CIC Device-Associated Infection Prevention

Question 1

Which is the primary central line insertion bundle element for CLABSI prevention?

Accepted Answer

Maximal sterile barrier precautions during insertion

Answer

Maximal sterile barrier precautions—cap, mask, sterile gown, sterile gloves, and large sterile drape—during CVC insertion are a core evidence-based CLABSI bundle element.

Question 2

Which central venous catheter insertion site is associated with the lowest CLABSI risk in adult patients?

Accepted Answer

Subclavian vein

Answer

The subclavian site consistently has lower CLABSI rates than femoral or jugular sites due to lower bacterial skin colonization in that region.

Question 3

What catheter-to-meatus care does evidence support for CAUTI prevention?

Accepted Answer

Routine perineal hygiene with soap and water during bathing

Answer

Routine cleansing with soap and water is recommended; antiseptics at the meatus do not reduce CAUTI risk and may promote resistance.

Question 4

According to HICPAC guidelines, what is the single most effective CAUTI prevention strategy?

Accepted Answer

Avoiding unnecessary urinary catheter insertion and removing catheters promptly

Answer

Inserting urinary catheters only when clinically indicated and removing them at the earliest opportunity is the most evidence-supported CAUTI prevention strategy.

Question 5

Which ventilator-associated event (VAE) tier is specifically associated with new infection or sepsis markers?

Accepted Answer

Infection-related Ventilator-Associated Complication (IVAC)

Answer

IVAC builds on VAC by adding evidence of infection: abnormal temperature or white blood cell count plus initiation of new antimicrobial agents for ≥4 days.

CIC - Certification in Infection Prevention and Control Practice Test

CIC - Certification in Infection Prevention and Control Practice Test

CIC Device-Associated Infection Prevention