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Safety

Infection Control Test for Clinic Staff

Who it is for
Nurses, doctors, healthcare assistants, orderlies and clinic cleaning staff
When to run
When hired, then every six months and after violations found during inspection rounds
Size
18 questions · ~15 min
Pass mark
80%
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Healthcare-associated infections are most often spread not through rare accidents but through everyday details: hands not cleaned between patients, gloves that are "still clean", a cap put back on a needle, a disinfectant solution wiped off too soon. This test checks that every clinic employee knows the basic infection control rules and understands why they matter.

The questions cover organizational rules and contain no clinical treatment recommendations. The test does not replace the mandatory training and briefings required by your local regulations: take waste categories, disinfectants, their concentrations and contact times from your organization's instructions. Two questions are marked as critical — on handling needles: a mistake in them is a reason to repeat the briefing before working with patients.

Answered 0 of 18

Hand hygiene and gloves

  1. 1
    Which situations are part of the WHO "My 5 Moments for Hand Hygiene" model? Select all correct answers. Choose all correct answers
    Answer: c, d, e. The WHO model describes five moments when germs are most often transferred by hands: before touching a patient, before an aseptic procedure, after body fluid exposure risk, after touching a patient and after touching the patient's surroundings (bed, bedside table, monitor), even if the patient was not touched. Hand hygiene is triggered by events, not by a schedule.
  2. 2
    When should hands be washed with soap and water rather than cleaned with an alcohol-based hand rub? Choose one answer
    Answer: a. Alcohol-based hand rub is faster and more effective against most germs, so it is the main method in a clinic. But it works poorly through visible dirt and blood — such hands are washed with soap and water. Hands should also be washed after using the toilet and when there is a risk of spore-forming germs (for example, Clostridioides difficile) — these cases are listed in your organization's instructions.
  3. 3
    What is the correct way to use an alcohol-based hand rub? Choose one answer
    Answer: c. Hand rub works while it is being rubbed in and evaporates, so hands are not dried with a towel and gloves are not put on damp skin. Missed areas — thumbs, fingertips, backs of the hands — remain untreated. The amount of product and the time are given in its instructions.
  4. 4
    If you were wearing gloves, you do not need to clean your hands after removing them. True or false?
    Answer: False. Gloves do not give complete protection: they can have microscopic holes, and hands are easily contaminated when removing them. That is why hands must be cleaned after removing gloves. Gloves do not replace hand hygiene.
  5. 5
    A nurse wearing gloves has drawn blood from a patient. Can the same gloves be used with the next patient? Choose one answer
    Answer: b. Gloves are single-use and are worn for one patient and one procedure. Treating gloves with hand rub does not make them safe: the material is damaged and germs remain. Between patients, always change gloves and perform hand hygiene.
  6. 6
    What prevents effective hand hygiene in staff who work with patients? Select all correct answers. Choose all correct answers
    Answer: a, b, d. Germs build up under jewelry and long nails, and hand rub does not reach them there. Damaged skin is harder to clean and can itself be a source of infection, so hands are cared for with products approved by the organization. What may be worn is set by your clinic's rules.

PPE, cleaning and spills

  1. 7
    When are a mask, eye protection and an apron or gown needed when working with a patient? Choose one answer
    Answer: d. This is the principle of standard precautions: the blood and body fluids of any patient are considered potentially infectious, even if the diagnosis is unknown. Which PPE to wear for which procedure is specified in your organization's instructions.
  2. 8
    A medical mask can be pulled down under the chin during a conversation and then put back on. True or false?
    Answer: False. The outer side of the mask is contaminated, and when it is pulled down it touches the hands and the skin of the neck and chin. If a mask has been taken off, it is thrown away, hands are cleaned and a new one is put on. A mask is also replaced when it becomes damp.
  3. 9
    Why should a surface not be wiped dry immediately after applying disinfectant? Choose one answer
    Answer: d. Every disinfectant needs time to kill germs — this is called the contact time and is given in its instructions. If it is wiped off sooner, the surface only looks clean. Before disinfection, the surface is cleaned of visible dirt.
  4. 10
    What is the correct way to clean a treatment room? Select all correct answers. Choose all correct answers
    Answer: b, c, d. Cleaning from clean to dirty does not spread germs around the room. A stronger solution is not more reliable: it damages surfaces and skin and irritates the airways, while effectiveness does not increase. Concentration, contact time and frequency are set by your organization's instructions.
  5. 11
    A prepared working disinfectant solution can be used until it runs out, no matter how many days ago it was made. True or false?
    Answer: False. A working solution loses activity over time, so it has a shelf life specified in the product's instructions. The container is labeled with the product name, concentration and date of preparation so the shelf life is easy to check.
  6. 12
    Blood has spilled on the floor of the treatment room. What is the right thing to do? Choose one answer
    Answer: c. A body fluid spill is cleaned up immediately following a separate procedure: wearing gloves, using absorbent material or a spill kit, then treating the surface with disinfectant for the required contact time. Everything used is disposed of as medical waste. An ordinary mop only spreads the contamination.

Waste, sharps and uniforms

  1. 13
    You have given an injection. What do you do with the used needle? Choose one answer Critical question
    Answer: c. Recapping a used needle is one of the most common causes of needlestick injuries. That is why the needle is dropped into a puncture-resistant container within reach immediately after use. Needles are not bent, broken or removed by hand. If the syringe has a safety device, activate it according to the manufacturer's instructions.
  2. 14
    A sharps container can be filled to the very top and pressed down so it needs replacing less often. True or false?
    Answer: False. An overfilled container is a common cause of needlestick injuries: needles stick out of the opening, and pressing down drives them into the hand. The container is closed and replaced when it is filled to the line marked by the manufacturer or specified in the organization's instructions.
  3. 15
    Where should used gloves and wipes soiled with blood be disposed of? Choose one answer
    Answer: a. Medical waste is segregated at the point where it is generated: once mixed, it can no longer be safely sorted. Waste categories and the colors of bags and containers vary by country — follow your clinic's segregation scheme, which should be posted in the room.
  4. 16
    You got a needlestick injury from a needle used on a patient. What should you do? Choose one answer Critical question
    Answer: b. Immediately wash the puncture site under running water with soap, without squeezing out blood or scrubbing the wound, and report it right away to your supervisor or the designated staff member: a doctor decides on post-exposure prophylaxis, and it is most effective in the first hours. You cannot judge the risks by how the patient looks. Any additional antiseptic treatment, the procedure and documentation are set by your organization's instructions.
  5. 17
    Your gown has been soiled with a patient's blood. What is the right thing to do? Choose one answer
    Answer: d. Contaminated clothing carries germs to other patients and to the employee. It is changed immediately and laundered as the clinic's rules require. The treatment room sink is not meant for this.
  6. 18
    You have a fever, a cough and a runny nose. What should you do before your shift? Choose one answer
    Answer: a. An employee with signs of infection can infect patients, many of whom are vulnerable. A fever reducer relieves symptoms but does not make a person non-infectious. When you can return to work is set by the organization's rules and your local regulations.
Your result

· Pass mark is 80%. Correct answers and explanations are shown below. A mistake in a critical question fails the test regardless of the score.

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Use the test as a starting point and align answers with your standards and local regulations.

Frequently asked questions

No. The test helps check and reinforce the basic rules but does not replace the mandatory training, briefings and medical examinations required by your local regulations.

Medical waste categories, packaging colors, approved disinfectants and their concentrations differ between countries and organizations. Add questions about your segregation scheme and the products used in your clinic.

Everyone who works with patients or cleans clinic premises: doctors, nurses, support staff and cleaners. New employees — before starting work; everyone else — every six months and after violations found during an inspection round.

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