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CBIC Exam 1 2025 GRADED A+ (QUESTION
AND ANSWER)
which of the following is an example of the criterion of strength of the association from hills criteria for causation? a. in the study of the association between antibiotic exposure and development of c difficile infection the odds ratio was 2: b. in the study of the association between antibiotic exposure and development of c difficile infection the authors conclusions are consistent with those of three other studies c. in a study of the association between antibiotic exposure and development of c difficile infection antibiotic therapy began an average of 3 weeks before c difficile infection developed d. in a study of the association between antibiotic exposure and development of c difficile infection prolonged antibiotic therapy was a greater risk for c difficile infection than short-term antibiotic therapy. a which of the following organisms have been associated with the transmission of infections after body piercing?
- atypical mycobacterium species
- staphylococcus species
- pseudomonas species
- haemophilus species a. 1,2, b. 2,3,
c. 1,3, d. 1,2, a Brainpower Read More all of the following may be indications of a HVAC malfunction except a an increase in the post-operative surgical site infection b. a single case of aspergillosis in a severely immunocompromised patient c. healthcare associated varicella infections d. An outbreak of ventilator associated acinetobacter infections in the ICU d a patient is suspected of having pertussis a nasal pharyngeal aspirate is collected for direct fluorescent antibody testing and for culture 8 hours after antimicrobial therapy is started The DFA test is negative but the culture test is positive does this patient have pertussis? a. no because the DFA test is highly specific and it was negative b. no because culture of bordetella pertussis has very low sensitivity c. no because I'll testing is unreliable if antimicrobial therapy has been initiated prior to specimen collection d.Yes because the culture test is 100% specific for identification of bordetella pertussis d
d. cross-sectional study c important considerations regarding blood culture specimens include
- collect prior to the initiation of antimicrobial therapy
- collect from a central venous catheter whenever possible
- ensure that the volume of the specimen collected is sufficient
- culture of specific sites is not recommended for surveillance a. 1, b. 2, c. 1, d. 3, a which of the following is not an infection prevention objective of an occupational health program a. contain caused by preventing infectious diseases that result in absenteeism and disability b. provide care to personnel for work-related illnesses or exposure c. educate patients about the principles of infection prevention d. collaborate with the infection prevention department and monitoring and investigating potentially harmful infectious exposures and outbreaks c
The biological indicator that was included in a steam sterilization load of non-implantable instruments has shown a positive result as have biological indicators used in two additional follow-up tests of the sterilizer the chemical indicator in the original load was reactive as were the chemical indicators used in the follow-up tests The log of all the runs indicates that the run conditions (temperature and time)were appropriate for the instrument load and there would no abnormalities and steam supply or electrical supply which of the following should be done next a. The load should be released for use in the facility b. The sterilizer should be tested again with paired biological indicators from two different manufacturers c. The items from the load should be immediately recalled and reprocessed d. all items that were processed in that sterilizer since the time of the last negative biological indicator should be re b what action is indicated when the IP is asked to help determine if a worker has experienced occupational acquisition of infectious agents or disease in order to receive workers' compensation benefit a. provide enough information to prove or disprove the employees claim b. notify the facilities attorney immediately c. review the workers' compensation system in place d. perform a root cause analysis to investigate c
an employee has experienced an accidental needle stick injury while providing care to a patient all of the following lab tests would be appropriate for the source patient except a. HIV b. hepatitis b antibody c. hepatitis b surface antigen d. hepatitis c surface antigen b And IP has been asked to evaluate a new antimicrobial impregnated dressing in order to reduce devices associated infections The initial step in the product evaluation process is to establish whether a. The new product is cost effective b. The product is safe c. there's a need for the new product d. The impact on clinical outcomes is positive c an IP is presenting data on the rate of central line associated bloodstream infections in the ICU for the last month which graphic displays the most appropriate choice for this data a. a bar chart b. an ogive
c. a frequency polygon d. a frequency histogram a on September 1st there were 30 surgical patients in the hospital two of these were post-op patients with SSIs a total of 75 surgeries were performed in September 6th additional SSIs occurred in patients who had surgery in September what was the numerator for an incidence rate in September a. 30 b. six c. eight d. 75 b which is an example of actions taken during the study phase of the plan to study act performance improvement model a. identifying goals for the project b. performing staff education sessions c. trending and benchmarking of data collected d. tweaking the program based on results c program evaluation is necessary to measure change in growth in the learner the following program elements should be evaluated in order to demonstrate efficacy and impact
b. cohort the resident colonized with VRE with a roommate who has an indwelling urinary catheter because use of the shared bathroom will be limited c. Presidents colonized with the VRE and long-term care facilities do not require special placement considerations d. cohort the resident colonized with VRE with the roommate who was healthy and at low risk for developing an infection and use contact precautions d when providing educational activities for the adult learner what type of feedback will facilitate translation of new skills or knowledge to the work setting a. knowledgeable critiques to ensure proficiency b. coaching to ensure confidence of knowledge and skills learned c. confidential review of test results to ensure mastery of content d. documentation of completion of mandatory requirements b all of the 72 patients in a chronic chemo dialysis center were tested for hepatitis c virus eight of the patients were identified as HCV positive during the following year two of the dialysis centers patients who previously tested negative for HCV converted to HCV positive what was the incidence for that year a. 2.8% b. 3.1% c. 13.8% d. 7.2%
an IP is asked to participate in the selection of a company to reprocess single-use devices before decision is made on which reprocessing company will be used the IP reviews available information from a variety of resources to assist with the decision making which of the following activities should the IP recommend the hospital undertake a. talk to other infection preventionists about which sterilizing methods to use on the single-use devices b. visit reprocessing companies under consideration c. create quality control records for the single use devices d. identifying the patients on which the reprocess single use device as opposed to new devices will be used b The CDC has categorized bioterrorism agents according to priority a disease that meets the criteria listed under category b is a. anthrax b. typhus c. hantavirus d. measles b which method of face to face instruction is useful option when large numbers of staff must be educated over a relatively short span of time a. role play
d a blood spill contaminated pneumatic tube system and its contents. The leak was not identified for a period of time after remediation of the contamination the IP recommended the following to prevent a future incident a. establish a method to recognize bills or leaks b. perform a hazard vulnerability analysis c. contract with an outside vendor to clean and maintain system d.restrict the use of pneumatic tube to non-hazardous material a The incubation period for meningococcal meningitis is a. 10 to 14 days b. 7 to 21 days c. 2 to 10 days d. one to two days c what key strategy should the IP use to meet the administrative challenges of outpatient settings that are geographically dispersed a. standardized measures and definitions for HAI is consistent with those used for inpatient settings
b. HAI comparison with external benchmarks for all sites c. development of communication networks between sites hospitals and health departments d. standardized infection prevention policies and procedures c a hospital administrator has proposed that single use angiography catheters be reprocessed and reused to cut costs what is the best response to this request a. single use items are not allowed to be reprocessed b. a cost benefit analysis should be done before decision is made c. single use items can be reprocessed in a facility as long as administration risk management legal counsel supply chain administratorand infection control representatives say it's allowable d. single use items can be reprocessed in a third-party facility if FDA guidelines are followed d in 2013 $565 persons died from influenza related illness in a large metropolitan area with a population of 1.8 million what was the cause specific mortality rate a. 31 per 100, b. 53 per 100, c. 31% d. 0.03% a which of the following would be considered biomedical waste
d. mutational CJD b IP's in an ambulatory care setting should base their specific infection prevention strategies and which of the following a. time and duration of surgery b. practice ( procedures) performed in types of patients c. American society of anesthesiologists classification of physical status scored the patients d. classification of the procedures b which of the following could be a result of a descriptive study on c diff in the healthcare setting a. The average age of a patient with c difficile b. The association between proton pump inhibitors and c difficile c. The likelihood of having c difficile and being placed on a specific unit d. The lack of hand hygiene by staff resulting in c.difficile acquisition a improved hydrogen peroxide contains a. an ionic and/or non-ionic surfactants b. glutaraldehyde c. peracetic acid
d. chlorine a I made your hurricane is forecast for your area and you need to plan for the possible contamination of potable water that is supply to your facility which of the following should be included in your planning a. You should have at least one day's worth of backup water supplies available b. You will need 1 l per day of drinking water for all patients in healthcare workers c. all backup water must be stored on site for easy access d.You will need at least 25 gallons of water per patient per day to maintain care d a case of healthcare associated mycobacterium chelone respiratory infection has been identified in a patient of the following exposures that the patient had in the facility which should be investigated as a potential source of the infection
- bronchoscopes
- dialysis
- hydrotherapy pool
- ice from tap water used during surgery a. b. 1, c. 1,3, d. 1,2,3,
there was contamination of a healthcare facilities potable water system with sewer water and there is high concern for the presence of cryptosporidium which of the following should You recommend for corrective decontamination of the system a. use chlorination to disinfect the system b.use high temperature flushing to disinfect the system c. use fluoridation to flush the system d use ultraviolet light to flush the system b which agency or agencies has regulatory authority over some aspects of healthcare facility design construction and renovation related to infection prevention and control
- osha
- national institute for occupational safety and Health
- national institutes of Health
- cdc a. 1 b 1, 2 c. two, three, four d. one, two, three, four a You're presenting an in-service to the EVS group in your facility which of the following recommendations should you make related to mopping of patients rooms
- standard moped should be disinfected with a disinfectant weekly
- floor should be mop using the S stroke
- my water should be changed after 2 hours of use
- Mom should never be re-dipped into a mopping solution a. 1, b. 2, c. 3, d. 2, d which of the following is an example of surveillance on a process indicator a. The incidence rate of c difficile in the bone marrow transplant unit b. The rate of hand hygiene compliance in the bone marrow transplant unit c. The number of sharp objectinjuries in a month of May and the bone marrow transplant unit d. The prevalence of v r e and the bone marrow transplant unit b. The rate of hand hygiene compliance in the bone marrow transplant unit is a process measure because it is measuring whether an action has taken place but not whether there is an effect of this action on outcomes inadequate refrigeration of food may permit the growth of potentially harmful microbes intervention to prevent the growth of pathogens due to inadequate refrigeration include
- train personnel to recognize and implement safe maintenance of refrigerators
