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NURSING HOME INFECTION PREVENTIONIST MODULE 1-15 WITH COMPLETE SOLUTION 2024/25 UPDATE, Exams of Nursing

American Academy of Acupuncture and Oriental MedicineNursing

NURSING HOME INFECTION PREVENTIONIST MODULE 1-15 WITH COMPLETE SOLUTION 2024/25 UPDATE

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2024/2025

Available from 11/06/2024

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NURSING HOME INFECTION
PREVENTIONIST MODULE 1-15
WITH COMPLETE SOLUTION
2024/25 UPDATE
Module 1 - Infection Prevention & Control Program
1. Which of the following is a best practice for policy development? Please select all that apply.
A. Revise policy when standards or practices change.
B. Review annually for clinical relevance.
C. Use facility staff opinion as the primary source for policy development.
D. Allow staff review and feedback.
2. The risks for developing an infection or transmitting pathogens are based on which of the
following? Please select all that apply.
A. Adherence to IPC policies and
procedures. B. Population served.
C. Care and service provided.
D. Infections that are occurring in the community.
3. Which of the following are considerations when scoring the risk of an infection event on the IPC
risk assessment? Please select all that apply.
A. Probability of occurrence
B. Capacity to detect
C. Level of harm
D. Readiness to prevent
4. Which of the following are reasons for conducting an annual IPC risk assessment in nursing
homes? Please select all that apply.
A. Assessing potential infection risks to prevent resident
harm. B. Prioritizing areas of focus for the IPC program.
C. Allocating resources to support IPC performance improvement activities.
D. Marketing the facility to prospective residents and families.
5. After you have scored the IPC risk assessment, which of the following actions would you take first
to address the findings? Please select the best answer.
A. Develop a performance improvement effort.
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Download NURSING HOME INFECTION PREVENTIONIST MODULE 1-15 WITH COMPLETE SOLUTION 2024/25 UPDATE and more Exams Nursing in PDF only on Docsity!

NURSING HOME INFECTION

PREVENTIONIST MODULE 1-

WITH COMPLETE SOLUTION

2024/25 UPDATE

Module 1 - Infection Prevention & Control Program

  1. Which of the following is a best practice for policy development? Please select all that apply. A. Revise policy when standards or practices change. B. Review annually for clinical relevance. C. Use facility staff opinion as the primary source for policy development. D. Allow staff review and feedback.
  2. The risks for developing an infection or transmitting pathogens are based on which of the following? Please select all that apply. A. Adherence to IPC policies and procedures. B. Population served. C. Care and service provided. D. Infections that are occurring in the community.
  3. Which of the following are considerations when scoring the risk of an infection event on the IPC risk assessment? Please select all that apply. A. Probability of occurrence B. Capacity to detect C. Level of harm D. Readiness to prevent
  4. Which of the following are reasons for conducting an annual IPC risk assessment in nursing homes? Please select all that apply. A. Assessing potential infection risks to prevent resident harm. B. Prioritizing areas of focus for the IPC program. C. Allocating resources to support IPC performance improvement activities. D. Marketing the facility to prospective residents and families.
  5. After you have scored the IPC risk assessment, which of the following actions would you take first to address the findings? Please select the best answer. A. Develop a performance improvement effort.

B. Develop new (or review existing) IPC policies and procedures. C. Identify high-scoring items for IPC program prioritization. D. Provide education and training for staff. Module 2- The Infection Preventionist

  1. Which of the following are important infectious disease concepts for an IP to understand? Please select the best answer. A. Evaluating patterns and the distribution of infections. B. Common classes of antibiotics and how they vary in spectrum of activity. C. Relationship between antimicrobial use and the emergence of resistance. D. All of the above.

Module 4 – Infection Surveillance

  1. During the previous influenza vaccine season, 50 residents received the influenza vaccine. Thirty- five residents declined the vaccine; four of these residents stated that they may change their mind later. Which of the following is the correct resident influenza vaccination acceptance rate? Please select the best answer. A. 70 percent. B. 62 percent C. 59 percent. D. 64 percent.
  2. Which of the following statements about surveillance definitions are true? Please select all that apply. A. They allow for standardized collection of data. B. They should change regularly to allow for flexibility in the information collected. C. They allow for comparisons over time. D. They apply to collection of outcome measures but not process measures.
  3. The CDC NHSN web-based surveillance system can offer which of the following to your IPC program? Please select all that apply. A. Structured surveillance procedures and definitions. B. The ability to predict future infections. C. The ability to track certain infection events. D. Resources to analyze data. Module 5 – Outbreaks
  4. Which of the following is the best definition of an outbreak? A. If you have more than one resident experiencing similar symptoms on a unit. B. If you have three or more residents sick at the same time with similar symptoms. C. If you have more cases of an illness than expected on a unit or location during a specified period of time.
  5. Which of the following are triggers for further investigation? Please select all that apply. A. A single case of a common infection. B. An increase in infections above a baseline infection rate. C. A decrease in infections expected as part of seasonal variation. D. An increase in positive bacterial cultures without evidence of clinical infection.
  6. 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. A. Once an outbreak case definition has been developed. B. Once an outbreak has not been controlled by IPC measures. C. Once an outbreak has been determined to exist.

D. Once an outbreak has been evaluated and summarized in a written report. Module 6A – Principles of Standard Precautions

  1. You are performing phlebotomy on a resident. Recommended PPE includes which of the following? Please select all that apply A. Gloves. B. Mask. C. Gown. D. No PPE required.
  2. Which of the following statements about use of gloves is true? A. Hand hygiene following glove removal is not needed if gloves were not damaged or torn during use. B. Sterile gloves should be worn for all resident care activities. C. Washing disposable gloves with soap and water makes them safe for reuse. D. The same pair of gloves should not be worn for the care of more than one resident
  3. Standard Precautions should be applied when caring for which of the following residents? Please select the best answer. A. All residents known to be colonized with antibiotic-resistant bacteria. B. All residents who require maximal assistance with activities of daily living. C. All residents, regardless of suspected or confirmed infection status. D. All residents with wounds, indwelling devices, or who are receiving antibiotics. Module 6B – Principles of Transmission-Based Precautions
  4. Which of the following is true about the appropriate time to initiate Contact Precautions when caring for a resident with new, unexplained diarrhea? Please select the best answer. A. Contact Precautions should be initiated at the onset of diarrhea. B. Contact Precautions should be initiated after testing demonstrates presence of an infectious pathogen like C. difficile. C. Diarrhea is not an indication for initiation of Contact Precautions. D. None of the above are correct.
  5. What information should be included on signage at room entry, communicating that the resident has been placed on Transmission-Based Precautions? Please select all that apply. A. Resident diagnosis. B. Category of precautions. C. PPE required for staff caring for the resident. D. Instructions for visitors.
  1. Which of the following statements about multi-dose vials is true? Please select the best answer. A. Multi-dose vials should be dedicated to an individual resident whenever possible. B. Multi-dose vials contain a preservative that protects against contamination by all pathogens. C. All opened multi-dose vials can be used until the manufacturer's expiration date. D. All opened multi-dose vials should be refrigerated after opening. E. None of the above.
  2. Which of the following is a required feature of an OSHA-compliant sharps container? Please select the best answer. A. Closable B. Puncture-resistant C. Leak-proof on sides and bottom D. All of the above. Module 9 - Respiratory Hygiene and Cough Etiquette
  3. Which of the following is true about Respiratory Hygiene and Cough Etiquette signage? Please select all that apply. A. Should be located at the entrance to the facility. B. Should be available in language(s) appropriate for the population served at the facility. C. Should only be posted during cold/flu season. D. Increases awareness about recommended practices to prevent spread of respiratory pathogens.
  4. Education about Respiratory Hygiene and Cough Etiquette should target which of the following? Please select all that apply. A. Staff who have contact with residents. B. Staff who do not have contact with residents. C. Residents. D. Visitors.
  5. What are examples of source control measures to contain respiratory pathogens? Please select all that apply. A. Place a facemask on all visitors. B. Cough into the hands. C. Covering your cough with your bent elbow. D. Prompt disposal of used tissues. Module 10A - Indwelling Urinary Catheters
  6. Which of the following statements are true? Please select all that apply. A. Asymptomatic bacteriuria in nursing home residents should not be treated with antibiotics. B. A urine sample for culture can be obtained from the urine collection bag if the collection system has remained closed.

C. Biofilms develop quickly on urinary catheters and facilitate the development of resistance among bacteria. D. Irrigating the bladder with antibiotics can prevent bacteriuria and CAUTI.

  1. Which of the following statements about the CDC and SHEA surveillance criteria for CAUTI are correct? Please select all that apply. A. Presence of clinical signs and symptoms of a CAUTI alone can meet the surveillance definition of a CAUTI. B. A positive urine culture with at least 105 cfu/mL of any organism is not sufficient to define a CAUTI. C. Acute change in mental status along with a positive urine culture meets the CAUTI surveillance definition in a resident with an indwelling urinary catheter. D. A CAUTI can be identified in a resident whose urinary catheter was removed the day before symptoms began.
  2. During which of the following situations should use of a gown be considered in addition to gloves during care of a resident with an indwelling urinary catheter? Please select the best answer. A. As a strategy to prevent spread of MDROs when handling the indwelling urinary catheter. B. If there is potential for splash or spills when emptying a collection bag. C. To prevent spread of pathogens during care of residents placed in Contact Precautions. D. All of the above. Module 10B - Central Venous Catheters
  3. Which of the following are CVCs? Please select all that apply. A. Hemodialysis catheter. B. PICC line. C. Midline catheter. D. Peripheral IV.
  4. Which of the following are true about CLABSIs? Please select all that apply. A. They are usually insignificant infections and not associated with increased morbidity and mortality. B. Surveillance criteria for CLABSI include a requirement that a CVC be in place on the day of infection or the day before. C. The longer a CVC is in place, the higher the risk of developing a CLABSI. D. Maximal sterile barrier precautions during insertion decrease the risk of developing a CLABSI.
  1. Which of the following statements about single-use, auto-disabling fingerstick devices are true? Please select all that apply. A. They cannot be used for more than one resident. C. They should be cleaned and disinfected after use. D. They are not preferred over reusable fingerstick devices. Module 11A - Reprocessing Reusable Resident Care Equipment
  2. Facilities should verify that consultants who use their own equipment to perform procedures in the facility have which of the following? Please select all that apply. A. Policies and procedures addressing proper reprocessing of the equipment used during the procedures. B. Sufficient space in the facility to perform the procedures and to prevent potential cross- contamination between clean and dirty equipment. C. A process to contain and remove contaminated equipment from the facility. D. A sufficient supply of equipment for the procedures being performed.
  3. Which of the following statements about the contact time of a disinfectant is true? Please select the best answer. A. Disinfectants with longer contact times are preferred because they kill a larger spectrum of pathogens. B. Failure to follow contact time may result in failure to kill all pathogens specified on the disinfectant's label. C. Contact time refers to the period of time that a piece of equipment should be submerged in a disinfectant. D. None of the above.
  4. Which of the following statements about non-critical equipment are true? Please select all that apply. A. Should undergo high-level disinfection if it will be used for more than one resident. B. Should be sterilized after use if it becomes contaminated with blood or body fluids. C. May be cleaned and disinfected at the point of use. D. Is the most common type of equipment used for more than one resident in nursing homes. Module 11B - Environmental Cleaning and Disinfection
  5. Which of the following is an important consideration when selecting a disinfectant for use in the facility? Please select all that apply. A. Pathogens against which the product is effective. B. Contact time. C. Compatibility of the product with surfaces. D. Safety profile of the product. B. They decrease the risk of sharps injuries among staff.
  1. Which of the following statements about cleaning and disinfecting surfaces in a resident room are generally true? Please select all that apply. A. Cleaning and disinfection should proceed from the dirtiest to the cleanest surfaces. B. Cleaning and disinfection should proceed from high areas to low areas. C. Cleaning and disinfection should proceed in a consistent pattern. D. Multiple cleaning cloths are required to clean a single room.
  2. Which of the following statements regarding the transmission of pathogens from environmental surfaces are true? Please select all that apply. A. Pathogens are spread by contact with contaminated surfaces. B. 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. C. Extensive contact (i.e., longer than 2 to 3 minutes) is necessary for a staff member's hands to become contaminated with pathogens from environmental surfaces. D. Few healthcare pathogens can survive for more than an hour on dry surfaces. Module 11C - Water Management Program
  3. Which of the following statements is true about Legionella in nursing homes? Please select the best answer. A. Compared to adults in the community, nursing home residents have a lower risk of Legionella infection. B. Legionella spreads from person to person in nursing homes. C. Healthcare-associated infections from Legionella are more severe than community- associated infections. D. All of the above.
  4. Which of the following suggest a possible waterborne outbreak in a nursing home? Please select all that apply. A. Single case of Legionnaires’ disease. B. Cluster of residents with Pseudomonas ventilator-associated pneumonia. C. Two residents with Staphylococcus aureus joint infections. D. Three residents with nontuberculous mycobacteria skin infections at injection sites.
  5. Which of the following are goals of a water management program? Please select all that apply. A. Identifying potential hazards to water quality. B. Sterilizing municipal water. C. Implementing controls to minimize the growth and spread of waterborne pathogens. D. Reducing the risk of water-related outbreaks and infections.
  1. Which of the following actions are appropriate for recognizing and diagnosing a viral respiratory disease outbreak in a nursing home? Please select all that apply. A. Active surveillance for LRTI symptoms among residents and staff should be performed as soon as influenza is identified in the community. B. Rapid point-of-care flu tests are the preferred method for diagnosing the cause of a viral LRTI outbreak. C. Place residents with LRTIs into Contact and Droplet Precautions while awaiting further evaluation and diagnostic testing. D. Every resident with signs and symptoms of the outbreak illness should have a sample sent for PCR detection of viral pathogens. Module 12B -Tuberculosis Prevention
  2. State or local health departments could provide support for which of the following? Please select the best answer. A. Development of a TB risk assessment. B. Evaluating a staff member with TB infection. C. Diagnosing a resident suspected of TB disease. D. All of the above.
  3. Which of the following determines the need for a TB testing program for nursing home staff? Please select all that apply. A. Presence of an AIIR in the facility. B. Local or state regulations. C. National TB disease rates in older adults. D. Local seasonal influenza rates.
  4. Which of the following is true regarding environmental control measures? Please select all that apply. A. Environmental control measures, alone, are sufficient to prevent the spread of TB in a nursing home. B. The written TB infection control plan should include processes to ensure regular and appropriate maintenance of systems and equipment. C. Environmental control measures reduce the concentration of TB particles in the air. D. Environmental controls include cough etiquette education for residents.

Module 13 - Occupational Health Considerations for the Infection Prevention and Control Program

  1. Which of the following is true regarding an exposure incident? Please select the best answer. A. An exposure incident refers to contact of intact skin with blood or other potentially infectious material. B. Post-exposure evaluation and follow-up must be provided onsite. C. Any exposure incident should be reported through the channels outlined in the facility plan. D. An exposed staff person is responsible for paying for any evaluation or follow-up resulting from the exposure incident.
  2. Healthcare personnel without evidence of immunity should be vaccinated against which of the following diseases? Please select all that apply. A. Measles B. Varicella C. Hepatitis B D. Herpes Zoster E. Hepatitis C
  3. Which of the following are engineering controls to prevent exposure to bloodborne pathogens? Please select all that apply. A. Sharps containers. B. Hepatitis B vaccination. C. Training on how to handle soiled linens. D. Retractable and self-sheathing needles. Module 14 - Antibiotic Stewardship in Nursing Homes
  4. Which of the following actions are goals of antibiotic stewardship? Please select all that apply. A. Measuring antibiotic prescribing. B. Stopping antibiotic prescribing. C. Improving antibiotic prescribing. D. Evaluating antibiotic prescribing.
  5. Which of the following best describes an “antibiotic time out”? Please select the best answer. A. Taking the resident off all medicines for 2-3 days before administering the antibiotic. B. Reassessing treatment 2-3 days after starting antibiotic therapy, taking into account lab results and clinical response. C. Ceasing antibiotic administration after 2-3 days and providing the resident with extra vitamins. D. None of the above.