AND ANSWERS WITH RATIONALES LATEST
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. - ANSWER-3 x
QUESTION: 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. - ANSWER-No,
there is no risk of transmission at this time
QUESTION: 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. - ANSWER-Identify high-scoring items for IPC program prioritization
QUESTION: 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. - ANSWER-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
QUESTION: 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 - ANSWER-Once an outbreak
has been determined to exist
QUESTION: 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. - ANSWER-Using
an alcohol-based hand rub
, QUESTION: 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. - ANSWER-20 CLABSI per 1,000 catheter-days
QUESTION: 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. - ANSWER-60%
QUESTION: 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. - ANSWER-all the above
QUESTION: 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.
- ANSWER-all above
QUESTION: For which of the following organisms and syndromes should you apply Contact
Precautions? Please select all that apply. - ANSWER-Scabies, & c-diff
QUESTION: 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. -
ANSWER-higher # of lumens
QUESTION: Missing or inadequate information exchanged during care transitions can result in
which of the following. Please select all that apply. - ANSWER-A)Unrecognized spread of
resistant bacteria at accepting facility
C)Increased risk of antibiotic-related adverse events
QUESTION: 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. - ANSWER-
portal of entry