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Test Your AFI 44-108 Infection Control Skills

Boost Your Infection Prevention and Tuberculosis Control IQ

Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration showing mask sanitizer virus with infection control quiz text on golden yellow background

Ready to put your AFI 44-108 expertise front and center? This infection control quiz invites both seasoned professionals and aspiring healthcare champions to test their infection prevention and control program knowledge for free. You'll dive into essential topics - from tuberculosis infection control measures to comprehensive strategies taught in your healthcare infection control training - and uncover strengths and gaps in minutes. Start by reviewing our infection control questions and answers pdf , then jump into the interactive quiz on infection prevention and control . Take this chance to challenge yourself and elevate patient safety - begin now!

Easy
What is the primary purpose of Standard Precautions in infection control?
To protect both healthcare workers and patients
To protect healthcare workers only
To protect patients only
To reduce environmental contamination only
Standard Precautions are the foundation of effective infection control, designed to protect both healthcare workers and patients from transmission of infectious agents. They combine elements of universal precautions and body substance isolation. These measures apply to blood, all body fluids, secretions, excretions (except sweat), non-intact skin, and mucous membranes. CDC Standard Precautions
Which personal protective equipment is essential when caring for a patient with a known airborne infectious disease?
N95 respirator
Surgical mask
Powered air-purifying respirator
Face shield
An N95 respirator filters out at least 95% of airborne particles and is the minimum requirement for protection against airborne pathogens such as tuberculosis and measles. Surgical masks protect against droplets but do not seal to the face. PAPRs offer equivalent or higher protection but are not the standard first-line device. CDC Respirator Basics
According to infection control guidelines, when should hand hygiene be performed?
Before and after every patient contact
Only before meals
Every hour
Only after glove removal
Hand hygiene is the single most effective measure to prevent the spread of infections and should be performed before and after every patient contact, after removing gloves, and after contact with potentially contaminated surfaces. This is a core element of Standard Precautions. WHO Hand Hygiene Guidelines
What color is typically designated for biohazard waste bags in healthcare facilities?
Red
Yellow
Blue
Black
Red bags or red containers marked with the universal biohazard symbol are used for disposing of regulated medical waste that may pose a biological hazard. This color coding helps ensure proper handling and disposal. OSHA Medical Waste
What is the minimum recommended duration for performing hand hygiene with an alcohol-based hand rub?
20 seconds
10 seconds
30 seconds
60 seconds
An alcohol-based hand rub should be applied and rubbed thoroughly for at least 20 seconds to ensure adequate coverage and microbial kill. Shorter durations may not effectively eliminate pathogens. WHO Handrub Duration
Medium
Which of the following cleaning practices is a Category IA recommendation under AFI 44-108 for high-touch environmental surfaces?
Daily disinfection of high-touch surfaces
Weekly cleaning
Monthly deep cleaning
Cleaning only when visibly soiled
Category IA recommendations are strongly supported by experimental or epidemiologic studies. Daily disinfection of high-touch environmental surfaces prevents pathogen transmission. Less frequent or reactive cleaning is not sufficient to control infection risk. CDC Environmental Cleaning
What is the correct disposal method for contaminated sharps in a medical facility?
Puncture-resistant sharps container
Biohazard waste bag
Regular trash
Chemical neutralization in sink
Contaminated sharps must be placed immediately into a designated puncture-resistant sharps container to prevent needlestick injuries. They should never be disposed of in regular trash or chemical sinks. OSHA Sharps Safety
Which transmission-based precaution is indicated for Clostridioides difficile infection?
Contact precautions
Droplet precautions
Airborne precautions
Standard precautions only
C. difficile is transmitted via spores that survive on surfaces and hands. Contact precautions, including gown and glove use and environmental cleaning with sporicidal agents, are required. Droplet or airborne measures are not indicated unless the disease presentation changes. CDC C. difficile
According to AFI 44-108 guidelines, what is the minimum required air change rate per hour for airborne infection isolation rooms?
12 air changes per hour
6 air changes per hour
15 air changes per hour
20 air changes per hour
Airborne infection isolation rooms should maintain at least 12 air changes per hour for new or renovated facilities to ensure rapid removal of airborne contaminants. Older facilities may have lower rates but a minimum of six is acceptable. CDC Air Guidelines
When sterilizing wrapped instruments in an autoclave, what standard temperature and time must be met?
121°C for 15 minutes
132°C for 3 minutes
115°C for 30 minutes
121°C for 5 minutes
Gravity displacement autoclaves must reach 121°C at 15 psi for at least 15 minutes to achieve sterility of wrapped instruments. Lower temperatures or shorter times do not guarantee kill of all spores. AAMI Sterilization
Hard
How frequently must bloodborne pathogen training be provided to healthcare workers under AFI 44-108?
Annually
Bi-annually
Monthly
Quarterly
Federal regulations mandate annual bloodborne pathogen training to ensure healthcare workers remain current on safe handling and exposure control measures. This frequency reduces the risk of occupational exposure. OSHA Bloodborne Pathogens
If a respirator seal check fails before patient care, what is the appropriate action?
Discard the respirator and select a proper size or type
Tighten the straps further and proceed
Proceed since a small leak is acceptable
Decontaminate and reuse the same respirator
A proper seal is critical for respirator efficacy. If a seal check fails, the respirator must be discarded or replaced with the correct size or model before entering a hazardous environment. Continuing with a poor seal compromises protection. NIOSH Seal Check Guidance
Which sterilization monitoring method provides immediate visual confirmation during the process?
Chemical indicator
Biological indicator
Mechanical indicator
Radiologic indicator
Chemical indicators change color or form upon exposure to sterilization parameters, offering immediate confirmation that the process conditions were met. Biological indicators require incubation and take longer to confirm sterility. AAMI Standards
What concentration of sodium hypochlorite (household bleach) is recommended for disinfecting blood spills?
1:10 bleach solution
1:100 bleach solution
1:50 bleach solution
1:5 bleach solution
A 1:10 dilution of household bleach (approximately 5,000 ppm available chlorine) is effective for disinfecting blood spills by inactivating bloodborne pathogens. Weaker solutions may not fully eliminate spores or viruses. CDC Blood Spill Cleaning
Transmission-based precautions include all of the following EXCEPT:
Radiation precautions
Contact precautions
Droplet precautions
Airborne precautions
Transmission-based precautions consist of contact, droplet, and airborne precautions to control specific transmission routes. Radiation precautions are unrelated and involve protection from ionizing or non-ionizing radiation. CDC Transmission-Based Precautions
Expert
Per AFI 44-108, what is the maximum allowable concentration of viable particles in a Class 100 laminar flow hood, measured in particles per cubic foot?
?100 particles/ft³
?350 particles/ft³
?500 particles/ft³
?1000 particles/ft³
Class 100 (ISO Class 5) laminar flow hoods must maintain 100 or fewer particles of size ?0.5 µm per cubic foot of air to ensure a sterile work environment. Higher counts risk contamination. ISO 14644-1
According to AFI 44-108, how often must water quality be tested in hemodialysis units?
Monthly
Weekly
Quarterly
Annually
Hemodialysis units require stringent water quality monitoring at least monthly to detect endotoxins and microbial contamination, protecting patient safety. More frequent checks may be indicated in certain circumstances. CDC Dialysis Water Quality
0
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Study Outcomes

  1. Understand AFI 44-108 Guidelines -

    Gain a clear grasp of the key provisions and requirements outlined in AFI 44-108 to support effective infection control practices.

  2. Apply Infection Prevention and Control Program Principles -

    Learn how to implement core components of the infection prevention and control program within your healthcare setting for improved safety.

  3. Evaluate Tuberculosis Infection Control Strategies -

    Assess and compare different tuberculosis infection control measures to ensure compliance and minimize transmission risk.

  4. Analyze Real-World Infection Control Scenarios -

    Practice solving case-based challenges drawn from the infection control quiz to strengthen decision-making skills.

  5. Identify Regulatory Compliance and Best Practices -

    Spot critical regulatory requirements and best practices highlighted in healthcare infection control training to maintain high-quality standards.

Cheat Sheet

  1. AFI 44-108 Infection Prevention and Control Program Overview -

    This section lays out the "plan-do-check-act" framework that underpins the AFI 44-108 infection prevention and control program, ensuring continuous improvement in healthcare infection control training. It details leadership responsibilities, resource allocation, and regular program evaluation per CDC guidelines (cdc.gov) and DoD standards. Remember the cycle with the mnemonic "P-D-C-A" (Plan, Do, Check, Act) to streamline policy updates.

  2. Standard and Transmission-Based Precautions -

    Standard Precautions apply to all patient care, while Transmission-Based Precautions (contact, droplet, airborne) tackle specific pathogen risks. A handy tip is "SPIDER": Soap, PPE, Isolation, Distance, Eye protection, Respiratory etiquette. This aligns with WHO and AFI 44-108 guidance on layering precautions to break infection chains.

  3. Tuberculosis Infection Control Strategies -

    AFI 44-108 emphasizes a hierarchy of controls for tuberculosis infection control: administrative (screening), environmental (negative-pressure rooms), and respiratory protection (N95 masks). The "A-E-R-P" mnemonic (Administrative, Environmental, Respiratory, Personal) helps recall each tier. Case studies from the National Institute for Occupational Safety and Health (NIOSH) demonstrate up to 90% risk reduction when all levels are implemented.

  4. Surveillance and Reporting Requirements -

    Effective surveillance under the infection prevention and control program involves active data collection on healthcare-associated infections (HAIs) and timely reporting to relevant public health authorities. Calculate incidence rates using the formula: (Number of new HAI cases ÷ Total patient-days) × 1,000. This metric is central to your infection control quiz prep and aligns with CDC's NHSN reporting standards.

  5. Personal Protective Equipment (PPE) Best Practices -

    Choosing the right PPE (gloves, gowns, eye protection, masks) reduces transmission during high-risk procedures. Follow the "G-MEG" order when donning and doffing (Gown, Mask/Respirator, Eye protection, Gloves) to avoid self-contamination. Regular fit-testing and competency checks are cornerstones of healthcare infection control training per Joint Commission recommendations.

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