CIC Prevention Practices 3

Question 1

Which surgical site infection (SSI) prevention measure is recommended for patients undergoing elective colorectal surgery?

Accepted Answer

Skin preparation with alcohol-based chlorhexidine gluconate

Answer

Alcohol-based chlorhexidine gluconate is the preferred skin antiseptic agent for SSI prevention because it has superior residual activity compared to povidone-iodine alone.

Question 2

A healthcare worker has a needlestick exposure from an HIV-positive source patient with a detectable viral load. Within what time frame should post-exposure prophylaxis (PEP) ideally be initiated?

Accepted Answer

Within 72 hours

Answer

PEP should ideally be started as soon as possible and within 72 hours of exposure for maximum effectiveness.

Question 3

When is it appropriate to use droplet precautions in addition to standard precautions?

Accepted Answer

For patients with influenza

Answer

Influenza spreads via respiratory droplets (>5 microns), requiring droplet precautions including a surgical mask within 3 feet of the patient.

Question 4

Which action BEST reduces the risk of surgical smoke inhalation hazards for OR personnel?

Accepted Answer

Using a smoke evacuation system at the point of generation

Answer

A smoke evacuation system captures surgical plume at the source, providing the most effective protection against chemical and biological hazards in surgical smoke.

Question 5

A patient is placed on droplet precautions for pertussis. Which mask should the patient wear when transported through the hospital?

Accepted Answer

Surgical/procedure mask

Answer

Patients on droplet precautions should wear a surgical mask when leaving their room to contain respiratory secretions during transport.

CIC - Certification in Infection Prevention and Control Practice Test

CIC - Certification in Infection Prevention and Control Practice Test

CIC Prevention Practices 3