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Test 4: Hand hygiene

  1. Which is the most common mode of infection transmission in healthcare settings?
    • Via hands
    • Coughing and sneezing
    • Needlestick injuries
    • Contaminated food and water.
  2. What is the single most important reason for healthcare workers to practise good hand hygiene?
    • To remove visible soiling from hands
    • To prevent transfer of bacteria from the home to the hospital
    • To prevent transfer of bacteria from the hospital to the home
    • To prevent healthcare-associated infections.
  3. Healthcare workers should be encouraged to:
    • Not wear rings and bracelets, but may wear watches.
    • Not wear rings, bracelets and watches, but may wear artificial nails.
    • Not wear rings, bracelets and watches, but may have long nails
    • Not wear rings, bracelets and watches, and keep nails short.
  4. Which one of the ‘five moments for hand hygiene’ is the most important?
    • Before and after patient contact
    • Before an aseptic procedure
    • After body fluid exposure and contact with patient surroundings
    • They are all equally important.
  5. Which of the ‘five moments for hand hygiene’ do healthcare workers forget most often?
    • Before patient contact
    • After patient contact
    • Before aseptic procedure
    • After contact with patient surroundings.
  6. To perform adequate hand hygiene healthcare workers need:
    • 80–90 seconds for handwash with soap and water
    • 20–30 seconds for alcohol handrub
    • 20–30 seconds for handwash with soap and water
    • 10–15 seconds for alcohol handrub.
  7. Which is the most commonly missed area of the hand when performing hand hygiene?
    • The palm of the hand
    • The middle and index fingers
    • Back of the hand
    • Around the fingernails/fingertips.
  8. When should gloves be changed?
    • When they are dirty
    • When moving from a contaminated body area to a ‘clean’ area of the same patient
    • When moving to another patient
    • All of the above.
  9. For which of these tasks should gloves be worn?
    • When changing fluid administration sets
    • For turning or re-positioning bed-bound patients
    • When touching a patient known to be colonised with resistant bacteria
    • When feeding patients.
  10. Identify the only correct practice:
    • Pouring antiseptic solutions from one bottle to another
    • Using the same pair of gloves for more than one patient
    • Touching a patient without thoroughly drying hands
    • Using alcohol handrub when hands are not visibly contaminated.
  11. What is the most effective and fastest way to clean your hands before patient contact?
    • Soap and water
    • Water only
    • Antimicrobial soap and water
    • Alcohol handrub.
  12. Which form of hand hygiene is not appropriate after exposure to blood?
    • Soap and water
    • Water only
    • Antimicrobial soap and water
    • Alcohol handrub.
  13. Which of the following hand hygiene agents is least drying to your skin?
    • Plain soap and water
    • Antimicrobial soap and water
    • Alcohol-based handrub
    • Soap and water followed by alcohol-based handrub.
  14. Hand hygiene using alcohol-based handrub rather than soap and water:
    • Is less effective than soap and water
    • Takes longer to perform
    • Causes more skin irritation
    • Results in greater reduction in bacterial numbers.
  15. Where should alcohol handrub be made available?
    • In the waiting room
    • In the bathrooms
    • Placed at the washbasins
    • At the point of care.
  16. The ideal handwashing basin/station should include which of the following?
    • A place to put the wet soap
    • Elbow-operated, ‘no touch’ taps
    • Alcohol handrub mounted at the sink
    • A plug for the sink.
  17. Which strategy can improve healthcare workers’ hand hygiene compliance rates?
    • Fine or give verbal warnings to health-care workers who do not comply
    • Give each healthcare worker their own bar of soap
    • Place cotton hand towels at each wash basin
    • Monitoring compliance rates and giving feedback on performance.
  18. Which interventions improve the use of alcohol handrub?
    • Education about the superiority of alcohol handrub and increasing ease of access
    • Improving quality of alcohol-based solutions with increased glycerol to protect hands
    • Providing instructions for staff explaining how to use alcohol handrub
    • All the above.
  19. The main reasons for hand hygiene non-compliance reported by the healthcare workers are:
    • Too busy to perform hand hygiene
    • Frequent handwashing results in skin irritation
    • It’s easier to use gloves than to wash hands
    • All of the above.
  20. Which group of healthcare workers has the lowest hand hygiene compliance rates (according to the literature)?
    • Nurses
    • Doctors
    • Medical students
    • Physiotherapists.