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A |nurse |assistant |is |about |to |perform |perineal |care |on |an |incontinent |resident |who |wears |briefs. |His |supplies |have |already |been |gathered |and |placed |on |the |clean |bedside |table. |He |enters |the |room, |dons |non-sterile |gloves, |removes |and |discards |the |resident's |soiled |brief |and |cleans |the |resident's |perineum. |He |removes |his |soiled |gloves |and |dons |a |new |pair |of |non-sterile |gloves. |He |applies |a |clean |brief. |He |discards |his |gloves |and |exists |the |room. |How |many |times |should |he |have |performed |hand |hygiene |in |this |scenario? |Please|select |the |best
|answer. |- |correct |answer |✔ 3 |x
A |resident |is |diagnosed |with |latent |TB |infection |(LTBI). |Is |there |risk |that |the |resident |will |transmit |TB |to |others |in |the |facility? |Please |select |the |best
|answer. |- |correct |answer |✔No, |there |is |no |risk |of |transmission |at |this |time
After |you |have |scored |the |infection |prevention |and |control |(IPC) |risk |assessment, |which |of |the |following |actions |would |you |take |first |to |address |the
|findings? |Please|select |the |best |answer. |- |correct |answer |✔Identify |high-scoring |items |for |IPC |program |prioritization
As |a |result |of |lessons |learned |from |outbreaks |of |multidrug-resistant |organisms |(MDROs) |in |nursing |homes, |which |of |the |following |situations |should |warrant |use |of |Contact |Precautions |and |consideration |of |a |single-person |room |for
|MDRO-colonized |residents? |Please |select |all |that |apply. |- |correct |answer |✔A. |Residents |with |difficulty |containing |secretions |from |sites |of |MDRO |colonization |and |potential |for |extensive |environmental |contamination
B. |New |residents |on |the |unit |are |found |to |be |colonized |with |the |MDRO |(evidence |of |ongoing |transmission) |despite |efforts |to |control |spread
At |what |stage |of |an |investigation |would |you |notify |local |or |state |public |health |officials |that |you |have |an |outbreak? |Please |select |the|best |answer |- |correct |answer |✔Once |an |outbreak |has |been |determined |to |exist
Before |performing |wound |care, |if |the |hands |are |not |visibly |soiled, |which |method |of |hand |hygiene |by |staff |members |is |preferred? |Please |select |the |best
|answer. |- |correct |answer |✔Using |an |alcohol-based |hand |rub
During |January, |there |were |five |residents |with |central |venous |catheters |(CVCs) |for |a |total |of | 100 |catheter-days. |There |were |4,000|resident-days |for |the |month. |There |were |two |central |line-associated |blood |stream |infections |(CLABSIs) |identified. |What |is |the |CLABSI |rate |for |the |month? |Please |select |the |best
|answer. |- |correct |answer |✔ 20 |CLABSI |per |1,000 |catheter-days
During |the |previous |influenza |vaccine |season, | 120 |residents |received |the |influenza |vaccine. | 80 |residents |declined |the |vaccine. |Which |of |the |following |is |the |correct |resident |influenza |vaccination |acceptance |rate? |Please |select |the
|best |answer. |- |correct |answer |✔60%
During |which |of |the |following |situations |should |a |gown |be |considered |in |addition |to |gloves |during |care |of |a |resident |with |an |indwelling |urinary
|catheter? |Please|select |the |best |answer. |- |correct |answer |✔all |the |above
For |residents |admitted |to |a |nursing |home |on |a |course |of |antibiotics |started |in |a |hospital, |which |pieces |of |information |would |be |important |to |know? |Please
|select |the |best |answer. |- |correct |answer |✔all |above
Tracking |process |and |outcome |surveillance |measures |over |time |allows |the |infection |prevention |and |control |(IPC) |program |to |do |which |of |the|following? |Please |select |the |best |answer. |- |correct |answer |✔all |above
As |part |of |Respiratory |Hygiene |and |Cough |Etiquette, |individuals |with |signs |of |respiratory |infection |should |wear |a |facemask, |if |tolerated. |- |correct |answer
|✔face |mask- |True
The |Health |Insurance |Portability |and |Accountability |Act |(HIPAA) |Privacy |Rule |restricts |healthcare |providers |from |sharing |protected |health |information |at |transfer |for |treatment |purposes |without |patient |authorization. |- |correct |answer |✔. |HIPPA- |should |permit. |False
What |are |examples |of |source |control |measures |to |contain |respiratory
|pathogens? |Please |select |all |that |apply. |- |correct |answer |✔A)Place |a |facemask |on |individuals |with |signs |of |respiratory |infection
C)Prompt |disposal |of |used |tissues
D)Hand |hygiene |after |contact |with |respiratory |secretions
What |information |should |NOT |be |included |on |signage |at |room |entry |communicating |that |resident |has |been |placed |on |Transmission-Based
|Precautions? |?Please |select |the |best |answer. |- |correct |answer |✔resident |diagnosis
What |is |the |most |important |reason |to |monitor |your |infection |surveillance |data |before |an |outbreak |occurs? |?Please |select |the |best |answer. |- |correct |answer |✔establish |baseline
What |is |the |primary |purpose |of |the |facility |infection |prevention |and |control
|(IPC) |risk |assessment? |Please |select |the |best |answer. |- |correct |answer |✔to |set |priorities |and |goals |for |preventing |infections |and |improving |resident |outcomes
What |steps |should |be |taken |to |prevent |contamination |of |wound |care|supplies?
|Please |select|all |that |apply. |- |correct |answer |✔B) |Select |and |gather |necessary |wound |care |supplies |for |use|on |a |resident |prior |to |entering |the |resident |care |area
C)Dedicate |topical |medications |to |a |single|resident
When |caring |for |a |resident |with |an |indwelling |urinary |catheter, |which |of |the |following |maintenance |practices |are |appropriate? |Please |select |all |that |apply. |-
|correct |answer |✔B. |The |urinary |catheter |should |be |checked |for |kinks |and |obstructions |in |flow
D. |The |urine |collection |bag |should |be |secured |below |the |level |of |the |bladder
When |should |infection |prevention |and |control |(IPC) |measures |be |implemented |during |an |outbreak |investigation? |Please |select |the |best |answer. |- |correct
|answer |✔When |potentially |beneficial |interventions |are |identified
When |supporting |antibiotic |stewardship, |for |which |of |the |following |activities |does |the |infection |preventionist |(IP) |have |primary |responsibility? |Please |select
|all |that |apply. |- |correct |answer |✔A. |Reviewing |documentation |to |assess |adherence |to |facility-specific |policies |to |standardize |antibiotic |use
B. |Performing |surveillance |for |infections |and |antibiotic |resistance
Which |of |the |following |are |examples |of |indirect |contact |transmission? |Please
|select |all |that |apply. |- |correct |answer |✔A |resident |develops |diarrhea |after |sharing |a |bathroom |with |a |roommate |infected |with |C. |difficile
Which |of |the |following |are |triggers |for |further |investigation |for |a |possible |outbreak |and |need |for |interventions? |Please |select |all |that |apply. |- |correct
|answer |✔B. |An |increase |in |infections |above |a |baseline |infection |rate
D. |An |increase |in |positive |bacterial |cultures |without |evidence |of |clinical |infection
Which |of |the |following |are |true|about |central |venous |catheter |(CVC) |dressings?
|Please |select |all |that |apply. |- |correct |answer |✔C. |Assessment |of |dressing |should |be |performed |daily
D. |CVC |dressings |should |be |labeled |with |the |date |of |dressing |change
Which |of |the |following |are |true|about |placement |within |the |facility |of |residents |on |Transmission-Based |Precautions? |Please |select |the |best |answer. |- |correct
|answer |✔B. |If |a |limited |number |of |single-person |rooms |are |available, |highest |priority |should |be |given |to |residents |who |are |known |or |suspected |to |be |infected |with |highly |communicable |pathogens.
Which |of |the |following |are |ways |that |tuberculosis |(TB) |is |transmitted? |Please
|select |the |best |answer. |- |correct |answer |✔Through |small |infected |particles |suspended |in |the |air
Which |of |the |following |best |describes |an |"antibiotic |time |out"? |Please|select
|the |best |answer. |- |correct |answer |✔Reassessing |treatment |2-3 |days |after |starting |antibiotic |therapy, |taking |into |account |lab |results |and |clinical |response
Which |of |the |following |describes |ways |that |wounds |increase |the |risk |of |infections |and |pathogen |transmission |in |nursing |homes? |Please |select |the |best |answer. |- |correct |answer |✔All |of |the |above
Which |of |the |following |factors |should |be |considered |when |selecting |a |low- |or |intermediate-level |disinfectant |for |use |in |your |facility? |?Please |select |all |that
|apply. |- |correct |answer |✔B)Contact |time
C)Pathogens |against |which |the |disinfectant |is |effective
D)Compatibility |of |the |product |with |common |surfaces |and |equipment |in |the |facility
Which |of |the |following |in |a |resident |room |should |be |cleaned |and |disinfected |on
|a |daily |basis? |Please |select |all |that |apply. |- |correct |answer |✔A)Bedrails
C)Toilet
D)Call |buttons
Which |of |the |following |is |a |best |practice |for |policy |development? |Please |select
|all |that |apply. |- |correct |answer |✔A)Revise |policy |when |standards |or |practices |change
B)Allow |staff |review |and |feedback
Which |of |the |following |is |an |example |of |how |the |infection |preventionist |(IP)
|acts |as |a |collaborator? |Please |select |the |best |answer. |- |correct |answer |✔B. |Working |with |the |environmental |services |(housekeeping) |staff |to |improve |work |flow |for |terminal |room |cleaning
|apply. |- |correct |answer |✔B)Dedicating |blood |glucose|meters |to |individual |residents
D)Changing |gloves |and |performing |hand |hygiene |between |fingerstick |procedures
Which |of |the |following |practices |can |decrease |the |risk |that |waterborne |pathogens |will |be |transmitted |in |your |facility? |Please |select |all |that |apply. |-
|correct |answer |✔A)Avoiding |placement |of |decorative|fountains |in |resident |care |areas
B)Cleaning |and |disinfecting |sinks |and |tubs
Which |of |the |following |should |be |addressed |when |training |staff |on |the |proper |selection |and |use |of |personal |protective |equipment |(PPE)? |Please|select |all |that
|apply.` |- |correct |answer |✔A)How |to |protect |against |self-contamination |while |wearing |and |removing |PPE
C)How |and |when |PPE |should |be |donned
D)What |to |do |in |the |event |of |an |equipment |failure |or |breach
Which |of |the |following |statements |about |a |bloodborne |pathogen |exposure
|incident |is |true? |Please |select |the |best |answer. |- |correct |answer |✔C. |Any |exposure |incident |should |be |reported |through |the |channels |outlined |in |the |facility |plan.
Which |of |the |following |statements |about |CAUTI |prevention |and |management |practices |are |true? |Please |select |all |that |apply. |- |correct |answer
|✔A)Asymptomatic |bacteriuria |in |nursing |home |residents |should |not |be |treated |with |antibiotics
C)Biofilms |develop |quickly |on |urinary |catheters|and |facilitate |the |development |of |resistance |among |bacteria
Which |of |the |following |statements |about |cleaning |and |disinfection |of |surfaces |in |a |resident |room |are |generally |true? |Please |select |the |best |answer. |- |correct |answer |✔D. |Multiple |cleaning |cloths |are |required |to |clean |a |single |room
Which |of |the |following |statements |about |diagnosing |pneumonia |in |nursing
|home |residents |are |true? |Please |select |the |best |answer. |- |correct |answer |✔C. |Urinary |antigen |tests |for |Streptococcus |pneumoniae |can |remain |positive |even |after |antibiotics |have |been |given
Which |of |the |following |statements |about |infection |surveillance |in |nursing
|homes |are |true? |Please |select |all |that |apply. |- |correct |answer |✔A)Surveillance |priorities |should |be |based |on |the |results |of |the |annual |facility |infection |prevention |and |control |(IPC) |risk |assessment
D)The |surveillance |plan |should |include|standard |definitions |and |data |collection |methods
Which |of |the |following |statements |about |influenza |vaccination |for |nursing |home |staff |is |true? |Please |select |the |best |answer. |- |correct |answer
|✔B)Vaccinating |nursing |home |staff |can |reduce |influenza-related |illness |and |deaths |in |residents
Which |of |the |following |statements |about |multi-dose |vials |is |true? |Please |select
|the |best |answer. |- |correct |answer |✔A)Multi-dose |vials |should |be |dedicated |to |an |individual |resident |whenever |possible,
Which |of |the |following |statements |about |use |of |gloves |is |true? |?Please |select
|the |best |answer. |- |correct |answer |✔D)The |same |pair |of |gloves |should |not |be |worn |for |the |care |of |more|than |one |resident
Which |of |the |following |statements |is |true|about |alcohol-based |hand |rub
|(ABHR)? |Please |select |the |best |answer. |- |correct |answer |✔C)ABHR |is |the |most |effective |product |for |reducing |the |number |of |pathogens |on |hands
Which |of |the |following |statements |regarding |consultants |who |perform |procedures |at |your |facility |is |true? |Please |select|the |best |answer. |- |correct
|answer |✔C)Your |facility |should |ensure |the |consultant |is |bringing |an |adequate |supply |of |instruments |for |the |procedures |that |are |being |performed
Which |of |the |following |statements |regarding |evaluation |of |the |cleaning |and |disinfection |of |environmental |surfaces |is |true? |Please |select |the |best |answer. |-
|correct |answer |✔B)Fluorescent |markers |are |a |good |way |to |identify |surfaces |that |were |missed |during |cleaning
Which |of |the |following |statements |regarding |transmission |of |pathogens |from |environmental |surfaces |is |true? |Please |select |all |that |apply. |- |correct |answer
|✔Pathogens |are |spread |by |both |direct |and |indirect |contact |with |contaminated |surfaces, |and |studies |have |shown |that |occupying |a |room |after |another |resident |who |is |colonized |or |infected |with |a |pathogen |like |C. |difficile |places |a |resident |at |a |higher |risk |for |acquiring |C. |difficile. |However, |only |brief |contact |(i.e., |less |than |a |minute) |is |necessary |to |transfer |pathogens |from |an |environmental |surface |to |a |staff |member's |hands, |and |many |healthcare |pathogens |are |capable |for |surviving |days |to |months |on |dry |surfaces. |(Module|11b)
Which |of |the |following |suggest |a |possible |waterborne |outbreak |in |a |nursing
|home? |Please |select |the |best |answer. |- |correct |answer |✔A)Single |case |of |Legionnaires' |disease
Why |should |infection |prevention |and |control |(IPC) |activities |be |addressed |within |the |Quality |Assurance |and |Performance |Improvement |program? |Please
|select |the |best |answer. |- |correct |answer |✔B)To |address |a |high-risk, |potentially |preventable |cause |of |harm
With |which |of |the |following |would |the |State |Healthcare-Associated |Infection |(HAI) |Prevention |program |offer |support? |Please |select |all |that |apply. |- |correct
|answer |✔B)Assisting |during |response |to |outbreaks |and |other |infection |prevention |and |control |(IPC) |practice |breaches
C)Convening |healthcare |facilities |within |a |community |to |work |on |preventing |spread |of |antibiotic-resistant |pathogens
D)Offering |trainings |for |nursing |homes |about |the |National |Healthcare |Safety |Network |(NHSN)
You |review |antibiotic |use |for |pneumonia |and |find |the |average |duration |of |antibiotics |is | 10 |days |with |a |range |from |5-14 |days |depending |on |the |provider. |Which |antibiotic |use |measure |could |be |most |useful |to |track |in |order |to |evaluate |the |impact |of |a |new |facility |treatment |guideline |that |specified | 5 |days |of |antibiotics |should |be |used |for |treatment |of |bacterial |pneumonia? |Please
|select |the |best |answer. |- |correct |answer |✔B)Rate|of |antibiotic |days |of |therapy |/ |1,000 |resident |days
Which |of |the |following |is |NOT |a |Core |Element |of |Antibiotic |Stewardship |for
|Nursing |Homes? |Please|select |the |best |answer. |- |correct |answer |✔D)Research
