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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Preventing/Controlling the Transmission of Infectious Agents | 17-19% | |
| Topic 2: Cleaning, Sterilization, Disinfection, Asepsis | 10-13% | |
| Topic 3: Environment of Care | 10-13% | |
| Topic 4: Employee/Occupational Health | 10-13% | |
| Topic 5: Identification of Infectious Disease Processes | 17-19% | |
| Topic 6: Surveillance and Epidemiologic Investigation | 22-26% | |
| Topic 7: Management and Communication | 10-13% | |
| Topic 8: Education and Research | 6-9% |
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NEW QUESTION # 95
The infection preventionist observed a caregiver entering a room without performing hand hygiene.The BEST response would be to
Answer: A
Explanation:
Immediate feedback is a best practice in behavior correction and performance improvement. In hand hygiene non-compliance, real-time intervention allows for immediate correction, education, and reinforcement of infection prevention policies.
* TheAPIC/JCR Workbookrecommends:
"Provide simulation training... that provides immediate feedback-for example, how to properly insert a urinary catheter or perform hand hygiene." This supports behavior change and staff learning.
* TheAPIC Textemphasizes that real-time, direct feedback is more effective than passive measures like signage or delayed education campaigns.
References:
APIC/JCR Infection Prevention and Control Workbook, 4th Edition, Chapter 6 - Clinical Strategies
NEW QUESTION # 96
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?
Answer: D
Explanation:
Meningococcal infections, such as Neisseria meningitidis, are transmitted via respiratory droplets. According to APIC and CDC guidelines, patients with meningococcal disease should be placed on Droplet Precautions upon admission. These precautions can be discontinued after 24 hours of effective antibiotic therapy.
Why the Other Options Are Incorrect?
* B. Droplet precautions must continue - Droplet Precautions are not needed beyond 24 hours of appropriate therapy because treatment rapidly reduces infectiousness.
* C. Airborne precautions may be discontinued after 24 hours of therapy - Meningococcal infection is not airborne, so Airborne Precautions are never required.
* D. Airborne precautions must continue - Incorrect because meningococci do not transmit via airborne particles.
CBIC Infection Control Reference
According to APIC guidelines, Droplet Precautions should be maintained for at least 24 hours after effective antibiotic therapy initiation.
NEW QUESTION # 97
An infection preventionist observing the technologist in sterile processing load the washer-disinfector or washer-decontaminator should expect to see them:
Answer: B
Explanation:
Proper loading of a washer-disinfector is designed to maximize detergent and water contact with all instrument surfaces and internal features. CDC guidance for cleaning and sterilizing practices specifically notes that hinged instruments should be opened fully and items with removable parts should be disassembled (unless the manufacturer provides validated instructions indicating otherwise). This ensures the cleaning solution can reach high-risk areas such as box locks, joints, and crevices, which are common sites for retained soil and bioburden.
The other options describe practices that can compromise cleaning effectiveness and safety. "Filling the load with mixed items to maximize efficiency" (A) risks improper positioning, shadowing, and inadequate exposure of surfaces to spray action and detergent. Placing the heaviest items on the top rack (B) is contrary to common reprocessing guidance, which generally places heavier sets lower to prevent damage and to support effective spray patterns.
Finally, instruments should not be taken "directly from the case cart" onto the rack (D) without appropriate sorting/preparation and following the device manufacturer's instructions for use (IFU), including opening, disassembly, and correct placement in trays/baskets. The expected best practice during loading is therefore disassemble instruments and open hinged instruments
NEW QUESTION # 98
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?
Answer: A
Explanation:
* Nurse-driven catheter removal protocols have been shown to significantly reduce CAUTI rates by minimizing unnecessary catheter use.
* Routine urine cultures (A) lead to overtreatment of asymptomatic bacteriuria.
* Condom catheters (C) are helpful in certain cases but are not universally effective.
* Antibiotic-coated catheters (D) have mixed evidence regarding their effectiveness.
CBIC Infection Control References:
* APIC Text, "CAUTI Prevention Strategies," Chapter 10.
NEW QUESTION # 99
The infection preventionist observes a nurse obtaining a wound culture and notes which of the following steps is correct?
Answer: B
Explanation:
The CBIC Certified Infection Control Exam Study Guide (6th edition) emphasizes that aseptic technique is essential when obtaining clinical specimens, including wound cultures, to ensure accurate results and prevent contamination. Using aseptic technique minimizes the introduction of skin flora or environmental microorganisms that could lead to false-positive cultures and inappropriate clinical management.
Correct wound culture collection includes cleansing the wound as indicated, using sterile equipment, and avoiding contact with surrounding skin or nonsterile surfaces. This approach ensures that organisms identified in the culture are representative of true pathogens rather than contaminants. Proper specimen collection is a foundational infection prevention practice and directly affects diagnostic accuracy, antimicrobial stewardship, and patient outcomes.
Option A is incorrect because wound specimens are typically transported promptly at room temperature; refrigeration is not routinely recommended and may compromise certain organisms. Option C is incorrect because specimen containers must be labeled with at least two patient identifiers (such as full name and medical record number), not initials alone, to meet patient safety standards. Option D is incorrect because specimens should be obtained before initiation of antibiotic therapy whenever possible, as antibiotics can suppress bacterial growth and lead to false-negative results.
For CIC exam preparation, it is critical to recognize that aseptic technique during specimen collection is the key correct practice, ensuring reliable laboratory results and supporting effective infection prevention and control efforts.
NEW QUESTION # 100
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