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North Carolina dental exams · Free practice questions
Ten original North Carolina practice questions on sterilization and infection control exam, each answered on this page with a rationale and a source.
Last updated 2026-09-08
Question 1 of 10
Answer C: Use Standard Precautions throughout the encounter.
Standard Precautions apply to all patients regardless of known or suspected infection. Medical history and appearance do not reliably identify every infection. The protections selected still depend on anticipated exposure during the task.
Common trap: Treating screening as a replacement for baseline infection prevention.
Question 2 of 10
Answer B: Wash with soap and water.
CDC specifies soap and water when hands are visibly dirty or contaminated with blood or other potentially infectious material. Alcohol rub is an option in appropriate non-visibly-soiled situations; covering or wiping away visible soil is insufficient.
Common trap: Applying an acceptable method without checking the condition of the hands.
Question 3 of 10
Answer D: Clean and heat sterilize it between patients.
A mirror contacts mucous membranes and is semicritical. CDC recommends heat sterilization for heat-tolerant semicritical dental items. The absence of tissue penetration does not make it a noncritical surface.
Common trap: Equating not cutting with low risk.
Source: Best Practices for Sterilization in Dental Settings — May 15, 2024
Question 4 of 10
Answer B: Inspect underneath, clean/disinfect if contaminated, and replace the barrier.
CDC calls for barrier changes between patients and inspection of the surface beneath them, with cleaning and disinfection when contamination occurs. An apparently clean used barrier can still transfer contamination. Reusing or treating its outside does not complete turnover.
Common trap: Assuming the presence of a barrier removes the need to inspect and change it.
Source: Best Practices for Environmental Infection Prevention and Control — May 15, 2024
Question 5 of 10
Answer A: Close and replace it without overfilling.
Sharps containers must not be allowed to overfill. Manipulating the contents creates puncture risk, and temporary exposed storage does not solve the problem. Proper placement and timely replacement are part of the prevention system.
Common trap: Trying to create capacity by handling contaminated sharps.
Question 6 of 10
Answer D: Designate an on-site staff member for each noncontiguous facility who completes the required Department-approved course.
The North Carolina rule is specific to each noncontiguous facility, meaning physically unconnected locations. The designated staff member must complete the prescribed approved training. Central administrative support does not remove the on-site requirement.
Common trap: Treating multiple locations as one facility because they share ownership.
Source: 10A NCAC 41A .0206 — Infection Prevention–Health Care Settings
Question 7 of 10
Answer C: Contaminated gloves contaminate a device used for another patient.
Indirect contact uses a contaminated intermediate object. A describes inhalation; B describes a mucous-membrane splash; D describes direct contact with patient material. The key identifies transfer through the contaminated device.
Common trap: Using one control for every route of transmission.
Source: Guidelines for Infection Control in Dental Health-Care Settings — 2003
Question 8 of 10
Answer C: Before and after each patient, before putting gloves on, and immediately after removing them.
CDC’s hand-hygiene indications include these transitions. Whole-day intervals, visible-tear triggers, or surgery-only hygiene omit opportunities for contamination during routine dental care. The type of hand-hygiene product still depends on the task and visible soil.
Common trap: Remembering a product but forgetting the moments when it must be used.
Question 9 of 10
Answer B: Contamination can occur internally; wiping does not process the motor.
CDC includes these removable dental-unit low-speed motors and reusable prophylaxis angles in its cleaning and heat-sterilization guidance. Internal contamination is not removed by an exterior wipe. Speed and the absence of visible blood do not create exceptions.
Common trap: Evaluating only the accessible outside of a complex device.
Question 10 of 10
Answer D: Clean, then apply a labeled tuberculocidal hospital disinfectant.
For visible blood or other potentially infectious material on a clinical-contact surface, CDC calls for intermediate-level disinfection after cleaning. An appropriate tuberculocidal hospital disinfectant supplies that level. A barrier, cleaning alone, or an unlabeled high-level chemical use does not complete the appropriate process.
Common trap: Skipping cleaning or confusing product strength with an appropriate labeled use.
Source: Best Practices for Environmental Infection Prevention and Control — May 15, 2024
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