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Clean Hands Save Lives
Hand Hygiene Module
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Question 1

You are caring for a patient with C. difficile.
The correct hand washing protocol is:
a
Wash with soap and water.
b
Use soap and water in the patient’s room and
alcohol foam cleanser in the hallway outside
the room.
c
It doesn’t matter because nothing can kill C.
difficile.
d
Always wear gloves, and then use either soap
and water or alcohol foam cleanser when you
remove them.

Answer
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Question 2

To minimize skin irritation associated with
hand hygiene:
a
Use hot water.
b
Find a hand lotion that works and carry a small
bottle in your pocket to apply frequently.
c
Use the hospital provided alcohol-based foam
cleanser whenever appropriate and warm
water when soap and water cleansing is
necessary.
d
Allow your hands to drip dry instead of rubbing
them dry on the paper towels in patient rooms.
Answer
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Question 3

If you have patient contact your nails
should be no longer than:
a
1 inch
b
½ inch
c
¼ inch
Answer
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Question 4

Washing with soap and water should be
done when:

Hands are visibly dirty or contaminated with
blood or other body substances

b
Before eating
c
After using the restroom
a
d
After caring for, or being in the room of a
patient with C. difficile
e
All of the above

Answer
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Question 5

The waterless alcohol-based foam rub can
be used instead of soap and water:
a
After touching the patient’s intact skin
b
After touching items in a patient’s room
c
After removing gloves
d
All of the above.
Answer
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Answer
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Correct.
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Question 6

The amount of the waterless alcohol foam
cleanser to use is:
a
½ cup
b
1 tsp.
c
1 oz.
d
1 palmful
Answer
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Answer
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Correct.
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Question 7

Actual soap and water hand washing
should be done for at least:
a
1 minute
b
15 seconds
c
Until you feel like your hands are clean
d
2 minutes
Answer
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Correct.
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Question 8

What temperature of water should be used
for the least skin irritation?
a
Warm
b
Hot
c
Cold
d
Whatever the HCW prefers
Answer
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Correct.
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Question 9

It is allowable to wear artificial nails or
extenders if:
a
You work in food services, but do not go up to
the patient floors
b
You provide direct patient care
c
You always wear gloves when you are on duty


d
You do not have patient contact and do not
work in food services
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Answer
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Correct.
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Question 10

After washing hands, turn off the faucet
with:
a
Paper towel
b
Your clean, wet hands
c
Your clean, dry hands
Answer
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Answer
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Correct.
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Question 11

The reason that we don’t get sick from the
normal flora (normal bacteria) on our skin
is:
a
Normal flora are harmless.
b
We have immunity to those bacteria.


Our skin is a barrier that keeps the bacteria
from invading and causing an infection.

Antibiotics that we take for other kinds of
infections keep those bacteria under control.
c
d
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Question 12

The alcohol foam rubs don’t excessively
dry the skin because:

Alcohol evaporates so quickly that it doesn’t
have time to dry the skin.

Skin care products have been added to the
waterless alcohol cleansers.

You can let the alcohol-based foam air dry on
your hand to lessen irritation.

We don’t use them unless soap and water are
absolutely not available.
a
b
c
d
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Question 13

True of False – Because only the backs of
our hands have direct contact with the
patient, bedding, or other patient care
items, we do not need to be concerned
about cleansing the backs of our hands?
a
True
b
False
Answer
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Question 14

To decrease the risk of spreading
pathogens or infections from patient to
patient we should:

Be assigned fewer patients.

b
Admit only patients with certain types of
infections to specific units,
c
Use good handwashing or hand hygiene.
a

d
Not touch anything in a patient room without
wearing gloves.
Answer
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Correct.
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Question 15

What does it mean when we read that a
patient has resistant bacteria?

The patient either has an infection with, or is
colonized (“carries”) bacteria which over time
have become resistant to antibiotics and which
can spread easily.

The patient’s bacteria are very resistant to
spreading.

c
Nothing, all bacteria are resistant because of
their protective cell wall.

That we need to send the patient home on IV
antibiotics.
a
b
d
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Correct.
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Question 16

When a HCW has problems with cracked,
dry skin what should they do?
a
Start the use of alcohol products after a stretch
of days off.

b
Never use alcohol based foam or waterless
cleansers.

Only dry their hands on a soft towel brought
from home.

Use cold water to rinse and soothe their hands
when washing with antibacterial soap.
c
d
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Answer

Correct.
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Question 17

True or False – It is acceptable for a HCW
to use either alcohol-based foam cleanser
or soap and water to wash their hands
after using the restroom.
a
False
b
True
Answer
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Question 18

You entered a patient room, but you did not
touch the patient. You only straighten the
bedding and check the water pitcher. Must
you wash you hands with soap and water?

No. Your hands are not contaminated because
you had no patient contact.

No. You can use waterless, alcohol-based foam
cleanser.

No. You can simply rinse your hands in warm
running water.

Yes. Pathogens are only removed with a 15
second scrub with warm running water.
a
b
c
d
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Answer
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Correct.
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Question 19

Why has the CDC written guidelines that
spell out actions to take related to hand
hygiene?
a
Because of an influx of money from the
manufacturers of alcohol-based foam
cleansers.
b
To reduce the spread of SARS.


To stop the spread of infection from one
person to another by hand contact.

To insure that all hospitals do the same thing
across the country.
c
d
Answer
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Correct.
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Question 20

Patients with C. difficile require special
precautions related to the potential spread
of infection from patient to patient because:

Difficile is Latin for “difficult” meaning that this bacteria
makes the patient difficult to control.

They require strict isolation with masks, gowns and
gloves because they have an increased risk of getting an
infection from another patient

C. difficile grows on antibacterial soap, making
handwashing useless in preventing it’s spread.

C. difficile is a spore-producing bacteria. It can live in the
environment for a long time. It is thought that the friction
of soap and water washing plus drying with a paper towel
are better at removing C. difficile from the HCW’s hands.
a
b
c
d
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Question 21

Artificial nails increase the risk of
transmitting a disease from patient to
patient because:

The longer length of artificial nails makes it more likely
that a patient will be accidentally scratched by a HCW,
breaking the skin barrier and putting them at more risk
for infection.

Studies have shown that more bacteria and yeast live on
artificial nails than on natural nails, in spite of good
handwashing.

The chemicals used to create artificial nails are a good
media for bacterial growth.

The thickness of artificial nails is more likely to cause a
tear in a latex glove.
a
b
c
d
Answer
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Question 22

Chipped nail polish increases the risk of
transmitting a disease from patient to
patient because:

The germs that have been living under the nail
polish are released into the air.

Individuals with chipped nail polish tend to pick at
it, or pull at it with their teeth, creating more
opportunities for contamination.
c
Chipped nail polish may chip off more while giving
patient care, falling into the patient’s bedding and
carrying germs.
a
b

d
Chipped nail polish may provide spaces for the
pathogen to get between the nail and the polish.
Answer
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Question 23

When using antibacterial soap, the HCW
should use:
a
About 1 teaspoon (tsp)
b
About 1 Tablespoon (Tbsp)
c
One squirt of any size
d
The more the better
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Question 24

When caring for a patient with a
compromised immune system, the HCW
should:

Never touch the patient without wearing
gloves.

Have the patient wear gloves and a mask
when the HCW is in the room.
a
b
c
d
Wash your hands before touching the patient.
Never use alcohol-based foam cleanser.
Answer
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
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Question 25

When hands are visibly contaminated with
body substances or are soiled with blood
or other body fluids, the HCW should:
a
Call Infection Control immediately.

Wash hands with antibacterial soap and warm
running water; dry them with a paper towel.

Wash hands twice with alcohol-based foam
cleanser, rinsing with warm water between
uses.

Rinse hands in warm running water to remove
visible contamination, dry. Then wash with
either soap and water, or an alcohol-based
foam cleanser.
b
c
d
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
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Question 26

To avoid concern about the flammable
nature of alcohol contained in the
waterless foam cleansers:

Do not smoke if you use an alcohol-based
cleanser.

b
Store boxes of alcohol-based foam cleanser
outside of the hospital building.
c
Keep alcohol-based foam cleansers out of the
reach of children.
d
Rub hands together until dry
a
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Question 27

It is acceptable within good hand hygiene
practices to apply hand lotion if:
a

b
c

d
You use the lotion provided by the hospital or
facility
You have washed with soap and water, but not
if you have use alcohol cleanser
You use the lotion donated by a drug rep
Hand lotion at work does not fall within the
practices of good hand hygiene.
Answer
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Question 28

True or false – HCW’s should use
antibacterial or germicidal soap at home
as well as at work.
a
True
b
False
Answer
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Question 29

Rubbing your hands until dry when using
alcohol based foam cleanser is important
for safety to reduce the risk of flammability
and
a
Release the skin care products added to the
foam to lessen possible skin irritation
b
Reduce skin absorption of alcohol and
potential intoxication
c
To effectively kill the germs
d
Avoid damage to latex gloves.

Answer
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Congratulations

You have now completed the learning
module.

Please print the completion certificate on the
next slide and keep it for your records.
Hand Hygiene Module
Certificate of Completion
Name:____________________________
Department/Unit:___________________
Signature:________________________
Completion Date: 3/28/2016 3:51 AM