EMT Practice Test

1. Question Content...

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Question1: Which of the following procedures has NOT been documented to contribute to the development of postoperative infections in clean surgical operations?

Question2: Some pathogens live in the body and can be cultured, but do NOT elicit any response from the body's defense mechanisms. This state is called:

Question3: An infection control manager is training a new infection preventionist. In discussing surveillance strategies, which of the following types of hospital infection surveillance usually provides maximum benefit with minimum resources?

Question4: An infection preventionist is reviewing a wound culture result on a surgery patient. The abdominal wound culture of purulent drainage grew Staphylococcus aureus with the following sensitivity pattern: resistant to penicillin, oxacillin, cephalothin, and erythromycin; susceptible to clindamycin, and vancomycin. The patient is currently being treated with cefazolin. Which of the following is true?

Question5: Which statistical test is MOST appropriate for comparing infection rates before and after an intervention?

Question6: What is the MOST effective way an infection preventionist can assess readiness of emergency preparedness plans for an influx of patients with an emerging viral hemorrhagic fever?

Question7: A patient with a non-crusted rash has boon diagnosed with Sarcoptes scabiei. The patient is treated with 5% permethrin and precautions are started. The precautions can be stopped

Question8: When evaluating environmental cleaning and disinfectant products as a part of the product evaluation committee, which of the following is responsible for providing information regarding clinical trials?

Question9: Which of the following processes is MOST important for the infection preventionist (IP) to review when evaluating a third-party reprocessor for single-use devices?

Question10: Surgical site infection (SSI) data for the previous quarter reveal the following numbers. The surgeon with the highest infection rate is Doctor

Question11: 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:

Question12: Following recent renovations on an oncology unit, three patients were identified with Aspergillus infections.
The infections were thought to be facility-acquired. Appropriate environmental microbiological monitoring would be to culture the:

Question13: Which of the following factors increases a patient's risk of developing ventilator-associated pneumonia (VAP)?

Question14: Following an outbreak of Hepatitis A, the water supply is sampled. A high count of which of the following isolates would indicate that the water was a potential source?

Question15: Which of the following microorganisms does NOT cause gastroenteritis in humans?

Question16: An HBsAb-negative employee has a percutaneous exposure to blood from a Hepatitis B surface antigen (HBsAg) positive patient. Which of the following regimens is recommended for this employee?

Question17: Which of the following community-acquired infections has the greatest potential public health impact?

Question18: A suspected measles case has been identified in an outpatient clinic without an airborne infection isolation room (AIIR). Which of the following is the BEST course of action?

Question19: The MOST important characteristic to include when using a template for a comprehensive annual risk assessment is

Question20: An employee is presenting to Occupational Health for clearance prior to starting work at a healthcare facility.
They have a history of having received the Bacillus Calmette-Guerin (BCG) vaccination. What is the preferred methodology for pre-work clearance?

Question21: What should an infection preventionist prioritize when designing education programs?

Question22: The primary source of organisms that cause surgical silo infections is the

Question23: What question would be appropriate for an infection preventionist to ask when reviewing the discussion section of an original article?

Question24: A nurse exposed to pertussis develops a mild cough 14 days later. What is the recommended action?

Question25: A hospital is experiencing an increase in vancomycin-resistant Enterococcus (VRE) infections in the hematology-oncology unit. Which of the following interventions is MOST effective in halting the spread of VRE in this high-risk setting?

Question26: When conducting a literature search which of the following study designs may provide the best evidence of a direct causal relationship between the experimental factor and the outcome?

Question27: When assessing a patient's infection prevention and control educational needs, it is necessary to FIRST determine the patient's

Question28: During the last week in June, an emergency department log reveals numerous cases of profuse watery diarrhea in individuals 74 years of age and older. During the same time period, four immunocompromised patients were admitted with possible Cryptosporidium. Which of the following actions should the infection preventionist take FIKST?

Question29: A healthcare worker experiences a percutaneous exposure to a patient with untreated HIV. The next step is to:

Question30: An infection preventionist (IP) is informed of a measles outbreak in a nearby community. What is the IP's FIRST priority when working with Occupational Health?

Question31: A 36-year-old female presents to the Emergency Department with a petechial rash, meningitis, and cardiac arrest. During the resuscitation, a phlebotomist sustained a needlestick injury. The next day, blood cultures reveal Neisseria meningitidis. The exposure management for the phlebotomist is:

Question32: An infection preventionist should collaborate with a public health agency in primary prevention efforts by:

Question33: A surgeon is beginning a new procedure in the facility within the next two weeks and requires loaner instruments. Infection prevention processes should ensure that

Question34: There has been an outbreak of foodborne illness in the community believed to be associated with attendance at a church festival. Which of the following is the MOST appropriate denominator for calculation of the attack rate?

Question35: Which of the following is the correct collection technique to obtain a laboratory specimen for suspected pertussis?

Question36: Which of the following is included in an effective respiratory hygiene program in healthcare facilities?

Question37: A surgical team is performing a liver transplant. Which of the following represents the HIGHEST risk for transmission of a healthcare-associated infection?

Question38: What method of evaluation will BEST identify a staff member's competency with reprocessing medical devices?

Question39: Which humoral antibody indicates previous infection and assists in protecting tissue?

Question40: A healthcare personnel has an acute group A streptococcal throat infection. What is the earliest recommended time that this person may return to work after receiving appropriate antibiotic therapy?

Question41: An infection preventionist is notified of a patient with Gram negative diplococci from a cerebral spinal fluid specimen. The patient was intubated during ambulance transport and intravenous lines are placed after arrival to the Emergency Department (ED). The patient was immediately placed in Droplet Precautions upon admission to the ED. Which of the following statements is true regarding the need for evaluating exposure to communicable illness?

Question42: There are four cases of ventilator-associated pneumonia in a surgical intensive care unit with a total of 200 ventilator days and a census of 12 patients. Which of the following BEST expresses how this should be reported?

Question43: A patient with suspected active tuberculosis is being transferred from a mental health facility to a medical center by emergency medical services. Which of the following should an infection preventionist recommend to the emergency medical technician (EMT)?

Question44: A 2-yoar-old girl is admitted with a fractured tibia. At birth, she was diagnosed with congenital cytomegalovirus (CMV). Which of the following barrier precautions is appropriate for healthcare personnel caring for her?

Question45: The annual report for Infection Prevention shows a dramatic decrease in urinary catheter days, a decrease in the catheter utilization ratio, and a slight decrease in the number of catheter-associated urinary tract infections (CAUTIs). The report does not show an increase in the overall rate of CAUTI. How would the infection preventionist explain this to the administration?

Question46: Which of the following management activities should be performed FIRST?

Question47: An infection preventionist is calculating measures of central tendency regarding duration of a surgical procedure using this data set: 2, 2, 3, 4, and 9. Which of the following statements is correct?

Question48: What is a characteristic of immediate-use steam sterilization?

Question49: Which water type is suitable for drinking yet may still be a risk for disease transmission?

Question50: Based on the compiled results of learner needs assessments, the staff has an interest in hepatitis B, wound care, and continuing education credits. What should be the infection preventionist's next step?

Question51: An adult with an incomplete vaccination history presents with an uncontrollable, rapid and violent cough, fever, and runny nose. Healthcare personnel should suspect

Question52: A hospital experiencing an increase in catheter-associated urinary tract infections (CAUTI) implements a quality improvement initiative. Which of the following interventions is MOST effective in reducing CAUTI rates?

Question53: An infection preventionist is utilizing the Shewhart/Deming cycle in an infection control program performance improvement project. In which of the following steps are the results of the interventions compared with the original goal?

Question54: Respiratory tract flora are BEST characterized by which of the following statements?

Question55: A 17-year-old presents to the Emergency Department with fever, stiff neck, and vomiting. A lumbar puncture is done. The Gram stain shows Gram negative diplocooci. Presumptive identification of the organism is

Question56: Essential knowledge, behaviors, and skills that an individual should possess and demonstrate to practice in a specific discipline defines which of the following?

Question57: Hand-hygiene audits in a long-term care facility have demonstrated consistently low levels of staff compliance. An infection preventionist is planning an education program to try to improve hand-hygiene rates. Regarding assessment of the effectiveness of the education program, which of the following is true?

Question58: A 21-ycnr-old college student was admitted with a high fever. The Emergency Department physician be gan immediate treatment with intravenous vancomycin and ceftriaxone while awaiting blood, urine, and cerebrospinal fluid cultures. The following day. the cultures of both the blood and the cerebrospinal fluid were reported to be growing meningococci. The patient was placed on precautions on admission. Which of the following is correct?

Question59: Which of the following patients with human immunodeficiency virus infection requires Airborne precautions?

Question60: A healthcare facility has installed a decorative water fountain in their lobby for the enjoyment of patients and visitors. What is an important issue for the infection preventionist to consider?

Question61: After defining and identifying cases in a possible cluster of infections, an infection preventionist should NEXT establish:

Question62: A patient with shortness of breath and a history of a tuberculin skin test (TST) of 15 mm induration was admitted to a semi-private room. The infection preventionist's FIRST action should be to

Question63: Working with public health agencies to collect and analyze indicators that might signal an increase in community illness is an example of which type of surveillance?

Question64: Which of the following control measures is MOST effective in preventing transmission of Legionella in healthcare water systems?

Question65: In which of the following ways is human immunodeficiency virus similar to the Hepatitis B virus?

Question66: Which of the following represents a class II surgical wound?

Question67: A task force formed to focus on Clostridioides difficile infections (CDIs). The topic of the meeting discussed selecting the correct germicidal wipe. What important factor does the infection preventionist review?

Question68: Which of the following options describes a correct use of personal protective equipment?

Question69: On January 31, the nursing staff of a long-term care facility reports that five out of 35 residents have developed high fever, nasal discharge, and a dry cough. The BEST diagnostic tool to determine the causative agent is:

Question70: Peripherally inserted central catheter (PICC)-associated bloodstream infections (BSIs) have been increasing over the past four months. Which of the following interventions is MOST likely to have contributed to the increase?

Question71: Which of the following stains is used to identify mycobacteria?

Question72: Which of the following BEST demonstrates the effectiveness of a program targeted at reducing central-line associated bloodstream infections (CLABSIs) in an intensive care unit (ICU)?

Question73: A team was created to determine what has contributed to the recent increase in catheter associated urinary tract infections (CAUTIs). What quality tool should the team use?