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The top personal and professional CBIC CIC certification exam benefits are recognition of skills, updated knowledge, more career opportunities, instant promotion, and increase in salary, etc. If your answer is yes first of all you have to enroll in the CBIC Certified Infection Control Exam (CIC) certification exam and put all your efforts to pass this career advancement certification exam. Are you looking for the right and recommended way to pass the CBIC CIC exam?
CBIC Certified Infection Control Exam Sample Questions (Q47-Q52):
NEW QUESTION # 47
Operating room records indicate that 130 joint replacements have been performed. These include 70 total hip replacements, 55 total knee replacements, and 5 shoulder replacements. Two postoperative surgical site infections (SSIs) were identified in total hip replacements. What is the infection rate/100 procedures for total hip replacements?
- A. 2.9
- B. 3.3
- C. 3.6
- D. 1.5
Answer: A
Explanation:
To determine the infection rate per 100 procedures for total hip replacements, use the following formula:
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Thus, the correct answer is B. 2.9 per 100 procedures.
CBIC Infection Control Reference
The methodology of calculating SSI rates aligns with guidelines from the National Healthcare Safety Network (NHSN) and standardized infection ratio (SIR) models used for hospital-specific SSI rates.
NEW QUESTION # 48
Peripherally inserted central catheter (PICC)-associated bloodstream infections (BSIs) have been increasing over the past four months. Which of the following interventions is MOST likely to have contributed to the increase?
- A. Use of a positive pressure device on the PICC
- B. Daily bathing adult intensive care unit patients with chlorhexidine
- C. Use of chlorhexidine skin antisepsis during insertion of the PICC
- D. Replacement of the intravenous administration sets every 72 hours
Answer: D
Explanation:
Peripherally inserted central catheter (PICC)-associated bloodstream infections (BSIs) are a significant concern in healthcare settings, and identifying factors contributing to their increase is critical for infection prevention. The Certification Board of Infection Control and Epidemiology (CBIC) emphasizes the
"Surveillance and Epidemiologic Investigation" and "Prevention and Control of Infectious Diseases" domains, which align with the Centers for Disease Control and Prevention (CDC) guidelines for preventing intravascular catheter-related infections. The question asks for the intervention most likely to have contributed to the rise in PICC-associated BSIs over four months, requiring an evaluation of each option based on evidence-based practices.
Option C, "Replacement of the intravenous administration sets every 72 hours," is the most likely contributor to the increase. The CDC's "Guidelines for the Prevention of Intravascular Catheter-Related Infections" (2017) recommend that intravenous administration sets (e.g., tubing for fluids or medications) be replaced no more frequently than every 72-96 hours unless clinically indicated (e.g., contamination or specific therapy requirements). Frequent replacement, such as every 72 hours as a routine practice, can introduce opportunities for contamination during the change process, especially if aseptic technique is not strictly followed. Studies cited in the CDC guidelines, including those by O'Grady et al. (2011), indicate that unnecessary manipulation of catheter systems increases the risk of introducing pathogens, potentially leading to BSIs. A change to a 72- hour replacement schedule, if not previously standard, could explain the observed increase over the past four months.
Option A, "Use of chlorhexidine skin antisepsis during insertion of the PICC," is a recommended practice to reduce BSIs. Chlorhexidine, particularly in a 2% chlorhexidine gluconate with 70% alcohol solution, is the preferred skin antiseptic for catheter insertion due to its broad-spectrum activity and residual effect, as supported by the CDC (2017). This intervention should decrease, not increase, infection rates, making it an unlikely contributor. Option B, "Daily bathing adult intensive care unit patients with chlorhexidine," is another evidence-based strategy to reduce healthcare-associated infections, including BSIs, by decolonizing the skin of pathogens like Staphylococcus aureus. The CDC and SHEA (Society for Healthcare Epidemiology of America) guidelines (2014) endorse chlorhexidine bathing in intensive care units, suggesting it should lower, not raise, BSI rates. Option D, "Use of a positive pressure device on the PICC," aims to prevent catheter occlusion and reduce the need for frequent flushing, which could theoretically decrease infection risk by minimizing manipulation. However, there is no strong evidence linking positive pressure devices to increased BSIs; if improperly used or maintained, they might contribute marginally, but this is less likely than the impact of frequent tubing changes.
The CBIC Practice Analysis (2022) and CDC guidelines highlight that deviations from optimal catheter maintenance practices, such as overly frequent administration set replacements, can increase infection risk.
Given the four-month timeframe and the focus on an intervention's potential negative impact, Option C stands out as the most plausible contributor due to the increased manipulation and contamination risk associated with routine 72-hour replacements.
References:
* CBIC Practice Analysis, 2022.
* CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2017.
* O'Grady, N. P., et al. (2011). Guidelines for the Prevention of Intravascular Catheter-Related Infections. Clinical Infectious Diseases.
* SHEA Compendium, Strategies to Prevent Central Line-Associated Bloodstream Infections, 2014.
NEW QUESTION # 49
Healthcare workers are MOST likely to benefit from infection prevention education if the Infection Preventionist (IP)
- A. audits practices and identifies deficiencies.
- B. plans the educational program well ahead of time.
- C. brings in speakers who are recognized experts.
- D. involves the staff in determining the content.
Answer: D
Explanation:
The correct answer is D, "involves the staff in determining the content," as this approach is most likely to benefit healthcare workers from infection prevention education. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, effective education programs are tailored to the specific needs and contexts of the learners. Involving staff in determining the content ensures that the educational material addresses their real-world challenges, knowledge gaps, and interests, thereby increasing engagement, relevance, and application of the learned principles (CBIC Practice Analysis, 2022, Domain IV:
Education and Research, Competency 4.1 - Develop and implement educational programs). This participatory approach fosters ownership and accountability among healthcare workers, enhancing the likelihood that they will adopt and sustain infection prevention practices.
Option A (brings in speakers who are recognized experts) can enhance credibility and provide high-quality information, but it does not guarantee that the content will meet the specific needs of the staff unless their input is considered. Option B (plans the educational program well ahead of time) is important for logistical success and preparedness, but without staff involvement, the program may lack relevance or fail to address immediate concerns. Option C (audits practices and identifies deficiencies) is a valuable step in identifying areas for improvement, but it is a diagnostic process rather than a direct educational strategy; education based solely on audits might not engage staff effectively if their input is not sought.
The focus on involving staff aligns with CBIC's emphasis on adult learning principles, which highlight the importance of learner-centered education. By involving staff, the IP adheres to best practices for adult education, ensuring that the program is practical and tailored, ultimately leading to better outcomes in infection prevention (CBIC Practice Analysis, 2022, Domain IV: Education and Research, Competency 4.2 - Evaluate the effectiveness of educational programs). This approach also supports a collaborative culture, which is critical for sustaining infection control efforts in healthcare settings.
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 # 50
During a COVID outbreak with hospital-associated transmission cases, the infection preventionist (IP) receives a news media call about what is being done to reduce the transmission. The IP's BEST response is to
- A. answer the questions truthfully.
- B. refer the reporters to the hospital's media spokesperson.
- C. inform the reporter that the conversation must be recorded to ensure accuracy.
- D. give vague answers to ensure patient privacy.
Answer: B
Explanation:
The best response for an infection preventionist (IP) when receiving a news media call during a COVID outbreak with hospital-associated transmission cases is to refer the reporters to the hospital's media spokesperson. This approach aligns with the principles outlined in the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, which emphasize the importance of maintaining professionalism, protecting patient privacy, and ensuring accurate communication. The IP's primary role is to focus on infection prevention and control activities rather than serving as a public relations representative. Engaging directly with the media can risk divulging sensitive patient information or operational details that may not be fully contextualized, potentially violating the Health Insurance Portability and Accountability Act (HIPAA) or other privacy regulations.
Option A (answer the questions truthfully) is not ideal because, while truthfulness is important, the IP may not have the authority or full context to provide a comprehensive and accurate public statement, and doing so could inadvertently compromise patient confidentiality or misrepresent hospital policies. Option B (give vague answers to ensure patient privacy) might protect privacy but could lead to miscommunication or lack of trust if the responses appear evasive without a clear referral process. Option D (inform the reporter that the conversation must be recorded to ensure accuracy) is a procedural step but does not address the core issue of who should handle media inquiries.
Referring to the hospital's media spokesperson (Option C) ensures that a trained individual handles the communication, adhering to CBIC's emphasis on collaboration with organizational leadership and adherence to institutional communication protocols (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.1 - Collaborate with organizational leaders). This also aligns with best practices for managing public health crises, where centralized and coordinated messaging is critical to avoid misinformation.
References: CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.1 - Collaborate with organizational leaders.
NEW QUESTION # 51
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?
- A. The mode is 3.
- B. The mean is 4.
- C. The standard deviation is 7.
- D. The median is 2.
Answer: B
Explanation:
Measures of central tendency (mean, median, mode) and dispersion (standard deviation) are statistical tools used to summarize data, such as the duration of surgical procedures, which can help infection preventionists identify trends or risks for surgical site infections. The Certification Board of Infection Control and Epidemiology (CBIC) supports the use of data analysis in the "Surveillance and Epidemiologic Investigation" domain, aligning with epidemiological principles outlined by the Centers for Disease Control and Prevention (CDC). The question provides a data set of 2, 2, 3, 4, and 9, and requires determining the correct statement by calculating these measures.
* Mean: The mean is the average of the data set, calculated by summing all values and dividing by the number of observations. For the data set 2, 2, 3, 4, and 9:(2 + 2 + 3 + 4 + 9) ÷ 5 = 20 ÷ 5 = 4. Thus, the mean is 4, making Option C correct.
* Median: The median is the middle value when the data set is ordered. With five values (2, 2, 3, 4, 9), the middle value is the third number, which is 3. Option A states the median is 2, which is incorrect.
* Mode: The mode is the most frequently occurring value. In this data set, 2 appears twice, while 3, 4, and 9 appear once each, making 2 the mode. Option B states the mode is 3, which is incorrect.
* Standard Deviation: The standard deviation measures the spread of data around the mean. For a small data set like this, the calculation involves finding the variance (average of squared differences from the mean) and taking the square root. The mean is 4, so the deviations are: (2-4)² = 4, (2-4)² = 4, (3-4)² = 1, (4-4)² = 0, (9-4)² = 25. The sum of squared deviations is 4 + 4 + 1 + 0 + 25 = 34. The variance is 34 ÷ 5
= 6.8, and the standard deviation is #6.8 # 2.61 (not 7). Option D states the standard deviation is 7, which is incorrect without further context (e.g., a population standard deviation with n-1 denominator would be #34 # 5.83, still not 7).
The CBIC Practice Analysis (2022) and CDC guidelines encourage accurate statistical analysis to inform infection control decisions, such as assessing surgical duration as a risk factor for infections. Based on the calculations, the mean of 4 is the only correct statement among the options, confirming Option C as the answer. Note that the standard deviation of 7 might reflect a miscalculation or misinterpretation (e.g., using a different formula or data set), but with the given data, it does not hold.
References:
* CBIC Practice Analysis, 2022.
* CDC Principles of Epidemiology in Public Health Practice, 3rd Edition, 2012.
NEW QUESTION # 52
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