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Title: Valid CIC Test Topics, Reliable CIC Test Camp
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CBIC Certified Infection Control Exam Sample Questions (Q87-Q92):NEW QUESTION # 87
In a busy family practice clinic, a patient has been diagnosed with measles solely on the basis of their rash.
Upon investigation, the infection preventionist (IP) learns the family waited for 20 minutes in the waiting room, unmasked. What is the IP's NEXT step?
Answer: D
Explanation:
The CBIC Certified Infection Control Exam Study Guide (6th edition) emphasizes that measles is a reportable, airborne disease, but actions such as public health notification and contact tracing should occur after appropriate clinical and laboratory confirmation is initiated, unless there is a clear epidemiologic link or high clinical suspicion.
In this scenario, the diagnosis was made solely on the basis of rash, which is insufficient to confirm measles.
Many viral illnesses can present with rash, and misclassification can lead to unnecessary alarm, resource use, and disruption. Therefore, the next appropriate step for the infection preventionist is to discuss necessary diagnostic testing with the provider, such as measles-specific IgM serology and PCR testing, to confirm or rule out measles.
Options A and B are premature. Public health notification and contact tracing are essential after measles is suspected and testing is initiated or confirmed, but they should not precede diagnostic clarification when the diagnosis is uncertain. Option D may support clinical assessment but does not replace the need for laboratory confirmation.
The Study Guide highlights that infection preventionists must balance rapid response with diagnostic accuracy. Ensuring appropriate testing is initiated first allows subsequent infection control actions-such as airborne exposure assessment and public health reporting-to be targeted, evidence-based, and defensible.
For the CIC exam, this question tests understanding of sequencing infection prevention actions, reinforcing that confirmation and testing discussion is the critical next step before escalation.

NEW QUESTION # 88
During an infection control round in the operating room, the infection preventionist (IP) notices that sterile instrument pouches do not have a sterilization expiration date. What is the MOST appropriate action for the IP to take?
Answer: B
Explanation:
The CBIC Certified Infection Control Exam Study Guide (6th edition) explains that sterile items are no longer managed using time-related expiration dating but rather by event-related shelf life. Under an event-related shelf-life system, sterile items remain sterile indefinitely unless an event occurs that compromises their integrity, such as package damage, moisture exposure, improper handling, or poor storage conditions.
Therefore, the absence of an expiration date on sterile instrument pouches does not automatically indicate noncompliance or require disposal. The most appropriate action for the infection preventionist is to verify that the facility has a written event-related shelf-life policy and to assess whether sterile packages are intact, properly sealed, clean, dry, and stored under appropriate environmental conditions. This approach aligns with nationally recognized standards and current evidence-based practice.
Option A is incomplete because it does not ensure that a formal policy and appropriate storage practices are in place. Option B is unnecessary and wasteful when no compromise of sterility has occurred. Option C is incorrect because arbitrarily assigning a time-based expiration (e.g., 30 days) contradicts modern sterilization principles and is not evidence-based.
For the CIC exam, this question reinforces the principle that sterility is event-related, not time-related, and that infection preventionists must evaluate policies, storage conditions, and package integrity rather than defaulting to unnecessary disposal.

NEW QUESTION # 89
After defining and identifying cases in a possible cluster of infections, an infection preventionist should NEXT establish:
Answer: B
Explanation:
When investigating a possible cluster of infections, an infection preventionist (IP) follows a structured epidemiological approach to identify the cause and implement control measures. The Certification Board of Infection Control and Epidemiology (CBIC) outlines this process within the "Surveillance and Epidemiologic Investigation" domain, which aligns with the Centers for Disease Control and Prevention (CDC) guidelines for outbreak investigation. The steps typically include defining and identifying cases, formulating a hypothesis, testing the hypothesis, and implementing control measures. The question specifies the next step after defining and identifying cases, requiring an evaluation of the logical sequence.
Option C, "A hypothesis that will explain the majority of cases," is the next critical step. After confirming a cluster through case definition and identification (e.g., by time, place, and person), the IP should develop a working hypothesis to explain the observed pattern. This hypothesis might propose a common source (e.g., contaminated equipment), a mode of transmission (e.g., airborne), or a specific population at risk. The CDC's
"rinciples of Epidemiology in Public Health Practice" (3rd Edition, 2012) emphasizes that formulating a hypothesis is essential to guide further investigation, such as identifying risk factors or environmental sources.
This step allows the IP to focus resources on testing the most plausible explanation before proceeding to detailed analysis or interventions.
Option A, "The route of transmission," is an important element of the investigation but typically follows hypothesis formulation. Determining the route (e.g., contact, droplet, or common vehicle) requires data collection and analysis to test the hypothesis, making it a subsequent step rather than the immediate next action. Option B, "An appropriate control group," is relevant for analytical studies (e.g., case-control studies) to compare exposed versus unexposed individuals, but this is part of hypothesis testing, which occurs after the hypothesis is established. Selecting a control group prematurely, without a hypothesis, lacks direction and efficiency. Option D, "Whether observed incidence exceeds expected incidence," is a preliminary step to define a cluster, often done during case identification using baseline data or statistical thresholds (e.g., exceeding the mean plus two standard deviations). Since the question assumes cases are already defined and identified, this step is complete, and the focus shifts to hypothesis development.
The CBIC Practice Analysis (2022) and CDC guidelines prioritize hypothesis formulation as the logical next step after case identification, enabling a targeted investigation. This approach ensures that the IP can efficiently address the cluster's cause, making Option C the correct answer.
References:
* CBIC Practice Analysis, 2022.
* CDC Principles of Epidemiology in Public Health Practice, 3rd Edition, 2012.

NEW QUESTION # 90
An infection preventionist (IP) receives a phone call from a local health department alerting the hospital of the occurrence of a sewer main break. Contamination of the city water supply is a possibility. Which of the following actions should the IP perform FIRST?
Answer: B
Explanation:
The correct answer is B, "Review microbiology laboratory reports for enteric organisms in the past week," as this is the first action the infection preventionist (IP) should perform following the alert of a sewer main break and potential contamination of the city water supply. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, a rapid assessment of existing data is a critical initial step in investigating a potential waterborne outbreak. Reviewing microbiology laboratory reports for enteric organisms (e.g., Escherichia coli, Salmonella, or Shigella) helps the IP identify any recent spikes in infections that could indicate water supply contamination, providing an evidence-based starting point for the investigation (CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competency 2.2 - Analyze surveillance data). This step leverages available hospital data to assess the scope and urgency of the situation before initiating broader actions.
Option A (notify the Emergency and Admissions departments to report diarrhea cases to infection control) is an important subsequent step to enhance surveillance, but it relies on proactive reporting and does not provide immediate evidence of an ongoing issue. Option C (contact the Employee Health department and ask for collaboration in case-finding) is valuable for involving additional resources, but it should follow the initial data review to prioritize case-finding efforts based on identified trends. Option D (review the emergency preparedness plan with engineering for sources of potable water) is a critical preparedness action, but it is more relevant once contamination is confirmed or as a preventive measure, not as the first step in assessing the current situation.
The focus on reviewing laboratory reports aligns with CBIC's emphasis on using surveillance data to guide infection prevention responses, enabling the IP to quickly determine if the sewer main break has already impacted patient health and to escalate actions accordingly (CBIC Practice Analysis, 2022, Domain II:
Surveillance and Epidemiologic Investigation, Competency 2.1 - Conduct surveillance for healthcare- associated infections and epidemiologically significant organisms). This approach is consistent with CDC guidelines for responding to waterborne outbreak alerts (CDC Environmental Public Health Guidelines, 2020).
References: CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competencies 2.1 - Conduct surveillance for healthcare-associated infections and epidemiologically significant organisms, 2.2 - Analyze surveillance data. CDC Environmental Public Health Guidelines, 2020.

NEW QUESTION # 91
Healthcare-associated transmission of methicillin-resistant Staphylococcus aureus (MRSA) is commonly associated with which of the following?
Answer: C
Explanation:
The CBIC Certified Infection Control Exam Study Guide (6th edition) identifies inadequate hand hygiene as the most common and significant factor associated with healthcare-associated transmission of methicillin- resistant Staphylococcus aureus (MRSA). MRSA is primarily transmitted via direct contact, most often through the hands of healthcare personnel after contact with colonized or infected patients or contaminated environmental surfaces.
While MRSA-infected or colonized patients serve as reservoirs for the organism, transmission does not occur unless there is a breakdown in infection prevention practices, particularly hand hygiene. Numerous studies and surveillance findings cited in the Study Guide demonstrate that adherence to hand hygiene protocols- before and after patient contact, after contact with bodily fluids, and after contact with the patient environment-is the single most effective measure to reduce MRSA spread within healthcare facilities.
Improper ventilation (Option A) is associated with airborne pathogens, not MRSA, which is not transmitted via the airborne route. MRSA-colonized healthcare workers (Option D) are far less commonly implicated in transmission than transient hand contamination, and routine screening of staff is not recommended except during specific outbreak investigations. Option B describes a reservoir, not the primary mechanism of transmission.
For CIC exam purposes, this question reinforces a foundational principle of infection prevention: failure to perform appropriate hand hygiene is the leading cause of healthcare-associated MRSA transmission, making it the correct and best answer.

NEW QUESTION # 92
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