WB4081- Nursing Home
Infection Preventionist
Training Course
A nurs assistant is about to perform perineal care on an incontinent patient 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 patient's soiled brief and cleans the patient'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 patient is diagnosed with latent TB infection (LTBI). Is there risk that the patient will transmit TB to others inthe
facility? Please select the best answer.
A) No, there is no risk of transmission at this time
B) Yes, the patient is very likely to transmit infection to those who are immunocompromised
C) No, the patient is not a risk because he/she will be placed in Airborne Precautions
D) Yes, the patient 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 patients? Please select all that apply.
A) Patients with difficulty containing sites of MDRO colonization and potential for extensive environmental
contamination
B) New patients on the unit are found to be colonized with the MDRO (evidence of ongoing transmission) despite
efforts to control spread
C) Patients with minimal medical or nursing care needs who are able to move independently throughout the facility
D)Patients 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 patients with central venous catheters (CVCs) for a total of 100 catheter-days.There
were 4,000 patient-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 patient-days
B) 2 CLABSI per 1,000 catheter-days
C) 5 CLABSI per 1,000 patient-days
, D) 20 CLABSI per 1,000 catheter-days
8.
During the previous influenza vaccine season, 120 patients received the influenza vaccine. 80 patients declined the
vaccine. Which is of the following is the correct patient 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 patient
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 patients placed in Contact Precautions
D) All of the above
10.
For patients 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
Infection Preventionist
Training Course
A nurs assistant is about to perform perineal care on an incontinent patient 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 patient's soiled brief and cleans the patient'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 patient is diagnosed with latent TB infection (LTBI). Is there risk that the patient will transmit TB to others inthe
facility? Please select the best answer.
A) No, there is no risk of transmission at this time
B) Yes, the patient is very likely to transmit infection to those who are immunocompromised
C) No, the patient is not a risk because he/she will be placed in Airborne Precautions
D) Yes, the patient 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 patients? Please select all that apply.
A) Patients with difficulty containing sites of MDRO colonization and potential for extensive environmental
contamination
B) New patients on the unit are found to be colonized with the MDRO (evidence of ongoing transmission) despite
efforts to control spread
C) Patients with minimal medical or nursing care needs who are able to move independently throughout the facility
D)Patients 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 patients with central venous catheters (CVCs) for a total of 100 catheter-days.There
were 4,000 patient-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 patient-days
B) 2 CLABSI per 1,000 catheter-days
C) 5 CLABSI per 1,000 patient-days
, D) 20 CLABSI per 1,000 catheter-days
8.
During the previous influenza vaccine season, 120 patients received the influenza vaccine. 80 patients declined the
vaccine. Which is of the following is the correct patient 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 patient
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 patients placed in Contact Precautions
D) All of the above
10.
For patients 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
