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CBIC Certified Infection Control Exam Sample Questions (Q112-Q117):

NEW QUESTION # 112
An infection preventionist (IP) is informed of a measles outbreak in a nearby community. What is the IP's FIRST priority when working with Occupational Health?

A. Verify that employees in high-risk exposure areas of the facility have adequate immunity to measles.
B. Reassign employees who are pregnant from caring for patients with suspected measles.
C. Set up a mandatory vaccination clinic in collaboration with Occupational Health and local public health partners.
D. Isolate employees who have recently traveled to areas with measles outbreaks.

Answer: A

Explanation:
When an infection preventionist (IP) is informed of a measles outbreak in a nearby community, the immediate priority is to protect healthcare workers and patients from potential exposure, particularly in a healthcare setting where vulnerable populations are present. Working with Occupational Health, the IP must follow a structured approach to mitigate the risk of transmission, guided by principles from the Certification Board of Infection Control and Epidemiology (CBIC) and public health guidelines. Let's evaluate each option to determine the first priority:
* A. Isolate employees who have recently traveled to areas with measles outbreaks: Isolating employees who may have been exposed to measles during travel is an important infection control measure to prevent transmission within the facility. However, this action assumes that exposure has already occurred and requires identification of affected employees first. Without knowing the immunity status of the workforce, this step is reactive rather than preventive and cannot be the first priority.
* B. Reassign employees who are pregnant from caring for patients with suspected measles: Reassigning pregnant employees is a protective measure due to the severe risks measles poses to fetuses (e.g., congenital rubella syndrome risks, though measles itself is more about maternal complications). This action is specific to a subset of employees and depends on identifying patients with suspected measles, which may not yet be confirmed. It is a secondary step that follows assessing overall immunity and exposure risks, making it inappropriate as the first priority.
* C. Verify that employees in high-risk exposure areas of the facility have adequate immunity to measles:
Verifying immunity is the foundational step in preventing measles transmission in a healthcare setting.
Measles is highly contagious, and healthcare workers in high-risk areas (e.g., emergency departments, pediatric wards) are at increased risk of exposure. The CBIC and CDC recommend ensuring that all healthcare personnel have documented evidence of measles immunity (e.g., two doses of MMR vaccine, laboratory evidence of immunity, or prior infection) as a primary infection control strategy during outbreaks. This step allows the IP to identify vulnerable employees, implement targeted interventions, and comply with occupational health regulations. It is the most proactive and immediate priority when an outbreak is reported in the community.
* D. Set up a mandatory vaccination clinic in collaboration with Occupational Health and local public health partners: Establishing a vaccination clinic is a critical long-term strategy to increase immunity and control the outbreak. However, this requires planning, resource allocation, and coordination, which take time. It is a subsequent step that follows verifying immunity status to identify those who need vaccination. While important, it cannot be the first priority due to its logistical demands.
The first priority is C, as verifying immunity among employees in high-risk areas establishes a baseline to prevent transmission before reactive measures (e.g., isolation, reassignment) or broader interventions (e.g., vaccination clinics) are implemented. This aligns with CBIC's focus on proactive risk assessment and occupational health safety during infectious disease outbreaks, ensuring a rapid response to protect the healthcare workforce and patients.
:
CBIC Infection Prevention and Control (IPC) Core Competency Model (updated 2023), Domain III:
Prevention and Control of Infectious Diseases, which prioritizes immunity verification during outbreaks.
CBIC Examination Content Outline, Domain IV: Environment of Care, which includes ensuring employee immunity as part of outbreak preparedness.
CDC Guidelines for Measles Prevention (2023), which recommend verifying healthcare worker immunity as the initial step during a measles outbreak.

NEW QUESTION # 113
An infection preventionist (IP) is tasked with developing an infection prevention training program for family members. What step should the IP take FIRST?

A. Develop a plan to create an appropriate training environment.
B. Create clearly defined goals and objectives for the training.
C. Ensure that all content in the training is relevant and practical.
D. Assess the needs of the family members at the facility.

Answer: D

Explanation:
The correct answer is A, "Assess the needs of the family members at the facility," as this is the first step the infection preventionist (IP) should take when developing an infection prevention training program for family members. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, effective education programs begin with a needs assessment to identify the specific knowledge gaps, cultural factors, and practical challenges of the target audience-in this case, family members. This initial step ensures that the training is tailored to their level of understanding, language preferences, and the infection risks they may encounter (e.g., hand hygiene, isolation protocols), aligning with adult learning principles (CBIC Practice Analysis, 2022, Domain IV: Education and Research, Competency 4.1 - Develop and implement educational programs). Without this assessment, subsequent steps risk being misaligned with the audience's needs, reducing the program's effectiveness.
Option B (create clearly defined goals and objectives for the training) is a critical step but follows the needs assessment, as goals should be based on identified needs to ensure relevance. Option C (ensure that all content in the training is relevant and practical) depends on understanding the audience's needs first, making it a later step in the development process. Option D (develop a plan to create an appropriate training environment) is important for implementation but requires prior knowledge of the audience and content to design effectively.
The focus on assessing needs aligns with CBIC's emphasis on evidence-based education design, enabling the IP to address specific infection prevention priorities for family members and improve outcomes in the facility (CBIC Practice Analysis, 2022, Domain IV: Education and Research, Competency 4.2 - Evaluate the effectiveness of educational programs). This approach is supported by CDC guidelines, which recommend audience assessment as a foundational step in health education programs.
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. CDC Health Education Curriculum Analysis Tool, 2019.

NEW QUESTION # 114
A city has a population of 150.000. Thirty new cases of tuberculosis (TB) were diagnosed in the city last year.
These now cases brought the total number of active TB cases in the city last year to 115. Which of the following equations represents the incidence rate tor TB per 100.000 in that year?

A. (30÷150.000) x 100 = X
B. (115÷100.000) x 100 = X
C. (115÷150.000) x 100.000 - X
D. (30÷150.000) x 100.000 = X

Answer: D

Explanation:
Theincidence rateis calculated using the formula:
A white paper with black text AI-generated content may be incorrect.

Why the Other Options Are Incorrect?
* B. (30 ÷ 150,000) × 100 = X- Incorrectmultiplier(should be100,000for standard incidence rate).
* C. (115 ÷ 150,000) × 100,000 = X-115 represents total cases (prevalence), not incidence.
* D. (115 ÷ 100,000) × 100 = X- Uses thewrong denominator and multiplier.
CBIC Infection Control Reference
APIC defines theincidence rate as the number of new cases per population unit, typically per 100,000 people.

NEW QUESTION # 115
What rate is expressed by the number of patients who acquire infections over a specified time period divided by the population at risk of acquiring an infection during that time period?

A. Incidence rate
B. Disease specific
C. Period prevalence
D. Point prevalence

Answer: A

Explanation:
Theincidence ratemeasuresnew cases of infection in a population over a defined time periodusing the formula:

Why the Other Options Are Incorrect?
* B. Disease specific- Refers to infectionscaused by a particular pathogen, not the general rate of new infections.
* C. Point prevalence- Measuresexisting cases at a specific point in time, not new cases.
* D. Period prevalence- Includesboth old and new cases over a set period, unlike incidence, which only considers new cases.
CBIC Infection Control Reference
APIC definesincidence rate as the number of new infections in a population over a given period.

NEW QUESTION # 116
Which of the following options describes a correct use of personal protective equipment?

A. Eye protection should be worn when providing patient care it at risk of spreading respiratory disease after unprotected exposure.
B. Gloves should be worn when handling or touching a cardiac monitor that has been disinfected.
C. Surgical masks should be worn during lumbar puncture procedures.
D. Personal eyeglasses should be worn during suctioning.

Answer: C

Explanation:
According to CDC and APIC guidelines, a surgical mask is required when performing lumbar punctures to prevent bacterial contamination (e.g., meningitis caused by droplet transmission of oral flora).
Why the Other Options Are Incorrect?
* A. Personal eyeglasses should be worn during suctioning - Incorrect because eyeglasses do not provide adequate eye protection. Goggles or face shields should be used.
* C. Gloves should be worn when handling or touching a cardiac monitor that has been disinfected
- Not necessary unless recontamination is suspected.
* D. Eye protection should be worn when providing patient care after unprotected exposure - Eye protection should be used before exposure, not just after.
CBIC Infection Control Reference
APIC states that surgical masks must be worn for procedures such as lumbar puncture to reduce infection risk.

NEW QUESTION # 117
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