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CBIC Certified Infection Control Exam Sample Questions (Q106-Q111):

NEW QUESTION # 106
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)?

A. Place an N95 respirator on the patient and a surgical mask on the EMT.
B. Place a surgical mask on both the patient and the EMT.
C. Place an N95 respirator on both the patient and the EMT.
D. Place a surgical mask on the patient and an N95 respirator on the EMT.

Answer: A

Explanation:
Active tuberculosis (TB) is an airborne disease transmitted through the inhalation of droplet nuclei containing Mycobacterium tuberculosis. Effective infection control measures are critical during patient transport to protect healthcare workers, such as emergency medical technicians (EMTs), and to prevent community spread. The Certification Board of Infection Control and Epidemiology (CBIC) emphasizes the use of appropriate personal protective equipment (PPE) and source control as key strategies in the "Prevention and Control of Infectious Diseases" domain, aligning with guidelines from the Centers for Disease Control and Prevention (CDC).
For a patient with suspected active TB, the primary goal is to contain the infectious particles at the source (the patient) while ensuring the EMT is protected from inhalation exposure. Option C, placing an N95 respirator on the patient and a surgical mask on the EMT, is the most appropriate recommendation. The N95 respirator on the patient serves as source control by filtering the exhaled air, reducing the dispersion of infectious droplets. However, fitting an N95 respirator on the patient may be challenging, especially in an emergency setting or if the patient is uncooperative, so a surgical mask is often used as an alternative source control measure. For the EMT, a surgical mask provides a basic barrier but does not offer the same level of respiratory protection as an N95 respirator. The CDC recommends that healthcare workers, including EMTs, use an N95 respirator (or higher-level respiratory protection) when in close contact with a patient with suspected or confirmed active TB, unless an airborne infection isolation room is available, which is not feasible during transport.
Option A is incorrect because placing a surgical mask on both the patient and the EMT does not provide adequate respiratory protection for the EMT. Surgical masks are not designed to filter small airborne particles like those containing TB bacilli and do not meet the N95 standard required for airborne precautions. Option B is impractical and unnecessary, as placing an N95 respirator on both the patient and the EMT is overly restrictive and logistically challenging, especially for the patient during transport. Option D reverses the PPE roles, placing the surgical mask on the patient(insufficient for source control) and the N95 respirator on the EMT (appropriate for protection but misaligned with the need to control the patient's exhalation). The CBIC and CDC guidelines prioritize source control on the patient and respiratory protection for the healthcare worker, making Option C the best fit.
This recommendation is consistent with the CBIC's emphasis on implementing transmission-based precautions (CDC, 2005, Guideline for Preventing the Transmission of Mycobacterium tuberculosis in Healthcare Settings) and the use of PPE tailored to the mode of transmission, as outlined in the CBIC Practice Analysis (2022).
References:
CBIC Practice Analysis, 2022.
CDC Guideline for Preventing the Transmission of Mycobacterium tuberculosis in Healthcare Settings, 2005.

NEW QUESTION # 107
A healthcare worker experiences a percutaneous exposure to a patient with untreated HIV. The next step is to:

A. Retest for HIV after 6 months before deciding on PEP.
B. Wait for HIV test results before starting treatment.
C. Offer post-exposure prophylaxis only if symptoms develop.
D. Initiate HIV post-exposure prophylaxis (PEP) within 2 hours.

Answer: D

Explanation:
* HIV post-exposure prophylaxis (PEP) should be initiated within 2 hours to be most effective.
* Waiting for results (B) delays critical treatment.
* PEP should always be offered after high-risk exposure, not only if symptoms develop (C).
* Retesting after 6 months (D) is recommended but should not delay PEP initiation.
CBIC Infection Control References:
* APIC Text, "Bloodborne Pathogens and PEP," Chapter 11.

NEW QUESTION # 108
Which of the following is an example of an outcome measure?

A. Timing of preoperative antibiotic administration
B. Adherence to Environmental Cleaning
C. Hand hygiene compliance rate
D. Rate of multi-drug resistant organisms acquisition

Answer: D

Explanation:
The correct answer is C, "Rate of multi-drug resistant organisms acquisition," as it represents an example of an outcome measure. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, outcome measures are indicators that reflect the impact or result of infection prevention and control interventions on patient health outcomes or the incidence of healthcare-associated infections (HAIs).
The rate of multi-drug resistant organisms (MDRO) acquisition directly measures the incidence of new infections caused by resistant pathogens, which is a key outcome affected by the effectiveness of infection control practices (CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competency 2.4 - Evaluate the effectiveness of infection prevention and control interventions).
Option A (hand hygiene compliance rate) is an example of a process measure, which tracks adherence to specific protocols or practices intended to prevent infections, rather than the resulting health outcome. Option B (adherence to environmental cleaning) is also a process measure, focusing on the implementation of cleaning protocols rather than the end result, such as reduced infection rates. Option D (timing of preoperative antibiotic administration) is another process measure, assessing the timeliness of an intervention to prevent surgical site infections, but it does not directly indicate the outcome (e.g., infection rate) of that intervention.
Outcome measures, such as the rate of MDRO acquisition, are critical for evaluating the success of infection prevention programs and are often used to guide quality improvement initiatives. This aligns with CBIC's emphasis on using surveillance data to assess the effectiveness of interventions and inform decision-making (CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competency 2.5 - Use data to guide infection prevention and control strategies). The focus on MDRO acquisition specifically highlights a significant healthcare challenge, making it a prioritized outcome measure in infection control.
References: CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competencies 2.4 - Evaluate the effectiveness of infection prevention and control interventions, 2.5 - Use data to guide infection prevention and control strategies.

NEW QUESTION # 109
When implementing a multimodal strategy (or bundle) for improving hand hygiene, the infection preventionist should focus on Calculator

A. availability of gloves in the patient care area
B. signage for hand hygiene reminders.
C. institutional assessment of significant barriers.
D. cost effectiveness of hand hygiene products.

Answer: C

Explanation:
When implementing a multimodal strategy (or bundle) for hand hygiene, the infection preventionist should first assess barriers to compliance before implementing solutions.
Step-by-Step Justification:
* Understanding Barriers First:
* Identifying barriers (e.g., lack of access to sinks, high workload, or poor compliance culture) is critical for effective intervention.
* APIC Guidelines on Hand Hygiene Improvement:
* Strategies must be tailored based on the institution's specific challenges.
* Why Other Options Are Incorrect:
* A. Signage for hand hygiene reminders:
* Signage alone is insufficient without addressing systemic barriers.
* B. Cost-effectiveness of hand hygiene products:
* While important, cost analysis comes after identifying compliance barriers.
* C. Availability of gloves in the patient care area:
* Gloves do not replace hand hygiene and may lead to lower compliance.
CBIC Infection Control References:
* APIC/JCR Workbook, "Hand Hygiene Compliance and Institutional Barriers".
* APIC Text, "Hand Hygiene Improvement Strategies".

NEW QUESTION # 110
Healthcare workers are MOST likely to benefit from infection prevention education if the Infection Preventionist (IP)

A. audits practices and identifies deficiencies.
B. plans the educational program well ahead of time.
C. brings in speakers who are recognized experts.
D. involves the staff in determining the content.

Answer: D

Explanation:
The correct answer is D, "involves the staff in determining the content," as this approach is most likely to benefit healthcare workers from infection prevention education. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, effective education programs are tailored to the specific needs and contexts of the learners. Involving staff in determining the content ensures that the educational material addresses their real-world challenges, knowledge gaps, and interests, thereby increasing engagement, relevance, and application of the learned principles (CBIC Practice Analysis, 2022, Domain IV:
Education and Research, Competency 4.1 - Develop and implement educational programs). This participatory approach fosters ownership and accountability among healthcare workers, enhancing the likelihood that they will adopt and sustain infection prevention practices.
Option A (brings in speakers who are recognized experts) can enhance credibility and provide high-quality information, but it does not guarantee that the content will meet the specific needs of the staff unless their input is considered. Option B (plans the educational program well ahead of time) is important for logistical success and preparedness, but without staff involvement, the program may lack relevance or fail to address immediate concerns. Option C (audits practices and identifies deficiencies) is a valuable step in identifying areas for improvement, but it is a diagnostic process rather than a direct educational strategy; education based solely on audits might not engage staff effectively if their input is not sought.
The focus on involving staff aligns with CBIC's emphasis on adult learning principles, which highlight the importance of learner-centered education. By involving staff, the IP adheres to best practices for adult education, ensuring that the program is practical and tailored, ultimately leading to better outcomes in infection prevention (CBIC Practice Analysis, 2022, Domain IV: Education and Research, Competency 4.2 - Evaluate the effectiveness of educational programs). This approach also supports a collaborative culture, which is critical for sustaining infection control efforts in healthcare settings.
References: CBIC Practice Analysis, 2022, Domain IV: Education and Research, Competencies 4.1 - Develop and implement educational programs, 4.2 - Evaluate the effectiveness of educational programs.

NEW QUESTION # 111
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