Infection Prevention & Control Assessment
Total MCQs = 30
Key is given at the end.
1. What is the primary objective of environmental cleaning in healthcare settings according to WHO?
A. To maintain a pleasant smell in patient areas
B. To meet hospital accreditation standards
C. To remove dirt and reduce the presence of microorganisms
D. To reduce laundry workload
2. Which of the following surfaces requires the most frequent cleaning?
A. Walls
B. Bed rails
C. Ceilings
D. Windows
3. According to WHO guidelines, how often should high-touch surfaces in high-risk areas be cleaned?
A. Once a week
B. Daily
C. Twice daily or more, depending on use and soiling
D. Only when visibly dirty
4. What is the recommended contact time for disinfectants used during environmental cleaning?
A. 10 seconds
B. 1 minute
C. As per manufacturer’s instructions
D. 15 minutes minimum for all products
5. Which of the following is NOT a high-touch surface in patient care areas?
A. Light switches
B. Bedside tables
C. Upper walls
D. Door handles
6. What is the "two-bucket method" in cleaning practices?
A. One bucket for clean water and one for waste
B. One for cleaning solution and one for rinsing water
C. One for dry cloths and one for wet cloths
D. One for mops and one for brooms
7. According to WHO, what is the preferred direction of cleaning?
A. From top to bottom, clean to dirty
B. From inside to outside
C. Random order to save time
D. From floor to ceiling
8. Which of the following is a key component of an environmental cleaning program?
A. Air fresheners in patient rooms
B. Bright uniforms for cleaners
C. Written cleaning procedures and schedules
D. Separate cleaners for each ward
9. When should cleaning staff change gloves during routine cleaning?
A. At the end of the shift
B. After cleaning each room or when visibly soiled
C. Every two hours
D. Only after cleaning isolation rooms
10. Why is training of environmental cleaning staff important in IPC?
A. To promote loyalty to the hospital
B. To help them use cleaning robots
C. To ensure consistent, effective cleaning practices and IPC compliance
D. To reduce salary costs through multitasking
11. What is the most common cause of cardiac implantable electronic device (CIED) infections?
A) Staphylococcus aureus
B) Coagulase-negative Staphylococci (CoNS)
C) Streptococcus pneumoniae
D) Escherichia coli
12. You are a nurse and have just finished inserting an IV line into a patient's arm. What should you do next regarding hand hygiene?
A) Wash hands with soap and water
B) Use an alcohol-based hand rub
C) Put on a new pair of gloves
D) Do nothing, as hands are not visibly soiled
E) Use a hand sanitizer wipe
13. You are a healthcare worker and have been assisting with a patient's wound care. What should you do regarding hand hygiene after removing gloves?
A) Wash hands with soap and water
B) Use an alcohol-based hand rub
C) Do nothing, as hands are not visibly soiled
D) Use a hand sanitizer wipe
E) Put on a new pair of gloves
14. You are a nurse and have just finished administering oral medication to a patient. What should you do next regarding hand hygiene?
A) Wash hands with soap and water
B) Use an alcohol-based hand rub
C) Put on a new pair of gloves
D) Do nothing, as hands are not visibly soiled
E) Use a hand sanitizer wipe
15. You are a nurse and have just finished assisting with a patient's transfer to a wheelchair. What should you do next regarding hand hygiene?
A) Wash hands with soap and water
B) Use an alcohol-based hand rub
C) Put on a new pair of gloves
D) Do nothing, as hands are not visibly soiled
E) Use a hand sanitizer wipe
16. You are a nurse and have just finished assisting with a patient's meal. What should you do next regarding hand hygiene?
A) Wash hands with soap and water
B) Use an alcohol-based hand rub
C) Put on a new pair of gloves
D) Do nothing, as hands are not visibly soiled
E) Use a hand sanitizer wipe
17. A 65-year-old male patient has been catheterized for 7 days due to urinary retention. He develops a fever of 38.5°C and cloudy urine. What is the most likely diagnosis?
A) Catheter-associated urinary tract infection (CAUTI)
B) Hospital-acquired pneumonia
C) Surgical site infection
D) Central line-associated bloodstream infection (CLABSI)
18. A patient with a central venous catheter (CVC) develops a fever of 39°C and chills. Blood cultures are drawn, and the patient is started on broad-spectrum antibiotics. What is the next step in management?
A) Remove the CVC immediately
B) Continue antibiotics for 14 days
C) Obtain a chest X-ray to rule out pneumonia
D) Perform a lumbar puncture to rule out meningitis
19. A patient with a urinary catheter develops a CAUTI. Which of the following is the most effective way to prevent future CAUTIs?
A) Use of a silver-coated catheter
B) Daily catheter cleaning with soap and water
C) Implementing a catheter removal protocol
D) Increasing the frequency of catheter changes
20. A patient with a CVC develops a CLABSI. Which of the following antibiotics is most likely to be effective against the causative organism?
A) Vancomycin
B) Ciprofloxacin
C) Gentamicin
D) Linezolid
21. A patient with a urinary catheter develops a CAUTI caused by Escherichia coli . Which of the following is the most appropriate antibiotic therapy?
A) Ciprofloxacin
B) Trimethoprim-sulfamethoxazole
C) Nitrofurantoin
D) Amoxicillin-clavulanate
22. A patient with a CVC develops a CLABSI. What is the most important factor in determining the duration of antibiotic therapy?
A) Type of causative organism
B) Severity of symptoms
C) Presence of sepsis
D) Patient's underlying medical conditions
23. A patient with a urinary catheter develops a CAUTI. Which of the following is a risk factor for developing a CAUTI?
A) Female sex
B) Age < 50 years
C) Diabetes mellitus
D) Immunosuppression
24. A patient with a CVC develops a CLABSI. Which of the following is a common complication of CLABSI?
A) Sepsis
B) Endocarditis
C) Osteomyelitis
D) Meningitis
25. A patient with a urinary catheter develops a CAUTI. Which of the following is the most effective way to prevent CAUTIs in patients with urinary catheters?
A) Use of antibiotic prophylaxis
B) Use of antiseptic solutions for catheter cleaning
C) Implementing a catheter removal protocol
D) Increasing the frequency of catheter changes
26. A patient with a CVC develops a CLABSI. Which of the following is a key component of CLABSI prevention?
A) Use of chlorhexidine gluconate for skin preparation
B) Use of antibiotic-impregnated catheters
C) Implementing a central line bundle
D) All of the above
27. What is the Spaulding classification used for in the context of medical device reprocessing?
A. To determine the chemical composition of disinfectants
B. To categorize medical devices based on their risk of infection and required processing
C. To assess the durability of medical devices during sterilization
D. To measure the microbial load on medical devices before cleaning
28. According to WHO guidelines, what should be done immediately after using a reusable medical device to facilitate effective cleaning?
A. Soak the device in a high-level disinfectant
B. Sterilize the device in a steam autoclave
C. Perform a pre-cleaning step to remove gross soil at the point of use
D. Store the device in a sealed container until reprocessing
29. Which of the following is a key consideration when selecting a chemical disinfectant for medical devices?
A. It must be compatible with the device material and the intended use
B. It should be used only for critical devices entering sterile tissues
C. It must be applied at a high temperature to be effective
D. It should always be combined with steam sterilization
30. What is a critical quality control measure for ensuring the effectiveness of steam sterilization?
A. Checking the color of the sterilization packaging
B. Monitoring chemical, and biological indicators during the sterilization cycle
C. Measuring the weight of the device load before sterilization
D. Ensuring the autoclave is operated at optimum temperature
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Key
1. C
2. B
3. C
4. C
5. C
6. B
7. A
8. C
9. B
10. C
11. B
12. B
13. A
14. B
15. B
16. B
17. A
18. A
19. C
20. A
21. A
22. A
23. C
24. A
25. C
26. D
27. B
28. C
29. A
30. B
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