Nursing Home Infection Preventionist
Training Course (Web-based) - Post-test
Questions and Answers (2026-2027) with
100% Verified Solutions
QUESTION 1
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
exits the room. How many times should he have performed hand hygiene in this
scenario?
A) 1
B) 2
C) 3
D) Hand hygiene was not required because gloves were worn.
Correct Answer: C) 3
Rationale: The nurse assistant should have performed hand hygiene 3 times in this
scenario. First, he should have performed hand hygiene before donning the non-sterile
gloves to address the indication before touching a resident. Second, he should have
performed hand hygiene after removing his first pair of gloves, before donning the
second pair of gloves. This one act would address several indications: After a blood or
body fluid exposure; after glove removal; and moving from a dirty task to a clean task.
Third, performing hand hygiene after removing the second pair of gloves addresses
the indications after glove removal and after touching the resident. (Module 7)
,QUESTION 2
A resident is diagnosed with latent TB infection (LTBI). Is there risk that the resident
will transmit TB to others in the facility?
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
Correct Answer: A) No, there is no risk of transmission at this time
Rationale: A resident with LTBI has M. tuberculosis in the body but does not have
signs or symptoms of TB disease and cannot spread the infection to other people.
Airborne Precautions are not required when caring for residents with LTBI. (Module
12b)
QUESTION 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?
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
Correct Answer: B) Identify high-scoring items for IPC program prioritization
Rationale: The first step would be to identify the high-scoring items for IPC program
prioritization. Subsequent actions to address high-scoring items might include
developing a performance improvement effort, developing or reviewing IPC policies
and procedures, or providing education and training for staff. (Module 1)
,QUESTION 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? (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
Correct Answer: A, B, D
Rationale: Nursing homes should implement Contact Precautions and consider
placing an MDRO-colonized resident in a single-person room in the following
circumstances: the resident has difficulty containing sites of colonization and there is
potential for extensive environmental contamination; there is evidence of ongoing
MDRO transmission with new residents developing infection or colonization despite
efforts to control spread; the resident is colonized with a rare, highly-resistant MDRO;
the resident requires intensive medical or nursing care such as ventilator support.
(Module 6b)
QUESTION 5
At what stage of an investigation would you notify local or state public health
officials that you have an outbreak?
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
, Correct Answer: C) Once an outbreak has been determined to exist
Rationale: A facility should notify local or state public health officials as soon as an
outbreak has been determined to exist. (Module 5)
QUESTION 6
Before performing wound care, if the hands are not visibly soiled, which method of
hand hygiene by staff members is preferred?
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
Correct Answer: A) Using an alcohol-based hand rub
Rationale: Alcohol-based hand rub is the preferred method of hand hygiene in most
clinical situations, including this scenario. Soap and water should be used if hands are
visibly soiled. If hand hygiene is performed with soap and water, it is not necessary to
then immediately use an alcohol-based hand rub. Hand hygiene should be performed
before touching a resident, even if gloves will be worn. (Module 7)
QUESTION 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 bloodstream infections (CLABSIs) identified. What is the
CLABSI rate for the month?
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
Training Course (Web-based) - Post-test
Questions and Answers (2026-2027) with
100% Verified Solutions
QUESTION 1
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
exits the room. How many times should he have performed hand hygiene in this
scenario?
A) 1
B) 2
C) 3
D) Hand hygiene was not required because gloves were worn.
Correct Answer: C) 3
Rationale: The nurse assistant should have performed hand hygiene 3 times in this
scenario. First, he should have performed hand hygiene before donning the non-sterile
gloves to address the indication before touching a resident. Second, he should have
performed hand hygiene after removing his first pair of gloves, before donning the
second pair of gloves. This one act would address several indications: After a blood or
body fluid exposure; after glove removal; and moving from a dirty task to a clean task.
Third, performing hand hygiene after removing the second pair of gloves addresses
the indications after glove removal and after touching the resident. (Module 7)
,QUESTION 2
A resident is diagnosed with latent TB infection (LTBI). Is there risk that the resident
will transmit TB to others in the facility?
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
Correct Answer: A) No, there is no risk of transmission at this time
Rationale: A resident with LTBI has M. tuberculosis in the body but does not have
signs or symptoms of TB disease and cannot spread the infection to other people.
Airborne Precautions are not required when caring for residents with LTBI. (Module
12b)
QUESTION 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?
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
Correct Answer: B) Identify high-scoring items for IPC program prioritization
Rationale: The first step would be to identify the high-scoring items for IPC program
prioritization. Subsequent actions to address high-scoring items might include
developing a performance improvement effort, developing or reviewing IPC policies
and procedures, or providing education and training for staff. (Module 1)
,QUESTION 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? (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
Correct Answer: A, B, D
Rationale: Nursing homes should implement Contact Precautions and consider
placing an MDRO-colonized resident in a single-person room in the following
circumstances: the resident has difficulty containing sites of colonization and there is
potential for extensive environmental contamination; there is evidence of ongoing
MDRO transmission with new residents developing infection or colonization despite
efforts to control spread; the resident is colonized with a rare, highly-resistant MDRO;
the resident requires intensive medical or nursing care such as ventilator support.
(Module 6b)
QUESTION 5
At what stage of an investigation would you notify local or state public health
officials that you have an outbreak?
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
, Correct Answer: C) Once an outbreak has been determined to exist
Rationale: A facility should notify local or state public health officials as soon as an
outbreak has been determined to exist. (Module 5)
QUESTION 6
Before performing wound care, if the hands are not visibly soiled, which method of
hand hygiene by staff members is preferred?
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
Correct Answer: A) Using an alcohol-based hand rub
Rationale: Alcohol-based hand rub is the preferred method of hand hygiene in most
clinical situations, including this scenario. Soap and water should be used if hands are
visibly soiled. If hand hygiene is performed with soap and water, it is not necessary to
then immediately use an alcohol-based hand rub. Hand hygiene should be performed
before touching a resident, even if gloves will be worn. (Module 7)
QUESTION 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 bloodstream infections (CLABSIs) identified. What is the
CLABSI rate for the month?
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
