CBIC Employee Health 3

Question 1

A healthcare worker is found to have active pulmonary tuberculosis. According to CDC guidelines, when can they return to work?

Accepted Answer

After three consecutive negative AFB sputum smears and clinical improvement

Answer

Return to work requires clinical improvement and three negative AFB sputum smears collected 8–24 hours apart.

Question 2

Which vaccine is recommended annually for all healthcare personnel to prevent transmission to vulnerable patients?

Accepted Answer

Influenza

Answer

Annual influenza vaccination is recommended for all healthcare personnel by the CDC and ACIP to protect patients and staff.

Question 3

A healthcare worker sustains a needlestick from a source patient who is hepatitis C antibody positive. The correct initial action is:

Accepted Answer

Baseline HCV antibody and ALT testing of the exposed worker

Answer

Baseline HCV antibody and liver enzyme testing of the exposed worker should be done immediately following a hepatitis C exposure.

Question 4

What is the recommended follow-up testing interval after a high-risk HIV needlestick exposure?

Accepted Answer

Baseline, 6 weeks, 12 weeks, and 6 months post-exposure

Answer

CDC recommends HIV testing at baseline, 6 weeks, 12 weeks, and 6 months after a high-risk exposure.

Question 5

An employee health nurse is assessing a worker with recurrent boils caused by MRSA. The most appropriate action is:

Accepted Answer

Decolonization therapy and wound management; restrict from care of high-risk patients

Answer

MRSA-infected employees with draining lesions should undergo decolonization and be restricted from care of immunocompromised or high-risk patients.

CBIC - Certification Board of Infection Control Practice Test