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Infection Preventionist Post Test Complete Exam (75 Questions) with Correct Answers 2024/2, Exams of Nursing

Infection Preventionist Post Test Complete Exam (75 Questions) with Correct Answers 2024/25 Update

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2024/2025

Available from 11/06/2024

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Infection Preventionist Post Test Complete
Exam (75 Questions) with Correct
Answers 2024/25 Update
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.
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.
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.
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.
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
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.
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.
20 CLABSI per 1,000 catheter-days
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Infection Preventionist Post Test Complete

Exam (75 Questions) with Correct

Answers 2024/25 Update

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. 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. 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. 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. 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 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. 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. 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. 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. 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. all above For which of the following organisms and syndromes should you apply Contact Precautions? Please select all that apply. Scabies, & c-diff In residents with central venous catheters (CVCs), which of the following factors increase the likelihood of developing a bloodstream infection? Please select the best answer. higher # of lumens Missing or inadequate information exchanged during care transitions can result in which of the following. Please select all that apply. A)Unrecognized spread of resistant bacteria at accepting facility C)Increased risk of antibiotic-related adverse events Removing a central venous catheter (CVC) that is no longer indicated most directly disrupts which part of the chain of infection? Please select the best answer. portal of entry Nurse Amy is about to perform a dressing change. The wound needs to be irrigated with large amounts of normal saline. Which of the following personal protective equipment (PPE) should Amy wear? ?Please select all that apply gowns, gloves, & face Standard Precautions apply when caring for which of the following residents? Please select the best answer. All residents, regardless of suspected or confirmed infection status 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. all above

When supporting antibiotic stewardship, for which of the following activities does the infection preventionist (IP) have primary responsibility? Please select all that apply. 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 appropriate actions for a nursing home to take if they identify a resident suspected of tuberculosis (TB) disease but do not have environmental or respiratory protection controls? Please select all that apply. B)Place the resident in a single-person room with the door closed D)Notify the health department Which of the following are appropriate indications for indwelling urinary catheters? Please select all that apply. A)Managing prolonged immobilization for pelvic fracture D)Managing acute urinary retention Which of the following are core activities of an infection prevention and control (IPC) program? Please select all that apply. everything EXCEPT FALLS Which of the following are elements of aseptic technique? Please select the best answer. Preparing injections as close as possible to the time of administration Which of the following are examples of how the Quality Assessment and Assurance (QAA) Committee might support the infection prevention and control (IPC) program? Please select the best answer. A) Approves a cleaning and disinfecting procedure revised to address practice gaps following an outbreak Which of the following are examples of indirect contact transmission? Please select all that apply. 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. 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. 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.

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. Through small infected particles suspended in the air Which of the following best describes an "antibiotic time out"? Please select the best 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. 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. 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. A)Bedrails C)Toilet D)Call buttons 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)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. B. Working with the environmental services (housekeeping) staff to improve work flow for terminal room cleaning Which of the following is NOT a goal of a water management program? Please select the best answer. B. Sterilizing municipal water Which of the following is NOT a mode of transmission for group A Streptococcus? Please select the best answer. D. Airborne Which of the following is the best practice regarding decisions to restrict residents to their rooms while on Transmission-Based Precautions? Please select the best response.

Which of the following statements about cleaning and disinfection of surfaces in a resident room are generally true? Please select the best 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. 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. 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. 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. A)Multi-dose vials should be dedicated to an individual resident whenever possible, Which of the following statements about non-critical equipment are true? Please select the best answer. C)May be cleaned and disinfected at the point of use Which of the following statements about point of care blood glucose testing are true? Please select the best answer. C)Facilities should select meters intended for use in healthcare settings Which of the following statements about prevention and management of staff illness is true? Please select the best answer. B)Vaccination of staff helps protect residents against exposure to pathogens from staff members, Which of the following statements about proper handling of linen are true? Please select all that apply. A)The laundry area should be designed to maintain separation between clean and dirty linen B)Used linen should not be shaken or held close to the body Which of the following statements about safe injection practices are true? Please select the best answer. D)Syringes should not be reused to enter medication containers, even when obtaining additional doses for an individual resident

Which of the following statements about surveillance definitions are true? Please select all that apply. A)They allow for standardized collection of data C) They allow for comparisons over timE Which of the following statements about use of gloves is true? ?Please select the best 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. 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. 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. 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. 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. 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. 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. 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-