Types of disinfection include ridge tests. Tests Subject: Infection safety and infection control

1. The complete destruction of microorganisms and their spore forms is called: a) disinfection b) sterilization c) disinsection d) deratization

2. Hand treatment for nurses, according to European Standard E No. 1500, does not include: a) hygienic washing b) hygienic antiseptics c) surgical antiseptics G) biological antiseptic

3. The destruction of pathogenic microorganisms in the environment is called: a) deratization b) disinfection c) sterilization d) disinsection

4. Exposure when sterilizing instruments in a 6% solution of hydrogen peroxide at room temperature (in min.): A) 360 b) 180 c) 90 d) 60

5. To prepare 1 liter of washing solution for pre-sterilization treatment of instruments, you need to take perhydrol, 33% solution (in ml): a) 33 b) 30 V) 17 d) 14

6. To prepare 1 liter of cleaning solution for pre-sterilization treatment of instruments, you need to take a 3% solution of hydrogen peroxide (in ml): a) 240 b) 210 c) 170 d) 120

7. After use, rubber gloves are subject to: A) disinfection, pre-sterilization cleaning, sterilization b) washing under running water, sterilization c) disinfection, sterilization d) pre-sterilization cleaning, sterilization

8. Daily wet cleaning in the wards is carried out: a) 4 times b) 3 times V) 2 times d) 1 time

9. Hydrogen peroxide is used to sterilize instruments: A) 6% b) 4% c) 3% d) 1%

10. Duration of disinfection of medical thermometers in a 2% chloramine solution (in min.): a) 45 b) 5 c) 20 d) 30

11. Disinfection of scissors and razors is carried out:

A) immersion in alcohol 70 C for 15 minutes.

b) immersion in 1% chloramine solution for 1 hour

c) rubbing with alcohol

d) boiling for 30 minutes. in water

12. Treatment regime for oilcloths and oilcloth aprons after use:

a) wiping twice with 3% chloramine

b) dive for 60 minutes. in 1% chloramine solution

V)

d) double wet wiping

13. To sterilize disposable plastic medical products in industry, they use:

a) UV radiation

b) sterilization with flowing steam

V) gamma radiation

d) fractional sterilization

14. Chloramine solution used to disinfect reusable medical instruments in patients with viral hepatitis:

15. Mode for sterilizing gloves in an autoclave:

a) T=132 C, pressure 2 atm., 45 min.

b) T=132 C, pressure 2 atm., 10 min.

V) T=120 C, pressure 1.1 atm., 45 min.

d) T=120 C, pressure 0.5 atm., 20 min.

16. Disinfection regime for rubber care items (heating pads, ice packs):

a) wiping twice with a 3% chloramine solution

b) wiping twice with a 1% chloramine solution with an interval of 15 minutes.

c) boiling in a 2% sodium bicarbonate solution

d) immersion in a 3% chloramine solution for 60 minutes.

17. Exposure when disinfecting spatulas in a 3% solution of hydrogen peroxide (in min.):

18. In surgery, after emptying vessels and urinals from their contents:

a) immerse in a 1% chloramine solution for 15 minutes.

b) immerse in 3% chloramine solution for 30 minutes.

c) immerse in a 1% chloramine solution for 60 minutes.

d) wipe twice with 1% chloramine solution

19. Exposure during disinfection in a 3% chloramine solution of objects that came into contact with a patient with hepatitis or AIDS (in minutes):

20. Disinfection mode for instruments in an air sterilizer:

A) 120 0 – 45 min.

b) 160 0 – 120 min.

c) 132 0 – 20 min.

d) 180 0 – 30 min.

21. Working clothes heavily contaminated with blood must:

A) remove and soak in 3% chloramine solution for 1 hour

b) send to the laundry

c) treat the area of ​​contamination with a swab dipped in disinfectant. solution

d) remove and wash the stained area with soap

22. In a container with a filter, the contents are considered sterile from the moment of sterilization for:

A) 20 days

b) 7 days

at 6:00

d) 24 hours

23. The concentration of hydrogen peroxide for preparing the cleaning solution is:

24. Insufficiently treated hands of medical staff are:

a) a source of infection

b) infection transmission factor

c) source and transmission factor of infection

25. Exposure when soaking medical instruments in a cleaning solution during pre-sterilization cleaning (in min.):

26. Quartz mode of the treatment room:

a) every 60 minutes. for 15 min.

b) 2 times a day

c) 3 times a day

G) after 2 hours for 30 minutes.

27. Apparatus used for sterilization of dressings:

a) thermostat

b) autoclave

c) dry heat oven

d) sterilizer

28. Solution used for general cleaning of the treatment room:

A) 6% hydrogen peroxide solution with 0.5% detergent solution

b) 3% chloramine solution

c) 3% bleach solution

d) 1% chloramine solution

29. The working solution of chloramine is valid for (in days):

30. To control the temperature in a steam sterilizer, use:

a) sucrose, IS-160

b) benzoic acid, IS-120

c) succinic acid, IS-180

d) tartaric acid, IS-160

31. Type of cleaning of the treatment room, which is carried out at the end of the working day:

A) final

b) current

c) general

d) preliminary

32. General cleaning of the treatment room is carried out by:

a) 2 times a month

b) once a month

V) 1 time per week

d) once a day

33. Exposure when disinfecting instruments in a 3% chloramine solution (in hours):

34. Exposure during disinfection by boiling in distilled water is (in min.):

35. Disinfection of the bath after the patient:

a) wipe with 6% hydrogen peroxide solution

b) treat with 3% chloramine solution

c) wash with hot water and detergent powder

G) wipe 2 times with an interval of 10-15 minutes. 1% chloramine solution

36. Concentration of chloramine solution for disinfection of enema tips:

37. Treatment of the mucous membranes of the nurse when the patient’s blood comes into contact with them is carried out:

a) 6% hydrogen peroxide solution

b) 3% hydrogen peroxide solution

c) 1% hydrogen peroxide solution, running water

G) 0.05% potassium permanganate solution, 70 With alcohol

38. Sterility control method:

a) visual

b) bacteriological

c) physical

d) pharmacological

39. Disinfection time of disposable syringes and needles in a 5% chloramine solution (in min.):

40. To control the temperature in an air sterilizer, use:

a) sulfur, IS-120

b) benzoic acid, IS-120

V) succinic acid, IS-180

d) nicotinamide, IS-132

41. Disinfection of cleaning equipment:

a) boiling in water for 15 minutes.

b) soaking in 1% chloramine solution

c) boiling in a 2% soda solution

d) rinsing in running water

42. Used cleaning equipment is subject to:

a) destruction

b) ventilation

c) washing

G) disinfection

43. The maximum concentration of HIV is determined in:

a) sputum

G) sperm

44. Sterilization mode for reusable medical instruments in an autoclave:

a) T=100°C, pressure 1.1 atm., time 120 minutes.

b) T=180°C, pressure 2 atm., time 60 minutes.

c) T=140°C, pressure 1 atm., time 45 minutes.

G)Т=132°С, pressure 2 atm., time 20 min.

45. Sterilization of laboratory glassware is usually carried out:

a) in an autoclave

b) in the thermostat

c) in a sterilizer

G) in a dry oven

46. ​​Exposure during disinfection of medical instruments in a 3% chloramine solution (in min.):

47. Skin treatment when HIV-infected material comes into contact with it is carried out:

a) 96 alcohol

b) 70 alcohol

c) 6% hydrogen peroxide solution

d) 3% hydrogen peroxide solution

48. Disinfection mode for medical thermometers with 1% chloramine solution (per minute):

49. To disinfect patient secretions, the following is used:

a) 40% formaldehyde solution

b) 5% carbolic acid solution

c) 0.2% chloramine solution

G) dry bleach

50. Waste material contaminated with HIV infection must be disinfected in a solution:

a) 10% chloramine

b) 10% bleach 2 hours

c) 3% chloramine 60 min.

d) triple

51. To prepare 1 liter of 1% chloramine solution you need dry powder (in grams):

52. Control of the sterility of dressing material is carried out by:

a) the use of chemical indicators

b) use of biological indicators

V) sowing on nutrient media

d) use of physical indicators

53. Gentle mode of sterilization of cutting medical instruments in an air sterilizer:

A) T= 160  C, time 150 min.

b) T=132  C, time 60 minutes.

c) T=180  C, time 60 minutes.

d) T=180  C, time 45 minutes.

54. To disinfect medical instruments for viral hepatitis and HIV infection, a chloramine solution is used:

a) 1% - 30 min.

b) 3% - 60 min.

c) 5% - 45 min.

d) 0.5% - 20 min.

55. Method for disinfecting soft equipment after the patient is discharged:

a) soaking in a 3% chloramine solution

b) boiling

V) disinfection in a disinfection chamber

d) ventilation

56. With a positive phenolphthalein test, the following color appears:

a) blue-green

b) purple

V) pink

d) brown

57. After pre-sterilization cleaning, water is used to rinse medical instruments:

A) flow-through

b) boiled

c) distilled

d) double distilled

58. Phenolphthalein test is carried out to determine residues:

a) oil solution

V) detergent

d) medicine

59. A cleaning solution using Lotus is used:

a) within 24 hours until a purple color appears, heat up to 3 times

b) within 24 hours until a purple color appears

V) within 24 hours until pink color appears, heats up to 6 times

d) until pink color appears

60. When sterilizing dressing material with water vapor, the pressure (in atm.) is used:

61. Exposure during sterilization of linen in an autoclave (in min.):

62. The following is indicated on the craft package:

a) date of sterilization, department

b) capacity, compartment

V) sterilization date, capacity

d) date of sterilization

63. Duration of storage of medical instruments in soft calico packaging under sterile conditions (in hours):

64. CSO is:

a) central specialized department

b) centralized sterilization department

c) centralized specialized department

d) centralized sterile department

65. Sterilization in a dry-heat oven is carried out at a temperature ( C):

66. In a sterile CSO block the following is carried out:

A) unloading sterile material

b) pre-sterilization cleaning

c) packaging of bixes

d) packaging of Kraft bags

67. To disinfect the floor during wet cleaning of wards, the following is used:

a) 10% bleach solution

b) 3% chloramine solution

c) 3% hydrogen peroxide solution

G) 0.5% bleach solution

68. Duration of use of a covered sterile table (in hours):

69. Disinfection of the hands of a treatment nurse before injections is carried out with a solution:

a) 40 alcohol

b) 70 alcohol

c) 96 alcohol

70. Disposable blood transfusion systems after use must:

A) disinfect and dispose of

b) place in a hermetically sealed container

c) hand over the bill to the head nurse

d) submit the invoice to the CSO

71. Shelf life of sterile solutions prepared in a pharmacy and sealed with paper ties (in days):

72. Shelf life of sterile solutions prepared in a pharmacy and sealed “for testing” (in days):

73. For steam sterilization, the following is used as packaging material:

a) plain paper

b) silk fabric

G) calico

74. Concentration of alcohol used to treat the patient’s skin before injection (in degrees):

75. Duration of use of the treatment nurse mask (in hours):

76. Types of disinfection include everything except:

a) focal, current

b) preventive

V) preliminary

d) focal, final

77. Disinfection time in 2% Virkon solution of flexible endoscopes and medical products made of metal (in min.):

78. Disinfection time in 2% Virkon solution for medical products made of glass, plastic and polymers (in min.):

79. A universal test for checking medical instruments for the presence of occult blood is called:

a) benzidine

b) phenolphthalein

V) azopyramic

STATE BUDGETARY PROFESSIONAL EDUCATIONAL INSTITUTION
"SATKA MEDICAL TECHNIQUE"
Department of Additional Professional Education
INFECTION SAFETY
AND
INFECTION CONTROL

2016
INFECTION SAFETY AND
INFECTION CONTROL
Infection control is a system of effective preventive and anti-epidemic measures aimed at preventing the occurrence and spread of nosocomial infections, based on the results of epidemic diagnostics.
The goals of infection control are to reduce morbidity, mortality, and economic losses from hospital-acquired infections. Nosocomial infection is any clinically recognizable infectious disease that manifests itself in a hospital setting or when seeking medical help, an infectious disease of a hospital employee that arises as a result of his professional activities, regardless of the appearance of symptoms of the disease before or during his stay in the hospital. Requirements for the implementation of sanitary-anti-epidemic and sterilization-disinfection regimes are regulated by orders of the USSR Ministry of Health No. 288/76, No. 720/78, RF Ministry of Health No. 170/94, OST 42 21-2-85 and guidelines for disinfection, pre-sterilization cleaning and sterilization of products for medical purposes MU-287-Sh dated December 30, 1998 and SanPiN 2.1.3.2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities” (approved by Resolution of the Chief State Sanitary Doctor of the Russian Federation dated May 8, 2010 No. 58)
Basic requirements for the work of a procedural nurse
In order to prevent infection of patients, it is necessary to carry out all types of injections, strictly observing the rules of asepsis and antisepsis. An individual disposable sterile syringe and needle is used for each patient. The procedural nurse performs all manipulations wearing sterile gloves.
Before disposal, used syringes and gloves are subjected to disinfection according to one of the permitted regimes in accordance with Order No. 408/89 of the Ministry of Health of the Russian Federation and SanPiN 2.1.7.2790-10 “Sanitary and epidemiological requirements for the management of medical waste.”
Class A waste is collected in disposable bags or reusable containers. The rules for collecting this class of waste are similar to the requirements for ordinary solid household waste.
Classes “B” and “C” are necessarily collected in disposable packaging. Transporting them outside the medical department in an open form is prohibited.
Disposable bags with waste of classes “A”, “B”, “C” undergo mandatory marking with the code of the health care facility department, the date and name of the person responsible for collecting waste.
Disinfection, PSO, general provisions
Disinfection, pre-sterilization cleaning and sterilization of medical devices (hereinafter referred to as products) are aimed at preventing nosocomial infections in patients and staff of medical institutions.
Disinfection of products is carried out in order to destroy pathogenic and conditionally pathogenic microorganisms - viruses (including pathogens of parenteral hepatitis viruses, HIV infection), bacteria (including mycobacterium tuberculosis), fungi (including fungi of the genus Candida) - on medical products, in their channels and cavities.
All products must be disinfected after use on a patient. After disinfection, disposable products are disposed of.
Containers with disinfectant solutions must be equipped with lids and have an inscription indicating the name of the product, its concentration, purpose, date of preparation (for ready-to-use products approved for repeated use, indicate the start date of use of the product).
Types of disinfection: physical, chemical.
Pre-sterilization cleaning
. Pre-sterilization cleaning of medical devices is carried out after their disinfection and subsequent washing of disinfectant residues with running drinking water.
. Pre-sterilization cleaning is carried out manually or mechanized (using special equipment).
. If the product, along with detergents, also has antimicrobial properties, pre-sterilization cleaning of products at the stage of soaking or boiling in a solution can be combined with their disinfection. . Detachable products are subjected to pre-sterilization cleaning in disassembled form.
When soaking or boiling in a washing solution, the products are completely immersed in the detergent solution, filling the channels and cavities of the products with it.
Washing is carried out using a brush, cotton-gauze swabs, fabric napkins; the channels of the products are washed with a syringe. The use of a brush when cleaning rubber products is not allowed.
Sterilization
Sterilization of medical devices is carried out with the aim of killing all pathogenic and non-pathogenic microorganisms on them, including their spore forms.
. Sterilization is carried out by physical (steam, air) and chemical (use of chemical solutions, gas) methods. The choice of an adequate sterilization method depends on the characteristics of the products being sterilized.
. When sterilizing by steam, air and gas methods, products are usually sterilized packaged in sterilization packaging materials; with the steam method, in addition, sterilization boxes without filters and with filters are used.
Disinfection of premises and furnishings
- repeated wiping with a rag soaked in a disinfectant solution at intervals of 15 minutes.
Processing of rags.
. Immersion in one of the disinfecting solutions for 60 minutes. followed by rinsing, drying and sterilizing before use.
. Boiling in a 2% soda solution - 15 minutes.
. Boiling in distilled water - 30 minutes.
List of instructional and methodological documents reflecting the issues of disinfection, pre-sterilization cleaning and sterilization of medical devices:. OST 42-21-2-85 “Sterilization and disinfection of medical products. Methods, means, regimes."
. Order of the USSR Ministry of Health dated July 12, 1989 No. 408 “On measures to reduce the incidence of viral hepatitis in the country.”
. Instructions for the use of disposable sterilization indicators IS-120, IS-132, IS-160, IS-180 of the Ministry of Health of the Russian Federation (No. 154,004.98 IP dated 02/18/98).
. Guidelines for disinfection, PSO and sterilization of medical products of the Ministry of Health of the Russian Federation (MU-287-113 dated December 30, 1998).
5. SanPiN 2.1.3.2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities” (approved by Resolution of the Chief State Sanitary Doctor of the Russian Federation dated May 8, 2010 No. 58)
Quality control of pre-sterilization cleaning of medical products
. The quality of pre-sterilization cleaning (PSC) is checked by performing azopyram or amidopyrine tests for the presence of residual amounts of blood and by performing a phenolphthalein test for the presence of residual amounts of alkaline components of detergents. Quality control of PSO is carried out by TsGSEN - quarterly.
Self-monitoring in health care facilities is carried out by:
- in central sterilization departments (CSD) - daily;
- in departments - at least once a week (organized and controlled by the head nurse).
. The following are subject to control: in the central processing center - 1% of each item of product processed per shift,
. In the case of a positive test for blood or residual amounts of alkaline components of detergents, the entire batch of controlled products from which they were taken for control is re-cleaned until negative results are obtained. The results of the control are noted in the quality log of PSO IMN according to form No. 366/u.
The clinic has an operational plan for anti-epidemic measures when identifying a patient with a particularly dangerous (quarantine) infection, which is also part of the infection control system, infection safety of patients and medical staff. personnel, according to which I am part of the medical and nursing team No. 1, whose tasks are medical triage of incoming patients and directing them through the stages of evacuation, providing them with primary medical care.
Measures to take when identifying a patient with a suspected quarantine infection in the clinic office:
. Take measures to isolate the patient at the scene of detection.
. Take personal protective measures.
. If necessary, provide assistance to the patient.
.Transfer information to the head of the clinic with clinical and epidemiological data about the patient and his condition.
Request appropriate medications, equipment for collecting material for bacteriological research and carrying out anti-epidemic measures, personal prevention equipment, and protective clothing.
. Close the windows and doors in the office, turn off the ventilation. Seal the ventilation hole with adhesive tape.
. Identification of contact persons if possible to communicate with the patient.
. Identification of contact persons at the patient’s place of residence and monitoring them according to the quarantine period.
. Collect material.
. Disinfection of patient secretions, rinsing water after washing hands, patient care items, ongoing disinfection with the product used for the given period according to the instructions for use.
. Pass on the information to the chief physician of the Central Regional Hospital, Central State Sanitary and Epidemiological System, des. evacuation team.
Test task for the topic: INFECTION SAFETY AND
INFECTION CONTROL
Choose one correct answer:
1. The purpose of disinfection is to destroy
a) all microorganisms
b) vegetative and spore forms of pathogenic and conditionally pathogenic microorganisms
c) vegetative microorganisms
d) spore forms of microorganisms

2. Types of disinfection include
a) mechanical and biological
b) physical and chemical

d) current and final

3. The main share of pathogens causing nosocomial infections are
a) pathogenic bacteria
b) opportunistic bacteria
c) viruses
d) mushrooms
4. For general and routine cleaning, it is preferable to use preparations that have the properties
a) only disinfectants

c) only detergents
d) detergents and deodorants
5. All waste from health care facilities is divided into 2 classes according to the degree of danger
b) 3 classes
c) 4 classes
d) 5 classes
6. If the patient’s blood comes into contact with the skin of medical personnel, treatment is carried out
a) 70% ethyl alcohol
b) 96% ethyl alcohol
c) 5% alaminolmg) 3% hydrogen peroxide
7. The period of preservation of sterility of products sterilized in Kraft bags closed with paper clips is
a) 1 day
b) 3 days
c) 20 days
d) 6 months.

8. Control of the sterility of medical products is carried out using the method
a) chemical
b) biological (seeding on nutrient media)
c) mechanical
d) physical
9. Hygienic treatment of patients in hospital hospitals should be carried out at least once a) 1 day
b) 3 days
c) 5 days
d) 7 days
10.To control the quality of disinfection
a) make washes from various surfaces followed by inoculation on nutrient media
b) perform an azopyram test
c) perform a phenolphthalein test
d) use chemical indicators
11.Physical control of the sterilization regime includes:
a) use of indicators
b) monitoring the operation of sterilizer devices
c) use of biotests
d) moisture control of processed products
12.Measures for the prevention of nosocomial infections aimed at neutralizing the source of infection
a) vaccination
b) disinfection


13. Property of a disinfectant that ensures the destruction of fungi
a) bactericidal

14. Medical devices that do not contain viable microorganisms, but contain spores, are considered
a) clean
b) disinfected
c) sterile
d) disposable
15. Temperature of the Biolot washing solution for manual pre-sterilization cleaning of instruments
a) 18o – 20o Sat) 37o St.) 40o Cg) 50o C16. The purpose of pre-sterilization cleaning of medical instruments is
a) removal of various contaminants and drug residues
b) destruction of only pathogenic microbes
c) destruction of pathogenic and opportunistic microbes

17. Disinfection methods include
a) general and routine cleaning
b) physical and chemical
c) preventive and focal
d) current and final
18. Acquiring resistance to disinfectants is typical for pathogens
a) hospital
b) pathogenic
c) opportunistic
d) viruses
19. After invasive procedures, medical devices must be disinfected according to infection regimens
a) bacterial
b) viral
c) fungal
d) caused by protozoa
20. Medical waste contaminated with biological fluids of patients, including blood, belongs to the class
a) A
b) B
c) B
d) G
Choose two correct answers:
21. Focal disinfection includes
a) general
b) current
c) preventive
d) final
Choose one correct answer:
22. On a sterile table covered with sheets, the period of preservation of sterility of products sterilized without packaging
a) must be used immediately after sterilization 4-6 hours
b) 24 hours
c) 3 days
d) 20 days
23.Assessing the quality of sterilization by observing sterilizer devices is control
a) chemical
b) physical
c) biological
d) mechanical
24. Re-examination of patients with head lice after treatment is carried out a) 5 days
b) 7 days
c) 15-20 days
d) 25 days
25. General cleaning in high-risk departments is carried out with disinfectants in concentrations for infections
a) bacterial
b) viral
c) fungal
d) caused by protozoa
26. Sterility control of medical devices is carried out
a) sowing swabs from products onto nutrient media
b) using biotests with cultures of spore microbes
c) chemical indicators
d) physical method
Choose two correct answers:
27.Measures for the prevention of nosocomial infections aimed at breaking transmission routes
a) vaccination
b) disinfection
c) identification and isolation of infectious patients and carriers
d) collection and disposal of medical waste
Choose one correct answer:
28. Medical products that do not contain viable microorganisms and spores are considered
a) clean
b) disinfected
c) sterile
d) disposable
29.Property of a disinfectant that ensures the destruction of viruses
a) bactericidal
b) virucidal) fungicidal d) bacteriostatic
30. When carrying out manual pre-sterilization cleaning, the product to be treated is immersed in the Biolot solution for 10 minutes
b) 15 minutes
c) 30 minutes
d) 60 minutes
31. The purpose of sterilization is the destruction of medical devices
a) all microbes and their spores


d) both pathogenic and opportunistic microbes
Choose two correct answers:
32. Disinfection methods include
a) chemical and physical
b) preventive and current
c) immersion and irrigation
d) irradiation and rubbing
Choose one correct answer:
33. The main share of causative agents of nosocomial infections is aa) pathogenic bacteria
b) opportunistic microbes
c) viruses
d) non-pathogenic microbes
34. Disinfectants with cleaning properties and low toxicity often belong to the group
a) aldehyde-containingb) HOUR
c) oxygen-containing
d) chlorine-containing
35. Disposable bags for collecting waste from healthcare facilities belonging to class B must be colored
a) black
b) red
c) white
d) yellow
36.Optimal operating temperature of most disinfection solutions
a) 10 – 18o Sat) 18 – 26o St.) 30 – 36o Cd) above 40o C37. The sterility retention period for disposable instruments in double industrial plastic bags is
a) 3 days
b) 20 days
c) 6-12 months.
d) 1-5 years
38. Assessing the quality of sterilization through the use of indicators is control
a) chemical
b) mechanical
c) biological
d) physical
39. To treat the scalp when lice is detected, you can use a solution
a) furacillinab) soapy
c) sodium bicarbonate
d) medifox40. Medical devices after pre-sterilization cleaning are allowed to dry
a) wiping with a rag
b) outdoors in a tray
c) dry hot air at 85o C) in a thermostat
41.Measures for the prevention of nosocomial infections aimed at increasing the immunity of patients and staff
a) vaccination
b) disinfection
c) identification and isolation of infectious patients and carriers
d) use of protective clothing, masks, gloves
42. Infection safety is
a) use of personal protective equipment when performing manipulations
b) compliance with the rules of asepsis and antiseptics
c) absence of pathogenic microbes on various surfaces
d) the absence of pathogenic and opportunistic microbes on epidemiologically significant objects of the hospital environment

43.Property of a disinfectant that ensures the destruction of bacteria
a) bactericidal
b) virucidal) fungicidal d) bacteriostatic
44. To prepare 1 liter of washing solution for manual pre-sterilization cleaning of instruments, you need to take the Biolot product in quantity
a) 1 gram
b) 3 grams
c) 5 grams
d) 10 grams
45. To sterilize rubber and some polymer products, a sterilizer is used in the central processing center
a) water
b) steam
c) air
d) glass-perlene46. They die during disinfection
a) only vegetative forms of microbes
b) only spore forms of microbes
c) vegetative and spore forms of microbes
d) only viruses
47. For the mechanical method of disinfection, use
a) UV irradiation, ultrasound
b) washing, airing
c) irrigation with disinfectantsm) steam under pressure
48. Nosocomial infections can be caused by a) any microorganisms
b) only viruses
c) only bacteria
d) only pathogenic agents
49. Disinfectants that have the ability to fix biological contaminants often belong to the group
a) aldehyde-containing b) oxygen-containing
at one o'clock
d) phenol-containing 50. Disposable bags for collecting waste from healthcare facilities belonging to class A must be colored
a) black
b) red
c) white
d) yellow
51.Combined disinfection is a combination of methods
a) physical + mechanical
b) physical + chemical
c) mechanical + chemical
d) mechanical + physical + chemical 52. The shelf life of products sterilized in double calico packaging is
a) 1 day
b) 3 days
c) 20 days
d) 6–12 months.
53. Assessing the quality of sterilization by detecting microorganisms at objects is control
a) chemical
b) mechanical
c) biological
d) physical
54. If blood gets on the skin, it must be treated
a) potassium permanganate solution
b) 5% alcohol solution of iodine
c) 70% alcohol
d) 96% alcohol
55. When carrying out general cleaning, the disinfectant is washed off from surfaces
a) sterile rags tap water
b) clean rags tap water
c) clean rags with distilled water
d) clean rags and boiled water
56. Routine cleaning in hospitals is carried out (in accordance with San.P and N 2.1.3.1375-03)
a) once a day
b) 2 times a day
c) once every 7 days
d) 2 times every 7 days
57. Chemical indicators are used for control
a) disinfection modes
b) sterilization modes
c) pre-sterilization cleaning
d) sterility of the product
Choose two correct answers:
58.Air sterilization can be carried out
a) in a sterilization box with a filter
b) in calico packaging
c) in a craft bag) without packaging
59.Measures to remove pathogenic microorganisms and their carriers in the presence of a source of infectious disease are disinfection
a) preventative
b) focal
c) current
d) final
Choose one correct answer:
60. The main route of transmission of HIV infection in health care facilities
a) airborne
b) contact-household
c) parenteral
d) food
61. People die when carrying out disinfection measures.
a) only bacteria
b) only viruses
c) vegetative forms of microorganisms
d) vegetative and spore forms of microorganisms
62. The physical method of disinfection is

b) wiping with disinfectants c) exposure to high temperature, steam, radiation
d) use of antibiotics
63. They have the greatest stability in the external environment
a) viruses
b) mushrooms
c) disputes
d) bacteria
64. Disinfectants with corrosive activity include groups
a) chlorine-containing
b) HOUR
c) aldehyde-containing d) guanidines

65. Waste that does not have contact with biological fluids of patients, infectious patients, non-toxic waste belongs to the class
a) A
b) B
c) B
d) G
66. Disposable medical products are subjected to
a) rinsing with running water
b) car wash
c) disinfection
d) sterilization
67. The shelf life of products sterilized in a sterilization box without a filter is
a) 1 day
b) 3 days
c) 20 days
d) 6–12 months.
68. The effectiveness of disinfection measures is checked
a) chemical indicators
b) azopyram test
c) by washing from various surfaces and inoculating on nutrient media
d) breakdown with Sudan III
69. If biological materials get on the nasal mucosa, it must be treated with a solution of potassium permanganate
a) 0.05%
b) 0.5%
c) 0.01%
d) 0.1%
70. Sterilization of textiles can be carried out using the method
a) steam
b) plasma
c) air
d) infrared
Choose two correct answers:
71.The risk group for nosocomial infections includes medical personnel of departments
a) hemodialysis
b) physiotherapy
c) therapeutic
d) burns
Choose two correct answers:
72. VBI is
a) infectious diseases of medical personnel
b) infectious diseases of hospital patients
c) any infectious diseases that arise in patients as a result of applying to a health care facility for medical care or from medical workers while performing professional duties
d) nosocomial infections
Choose one correct answer:
73.The temperature of the Lotus washing solution during manual pre-sterilization cleaning of medical devices is
a) 18o Sat) 40o Sat) 50o Cg) 100o C74. The most reliable method of quality control of sterilization is
a) biological
b) chemical
c) physical
d) mechanical
75.Steam sterilization mode
a) 120o C, 45 minutes
b) 140o C, 15 minutes
c) 160o C, 150 minutes
d) 180o C, 30 minutes
76. They die during sterilization
a) all microorganisms (including spore forms)
b) vegetative forms of microorganisms
c) only pathogenic microorganisms
d) vegetative forms of microorganisms and some spores
77. The chemical method of disinfection includes
a) treatment with disinfectantsb) use of ultraviolet radiation
c) use of bacterial filters
d) use of steam under pressure
78. The main share of pathogens causing nosocomial infections are
a) bacteria and viruses
b) protozoa
c) mushrooms
d) prionsChoose two correct answers:
79. A disinfectant with sporicidal activity can be used
a) pre-sterilization cleaning
b) disinfection and pre-sterilization cleaning
c) disinfection and sterilization
d) high level disinfection
Choose one correct answer:
80. Radioactive waste from healthcare facilities belongs to the class
a) A
b) B
c) B
d) D
81. Instruments after invasive manipulations for disinfection purposes
a) wipe with disinfectant solution twice with an interval of 15 minutes
b) immerse in disinfectant solution for the duration of exposure
c) rinsed in a disinfectant solution c) irrigated with a disinfectant82. The sterility retention period of products sterilized in sterilization boxes with filters is
a) 1 day
b) 3 days
c) 20 days
d) 6 – 12 months.
83. The effectiveness of sterilization equipment is indicated by
a) change in indicator color
b) no deviations on the sterilizer devices
c) lack of growth of test culture
d) the totality of all control methods
84. If biological materials come into contact with the mucous membrane of the eyes, it must be treated with a solution of potassium permanganate
a) 0.05%
b) 0.5%
c) 0.01%
d) 0.1%
85. Medical personnel carry out disinfection in health care facilities in order to

b) rupture of transmission routes
c) increasing the patient’s immunity to infection

86. General cleaning in risk rooms in hospitals of various profiles is carried out
a) once a day
b) 2 times a day
c) once every 7 days
d) 2 times every 7 days
87.Vaccination against hepatitis B is carried out
a) once
b) three times according to the scheme 0,1,6 months.
c) four times according to the scheme 0,1,2,12 months.
d) twice according to the 0.6 month regimen.
Choose two correct answers:
88. Hospital strains of nosocomial pathogens are characterizeda) by high sensitivity to antibacterial agents
b) resistance to antibacterial agents
c) sensitivity to ultraviolet radiation
d) resistance to ultraviolet radiation
89. Manipulations and procedures that are potentially dangerous for the development of nosocomial infections in a patient
a) injections
b) blood pressure measurement
c) fluorography
d) hemodialysis
Choose one correct answer:
90.Destruction of possibly accumulated microorganisms in the absence of a visible source of infection is disinfection
a) preventative
b) focal
c) current
d) final
91. When carrying out pre-sterilization cleaning of medical devices
a) remove various contaminants
b) destroy vegetative forms of microorganisms
c) destroy vegetative and spore forms of microbes
d) neutralize the source of infection
92. Disinfection measures after removing the source of the disease from the outbreak is disinfection
a) final
b) current
c) focal
d) preventive
93. Acquisition of resistance to antibiotics is typical for pathogens
a) opportunistic
b) pathogenic
c) hospital
d) mushrooms
94. The chemical method of disinfection is


c) use of ultraviolet radiation, high temperature, steam
d) use of disinfectants95. Medical waste is collected in red bags
a) A
b) B
c) B
d) G
96. General cleaning in the office where invasive procedures are carried out should be carried out once every 3 days
b) 7 days
c) 10 days
d) 1 month
97. The period of preservation of sterility of products depends on a) sterilization method
b) packaging
c) type of medical device
d) the nature of the manipulation
98. Quality control of pre-sterilization cleaning determines the presence
a) blood residues
b) drug residues
c) residues of mechanical impurities
d) microorganisms
99. If biological materials come into contact with the oral mucosa, it must be treated with a solution of potassium permanganate
a) 0.05%
b) 0.5%
c) 0.01%
d) 0.1%
100.Incubation period of hepatitis B) 20 days
b) 30 days
c) 180 days
d) 1 year
101.Air sterilization mode
a) 120o C, 45 minutes
b) 132o C, 20 minutes
c) 160o C, 150 minutes
d) 180o C, 30 minutes
102. The concentration of disinfectant for processing used medical products depends on a) the degree of contamination of the object
b) the nature of the manipulation performed
c) shelf life of the disinfectant solution) physical and chemical properties of the solution
103. “Biolot” washing solution is used for manual pre-sterilization cleaning of medical products
a) once
b) three times
c) six times
d) eight times
104. Antiseptics are measures aimed at a) preventing the entry of microbes into the wound

:
d) destruction of all microbes and their spores on medical products
105. Containers with disinfectant solution are not indicated
a) concentration
b) name of the solution
c) date of preparation or start of use
d) object of disinfection
106. The main goal of carrying out measures for infection safety and infection control in health care facilities is prevention
a) any nosocomial infections
b) hepatitis
c) diseases transmitted through blood
d) HIV infection
107. Measures aimed at destroying or reducing the number of microorganisms in a wound or in the body as a whole are called
a) asepsis
b) disinfection
c) antiseptic
d) sterilization
108. Detachable medical products
a) subjected to disinfection in assembled form
b) subjected to disinfection in disassembled form
c) subjected to disinfection in any form
d) are not subjected to disinfection
109. Property of drugs that have the ability to kill spores
a) bactericidal
b) sporocidal) virucidald) fungicidal110. Collection and disposal of medical waste from healthcare facilities is carried out with the aim of
a) neutralizing the source of infection
b) rupture of transmission routes
c) increasing the immunity of personnel
d) identifying the source of infection
111. Routine cleaning of hospital ward premises in order to prevent nosocomial infections is carried out
a) once a day
b) 2 times a day
c) once every 3 days
d) once every 7 days
112 The period of preservation of sterility of products in combined bags sealed on a heat-sealing machine is
a) 3 days
b) 20 days
c) 12 months.
d) 4-6 hours
113. To control the pre-sterilization cleaning of medical products
a) perform an azopyram test
b) use thermal indicators
c) use biotests
d) make washes from various surfaces
114. The emergency first aid kit for personal protection when working with biological material does not contain
a) 70% alcohol
b) protargol
c) 5% alcohol tincture of iodine
d) a weighed portion of potassium permanganate
115. After sterilizing medical devices in solutions, they must be rinsed
a) tap water
b) distilled water
c) sterile water
d) antiseptic
116. “Progress” washing solution is used for manual pre-sterilization cleaning of medical products
a) once
b) three times
c) six times
d) twice117. Reusable medical devices are subjected to
a) only for pre-sterilization cleaning
b) disinfection only
c) only sterilization
d) disinfection, pre-sterilization cleaning and sterilization
118. Asepsis is measures aimed at a) preventing the entry of microbes into the wound
b) destruction or reduction of the number of microbes in the wound or the body as a whole
c) destruction of pathogenic and opportunistic microbes at epidemiologically significant objects in the hospital environment
d) destruction of all microbes and their spores
119. Measures to remove pathogenic microorganisms and their carriers after removing the source of an infectious disease from the main focus is disinfection
a) preventative
b) focal
c) current
d) final
120. A set of measures aimed at exterminating arthropod carriers of infectious disease pathogens is called
a) disinfection
b) disinfestation
c) deratization
d) antiseptic
121. To combine disinfection and pre-sterilization cleaning in one stage, you can use disinfectants that have
a) only by disinfectant action
b) both disinfectant and cleaning action
c) both disinfecting and sterilizing effects
d) both disinfectant and deodorizing effects
122. Measures aimed at preventing microorganisms from entering a wound are called
a) asepsis
b) antiseptic
c) disinfection
d) sterilization
123. For general cleaning, it is preferable to use disinfectants that have disinfecting properties
b) disinfectants and detergents
c) disinfectants and deodorizers
d) disinfectants and sporicidal124. Property of drugs that have the ability to kill fungi

c) virucidald) fungicidal125. To treat the scalp when lice is detected, you can use a solution
a) alaminolab) furacillin c) medifoxag) sodium bicarbonate
126. Low-temperature sterilization includes
a) plasma
b) steam
c) air
d) glasperlene 127. The period of preservation of sterility of products is 20 days, if during sterilization the product was packed in a sterilization box without a filter
b) craft bag, closed with a sticky surface
c) sealed combination bag
d) double calico packaging
128. The most reliable method of quality control of sterilization is
a) physical
b) mechanical
c) chemical
d) biological
Choose two correct answers:
129. Biological environments of an HIV-infected patient containing the largest number of viruses
a) blood
b) saliva
c) sweat
d) sperm
Choose one correct answer:
130. Used medical disposable instruments contaminated with biological fluids of patients are collected in colored bags
a) white
b) yellow
c) red
d) black
131. Removal of biological fluids, medicines, and fatty contaminants from medical devices is
a) decontamination b) disinfection
c) pre-sterilization cleaning
d) sterilization
132. Deratization is a set of measures aimed at destroying
a) pathogenic and opportunistic microbes
b) arthropod carriers of pathogens of infectious diseases
c) rodents as sources of infection
d) mushrooms
133. It is preferable to store sterile tweezers for taking sterile material in 1% chloramine solution
b) 3% hydrogen peroxide
c) 1% gigaseptag solution) dry in a sterile cup
134. Disinfectants that form a protective film on the treated surface cannot be used for disinfection
a) walls, floor, ceiling
b) sanitary equipment
c) medical instruments
d) manipulation tables, couches
135. Final disinfection should be carried out by specialists
a) health care facility
b) disinfection service
c) quarantine service
d) infectious diseases hospital
136. The purpose of disinfection is to destroy
a) all microbes and their spores
b) only pathogenic microbes
c) only opportunistic microbes
d) both pathogenic and opportunistic microbes (except spores)
137. Immunoprophylaxis of infectious diseases is carried out with the aim of
a) breaking the transmission routes of pathogens

c) increasing the body’s immunity to infection
d) destruction of pathogens
138. Disinfection is subject to
a) all products after use in health care facilities
b) only those products that came into contact with the patient’s mucous membranes
c) only surgical instruments
d) only those products that came into contact with the patient’s blood
139. Property of drugs that have the ability to inhibit the growth of microorganisms
a) microbostatic b) bactericidal
c) virucidald) sporicidal140. The patient's bed linen is changed at least once every 7 days
b) 14 days
per month
d) day
141. Sterilization carried out in pressure devices
a) chemical
b) steam
c) air
d) plasma
142. A sterilizer is used to sterilize linen
a) air
b) plasma
c) steam
d) gas
143. A phenolphthalein test is performed to detect residual quantities
a) detergent
b) blood
c) fatty contaminants
d) medicinal substances
144. Quality control of pre-sterilization cleaning is subject to
a) each product processed per shift
b) 1% of simultaneously processed products of each item
c) 5% of simultaneously processed products of each item
d) 10% of simultaneously processed products of each item
Choose three correct answers:
145. The risk group for HIV infection includes:
a) donors
b) blood recipients
c) drug addicts receiving drugs intravenously
d) homosexuals
Choose one correct answer:
146. Period of preservation of sterility of products sterilized in Kraft bags closed with staples
a) 1 day
b) 3 days
c) 10 days
d) 20 days
147. After processing, thermometers are stored in
a) containers with disinfectant b) containers with ethyl alcohol
c) containers with water
d) dry form148. Select the preferred sterilization method for metal medical products
a) plasma
b) water
c) steam
d) air
Choose two correct answers:
149. For mechanical disinfection, methods are used
a) Ural Federal District
b) wet cleaning
c) irrigation with disinfectant d) washing
Choose one correct answer:
150. In emergency situations, a solution of potassium permanganate in concentration is used to treat the mucous membrane of the eyes
a) 0.05%
b) 0.03%
c) 0.01% (1:10000)
d) 0.1%
151. Medical personnel carry out disinfection in health care facilities in order to
a) increasing the immunity of patients to infection
b) neutralizing the source of infection
c) breaking the transmission routes of pathogens from the source to a healthy body
d) disposal of pathogens of infectious diseases
152. Medical examinations of health care facility personnel are carried out with the aim of
a) identifying the source of infection
b) breaking the transmission routes of infection
c) increasing immunity to infection
d) destruction of pathogens of infectious diseases
153. After use, disposable medical products must be
a) destruction
b) disinfection and then disposal
c) disinfection and then sterilization
d) cleaning and then disposal
154. Document confirming the compliance of the disinfectant with Gosstandart
a) license
b) methodological development
c) instructions
d) certificate
155. If the patient’s biological fluid gets on the mucous membranes of the oropharynx, it is immediately treated
a) 1% chloramine
b) 2% chlorhexidinec) 96% ethyl alcohol
d) 70% ethyl alcohol
156. Select a sterilization method for textiles
a) physical
b) chemical
c) mechanical
d) biological
157. For chemical sterilization of medical devices, disinfectants are used that have the effect
a) sporicidalb) detergent
c) fixing
d) deodorizing
158. When pre-sterilization cleaning of a small batch of products, processing quality control is subject to at least:
a) 1-2 products
b) 2-3 products
c) 3-5 products
d) 5-10 products
Choose two correct answers:
159. Routes of transmission of HIV infection
a) parenteral
b) contact-household
c) airborne
d) vertical
Choose one correct answer:
160. Waste contaminated with biological materials of patients (including blood) belongs to the class
a) A
b) B
c) B
d) G
161. Disinfection is a set of measures aimed at a) preventing germs from entering a wound
b) destruction or reduction of the number of microbes in the wound or the body as a whole
c) destruction of pathogenic and opportunistic microbes at epidemiologically significant objects in the hospital environment
d) destruction of all microbes and their spores
162. Chemical solutions do not sterilize
a) metal tools
b) endoscopic equipment
c) thermolabile instruments
d) textiles
163. When carrying out pre-sterilization cleaning manually, you can use a washing solution with bioadditives
a) "Progress"
b) "Biolot"
c) "Lotus"
d) "Astra"
164. Detergents with the best ability to remove biological contaminants
a) liquid
b) with bioadditives
c) in the form of granules
d) in powder form

165. The temperature regime during pre-sterilization cleaning with disinfectants with detergent properties is often within the range
a) 18-20°Cb) 40-45°Cb) 50-55°Cd) 100°C166. The purpose of pre-sterilization cleaning is
a) destruction of pathogenic microorganisms
b) destruction of opportunistic microorganisms
c) removal of residues of biological and medicinal contaminants
d) destruction of microbial spores
167.The incidence of nosocomial infections among medical personnel is highest depending on the length of service
a) up to 2 years
b) 3 – 8 years
c) after 9 years
d) does not depend on experience
168. Preventive disinfection is carried out
a) by medical personnel in the outbreak of infectious diseases directly at the patient’s bedside
b) disinfection service after hospitalization or discharge of the patient
c) to prevent the occurrence of infectious diseases in health care facilities
d) at the site of an infectious disease
169. Property of drugs that have the ability to kill bacteria
a) virucidalb) bactericidal
c) fungicidald) microbostatic170. Hygienic treatment of patients in the hospital department should be carried out at least once a day
b) 5 days
c) 7 days
d) 10 days
171. Sterilization carried out by dry hot air
a) chemical
b) steam
c) air
d) plasma
172. When carrying out one of the stages of general cleaning, rags are used to remove disinfectant from various surfaces
a) clean
b) disinfected
c) sterile
d) any
173.Azopyram test is performed to detect residual amounts
a) detergent
b) blood
c) fatty contaminants
d) medicinal substances
Choose two correct answers:
174. Mechanism of transmission of hepatitis B in health care facilities
a) artificialb) fecal-oral
c) aerogenic
d) contact
Choose one correct answer:
175. Waste that does not have contact with biological fluids of patients, infectious patients, non-toxic - belongs to the class
a) A
b) B
c) B
d) G
176.Destruction of pathogenic and opportunistic microorganisms is
a) sterilization
b) disinfection
c) decontaminationd) disinsection
177.For pre-sterilization cleaning of reusable medical products manually, use the Biolot solution in concentration
a) 0.5%
b) 1%
at 2%
d) 5%
178.Measures for the prevention of nosocomial infections among medical personnel, aimed at breaking transmission routes
a) use of universal safety measures (working clothes, glasses, etc.)
b) vaccination
c) medical examinations of personnel
d) isolation of sick people179. Disposable bags for collecting waste from health care facilities of class B are colored
a) red
b) black
c) yellow
d) white
180.Cleaning equipment for routine cleaning of the office can be used
a) only for cleaning this office
b) and for the next office
c) for cleaning all department offices
d) for cleaning sanitary rooms
181. Disinfection measures in health care facilities in the absence of an identified source of infection are disinfection
a) preventative
b) current
c) general
d) focal
182. The mechanism of transmission of a pathogen from one organism to another during medical invasive manipulations in health care facilities is called
a) contact-household
b) artificialc) airborne
d) vertical
183. Final disinfection is carried out
a) for all infectious diseases
b) only for particularly dangerous diseases
c) only for viral infections
d) for particularly dangerous infections and for diseases whose pathogens are very stable in the external environment
184. Properties of drugs that have the ability to kill viruses
a) bactericidal
b) virucidal) fungicidald) microbostatic185. General cleaning of treatment rooms in health care facilities should be carried out according to schedule at least once every
a) day
b) a week
per month
d) quarter
186. Air sterilization mode for medical products made of metal
a) 132o C, 20 minutes
b) 180o C, 60 minutes
c) 200o C, 60 minutes
d) 120o C, 45 minutes
187. The most common method of sterilization of metal medical products
a) mechanical
b) physical
c) chemical
d) biological
188. Temperature indicators are used for quality control
a) disinfection
b) pre-sterilization cleaning
c) sterilization
d) treatment
189. The dishes of a patient with hepatitis A are
a) a factor in the transmission of infection
b) source of infection
c) safe
d) a carrier of infectious agents
190. After processing, thermometers are stored va) disinfectant) in 70% alcohol
c) antiseptics
d) dry 191. Duration of sterility preservation of disposable instruments in double industrial plastic bags
a) 1 month
b) 6 months
c) 1 year
d) up to 5 years
192.Exposure of medical devices in a washing solution during manual pre-sterilization cleaning
a) 10 minutes
b) 15 minutes
c) 20 minutes
d) 30 minutes
193. Class B medical waste is collected in colored bags
a) white
b) yellow
c) red
d) black
194. Quality control of pre-sterilization cleaning for blood residues is carried out with a sample
a) benzidineb) azopyramicc) phenolphthalein
d) with Sudan
195. Medical products that do not contain vegetative forms of microorganisms, but contain spores, are considered
a) sterile
b) disinfected
c) clean
d) disposable
196. Final disinfection is carried out for a) any infections
b) especially dangerous infectionsc) especially dangerous infections and infectious diseases, the pathogens of which are highly resistant in the external environment
d) viral infections197. The main route of transmission of viral hepatitis B in health care facilities
a) airborne
b) contact-household
c) parenteral
d) food
198. The mechanical method of disinfection is
a) use of bacterial filters
b) washing, washing, airing
c) use of ultraviolet radiation, high temperature steam
d) use of disinfectants199. Disinfectants with high toxicity and sporicidal properties often belong to the group
a) oxygen-containing
b) HOUR
c) aldehyde-containing d) chlorine-containing
200. Re-examination of a patient with pediculosis after treatment is carried out a) 5 days
b) 7 days
c) 15 days
d) 20 days
201. To treat a medical gown contaminated with the patient’s blood, use
a) 0.05% solution of potassium permanganate
b) 5% alcohol solution of iodine
c) 8% alaminolg) 1% chloramine
202. Steam sterilization mode for medical products
a) 132o C, 20 minutes
b) 180o C, 60 minutes
c) 200o C, 60 minutes
d) 160o C, 150 minutes
203. If the test, which determines the quality of pre-sterilization cleaning for blood residues, is positive, coloring appears
a) pink b) purple
c) brown
d) green

204. Duration of preservation of sterility of products sterilized in craft bags sealed with a sticky surface
a) 3 days
b) 10 days
c) 20 days
d) month
205. Route of transmission of hepatitis Aa) contact-household
b) sexual
c) parenteral
d) airborne
206.Exposure of medical devices in the Progress washing solution during manual pre-sterilization cleaning
a) 10 minutes
b) 15 minutes
c) 20 minutes
d) 30 minutes
207. Class B medical waste is collected in colored bags
a) white
b) yellow
c) red
d) black
208. Disinfectants with a fungicidal effect cause death
a) mushrooms
b) bacteria
c) viruses
d) protozoa
209. The disinfection regime is determined
a) concentration of disinfectant and exposure
b) exposure to disinfectantsb) exposure and temperature of the disinfectantd) type of medical device
210. General cleaning of wards in health care facilities should be carried out at least once a week
b) month
c) quarter
d) year
211. Disinfection measures in the outbreak in the presence of a source of infection are disinfection
a) focal
b) preventive
c) final
d) general
212. Used reusable medical products that come into contact with the patient’s blood are subject to (in accordance with OST 42-21-2-85)
a) disinfection only
b) sterilization only
c) disinfection, pre-sterilization cleaning and sterilization
d) recycling
213. The physical method of disinfection is
a) washing, washing, airing
b) use of ultraviolet radiation, high temperature, steam
c) use of disinfectantsd) use of bacterial filters
214. Before disinfection, preliminary cleaning of medical devices is indicated when working with chlorine-containing disinfectants
b) aldehyde-containing c) oxygen-containing
d) HOUR
Choose two correct answers:
215. 70% alcohol is more often used for a) treatment of the injection field
b) disinfection and pre-sterilization cleaning
c) sterilization
d) hand treatment of medical personnel
Choose one correct answer:
216. Using high temperature, pressurized steam refers to the sterilization method
a) mechanical
b) physical
c) chemical
d) biological
217. The air method can be used to sterilize
a) metal tools
b) endoscopes
c) dressing material
d) textiles
218. Biological control of sterilization regimes involves the use
a) biotests with spore cultures
b) thermal time indicators
c) indicators – “Witnesses”
d) thermometers and pressure gauges
219. Period of preservation of sterility of products sterilized in laminated packages closed by heat sealing
a) 20 days
b) 1 month
c) 12 months
d) 5 years
Choose two correct answers:
220. Manipulations and procedures potentially dangerous for the development of nosocomial infections in patients
a) surgical
b) physiotherapy
c) external examination of the patient
d) hemodialysis
221. Disinfection is carried out at the source of an infectious disease
a) preventative
b) current
c) general
d) final
Choose one correct answer:
222. Class A medical waste is collected in colored bags
a) white
b) yellow
c) red
d) black
223. Disinfectants with virucidal properties cause death
a) mushrooms
b) bacteria
c) viruses
d) prions224. Chemical indicators are divided intoa) 3 classes
b) 4 classes
c) 5 classes
d) 6 classes
225. The period for maintaining the sterility of medical devices on a sterile table with a bactericidal lamp (“Ultra-light”, “Panmed”, etc.) during round-the-clock operation is
a) 1 day
b) 3 days
c) 7 days
d) 14 days
Sample answers
1.c 11.b 21.b,d 31.a
2.c,d 12.c 22.a 32.c,d
3.b 13.c 23.b33.b
4.b14.b24.b34.b
5.g15.c25.b35.g
6.a16.a26.a36.b
7.b17.b27.b,g37.g
8.b18.a28.c38.a
9.g19.b29.b39.g
10.a20.b30.b40.c
41.a89.a,g137.v185.b
42.g90.a138.a186.b
43.a91.a139.a187.b
44.v92.a140.a188.v
45.b93.v141.b189.a
46.a94.g142.v190.g
47.b95.v143.a191.g
48.a96.b144.b192.b
49.a97.b145.a,c,d193.c
50.v98.a146.b 194.b
51.g99.a147.g195.b
52.b100.c148.d196.c53.c101.c149.b,d197.c
54.v102.b150.v198.b
55.а103.а151.в199.в
56.b104.b152.a200.b
57.b105.g153.b201.c58.c,g106.a154.g202.a
59.b,v107.v155.g203.b
60.v108.b156.a204.v
61.v109.b157.a205.a
62.v110.b158.v206.b
63.v111.b159.a,g207.b
64.a112.b160.b208.a
65.a113.a161.b209.a
66.v114.b162.g210.b
67.b115.v163.b211.a
68.v116.v164.b212.v
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1 Tests On the subject: Infection safety and infection control. 1. Complete destruction of microbes, spores and viruses is called: A. disinfection B. sterilization C. disinsection D. deratization 2. The time for sterilization of instruments in a 6% solution of hydrogen peroxide at room temperature is (in minutes): A.360 B.180 V 90 G Daily wet cleaning in the wards is carried out: A. 4 times B. 3 times C. 2 times D. 1 time 4. Duration of disinfection of medical thermometers in a 0.03% anolyte solution: A. 45 minutes. B. 30 min. B. 20 min. G. 15 min. 5. A solution combining disinfection and pre-sterilization cleaning: A. 2% Vircon B. 3% chloramine C. 6% hydrogen peroxide D. 0.5% chlorhexidine 6. For disinfection, beakers are immersed in a 0.03-0.05% solution of neutral anolyte (per minute): A. 30 B. 20 C. 15 D Disinfection of cleaning equipment: A. rinsing with running water B. boiling in water for 15 minutes. B. soaking in a 6% solution of hydrogen peroxide D. soaking in a 1% solution of chloramine

2 8. After emptying the vessels and urinals from the contents, they are immersed in solutions: A. 1% chloramine for 120 minutes. B. 1% chloramine for 30 minutes. B. 1% chloramine for 15 minutes. D. 0.03% anolyte for 15 minutes. 9. Disinfectant solution used for general cleaning of the treatment room: A. 3% hydrogen peroxide solution B. 3% bleach solution C. 3% chloramine solution D. 5% chloramine solution 10. Disinfectant solution, most effective for anaerobic infection: A. 6 % hydrogen peroxide solution with 0.5% detergent solution B. 3% hydrogen peroxide solution C. 2% soda solution D. 1% chloramine solution 11. The dining room and buffet are cleaned: A. 2 times a day B. 3 times a day day B. after each meal D. at the end of the working day 12. Quartz mode in the treatment room: A. 2 times a day B. 3 times a day C. every 60 minutes. for 15 min. G. after 2 hours for 30 minutes. 13. Order number of the Ministry of Health. USSR, regulating the sanitary and epidemiological regime of health care facilities for the prevention of hepatitis: A. 770 B. 720 C. 408 D Chloramine solution used for disinfection of honey. reusable instruments with which a tuberculosis patient came into contact: A. 5% B. 3% C. 1% D. 0.5%

3 15. Disinfection of a spittoon after use by a patient with pulmonary tuberculosis: A. immerse in a 5% chloramine solution for 60 minutes. B. immerse in 3% chloramine solution for 60 minutes. B. immerse in 0.5% chloramine solution for 60 minutes. G. rinse, boil for 30 minutes. in water 16. Disinfection of tableware after use by patients with viral hepatitis is carried out within: A. 45 minutes. from the start of heating B. 30 min. from the start of heating water B. 30 minutes. from the moment of boiling in 2% soda solution G. 15 minutes. from the moment of boiling in a 2% soda solution 17. Disinfection regime for rubber care items (hot water bottles, ice packs): A. one-time wiping with a 0.03% anolyte solution B. two-time wiping with a 0.03% anolyte solution after 15 minutes. B. double wiping with a 3% chloramine solution D. immersion in a 3% chloramine solution 18. Exposure during disinfection of objects that a tuberculosis patient came into contact with in a 5% chloramine solution (in min.): A. 240 B. 180 C. 90 D Treatment If HIV-infected material comes into contact with the skin, the following is carried out: A. 96 degrees. alcohol B. 70 degrees. alcohol B. 6% hydrogen peroxide solution D. 3% hydrogen peroxide solution 20. Cleaning of wards in case of anaerobic infection is carried out: A. 3% chloramine solution B. 3% bleach solution C. 3% hydrogen peroxide solution D. 6% peroxide solution hydrogen with a 0.5% solution of detergent 21. Disinfection of scissors and razors is carried out: A. by immersion in a 1% solution of chloramine for 1 hour B. by immersion in 70 degrees. alcohol for 30 minutes. B. rubbing with alcohol D. boiling in water for 30 minutes.

4 22. Exposure time in 2% Virkon solution of flexible endoscopes and medical products made of metal (in min.): A. 360 B. 60 C. 30 D Chloramine solution used to disinfect the floor of premises classified as risk rooms: A. 5% B. 3% C. 1% D. 0.5% 24. The sputum of tuberculosis patients is disinfected: A. 5% chloramine solution B. 3% chloramine solution C. 1% chloramine solution D. 0.5% chloramine solution 25 Disinfection time for medical products in 4% Lisetol solution. appointment: A. 60 min. B. 30 min. B. 15 min. G. 10 min. 26. Air sterilization mode: A. 180 degrees. 60 min. B. 160 deg. 60 min. B. 120 degrees. 60 min. G. 110 degrees. 60 min. 27. The incubation period of hepatitis C ranges: A. from 40 days to 6 months B. 1-2 months C. 1.5-3 months D. from 2 to 26 weeks 28. Hydrogen peroxide is used to sterilize instruments: A. 6% B. 4% C. 3% D. 1% 29. To prepare 1 liter of cleaning solution for pre-sterilization treatment of instruments, you need to take perhydrol 27.5% (in ml): A. 33 B. 30

5 B. 17 D To prepare 1 liter of cleaning solution for pre-sterilization treatment of instruments, you must take a 3% solution of hydrogen peroxide (in ml): A. 220 B. 200 C. 160 D When carrying out procedures, the nurse disinfects hands: A. before the procedure B. at the beginning and at the end of the procedure C. after several procedures D. after all procedures 32. Glove sterilization mode in an autoclave: A. 2 atm., 45 min. B. 2 atm., 10 min. V. 1.1 atm., 45 min. G. 0.5 atm., 20 min. 33. Exposure when soaking medical instruments in a washing solution during pre-sterilization cleaning (in min.): A. 45 B. 30 C. 15 D To control the temperature in the autoclave at 132 degrees. use: A. sucrose B. urea C. thiourea D. benzoic acid 35. Apparatus used for sterilization of dressings: A. thermostat B. autoclave C. sterilizer D. dry-heat oven 36. The concentration of hydrogen peroxide in the prepared washing solution: A. 5% B. 3% C. 1% D. 0.5%

6 37. Preparation of a 1.5% washing solution: A. 15 g of powder, bring to 1 l B. 10 g of powder, bring to 1 l C. 5 g of powder, bring to 1 l D. 1.5 g of powder, bring to 1 l 38 A positive azopyram test for occult blood gives the following color: A. green B. pink C. red D. violet (blue violet) 39. Solutions used to treat the oral cavity when the patient’s biological fluid comes into contact with them: A. 6% hydrogen peroxide B . 3% hydrogen peroxide B. 1% hydrogen peroxide D. 0.5% potassium permanganate, 70 deg. alcohol 40. Control of the sterility of dressing material is carried out by: A. using chemical indicators B. using physical indicators C. using biological indicators D. inoculating on nutrient media 41. Removal of class A, B, C waste must be done: A. daily B. 3 once a week B. 2 times a week D. 1 time a week 42. After pre-sterilization cleaning for rinsing honey. instruments use water: A. running B. boiled C. distilled D. twice distilled 43. A cleaning solution using the “Lotus” product is used: A. within 24 hours until a purple color appears B. within 2 days until a purple color appears C. within 24 hours until a pink color appears D. until a pink color appears 44. Exposure during sterilization of linen in an autoclave (in min.): A. 40 B. 30 C. 20

7 G Duration of storage of honey. instruments in craft bags (in hours) A. 72 B. 48 C. 24 D Duration of use of a covered sterile table (in hours): A. 24 B. 18 C. 12 D When assembling a syringe from a sterile table, use: A. the edge of the sterile table B. sterile napkin C. sterile tray D. tray treated with a disinfectant 48. Duration of use of a procedure mask, dressing nurse (in hours): A. 6 B. 4 C. 3 D Quality control of pre-sterilization cleaning in the department is carried out: A. 1 time per day B. 1 time per week C. 1 time per month D. 1 time per quarter 50. The shelf life of “Lysoformin 3000” working solutions is: A. 1 day B. 5 days C. 10 days D. 14 days 51. Catheters are sterilized in an autoclave at the following mode: A. 0.5 atm. B. 1.1 atm. V. 1.5 atm. G. 2 atm.

8 52. The temperature of the Lotus detergent is: A deg. B deg. In the city G deg. 53. Daily wet cleaning in the wards is carried out: A. 4 times. B. 3 times. B. 2 times. G. 1 time. 54. Hydrogen peroxide is used to sterilize instruments: A. 6% B. 4% C. 3% D. 1% 55. To sterilize disposable plastic medical products in industry, they use: A. UV radiation. B. sterilization with flowing steam. B. gamma radiation. G. fractional sterilization. 56. Type of cleaning of the treatment room, which is carried out at the end of the working day: A. final B. current C. general D. preliminary 57. Quartz mode of the treatment room: A. every 60 minutes. for 15 min. B. 2 times a day. B. 3 times a day. G. after 2 hours for 30 minutes. 58. Personal protective equipment for medical personnel: A. glasses B. gauze masks C. gloves D. gloves, goggles, gauze masks, gown 59. The official mechanism of transmission of hepatitis B is: A. sexual B. vertical C. blood transfusion

9 D. non-medical manipulations (tattoo) 60. Hepatitis B vaccine protects against: A. hepatitis D B. hepatitis C C. hepatitis A D. hepatitis E 61. For mechanized cleaning of instruments using ultrasound, the following are used: A. Veltonen 1.5% B. Almirol 4.0% B. Septodor 0.2% D. “Nika-Extra M” 0.3% 62. Disinfectant spray is: A. Virkon B. Deconex C. Aerodesin 2000 D. Javel-solid 63. Exposure during disinfection with a 3% solution of hydrogen peroxide with a 0.5% solution of detergents of objects that a tuberculosis patient came into contact with (in min.): A. 240 B. 180 C. 90 D Exposure during disinfection with a 4% solution of hydrogen peroxide with 0.5 % of detergents of objects with which a patient with hepatitis or AIDS came into contact (in min.): A. 90 B. 45 C. 30 D To control the temperature in an air sterilizer, use: A. sucrose B. benzoic acid C. succinic acid D. nicotinamide 66. Time required for disinfection by boiling in a 2% soda solution of objects with which a tuberculosis patient was in contact (in minutes): A. 60 B. 45 C. 30

10 G Disinfectant solution, most effective for anaerobic infection: A. 6% hydrogen peroxide solution with 0.5% detergent solution B. 3% hydrogen peroxide solution C. 2% soda solution D. 1% chloramine solution 68. Disinfectant used for a high level of disinfection of surfaces that come into contact with blood: A. presept B. ampholan C. bianol D. maxi-dez 69. Duration of preservation of medical instruments in soft two-layer calico packaging under sterile conditions (in hours) A.72 B. 48 V 24 D When hands are contaminated with blood or other secretions, the following is carried out first: A. one-time treatment with a skin antiseptic B. two-time treatment with a skin antiseptic C. washing hands with soap and water D. the order of treatment does not matter 71. General cleaning of the operating unit, dressing rooms, maternity rooms, treatment room is carried out: A. 1 time per month B. 1 time in 15 days C. 1 time in 10 days D. 1 time per week 72. Ultraviolet irradiation is turned on after wet cleaning in the following rooms: A. treatment room B. dressing room B. wards D. examination rooms 73. To disinfect surfaces in health care facilities, you should choose disinfectants that belong to the following hazard class: A. 1 B. 2

11 C. 2-3 D Current control of steam sterilization is carried out using: A. vacuum test B. biological indicator C. sterility testing of samples of sterilized products D. control and measuring instruments and chemical indicators 75. Hand hygiene involves: A. removal banal dirt B. removal of transient microflora of hands C. complete destruction of transient microflora D. complete removal and destruction of transient microflora 76. Treatment of skin when contaminated with blood begins: A. with washing hands with soap and water B. treating the skin with an alcohol antiseptic C. treating the skin twice alcohol antiseptic D. triple treatment of the skin with alcohol antiseptic 77. Gloves made of new synthetic materials (neocrene, isoproene) cannot be sterilized: A. chemicals B. mechanical impact C. high temperatures D. alcohol-containing antiseptics 78. To prevent the emergence of resistant strains of microorganisms in the hospital there should be a set of skin antiseptics in the amount of: A. 1-2 B. 2-3 C. 3-4 D The head nurse informs the chief epidemiologist and the main m/s about the identified comments on the state of disinfection sterilization measures: A. at least 1 time per month B. at least 2 times a month C. once a week D. daily 80. To prevent hepatitis B, medical workers should be vaccinated: A. once

12 B. twice according to the 0-1 scheme C. three times according to the scheme D. three times according to the scheme The surfaces of work tables when contaminated with blood are treated with a 3% solution of chloramine A. once B. twice with an interval of 10 minutes. V. twice with an interval of 15 minutes. G. twice with an interval of 20 minutes. 82. If blood gets on the nasal mucosa, it should be immediately treated with: A. 1% boric acid solution B. 1% protargol solution C. 0.05% potassium permanganate solution D alcohol 83. Disinfection of products made from corrosion-resistant materials in a solution of 6% hydrogen peroxide + 0.5% SMS LOTUS is carried out for: A. 15 minutes. B. 30 min. B. 60 min. G. 180 min. 84. To disinfect endoscopes, a disinfectant solution is used: A. Sidex B. Alaminol C. Bianol D. Glutaral 85. A disinfectant that combines disinfection and cleaning is: A. Erigid-forte B. Presept C. Lizanin D. Lysoformin A working solution of azopyram can be used for: A. 1-2 hours B. 6 hours C. 24 hours D. 48 hours 87. The following is responsible for organizing anti-epidemic measures in the hospital: A. senior medical officer. sister B. head of department B. epidemiologist of health care facility D. procedural and ward med. sisters

13 88. Disinfection of used disposable syringes is carried out: A. in the ward at the patient’s bedside B. in the treatment room C. at the ward medical station. sisters G. in the CSC 89. Rinsing of medical products under running water after detergents “Lotus” and “Lotus-automatic” is carried out for: A. 15 minutes B. 10 minutes C. 5 minutes D. 3 minutes 90. Disinfection mode 0.05% neutral anolyte: A. 60 minutes B. 30 minutes C. 20 minutes D. 10 minutes 91. Chlorhexidine is: A. hibitan B. sidex C. presept D. clorily 92. Sterilize scalpels, scissors at 6 % solution of hydrogen peroxide at t 50 0 C should be carried out for: A. 3 hours B. 6 hours C. 12 hours D. 48 hours 93. Chemical cleaning of stainless steel instruments is carried out: A. 1 time per week B. 1 time per month B. 1 time per quarter D. 1 time per year 94. Disinfection of spatulas is carried out by boiling in a 2% soda solution for: A. 10 minutes B. 15 minutes C. 30 minutes D. 60 minutes 95. Enema tips are disinfected: A. 0.5% chloramine solution B. 1% chloramine solution

14 B. 2% chloramine solution D. 3% chloramine solution 96. Disinfection mode when using “Glutaral”: A. 2% - 15 minutes B. 2% - 30 minutes C. 2% - 45 minutes D. 2% - 60 minutes 97. Disinfection of medical thermometers is carried out in a solution: A. 0.5% chloramine solution 30 minutes B. 2% chloramine solution 15 minutes C. 3% chloramine solution 30 minutes D. 6% hydrogen peroxide solution 60 minutes 98. Frequency of examination of medical workers involved in providing care in obstetric hospitals: A. only upon admission B. upon admission and subsequently 1 time a year C. upon admission and subsequently 2 times a year D. upon admission and subsequently 3 times a year 99. Waste treatment and dressing rooms after disinfection are collected in disposable sealed packaging for: A. ½ of the packaging volume B. ¾ of the packaging volume C. ¼ of the packaging volume D. are completely filled 100. Disposable bags for collecting class B hazardous waste must be colored: A. red B . white B. yellow D. green

15 Answers 1 B 21 A 41 A 61 B 81 B 2 A 22 D 42 A 62 B 82 B 3 B 23 B 43 B 63 B 83 B 4 B 24 A 44 B 64 A 84 A 5 A 25 B 45 B 65 A 85 V 6 A 26 A 46 D 66 G 86 A 7 B 27 D 47 V 67 A 87 V 8 B 28 A 48 V 68 V 88 B 9 D 29 V 49 B 69 B 89 D 10 A 30 V 50 D 70 V 90 B 11 B 31 B 51 B 71 A 91 A 12 D 32 B 52 B 72 A 92 A 13 B 33 B 53 B 73 D 93 B 14 A 34 B 54 A 74 D 94 B 15 A 35 B 55 B 75 B 95 D 16 B 36 D 56 A 76 B 96 D 17 B 37 A 57 D 77 V 97 A 18 A 38 D 58 D 78 V 98 V 19 B 39 D 59 V 79 A 99 B 20 D 40 V 60 A 80 V 100 V

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"Nursing"

B. to prevent infection from entering the wound

2. Antiseptics is a set of measures:

A. to fight infection in the wound

b. to prevent infections from entering the wound

V. on disinfection of instruments

on sterilization of instruments

3. Disinfection is:

A. preventing infection from entering the wound

b. destruction of vegetative and spore-forming microorganisms

V. destruction of vegetative microorganisms

D. killing or removing pathogenic microorganisms and their vectors from medical products

4. Sterilization is:

A. preventing microorganisms from entering the wound

b. destruction of vegetative forms of microorganisms

B. destruction of microorganisms of all types at all stages of development

d. removal of microorganisms from the surface of medical products

5. Infectious diseases that a patient becomes infected with as a result of medical care provided, and personnel in the process of professional activity are called:

A. quarantine

b. conventional

B. hospital-acquired

6. Stages of pre-sterilization cleaning:

A. washing under running water

b. immersion in the washing complex

V. rinsing in distilled water

d. all answers are correct

7. Indicate the properties of the disinfectant solution for disinfection in case of viral hepatitis:

A. bactericidal

b. sporocidality

B. virucidality

8. Steam sterilization modes:

A. pressure 2 atm. Pace. = 132 gr. C - 20 min

b. pressure 1.1 atm. Pace. = 120 degrees C - 45 min

V. pressure 0.5 atm. Pace. = 110 degrees C - 20 min

g. pressure 1.1 atm. Pace. = 120 degrees C - 60 min

9. Basic air sterilization mode:

A. 120 gr. C - 40 min

b. 180 gr. C -180 min

V. 200 gr. C - 40 min

G. 180 gr. C - 60 min

10. Routes of transmission of nosocomial infection:

A. parenteral

b. contact

V. airbornechemical

11. Wet cleaning in sensitive offices is carried out:

A. at least 1 time per day

B. at least 2 times a day

V. before manipulation

at the end of the working day

12. General cleaning of the treatment room is carried out:

A. Once every 7 days

b. 2 times per week

V. 1 time per month

once every 10 days

13. Basic methods for decontaminating the hands of medical personnel:

A. social

b. prophylactic

B. hygienic

G. surgical

14. Places where class B waste is generated:

A. operating rooms, treatment rooms and other manipulation rooms

b. administrative and utility premises of health care facilities

V. TB departments

15. Possible routes of transmission of HIV infection:

A. sharing utensils

b. insect bites

B. blood transfusion

16. Hygienic hand decontamination is indicated:

A. after contact with biological fluids

b. before invasive procedures

V. before direct contact with the patient

d. all answers are correct

17. The main habitat and reproduction of the gram-negative group of opportunistic microorganisms (Klebsiella, Proteus, Pseudomonas aeruginosa, etc.) are:

A. wet surface

b. air environment

B. open solutions of drugs

d. dry surface (tables, couches)

d. powdered drugs

18. Sterile tweezers are stored during operation:

A. dry in sterile packaging

b. in 6% hydrogen peroxide

V. in 3% chloramine

19. Measures to prevent airborne infection:

A. mask mode

B. wet cleaning, Ural Federal District

B. isolation of persons with ARVI

d. a certain microclimate: humidity, temperature

d. all answers are correct

20. The leading factor in the transmission of purulent-septic infection in medical institutions:

b. tools

V. care items

G. hands of staff

d. air

21. Anti-epidemic measures for hospital infections:

A. infection control

B. source identification and isolation

B. interruption of transmission routes

D. monitoring contacts

d. increasing the population's immunity

i.e. all answers are correct

22. Name the methods of sterilization:

A. air

b. boiling

B. chemical

G. steam

23. Routes of transmission of HIV infection:

A. sexual

b. parenteral

V. vertical

enteral

d. all answers are correct

24. The purpose of surgical treatment of the hands of medical staff:

A. removal or killing of transient microflora

b. removal or killing of resident microflora

B. removal or killing of transient microflora and reduction in the number of resident microflora

25. What types of external influences is the HIV virus resistant to:

A. low temperatures

B. high temperatures

V. ultraviolet irradiation

d. disinfectants

26. Indicate the sequence of stages of processing medical equipment:

A. 1.rinsing with running water, pre-sterilization cleaning, sterilization

b. 2.disinfection, pre-sterilization cleaning, sterilization

V. 3.disinfection, washing with running water, sterilization

27. The choice of sterilization method depends on:

A. features of the product being sterilized

b. degree of contamination of the product

28. Frequency of self-monitoring for the quality of pre-sterilization cleaning:

A. at least 1 time per week

B. daily, selectively

V. daily, 1% of processed products of one type per shift in the central processing center and 1% of simultaneously processed products of each type, but not less than 3 units, with decentralized processing

29. The following should be sterilized:

A. all medical products

b. in contact with the wound surface

V. in contact with blood, injectable drugs

30. Possible routes of transmission of Pseudomonas aeruginosa infection in health care facilities:

A. food

B. contact

B. instrumental

31.Number of waste classes in health care institutions:

32.Color of disposable bags for waste disposal class B:

A. green

V. yellow

A. red

33.Name the main characteristic features of HIV infection.

A. unusually long (up to 5-7 years) latent period of the disease

b. lifelong carrier of the virus

V. constant replication of the virus in the body

d. fatal outcome of the disease

d. damage to the cellular part of the immune system

i.e. all answers are correct

34. List the groups at high risk for HIV infection

A. donors

B. persons with non-traditional sexual orientation (homo-, bisexuals)

V. prostitutes

D. intravenous drug users

D. persons receiving multiple blood transfusions

i.e. all answers are correct

35. In case of violation of the patient’s rights, he can contact:

A. to the relevant medical association

b. to the licensing commission

D. all of the above are true

36.Main activities of a nurse:

A. prevention of diseases and injuries

B. health promotion

V. rehabilitation

d. relief of suffering

d. all of the above are true

37. Ethics is:

A. the science of morality

b. science of obligation

V. the science of rules of conduct in a work community

38. Deontology is:

A. the doctrine of morality

b. doctrine of duty

39.A patient is:

A. an individual with a disease

B. an individual receiving medical services or applying for medical services, regardless of whether he has a disease

40. Is parental consent required for medical intervention in relation to a child under 15 years of age:

A. yes

41. Code of Ethics:

A. gives moral guidelines in the professional activities of nurses

b. provides legal aspects in the professional activities of nurses

42.The rights of a patient in the Russian Federation are defined:

A. The Constitution of the Russian Federation

B. “Fundamentals of the legislation of the Russian Federation on protecting the health of citizens”

V. by orders of local health authorities

43. The guaranteed volume of free medical care is provided in accordance with:

G. Constitution of the Russian Federation

A. State guarantee program

B. Fundamentals of the Legislation of the Russian Federation on the protection of the health of citizens

44.Does the patient have the right to refuse medical intervention:

A. yes

45.Does the patient have the right to receive information about his rights and obligations:

A. yes

V. in some cases

46.Medical prevention is:

A. actions aimed at reducing the likelihood of certain diseases or dysfunctions in an individual, family, group and population as a whole

B. elimination or compensation of disability

48.Health promotion is:

B. patient

B. dilated pupils

B. lack of breathing

d. cyanosis

d. lack of pulse during radiation therapy

53. The ratio of air injection and cardiac massage during resuscitation:

G. 2:30

54. Sign of effectiveness of resuscitation:

A. constriction of the pupils

b. reduction of pallor

V. 30 min

56. Depth of sternum deflection during cardiac massage in an adult:

H. 4-5 cm

57.Where does help begin in case of electrical injury:

B. pressure bandage

V. adhesive bandage

d. lubrication with iodine solution

60. In case of arterial bleeding, a tourniquet is applied to no more than:

A. 30 minutes

b. 60 minutes

V. 120 minutes

180 minutes

61. A patient with a spinal fracture is transported:

A. in a semi-sitting position

b. lying on your side on a wooden board

To faint

66. The main sign of cardiac arrest:

A. cessation of breathing

b. lack of blood pressure

B. anaphylactic shock

V. hives

d. redness

68.The causative agent of influenza is:

A. bacterium

B. virus

V. rickettsia

chlamydia

69.Tactics of a medical worker in case of suspected plague:

A. isolation of the patient at the place of detection

b. transfer of contacts to the next room

V. message to the manager about suspected plague

d. collection of material for analysis

d. all answers are correct

70. The incubation period of the disease is:

A. high body temperature

A. parenteral

B. sexual

B. intrauterine

g. airborne

d. fecal-oral

73.Specific prevention of influenza:

A. vaccinations

b. antibiotics

V. antihistamines

74. Nonspecific prevention of influenza:

A. isolation of the patient

B. mask mode

B. imposition of quarantine

d. identification and examination of contact

d. all answers are correct

75. The main method of laboratory diagnostics, which makes it possible to identify the pathogen in the patient’s material:

A. bacteriological

b. serological

V. allergological

skin-allergological

76. When a seriously ill patient is admitted to the emergency department of a hospital, the nurse must first of all:

A. urgently call the doctor on duty

b. transport the patient to the intensive care unit

V. complete the necessary medical documentation

G. as it gets dirty

78. The most common areas for the formation of bedsores in a seriously ill patient when lying on his back:

A. sacrum

b. back of the head

V. shoulder blades

D. all of the above are true

79.Subfebrile body temperature (in degrees C):

G. 37.1-38

80. Intramuscular injections are made into the quadrant of the buttock:

A. upper internal

B. upper outer

V. lower-outer

Nizhnevnutreny

81. Parenteral routes of drug administration:

A. through the respiratory tract

b. through the rectum

B. infiltrate

d. anaphylactic shock

83. Complication of intravenous injection leading to instant death:

A. air embolism

b. hematoma

V. necrosis

sepsis

84.If a patient has constipation, an enema is prescribed:

A. hypertensive

B. regular cleansing

V. siphon?

G. oil

85. How often to turn a patient to prevent bedsores:

A. 2 times a day

b. doesn't matter

A. any

B. soft

B. semi-rigid?

G. hard?

87. When catheterizing the bladder in women, the catheter is inserted to the depth (in cm):

88. Urine formation occurs:

A. in the bladder

b. in the ureters

V. in the kidneys

89. Manipulations and procedures are potentially dangerous for the development of nosocomial infection, except:

A. injections

b. surgical intervention

B. electrophoresis

g. catheterization of the bladder

d. gastroscopy

V. 16-20

The maximum pressure is

A. diastolic

B. systolic

V. arrhythmic

g. pulse

92. The number of heartbeats per minute in an adult is normal:

V. 60-80

93. Infection of a health worker while serving an HIV-infected person is possible in the following cases:

A. during injections, punctures and other manipulations

B. pandemic

96. Routes of transmission of HIV infection:

A. sexual

B. vertical

V. airborne droplet

d. fecal-oral

D. blood-contact

e. food

G. transmission

97. Which of the following biological fluids of an HIV-infected person are most important for infecting another person:

A. blood

B. sputum mixed with blood

B. sperm

D. vaginal secretion

98. Specify the storage conditions for immunobiological preparations:

A. in the refrigerator

b. at room temperature

99. Medicines accumulate:

A. in bone tissue

B. in adipose tissue

V. in connective tissue ?

d. all answers are correct

100. Routes of elimination of drugs – all except:

V. intestines

lungs

glands (salivary, sweat, lacrimal, mammary, sebaceous)

E. blood

Certification tests in the specialty

"Nursing"

1. Asepsis is a set of measures:

A. to fight infection in the wound

b. on disinfection of instruments

Security tests

1. Concentration of chloramine solution for treating surfaces contaminated with blood
a) 3%

2. Transportation of the tube to the laboratory with blood is carried out in:

b) tripod

c) sterile container

d) glass jar

3. When pricked with an infected needle, everything is true except one.

a) squeeze out a drop of blood

b) treat with furatsilin

c) wash your hands with soap

d) treat with alcohol 70 degrees.

4. Possible route of transmission of HIV infection

a) eating from one dish

b) transfusion of infected blood

c) handshake

d) insect bite.

5. If a chlorine-containing solution gets into the eyes of the nurse, the first thing to do is

a) rinse with sodium bicarbonate solution

b) instill a solution of albucid

c) consult a doctor immediately

d) rinse eyes with running water

6. The patient broke the mercury thermometer, the nurse’s actions

a) collect in an airtight container and report to the SES

b) collect with a damp swab and throw in the trash container

c) collect in a pear-shaped container and pour into the sink

d) collect with a vacuum cleaner and treat the area of ​​mercury contact with a solution of potassium permanganate

STANDARD ANSWERS

1 a 2 c 3 b 4 b 5 d 6 a

Nursing process

1. The policy document "Philosophy of Nursing in Russia" was adopted

a) Kamensk - Podolsk, January 1995

b) Moscow, October 1993

c) St. Petersburg, May 1991

d) Golitsyno, August 1993

2. Physiological problem of the patient

a) loneliness

b) risk of suicide attempt

c) worry about losing your job

d) sleep disturbance

3. Purpose of the nursing process

a) diagnosis and treatment of the disease

b) ensuring an acceptable quality of life during illness

c) deciding on the order of care activities

d) active cooperation with the patient

4. Requirements for professional patient care are all true except one.

a) scientific

b) frequency

c) systematic

d) individuality

5. The first level in the pyramid of human values ​​(needs) by psychologist A. Maslow

a) belonging

b) survive

c) achieving success

d) security

6. Physiological needs, according to A. Maslow’s hierarchy, include

a) respect

b) knowledge

c) breathing

d) communication

7. Fear of death is a problem

a) psychological

b) physical

c) social

d) spiritual

8. The number of levels in the hierarchy of basic vital needs according to A. Maslow

a) fourteen

b) ten

9. The top of the hierarchy of human needs, according to A. Maslow, is

a) social need

b) the need for self-esteem and respect from others

c) the need for personal self-realization

d) need for security

10. The first nursing theorist is

a) Yu. Vrevskaya

b) E. Bakunina

c) D. Sevastopolskaya

d) F. Nightingale

11. The concept of “vital human need”

a) ability to function independently

b) a deficiency of what is essential for human health and well-being

c) any conscious desire

d) physiological human need

a) Bakunina Ekaterina Mikhailovna

b) Pirogov Nikolai Ivanovich

c) Florence Nightingale

d) Virginia Henderson

13. The goals of nursing care are:

a) short-term

b) general

c) personal

d) not specific

14. Number of stages of the nursing process

15. The third stage of the nursing process includes

b) urgent emergency care

c) identifying patient problems

d) collecting information

16. The second stage of the nursing process includes

a) planning the volume of nursing interventions

b) identifying patient problems

c) collecting information about the patient

d) determining the goals of nursing care

17. The word "diagnosis" translated from Greek means

a) illness

b) sign

c) condition

d) recognition

18. Verbal includes communication using

a) facial expressions

d) letters

19. Example of independent nursing intervention

a) use of a gas outlet tube

b) organization of mutual assistance in the patient’s family

c) appointment of mustard plasters

d) appointment of a treatment table and physical activity regimen

20. Nursing diagnosis (patient problems)

a) urinary incontinence

b) sore throat

c) cyanosis

a) Dorothea Orem

b) Yulia Vrevskaya

c) Abraham Maslow

d) Nikolay Pirogov

22. The problem of “stool retention” is

a) secondary

b) potential

c) emotional

d) real

23. Social needs of the patient

c) recognition

24. The first stage of the nursing process includes

a) predicting the results of care

b) conversation with the patient’s relatives

c) identification of existing and potential patient problems

d) prevention of complications

25. Determination of nursing diagnosis (patient problem)

a) identification of the clinical syndrome

b) identification of a specific disease

c) identifying the cause of the disease

d) description of the patient's problems amenable to nursing intervention

26. The subjective method of nursing examination includes

a) determination of edema

b) questioning the patient

c) blood pressure measurement

d) familiarization with medical record data

27. Nursing diagnosis

a) can change during the day

b) no different from a doctor’s

c) defines a disease

d) aims to cure

28. Specialized institution for palliative care

a) hospice

b) clinic

c) medical unit

d) ambulance station

29. The concept of nursing diagnosis first appeared

a) in Japan

b) in the United States of America

c) in Russia

d) in England

30. Organization of patient education includes everything except

a) time and place of classes

c) objectives of the lesson

d) collecting information about the patient

31. The number of heartbeats per minute in an adult is normal
a) 100 -120

32. The properties of breathing include everything except

b) frequencies

c) depths

d) voltage

33. The number of breaths per minute in an adult is normal

b) 22 - 28
c) 16-20
d) 10-12

34. One of the properties of the pulse

a) voltage

b) hypotension

c) tachypnea

d) atony

35. Select a nursing diagnosis from the list provided

a) satisfaction of the need for security is impaired

b) staff avoid contact with the patient

c) heart failure

d) lack of knowledge about care for this condition

36. By filling the pulse is distinguished

a) rhythmic, arrhythmic

b) fast, slow

c) full, empty

d) hard, soft

37. The most interconnected properties of the pulse

a) tension and filling

b) tension and rhythm

c) frequency and rhythm

d) speed and frequency

38. Blood pressure measurement is an intervention

a) dependent

b) independent

c) interdependent

d) depending on the situation

39. The difference between systolic and diastolic blood pressure is called

a) maximum blood pressure

b) minimum blood pressure

c) pulse pressure

d) pulse deficiency

40. The maximum pressure is

a) diastolic

b) systolic

c) arrhythmic

d) pulse

41. Anthropometry involves measuring everything except

d) blood pressure

42. Select from the proposed list a nursing diagnosis (patient problem) that is within the competence of the nurse

a) jaundice

b) acute pain in the heart

c) bronchitis

d) lack of knowledge about diet

43. Short-term loss of consciousness is

b) collapse

to faint

44. Adult resting heart rate 98 beats per minute

b) tachycardia

c) bradycardia

d) arrhythmia

45. The properties of the pulse include everything except

a) filling

b) voltage

c) frequencies

46. ​​The pulse is distinguished by voltage

a) rhythmic, arrhythmic

b) fast, slow

c) full, empty

d) hard, soft

47. Pulse counting time (in sec.)
a) 60

48. All places for detecting pulse except

a) carotid artery

b) temporal artery

c) radial artery

d) abdominal artery

49. Correctly formulated goal of nursing intervention

a) the patient will not have shortness of breath

b) the patient will receive enough fluid

c) the patient will quit smoking after talking with his sister

d) the patient will be able to dress independently by the end of the week

50. Normal figures for diastolic blood pressure in an adult (mm Hg)

51. Pulse frequency varies

a) normal

b) hard

c) full

d) arrhythmic

52. The heart rate depends on

a) tension and filling

b) voltage and frequency

c) filling and frequency

d) frequency and rhythm

53. The first stage of the nursing process requires

a) the ability to conduct a conversation with the patient and his relatives

b) consent of the attending physician

c) consent of the older sister

d) consent of the head of the department

54. The second stage of the nursing process is

b) examination - collection of information about the patient

c) assessment of the effectiveness of actions, causes, errors and complications

d) making a nursing diagnosis

55. The second stage of the nursing process is

a) drawing up a nursing care plan

b) collecting information about the patient

c) assessment of the effectiveness of actions, causes of errors and complications

d) identification of priority existing and potential human problems in connection with health

56. Classification of patient's nursing problems

a) short-term and long-term

b) real and potential

d) technical, spiritual, social

STANDARD ANSWERS

1 g 7 a 13 a 19 6 25 g 31 v 37 a 43 v 49 g 55 g

2 g 8 in 14 g 20 a 26 6 32 g 38 g 44 6 50 in 56 6

3 6 9 in 15 a 21 a 27 a 33 in 39 in 45 d 51 a

4 6 10 g 16 6 22 g 28 a 34 a 40 6 46 g 52 a

5 6 116 17 g 23 c 29 b 35 g 41 g 47 a 53 a

6 in 12 g 18 6 24 6 30 g 36 in 42 g 48 g 54 g

Infection safety. Infection control.

1. The complete destruction of microorganisms, spores and viruses is called

a) disinfection

b) sterilization

c) disinfestation

d) deratization

2. It is not a nurse's level of hand washing.

a) social

b) hygienic

c) surgical

d) biological

3. The destruction of pathogenic microorganisms in the environment is called

a) deratization

b) disinfection

c) sterilization

d) disinfestation

4. Exposure during sterilization of instruments in a 6% solution of hydrogen peroxide at room temperature (per minute)

5. To prepare 1 liter of cleaning solution for pre-sterilization treatment of instruments, you need to take perhydrol 33% (in ml)

6. To prepare 1 liter of cleaning solution for pre-sterilization treatment of instruments, you need to take a 3% solution of hydrogen peroxide (in ml)