WB4081- Nursing Home Infection Preventionist Training Course
A nurse assistant is about to perform perineal care on an incontinent resident who wears
... [Show More] 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.
A)1
B)2
C)3
D)Hand hygiene was not required because gloves were worn.
2.
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.
A)No, there is no risk of transmission at this time
B)Yes, the resident is very likely to transmit infection to those who are immunocompromised
C)No, the resident is not a risk because he/she will be placed in Airborne Precautions
D)Yes, the resident is likely to transmit infection to close contacts
3.
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.
A)Develop a performance improvement effort
B)Identify high-scoring items for IPC program prioritization
C)Develop new (or review existing) IPC policies and procedures
D)Provide education and training for staff
4.
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 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
C)Residents with minimal medical or nursing care needs who are able to move independently throughout the facility
D)Residents colonized with rare, highly-resistant MDROs
5.
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 infection prevention and control (IPC) measures
C)Once an outbreak has been determined to exist
D)Once an outbreak has been evaluated and summarized in a written report
6.
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.
A)Using an alcohol-based hand rub
B)Washing hands with soap and water, followed immediately by use of an alcohol-based hand rub
C)None. Since gloves should be worn when performing wound care, hand hygiene is not necessary
D)None of the above
7.
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.
A)1.3 CLABSI per 1,000 resident-days
B)2 CLABSI per 1,000 catheter-days
C)5 CLABSI per 1,000 resident-days
D)20 CLABSI per 1,000 catheter-days
8.
During the previous influenza vaccine season, 120 residents received the influenza vaccine. 80 residents declined the
vaccine. Which is of the following is the correct resident influenza vaccination acceptance rate? Please select the
best answer.
A)40 percent
B)60 percent
C)67 percent
D)80 percent
9.
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
A)As a strategy to prevent spread of multidrug-resistant organisms (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
10.
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.
A)Indication for the antibiotic course
B)Dose of the antibiotic
C)Duration of the antibiotic course
D)All of the above
11.
For which of the following organisms and syndromes should you apply Contact Precautions? Please select all that
apply.
A)Pneumococcal pneumonia
B)Scabies
C)Tuberculosis
D)Clostridioides difficile
12.
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.
A)Higher number of lumens
B)Shorter duration of placement
C)Smaller number of lumens
D)Use of implanted device (e.g., port)
13.
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
B)Appropriate duration of antibiotic courses for transferred residents
C)Increased risk of antibiotic-related adverse events
D)Increased recognition of outb [Show Less]