CSA Infection Control & Prevention 3

Question 1

Under OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030), the hepatitis B vaccination series must be offered free of charge to which employees?

Accepted Answer

All employees with occupational exposure to blood or other potentially infectious materials

Answer

All employees, including administrative and dietary staff

Answer

Only employees who have had a known exposure incident in the past 12 months

Answer

Only licensed nursing staff who perform invasive procedures

Question 2

What is the correct method for disposing of contaminated sharps in a long-term care facility?

Accepted Answer

Immediately place uncapped needles and sharps directly into an approved puncture-resistant sharps container

Answer

Place in a labeled biohazard bag and dispose with regular medical waste

Answer

Recap the needle, place in a biohazard bag, and seal before discarding

Answer

Wrap in multiple layers of gauze and dispose in a dedicated yellow waste bin

Question 3

According to CMS regulations, how frequently must a long-term care facility review and evaluate the effectiveness of its infection control program?

Accepted Answer

Annually

Answer

Monthly

Answer

Quarterly

Answer

Every two years

Question 4

When an occupational exposure incident (e.g., needlestick) occurs, which of the following must be documented?

Accepted Answer

The route of exposure, circumstances under which the exposure occurred, and source resident information if available

Answer

Only the name of the employee and the date of the incident

Answer

Only information about the source resident's confirmed diagnoses at the time of exposure

Answer

A general incident report without identifying information to protect employee privacy

Question 5

Which of the following BEST describes a healthcare-associated infection that would be classified as a 'sentinel event' requiring immediate reporting?

Accepted Answer

A resident death attributable to a healthcare-associated infection that was preventable

Answer

A single resident developing a urinary tract infection after catheter insertion

Answer

Two residents with similar symptoms from the same unit within one week

Answer

An increase in hand hygiene compliance observations falling below 75%

Question 6

The CDC's National Healthcare Safety Network (NHSN) is used primarily for which purpose in long-term care facilities?

Accepted Answer

Tracking and reporting healthcare-associated infections to meet federal surveillance requirements

Answer

Submitting payroll data for CMS quality bonus programs

Answer

Documenting resident medication administration records

Answer

Scheduling staff infection control training and competency testing

Question 7

A healthcare worker in a long-term care facility has a newly positive tuberculin skin test (TST) result with 15mm of induration. What is the appropriate next step?

Accepted Answer

Refer the worker for medical evaluation including a chest X-ray to rule out active TB disease

Answer

Immediately place the worker on Airborne Precautions and restrict all resident contact

Answer

Administer a second TST in 4 weeks to confirm the positive result

Answer

Place the worker on prophylactic isoniazid without further evaluation