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CBIC Certified Infection Control Exam Sample Questions (Q108-Q113):

NEW QUESTION # 108
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?

A. Respiratory therapy equipment
B. Ultrasound probe
C. Laryngoscope blades
D. Blood pressure cuff

Answer: D

NEW QUESTION # 109
A hospital is experiencing an increase in multidrug-resistant Acinetobacter baumannii infections in the intensive care unit (ICU). The infection preventionist's FIRST action should be to:

A. Initiate decolonization protocols for all ICU patients.
B. Conduct an epidemiologic investigation to identify potential sources.
C. Implement universal contact precautions for all ICU patients.
D. Perform environmental sampling to detect Acinetobacter on surfaces.

Answer: B

Explanation:
Epidemiologic Investigation:
* The first step in an outbreak response is to characterize cases by person, place, and time.
* Identifying common exposures (e.g., ventilators, catheters, or contaminated surfaces) helps determine the source.
* Why Other Options Are Incorrect:
* A. Universal contact precautions: Premature; precautions should be tailored based on transmission patterns.
* C. Environmental sampling: Should be done after identifying epidemiologic links.
* D. Decolonization protocols: Not routinely recommended for Acinetobacter outbreaks.
CBIC Infection Control References:
* CIC Study Guide, "Epidemiologic Investigations in Outbreaks," Chapter 4.

NEW QUESTION # 110
Which of the following processes is essential for endoscope reprocessing?

A. Pre-cleaning, leak testing, and manual cleaning
B. Inspection using a borescope and horizontal storage
C. Intermediate level disinfection and contact time
D. Leak testing, manual cleaning, and low level disinfection

Answer: A

Explanation:
The correct answer is B, "Pre-cleaning, leak testing, and manual cleaning," as these processes are essential for endoscope reprocessing. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, proper reprocessing of endoscopes is critical to prevent healthcare-associated infections (HAIs), given their complex design and susceptibility to microbial contamination. The initial steps of pre-cleaning (removing gross debris at the point of use), leak testing (ensuring the endoscope's integrity to prevent fluid ingress), and manual cleaning (using enzymatic detergents to remove organic material) are foundational to the reprocessing cycle. These steps prepare the endoscope for high-level disinfection or sterilization by reducing bioburden and preventing damage, as outlined in standards such as AAMI ST91 (CBIC Practice Analysis,
2022, Domain III: Infection Prevention and Control, Competency 3.3 - Ensure safe reprocessing of medical equipment). Failure at this stage can compromise subsequent disinfection, making it a non-negotiable component of the process.
Option A (intermediate level disinfection and contact time) is an important step but insufficient alone, as intermediate-level disinfection does not achieve the high-level disinfection required for semi-critical devices like endoscopes, which must eliminate all microorganisms except high levels of bacterial spores. Option C (inspection using a borescope and horizontal storage) includes valuable quality control (inspection) and storage practices, but these occur later in the process and are not essential initial steps; vertical storage is often preferred to prevent damage. Option D (leak testing, manual cleaning, and low level disinfection) includes two essential steps (leak testing and manual cleaning) but is inadequate because low-level disinfection does not meet the standard for endoscopes, which require high-level disinfection or sterilization.
The emphasis on pre-cleaning, leak testing, and manual cleaning aligns with CBIC's focus on adhering to evidence-based reprocessing protocols to ensure patient safety and prevent HAIs (CBIC Practice Analysis,
2022, Domain III: Infection Prevention and Control, Competency 3.4 - Implement environmental cleaning and disinfection protocols). These steps are mandated by guidelines to mitigate risks associated with endoscope use in healthcare settings.
References: CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competencies 3.3 - Ensure safe reprocessing of medical equipment, 3.4 - Implement environmental cleaning and disinfection protocols. AAMI ST91:2015, Flexible and semi-rigid endoscope processing in health care facilities.

NEW QUESTION # 111
A surgeon approaches an infection preventionist (IP) concerned that there are more surgical site infections (SSIs) in hysterectomies performed in the facility's stand-alone surgery center than in those performed in the acute-care operating room. The IP should

A. initiate post-hysterectomy SSI surveillance in hysterectomy patients to verify accuracy of current surveillance methodology
B. initiate prospective surveillance for SSIs in hysterectomies performed at the stand-alone surgery center
C. compare post-hysterectomy SSI rates in cases performed at the acute-care operating room with those performed at the surgery center.
D. compare the most recent post-hysterectomy SSI surveillance data from the surgery center with those of the previous 12 months.

Answer: C

Explanation:
The infection preventionist (IP) should start by comparing SSI rates between the acute-care operating room and the stand-alone surgery center. This direct comparison will help determine if there is a statistically significant difference in infection rates and guide further investigation.
Step-by-Step Justification:
* Identify Trends:
* Compare SSI rates between the two locations over a set period to identify patterns.
* Assess Contributing Factors:
* Look at factors such as patient population, antibiotic prophylaxis, surgical techniques, environmental controls, and adherence to infection prevention protocols.
* Validate Surveillance Data:
* Ensure that consistent SSI surveillance methodologies are used at both locations to avoid discrepancies.
Why Other Options Are Incorrect:
* A. Initiate prospective surveillance for SSIs in hysterectomies performed at the stand-alone surgery center:
* Prospective surveillance is beneficial but does not immediately answer the surgeon's concern about existing infections.
* B. Compare the most recent post-hysterectomy SSI surveillance data from the surgery center with those of the previous 12 months:
* This approach only looks at trends at the surgery center without comparing it to the acute-care setting.
* C. Initiate post-hysterectomy SSI surveillance in hysterectomy patients to verify accuracy of current surveillance methodology:
* This step is secondary. Before initiating new surveillance, a direct comparison should be made using existing data.
CBIC Infection Control References:
* APIC Text, "Surgical Site Infection Surveillance and Prevention Measures".

NEW QUESTION # 112
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?

A. Set up a mandatory vaccination clinic in collaboration with Occupational Health and local public health partners.
B. Verify that employees in high-risk exposure areas of the facility have adequate immunity to measles.
C. Isolate employees who have recently traveled to areas with measles outbreaks.
D. Reassign employees who are pregnant from caring for patients with suspected measles.

Answer: B

Explanation:
When an infection preventionist (IP) is informed of a measles outbreak in a nearby community, the immediate priority is to protect healthcare workers and patients from potential exposure, particularly in a healthcare setting where vulnerable populations are present. Working with Occupational Health, the IP must follow a structured approach to mitigate the risk of transmission, guided by principles from the Certification Board of Infection Control and Epidemiology (CBIC) and public health guidelines. Let's evaluate each option to determine the first priority:
* A. Isolate employees who have recently traveled to areas with measles outbreaks: Isolating employees who may have been exposed to measles during travel is an important infection control measure to prevent transmission within the facility. However, this action assumes that exposure has already occurred and requires identification of affected employees first. Without knowing the immunity status of the workforce, this step is reactive rather than preventive and cannot be the first priority.
* B. Reassign employees who are pregnant from caring for patients with suspected measles: Reassigning pregnant employees is a protective measure due to the severe risks measles poses to fetuses (e.g., congenital rubella syndrome risks, though measles itself is more about maternal complications). This action is specific to a subset of employees and depends on identifying patients with suspected measles, which may not yet be confirmed. It is a secondary step that follows assessing overall immunity and exposure risks, making it inappropriate as the first priority.
* C. Verify that employees in high-risk exposure areas of the facility have adequate immunity to measles:
Verifying immunity is the foundational step in preventing measles transmission in a healthcare setting.
Measles is highly contagious, and healthcare workers in high-risk areas (e.g., emergency departments, pediatric wards) are at increased risk of exposure. The CBIC and CDC recommend ensuring that all healthcare personnel have documented evidence of measles immunity (e.g., two doses of MMR vaccine, laboratory evidence of immunity, or prior infection) as a primary infection control strategy during outbreaks. This step allows the IP to identify vulnerable employees, implement targeted interventions, and comply with occupational health regulations. It is the most proactive and immediate priority when an outbreak is reported in the community.
* D. Set up a mandatory vaccination clinic in collaboration with Occupational Health and local public health partners: Establishing a vaccination clinic is a critical long-term strategy to increase immunity and control the outbreak. However, this requires planning, resource allocation, and coordination, which take time. It is a subsequent step that follows verifying immunity status to identify those who need vaccination. While important, it cannot be the first priority due to its logistical demands.
The first priority is C, as verifying immunity among employees in high-risk areas establishes a baseline to prevent transmission before reactive measures (e.g., isolation, reassignment) or broader interventions (e.g., vaccination clinics) are implemented. This aligns with CBIC's focus on proactive risk assessment and occupational health safety during infectious disease outbreaks, ensuring a rapid response to protect the healthcare workforce and patients.
:
CBIC Infection Prevention and Control (IPC) Core Competency Model (updated 2023), Domain III:
Prevention and Control of Infectious Diseases, which prioritizes immunity verification during outbreaks.
CBIC Examination Content Outline, Domain IV: Environment of Care, which includes ensuring employee immunity as part of outbreak preparedness.
CDC Guidelines for Measles Prevention (2023), which recommend verifying healthcare worker immunity as the initial step during a measles outbreak.

NEW QUESTION # 113
......

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