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CIC Questions and Answers

Question # 6

What is the correct order of steps for reprocessing critical medical equipment?

A.

Clean, sterilize, disinfect

B.

Disinfect, clean, sterilize

C.

Disinfect, sterilize

D.

Clean, sterilize

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Question # 7

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?

A.

Immune serum globulin and hepatitis B vaccine

B.

Hepatitis B immune globulin (HBIG) alone

C.

Hepatitis B vaccine alone

D.

Hepatitis B immune globulin (HBIG) and hepatitis B vaccine

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Question # 8

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

A.

Haemophilus influenzae

B.

Neisseria meningitidis

C.

Listeria monocytogenes

D.

Streptococcus pneumoniae

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Question # 9

Given the formula for calculating incidence rates, the Y represents which of the following?

A.

Population served

B.

Number of infected patients

C.

Population at risk

D.

Number of events

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Question # 10

An infection preventionist is informed that there is a possible cluster of streptococcal meningitis in the neonatal intensive care unit. Which of the following streptococcal serogroops is MOST commonly associated with meningitis in neonates beyond one week of age?

A.

Group A

B.

Group B

C.

Group C

D.

Group D

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Question # 11

Healthcare workers are MOST likely to benefit from infection prevention education if the Infection Preventionist (IP)

A.

brings in speakers who are recognized experts.

B.

plans the educational program well ahead of time.

C.

audits practices and identifies deficiencies.

D.

involves the staff in determining the content.

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Question # 12

Which of the following represents the most effective strategy for preventing Clostridioides difficile transmission in a healthcare facility?

A.

Daily environmental cleaning with quaternary ammonium compounds.

B.

Strict antimicrobial stewardship to limit unnecessary antibiotic use.

C.

Universal C. difficile screening on admission for high-risk patients.

D.

Routine use of alcohol-based hand rub for hand hygiene after patient contact.

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Question # 13

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

A.

Cryptosporidium enteritis

B.

Fifth disease (parvovirus B-19)

C.

Clostridial myositis (gas gangrene)

D.

Cryptococcal meningitis

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Question # 14

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?

A.

Screening all patients on admission and placing positive patients in isolation.

B.

Restricting the use of vancomycin for all patients in the hospital.

C.

Implementing a hand hygiene compliance audit and feedback system.

D.

Conducting environmental sampling for VRE contamination weekly.

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Question # 15

When developing an exposure control plan, the MOST important aspect in the prevention of exposure to tuberculosis is:

A.

Placement of the patient in an airborne infection isolation room.

B.

Identification of a potentially infectious patient.

C.

Prompt initiation of chemotherapeutic agents.

D.

Use of personal protective equipment.

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Question # 16

Which performance improvement model should the infection preventionist use to aid in the evaluation of the infection control plan?

A.

Six Sigma

B.

Failure mode and effects analysis

C.

Plan, Do, Study, Act

D.

Root Cause Analysis

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Question # 17

Which of the following measures has NOT been demonstrated to reduce the risk of surgical site infections?

A.

Limiting the duration of preoperative hospital stay

B.

Using antimicrobial preoperative scrub by members of the surgical team

C.

Assuring adequate patient nutrition

D.

Designating a specific surgical suite tor infected cases

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Question # 18

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

A.

Initiate HIV post-exposure prophylaxis (PEP) within 2 hours.

B.

Wait for HIV test results before starting treatment.

C.

Offer post-exposure prophylaxis only if symptoms develop.

D.

Retest for HIV after 6 months before deciding on PEP.

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Question # 19

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?

A.

The rate is incorrect and needs to be recalculated.

B.

The rate may be higher if the denominator is very small.

C.

The rate is not affected by the number of catheter days.

D.

Decreasing catheter days will not have an effect on decreasing CAUTI.

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Question # 20

A patient with pertussis can be removed from Droplet Precautions after

A.

direct fluorescent antibody and/or culture are negative.

B.

five days of appropriate antibiotic therapy.

C.

the patient has been given pertussis vaccine.

D.

the paroxysmal stage has ended.

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Question # 21

What rate is expressed by the number of patients who acquire infections over a specified time period divided by the population at risk of acquiring an infection during that time period?

A.

Incidence rate

B.

Disease specific

C.

Point prevalence

D.

Period prevalence

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Question # 22

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

A.

The route of transmission.

B.

An appropriate control group.

C.

A hypothesis that will explain the majority of cases.

D.

Whether observed incidence exceeds expected incidence.

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Question # 23

What should an infection preventionist prioritize when designing education programs?

A.

Marketing research

B.

Departmental budgets

C.

Prior healthcare experiences

D.

Learning and behavioral science theories

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Question # 24

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

A.

Continue working with a surgical mask.

B.

Exclude from patient care until five days after starting antibiotics.

C.

Initiate post-exposure prophylaxis only if symptoms worsen.

D.

Conduct serologic testing before deciding on work restrictions.

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Question # 25

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:

A.

Air

B.

Ice

C.

Carpet

D.

Aerators

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Question # 26

Which of the following is an essential element of practice when sending biohazardous samples from one location to another?

A.

Ship using triple-containment packaging

B.

Electronically log and send via overnight delivery

C.

Transport by an authorized biohazard transporter

D.

Store in a cooler that is labeled as a health hazard

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Question # 27

Hand hygiene rates in the facility have been decreasing over time. The Infection Preventionist (IP) surveys staff and finds that hand dryness is the major reason for non-compliance. What step should the IP take?

A.

Provide staff lotion in every patient room.

B.

Provide a compatible lotion in a convenient location.

C.

Allow staff to bring in lotion and carry it in their pockets.

D.

Allow staff to bring in lotion for use at the nurses’ station and lounge.

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Question # 28

Which of the following strategies is MOST effective in reducing surgical site infections (SSI) in orthopedic procedures?

A.

Perioperative normothermia maintenance.

B.

Routine intraoperative wound irrigation with povidone-iodine.

C.

Administration of prophylactic antibiotics postoperatively for 48 hours.

D.

Use of sterile adhesive wound dressings for 10 days postoperatively.

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Question # 29

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

A.

Norovirus

B.

Rhinovirus

C.

Rotavirus

D.

Coxsackievirus

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Question # 30

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?

A.

People admitted to hospitals with gastrointestinal symptoms

B.

Admission tickets sold to the festival

C.

Dinners served at the festival

D.

Residents in the county who attended the festival

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Question # 31

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

A.

Personal eyeglasses should be worn during suctioning.

B.

Surgical masks should be worn during lumbar puncture procedures.

C.

Gloves should be worn when handling or touching a cardiac monitor that has been disinfected.

D.

Eye protection should be worn when providing patient care it at risk of spreading respiratory disease after unprotected exposure.

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Question # 32

An infection preventionist is evaluating a new catheter that may decrease the rate of catheter-associated urinary tract infections. Which of the following provides the BEST information to support the selection of this catheter?

A.

Staff member preference and product availability

B.

Product materials and vendor information

C.

Value analysis and information provided by the manufacturer

D.

Cost benefit analysis and safety considerations

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Question # 33

Which of the following factors should be considered when evaluating countertop surface materials?

A.

Durability

B.

Sink design

C.

Accessibility

D.

Faucet placement

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Question # 34

The Infection Prevention and Control Committee is concerned about an outbreak of Serratia marcescens in the intensive care unit. If an environmental source is suspected, the BEST method to validate this suspicion is to

A.

apply fluorescent gel.

B.

use ATP system.

C.

obtain surface cultures.

D.

perform direct practice observation.

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Question # 35

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

A.

Failure to change surgical gloves after contamination.

B.

Using alcohol-based hand rub instead of surgical scrub.

C.

Delayed administration of preoperative antibiotics.

D.

Airflow disruption due to personnel movement.

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Question # 36

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

A.

The primary mechanism of transmission for both is maternal-fetal

B.

Needlestick exposure leads to a high frequency of healthcare worker infection

C.

Transmission may occur from asymptomatic carriers

D.

The risk of infection from mucous membrane exposure is the same

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Question # 37

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

A.

Cough plate

B.

Nares culture

C.

Sputum culture

D.

Nasopharyngeal culture

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Question # 38

An infection preventionist is preparing a report about an outbreak of scabies in a long-term care facility. How would this information be displayed in an epidemic curve?

A.

List case names, room numbers, and date the infestation was identified using a logarithmic scale.

B.

List case medical record numbers and the number of days in the facility to date of onset, showing data in a scatter plot.

C.

Prepare a bar graph with no patient identifiers showing the number of cases over a specific period of time.

D.

Prepare a scatter plot by patient location showing case prevalence over a specific period of time.

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Question # 39

An infection preventionist (IP) observes an increase in primary bloodstream infections in patients admitted through the Emergency Department. Poor technique is suspected when peripheral intravenous (IV) catheters are inserted. The IP should FIRST stratify infections by:

A.

Location of IV insertion: pre-hospital, Emergency Department, or in-patient unit.

B.

Type of dressing used: gauze, CHG impregnated sponge, or transparent.

C.

Site of insertion: hand, forearm, or antecubital fossa.

D.

Type of skin preparation used for the IV site: alcohol, CHG/alcohol, or iodophor.

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Question # 40

What inflammatory reaction may occur in the eye after cataract surgery due to a breach in disinfection and sterilization of intraocular surgical instruments?

A.

Endophthalmitis

B.

Bacterial conjunctivitis

C.

Toxic Anterior Segment Syndrome

D.

Toxic Posterior Segment Syndrome

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Question # 41

The BEST roommate selection for a patient with active shingles would be a patient who has had

A.

varicella vaccine.

B.

treatment with acyclovir

C.

a history of herpes simplex.

D.

varicclla zoster immunoglobulin

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Question # 42

Which of the following active surveillance screening cultures would be appropriate for carbapenem-resistant Enterobacterales (previously known as carbapenem-resistant Enterobacteriaceae) (CRE)?

A.

Rectal or peri-rectal cultures

B.

Nares or axillary cultures

C.

Abscess or blood cultures

D.

Throat or nasopharyngeal cultures

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Question # 43

Which of the following processes is essential for endoscope reprocessing?

A.

Intermediate level disinfection and contact time

B.

Pre-cleaning, leak testing, and manual cleaning

C.

Inspection using a borescope and horizontal storage

D.

Leak testing, manual cleaning, and low level disinfection

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Question # 44

When implementing a multimodal strategy (or bundle) for improving hand hygiene, the infection preventionist should focus on Calculator

A.

signage for hand hygiene reminders.

B.

cost effectiveness of hand hygiene products.

C.

availability of gloves in the patient care area

D.

institutional assessment of significant barriers.

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Question # 45

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

A.

Pertussis.

B.

Rhinovirus.

C.

Bronchitis.

D.

Adenovirus.

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