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Infection Surveillance and Outbreak Control
1. In a surgical unit, an LPN notes that a patient developed pneumonia 72 hours after admission. The patient had no respiratory symptoms prior to hospitalization. How should this infection be classified?
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Community-acquired infection
Nosocomial (healthcare-associated) infection
Opportunistic infection
Latent infection
2. In a long-term care home, the LPN observes that four residents on the same floor developed diarrhea within two days. What should be the LPN’s next action?
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Begin antibiotic treatment for all affected residents as prescribed
Report the cluster to the infection control nurse
Isolate all residents in their rooms without assessment
Wait for lab confirmation before reporting
3. An outbreak of norovirus is declared in a long-term care facility. The LPN is assigned to one affected unit. Which action best reflects the nurse’s role during an outbreak?
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Work between infected and non-infected units to maintain continuity
Reinforce isolation measures and monitor symptoms daily
Restrict visitors without informing management
Cancel all routine hygiene care
4. In a rehabilitation centre, the LPN notices an increase in wound infections among post-surgical patients. What is the nurse’s primary responsibility in infection surveillance?
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Record findings and inform the infection prevention and control team
Treat the wounds independently
Inform only the physician on duty
Ignore unless the infection becomes severe
5. During her shift, the LPN assists in obtaining stool samples from residents with diarrhea for laboratory testing. What documentation detail is essential for infection control surveillance?
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Only the patient’s name and room number
The onset date and time of symptoms
The patient’s diet the day before
The temperature of the sample
6. The infection control nurse asks the LPN to remind families of outbreak measures. What is the most accurate information the LPN should give to visitors?
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They may visit only if asymptomatic and must follow PPE and hand hygiene protocols
They can visit freely if the resident requests it
Visitors are not subject to infection control precautions
They can remove masks once in the resident’s room
7. After an influenza outbreak, the LPN assists in disinfecting high-touch surfaces. Which disinfectant measure is most effective to prevent recurrence?
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Use soap and water only
Use hospital-approved disinfectant with appropriate contact time
Use air fresheners to mask odors
Spray alcohol over furniture
8. After the outbreak resolves, the infection prevention team conducts a review. What is the purpose of this post-outbreak evaluation?
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To assign blame to individuals who made errors
To analyze causes and improve future prevention strategies
To verify who followed PPE rules
To identify which residents were most contagious
9. An LPN reports mild gastrointestinal symptoms while working in a facility experiencing an outbreak. What is the correct action?
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Continue working to maintain staffing levels
Wear gloves and continue care as usual
Inform the supervisor and follow occupational health protocols
Wait for symptoms to worsen before reporting
Infection Surveillance and Outbreak Control
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