Nokea
Should you order a C-diff culture if you gave a laxative in the last 48 hours?
- A. No
- B. Yes
- C. BOTH
- D. NONE
Correct Answer: A
Rationale: Laxatives can cause false positives; testing should be delayed.
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The ED reports 3 cases of cramping, abdominal pain, and diarrhea within a 24-hour period. All persons are from the same community, and onset of symptoms was within 12 to 36 hours of a picnic they all attended. The IP suspects which of the following foodborne illnesses:
- A. Salmonella
- B. Hepatitis A
- C. Staphylococcus aureus
- D. Clostridium perfringens
Correct Answer: D
Rationale: Clostridium perfringens has a short incubation period (6-24 hours) and causes cramping and diarrhea, fitting this scenario.
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. What is the most important consideration for the nurse?
- A. Maintaining oxygen saturation above 95%
- B. Preventing oxygen toxicity
- C. Ensuring proper humidification
- D. Monitoring for carbon dioxide retention
Correct Answer: D
Rationale: Monitoring for carbon dioxide retention is crucial in COPD patients to avoid worsening respiratory status due to excessive oxygen administration.
What should parents do first if their young child ingests poison?
- A. Administer ipecac syrup
- B. Call an ambulance immediately
- C. Call the poison control center
- D. Punish the child for being bad
Correct Answer: C
Rationale: Before intervening in any way, the parents should call the poison control center for specific directions.
A healthcare quality professional is developing a policy regarding access to physician quality files. In addition to the date and name of the person requesting the information, which of the following should be included in the policy?
- A. requestor's contact information
- B. purpose of the request
- C. the credentialing application
- D. the partitioner privilege form
Correct Answer: B
Rationale: Specifying the purpose ensures transparency and proper handling.
An IP has been asked to provide infection prevention consultation to a long-term care facility. As a part of this consultation, she checks to make sure which of the following program components are in place?
- A. Decolonizing residents with MRSA
- B. Establishing an antimicrobial stewardship program
- C. Implementing an annual influenza vaccination program
- D. Collecting environmental cultures of high-touch areas
Correct Answer: B
Rationale: Antimicrobial stewardship and flu vaccination are key infection prevention components in long-term care.