Exam 1 PHC 4032 QUESTIONS WITH
VERIFIED 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.
Ensure that only persons trained is aseptic technique insert & care for the catheters. • Keep the
collection bag below the level of the bladder at all times - do not set the bag on the floor.
VERIFIED 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.
Ensure that only persons trained is aseptic technique insert & care for the catheters. • Keep the
collection bag below the level of the bladder at all times - do not set the bag on the floor.
