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When should hand rubs be used?


A) To kill microbes when no visible soil is present
B) To kill microbes when visible soil is present
C) In the presence or absence of visible soil
D) Anytime

E) A) and D)
F) A) and C)

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Which of the following best describes the resident skin flora on the hands?


A) Microbes that live on the skin all the time
B) Microbes that are usually killed or removed by handwashing
C) Microbes that are usually involved in the spread of disease from the hands
D) Microbes that are highly pathogenic

E) B) and C)
F) All of the above

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What is the antimicrobial agent in hand rubs used without rinsing?


A) Sodium hypochlorite
B) Hydrogen peroxide
C) Alcohol
D) Glutaraldehyde

E) A) and B)
F) All of the above

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C

A surgical hand scrub will sterilize the hands.

A) True
B) False

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When rinsing your hands after washing, your hands should be:


A) kept down, with the water dripping off the fingers.
B) kept level so the water will not drip.
C) kept up with the water dripping off the elbow.
D) placed in water as hot as you can stand.

E) A) and C)
F) B) and D)

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C

Hands should be washed before gloving and after removing gloves.

A) True
B) False

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Hand washing for routine (nonsurgical) procedures can be performed with antimicrobial or non-antimicrobial soap.

A) True
B) False

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Which of the following is the correct hand hygiene procedure for using an alcohol hand rub before surgery?


A) Use alcohol hand rub; rinse; dry.
B) Wash with a non-antibacterial soap; rinse; dry; use alcohol hand rub.
C) Use alcohol hand rub; wash with non-antibacterial soap; rinse; dry.
D) Wash with non-antibacterial soap; use alcohol hand rub; dry.

E) A) and B)
F) A) and C)

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B

Which of the following is appropriate for hand hygiene and gloving?


A) One should keep nails short to allow for thorough cleaning and to prevent glove tears.
B) Wearing artificial nails are fine as long as they are kept short.
C) Arm jewelry is fine during surgical procedures as long as it is simple in design and the arms are thoroughly washed.
D) Finger rings are fine during surgical procedures as long as the rings do not tear gloves.

E) B) and D)
F) All of the above

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The category of bacteria on the hands that contains the normal skin bacteria rather than the pathogens is called:


A) transient.
B) resident.
C) resistant.
D) a colony.

E) None of the above
F) A) and B)

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Why is it important to wash the hands before gloving?


A) The residual moisture from hand washing makes the gloves easier to put on.
B) The small amount of soap left on the hands after hand washing prevents any allergic reaction to the gloves.
C) Dirty hands increase the chance that the gloves will tear during use.
D) This reduces the number of microbes on the skin so there will be fewer to multiply beneath the gloves and irritate the skin.

E) A) and C)
F) C) and D)

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Which hand hygiene agent has the greatest antimicrobial activity?


A) Alcohol
B) Triclosan
C) Quaternary ammonium compounds
D) Iodophors

E) B) and C)
F) A) and D)

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Which type of hand lotion will not have detrimental effects on latex gloves?


A) Glycerin
B) Lanolin
C) Palm oil
D) Petrolatum

E) C) and D)
F) A) and B)

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When alcohol-based hand rubs are used throughout the day, which of the following should be done?


A) Periodically wash the gloves to remove the residual alcohol.
B) Perform a surgical scrub using antimicrobial soap at the end of the day because alcohol-based hand rubs are not very effective.
C) Wash and rinse the hands after every four to five hand rubs to remove the buildup of glove powder, sweat, and glove chemicals from the hands.
D) For every other hand rub, put the gloves on first and then use the alcohol-based hand rub.

E) B) and D)
F) A) and D)

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Which of the following is too toxic to use as an antimicrobial hand washing agent?


A) Triclosan
B) Chlorhexidine
C) Iodophor
D) Glutaraldehyde

E) C) and D)
F) None of the above

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Which of the following procedures provides the least cross-contamination during hand washing?


A) Using electric eye soap dispensers
B) Using bar soaps
C) Using squeeze bottle soap dispensers
D) Using pump soap dispensers

E) None of the above
F) B) and D)

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Which property of hand hygiene agents is least important to consider before making a selection to purchase?


A) Antimicrobial action
B) Method of dispensing
C) Persistence of activity
D) Size of the container

E) A) and D)
F) B) and C)

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Which of the following best describes the transient skin flora on the hands?


A) Microbes that live on the skin all the time
B) Microbes that are never completely killed or removed by handwashing
C) Microbes that are usually involved in the spread of disease from the hands
D) Microbes that are nonpathogenic

E) None of the above
F) A) and B)

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