WB4081 - Posttest - Nursing Home Infection Preventionist Training Course

WB4081 - Posttest - Nursing Home Infection Preventionist Training Course (Web-based) - - C Incorrect Answer orrect Answer 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 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. 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 addressesthe indications after glove removal and after touching the resident. (Module 7) 2. 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. 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 islikely to transmit infection to close contacts 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) 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 itemsfor IPC program prioritization C)Develop new (or review existing) IPC policies and procedures D)Provide education and training forstaff Rationale: The first step would be to identify the high-scoring itemsfor 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) 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 singleperson room for MDRO-colonized residents? Please select all that apply