HOT EXAM CIC TOPIC 100% PASS | HIGH PASS-RATE CIC TEST SIMULATOR: CBIC CERTIFIED INFECTION CONTROL EXAM

Hot Exam CIC Topic 100% Pass | High Pass-Rate CIC Test Simulator: CBIC Certified Infection Control Exam

Hot Exam CIC Topic 100% Pass | High Pass-Rate CIC Test Simulator: CBIC Certified Infection Control Exam

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CBIC Certified Infection Control Exam Sample Questions (Q94-Q99):

NEW QUESTION # 94
The degree of infectiousness of a patient with tuberculosis correlates with

  • A. a tuberculin skin test result that is greater than 20 mm
  • B. a presence of acid-fast bacilli in the blood.
  • C. the number of organisms expelled into the air
  • D. the hand-hygiene habits of the patient.

Answer: C

Explanation:
The infectiousness of tuberculosis (TB) is directly related to the number of Mycobacterium tuberculosis organisms expelled into the air by an infected patient.
Step-by-Step Justification:
* TB Transmission Mechanism:
* TB spreads through airborne droplet nuclei, which remain suspended for long periods.
* Factors Affecting Infectiousness:
* High bacterial load in sputum: Smear-positive patients are much more infectious.
* Coughing and sneezing frequency: More expelled droplets increase exposure risk.
* Environmental factors: Poor ventilation increases transmission.
Why Other Options Are Incorrect:
* A. Hand hygiene habits: TB is airborne, not transmitted via hands.
* B. Presence of acid-fast bacilli (AFB) in blood: TB is not typically hematogenous, and blood AFB does not correlate with infectiousness.
* C. Tuberculin skin test (TST) >20 mm: TST indicates prior exposure, not infectiousness.
CBIC Infection Control References:
* APIC Text, "Tuberculosis Transmission and Control Measures".


NEW QUESTION # 95
What should an infection preventionist prioritize when designing education programs?

  • A. Learning and behavioral science theories
  • B. Departmental budgets
  • C. Marketing research
  • D. Prior healthcare experiences

Answer: A

Explanation:
The correct answer is D, "Learning and behavioral science theories," as this is what an infection preventionist (IP) should prioritize when designing education programs. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, effective education programs in infection prevention and control are grounded in evidence-based learning theories and behavioral science principles. These theories, such as adult learning theory (andragogy), social learning theory, and the health belief model, provide a framework for understanding how individuals acquire knowledge, develop skills, and adopt behaviors (CBIC Practice Analysis, 2022, Domain IV: Education and Research, Competency 4.1 - Develop and implement educational programs). Prioritizing these theories ensures that educational content is tailored to the learners' needs, enhances engagement, and promotes sustained behavior change-such as adherence to hand hygiene or proper use of personal protective equipment (PPE)-which are critical for reducing healthcare-associated infections (HAIs).
Option A (marketing research) is more relevant to commercial strategies and audience targeting outside the healthcare education context, making it less applicable to the IP's role in designing clinical education programs. Option B (departmental budgets) is an important logistical consideration for resource allocation, but it is secondary to the design process; financial constraints should influence implementation rather than the foundational design based on learning principles. Option C (prior healthcare experiences) can inform the customization of content by identifying learners' backgrounds, but it is not the primary priority; it should be assessed within the context of applying learning and behavioral theories to address those experiences effectively.
The focus on learning and behavioral science theories aligns with CBIC's emphasis on developing and evaluating educational programs that drive measurable improvements in infection control practices (CBIC Practice Analysis, 2022, Domain IV: Education and Research, Competency 4.2 - Evaluate the effectiveness of educational programs). By prioritizing these theories, the IP can create programs that are scientifically sound, learner-centered, and impactful, ultimately enhancing patient and staff safety.
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 # 96
An infection preventionist has been informed that a patient admitted 2 days ago has been diagnosed with chickenpox. Ten employees have had contact with this patient. Those employees with significant exposure may be furloughed after exposure. "Significant exposure" is considered

  • A. sharing the same air space for any duration of time after the patient has developed skin lesions.
  • B. greater than one hour of direct patient contact occurring within 24 hours prior to the appearance of lesions.
  • C. irrelevant unless the employee has a negative varicella antibody titer.
  • D. unprotected contact with respiratory secretions or skin lesions occurring after 12 hours of the appearance of lesions.

Answer: A

Explanation:
Chickenpox (varicella) is primarily spread throughairborne transmission, and exposure is defined bybeing in the same airspacewith a contagious person (from 1-2 days before rash onset until lesions are crusted), even if briefly.
* TheAPIC Textstates:
"Significant exposure is defined as being in the same room or airspace during the period of infectivity, regardless of duration".
* This reflects airborne precaution definitions and CDC exposure management guidelines for varicella.
References:
APIC Text, 4th Edition, Chapter 105 - Immunization of Healthcare Personnel


NEW QUESTION # 97
The infection preventionist and Occupational Health discuss the 65% influenza vaccination rate for healthcare personnel. Which is MOST effective method to increase compliance?

  • A. Educate staff about risks of not receiving vaccine
  • B. Offer the vaccine year round to increase compliance
  • C. Pre-schedule healthcare personnel for vaccine administration
  • D. Require annual vaccine as a condition of employment

Answer: D

Explanation:
Requiring influenza vaccination as acondition of employmenthas consistently been shown to be the most effective method to increase compliance among healthcare personnel.
* TheAPIC/JCR Workbookrecommends this as a gold standard:
"Some organizations have adopted policies requiring annual vaccination as a condition of employment unless medically contraindicated".
* CDC and APIC also support this method for maximizing coverage and protecting vulnerable populations.
References:
APIC/JCR Workbook, 4th Edition, Chapter 10 - Occupational Health Issues APIC Position Paper: Influenza Vaccination Should Be a Condition of Employment for Healthcare Personnel


NEW QUESTION # 98
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:

  • A. A tuberculin skin test now and in ten weeks.
  • B. Work furlough from day ten to day 21 after exposure.
  • C. A review of the phlebotomist's hepatitis B vaccine status.
  • D. Prophylactic rifampin plus isoniazid.

Answer: B

Explanation:
The scenario involves a needlestick injury sustained by a phlebotomist during the resuscitation of a patient diagnosed with Neisseria meningitidis infection, characterized by a petechial rash, meningitis, and cardiac arrest. Neisseria meningitidis is a gram-negative diplococcus that can cause meningococcal disease, including meningitis and septicemia, and is transmitted through direct contact with respiratory secretions or, in rare cases, blood exposure. The exposure management for the phlebotomist must align with infection control guidelines, such as those from the Certification Board of Infection Control and Epidemiology (CBIC) and the CDC, to prevent potential infection. Let's evaluate each option:
* A. Prophylactic rifampin plus isoniazid: Prophylactic antibiotics are recommended for close contacts of individuals with meningococcal disease to prevent secondary cases. Rifampin is a standard prophylactic agent for Neisseria meningitidis exposure, typically administered as a 2-day course (e.g., 600 mg every
12 hours for adults). Isoniazid, however, is used for tuberculosis (TB) prophylaxis and is not indicated for meningococcal disease. Combining rifampin with isoniazid is incorrect, as it reflects a confusion with TB management rather than meningococcal exposure. This option is not appropriate.
* B. A tuberculin skin test now and in ten weeks: A tuberculin skin test (TST) or interferon-gamma release assay (IGRA) is used to screen for latent tuberculosis infection, with a follow-up test at 8-10 weeks to detect conversion after potential TB exposure. Neisseria meningitidis is not related to TB, and a needlestick injury from a meningococcal patient does not warrant TB testing. This option is irrelevant to the scenario and not the correct exposure management.
* C. Work furlough from day ten to day 21 after exposure: Neisseria meningitidis has an incubation period of 2-10 days, with a maximum of about 14 days in rare cases. The CDC and WHO recommend that healthcare workers exposed to meningococcal disease via needlestick or mucosal exposure be monitored for signs of infection (e.g., fever, rash) and, if symptomatic, isolated and treated.
Additionally, a work restriction or furlough from day 10 to day 21 after exposure is advised to cover the potential incubation period, especially if prophylaxis is declined or contraindicated. This allows time to observe for symptoms and prevents transmission to vulnerable patients. This is a standard infection control measure and the most appropriate initial management step pending prophylaxis decision.
* D. A review of the phlebotomist's hepatitis B vaccine status: Reviewing hepatitis B vaccine status is a critical step following a needlestick injury, as hepatitis B can be transmitted through blood exposure.
However, this applies to bloodborne pathogens (e.g., HBV, HCV, HIV) and is not specific to Neisseria meningitidis, which is primarily a respiratory or mucosal pathogen. While hepatitis B management (e.
g., post-exposure prophylaxis with hepatitis B immunoglobulin or vaccine booster) should be addressed as part of a comprehensive needlestick protocol, it is not the first or most relevant priority for meningococcal exposure.
The best answer is C, as the work furlough from day 10 to day 21 after exposure addresses the specific risk of meningococcal disease following a needlestick injury. This aligns with CBIC's focus on timely intervention and work restriction to prevent transmission in healthcare settings. Prophylactic antibiotics (e.g., rifampin) should also be considered, but the question asks for the exposure management, and furlough is a primary control measure. Hepatitis B and TB considerations are secondary and managed separately.
References:
* CBIC Infection Prevention and Control (IPC) Core Competency Model (updated 2023), Domain III:
Prevention and Control of Infectious Diseases, which includes protocols for managing exposure to communicable diseases like meningococcal infection.
* CBIC Examination Content Outline, Domain IV: Environment of Care, which addresses work restrictions and exposure management.
* CDC Guidelines for Meningococcal Disease Prevention and Control (2023), which recommend work furlough and monitoring for exposed healthcare workers.


NEW QUESTION # 99
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