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CIC Studying 2023_ CIC Practice Exam Questions.
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CIC Studying 2023: CIC Practice ExamQuestions
. Which of the following employee infections would require that the healthcare worker be
restricted from patient contact?
a. Sinus infection being treated by antibiotic
b. Small, painful vesicular lesion on the fingertip
c. Shingles, which has been treated with an antiviral for past 4 days
d. Dry, crusted lesion on right arm with no new drainage - ANS-14. B Small, painful
vesicular lesion on the fingertip
Rationale: Herpetic whitlow is a skin infection of the fingers, mot commonly found on the
tips of the thumb and index finge. Herpetic whitlow is caused by the herpes simplex
virus. Herpetic whitlow is common among HCP who come into contact with the virus
regularly and in children who have the virus and suck their fingers or thum.
Recommendations from the Advisory Committee on Immunization Practices (ACIP)
include restricting HCP with herpetic whitlow from patient contact and contact with the
patient's environment until the lesions have healed.
.47. The risk of infection or adverse reactions in the Dialysis Unit can be reduced by
which of the following interventions?
1) Test patients and staff for MRSA colonization and treat as needed
2) Adhere to aseptic technique during all dialysis procedures
3) Have patient cleanse the access site with soap and water daily and prior to dialysis
4) Have patients take a prophylactic antibiotic prior to dialysis
a. 1, 3
b. 2, 3
c. 1, 2
d. 1, 3 - ANS-47. B 2, 3
Rationale: Most common types of dialysis-associated infections include access site
infection, bacteremia, and peritonitis. The risk of infection or adverse reactions in the
dialysis unit can be reduced by strict adherence to aseptic technique during all dialysis
procedures. Skin colonization with S. aureus at the access site has been significantly
associated with S. aureus access site infections. Persistence of S. aureus after skin
preparation has been shown to be significantly higher in patients with poor hygiene.
Therefore, the importance of personal hygiene and its possible relation to access site
,infections should be emphasized. It is recommended that all patients be taught to wash
their access site with soap and water daily and before hemodialysis.
06. The Infection Prevention Manager has been directed to design a new system for
housewide surveillance of CLABSI in a 300-bed urban community teaching hospital.
Which of the following tools would be most appropriate to help ensure that all aspects of
this large-scale project are addressed?
a. A detailed contingency plan
b. A summary of the scope of work
c. A quality management plan
d. A work breakdown structure - ANS-106. D A work breakdown structure
Rationale: A work breakdown structure (WBS), is the decomposition of a project into
smaller components. Elements of the plan may be a product, data, service, or any
combination thereof. A WBS also provides the necessary framework for detailed cost
estimating and control along with providing guidance for schedule development and
control.
1. The reservoir of microbes of pathogens present in potable water and its delivery
network include:
1) Staphlococci
2) Pseudomonas spp.
3) Nontuberculous Mycobacteria
4) Arthrobacter spp.
a. 1, 2
b. 2, 3
c. 1, 4
d. 2, 4 - ANS-21. B 2, 3
Rationale: Disruption of water utility systems during construction or renovation can
disturb the biofilm present in water delivery pipes and pose a threat to patients.
Microbes present in potable water and its delivery network include gram-negative
bacteria, e.g., Legionellae and Pseudomonas spp, nontuberculous Mycobacteria,
protozoa, and fungi.
10. The lead IP is invited to participate in an employee health process improvement
project. The goal of the project is to improve influenza accination rates among
employees. A multidisciplinary team is formed with representation from front-line
employees. After conducting a root cause analysis (RCA), the team develops a
proposal for improvement to present to the facility leadership team. Which of the
,following elements should be included as part of the proposal to most clearly
communicate to the leadership team the factors contributing to the facilities' current
vaccination rate among employees?
a. A timeline for implementing improvement activities
b. A Pareto chart
c. A fishbone diagram with an explanation
d. A strategic plan - ANS-C A fishbone diagam with an explanation
Rationale: The RCA process takes a retrospective look at adverse outcomes and
determines what happened, why it happened, and what an organization can do to
prevent the situation from recurring in the future. The product of the RCA is an action
plan that identifies the trategies that the organization intends to implement to improve
safety. A thorough RCA demonstrates credibility of the recommended process to the
facility leadership team. When used during the RCA process, a fishbone diagam (also
called an Ishikawa diagram) will help identify and visually display both the elements
involved in the improvement project and the areas of responsibility and accountability
(see Figure PE3-3). Used in conjunction with the RCA, the fishbone diagram with an
accompanying explanation present a clear picture of the both improvement project and
rationale behind it.
100. Which of the following has a low risk of transmission from sexual contact?
a. Hepatitis B
b. Hepatitis C
c. HIV
d. Syphilis - ANS-100. B Hepatitis C
Rationale: HCV is inefficiently transmitted by sexual intercourse (prevalence ranging
from 1.3 percent in North America to 27 percent in Asia in long- term partners), though
homosexual men, persons with multiple sexual partners and HIV patients have higher
rates of seroprevalence for HCV than monogamous heterosexuals. The average risk for
vertical transmission is 6 percent overall and 17percent in mothers with HIV, which
appears to be related to viral titer. No difference in transmission is noted whether the
child is breast- or bottle-fed.
101. Of the following sharp object injury examples, which would have the highest risk of
transmission of bloodborne pathogens (assuming that all patient-related risk factors are
identical for each example)?
a. A nurse is stuck with an intravenous (IV) catheter stylet after withdrawing the stylet
from the catheter
, b. A medical resident is stuck with a suture needle that had been used to suture a head
wound
c. A nurse is stuck with the needle from a syringe that had been used to give an
intramuscular injection
d. A surgeon sustains a superficial skin injury from a used disposable scalpel -
ANS-101. A A nurse is stuck with an intravenous (IV) catheter stylet after withdrawing
the stylet from the catheter
Rationale: IV catheter stylets are involved in only about 3 percent of sharp object
injuries, but they have the highest risk of transmission of bloodborne pathogens
because they are hollow-bore needles that can be filled with blood.This results in
greater exposure to bloodborne pathogens.
103. There is a suspected case of measles in the ED of a facility, and the patient has
been admitted. A nasopharyngeal swab was taken, placed in viral transport media, and
sent to the lab where it was frozen at -20°C for 12 hours and then thawed and placed in
culture. The culture results are negative for measles virus. Which of the following should
the IP request for this patient?
1) A new sample should be collected and placed in a -20°C environment immediately
2) A new sample should be collected and placed in culture immediately
3) The patient should be placed in an airborne infection isolation room
4) The patient should be placed in a standard room without isolation precautions
a. 1
b. 4
c. 2, 3
d. 1, 2, 3 - ANS-103. C 2, 3
Rationale: Measles, or Rubeola, virus is a temperature labile virus that should be
transported on ice to the lab as soon as possible after collection and placed in culture
immediately or frozen at -70°C until being placed in culture. Measles virus samples
should not be kept at room temperature or frozen at -20°C because these temperatures
will lower the infectivity of the virus in the sample and this could produce a false
negative result. The patient must be placed in an airborne infection isolation room
because there is a clinical suspicion of measles and the initial negative test was not
performed properly.
104. Measures of central tendency are:
a. Ratios and rates
b. Proportions and standard deviation
c. Mean and median
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