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CBIC Certified Infection Control Exam Sample Questions (Q138-Q143):

NEW QUESTION # 138
Which of the following patients with human immunodeficiency virus infection requires Airborne precautions?

A. 36-year-old male with cryptococcal meningitis
B. 46-year-old female with a cavitary lesion in upper lobe
C. 24-year-old male newly diagnosed with a CD4 count of 70
D. 28-year-old female with Mycobacterium avium in sputum

Answer: B

Explanation:
HIV patients require Airborne Precautions if they have tuberculosis (TB). A cavitary lesion in the upper lobe is highly suggestive of active pulmonary TB, which requires Airborne Precautions due to aerosolized transmission.
Why the Other Options Are Incorrect?
* A. 24-year-old male newly diagnosed with a CD4 count of 70 - Low CD4 count alone does not warrant Airborne Precautions unless there is active TB or another airborne pathogen.
* B. 28-year-old female with Mycobacterium avium in sputum - Mycobacterium avium complex (MAC) is not airborne, and standard precautions are sufficient.
* C. 36-year-old male with cryptococcal meningitis - Cryptococcus neoformans is not transmitted via the airborne route, so Airborne Precautions are unnecessary.
CBIC Infection Control Reference
Patients with HIV and suspected TB require Airborne Precautions until TB is ruled out.

NEW QUESTION # 139
What is the correct order of steps for reprocessing critical medical equipment?

A. Clean, sterilize
B. Disinfect, sterilize
C. Disinfect, clean, sterilize
D. Clean, sterilize, disinfect

Answer: A

Explanation:
The correct answer is D, "Clean, sterilize," as this represents the correct order of steps for reprocessing critical medical equipment. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, critical medical equipment-items that enter sterile tissues or the vascular system (e.g., surgical instruments, implants)-must undergo a rigorous reprocessing cycle to ensure they are free of all microorganisms, including spores. The process begins with cleaning to remove organic material, debris, and soil, which is essential to allow subsequent sterilization to be effective. Sterilization, the final step, uses methods such as steam, ethylene oxide, or hydrogen peroxide gas to achieve a sterility assurance level (SAL) of 10##, eliminating all microbial life (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.3 - Ensure safe reprocessing of medical equipment). Disinfection, while important for semi-critical devices, is not a step in the reprocessing of critical items, as it does not achieve the sterility required; it is a separate process for non-critical or semi-critical equipment.
Option A (clean, sterilize, disinfect) is incorrect because disinfecting after sterilization is unnecessary and redundant, as sterilization already achieves a higher level of microbial kill. Option B (disinfect, clean, sterilize) reverses the logical sequence; cleaning must precede any disinfection or sterilization to remove bioburden, and disinfection is not appropriate for critical items. Option C (disinfect, sterilize) omits cleaning and incorrectly prioritizes disinfection, which is insufficient for critical equipment requiring full sterility.
The focus on cleaning followed by sterilization aligns with CBIC's emphasis on evidence-based reprocessing protocols to prevent healthcare-associated infections (HAIs), ensuring that critical equipment is safe for patient use (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.4 - Implement environmental cleaning and disinfection protocols). This sequence is supported by standards such as AAMI ST79, which outlines the mandatory cleaning step before sterilization to ensure efficacy and safety.
References: CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competencies 3.3 - Ensure safe reprocessing of medical equipment, 3.4 - Implement environmental cleaning and disinfection protocols. AAMI ST79:2017, Comprehensive guide to steam sterilization and sterility assurance in health care facilities.

NEW QUESTION # 140
The infection preventionist (IP) is working with the Product Evaluation Committee to select a sporicidal disinfectant for Clostridioides difficile. An effective disinfectant for the IP to recommend is

A. quaternary ammonium compound.
B. sodium hypochlorite.
C. phenolic.
D. isopropyl alcohol.

Answer: B

Explanation:
The correct answer is D, "sodium hypochlorite," as it is an effective sporicidal disinfectant for Clostridioides difficile that the infection preventionist (IP) should recommend. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, Clostridioides difficile (C. difficile) is a spore- forming bacterium responsible for significant healthcare-associated infections (HAIs), and its spores are highly resistant to many common disinfectants. Sodium hypochlorite (bleach) is recognized by the Centers for Disease Control and Prevention (CDC) and the Environmental Protection Agency (EPA) as a sporicidal agent capable of inactivating C. difficile spores when used at appropriate concentrations (e.g., 1:10 dilution of household bleach) and with the recommended contact time (CBIC Practice Analysis, 2022, Domain III:
Infection Prevention and Control, Competency 3.4 - Implement environmental cleaning and disinfection protocols). This makes it a preferred choice for environmental disinfection in outbreak settings or areas with known C. difficile contamination.
Option A (quaternary ammonium compound) is effective against many bacteria and viruses but lacks sufficient sporicidal activity against C. difficile spores, rendering it inadequate for this purpose. Option B (phenolic) has broad-spectrum antimicrobial properties but is not reliably sporicidal and is less effective against C. difficile spores compared to sodium hypochlorite. Option C (isopropyl alcohol) is useful for disinfecting surfaces and killing some pathogens, but it is not sporicidal and evaporates quickly, making it ineffective against C. difficile spores.
The IP's recommendation of sodium hypochlorite aligns with CBIC's emphasis on selecting disinfectants based on their efficacy against specific pathogens and adherence to evidence-based guidelines (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.5 - Evaluate the environment for infection risks). Proper use, including correct dilution and contact time, is critical to ensure effectiveness, and the IP should collaborate with the Product Evaluation Committee to ensure implementation aligns with safety and regulatory standards (CDC Guidelines for Environmental Infection Control in Healthcare Facilities, 2019).
References: CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competencies 3.4 - Implement environmental cleaning and disinfection protocols, 3.5 - Evaluate the environment for infection risks. CDC Guidelines for Environmental Infection Control in Healthcare Facilities, 2019.

NEW QUESTION # 141
Surgical site infection (SSI) data for the previous quarter reveal the following numbers. The surgeon with the highest infection rate is Doctor

A. Brown
B. White
C. Smith
D. Jones.

Answer: B

Explanation:
To determinewhich surgeon has the highest surgical site infection (SSI) rate, use the following formula:
A screenshot of a report AI-generated content may be incorrect.

SinceDr. White has the highest SSI rate at 9.1%, the correct answer isD. White.
CBIC Infection Control Reference
SSI rates are calculated usinginfection count per total proceduresand reported aspercentage values.

NEW QUESTION # 142
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. unprotected contact with respiratory secretions or skin lesions occurring after 12 hours of the appearance of 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. sharing the same air space for any duration of time after the patient has developed skin lesions.

Answer: D

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 # 143
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Here's the Best and Quick Way To Crack CBIC CIC Exam

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CBIC Certified Infection Control Exam Sample Questions (Q138-Q143):

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