Nursing Home Infection Preventionist Training Posttest Exam Questions and Answers with Rationales 2025

Nursing Home Infection Preventionist Training Posttest Exam
Questions and Answers with Rationales 2025



1. A nurse assistant is about to perform perineal care on an incontinent resi- dent who wears briefs.His supplies have
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already been gathered and placed on the clean bedside table. He enters the room, dons non-sterile gloves, removes and discards
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u the resident's soiled brief and cleans the resident's perineum. He removes his soiled gloves and dons a new pair of non-
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sterile gloves. He applies a clean brief. He discards his gloves and exists the room. How many times should he have
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performed hand hygiene in this scenario? Please select the best answer.
u u u u u u u u u u u answer>>: 3 x u u




2. A resident is diagnosed with latentTB infection (LTBI). Is there risk that the resident will transmitTB to others in the
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facility? Please select the best answer.
u u u u u u answer>>:: No, there is no risk of transmission at this time u u u u u u u u u u




3. After you have scored the infection prevention and control (IPC) risk as- sessment, which of the following actions
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u would you take first to address
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the findings? Please select the best answer.
u u u u u u answer>>:: Identify high-scoring items for IPC program prioritization u u u u u u u




4. As a result of lessons learned from outbreaks of multidrug-resistant organ- isms (MDROs) in nursing homes, which of the
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u following situations should warrant use of Contact Precautions and consideration of a single-person room for MDRO-colonized
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u residents? Please select all that apply. u u u u u answer>>:: A. Residents with difficulty containing secretions from sites of MDRO
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u colonization and potential for extensive environmental contamination
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B. New residents on the unit are found to be colonized with the MDRO (evidence of ongoing transmission) despite efforts to control sprea
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5. At what stage of an investigation would you notify local or state public health officials that you have an outbreak?
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, u Please select the best answer:
u u u u u answer>>: - Once an outbreak has been determined to exist u u u u u u u u




6. Before performing wound care, if the hands are not visibly soiled, which method of hand hygiene by staff members is
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upreferred? Please select the best answer.
u u u u u answer>>:: Using an alcohol-based hand rub u u u u u




7. During January, there were five residents with central venous catheters (CVCs) for a total of 100 catheter-
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days.There were 4,000 resident-days for the month.There were two central line-associated blood stream infections
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u (CLABSIs) identified.What is the CLABSI rate for the month? Please select the best answer.
u u u u u u u u u u u u u u answer>>:: 20 u




u CLABSI per 1,000 catheter-days
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8. During the previous influenza vaccine season, 120 residents received the influenza vaccine. 80 residents declined the
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uvaccine.Which of the following is the correct resident influenza vaccination acceptance rate? Please select the best answer.:
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answer>>: 60% u