The safe disposal of waste.
F. The safe management of used linen.Explanation
Standard precautions include several measures to prevent the spread of infection. These measures include hand hygiene at the ‘‘5 moments’’ described by the WHO, which includes washing hands before and after each patient contact. It also includes care in the use and disposal of sharps to prevent accidental injuries. The correct use of personal protective equipment is necessary when coming into contact with blood, body fluids, secretions, and excretions (except sweat). Providing care in a clean environment with decontaminated equipment helps prevent the transmission of pathogens. The safe disposal of waste and the proper management of used linen are also important aspects of standard precautions.Rate this question:
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- 9.
Time duration to perform Hand Decontamination using Alcohol Hand Rub?
- A.
45 Sec.
- B.
5 Sec.
- C.
10 Sec.
- D.
15- 30 Sec.
Correct Answer
D. 15- 30 Sec.Explanation
The correct answer is 15-30 seconds. Hand decontamination using alcohol hand rub should be performed for at least 15-30 seconds to effectively kill germs and reduce the risk of infection. This duration allows enough time for the alcohol to evaporate and for the rubbing action to cover all areas of the hands, including the fingertips, thumbs, and between the fingers. It is important to follow this recommended time to ensure proper hand hygiene and prevent the spread of pathogens.Rate this question:
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- 10.
It is good practice to remove all hand and wrist jewelry and roll up sleeves before entering any clinical area.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
It is good practice to remove all hand and wrist jewelry and roll up sleeves before entering any clinical area because it helps to maintain proper hygiene and prevent the spread of germs. Jewelry can harbor bacteria and other pathogens, which can easily be transmitted to patients or other healthcare workers. Rolling up sleeves allows for easier handwashing and prevents any contamination from clothing. Additionally, removing jewelry reduces the risk of it getting caught on equipment or causing injury during procedures.Rate this question:
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- 11.
Select all that apply.When to Perform Hand Washing?
- A.
Before eating and after using the rest room, wash hands with soap and water.
- B.
When contacted with body fluids.
- C.
When hand is visibly soiled.
Correct Answer
A. Before eating and after using the rest room, wash hands with soap and water.Explanation
Hand washing should be performed before eating and after using the restroom to prevent the spread of germs and maintain personal hygiene. Washing hands with soap and water is effective in removing dirt, bacteria, and viruses. Contact with body fluids and visibly soiled hands are also situations where hand washing is necessary to prevent the transmission of pathogens.Rate this question:
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- 12.
What is the time duration of Hand Washing?
- A.
15 -30 Sec.
- B.
40 - 60 Sec.
- C.
2 minutes
- D.
90 Sec.
Correct Answer
B. 40 - 60 Sec.Explanation
The correct answer is 40 - 60 seconds. This is the recommended duration for hand washing by health experts and organizations such as the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC). Washing hands for at least 40 - 60 seconds ensures that enough time is spent on thoroughly cleaning all areas of the hands, including between fingers, under nails, and the back of the hands. This duration helps to effectively remove dirt, germs, and viruses, reducing the risk of infections and diseases.Rate this question:
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- 13.
Multiple used towels of hanging or roll type are not recommended.
- A.
True
- B.
False
Correct Answer
A. True -
- 14.
If you wear gloves while providing care, hand hygiene is not required.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Hand hygiene is always important regardless of whether gloves are being worn or not. Gloves provide a physical barrier and protect the hands from direct contact with potentially harmful substances, but they can still become contaminated during use. Therefore, proper hand hygiene, including washing hands with soap and water or using hand sanitizer, is necessary to ensure the hands are clean and free from any potential pathogens.Rate this question:
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- 15.
When using alcohol-based hand rub, you should:
- A.
Apply the hand rub and wave hands until dry
- B.
Apply a sufficient quantity of hand rub and rub hands for a least 15 seconds, being sure to cover all areas: front, back, between fingers, nail beds and thumbs
- C.
Apply the hand rub and rub palms together for 10 seconds
- D.
Apply hand rub when you see infection control staff on the unit
Correct Answer
B. Apply a sufficient quantity of hand rub and rub hands for a least 15 seconds, being sure to cover all areas: front, back, between fingers, nail beds and thumbsExplanation
When using alcohol-based hand rub, it is important to apply a sufficient quantity of hand rub and rub hands for at least 15 seconds. This ensures that all areas of the hands are covered, including the front, back, between fingers, nail beds, and thumbs. By following this procedure, the hand rub can effectively kill germs and prevent the spread of infections.Rate this question:
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- 16.
Infection Control Officer tells you that a patient can be managed using routine practices. This means:
- A.
The patient does not have any bacteria and does not pose a risk to staff or other patients
- B.
Any care being provided is routine in nature and presents no risk of infection
- C.
A risk assessment should be done before providing care and PPE worn as appropriate to the situation and the care being provided
Correct Answer
C. A risk assessment should be done before providing care and PPE worn as appropriate to the situation and the care being provided -
- 17.
The CRN is evaluating the infection control procedures on the unit. Which finding indicates a break in technique and the need for education of staff?
- A.
The nurse is not wearing gloves when feeding an elderly client.
- B.
A client with active tuberculosis is asked to wear a mask when he leaves his room to go to another department for testing.
- C.
A nurse with open, weeping lesions of the hands puts on gloves before giving direct client care.
- D.
The nurse puts on a mask, a gown, and gloves before entering the room of a client on strict isolation.
Correct Answer
C. A nurse with open, weeping lesions of the hands puts on gloves before giving direct client care.Explanation
The finding that indicates a break in technique and the need for education of staff is when a nurse with open, weeping lesions of the hands puts on gloves before giving direct client care. Open, weeping lesions on the hands can increase the risk of transmitting infections to clients, and wearing gloves alone is not sufficient to prevent the spread of infection. Proper hand hygiene, such as washing hands with soap and water or using hand sanitizer, should be done before donning gloves to ensure the safety of both the nurse and the client.Rate this question:
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- 18.
Too much hand rub will take longer to dry and may consequently cause delays; too little will not decontaminate hands adequately.
- A.
True
- B.
False
Correct Answer
A. True -
- 19.
Indications for hand hygiene include focus on both point of care and general indications not related to patientcare. Which of the following are correct?
- A.
Wash your hands with soap and water if they are visibly dirty or soiled.
- B.
Wash your hands with soap and water if caring for a patient with diarrhea
- C.
Wash your hands with soap and water before eating, after using the restroom and after coughing, sneezing or blowing your nose.
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "All of the above" because all three statements provided are correct indications for hand hygiene. Washing hands with soap and water is necessary if they are visibly dirty or soiled, if caring for a patient with diarrhea, and before eating, after using the restroom, and after coughing, sneezing, or blowing the nose.Rate this question:
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- 20.
If soap is not available, the preferred means for hand hygiene is the use of an alcohol based hand rub.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because when soap is not available, using an alcohol-based hand rub is the preferred means for hand hygiene. Alcohol-based hand rubs are effective in killing many types of germs on the hands and are commonly used in healthcare settings where soap and water may not be readily accessible. It is important to note that while alcohol-based hand rubs are effective, they should not be used as a substitute for handwashing with soap and water when they are available.Rate this question:
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