QIBAH HOSPITAL

QIBAH, ALGASSIM, KSA

INFECTION CONTROL DEPARTMENT

COMPETENCY ASSESSMENT EXAM FOR NURSES

Name: _________________________ Score:

Date: __________________________

Direction: Encircle the choice of the correct answer.

1. Infection control is the responsibility of:

a. Infection Control Team
b. Hospital Director
c. Nurses and Doctors
d. All members of the healthcare team

2. Each of the following is a condition of the chain of infection, except:

a. Reservoir of pathogens
b. Critical instruments
c. Susceptible host
d. Portals of exit and entry

3. When doing hand-rubbing, you should:

a. Apply hand rub when you see the infection control staff having rounds.
b. Apply a sufficient quantity of alcohol or sanitizer on your palm covering all hand surfaces and rub hands
following the 11 steps of hand hygiene for at least 40-60 seconds.
c. Apply a sufficient quantity of alcohol or sanitizer on your palm covering all hand surfaces and rub hands
following the 7 steps of hand hygiene for at least 20-30 seconds.
d. Apply hand rub and rub palms together using soap and water.

4. What does BICSL means? _______________________________________________________________

5. Which of these is NOT a component of BICSL?

a. Hand hygiene
b. Safe Injection Practices
c. Waste Management
d. Vaccination

For questions 6 to 10, Case scenarios will be given and score the patient based on your evaluation. Kindly refer to
VISUAL TRIAGE FORM for the scoring.
 Score Sign/Symptom
Children ADULTS

1 2 Fever -
1 2 New Or Worsening Cough- -
1 2 New Or Worsening Shortness Of Breath -
- 1 Nausea, Vomiting Or Diarrhea- -
- 1 Sore Throat Or Runny Nose - -
- 1 Chronic Renal Failure, CAD/Heart Failure- -
Exposure
Exposure To A Confirmed MERS Case In the Last Two -
3 3
Weeks
Exposure to Camel Or products (Direct Or Indirect) In -
2 2
the last Two weeks
Visit To Health Care Facility That Has MERS Case In -
1 1
Last Two Weeks.

6. A 65-year old female patient with known CAD (stable angina) developed acute severe continuous chest tightness
that does not respond to usual lines of treatment; No ECG or Laboratory confirmation for MI. What is the score of
the patient? __________________

7. Mizna is 55-year old patient with old standing chronic kidney disease that requires haemodialysis with regular
sessions for 3 times a week.
The last session was at King Saud Hospital then she returns to HD unit at Qibah Hospital complaining of
sleeplessness, tiredness and feeling unwell.
Her BP is normal and HD physician ask for BUN and Serum Potassium and found out to be elevated. What is the
score for Mizna? _______________________________

8. A 45-year old female presented to ER complaining of frequent attacks of diarrhea and abdominal discomfort and
has no response to treatment.
She gave a history of visiting her sister which was admitted to BCH, 21 days ago. What is the score of the patient?
___________________________________

9. A 62-year old male patient diagnosed with chronic renal failure 4 years ago came to ER complaining of fever 2
days ago, sore throat, nausea and vomiting and diarrhea. And he is doing his regular dialysis, 3 times a week. What is
the score of the patient? _________________________________________________

10. One patient came to ER and sat in visual triage. When you are about to ask “Did you visit a Health Care Facility
that Has MERS Case in Last Two weeks?” and the patient answered “Yes, I went to one hospital in Riyadh last week
but I do not know if they have MERS case there.” What is the score of the patient?
_______________________________

11. What is the meaning of MERS-COV? What are the TWO case definitions of it?
_________________________________________________________________________________________________
___________________________________________________________________________________________

12. All except one is to be discarded in the Yellow Bag.

a. Wet and unsaturated gauze, cotton and other materials contaminated with blood and no dropping of blood.
b. Contaminated and uncontaminated splints used in orthopaedic fractures
c. Wet and saturated gauze, cotton and other materials contaminated with blood and there is dropping of
blood.
d. Expired blood bags in which the amount of blood is less than 20 ml.
e. None of the above
13. When will you remove your mask when the condition of the patient is under Droplet Precaution?
a. Before exit to patient’s room
b. Before entering the patient’s room
c. After exit to patient’s room
d. After entering the patient’s room

14. Influenza, Pertussis and Mumps is under what precaution?

a. Airborne Precaution
b. Droplet Precaution
c. Contact Precaution

15. Measles, Chickenpox and Mycobacterium Tuberculosis is under what precaution?

a. Airborne Precaution
b. Droplet Precaution
c. Contact Precaution

16. What is the proper sequence in doffing the PPE?

a. Goggles, Mask, Gown, Gloves, Hand rub
b. Mask, Goggles, Gown, Gloves, Hand rub
c. Gloves, Hand rub, Goggles, Gown, Mask, Hand rub
d. Gloves, Hand rub, Gown, Goggles, Mask, Hand rub

17. For multi-dose vials, it is discarded after how many days?

a. 30 days
b. 90 days
c. 29 days
d. 28 days

18. Administration of IV sets that are continually used to infuse crystalloid solutions are replaced every:
a. 96 hours to 5 days
b. 96 hours to 6 days
c. 96 hours to 7 days
d. 96 hours to 8 days

19. Administration of IV sets that are used to administer blood or blood products are replaced within how many
hours?
a. 72 hours
b. 96 hours
c. 24 hours
d. 48 hours

20. Expired blood bags are to be discarded in:

a. Double Yellow Bag
b. Yellow Bag
c. Black bag
d. Red bag
21. What is TRUE about changing Sharps Container? (Select all that applies)
1. The duration of its stay in the room is 1 week.
2. Its contents reach three-quarters of the size of the container
3. Emitting odors of the container
4. Contaminated with blood from outside

a. 1 and 2 only b. 2 only c. 2 and 3 only d. 2 and 4 only e. All of the above

22. Where will you dispose all those pathologic waste (human body organ or parts)?
a. Yellow Bag
b. Red Bag
c. Double Yellow Bag
d. Black Bag

23. Peripheral venous cannula is routinely changed every

a. 72 hours
b. 48 hours
c. 96 hours
d. 24 hours

24. How you will transfer an isolation patient to another department? (Select all that applies)
a. By walking
b. By Stretcher
c. By Wheelchair
d. By carrying

1. A and D only 2. A and B only 3. B and C only 4. B and D only

25. Coughing etiquette includes which of the following:

a. Covering your mouth when coughing
b. Cough/sneeze into your elbow area
c. Washing your hands after coughing
d. Using tissue to cover your mouth
e. All of the above

From 26 to 30, Enumerate the criteria under Suspected Case definition of MERS-COV.

26.

27.

28.

29-30.