TEST EXAM QUESTIONS AND
ANSWERS 2025
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. - ANSWERS3 x
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. - ANSWERSNo,
there is no risk of transmission at this time
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. - ANSWERSIdentify high-scoring items for IPC program prioritization
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. - ANSWERSA. 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
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 - ANSWERSOnce an
outbreak has been determined to exist
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. -
ANSWERSUsing an alcohol-based hand rub
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. - ANSWERS20 CLABSI per
1,000 catheter-days
, 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. -
ANSWERS60%
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. - ANSWERSall the above
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.
- ANSWERSall above
For which of the following organisms and syndromes should you apply Contact
Precautions? Please select all that apply. - ANSWERSScabies, & c-diff
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. - ANSWERShigher # of lumens
Missing or inadequate information exchanged during care transitions can result in which
of the following. Please select all that apply. - ANSWERSA)Unrecognized spread of
resistant bacteria at accepting facility
C)Increased risk of antibiotic-related adverse events
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. -
ANSWERSportal of entry
Nurse Amy is about to perform a dressing change. The wound needs to be irrigated with
large amounts of normal saline. Which of the following personal protective equipment
(PPE) should Amy wear? ?Please select all that apply - ANSWERSgowns, gloves, &
face
Standard Precautions apply when caring for which of the following residents? Please
select the best answer. - ANSWERSAll residents, regardless of suspected or confirmed
infection status
Tracking process and outcome surveillance measures over time allows the infection
prevention and control (IPC) program to do which of the following? Please select the
best answer. - ANSWERSall above
As part of Respiratory Hygiene and Cough Etiquette, individuals with signs of
respiratory infection should wear a facemask, if tolerated. - ANSWERSface mask- True