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CBIC Certified Infection Control Exam Sample Questions (Q142-Q147):

NEW QUESTION # 142
The expectation to call out or speak up when an infection prevention lapse is observed is an example of

A. implementation of human factors.
B. a blaming and shaming safety culture.
C. honest disclosure of a safety event.
D. a safety culture with reciprocal accountability.

Answer: D

Explanation:
A safety culture withreciprocal accountabilityemphasizes mutual responsibility for maintaining safe practices, encouraging staff at all levels to "speak up" or "stop the line" when they observe risky practices.
This concept reflects a learning organization and a just culture that supports open communication and proactive risk mitigation.
* According to theAPIC Text, a strong safety culture is described as one where:
"The leadership can expect staff members to call out or stop the line when they see risk, and staff can expect leadership to listen and act." This dynamic reflects reciprocal accountability.
* Other options are less accurate:
* A. Human factorsrefer to system design, not behavioral accountability.
* B. Honest disclosure of a safety eventis about post-event transparency, not real-time intervention.
* C. A blaming and shaming cultureis antithetical to safety culture principles.
References:
APIC Text, 4th Edition, Chapter 18 - Patient Safety

NEW QUESTION # 143
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?

A. Clinical representatives
B. Manufacturer representatives
C. Environmental Services
D. Infection Preventionist

Answer: B

Explanation:
The correct answer is D, "Manufacturer representatives," as they are responsible for providing information regarding clinical trials when evaluating environmental cleaning and disinfectant products as part of the product evaluation committee. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, manufacturers are the primary source of data on the efficacy, safety, and performance of their products, including clinical trial results that demonstrate the disinfectant's ability to reduce microbial load or prevent healthcare-associated infections (HAIs) (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.4 - Implement environmental cleaning and disinfection protocols).
This information is critical for the committee to assess whether the product meets regulatory standards (e.g., EPA registration) and aligns with infection prevention goals, and it is typically supported by documentation such as peer-reviewed studies or trial data provided by the manufacturer.
Option A (Infection Preventionist) plays a key role in evaluating the product's fit within infection control practices and may contribute expertise or conduct internal assessments, but they are not responsible for providing clinical trial data, which originates from the manufacturer. Option B (Clinical representatives) can offer insights into clinical usage and outcomes but rely on manufacturer data for trial evidence rather than generating it. Option C (Environmental Services) focuses on the practical application and cleaning processes but lacks the authority or resources to conduct or provide clinical trial information.
The reliance on manufacturer representatives aligns with CBIC's emphasis on evidence-based decision- making in product selection, ensuring that the product evaluation committee bases its choices on robust, manufacturer-supplied clinical data (CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competency 2.5 - Use data to guide infection prevention and control strategies).
This approach supports the safe and effective implementation of environmental cleaning products in healthcare settings.
References: CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competency 2.5 - Use data to guide infection prevention and control strategies; Domain III: Infection Prevention and Control, Competency 3.4 - Implement environmental cleaning and disinfection protocols.

NEW QUESTION # 144
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. Perform environmental sampling to detect Acinetobacter on surfaces.
B. Implement universal contact precautions for all ICU patients.
C. Initiate decolonization protocols for all ICU patients.
D. Conduct an epidemiologic investigation to identify potential sources.

Answer: D

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 # 145
Which of the following management activities should be performed FIRST?

A. Plan and organize activities
B. Establish goals
C. Assign responsibility for projects
D. Evaluate project results

Answer: B

Explanation:
To determine which management activity should be performed first, we need to consider the logical sequence of steps in effective project or program management, particularly in the context of infection control as guided by CBIC principles. Management activities typically follow a structured process, and the order of these steps is critical to ensuring successful outcomes.
* A. Evaluate project results: Evaluating project results involves assessing the outcomes and effectiveness of a project after its implementation. This step relies on having completed the project or at least reached a stage where outcomes can be measured. Performing this activity first would be premature, as there would be no results to evaluate without prior planning, goal-setting, and execution. Therefore, this cannot be the first step.
* B. Establish goals: Establishing goals is the foundational step in any management process. Goals provide direction, define the purpose, and set the criteria for success. In the context of infection control, as emphasized by CBIC, setting clear objectives (e.g., reducing healthcare-associated infections by a specific percentage) is essential before any other activities can be planned or executed. This step aligns with the initial phase of strategic planning, making it the logical first activity. Without established goals, subsequent steps lack focus and purpose.
* C. Plan and organize activities: Planning and organizing activities involve developing a roadmap to achieve the goals, including timelines, resources, and tasks. This step depends on having clear goals to guide the planning process. In infection control, this might include designing interventions to meet infection reduction targets. While critical, it cannot be the first step because planning requires a predefined objective to be effective.
* D. Assign responsibility for projects: Assigning responsibility involves delegating tasks and roles to individuals or teams. This step follows the establishment of goals and planning, as responsibilities need to be aligned with the specific objectives and organized activities. In an infection control program, this might mean assigning staff to monitor compliance with hand hygiene protocols. Doing this first would be inefficient without a clear understanding of the goals and plan.
The correct sequence in management, especially in a structured field like infection control, begins with establishing goals to provide a clear target. This is followed by planning and organizing activities, assigning responsibilities, and finally evaluating results. The CBIC framework supports this approach by emphasizing the importance of setting measurable goals as part of the infection prevention and control planning process, which is a prerequisite for all subsequent actions.
References:
* CBIC Infection Prevention and Control (IPC) Core Competency Model (updated 2023), Domain V:
Management and Communication, which highlights the importance of setting goals as the initial step in managing infection control programs.
* CBIC Examination Content Outline, Domain V: Leadership and Program Management, which underscores the need for goal-setting prior to planning and implementation of infection control initiatives.

NEW QUESTION # 146
The degree of infectiousness of a patient with tuberculosis correlates with

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

Answer: B

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 # 147
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