Practice Test Part 2 Flashcards
In infection control has collected data concerning nosocomial urinary tract infections occurring in a cardiac surgery postoperative period the data are shown below
Analysis of the data suggest that the UTI incidence is:
A. Similar in all months and no further study is warranted at this time
B. Highest in February but since the number of catheter days is the same no further study is warranted
C. Highest in February and may be a result of increased after user duration and further study is warranted
D. Not important cardiac surgery patients and further study is warranted to study medium stir not a mean wound infections
C. Highest in February and may be a result of increased after user duration and further study is warranted
A child comes to the emergency room with a Maculopapular rash. She is irritable and has a temperature of 104 a child mother reports that she has had a cold for a few days which of the following infection control measures should be taken first?
A. Determine exposure by detaining innocent persons in the ED B. Ascertain of the child's immunizations are up to date C. Obtaining history of recent exposures to communicable diseases D. Triage the patient the child in a private examination was
D. Triage the patient the child in a private examination was
Which of the following factors should an ICP consider first when establishing an annual surveillance plan for infection control program?
A. Characteristics of the population at risk in the facility
B. The amount that could be saved from prevention of certain infections
C. How easy it is to prevent certain infections
D. They ease of obtaining the surveillance data
A. Characteristics of the population at risk in the facility
And operating room head nurse contacts the ICP Re: recommended methods for war preventing infection during a total joint procedure the infection control person should recommend which of the following?
A. Have equipment and supplies in the room and limit traffic folder in the case
B. Environmental services should disinfect horizontal and vertical surfaces and remove unnecessary equipment
C. The surgical team should dress in sterile surgical attire and where double mass shoe and hair covers and gloves
D. Prohibit use of instruments that have been flashed sterilized
D. Prohibit use of instruments that have been flashed sterilized
To decrease the risk of infection related to gastrostomy tubes in adults, he infection control person should recommend:
A. Inspecting the entry site dating keeping it clean and dry
B. Instilling sterile water in changing the syringe after each feeding
C. Applying antibiotic ointment to the gastrostomy site daily
D. Wearing barrel glows and a mask while administering the feeding
A. Inspecting the entry site dating keeping it clean and dry
A hemodialysis center at a facility calls for an investigation of an outbreak of bloodstream infections associated with contaminated water used to prepare dialysate. Several viable bacterial counts in the water exceeds 500 CFU/ML. Later identified as E. Coli. Five patients in the past month to receive the contaminated dialysate later developed E. Coli bacteremia. In order to calculating monthly treatment related bacteremia rates the most appropriate denominator demonstrating the population at risk is:
A. Number of admissions
B. Centerline days
C. Number of dialysis days
D. Number of discharges
C. Number of dialysis days
In infection control person receives a call from a member of the community who is a TFT/PPD converter and is contemplating prophylaxis. The caller inquires about the risk of developing active tuberculosis if prophylaxis is refuse. He infection control person should explain that the risk of developing active disease and a healthy person is five to 10% in the:
A. First six months
B. First six years
C. Female population
D. Individuals lifetime
D. Individuals lifetime
Which of the following populations served as vectors for the transmission of seasonal influenza and may benefit for annual vaccination?
A. Elderly in a long-term care facility
B. School age children
C. College students living in dormitories
D. Working adults between the age of 30 and 49
A. Elderly in a long-term care facility
In reviewing microbiology reports as part of a surveillance activities it is important for the infection control person to know which of the following regarding sputum specimen results?
A. Review of routine spume culture results may be an effective and efficient means of conduct surveillance for unusual reportable respiratory infections for example pertussis, Legionella, Tb
B. A microbiological report that includes information regarding the method of specimen collection provides greater predictability in depicting etiologic agents.
C. A summary of positive spume culture reports for a specified period of time may provide an excellent overview a respiratory pathogens
D. Only final spume culture results can provide definitive information regarding lower respiratory tract pathogens
A. Review of routine spume culture results may be an effective and efficient means of conduct surveillance for unusual reportable respiratory infections for example pertussis, Legionella, Tb
When comparing OPA to 2% little glutoaldehydes peracetic acid sterilization, one unique advantage OPA has demonstrated in the area of superior antimicrobial activity is against:
A. Cryptosporidium
B. Hepatitis B
C. Mycobacteria
D. Cjd prions
C. Mycobacteria
In infection control person met with the pulmonary function lab staff to discuss their infection concerns regarding patients reporting to the laboratory was symptomatic cdiff what actions should infection control person take first
A. Discuss transmission risk with the unit manager
B. Reschedule classes following 24 hours of antibiotic therapy
C. C postpone testing of patients with active cdif
D. Encourage liberal use of hand sanitizer
D. Encourage liberal use of hand sanitizer
A performance improvement tool useful in identifying the root cause of a problem is a:
A. Fishbone diagram
B. Control chart
C. Pareto chart
D. Check sheet
A. Fishbone diagram
A dead bat was found in a family home. Pub Health post exposure surveillance should include
A. Definitive diagnosis of negri bodies in the bat’s brain
B. A report to domestic animal control
C. Observation of the family’s activities for 30 days
D. Alerting the neighborhood of potential risks of being bitten by a bat
D. Alerting the neighborhood of potential risks of being bitten by a bat
One major advantage of collecting surveillance data retrospectively is that:
A. It enhances syndromic surveillance
B. Effectiveness of interventions can be assessed
C. The medical record is more likely to be complete
D. It is easier to identify an outbreak
C. The medical record is more likely to be complete
Which has the potential to increase health-care associated infections in hospitalized mental health patients:
A. Sexually active while hospitalized
B. Decreases as the ability to infections while on psychotropic drugs
C. Adequate hydration and nutrition
D. Use of wireless and cleansing agents
A. Sexually active while hospitalized
