InfectionPreventionistPostTestLatestand

InfectionPreventionistPostTestLatestand RevisedQuestionswithcorrectanswers Anurseassistantisabouttoperformperinealcareonanincontinentresidentwhowearsbriefs.His supplieshavealreadybeengatheredandplacedonthecleanbedsidetable.Heenterstheroom,dons non-sterilegloves,removesanddiscardstheresident'ssoiledbriefandcleanstheresident'sperineum.Heremoveshissoiledglovesanddonsanewpairofnon-sterilegloves.Heappliesacleanbrief.He discardshisglovesandexiststheroom.Howmanytimesshouldhehaveperformedhandhygieneinthis scenario?Pleaseselectthebestanswer.CORRECTANSWER3x AresidentisdiagnosedwithlatentTBinfection(LTBI).IsthereriskthattheresidentwilltransmitTBto othersinthefacility?Pleaseselectthebestanswer.CORRECTANSWERNo,thereisnoriskof transmissionatthistime Afteryouhavescoredtheinfectionpreventionandcontrol(IPC)riskassessment,whichofthefollowing actionswouldyoutakefirsttoaddressthefindings?Pleaseselectthebestanswer.CORRECTANSWER Identifyhigh-scoringitemsforIPCprogramprioritization Asaresultoflessonslearnedfromoutbreaksofmultidrug-resistantorganisms(MDROs)innursing homes,whichofthefollowingsituationsshouldwarrantuseofContactPrecautionsandconsideration ofasingle-personroomforMDRO-colonizedresidents?Pleaseselectallthatapply.CORRECTANSWER A.ResidentswithdifficultycontainingsecretionsfromsitesofMDROcolonizationandpotentialfor extensiveenvironmentalcontamination B.NewresidentsontheunitarefoundtobecolonizedwiththeMDRO(evidenceofongoing transmission)despiteeffortstocontrolspread Atwhatstageofaninvestigationwouldyounotifylocalorstatepublichealthofficialsthatyouhavean outbreak?PleaseselectthebestanswerCORRECTANSWEROnceanoutbreakhasbeendeterminedto exist Beforeperformingwoundcare,ifthehandsarenotvisiblysoiled,whichmethodofhandhygieneby staffmembersispreferred?Pleaseselectthebestanswer.CORRECTANSWERUsinganalcohol- basedhandrub

DuringJanuary,therewerefiveresidentswithcentralvenouscatheters(CVCs)foratotalof100 catheter-days.Therewere4,000resident-daysforthemonth.Thereweretwocentralline-associated bloodstreaminfections(CLABSIs)identified.WhatistheCLABSIrateforthemonth?Pleaseselectthe bestanswer.CORRECTANSWER20CLABSIper1,000catheter-days Duringthepreviousinfluenzavaccineseason,120residentsreceivedtheinfluenzavaccine.80residents declinedthevaccine.Whichofthefollowingisthecorrectresidentinfluenzavaccinationacceptance rate?Pleaseselectthebestanswer.CORRECTANSWER60% Duringwhichofthefollowingsituationsshouldagownbeconsideredinadditiontoglovesduringcare ofaresidentwithanindwellingurinarycatheter?Pleaseselectthebestanswer.CORRECTANSWERall theabove Forresidentsadmittedtoanursinghomeonacourseofantibioticsstartedinahospital,whichpiecesof informationwouldbeimportanttoknow?Pleaseselectthebestanswer.CORRECTANSWERallabove ForwhichofthefollowingorganismsandsyndromesshouldyouapplyContactPrecautions?Please selectallthatapply.CORRECTANSWERScabies,&c-diff Inresidentswithcentralvenouscatheters(CVCs),whichofthefollowingfactorsincreasethelikelihood ofdevelopingabloodstreaminfection?Pleaseselectthebestanswer.CORRECTANSWERhigher#of lumens Missingorinadequateinformationexchangedduringcaretransitionscanresultinwhichofthe following.Pleaseselectallthatapply.CORRECTANSWERA)Unrecognizedspreadofresistantbacteria atacceptingfacility C)Increasedriskofantibiotic-relatedadverseevents Removingacentralvenouscatheter(CVC)thatisnolongerindicatedmostdirectlydisruptswhichpart ofthechainofinfection?Pleaseselectthebestanswer.CORRECTANSWERportalofentry NurseAmyisabouttoperformadressingchange.Thewoundneedstobeirrigatedwithlargeamounts ofnormalsaline.Whichofthefollowingpersonalprotectiveequipment(PPE)shouldAmywear??Please selectallthatapplyCORRECTANSWERgowns,gloves,&face

StandardPrecautionsapplywhencaringforwhichofthefollowingresidents?Pleaseselectthebest answer.CORRECTANSWERAllresidents,regardlessofsuspectedorconfirmedinfectionstatus Trackingprocessandoutcomesurveillancemeasuresovertimeallowstheinfectionpreventionand control(IPC)programtodowhichofthefollowing?Pleaseselectthebestanswer.CORRECT ANSWERallabove AspartofRespiratoryHygieneandCoughEtiquette,individualswithsignsofrespiratoryinfection shouldwearafacemask,iftolerated.CORRECTANSWERfacemask-True TheHealthInsurancePortabilityandAccountabilityAct(HIPAA)PrivacyRulerestrictshealthcare providersfromsharingprotectedhealthinformationattransferfortreatmentpurposeswithoutpatient authorization.CORRECTANSWER.HIPPA-shouldpermit.False Whatareexamplesofsourcecontrolmeasurestocontainrespiratorypathogens?Pleaseselectallthat apply.CORRECTANSWERA)Placeafacemaskonindividualswithsignsofrespiratoryinfection C)Promptdisposalofusedtissues D)Handhygieneaftercontactwithrespiratorysecretions WhatinformationshouldNOTbeincludedonsignageatroomentrycommunicatingthatresidenthas beenplacedonTransmission-BasedPrecautions??Pleaseselectthebestanswer.CORRECTANSWER residentdiagnosis Whatisthemostimportantreasontomonitoryourinfectionsurveillancedatabeforeanoutbreak occurs??Pleaseselectthebestanswer.CORRECTANSWERestablishbaseline Whatistheprimarypurposeofthefacilityinfectionpreventionandcontrol(IPC)riskassessment?Pleaseselectthebestanswer.CORRECTANSWERtosetprioritiesandgoalsforpreventinginfections andimprovingresidentoutcomes Whatstepsshouldbetakentopreventcontaminationofwoundcaresupplies?Pleaseselectallthat apply.CORRECTANSWERB)Selectandgathernecessarywoundcaresuppliesforuseonaresident priortoenteringtheresidentcarearea

C)Dedicatetopicalmedicationstoasingleresident Whencaringforaresidentwithanindwellingurinarycatheter,whichofthefollowingmaintenance practicesareappropriate?Pleaseselectallthatapply.CORRECTANSWERB.Theurinarycatheter shouldbecheckedforkinksandobstructionsinflow D.Theurinecollectionbagshouldbesecuredbelowthelevelofthebladder Whenshouldinfectionpreventionandcontrol(IPC)measuresbeimplementedduringanoutbreak investigation?Pleaseselectthebestanswer.CORRECTANSWERWhenpotentiallybeneficial interventionsareidentified Whensupportingantibioticstewardship,forwhichofthefollowingactivitiesdoestheinfection preventionist(IP)haveprimaryresponsibility?Pleaseselectallthatapply.CORRECTANSWERA.Reviewingdocumentationtoassessadherencetofacility-specificpoliciestostandardize antibioticuse B.Performingsurveillanceforinfectionsandantibioticresistance Whichofthefollowingareappropriateactionsforanursinghometotakeiftheyidentifyaresident suspectedoftuberculosis(TB)diseasebutdonothaveenvironmentalorrespiratoryprotection controls?Pleaseselectallthatapply.CORRECTANSWERB)Placetheresidentinasingle-personroom withthedoorclosed D)Notifythehealthdepartment Whichofthefollowingareappropriateindicationsforindwellingurinarycatheters?Pleaseselectallthat apply.CORRECTANSWERA)Managingprolongedimmobilizationforpelvicfracture D)Managingacuteurinaryretention Whichofthefollowingarecoreactivitiesofaninfectionpreventionandcontrol(IPC)program?Please selectallthatapply.CORRECTANSWEReverythingEXCEPTFALLS Whichofthefollowingareelementsofaseptictechnique?Pleaseselectthebestanswer.CORRECTANSWERPreparinginjectionsascloseaspossibletothetimeofadministration