1. CIC Prep Questions Education and Research

2. 1. The purpose of using a Chi-square test is to determine the
Discussion:
What can we exclude?
difference between two means
association between variables
measurement of central tendency
deviation from a normal distribution

3. 2. Which of the following objectives would be at the application cognitive level?
List the 6 steps in the use of an alcohol hand rub solution
Differentiate between methicillin sensitive and methicillin resistant organisms
Demonstrate the proper cleaning and disinfection of endoscopic equipment
Define symptoms of infection in institutionalized geriatric patients
Discussion:
What are cognitive levels?
Bloom's Taxonomy of Cognitive Development
Knowledge
Comprehension
Application
Analysis
Synthesis
Evaluation

4. surgical site infections
3. To compare surgeon-specific surgical site infection (SSI) rates internally and externally, the infection preventionist (IP) should use the number of
surgeons with SSIs
risk categories
procedures performed
surgical site infections
Discussion:
What is the main problem?
What are we comparing (denominator)?
Must determine main problem prior to education/performance improvement

5. 4. Which of the following is the BEST example of a risk-adjusted surveillance rate?
bloodstream infections per 1,000 patient days
urinary tract infections per 100 patient discharges
cases of ventilator-associated pneumonia per 1,000 ventilator days
surgeon-specific surgical site infections per total number of operative procedures
Discussion:
What is the problem?
What risk factors are involved?
Blood/Body Fluid exposures on A, C, D

6. total number of device days patients' principal diagnoses
5. In a home health agency, an infection preventionist (IP) is analyzing central line infections. Which of the following is MOST essential for analysis?
total number of device days
patients' principal diagnoses
documentation of type of catheter
physician diagnosis of bacteremia
Discussion:
What are we analyzing?
What risk factors are involved?
Does home health vs. acute care make a difference?
Intubation poses greatest risk of aerosolizing saliva, though chest compressions may do so as well

7. 6. Adult learners are often motivated to learn by: 1
6. Adult learners are often motivated to learn by: 1. The need for new skills 2. Professional standard mandates 3. Desire for promotion and increased salary 4. Changing cultural expectations
Discussion:
What are the main motivating factors for adult learners?
2, 4
1, 3
3, 4
1, 4

8. 7. Programs to build infection prevention competency are traditionally focused on a combination of skill and ability. Today, however, competency may include which of the following additional components? 1) Emotional intelligence 2) Cultural diversity 3) Communication methods 4) Effectiveness within a team
1, 2, 3
2, 3, 4
1, 3, 4
1, 2, 4
Discussion:
What are the main motivating factors for adult learners?
What are the most important for working in a team?
Which is least important?
Most correct = education issues
Does nothing to resolve the fear
Does not educate
Discuss fears and educate

9. Avoidance of behavior change Repetition and reinforcement
8. Many infection prevention educational programs address behavioral change. To achieve sustainable success following initial training, the IP must focus on which aspect of behavior?
Avoidance of behavior change
Repetition and reinforcement
Need for approval and recognition
Critical thinking and judgment
Discussion:
Continuing with the Adult Learner theme…
What leads to the best long-term success?
While both C and D are correct, the nurse is minimizing the invasive risk to the patient, but potentially exposing herself to BBF

10. Laboratory-based simulation training
9. The IP has received feedback from course attendees that the didactic component of the program is too lengthy and difficult. Which training component should the IP now re-evaluate for its effectiveness?
Laboratory-based simulation training
Supervised clinical practice in patient care areas
The classroom portions of the program
The testing requirements for course completion
Discussion:
Continuing with the Adult Learner theme…
What leads to the best long-term success?
Which is least important for the Adult Learner?
This is a retired question from CIC, not the most well-written one. They defined exposure as we would define a high-risk exposure, + BBF pathogens.
=250*0.004=1
Confusion comes from “exposure” that can be interpreted as any BBFE, but they specifically mean only true pathogen exposure.

11. cohort case-control longitudinal observational
10. Routine surveillance identified an unusually high number of methicillin-resistant Staphylococcus aureus (MRSA) infections. What type of study should the infection preventionist (IP) do to determine the reason for this cluster?
cohort
case-control
longitudinal
observational
Discussion:
Prospective vs. Retrospective study design?
Case controlled studies compare groups retrospectively. They seek to identify possible predictors of outcome and are useful for studying rare diseases or outcomes.