Practice Test Part 1

Question 1

The best evidence-based research studies are:

A. Case-control studies
B. Randomized clinical studies
C. Cross-sectional studies
D. Cohort studies

Answer 1

B. Randomized clinical studies

Question 2

1. A patient is diagnosed with spinal osteomyelitis six months after diskectomy and placement of hardware this condition is usually:

A. Unrelated to surgical procedure
B. A result of infection from bacterial endocarditis
C. Secondary to postoperative trauma and vascular insufficiency
D. Associated with inoculation at time of surgery with delayed symptoms

Answer 2

D. Associated with inoculation at time of surgery with delayed symptoms

Question 3

2. After an in-service which of the following is the best way to evaluate if newly learned behaviors are being integrated into practice:

A. Have participants complete return demonstration
B. Achieve a minimum score of 98% on post-test following the in-service
C. Monitor for an increase in infection for 12 months following the in-service
D. Observe for increase in infection rates six months after in-service completion

Answer 3

A. Have participants complete return demonstration

Question 4

3. A patient with a secondary bacteremia has blood cultures positive for Enteroccous. The most likely primary source is:

A. Group A Strep cellulitis
B. Group B streptococcal in IV
C. Pharyngitis
D. Pyelonephritis

Answer 4

D. Pyelonephritis

Question 5

4. An infection control practitioner reports changes in federal and state regulations to the affected departments integrates pertinent regulations into the facility’s policies and procedures and ensures that these policies and procedures are disseminated to appropriate groups and individuals. In which area of professional practice standards is the ICP demonstrating competence:

A. Surveillance
B. Education
C. Consultation
D. Performance improvement

Answer 5

B. Education

Question 6

5. An induration of 5 mm or greater is considered a positive tuberculin test reaction in:

A. Persons who have fibrotic chest radiograph consistent with old TB
B. Intravenous drug users known to be HIV-negative
C. Persons with diabetes mellitus in chronic renal failure
D. Migrant workers and homeless person

Answer 6

A. Persons who have fibrotic chest radiograph consistent with old TB

Question 7

6. A major focus of an infection prevention/control activities report should be:

A. A description of goals and objectives
B. The impact of the program on patient outcomes
C. The departmental mission statement
D. A line listing of nosocomial infections

Answer 7

D. A line listing of nosocomial infections

Question 8

7. An ICP wants to display the last five years of central line associated bacteremia rates in the dialysis unit which of the following tests of charts is most appropriate for displaying the data

A. Control
B. Bar
C. Flow
D. Pareto

Answer 8

A. Control

Question 9

8. Prior to designated surgical procedures current guidelines for use of prophylactic antibiotics state that antibiotics are best given:

A. Within 30 minutes prior to the incision
B. Within two hours prior to the incision
C. To achieve a bacteriacidal level in tissue at the time of the incision
D. To achieve a constant therapeutic level throughout the intraoperative.

Answer 9

C. To achieve a bacteriacidal level in tissue at the time of the incision

Question 10

9. A surgeon has been reported to be noncompliant with preoperative scrub procedures. Over the past three months a surgeon’s patients have had a significant increase in surgical site infections. Which of the following should the ICP do:

A. Report concerns and surveillance results to the surgeon or hospital epidemiologist
B. Initiate an investigation and determine the correlation between hand-washing in infection outcome
C. Instruct the nursing staff to monitor the surgeon’s preoperative scrub and enforce compliance
D. Ask the surgeon to switch to an alcohol based hand hygiene product.

Answer 10

C. Instruct the nursing staff to monitor the surgeon’s preoperative scrub and enforce compliance

Question 11

10. Which of the following is the best example of an infection control quality performance improvement activity

A. Monitoring the cleanliness of the floors in the health-care facilities
B. Measuring direct care providers compliance with hand hygiene requirements
C. Determining the number of patients who receive antimicrobials.
D. Validating that all new employees are fit tested to N95 mask

Answer 11

B. Measuring direct care providers compliance with hand hygiene requirements

Question 12

11. A medical director is concerned that the facility is having an increased number of patients infected with hepatitis A virus. He infection control practitioner is asked to review hepatitis A infection rates. He infection control practitioner should focus on hepatitis A virus:

A. Cases reported to the public health department in the prior year
B. Incidence rates reported in facility risk groups such as pediatric and HIV clinics
C. Current prevalence data in the community served by the facility
D. Attack rates and the facilities and other geographic locations

Answer 12

C. Current prevalence data in the community served by the facility

Question 13

12. Occupational health services reports to the infection control practitioner that 15 employees with a diarrhea like illness had eaten in the cafeteria within the last four days. In investigating which of the following should be done first?

A. Observe food handling practices of dietary personnel
B. Interview employees to identify common food history
C. Report symptoms to the public health department
D. Ask the dietary manager if any department employees are ill

Answer 13

D. Ask the dietary manager if any department employees are ill

Question 14

13. Which of the following statements regarding chickenpox and immunity is accurate?

A. A negative history of infection is a reliable method of determining susceptibility
B. Infection confers long-term immunity and second attacks are rare
C. In human adults who are exposed to various LMA developed shingles from exposure
D. Susceptible individuals should receive the VZIG within four days after exposure

Answer 14

D. Susceptible individuals should receive the VZIG within four days after exposure

Question 15

14. An infection control practitioner would like to compare a hospital’s coronary artery bypass graft surgical wound infection rate to the NHSN system stratum surgical site rate which of the following for should be performed?

A. Use Z test to compare procedure risks from specific wound infection rates
B. Use a T test to compare procedure is risked on specific wound infection rates
C. Performing the test calculating compare risk stratum and specific surgical wound infection rates for all operations pool
D. Perform a T test active and compare risk stratum and specific surgical wound infection rates for all operations pooled

Answer 15

A. Use Z test to compare procedure risks from specific wound infection rates

Question 16

15. To calculate the incidence of intravascular infiltrations associated with the peripheral iv the most appropriate denominator is the total number of

A. Patients receiving personal interest or fluids
B. Line days for patients receiving peripheral IV therapy
C. Peripheral IV sites used to administer a vast intravascular fluids
D. Vascular access sites used to administer intravascular fluids.

Answer 16

B. Line days for patients receiving peripheral IV therapy

Question 17

16. A nurse manager on the neurological units asked the infection control consultant with the staff about a problem of inconsistent glove use during endotracheal suctioning. If the infection control practitioner wants the staff to solve the problem independently the best approaches to:

A. Provide a training program on glove use during suctioning
B. Evaluate the suctioning technique of individual staff members and report findings to the nurse manager
C. Identify suctioning technique deficiencies and recommend a way to solve the problems
D. Initiate staff discussion about the exposure risks associated with endotracheal suctioning

Answer 17

D. Initiate staff discussion about the exposure risks associated with endotracheal suctioning

Question 18

18. An ICP is preparing a hospital TB policy and planning for the proper use of resources. The infection control practitioner should consider the CDC’s hired via controls for TV from most important to least important they are:

A. Who personal protective devices engineering controls administrative controls
B. Administrative controls engineering controls personal protective devices
C. Engineering controls personal protection devices administrative controls
D. Personal protection devices administrative controls engineering controls

Answer 18

B. Administrative controls engineering controls personal protective devices

Question 19

19. Which of the following organisms has been the most frequent cause of health care associated endocarditis and patients undergoing valve replacement?

A. Serretia marcescens
B. enterococcus
C. Pseudomonas aeruginosa
D. Staphylococcus epidermis

Answer 19

B. enterococcus

Question 20

20. The rate at compliance with central line insertion protocols in the operating room is 45%. The operating room supervisor request that the infection control practitioner provide a review program for the staff which of the following is the next that providing this training?

A. Provide reference documents regarding the protocols
B. Establish goals and objectives for the program
C. Present a program to the operating room employees
D. Online the information to be covered in the program

Answer 20

B. Establish goals and objectives for the program

Question 21

21. When developing an IV program in infection control practitioner should keep in mind that adults learn most effectively when

A. Internally motivated by personal me
B. Externally motivated by institutional mandate
C. Participating in group activities
D. Written materials are provided

Answer 21

A. Internally motivated by personal me

Question 22

22. In a not great of hepatitis A immunoglobulin was administered to close contacts of the cases this control measures an example of

A. Free exposure prophylaxis
B. Passive immunization
C. Active immunization
D. Producing herd immunity

Answer 22

B. Passive immunization

Question 23

23. Transparent dressings are being used as central venous catheter dressing there is an increasing catheter associated bacteremia and infection control practitioner wants to determine whether gauze dressing should be substituted for the trans fat dressings which of the following is the first step in gathering information to make a decision?

A. Perform a cost-benefit analysis
B. Assess community standards
C. Conduct a literature search on the efficacy of different dressing materials
D. Observed practice and survey nursing personnel for product reference

Answer 23

C. Conduct a literature search on the efficacy of different dressing materials

Question 24

24. Which of following patient characteristics is most likely suggest the possibility of an intravenous catheter related infections?

A. Recent postoperative abdominal surgery
B. Blood culture growing E. Coli
C. Peripheral catheter inserted within 24 hours
D. No identifiable localize infection on examination.

Answer 24

D. No identifiable localize infection on examination.

Question 25

25. The spell of the sterile processing department reports a positive spore as for the ICP are most appropriate initial action would be to

A. Recall any implantable devices from the effective load
B. Recall items processed since the last negative biological indicator
C. Notify surgical staff and recommend additional postoperative antibiotic use
D. Consider spore strip defective and check results from the next load

Answer 25

B. Recall items processed since the last negative biological indicator

Question 26

26. The epidemic curve shown is most compatible with which of the following modes of transmission mark?

A. Person-to-person
B. Common source
C. Vectorborne
D. Propagated

Answer 26

B. Common source

Question 27

27. Most characteristic of intravenous fluids containing glucose is the ability to:

A. Support the growth of Candida
B. Support the growth of staph aureus
C. Support the growth of Enterobacter species
D. Become turbid when contamination reaches into 10 third organisms per ml

Answer 27

A. Support the growth of Candida

Question 28

28. The HIV serologic study of a voluntary blood donor population has a 99% sensitivity and a 98% specificity. What percentage of HIV tests are false positives

A. 0.1%
B. 0.2%
C. 1.0%
D. 2.0%

Answer 28

D. 2.0%

Question 29

29. An ICP is investigating an outbreak of health-care associated legionella pneumonia. The organism in the hospital water supply is legionella. Which of the following is the best method to quickly identify additional cases in the outbreak?

A. Sputum culture
B. Urinary antigen
C. Culture of lung tissue
D. Acute and convalescent serology’s.

Answer 29

B. Urinary antigen

Question 30

30. A characteristic typically shared by adult learners is they:

A. Preference to gain academic knowledge
B. Need to acquire new material
C. Tendency to become more historians is
D. Desire to attach greater rally or two personal experience.

Answer 30

D. Desire to attach greater rally or two personal experience.

Question 31

31. Which of the following organisms is most likely to cause bacteremia newborns?

A. Group b strep
B. Haemophilus influenzae
C. Group a strep
D. Listeria monocytogenes

Answer 31

A. Group b strep

Question 32

32. During environmental rounds on a maternity unit an ICP discovers pumped breast milk and the medication refrigerator which of the following actions should be infection control take?

A. Require the breast milk to be labeled and stored at a temperature of 38°F
B. Require a dedicated refrigerator for storage of the breast milk
C. Institute routine culturing the breast milk to ensure safe storage and identify contamination
D. Prohibit pumping and storage of breast milk in the facility

Answer 32

B. Require a dedicated refrigerator for storage of the breast milk

Question 33

33. Which of the following is a primary factor when selecting an appropriate antimicrobial hand washing agent?

A. Also the product
B. Spectrum of the connectivity
C. inactivation by organic material
D. Characteristics of the agent desired

Answer 33

D. Characteristics of the agent desired

Question 34

34. An ICP is newly hired as the only ICP in an ambulatory care facility, highest priority should be given to:

A. Assessing the existing infection control program
B. Revising policies and procedures
C. Developing goals and objectives
D. Institute infection surveillance

Answer 34

A. Assessing the existing infection control program

Question 35

35. An ICP has been asked to investigate the epidemiological link among six ICU patients who developed an acute respiratory illness over a two-week period the respiratory illness develop 24 to 72 hours post operative CABG the first action the ICP should take is to:

A. Verify the diagnosis
B. Search for additional cases
C. Establish a hypoythesis
D. Collect specimens

Answer 35

A. Verify the diagnosis

Question 36

36. For which of the following vaccines is recent receipt of blood products a contraindication?

A. MMR
B. Influenza
C. Hepatitis B
D. Tetanus

Answer 36

A. MMR

Question 37

37. Which of the following observations noted by the infection control during routine environmental inspections is an appropriate practice

A. Using isolation gowns not longer the duration of the shift
B. Patient care staff cleaning infusion pump between patients
C. High-level disinfection of eating utensils of patience and drop the precautions
D. Direct care provider using alcohol hand gel and fingers of casted hand

Answer 37

B. Patient care staff cleaning infusion pump between patients

Question 38

38. If infection control is asked to develop a mission and vision statement the mission statement should:

A. Define the purpose and focus of daily activities
B. Standalone from the health-care facilities mission statement to avoid conflict
C. Include evaluation process for infection control
D. Explain why the infection control program exists

Answer 38

D. Explain why the infection control program exists

Question 39

39. Recent surveillance data show that the incidence of health-care associated Cdiff has increased. Which of the following is most likely to be contributing to the transmission?

A. Use a plain soap for hand-washing instead of antimicrobial soap
B. Use of yogurt diet for patients receiving antibiotics
C. An increase in asymptomatic carriers
D. Conversion from ear to rectal thermometer.

Answer 39

D. Conversion from ear to rectal thermometer.

Question 40

40. The ICP is asked to review the sorting of non-regulated and regulated medical waste. Each patient room has its sharps container, a container for infectious waste, a regular waste container. Medical tubing, dressings and IV bags are being placed in the infectious waste containers. Paper towels and gloves are being placed in regular trash. The ICP recommendations should result in:

A. Changing the procedure for waste handling to incorporate other practices
B. Reducing over-classification of regulated medical waste
C. Increasing capability of on-site reprocessing
D. Centralizing regulated medical waste in soiled-utility rooms

Answer 40

D. Centralizing regulated medical waste in soiled-utility rooms

Question 41

41. The nursing unit is found to have 6 HAI UTI in the month of June. The census on the unit in the month of June is 100. During the month of April there were 10 infections in a census of 150. During May and in-service on preventing utis was completed by the ICP. How is this change in the number of utis interpreted?

A. In-service resulted in a change in behavior reducing the number of utis
B. No conclusions can be obtained from the data
C. The change in utis is unrelated to the in-service
D. The in-service caused a decrease in the number of utis.

Answer 41

B. No conclusions can be obtained from the data

Question 42

42. Several incidents recently discharged from a hospital nursery are readmitted with skin hospitals and with the presumptive Memphis listen-resistant staph aureus infection which of the following should be ICP do for us?

A. Recommend the Ministry to be temporarily close
B. Culture hands in the air as a direct care nursery staff
C. Culture other infants in the nursery
D. Review charts and microbiology reports

Answer 42

B. Culture hands in the air as a direct care nursery staff

Question 43

43. What percent of alcohol is most effective for waterless hand hygiene products?

A. 40% to 55%
B. 50% to 70%
C. 60% to 90%
D. 75% to 98%

Answer 43

C. 60% to 90%

Question 44

44. An ICP receives a report of a contaniment in the India ink prep of cerebral spinal fluid. The organism most likely to cause by which of the following fungi?

A. Candida tropicalis
B. Coxiella burnetti
C. Histoplasma capsulatum
D. Cryptococcus neoformans

Answer 44

C. Histoplasma capsulatum

Question 45

45. Based on the HICPAC guidelines a category 1a means

A. Strongly recommended and supported by clinical studies
B. Required for implementation for federal state regulations
C. Suggested for implementation and supported by some studies
D. Suggested for implementation and supported by anecdotal citations

Answer 45

A. Strongly recommended and supported by clinical studies

Question 46

46. Four patients recently hospitalized on the medical surgical unit are described as follows Sterno wound culture positive for staph aureus, purulent drainage from one positive for coed positive staphylococci, one culture positive first staff at the dermis, purulent drainage from one positive for staph aureus. Which of the following scenarios is most likely?

A. All four patients had surgery
B. Patient eight and D. Are in the same room
C. All four patients have a hospital part in infection
D. There is insufficient information to draw any conclusions

Answer 46

D. There is insufficient information to draw any conclusions

Question 47

47. An ICP is consulted about an employee who cared for a patient with meningococcal meningitis in the emergency department. The employee was not wearing a mask. An acceptable antibiotic prophylaxis is?

A. Cipro
B. Penicillin
C. Cefazolin
D. Trimethoprim sulfamethoxazole

Answer 47

A. Cipro

Question 48

48. An environmental service worker refuses to enter a patient’s room because he suspects that the patients infected. What is in infection and throw practitioner most appropriate response to the situation?

A. Make certain a standard precautions by card is visible in the patient’s room
B. Inform the employed at the patient’s diagnosis is confidential
C. Arrange to have the wrecked worker reassigned
D. Discuss with the employee’s concerns about the situation

Answer 48

D. Discuss with the employee’s concerns about the situation