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1. An 84-year-old male with a gangrenous foot is admitted to the hospital from an extended-care facility (ECF).
The ECF is notified that the wound grew Enterococcus faecium with the following antibiotic sensitivity results:
ampicillin - R
vancomycin - R
penicillin - R
linezolid - S
This is the fourth Enterococcus species cultured from residents within the same ECF wing in the past month.
The other cultures were from two urine specimens and a draining wound. The Infection Preventionist (IP) should immediately:
A) Conduct surveillance cultures for this organism in all residents.
B) Compare the four culture reports and sensitivity patterns.
C) Notify the medical director of the outbreak.
D) Notify the nursing administrator to close the wing to new admissions.
2. Over the past 6 months, a facility has noticed an increase in healthcare-associated pneumonias in ventilator- dependent patients in the NICU. There were eight healthcare-associated pneumonias among ventilated patients. Total ventilator days were 240. What was the ventilator-associated pneumonia rate for the NICU during the 6-month period?
A) 3.3/1,000 ventilator days
B) 33/1,000 ventilator days
C) 3/1,000 ventilator days
D) 30/1,000 ventilator days
3. The Infection Control Department is notified of possible contamination of one lot of dressings. Which of the following actions should be taken?
A) Arrange to purchase new dressings from a different manufacturer.
B) Notify discharged patients on whom the dressings were used to be alert for signs of infection.
C) Instruct the Purchasing Department to remove the manufacturer's dressings and similar dressings from the hospital.
D) Identify where the implicated dressings are in the hospital so that they can be returned to the manufacturer.
4. The BEST choice for surgical instrument cleaning and material compatibility is a detergent solution with:
A) Sodium hypochlorite
B) An acidic pH
C) A neutral pH
D) Quaternary ammonium compounds
5. The Environmental Services department is purchasing a new disinfectant that is an approved hospital disinfectant with no tuberculocidal claim. This product is appropriate for cleaning which of the following items?
A) Ultrasound probe
B) Laryngoscope blades
C) Respiratory therapy equipment
D) Blood pressure cuff
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: D |
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