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CBIC Certified Infection Control Exam Question and Answers

CBIC Certified Infection Control Exam

Last Update Apr 15, 2026
Total Questions : 299

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Questions 1

Which of the following BEST reduces the risk of infection in patients undergoing peritoneal dialysis?

Options:

A.  

Daily dressing change of the catheter exit site

B.  

Weekly surveillance cultures of catheter exit sites

C.  

Catheter insertion in the operating room

D.  

Irrigation of catheter with antimicrobials between dialysis treatments

Discussion 0
Questions 2

Passive immunity results from the use of:

Options:

A.  

Tetanus antitoxin.

B.  

Hepatitis B vaccine.

C.  

Influenza vaccine.

D.  

Human diploid cell rabies vaccine.

Discussion 0
Questions 3

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?

Options:

A.  

Incidence rate

B.  

Disease specific

C.  

Point prevalence

D.  

Period prevalence

Discussion 0
Questions 4

Bioterrorism agents are classified according to priority. Which organism is listed as a Category A agent?

Options:

A.  

Q fever

B.  

Smallpox

C.  

Influenza

D.  

Brucellosis

Discussion 0
Questions 5

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?

Options:

A.  

Observe all steps for reprocessing.

B.  

Review the facility's blueprints and policies.

C.  

Ensure air and water cultures are performed regularly.

D.  

Obtain feedback from other IPs who use the reprocessor.

Discussion 0
Questions 6

The infection preventionist recognizes that construction barriers are a key component of the Infection Control Risk Assessment (ICRA). The MOST important factor to consider is that construction barriers should:

Options:

A.  

Be constructed to withstand normal heating, ventilation, and air conditioning (HVAC) airflow rates.

B.  

Provide sealed covers for air intakes and exhausts.

C.  

Be able to contain dust or infectious microorganisms generated by the project.

D.  

Have walk-off mats that are changed daily.

Discussion 0
Questions 7

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

Options:

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.

Discussion 0
Questions 8

At a facility with 10.000 employees. 5,000 are at risk for bloodbome pathogen exposure. Over the past five years, 100 of the 250 needlestick injuries involved exposure to bloodborne pathogens, and 2% of exposed employees seroconverted. How many employees became infected?

Options:

A.  

1

B.  

2

C.  

5

D.  

10

Discussion 0
Questions 9

A patient is Hepatitis B surface antigen (HBsAg) negative, Hepatitis B surface antibody (anti-HBs) positive, and Hepatitis B core antibody (anti-HBc) negative. Which of the following explains these results?

Options:

A.  

Response to hepatitis B vaccine series

B.  

A recent blood transfusion

C.  

Previous hepatitis B infection

D.  

Low-level hepatitis B infectiousness

Discussion 0
Questions 10

Which of the following anti-infective materials is used on endotracheal tubes, urine catheters, and intravascular catheters?

Options:

A.  

Silver

B.  

Copper

C.  

Chromium

D.  

Zinc

Discussion 0
Questions 11

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

Options:

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.

Discussion 0
Questions 12

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

Options:

A.  

Haemophilus influenzae

B.  

Neisseria meningitidis

C.  

Listeria monocytogenes

D.  

Streptococcus pneumoniae

Discussion 0
Questions 13

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

Options:

A.  

Certification

B.  

Competence

C.  

Knowledge

D.  

Training

Discussion 0
Questions 14

Ongoing education for the Infection Preventionist (IP) is MOST important because

Options:

A.  

the healthcare environment is fast-paced with frequent changes.

B.  

motivation to change comes from the Management Team.

C.  

self-directed learning is not a major force for the adult learner.

D.  

it is necessary to maintain a competitive edge.

Discussion 0
Questions 15

What factors contribute to the development of bacteria-containing biofilms within channels of endoscopes?

Options:

A.  

Frequent use of enzymatic detergents.

B.  

Inadequate cleaning and reprocessing protocols.

C.  

Use of chlorine- and monochloramine-based products.

D.  

Using a central reprocessing area rather than a local reprocessing area.

Discussion 0
Questions 16

A microbiology laboratory plays a pivotal role in both endemic and epidemic epidemiology. Which of the following should be investigated FIRST?

Options:

A.  

One blood isolate of Streptococcus agalactiae in the nursery.

B.  

Two isolates of Staphylococcus aureus in postoperative surgical sites.

C.  

Three respiratory isolates of multi-drug resistant Klebsiella pneumoniae in the medical ICU.

D.  

Two blood isolates of coagulase-negative staphylococci in the oncology unit.

Discussion 0
Questions 17

The infection preventionist recognizes that facility renovation projects are associated with risk for healthcare-associated infections (HAIs). What is the primary rationale for this risk?

Options:

A.  

Increased numbers of construction staff resulting in congested workspaces

B.  

Improper training regarding hand hygiene for contracted workers

C.  

Trash removal using uncovered carts

D.  

Environmental dispersal of microorganisms

Discussion 0
Questions 18

Which of the following statements is true in considering work reassignment for pregnant employees?

Options:

A.  

Pregnant employees rarely require work reassignments

B.  

Pregnant employees who are positive for hepatitis B surface antibody may not care for hepatitis B patients

C.  

Pregnant employees should not be assigned to patients with known infections

D.  

Pregnant employees who are not immune to varicella should be excluded from pediatrics

Discussion 0
Questions 19

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?

Options:

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

Discussion 0
Questions 20

Which of the following statements is true about the microbial activity of chlorhexidine soap?

Options:

A.  

As fast as alcohol

B.  

Can be used with any hand lotion

C.  

Poor against gram positive bacteria

D.  

Persistent activity with a broad spectrum effect

Discussion 0
Questions 21

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)?

Options:

A.  

Place a surgical mask on both the patient and the EMT.

B.  

Place an N95 respirator on both the patient and the EMT.

C.  

Place an N95 respirator on the patient and a surgical mask on the EMT.

D.  

Place a surgical mask on the patient and an N95 respirator on the EMT.

Discussion 0
Questions 22

The infection preventionist notes an increase in Clostridioides difficile infections (CDI) in the ICU. A Root Cause Analysis (RCA) is scheduled. What is the goal of a Root Cause Analysis?

Options:

A.  

Proactively identify potential failures.

B.  

Identify processes to prevent recurrence.

C.  

Determine strengths, weaknesses, opportunities, and threats.

D.  

Educate staff in order to avoid individual blame.

Discussion 0
Questions 23

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?

Options:

A.  

A case report

B.  

A descriptive study

C.  

A case control study

D.  

A randomized-controlled trial

Discussion 0
Questions 24

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

Options:

A.  

Pertussis.

B.  

Rhinovirus.

C.  

Bronchitis.

D.  

Adenovirus.

Discussion 0
Questions 25

Which of the following factors is important in assessing the risk of Mycobacterium tuberculosis (MTB) exposure at a healthcare facility?

Options:

A.  

The number of cases of active MTB in the community served by the facility.

B.  

The number of airborne infection isolation rooms available within the facility.

C.  

The rate of healthcare personnel at the facility with positive MTB screening tests.

D.  

The compliance rate for annual N-95 fit testing among healthcare personnel at the facility.

Discussion 0
Questions 26

What are three categories of surveillance that can be conducted?

Options:

A.  

Baseline, whole house, and targeted

B.  

Prospective, retrospective, and baseline

C.  

Baseline, benchmark, and regulatory requirements

D.  

Whole house, targeted, or combination

Discussion 0
Questions 27

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?

Options:

A.  

Routine urine cultures for all catheterized patients every 48 hours.

B.  

Implementing nurse-driven protocols for early catheter removal.

C.  

Replacing indwelling urinary catheters with condom catheters for all male patients.

D.  

Using antibiotic-coated catheters in all ICU patients.

Discussion 0
Questions 28

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:

Options:

A.  

Air

B.  

Ice

C.  

Carpet

D.  

Aerators

Discussion 0
Questions 29

The infection preventionist (IP) is working with the Product Evaluation Committee to select a sporicidal disinfectant for Clostridioides difficile. An effective disinfectant for the IP to recommend is

Options:

A.  

quaternary ammonium compound.

B.  

phenolic.

C.  

isopropyl alcohol.

D.  

sodium hypochlorite.

Discussion 0
Questions 30

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?

Options:

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.

Discussion 0
Questions 31

An infection preventionist is putting together an educational program for families of patients newly diagnosed with Clostridioides difficile infection (CDI). Which of the following educational formats would involve active learning?

Options:

A.  

Providing a brief 10-minute lecture on ways to prevent CDI transmission

B.  

Distributing a pamphlet describing ways to prevent CDI transmission

C.  

Watching a 5-minute YouTube video demonstrating ways to prevent CDI transmission

D.  

Having the family members demonstrate ways to prevent CDI transmission

Discussion 0
Questions 32

Which of the following infectious diseases is associated with environmental fungi?

Options:

A.  

Listeriosis

B.  

Hantavirus

C.  

Mucormycosis

D.  

Campylobacter

Discussion 0
Questions 33

An infection preventionist observing the technologist in sterile processing load the washer-disinfector or washer-decontaminator should expect to see them:

Options:

A.  

Fill the load with mixed items to maximize efficiency.

B.  

Put the heaviest items on the top rack of the washer.

C.  

Disassemble instruments and open hinged instruments.

D.  

Place fresh surgical instruments from the case cart directly onto the rack.

Discussion 0
Questions 34

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?

Options:

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

Discussion 0
Questions 35

What data should be collected and analyzed as part of a syndromic surveillance program?

Options:

A.  

Number of blood and urine cultures

B.  

Number of visits to physical therapy

C.  

Number of surgical procedures performed

D.  

Number of over-the-counter sales of flu remedies

Discussion 0
Questions 36

An infection preventionist is writing a policy about prevention of intravascular device infection. Which of the following is important for healthcare personnel to know as part of central line insertion and maintenance procedures?

Options:

A.  

Change the central line every seven days.

B.  

Use maximum sterile barrier precautions for the line insertion.

C.  

The femoral site is the preferred site of insertion in an adult patient.

D.  

Use 70% isopropyl alcohol for skin preparation before line insertion.

Discussion 0
Questions 37

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?

Options:

A.  

High-risk patient focus

B.  

Antibiotic monitoring

C.  

Prevalence surveys

D.  

Nursing care plan review

Discussion 0
Questions 38

The effectiveness of disinfection is NOT dependent upon the:

Options:

A.  

Virulence of the organism

B.  

Amount of organic material present

C.  

Spore-forming ability of the organism

D.  

Length of exposure to the chemical agent

Discussion 0
Questions 39

Passive immunity results from the use of:

Options:

A.  

Tetanus antitoxin

B.  

Hepatitis B vaccine

C.  

Influenza vaccine

D.  

Human diploid cell rabies vaccine

Discussion 0
Questions 40

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?

Options:

A.  

Ventilator-associated pneumonia rate of 2%

B.  

20 ventilator-associated pneumonia cases/1000 ventilator days

C.  

Postoperative pneumonia rate of 6% in SICU patients

D.  

More information is needed regarding ventilator days per patient

Discussion 0
Questions 41

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

Options:

A.  

Was the correct sample size and analysis method chosen?

B.  

Could alternative explanations account for the observed results?

C.  

Is the study question important, appropriate, and stated clearly?

D.  

Are criteria used to measure the exposure and the outcome explicit?

Discussion 0
Questions 42

A laboratory has received specimens labeled eye drainage for four patients. In preparing an action plan, the infection preventionist should do which of the following FIRST?

Options:

A.  

Cohort the patients based on the presence of eye drainage.

B.  

Monitor hand-washing practices of staff and visitors.

C.  

Determine the location of the patients.

D.  

Conduct pulsed-field gel electrophoresis.

Discussion 0
Questions 43

What antimicrobial is associated with increased Clostridioides difficile infection?

Options:

A.  

Amoxicillin

B.  

Aztreonam

C.  

Clindamycin

D.  

Tobramycin

Discussion 0
Questions 44

An infection preventionist (IP) receives a phone call from a local health department alerting the hospital of the occurrence of a sewer main break. Contamination of the city water supply is a possibility. Which of the following actions should the IP perform FIRST?

Options:

A.  

Notify the Emergency and Admissions departments to report diarrhea cases to infection control.

B.  

Review microbiology laboratory reports for enteric organisms in the past week.

C.  

Contact the Employee Health department and ask for collaboration in case-finding.

D.  

Review the emergency preparedness plan with engineering for sources of potable water.

Discussion 0
Questions 45

When preparing an educational session, objectives should be written using clear, precise language to describe what the learner is expected to learn. All of the following are examples of appropriate objective verbs EXCEPT:

Options:

A.  

know

B.  

define

C.  

compare

D.  

explain

Discussion 0
Questions 46

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

Options:

A.  

Brown

B.  

Jones.

C.  

Smith

D.  

White

Discussion 0
Questions 47

Which of the following is the BEST study design for assessing the benefit of a new treatment?

Options:

A.  

Interrupted time series

B.  

Correlational study

C.  

Parallel group study

D.  

Randomized controlled trial

Discussion 0
Questions 48

An infection preventionist (IP) reviews research from a current publication and compares the data to the IP’s facility data. This is an example of:

Options:

A.  

Benchmarking

B.  

Data collection

C.  

Linear regression

D.  

Data mining

Discussion 0
Questions 49

An infection preventionist (IP) is reviewing blood cultures and notices several results with Arcanobacterium, coagulase-negative Staphylococcus, and Corynebacterium. What action is needed from the IP?

Options:

A.  

Disregard the results.

B.  

Call the Medical Staff Officer and declare there is an outbreak.

C.  

Work up each case as a healthcare-acquired bloodstream infection.

D.  

Collaborate with the lab manager to determine if there are trends or changes in practice.

Discussion 0
Questions 50

An infection preventionist (IP) notices that several discharged newborns have been readmitted with staphylococcal infections. What should the IP do FIRST?

Options:

A.  

Observe medical and nursing techniques in the nursery.

B.  

Obtain surveillance cultures on babies in the nursery.

C.  

Begin prospective surveillance to identify new staphylococcal cases.

D.  

Review medical records of the readmitted cases.

Discussion 0
Questions 51

Though basic principles of emergency management remain the same for all types of disasters, which of the following interventions varies to address the specific needs of the situation?

Options:

A.  

Mitigation

B.  

Recovery

C.  

Response

D.  

Preparedness

Discussion 0
Questions 52

A 22-year-old male has a splenectomy secondary to trauma. Which of the following vaccines is MOST important for this patient?

Options:

A.  

Haemophilus influenzae type B

B.  

Pneumococcal

C.  

Hepatitis B

D.  

Varicella

Discussion 0
Questions 53

A Quality Improvement Committee is trying to decrease catheter-associated urinary tract infections (CAUTIs) in the hospital. Which of the following would be an outcome measure that would help to show a reduction in CAUTIs?

Options:

A.  

Rate of patients receiving daily indwelling urinary catheter care

B.  

Percentage of patients with indwelling urinary catheters

C.  

Rate of CAUTI per 1000 indwelling urinary catheter days

D.  

Percentage of staff trained to insert indwelling urinary catheters

Discussion 0
Questions 54

A 15-year-old is diagnosed with invasive meningococcal disease. Which of the following should receive chemoprophylaxis?

Options:

A.  

Household members

B.  

A healthcare personnel who was exposed to urine and feces

C.  

A school classmate who has shared school supplies

D.  

Basketball teammates

Discussion 0
Questions 55

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

Options:

A.  

Norovirus

B.  

Rhinovirus

C.  

Rotavirus

D.  

Coxsackievirus

Discussion 0
Questions 56

There is an influenza epidemic in a community. To prevent transmission of influenza in a facility, the MOST rapidly effective measure an infection preventionist should recommend is to:

Options:

A.  

Use droplet precautions empirically for all residents suspected to have influenza.

B.  

Immediately immunize patient care staff.

C.  

Immunize patients and patient care staff.

D.  

Notify the local health department.

Discussion 0
Questions 57

An infection preventionist (IP) is asked to participate on a team to decrease ventilator-associated pneumonia (VAP) rates in a 20-bed ICU. The IP provides the following information. What is the first quarter ventilator utilization ratio?

Data Provided (First Quarter):

Ventilator days (Jan–Mar total): 800

Patient days (Jan–Mar total): 1200

Options:

A.  

0.13

B.  

0.67

C.  

1.50

D.  

1.67

Discussion 0
Questions 58

The sensitivity of a laboratory test is the proportion of persons:

Options:

A.  

With the disease who have a positive test.

B.  

With the disease who have a negative test.

C.  

Without the disease who have a positive test.

D.  

Without the disease who have a negative test.

Discussion 0
Questions 59

A change in the disinfection protocol is indicated for which of the following scenarios?

Options:

A.  

A high-level disinfectant being used for diaphragm fitting rings

B.  

Sodium hypochlorite being used for blood pressure cuffs

C.  

An enzymatic solution being used for rectal probes

D.  

2% glutaraldehyde being used for cryosurgical probes

Discussion 0
Questions 60

An infection preventionist (IP) is asked to assist in rewriting policies for insertion and maintenance of IV catheters. Which of the following are acceptable for use in site preparation?

Options:

A.  

Chloroxylenol or acetone

B.  

Povidone-iodine or para-chloro-meta-xylenol (PCMX)

C.  

Alcohol or chlorhexidine

D.  

Benzalkonium chloride or chlorhexidine

Discussion 0
Questions 61

An infection preventionist is providing education to a group of medical device reprocessing staff on critical steps in cleaning instruments. Which of the following actions is recommended while using washer-disinfector?

Options:

A.  

Stack instruments inside the machine

B.  

Use circulating water with a pH of 3

C.  

Disassemble instruments as much as possible

D.  

Close hinged instruments prior to placing in the machine

Discussion 0
Questions 62

Which of the following processes would the catheter-associated urinary tract infection (CAUTI) improvement team choose as a process indicator to reduce CAUTI?

Options:

A.  

Documentation of indication for catheter placement

B.  

Rate of catheter-associated urinary tract infections

C.  

Reduction of catheter insertions per month

D.  

Rate of asymptomatic bacteriuria

Discussion 0
Questions 63

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

Options:

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.

Discussion 0
Questions 64

During the past week, three out of four blood cultures from a febrile neonate in an intensive care unit grew coagulase-negative staphylococci. This MOST likely indicates:

Options:

A.  

Laboratory error.

B.  

Contamination.

C.  

Colonization.

D.  

Infection.

Discussion 0
Questions 65

A hospital wants to launch an alternative care site due to an influx of patients from a mass casualty incident. An infection preventionist should be engaged to BEST determine:

Options:

A.  

Optimal medical care being offered.

B.  

Staffing of licensed and unlicensed staff.

C.  

Measures to keep all individuals healthy.

D.  

Requirements for providing direct patient care.

Discussion 0
Questions 66

The infection preventionist (IP) is working with Environmental Services to evaluate a new disinfectant for purchase by the facility. With which of the following should the IP be MOST concerned?

Options:

A.  

Safety of the product

B.  

Vendor knowledge of product

C.  

Vendor proximity to the facility

D.  

Staff preference

Discussion 0
Questions 67

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

Options:

A.  

varicella vaccine.

B.  

treatment with acyclovir

C.  

a history of herpes simplex.

D.  

varicclla zoster immunoglobulin

Discussion 0
Questions 68

An outbreak of Candida auris is suspected in the infection preventionist's (IP) facility. The IP's investigation must be conducted in a standard method and communication is critical. Which first step is MOST important?

Options:

A.  

Conduct environmental cultures

B.  

Plan to prevent future outbreaks

C.  

Notify facility administration

D.  

Perform analytical studies

Discussion 0
Questions 69

An infection preventionist is preparing an in-service for a new program on total joint replacement. When discussing etiologic agents, which of the following organisms is MOST likely to cause a surgical site infection (SSI) within 60 days of a total hip replacement?

Options:

A.  

Escherichia coli

B.  

Group A streptococci

C.  

Pseudomonas aeruginosa

D.  

Coagulase-negative staphylococci

Discussion 0
Questions 70

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?

Options:

A.  

Follow-up evaluation is not required for this laboratory finding.

B.  

ED personnel should be evaluated for possible exposure.

C.  

Ambulance personnel should be evaluated for possible exposure.

D.  

Follow-up evaluation is not necessary as the appropriate precautions were promptly instituted.

Discussion 0
Questions 71

When designing a physical construction containment barrier to contain dust as well as potentially infectious microorganisms generated, reduced air pressure in the contained space relative to adjacent occupied spaces results in airflow from the:

Options:

A.  

Exhaust into the contained work space and then into the clean adjacent space.

B.  

Contained work space into the clean adjacent space and then out of the exhaust.

C.  

Clean adjacent space into the contained work space and then out the exhaust.

D.  

Clean adjacent space into the contained work space and then directly back into the building.

Discussion 0
Questions 72

Microfiber cloths and mops are preferred over cotton because microfiber:

Options:

A.  

Is more cost effective.

B.  

Is positively charged to better attract dirt.

C.  

Can be laundered and dried with other textiles.

D.  

Is versatile for both smooth and rough surfaces.

Discussion 0
Questions 73

The MOST common reason for contamination of compounded pharmaceutical products is:

Options:

A.  

Direct touch by personnel

B.  

Inadequate laminar airflow

C.  

Infrequent environmental sampling

D.  

Inappropriate storage of pharmaceutical items

Discussion 0
Questions 74

An infection preventionist has been asked to consult on disinfectant products for use in a long term care home. What should their primary concern be?

Options:

A.  

Patient care items are cleaned whenever visibly soiled.

B.  

An appropriate disinfectant should be available whenever items are used on patients known to be colonized with multi drug resistant organisms.

C.  

Disinfectant products should be compatible with the patient care devices used by the facility.

D.  

Disinfectant products should have a mild odor to reduce allergy concerns.

Discussion 0
Questions 75

A healthcare professional in a clinical microbiology laboratory is concerned about routine exposure to Neisseria meningitidis in culture. The healthcare professional last received the Meningococcal vaccine 8 years ago. What recommendation should be given to the healthcare professional regarding their meningococcal vaccination?

Options:

A.  

They are due for a booster as it has been over 5 years.

B.  

They are due for a booster as it has been over 7 years.

C.  

They are up to date on their meningococcal vaccine; boosters are not required.

D.  

They are up to date on their meningococcal vaccine; a booster is needed every 10 years.

Discussion 0
Questions 76

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:

Options:

A.  

Notify the medical director of the outbreak.

B.  

Compare the four culture reports and sensitivity patterns.

C.  

Conduct surveillance cultures for this organism in all residents.

D.  

Notify the nursing administrator to close the wing to new admissions.

Discussion 0
Questions 77

An infection preventionist has been asked to participate in a process improvement team to standardize disinfection and sterilization practices. Team activities should include all of the following EXCEPT:

Options:

A.  

Observing disinfection and sterilization practices.

B.  

Asking central supply and operating room managers to join the team.

C.  

Performing a literature review on central supply and sterilization.

D.  

Conducting outcome measurement after all changes are implemented.

Discussion 0
Questions 78

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

Options:

A.  

Hypoxia

B.  

Nasogastric tube

C.  

Acute lung disease

D.  

In-line suction

Discussion 0
Questions 79

Which of the following is NOT valuable when using a graph to display data?

Options:

A.  

Title with topic of data

B.  

Facility and time frame for data

C.  

Published trends for data comparison

D.  

X and Y axes labels and annotation where indicated

Discussion 0
Questions 80

Which of the following blood-drawing methods is considered to be a needle-safe practice?

Options:

A.  

Use a syringe with a needle attached.

B.  

Shielded needles for vacuum-tube phlebotomy sets.

C.  

Remove contaminated needles from blood collection sets.

D.  

Inject blood into vacuum tubes using conventional syringes.

Discussion 0
Questions 81

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

Options:

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.

Discussion 0
Questions 82

A family, including an infant of 8 months, is going on a vacation to Europe. An infection preventionist would recommend:

Options:

A.  

Exposure to rabies should be avoided.

B.  

Family members should be vaccinated for yellow fever.

C.  

The infant should not travel until at least 12 months of age.

D.  

Family immunization records should be reviewed by their provider.

Discussion 0
Questions 83

Which of the following management activities should be performed FIRST?

Options:

A.  

Evaluate project results

B.  

Establish goals

C.  

Plan and organize activities

D.  

Assign responsibility for projects

Discussion 0
Questions 84

Which of the following individuals should be excluded from receiving live attenuated influenza virus?

Options:

A.  

Pregnant persons

B.  

Healthy persons aged 2 to 49

C.  

Persons with allergies to chicken feathers

D.  

Persons simultaneously receiving an inactivated vaccine

Discussion 0
Questions 85

Infection Prevention and Control identified a cluster of Aspergillus fumigatus infections in the transplant unit. The infection preventionist (IP) meets with the unit director and Environmental Services director to begin investigation. What information does the IP need from the Environmental Services director?

Options:

A.  

Date of last terminal clean of the infected patient rooms

B.  

Hospital grade disinfectant used on the transplant unit

C.  

Use of dust mitigating strategies during floor care

D.  

Date of the last cleaning of the fish tank in the waiting room

Discussion 0
Questions 86

The Environmental Services department is purchasing a new disinfectant that is an approved hospital disinfectant with no tuberculocidal claim. This product is appropriate for cleaning which of the following items?

Options:

A.  

Laryngoscope blades

B.  

Blood pressure cuff

C.  

Respiratory therapy equipment

D.  

Ultrasound probe

Discussion 0
Questions 87

An infection preventionist has decided to perform surveillance for central line–associated bloodstream infections (CLABSIs) in the facility’s ICU. Which of the following is the MOST appropriate denominator to calculate risk-adjusted rates?

Options:

A.  

Total number of ICU patients

B.  

Total number of patients with central lines

C.  

Number of patients with infections who have central lines

D.  

Number of days patients have central lines in place

Discussion 0
Questions 88

Over the past 6 months, a facility has noticed an increase in healthcare-associated pneumonias in ventilator-dependent patients in the NICU. There were eight healthcare-associated pneumonias among ventilated patients. Total ventilator days were 240. What was the ventilator-associated pneumonia rate for the NICU during the 6-month period?

Options:

A.  

33/1,000 ventilator days

B.  

30/1,000 ventilator days

C.  

3.3/1,000 ventilator days

D.  

3/1,000 ventilator days

Discussion 0
Questions 89

A city has a population of 150.000. Thirty new cases of tuberculosis (TB) were diagnosed in the city last year. These now cases brought the total number of active TB cases in the city last year to 115. Which of the following equations represents the incidence rate tor TB per 100.000 in that year?

Options:

A.  

(30 ÷ 150.000) x 100.000 = X

B.  

(30÷ 150.000) x 100 = X

C.  

(115 ÷ 150.000) x 100.000 - X

D.  

(115 ÷ 100.000) x 100 = X

Discussion 0