Correct answers are shown below

1. The basic process of disease transmission involves

(Correct) a source, a mode of transmission, and a susceptible host.

2. Nurse A touches an infected stethoscope, doesn’t wash his hands, and then touches a patient.
This is an example of:
(Correct) Indirect contact transmission.

3. Pathogens released by coughing but that do not remain airborne for long move person-to-
person by
(Correct) droplet contact transmission.

4. MRSA is often found

(Correct) on stethoscopes.

5. Multi-drug resistant tuberculosis is becoming more common because of

(Correct) Poor compliance with drug regimens.

6. Standard Precautions are considered mandatory because

(Correct) pre-existing infections cannot always be identified.

7. The primary underpinning of Standard Precautions is:

(Correct) All body fluids/secretions should be considered potentially infectious.

8. Hand washing can be done using either

(Correct) soap and water or an alcohol-based hand rub.
9. Hand washing should be done
(Correct) before and after patient contact.

10. Soap and water should be used for hand washing if

(Correct) after exposure to C. Difficile.

11. Alcohol-based hand rubs should not be used if

(Correct) if hands are visibly soiled.

12. Healthcare professionals’ compliance with handwashing protocol

(Correct) is often very poor.

13. The use of specific PPE is primarily determined by

(Correct) the provider-patient interaction and potential mode of transmission.

14. True or false: Personal eyeglasses are an acceptable substitute for goggles or a face shield.
(Correct) False

15. A laboratory coat is considered to be ____ as a substitute for a medical gown.

(Correct) unacceptable

16. Airborne Precautions are needed if

(Correct) infectious airborne droplets nuclei are/may be present.

17. Which of the following diseases require the use of Airborne Precautions?
(Correct) Herpes zoster and pulmonary tuberculosis.

18. Prior to each use of an N95, the healthcare professional should

(Correct) do a seal check.

19. An N95 respirator must be _____ before it can be issued.

(Correct) fit tested

20. Droplet Precautions are used if a pathogen is transmitted by

(Correct) contact with infected droplets.

21. Which of the following diseases require the use of Droplet Precautions?
(Correct) Influenza.

22. Neutropenic precautions are used if a patient is

(Correct) immunocompromised.
23. Neutropenic precautions require the use of
(Correct) a protective environment.

24. Endoscopes are considered

(Correct) often contaminated even after cleaning/disinfection..

25. Flash sterilization should be used if

(Correct) there is an immediate, important need and no other alternative.

26. True or false: Disinfectants can be contaminated and cause infection.

(Correct) True

27. The biggest risk factor for hospital-acquired pneumonia is

(Correct) mechanical ventilation

28. Which of the following can help prevent hospital-acquired pneumonia?

(Correct) Minimal use of sedation and good oral hygiene.

29. Which of the following is commonly used orally to prevent hospital-acquired pneumonia?
(Correct) Chlorhexidine.

30. The Legionella bacteria grows best in

(Correct) warm, stagnant water.

31. People who have had close with someone ill with pertussis should
(Correct) be given post-exposure prophylaxis.

32. Aspergillus is a
(Correct) fungus.

33. Pulmonary aspergillosis can be caused by

(Correct) Aspergillus that has become airborne during construction work.

34. Adenovirus, parainfluenza virus, and RSV all cause

(Correct) respiratory tract infections.

35. True or false: Nurses’ compliance with influenza infection control techniques is considered
to be very good.
(Correct) False

36. Preventing influenza transmission requires the use of

(Correct) Droplet Precautions and Standard Precautions.
37. Preventing transmission of influenza should include
(Correct) vaccination and notifying healthcare personnel about outbreaks.

38. Prophylactic antiviral therapy against influenza should be given to

(Correct) patients who are immunocompromised and children < 2 years of age.

39. Prophylactic antiviral therapy against influenza should be given to

(Correct) adults = 65 years of age.

40. HBV, HCV, and HIV are primarily transmitted by

(Correct) contact with infected blood.

41. The risk of infection after exposure to HBV, HCV, and HIV depends in part on
(Correct) the viral load of the infected person.

42. The risk of infection after exposure to HBV, HCV, or HIV depends in part on
(Correct) the nature of the injury.

43. True or false: HBV is considered highly infectious.

(Correct) True

44. The risk of seroconversion after an occupational exposure to HCV is

(Correct) low.

45. Feces, gastric secretions, and urine are not considered infectious unless
(Correct) they are visibly contaminated with blood.

46. Any possible exposure to HBV, HCV, or HIV

(Correct) should be reported as soon as possible.

47. Which of the following should be done first after a needle stick or sharps injury?
(Correct) Wash the area with soap and water.

48. Evaluation of the level of risk associated with a needle stick/sharps injury
(Correct) should be done by the appropriate in-house person or department.

49. Post-exposure drug prophylaxis for an occupational exposure to HIV

(Correct) should be started as soon as possible, preferably within 1-2 hours of the exposure.

50. After occupational exposure to HIV, the exposed person

(Correct) should practice safe sex until final testing is complete.
Correct answers are shown below

1. CPS is a system that operates as a preventive-protective continuum of care.

(Correct) True

2. Which of the following is a mandated reporter?

(Correct) All of the above

3. The legal obligation to maintain client or patient confidentiality supersedes legal obligation
to report to SCR.
Your answer was: NOT ANSWERED
The correct answer is: False

4. Mandated reporters are required to make an oral report of suspected child abuse or
maltreatment/neglect immediately, and submit a written report LDS as - 2221 - a within 48
hours.
(Correct) True

5. A mandated reporter should have clear and sufficient evidence before reporting any
allegations of abuse or maltreatment/neglect.
(Correct) False

6. In New York State a child that may be a victim of abuse or maltreatment/neglect is defined
as = the age of
(Correct) 18

7. Any healthcare employee may take a child into protective custody

(Correct) False

8. If a child discloses sexual abuse, be sure to interview the child thoroughly to obtain a detailed
affidavit for court.
(Correct) False

9. A mandated reporter would be liable only if the original report was later determined to
unfounded.
(Correct) False

10. If a mandated reporter has a reasonable cause to suspect that a child is being maltreated or
neglected and fails to report to SCR, this would be considered a class a misdemeanor
(Correct) True

11. If you and a coworker, who are both mandated reporters, observed the same incident or
situation and you feel there is reasonable cause to suspect child abuse or maltreatment, you are
both required to call SCR yourself, immediately.
(Correct) False

12. When a mandated reporter makes a report to SCR, every effort is made to maintain
confidentiality.
(Correct) True

13. Mandated reporters must comply with requests for records from CPS.
(Correct) True

14. If a child is abandoned under the Abandoned Infant Protection Act, the case does not need
to be reported to SCR.
(Correct) False

15. Indicators of abuse warn the mandated reporter to pay more attention to a particular
situation.
(Correct) True

16. Sometimes a single indicator is self-evident or points to abuse or maltreatment/neglect.

(Correct) True

17. Which of the following is a normal bruising area?

(Correct) knees
18. Mandated reporters are required to inform the parent that a suspected child abuse or
maltreatment/neglect report is being made to SCR.
(Correct) False

19. Which of the following is a type of abusive, maltreatment, or neglect?

(Correct) All of the above

20. The role of the mandated reporter is to assess for reasonable cause to suspect
maltreatment/neglect or abuse. The mandated reporter is not to investigate or interrogate.
(Correct) True

21. Teachers do not qualify as subjects of a SCR report when they are acting as teachers. A
teacher who assaults a child commits a criminal act reportable through the law enforcement
system.
(Correct) True

22. Crimes committed against the child should be reported directly to law enforcement.
(Correct) True

23. A female, age 15 have comes to the ER with a rash on her vaginal area. She disclosed that
she's been engaging in sexual intercourse with her mother's 38-year-old boyfriend for the past
two months. The boyfriend has resided in the home with the child and her mother for the past
five years and is responsible for the care of the child when the mother is at work.
(Correct) Report to SCR

24. Seven year old Chris comes to the doctor's office for a physical. He has a bruise on the right
side of his face and scrapes along his right arm. The child states he fell off his bike. The child
lives with his mother, a single parent. His mother says Chris is a very active child and at times
can present challenging behavior at school.
(Correct) Do not report to SCR because the mechanism of injury is consistent with the scrapes and
bruises on the right side of the body

25. A mother delivers a baby that has neonatal drug withdrawal. When talking to the mother,
you learn that she is not prepared for the baby to come home.
(Correct) Report to SCR

26. A mother comes into the ER with black eyes as a result of domestic violence. She has two
young children with her. She says her husband beat her. She also stated that he told her he
would kill her and the two children if she told anyone.
(Correct) Call the police immediately

27. Mrs. Pitt has two daughters, aged seven and nine. The children suffer from impetigo, a
contagious skin disease. Mrs. Pitt has clinic appointments and carried out the doctor's
instructions, but the impetigo still persists.
(Correct) This should be left to the family

28. The Roth family has one child, a girl age 5. The mother takes good care of her, but is
extremely anxious that the child will contract a disease. She brings a child into the ER
regularly for minor things. She states that she doesn't allow her daughter to socialize with
other kids because she's afraid her daughter will catch something.
(Correct) Assist to seek community agency or resources as appropriate

29. Joshua, age 7, was brought to the ER by his parents. Upon medical evaluation, he is
diagnosed with a life-threatening illness requiring an emergency surgical procedure and the
likelihood of a blood transfusion. His parents refuse to sign consent forms claiming that a blood
transfusion violate their religious beliefs.
(Correct) Report to state Central register (SCR)