PHC 4032 Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
Domain 1 Leadership - CORRECT ANSWER Collaboration
followership
program management
critical thinking skills
communication
Domain 2 Infection control and prevention - CORRECT ANSWER risk reduction and
infection prevention
use and interpretation of diagnostic tests
antimicrobial stewardship
education
research
Domain 3 Technology - CORRECT ANSWER information technology support
surveillance technology
EMR &EDW
Domain 4 performance improvement & implementation science - CORRECT
ANSWER Performance improvement =systems, projects& activities
to meet organizational goals
Implementation science= conceptual basis, translating evidence into practice, closing gaps
between theory and practice
Domain 4: PI and IS - CORRECT ANSWER identification of need for PI
assembly of PI teak
tools and methods
implementation
, measuring success
Surgical site infection (SSI) - CORRECT ANSWER • Identify & treat all infections
remote to the surgical site before elective operations. • Do not remove hair unless it will
interfere with the operation. • Administer prophylactic antibiotics only when indicated and
select it based on effectiveness against the most common pathogens that cause SSIs.
When prophylactic antibiotics are used, the first dose should be timed so that the highest
concentration of the medication in the serum and tissues is the highest when the incision is
made. • Adhere to the principles of asepsis when placing IV devices, spinal or epidural
catheters, or administering IV drugs. © McGuire‐Wolfe, 20
central line-associated bloodstream infection (CLABSI) - CORRECT ANSWER Weigh
the risks & benefits of placing a central line at a particular site. • Avoid using the femoral vein
for central venous access in adult patients. • Promptly remove any intravascular device that is
no longer essential. • Prepare clean skin with a >0.5% chlorhexidine preparation with alcohol
prior to insertion and during dressing changes.
Use either sterile gauze or sterile, transparent, semipermeable dressing to cover the catheter
site.
Ventilator-associated pneumonia (VAP) - CORRECT ANSWER Whenever possible,
use steam sterilization or wet heat pasteurization
The breathing circuit of mechanical ventilators should not be routinely changed - change only
when it is visibly soiled or malfunctioning. • Decontaminate hands with soap and water or
with alcohol based hand rub before handling condensate in the tubing
Use non ‐invasive ventilation whenever possible. • Minimize the duration of ventilation. •
Maintain patients in a position that prevents aspiration. (elevation of the head). • Orotracheal
intubation is preferred over nasotracheal intubation. • Use sterile water to rinse reusable
equipment.
catheter-associated urinary tract infection (CAUTI) - CORRECT ANSWER In the non
‐acute setting, clean technique for intermittent catheterization is acceptable.
• Insert catheters only for appropriate indications.
• Minimize catheter use and duration of use in all patients. • Avoid use of urinary catheters for
management of incontinence.
• Perform hand hygiene immediately before and after removal of a catheter.
AND CORRECT ANSWERS
Domain 1 Leadership - CORRECT ANSWER Collaboration
followership
program management
critical thinking skills
communication
Domain 2 Infection control and prevention - CORRECT ANSWER risk reduction and
infection prevention
use and interpretation of diagnostic tests
antimicrobial stewardship
education
research
Domain 3 Technology - CORRECT ANSWER information technology support
surveillance technology
EMR &EDW
Domain 4 performance improvement & implementation science - CORRECT
ANSWER Performance improvement =systems, projects& activities
to meet organizational goals
Implementation science= conceptual basis, translating evidence into practice, closing gaps
between theory and practice
Domain 4: PI and IS - CORRECT ANSWER identification of need for PI
assembly of PI teak
tools and methods
implementation
, measuring success
Surgical site infection (SSI) - CORRECT ANSWER • Identify & treat all infections
remote to the surgical site before elective operations. • Do not remove hair unless it will
interfere with the operation. • Administer prophylactic antibiotics only when indicated and
select it based on effectiveness against the most common pathogens that cause SSIs.
When prophylactic antibiotics are used, the first dose should be timed so that the highest
concentration of the medication in the serum and tissues is the highest when the incision is
made. • Adhere to the principles of asepsis when placing IV devices, spinal or epidural
catheters, or administering IV drugs. © McGuire‐Wolfe, 20
central line-associated bloodstream infection (CLABSI) - CORRECT ANSWER Weigh
the risks & benefits of placing a central line at a particular site. • Avoid using the femoral vein
for central venous access in adult patients. • Promptly remove any intravascular device that is
no longer essential. • Prepare clean skin with a >0.5% chlorhexidine preparation with alcohol
prior to insertion and during dressing changes.
Use either sterile gauze or sterile, transparent, semipermeable dressing to cover the catheter
site.
Ventilator-associated pneumonia (VAP) - CORRECT ANSWER Whenever possible,
use steam sterilization or wet heat pasteurization
The breathing circuit of mechanical ventilators should not be routinely changed - change only
when it is visibly soiled or malfunctioning. • Decontaminate hands with soap and water or
with alcohol based hand rub before handling condensate in the tubing
Use non ‐invasive ventilation whenever possible. • Minimize the duration of ventilation. •
Maintain patients in a position that prevents aspiration. (elevation of the head). • Orotracheal
intubation is preferred over nasotracheal intubation. • Use sterile water to rinse reusable
equipment.
catheter-associated urinary tract infection (CAUTI) - CORRECT ANSWER In the non
‐acute setting, clean technique for intermittent catheterization is acceptable.
• Insert catheters only for appropriate indications.
• Minimize catheter use and duration of use in all patients. • Avoid use of urinary catheters for
management of incontinence.
• Perform hand hygiene immediately before and after removal of a catheter.
