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CBIC Certified Infection Control Exam Question and Answers

CBIC Certified Infection Control Exam

Last Update Feb 28, 2026
Total Questions : 299

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Questions 1

An infection preventionist should collaborate with a public health agency in primary prevention efforts by:

Options:

A.  

Conducting outbreak investigations.

B.  

Performing surveillance for tuberculosis through tuberculin skin test.

C.  

Promoting vaccination of health care workers and patients.

D.  

Offering blood and body fluid post-exposure prophylaxis.

Discussion 0
Questions 2

Which of the following operating suite design features is LEAST important for the prevention of infection?

Options:

A.  

Type of floor material

B.  

Positive pressure air handling

C.  

Placement of sinks for surgical scrubs

D.  

Control of traffic and traffic flow patterns

Discussion 0
Questions 3

The infection preventionist (IP) collaborates with the Intravenous Therapy team to select the best antiseptic for use during the insertion of an intravascular device for adults. For a patient with no contraindications, what antiseptic should the IP suggest?

Options:

A.  

Chlorhexidine

B.  

Povidone-iodine

C.  

Alcohol

D.  

Antibiotic ointment

Discussion 0
Questions 4

An infection preventionist is calculating measures of central tendency regarding duration of a surgical procedure using this data set: 2, 2, 3, 4, and 9. Which of the following statements is correct?

Options:

A.  

The median is 2.

B.  

The mode is 3.

C.  

The mean is 4.

D.  

The standard deviation is 7.

Discussion 0
Questions 5

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 6

In a retrospective case-control study, the initial case group is composed of persons

Options:

A.  

with the disease

B.  

without the disease.

C.  

with the risk factor under investigation

D.  

without the risk factor under investigation

Discussion 0
Questions 7

A 21-ycnr-old college student was admitted with a high fever. The Emergency Department physician be gan immediate treatment with intravenous vancomycin and ceftriaxone while awaiting blood, urine, and cerebrospinal fluid cultures. The following day. the cultures of both the blood and the cerebrospinal fluid were reported to be growing meningococci. The patient was placed on precautions on admission. Which of the following is correct?

Options:

A.  

Droplet precautions may be discontinued after 24 hours of therapy.

B.  

Droplet precautions must continue

C.  

Airborne precautions may be discontinued after 24 hours of therapy.

D.  

Airborne precautions must continue.

Discussion 0
Questions 8

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

Options:

A.  

Cough plate

B.  

Nares culture

C.  

Sputum culture

D.  

Nasopharyngeal culture

Discussion 0
Questions 9

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 10

An infection preventionist (IP) believes that there is an increase in transmission of healthcare-associated methicillin-resistant Staphylococcus aureus (MRSA) infections in the surgical intensive care unit. Which of the following would allow the IP to assess whether there is an increase in the rate of healthcare-associated MRSA infections?

Options:

A.  

Mortality rate

B.  

Incidence rate

C.  

Prevalence rate

D.  

Case fatality rate

Discussion 0
Questions 11

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 12

During an outbreak of ventilator-associated pneumonia (VAP), the infection preventionist should FIRST:

Options:

A.  

Review adherence to ventilator bundle elements.

B.  

Implement preemptive antibiotic therapy in all ventilated patients.

C.  

Isolate all ventilated patients in negative pressure rooms.

D.  

Perform bacterial cultures from ventilator circuits.

Discussion 0
Questions 13

While completing compliance rounds in the Central Supply department, the infection preventionist notes items that have completed the sterilization process are showing evidence of moisture on the inside of the sterilization package. The FIRST step that the IP should take is to

Options:

A.  

re-educate the employee on the sterilization process.

B.  

instruct central supply staff to recall all items in the affected load and reprocess.

C.  

monitor employee's compliance with facility policy regarding the sterilization process.

D.  

do nothing as it is normal to have some condensation on the inside of the sterilization package.

Discussion 0
Questions 14

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 15

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 16

When evaluating environmental cleaning and disinfectant products as a part of the product evaluation committee, which of the following is responsible for providing information regarding clinical trials?

Options:

A.  

Infection Preventionist

B.  

Clinical representatives

C.  

Environmental Services

D.  

Manufacturer representatives

Discussion 0
Questions 17

Which of the following findings indicates that a sputum sample has been properly collected from a patient with possible bacterial pneumonia?

Options:

A.  

Numerous neutrophils and few, if any, epithelial cells.

B.  

Presence of blood.

C.  

Many epithelial cells and few neutrophils.

D.  

Presence of both gram-positive and gram-negative bacteria.

Discussion 0
Questions 18

An environmental services staff member sustained a needle-stick injury while collecting garbage and immediately called the Occupational Health (OH) department for further direction. What should the OH department recommend FIRST?

Options:

A.  

Administer first aid treatment

B.  

Schedule an appointment with the OH department

C.  

Discuss the exposure incident with staff to decide on the level of risk

D.  

Obtain and assess immune status to bloodborne pathogens

Discussion 0
Questions 19

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 20

Which of the following is the BEST strategy for reducing bloodstream infections associated with central venous catheters?

Options:

A.  

Routine replacement of central lines every 7 days.

B.  

Use of chlorhexidine-impregnated dressings.

C.  

Daily blood cultures for patients with central lines.

D.  

Use of povidone-iodine instead of chlorhexidine for skin antisepsis.

Discussion 0
Questions 21

Steam sterilization should be validated with which of the following organisms?

Options:

A.  

Geobacillus stearothermophilus

B.  

Staphylococcus aureus

C.  

Bacillus anthracis

D.  

Bacillus atrophaeus

Discussion 0
Questions 22

Two patients in a medical intensive care unit (ICU) and one patient in a surgical ICU have Aspergillus fumigatus cultured from sputum. An exterior construction project was started two weeks ago with demolition of an old office building one week ago. All of the following questions are important for the infection preventionist to ask EXCEPT:

Options:

A.  

“Have ventilation filters been changed according to the preventive maintenance schedule during construction?”

B.  

“Where are the air-intake units relative to these two ICUs?”

C.  

“Are there any healthcare personnel that have cared for both of these patients during their hospitalization?”

D.  

“Has Aspergillus fumigatus been cultured from these patients prior to construction?”

Discussion 0
Questions 23

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 24

The infection preventionist (IP) is assisting pharmacists in investigating medication contamination at the hospital’s compounding pharmacy. As part of the medication recall process, the IP should:

Options:

A.  

Have laboratory culture all medication.

B.  

Inspect for safe injection practices.

C.  

Identify the potential source of contamination.

D.  

Inform all discharged patients of potential medication contamination.

Discussion 0
Questions 25

The expectation to call out or speak up when an infection prevention lapse is observed is an example of

Options:

A.  

implementation of human factors.

B.  

honest disclosure of a safety event.

C.  

a blaming and shaming safety culture.

D.  

a safety culture with reciprocal accountability.

Discussion 0
Questions 26

What is the MOST effective way an infection preventionist can assess readiness of emergency preparedness plans for an influx of patients with an emerging viral hemorrhagic fever?

Options:

A.  

Meet frequently with emergency management professionals in the hospital and local public health authority.

B.  

Conduct regular rounding in the Emergency Department providing education and reviewing policies and procedures with frontline staff

C.  

Coordinate with hospital-based emergency management professionals and other incident command stakeholders to conduct a tabletop exercise or full-scale drill.

D.  

Collaborate with hospital stakeholders to assess the current availability of backup supplies of both staff and personal protective equipment

Discussion 0
Questions 27

A director of the Infection Prevention and Control Department has received permission to hire more staff to a total of 3.8 full-time equivalents (FTEs), based on 40 hours/week. The director works 40 hours/week, one infection preventionist (IP) works 32 hours/week, another works 16 hours/week, and secretarial support works 40 hours/week. How many additional FTEs may the director hire?

Options:

A.  

0.4

B.  

0.6

C.  

0.8

D.  

1.0

Discussion 0
Questions 28

A patient who is pregnant has multidrug-resistant tuberculosis. She presents to the hospital for delivery. She continues to have a productive cough and has sputum smears positive for acid-fast bacilli (AFB), despite treatment. An infection preventionist should recommend which of the following?

Options:

A.  

Immediately separate the infant from the mother at delivery and place the infant in Airborne Precautions until discharge.

B.  

The infant should “room in” with the mother and the mother should wear a mask at all times.

C.  

The infant may go from Airborne Precautions in the nursery to the mother’s room, as long as the mother wears a mask when the infant is in the room.

D.  

No isolation is required for the infant; however, the mother should be placed in Airborne Precautions.

Discussion 0
Questions 29

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 30

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

Options:

A.  

Cryptosporidium enteritis

B.  

Fifth disease (parvovirus B-19)

C.  

Clostridial myositis (gas gangrene)

D.  

Cryptococcal meningitis

Discussion 0
Questions 31

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 32

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 33

An infection preventionist (IP) is notified that a patient who underwent an endoscopic brain biopsy the night before has been diagnosed with prion disease. Because the diagnosis was thought to be unlikely but possible at the time of the biopsy, the endoscope was sequestered. The endoscope manufacturer’s instructions for reprocessing indicate that the endoscope can be reprocessed using high-level disinfection or low-temperature sterilization. The IP should recommend that the endoscope be:

Options:

A.  

Bagged as biohazardous waste and discarded.

B.  

Autoclaved at 134°C (273°F) for 18 minutes.

C.  

Disinfected with a 1:10 dilution of household bleach or 1N NaOH.

D.  

Sterilized using ethylene oxide or hydrogen peroxide gas plasma.

Discussion 0
Questions 34

A patient presents with symptoms of meningitis. Two weeks ago, the patient ate from a cheese and meat tray and developed fever, muscle aches, and nausea the next day. Which of the following infectious agents should an infection preventionist consider as a cause of the patient’s symptoms?

Options:

A.  

Vibrio cholerae

B.  

Campylobacter jejuni

C.  

Clostridium perfringens

D.  

Listeria monocytogenes

Discussion 0
Questions 35

An infection preventionist is asked to recommend a product for disinfection of bronchoscopes. Which of the following agents would be appropriate?

Options:

A.  

Iodophor

B.  

Alcohol

C.  

Phenolic

D.  

Peracetic acid

Discussion 0
Questions 36

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 37

As part of their antimicrobial stewardship initiative, Hospital A is using a qualitative study to assess their program. What type of data will be collected using this approach?

Options:

A.  

Numeric

B.  

Reliable

C.  

Reproducible

D.  

Subjective

Discussion 0
Questions 38

Which of the following statements describes the MOST important consideration of an infection preventionist when assessing the effectiveness of an infection control action plan?

Options:

A.  

Re-evaluate the action plan every three years.

B.  

Update the plan before the risk assessment is completed.

C.  

Develop a timeline and assign responsibilities for the stated action.

D.  

Monitor and validate the related outcome and process measures.

Discussion 0
Questions 39

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

Options:

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

Discussion 0
Questions 40

An example of active learning is:

Options:

A.  

Listening to a lecture.

B.  

Reading policies.

C.  

Exploring case studies.

D.  

Watching a recorded presentation.

Discussion 0
Questions 41

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 42

An infection preventionist wishes to compare central line infection rates with those of a national database. What consideration is of prime importance in making this comparison?

Options:

A.  

Comparable skin preparation prior to insertion

B.  

Use of identical types of central lines

C.  

Similar sizes of facilities in the database

D.  

Same definition of central line infection

Discussion 0
Questions 43

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 44

A healthcare facility has installed a decorative water fountain in their lobby for the enjoyment of patients and visitors. What is an important issue for the infection preventionist to consider?

Options:

A.  

Children getting Salmonella enteritidis

B.  

Cryptosporidium growth in the fountain

C.  

Aerosolization of Legionella pneumophila

D.  

Growth of Acinetobacter baumannii

Discussion 0
Questions 45

The MOST important characteristic to include when using a template for a comprehensive annual risk assessment is

Options:

A.  

system strategic goals and objectives.

B.  

cost savings attributed to the infection prevention and control program.

C.  

facility specific demographics end healthcare-associated Infection data

D.  

statewide communicable disease and healthcare-associated infection data

Discussion 0
Questions 46

The BEST choice for surgical instrument cleaning and material compatibility is a detergent solution with:

Options:

A.  

An acidic pH

B.  

A neutral pH

C.  

Sodium hypochlorite

D.  

Quaternary ammonium compounds

Discussion 0
Questions 47

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 48

Which of the following products or methods is effective for sterilization of heat-sensitive critical items?

Options:

A.  

Phenolics

B.  

Chlorine-based

C.  

Quaternary ammonium

D.  

Hydrogen peroxide gas plasma

Discussion 0
Questions 49

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?

Options:

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.

Discussion 0
Questions 50

Which of the following represents a class II surgical wound?

Options:

A.  

Incisions in which acute, nonpurulent inflammation are seen.

B.  

Incisional wounds following nonpenetrating (blunt) trauma.

C.  

Incisions involving the biliary tract, appendix, vagina, and oropharynx.

D.  

Old traumatic wounds with retained devitalized tissue.

Discussion 0
Questions 51

A nutrition support team wants to determine whether patients who receive total parenteral nutrition (TPN) at home are at increased risk of central line–associated bloodstream infection (CLABSI) compared with patients who receive TPN in the hospital. The BEST way to compare these two groups is to calculate the:

Options:

A.  

Percentage of patients in each group who became infected.

B.  

Infections per 1,000 central line days in each group.

C.  

Number of infections in each group this year compared to last year.

D.  

Ratio of infected to noninfected central lines in each group.

Discussion 0
Questions 52

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

Options:

A.  

Population served

B.  

Number of infected patients

C.  

Population at risk

D.  

Number of events

Discussion 0
Questions 53

The Infection Control Department is notified of possible contamination of one lot of dressings. Which of the following actions should be taken?

Options:

A.  

Instruct the Purchasing Department to remove the manufacturer’s dressings and similar dressings from the hospital.

B.  

Notify discharged patients on whom the dressings were used to be alert for signs of infection.

C.  

Identify where the implicated dressings are in the hospital so that they can be returned to the manufacturer.

D.  

Arrange to purchase new dressings from a different manufacturer.

Discussion 0
Questions 54

A team was created to determine what has contributed to the recent increase in catheter associated urinary tract infections (CAUTIs). What quality tool should the team use?

Options:

A.  

Gap analysis

B.  

Fishbone diagram

C.  

Plan, do, study, act (PDSA)

D.  

Failure mode and effect analysis (FMEA)

Discussion 0
Questions 55

Which of the following is included in an effective respiratory hygiene program in healthcare facilities?

Options:

A.  

Community educational brochures campaign

B.  

Mask availability at building entrance and reception

C.  

Separate entrance for symptomatic patients and visitors

D.  

Temperature monitoring devices at clinical unit entrance

Discussion 0
Questions 56

How can infection preventionists BEST educate on a new infection prevention protocol for adoption across different departments within an organization?

Options:

A.  

Relate relevance of each department’s role using scenarios.

B.  

Utilize a passive learning method to accommodate for diversity.

C.  

Assign reading and review of protocol with manager sign-off.

D.  

Tie protocol compliance metric to annual performance review.

Discussion 0
Questions 57

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 58

The MOST common route of infection for healthcare-associated (HA) pneumonia is:

Options:

A.  

Aspiration of bacteria from the oropharynx

B.  

Person-to-person spread from healthcare personnel’s (HCP) hands

C.  

Contamination from small-volume nebulizers

D.  

Droplet inhalation from large-volume humidifiers

Discussion 0
Questions 59

Which water type is suitable for drinking yet may still be a risk for disease transmission?

Options:

A.  

Purified water

B.  

Grey water

C.  

Potable water

D.  

Distilled water

Discussion 0
Questions 60

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

Options:

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

Discussion 0
Questions 61

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 62

When describing the differences between colonization and infection, the infection preventionist should define colonization as

Options:

A.  

Tissue invasion by organisms without tissue damage.

B.  

Tissue injury by normal flora associated with local reaction.

C.  

The presence and growth of organisms without tissue invasion.

D.  

The presence and growth of opportunistic organisms with cellular change.

Discussion 0
Questions 63

In the Preparedness and Response Framework for Influenza Pandemics, intervals are used to describe an influenza pandemic progression. The interval “Deceleration of the Pandemic Wave” is characterized by:

Options:

A.  

Subject matter experts’ judgment of the potential implications for human health.

B.  

Identification of novel influenza A in humans or animals anywhere in the world.

C.  

Low pandemic influenza activity but continued possible outbreaks.

D.  

Consistently decreasing rate of pandemic influenza cases.

Discussion 0
Questions 64

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

Options:

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.

Discussion 0
Questions 65

The infection preventionist observes a nurse obtaining a wound culture and notes which of the following steps is correct?

Options:

A.  

The specimen is refrigerated to maintain integrity.

B.  

The nurse uses aseptic technique to collect the specimen.

C.  

The specimen container is labeled with the patient’s initials.

D.  

The specimen is obtained after the antibiotics have been started.

Discussion 0
Questions 66

A patient with meningococcal meningitis experiences cardiac arrest. A nurse administers mouth-to-mouth breathing during CPR. Which of the following actions should the nurse take immediately?

Options:

A.  

Use oral chlorhexidine rinse

B.  

Quarantine from others for 5 days

C.  

Begin chemoprophylaxis within 24 hours

D.  

Monitor self and seek care if symptoms develop

Discussion 0
Questions 67

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 68

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?

Options:

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.

Discussion 0
Questions 69

Assume the mean age of onset for patients with tuberculosis (TB) is 62 years, with one standard deviation of 5 years, and the age of onset follows a normal distribution. What is the percentage of patients expected to have the age of onset ranging from 57 to 67 years?

Options:

A.  

34%

B.  

68%

C.  

95%

D.  

99%

Discussion 0
Questions 70

Which of the following control measures is MOST effective in preventing transmission of Legionella in healthcare water systems?

Options:

A.  

Flushing all faucets with hot water for 5 minutes daily.

B.  

Maintaining hot water storage temperatures above 140°F (60°C).

C.  

Installing carbon filters on all hospital water outlets.

D.  

Routine testing for Legionella in hospital water.

Discussion 0
Questions 71

At a facility with 2,500 employees, 1,500 are at risk for bloodborne pathogen exposure. Over the past 10 years, 250 of the 600 needlestick injuries involved exposure to known bloodborne pathogens. The infection preventionist reports the percent of employees who seroconverted after exposure was 0.4%. How many employees became infected?

Options:

A.  

1

B.  

2

C.  

6

D.  

10

Discussion 0
Questions 72

One of the elements of antibiotic stewardship is controlling antibiotic use. Which of the following BEST describes a closed formulary?

Options:

A.  

Requires the prescribing physician to obtain some form of approval before the antibiotic will be dispensed.

B.  

Automatic switching from broad-spectrum empiric therapy to narrower-spectrum agents.

C.  

Practice of rotating two or more classes of formulary drugs on a regular basis.

D.  

Limits the number of antibiotics available for physicians to prescribe.

Discussion 0
Questions 73

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 74

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 75

Which of the following intravenous solutions will MOST likely promote the growth of microorganisms?

Options:

A.  

50% hypertonic glucose

B.  

5% dextrose

C.  

Synthetic amino acids

D.  

10% lipid emulsions

Discussion 0
Questions 76

Which of the following is the primary advantage of conducting prospective surveillance?

Options:

A.  

It is an efficient use of surveillance time.

B.  

It provides access to complete laboratory data.

C.  

It utilizes resources in a cost-effective manner.

D.  

It identifies clusters of infection in a timely manner.

Discussion 0
Questions 77

The infection preventionist (IP) is notified about the recall of certain ice machines because of a faulty filtration device. These ice machines are located on several units throughout the facility. What is the BEST action the IP should take?

Options:

A.  

Culture all ice machines for Legionella

B.  

Report a waterborne disease outbreak to Administration

C.  

Identify all patients who have been served ice from these machines

D.  

Supply an alternative source of ice while investigating further

Discussion 0
Questions 78

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

Options:

A.  

Listeriosis

B.  

Hantavirus

C.  

Mucormycosis

D.  

Campylobacter

Discussion 0
Questions 79

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 80

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 81

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 82

A new hospital disinfectant with a 3-minute contact time has been purchased by Environmental Services. The disinfectant will be rolled out across the patient care 3-minute contact time has been purchased by Environmental Services. The disinfectant will be rolled out across the patient care areas. They are concerned about the high cost of the disinfectant. What advice can the infection preventionist provide?

Options:

A.  

Use the new disinfectant for patient washrooms only.

B.  

Use detergents on the floors in patient rooms.

C.  

Use detergents on smooth horizontal surfaces.

D.  

Use new disinfectant for all surfaces in the patient room.

Discussion 0
Questions 83

An infection preventionist (IP) is informed of a measles outbreak in a nearby community. What is the IP’s FIRST priority when working with Occupational Health?

Options:

A.  

Isolate employees who have recently traveled to areas with measles outbreaks.

B.  

Reassign employees who are pregnant from caring for patients with suspected measles.

C.  

Verify that employees in high-risk exposure areas of the facility have adequate immunity to measles.

D.  

Set up a mandatory vaccination clinic in collaboration with Occupational Health and local public health partners.

Discussion 0
Questions 84

The infection preventionist observed a caregiver entering a room without performing hand hygiene. The BEST response would be to

Options:

A.  

post additional signage to remind caregivers to wash before entry.

B.  

provide immediate feedback and education to the caregiver.

C.  

install hand hygiene dispensers in more convenient areas.

D.  

design a unit-based education program.

Discussion 0
Questions 85

A review of bronchoscopy specimens indicates an unusual number of Mycobacterium fortuitum–positive cultures. Which of the following observations would be the MOST likely cause of this finding?

Options:

A.  

Bronchoscopes cleaned with sporicidal solution

B.  

Inadequate cleaning prior to disinfection

C.  

Rinsing with tap water

D.  

Drying with air or alcohol

Discussion 0
Questions 86

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