2-A patient is admitted with fever, nausea and vomiting, sensitivity to light, and stiff neck. Symptom onset has been progressing slowly over several weeks. The Gram stain of the cerebrospinal fluid (CSF) is India ink positive, and there is low glucose and predominant lymphocytes. What type of precautions is required for this patient?

3-When construction start what is first thing to do

4-Which of the following is the correct order for cleaning endoscopes?

5-Which of the following employee infections would require that the healthcare worker be restricted from patient contact?

6-You are participating in a team to select and evaluate novel environmental disinfectant products. When preparing a presentation to the team on the advantages of ultra violet (UV) irradiation, it is important to include information on:

1)Patients may remain in the room with the device operating

2)Decontamination can be achieved in 2.5 hours

3)HVAC system does not need to be disabled

4)Ability to achieve reductions in vegetative bacteria

7-Which part of a published research study contains a brief summary of the entire research process with interpretation of data, conclusions from the data, limitations of the study and recommendations for further research?

Environmental services (EVS) is revising their procedure related to cleaning the nursery. The

current practice is to use a 1:10 bleach solution to clean blood spills on the floor but they have recived

multiple complaints about the bleach odor and a re planning on replacing with a fragrance-free solution.

Which of the following solutions would be the MOST appropriate replacement for bleach in this situation?

9-Which of the following is not an Occupational Safety and Health Administration (OSHA) requirement for healthcare linens?

10-A patient is admitted with watery diarrhea and abdominal cramps. The food history interview reveals that the patient: consumed raw oysters recently. Which of the following organisms is the most likely cause?

11-A patient with a history of a cough greater than 3 weeks, night sweats, weight loss and a chest x-ray "suspicious for tuberculosis (TB)" is scheduled for a bronchoscopy. The procedure should be performed in which setting?

12-The air exchanges in the decontamination area of Sterile Processing should be negative with a minimum of how many air exchanges per hour?

13-Scabies is transmitted through

14-A patient with a confirmed diagnosis of varicella (chickenpox) is seen in a busy ED. The staff at the registration desk immediately placed a mask on the patient until he could be moved to a negative airflow room in the ED, where he then removed his mask. A pregnant environmental services (EVS) employee, who is nonimmune to varicella, enters the room before an isolation sign is posted. She spends 6 minutes in the room with the patient, who is no longer wearing a mask. Which of the following is the most appropriate postexposure response?

15-During outbreaks, the CDC recommends that high-touch surfaces in patient rooms be cleaned and disinfected:

16-A patient has been admitted to a healthcare facility with Neisseria meningitidis and placed on Droplet Precautions. When can the patient be removed from Droplet Precautions?

17-The IP is selecting a process measure in order to monitor and evaluate quality of care. An example of a process measure is:

18-A patient is admitted with skin and soft tissue injury from a cat bite. The most likely organism

involved in the infection would be:

19-Patient was going to brain biopsy, after procedure the surgeon suscepected that his complain related to creutzfeldt-jakob disease, with regard to manufacture instruction that equipment processed in low or high level disinfectant, how to process this item?

20-Food poisoning within 1-6 hr after rice meal is the common sign in specific population, what is the causative agents:

21-Corrosion of water therapy sink was reported to you, the most common cause for this corrosion is:

22-The critical care classes have 48 new students. There are eight males. The ratio of

females to males is:

23-Measures of central tendency are:

24-ICRA elements related to building site areas affected by construction include all of the following except:

25-A patient is admitted with fever, rash, headache, abdominal pain, vomiting, and

muscle pain. The IP is aware that Rocky Mountain spotted fever is endemic in the area. The patient reports a recent camping trip with exposure to ticks. Which of the laboratory tests listed below should be ordered to detect and differentiate the appropriate antibodies in the serum?

26-Immunizations recommended for all HCP include:

1)Human papillomavirus vaccine (HPV)

2)Shingles (herpes zoster) vaccine

3)Influenza vaccine

4)Tetanus, diphtheria, and pertussis (Tdap) vaccine

27-A patient is admitted for aggressive chemotherapy and on hospital day 13, the patient develops high fevers and consolidation on chest x-ray. A chest CT shows left lower lobe patchy infiltrate with dense central consolidation. Which of the following is the most likely cause?

28-You are caring for a patient who is extremely immunocompromised. While reviewing the laboratory data for this patient, you discover'. he has

had a sputum examination for AFB, which is smear positive. The physician is aware but states isolation is not necessary. What is a possible reason that the patient does not need isolation?

29-The infection1 control pract.itioner wants to efficiently present different infection rates by site for 6

different services. Which of the following formats permits the clearest presentation ,of these data?

30-During an annual risk assessment, aninfection prevention team was informed by ICU

staff of unrecognized antibiotic resistantorganisms from referring hospitals as source of

ventilator-associated pneumonia. To define this issue, which of the following should be

considered?

31-During an in-service program for new employees, the IP describes how hepatitis Band HIV are

transmitted. A major difference in the epidemiology of the two diseases is:

32-An employee receives a needle-stick injury while working in the operating room. Place the following

steps in order of importance:

(1) Obtain baseline laboratory tests for HIV and hepatitis Band C

(2) Seek first aid

(3) Notify immediate supevisor

(4) Fill out proper reporting forms

33-New employee received BCG vaccine as a child. Her pre-employment assessment for tuberculosis (TB) should include:

34-Device utilization ratio for a facility of 600 ventilator days and 3000 patient days is:

35-The Product Evaluation Committee has asked the IP to assess a new preoperative skin preparation product that is less expensive than the one the facility currently using. In researching the backgrolthd information on the product, the IP reviews s sources of literature. Which of the following sources provides the best evidence for effectiveness of the product?

(A)

(B) A

(C)

(D)

36 -The primary purpose of the just-in-time inventory concept is to

37-The major focus of the annual infection control activities report should be

(A)

(B)

(C)

(D)

38-An infection preventionist {IP) has been told by several orthopedic surgeons that postoperative

patients with multidrug-resistant organism {MDR0s) should not be placed on the joint replacement/orthopaedic unit. Hospital policy states that any patient colonized or infected with

an MDRO should be placed on contact precautions for the duration of the hospital stay.

Which of the following is the BEST action for the IP to take?

39-The CMS has instituted a non-payment position for which of the following healthcare- associated conditions?

I. Vascular catheter-associated infected

II. Post-CABG surgery mediastinitis surgical site infection

Ill. Infection caused by orthopedic procedures of the elbow

IV. Infection caused by orthopedic procedures of the ankle

40-hospital's infection control practitioner reported an increase of catheter utilization ratio resulted in change of the infection rate so

41-Group D streptococci, They can be distinguished from group D enterococcus by their

42--malignant colon lesions is more common in

43-Patient admitted to the hospital with sever CAP. His symptoms include hemoptysis and a multilobarinfiltrate seen on the chest radiograph. The patient is Recovering from influenza virus infection. What organism should be suspected?

44-The IP is helping develop a large-scale project to address SSls. Which of the following tools will the IP utilize tha! secure expert judgment prior to launching the project?

45-Which of the following would be an acceptable route for diffusion of air in an OR?

46-An Infection Preventionist (IP) has assisted in the development of a policy on infectious waste management. Which of the following would be the NEXT step in this process?

A

B)

C)

D) .

47-In a construction zone in a healthcare facility that is occupied, airflow should be:

A)

B)

C)

D)

48-When conducting a Legionella risk assessment, infection prevention is workingclosely with facilities and discovers that some ante-room sinks are rarely used. What would be a control measure to help reduce the chance of a Legioneilla infection?

49--Proper transport protocol for blood samples drawn from an acutely ill homosexual man

admitted with to the ICU with acute pneumonia and unknown serologic status for HIV requires:

50-Routine microbiologic sampling is indicated for which of the following?

(A)

(B)

(C) (D)

51-A 30-year-old patient presents to the emergency department with

symptoms of meningitis on January 24. The patient's history reveals a recent head injury sustained in a motor vehicle accident on January 19. The MOST likely causative agent is

52-When giving a TST, a result of 6-mm induration would be considered positive in which of the following?

(A)

(B)

(C)

(D)

53-All of following are important elements for the standardization of surveillance data EXCEPT

54-A hospital is participating in a methicillin- resistant Staphylococcus aureus (MRSA) surveillance initiative, collecting nares cultures on :

patient admission. Patients transferred from a particular extended-care facility (ECF) have been identified with significantly higher MRSA colonization rates. Which of the following should I the infection preventionist (IP) initially recommend?

55-Which of the following factors should an,infection preventionist (IP) consider FIRST when establishing an annual surveillance plan for an infection prevention and control program?

56-A new infection preventionist (IP) is preparing a report and wants to describe the data. The simplest and cruedest levels of measurements should include which of the following?

57- When planning with scale officials for large-scale disasterer shelters for noninfectious emergency situations (such as hurricanes), the CIC professional should recommend screening,

sheltered individuals for communicable diseases

58-An infection preventionist {IP) collaborated with Employee Health to review past employee

exposures and follow-up. After studyinging data, they noticed a significant increase in

varicella exposures. Which of the following is the BEST recommendation for cost savings to the facility?

59-The Director of Infection Prevention and Control has been asked to develop a business

plan to potentially expand the scope of the organization's infection prevention program The

objective in developing a business plan leadership is to

60-An IP is evaluating her control chart and notices that several points in a row are above the

mean line. This probably indicates:

61-The leadership and Program Management Domain of the Infection Preventionist

Competency Model guides Infection Preventionist to develop which of the following skills?

62-You are new to a facility but feel sure you will become accustomed to the job quickly. One of the first areas you need to learn about

63-All of the following are feature!s of a well written methods section EXCEPT:

64-1st step in a systemic review and meta-analysis is to

65-The correct order of a research article is

66-When the sample is small all of these critical properties EXCEPT

67-One of the major purposes of a literature review is to

68-Which of the following represents the best teaching method to the least effective teaching method for predicted learner retention rates?

69-An Infection Preventionist (IP) is asked about switching to a less expensive cleaning product in the neonatal intensive care unit. The appropriate product for daily cleaning is a(n)

70-You are presenting an in-service to the Environmental Services group in your facility.

Which of the following recommendations should you make related to mopping of patient rooms?

71- An Infection Preventionist (IP) is asked to approve an environmentally friendly cleaning

product for use throughout the institution. The IP should

72-During an outbreak of healthcare-associated pulmonary tuberculosis (TB) on a hospital surgical

inpatient unit, an Infection Preventionist {IP) should assess the

73-An in-patient operating room (OR) is being renovated. The Construction Committee

reviewing the infection control risk assessment (ICRA) recommends that the HVAC system

supplying the area be

74-The IP is consulted prior to the constructionof a new unit in her hospital. The design that is most concerning to here is:

75-Which of the following elements is MOST important for an Infection Preventionist (IP} to

discuss with contractors before a renovation or construction project?

76-Construction and renovation policies should include which elements:

1) Phasing and commissioning of projects

2) List of construction companies allowed to work in the facility

3) Authority for determining unit closure issues

4) Start and stop dates of projects

77-Which of the following is used for the sterilization of heat and moisture sensitive medical items?

78-The recommended frequency of biological testing of steam sterilizers is with each

Load at least:

79-A disinfectant appropriate for cleaning a pulse oximeter probe should inactivate all of the

following EXCEPT

80-The paroxysmal stage of pertussis usually lasts:

81-Measures of dispersion to consider for surveillance reporting Include which of the following?

82-A culture of a patient's dialysis access site grew Gram-positive cocci. One of the factors

contributing to this type of infection

83-A dialysis unit has recently received dialysate culture results that report of bacteria 40 cfu per ml. Which of the following correct?

84--A health care worker experienced a,needlestick injury, a deep puncture with a large bore needle that had been used on a . patient who was HIV positive, class .2 . What ,. recommendation for postexposure prophylaxis (PEP) is usually indicated?

85-Ip aimed to decrease SSI rates which method will use to take to move toward lower rate

86-There has been a local bioterrorism event and three healthcare personnel were exposed to inhalation anthrax. They have been decontaminated and are taking PEP, and they would like to return to work. The incubation period of inhalation anthrax is usually about 7 days but can be as long as 2 months. What should the IP's recommendation be regarding work restrictions for these employees?

87--Statistical process control charts SPC used for all except

88-The abstract in a research study must 'include:

89-Patient admitted to the hospital ,diagnose with legionella pneumonia, the IP should apply

90- Which organism causes bloodstream infections associated with contaminated distilled or "sterile" water

91-Anergy is a condition in which

92-A healthcare worker has Streptococcal infection, group A ,the IP should recommend

93-Zoster Localized, in healthy nurse caring high risky patients should

94- A healthcare worker has Pertussis Active exclude from duty

95-Healthcare Personnel with acute or chronic HBsAg who don’t do exposure prone procedures should follow work restriction like

a.

b.

c.

d.

96-Acute or recently acquired infection of hepatitis B can be distinguished by the presence of

97- According to Identify laboratory procedure hazards,lab workers should use BSL-3 for

.

98-Class III BSCs are totally enclosed, ventilated cabinets of gas-tight construction that

99-Omission of an act includes:

100-Optimal breast milk storage guidelines are except

101-According to Norovirus Infection Prevention and Public Health Concerns all of the following are correct except

102-Gastrointestinal symptoms caused by Rota virus are often preceded by cough and coryza so

103-Adenovirus characterized by

104- Patient diagnosed for Aseptic meningitis which is

1.not due to bacteria or fungi.

2.Transmission-based Precautions are indicated

3.May caused by Kawasaki disease and Mollaret syndrome.

4. special prophylaxis for close contacts

105- Best Disinfectant Inactivates Cryptosporidium

106-Which of the following items can generally be reprocessed by only using low-level disinfectant:

107-During infection control rounds in the emergency department, the manager tells you that they will be doing endovaginal ultrasounds soon and would like to use probe covers to speed up the cleaning process. You inform the manager that:

108-Examples of high-level disinfectants are:

109- The decontamination area design should:

110-sterilized items require aeration time in the sterilizer before uploading in

111-Sterilized items should be stored as follows:

112-A biological indicator that was included in a load of surgical implantables has indicated a failure. You are able to deduce that this was due to operator error, as this one load was not run on the correct cycle. Which of the following actions should you take?

113-The first step in reprocessing reusable medlcal devices should ·take place at

114-The term for an extraneous variable t hat systematically varies with the independent variable and influences the dependent variable is a:

115-On a normally distributed data set, what percentage of values lies within three standard deviations from the mean?

116-What of the following questions should be asked when evaluating results from a research study?

1) Were the instruments valid for the study?

2) Is this a peer-reviewed research journal?

3) Was the sample representative of the intended population?

4) Do the conclusions prove the hypothesis?

117-Seventy-five patients were admitted to the Medical-Surgical ICU. Forty were on the surgical service and 35 were on the medical service. Fifteen patients developed a healthcare-associated infection with methicillin-resistant Staphylococcus aureus (MRSA). Nine of the patients with MRSA infection were on the surgical

service. There were 230 patient days in the ICU for the surgical patients in January, and 325 patient days for medical patients. What was the incidence density of MRSA attack infection for patients on the surgical service?

118-Which of the following is the best tool for identifying potential process failures?

119-Probability of committing type 1 error if the p value is 0.10?

120-120-which of the following device are not included in FDA regulations for Reprocessing Single-Use Devices (SUDs) Registration and Listing--(Section 510 of the Food, Drug, and Cosmetic Act), 21 CFR

part 807

121-The most common cause of early-onset neonatal meningitis is maternal

Transmission of:

122-Physical Examination reveals a temperature of 39 degrees and a blood pressure of 140/60 mm Hg. His neck is stiff. The CSF is cloudy and contains 12,000 WBC/mm3, 94% Segmented neutrophils. A Gram's stain of reveals small gram-negative coccobacilli. The MOST likely etiologic agent is

123-At a facility with 2500 employee ,1500 are at risk for bloodborne pathogene exposure ,over the past 10 years 250 of 503 needlestick injuries involved exposure to known bloodborne pathogene ,ICPreports the precent of employees who seroconverted was 0.4% how many employee infected

a)1

b)2

c)6

d)10

124-Negative pressure rooms should have how many air exchanges per hour?

125-Diluted bleach solutions stored in an open container changed every:

126-When an outbreak occurs such as a significant increase in total joint SSIs, this would be called what in quality/performance language?

127-The IP was planning an educational program for the staff of the nutrition and dietetics service on infection

prevention in their department. He was careful to use the principles of adult learning in his planning and

presentation. What learning philosophy and application was he using in this process?

128-The IP is working with nursing leadership to initiate a culture of patient safety in the nursing department. Which

of the activities below is an important element of a culture of patient safety that should be considered in the

planning?

129-Direct observation of performance by an individual of a specific skill may yield a temporary and artificial high result. This phenomenon is known as the:

130-An infection preventionist (IP) received a note from the receptionist that there is a parrot with a visitor ,the IP cocern will be mostly about which infection?

131-Odds ratios can described by:

1.If disease is present, what is the likelihood of having been exposed to the risk factor

2.What is the the risk of developing disease if exposed to the risk factor?

3.used for cohort studies

4.used with case control studies.

132-The average risk for transmission following a percutaneous exposure of bloodborne pathogens can described as

133-A cluster of mediastinal infections with Cladosporium sp. has been identified by cardiovascular surgery service. The ICP is asked to identify some potential causes of the problem and a remediation activity. Which of the following should be suggested?

134-An employee seeks advice from the ICP regarding her right to compensation for medical bills related to an occupationally acquired hepatitis B infection. The employee had declined hepatitis B vaccination. The ICP's response should be

135-patient has been admitted with a wound infection. The lab reports that the stain of the wound culture is positive for AFB and the culture is positive for Mycobacterium marinum. Which of the following is the correct follow-up of this lab report?

136-There was contamination of a healthcare facility's potable water system with sewer water and there is high concern for the presence of Cryptosporidium. Which of the following should you recommend for corrective decontamination of the system?

137-The Standardized Infection Ratio (SIR) for CLABSis in the ICU is 0.8. Which of the following is incorrect?

138-In an outbreak of hepatitis A, immune globulin (IG) was administered to close contacts of the cases. This control measure is an example of

139-A major difference between a prospective and a retrospective study is that the prospective study:

140-An IP is asked to participate in the selection of a company to reprocess single-use devices (SUDs). Before a decision is made on which reprocessing company will be used, the IP reviews available information from a variety of resources to assist with the decision making. Which of the following activities should the IP recommend the hospital undertake?

.

141-A healthcare organization start outbreak investigation according to The Centers for Disease Control and Prevention’s primary components of the initial investigation include Confirming the presence of an outbreak then the next step will be

142-The incubation period for infection with E. coli O1257:H7 is usually 3–4 days. In this case,

you would probably use an interval of

143-When performing an audit of the Endoscopy Department, the IP observes the following practices. Which one is cause for concern?

144-A patient has been admitted with a diagnosis of suspected West Nile fever. The doctor has not ordered any isolation precautions. What precautions should be used with this patient?

145-If the CIC professional wants to utilize a visual representation that clearly shows which problems are of most concern, the best choice is:

146-Considering measures of distribution, what percentage of values should the CIC professional

expect to fall outside of the 3 deviations from the mean?

147-Water treatment method in dialysis capable of removing 90 to 99 percent of electrolytes and all bacteria and endotoxin is

148-the most frequently isolated pathogen from peritoneal dialysis patients with peritonitis

149-A 60-year-old male patient with type 1 diabetes, hypertension, and coronary artery disease is to undergo a CABG procedure. What ASA score would this patient receive?

a. 2

b. 3

c. 4

d. 5

150-The laundering process is designed A temperature of at least