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CIC CBIC Certified Infection Control Exam Questions and Answers

Questions 4

What inflammatory reaction may occur in the eye after cataract surgery due to a breach in disinfection and sterilization of intraocular surgical instruments?

Options:

A.

Endophthalmitis

B.

Bacterial conjunctivitis

C.

Toxic Anterior Segment Syndrome

D.

Toxic Posterior Segment Syndrome

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Questions 5

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

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Questions 6

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

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Questions 7

A nurse exposed to pertussis develops a mild cough 14 days later. What is the recommended action?

Options:

A.

Continue working with a surgical mask.

B.

Exclude from patient care until five days after starting antibiotics.

C.

Initiate post-exposure prophylaxis only if symptoms worsen.

D.

Conduct serologic testing before deciding on work restrictions.

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Questions 8

The Infection Prevention and Control Committee is concerned about an outbreak of Serratia marcescens in the intensive care unit. If an environmental source is suspected, the BEST method to validate this suspicion is to

Options:

A.

apply fluorescent gel.

B.

use ATP system.

C.

obtain surface cultures.

D.

perform direct practice observation.

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Questions 9

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

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Questions 10

Following an outbreak of Hepatitis A, the water supply is sampled. A high count of which of the following isolates would indicate that the water was a potential source?

Options:

A.

Coliforms

B.

Pseudomonads

C.

Legionella

D.

Acinetobacter

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Questions 11

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

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Questions 12

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.

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Questions 13

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

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Questions 14

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

Options:

A.

initiate prospective surveillance for SSIs in hysterectomies performed at the stand-alone surgery center

B.

compare the most recent post-hysterectomy SSI surveillance data from the surgery center with those of the previous 12 months.

C.

initiate post-hysterectomy SSI surveillance in hysterectomy patients to verify accuracy of current surveillance methodology

D.

compare post-hysterectomy SSI rates in cases performed at the acute-care operating room with those performed at the surgery center.

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Questions 15

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.

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Questions 16

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

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Questions 17

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.

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Questions 18

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.

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Questions 19

An infection preventionist in the role of educator is teaching risk reduction activities to patients and families. For which of the following groups is the pneumococcal vaccine MOST appropriate?

Options:

A.

Asplenic patients

B.

International travelers

C.

Immunocompromised newborns

D.

Patients in behavioral health settings

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Questions 20

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.

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Questions 21

A healthcare personnel has an acute group A streptococcal throat infection. What is the earliest recommended time that this person may return to work after receiving appropriate antibiotic therapy?

Options:

A.

8 hours

B.

24 hours

C.

48 hours

D.

72 hours

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Questions 22

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?

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Questions 23

An infection preventionist (IP) encounters a surgeon at the nurse’s station who loudly disagrees with the IP’s surgical site infection findings. The IP’s BEST response is to:

Options:

A.

Report the surgeon to the chief of staff.

B.

Calmly explain that the findings are credible.

C.

Ask the surgeon to speak in a more private setting to review their concerns.

D.

Ask the surgeon to change their tone and leave the nurses’ station if they refuse.

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Questions 24

Which of the following represents the most effective strategy for preventing Clostridioides difficile transmission in a healthcare facility?

Options:

A.

Daily environmental cleaning with quaternary ammonium compounds.

B.

Strict antimicrobial stewardship to limit unnecessary antibiotic use.

C.

Universal C. difficile screening on admission for high-risk patients.

D.

Routine use of alcohol-based hand rub for hand hygiene after patient contact.

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Questions 25

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

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Questions 26

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

Options:

A.

signage for hand hygiene reminders.

B.

cost effectiveness of hand hygiene products.

C.

availability of gloves in the patient care area

D.

institutional assessment of significant barriers.

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Questions 27

A surgeon is beginning a new procedure in the facility within the next two weeks and requires loaner instruments. Infection prevention processes should ensure that

Options:

A.

items arrive in time for immediate use steam sterilization.

B.

instruments are able to be used prior to the biological indicator results.

C.

the planning process takes place after the instruments have arrived.

D.

staff education related to loaner instrument reprocessing has occurred.

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Questions 28

A patient with shortness of breath and a history of a tuberculin skin test (TST) of 15 mm induration was admitted to a semi-private room. The infection preventionist's FIRST action should be to

Options:

A.

contact the roommate's physician to initiate TST.

B.

review the patient's medical record to determine the likelihood of pulmonary tuberculosis (TB).

C.

report the findings to the Employee Health Department to initiate exposure follow-up of hospital staff.

D.

transfer the patient to an airborne infection isolation room and initiate appropriate isolation for tuberculosis (TB).

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Questions 29

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:

Options:

A.

Implement universal contact precautions for all ICU patients.

B.

Conduct an epidemiologic investigation to identify potential sources.

C.

Perform environmental sampling to detect Acinetobacter on surfaces.

D.

Initiate decolonization protocols for all ICU patients.

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Questions 30

To understand how their hospital-acquired infection rates compare to other health care settings, an infection preventionist (IP) plans to use benchmarking.

Which of the following criteria is important to ensure accurate benchmarking of surveillance data?

Options:

A.

Data collectors are trained on how to collect data

B.

Collecting data on a small population lo ensure accuracy of data collection

C.

Denominator rates are selected based on an organizational risk assessment

D.

Using case definitions that are adjusted for the patient population being studied

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Questions 31

An immunocompetent patient is diagnosed with active tuberculosis (TB). Which of the following sites of the disease is MOST likely to result in transmission to healthcare personnel?

Options:

A.

Renal TB

B.

Miliary TB

C.

Laryngeal TB

D.

Tuberculous meningitis

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Questions 32

An infection preventionist (IP) observes an increase in primary bloodstream infections in patients admitted through the Emergency Department. Poor technique is suspected when peripheral intravenous (IV) catheters are inserted. The IP should FIRST stratify infections by:

Options:

A.

Location of IV insertion: pre-hospital, Emergency Department, or in-patient unit.

B.

Type of dressing used: gauze, CHG impregnated sponge, or transparent.

C.

Site of insertion: hand, forearm, or antecubital fossa.

D.

Type of skin preparation used for the IV site: alcohol, CHG/alcohol, or iodophor.

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Questions 33

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

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Questions 34

In the current year, cases of tuberculosis (TB) among foreign-born persons accounted for the majority of new TB cases in the United States. The number of states with greater than 50% of cases among foreign-born persons increased from four cases ten years ago to 22 cases in the current year. This information can BEST be used to

    heighten awareness among Emergency Department staff.

    inform staff who are foreign-born.

    educate patients and visitors.

    review the TB exposure control plan.

Options:

A.

1 and 2 only.

B.

1 and 4 only.

C.

2 and 3 only.

D.

3 and 4 only.

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Questions 35

Which of the following is an example of an outcome measure?

Options:

A.

Hand hygiene compliance rate

B.

Adherence to Environmental Cleaning

C.

Rate of multi-drug resistant organisms acquisition

D.

Timing of preoperative antibiotic administration

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Questions 36

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.

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Questions 37

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

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Questions 38

Based on the compiled results of learner needs assessments, the staff has an interest in hepatitis B, wound care, and continuing education credits. What should be the infection preventionist’s next step?

Options:

A.

Conduct personal interviews with the staff

B.

Offer a lecture on hepatitis B and wound care

C.

Write program goals and objectives

D.

Directly observe behavioral changes

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Questions 39

A 36-year-old female presents to the Emergency Department with a petechial rash, meningitis, and cardiac arrest. During the resuscitation, a phlebotomist sustained a needlestick injury. The next day, blood cultures reveal Neisseria meningitidis. The exposure management for the phlebotomist is:

Options:

A.

Prophylactic rifampin plus isoniazid.

B.

A tuberculin skin test now and in ten weeks.

C.

Work furlough from day ten to day 21 after exposure.

D.

A review of the phlebotomist’s hepatitis B vaccine status.

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Questions 40

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.

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Questions 41

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.

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Questions 42

A suspected measles case has been identified in an outpatient clinic without an airborne infection isolation room (AIIR). Which of the following is the BEST course of action?

Options:

A.

Patient should be sent home

B.

Staff should don a respirator, gown, and face shield.

C.

Patient should be offered the Measles. Mumps, Rubella (MMR) vaccine

D.

Patient should be masked and placed in a private room with door closed.

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Questions 43

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.

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Questions 44

Which of the following factors should be considered when evaluating countertop surface materials?

Options:

A.

Durability

B.

Sink design

C.

Accessibility

D.

Faucet placement

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Questions 45

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.

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Exam Code: CIC
Exam Name: CBIC Certified Infection Control Exam
Last Update: Apr 2, 2025
Questions: 150

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