CIC Prevention Practices 5

Question 1

A patient in the ICU has a femoral central venous catheter that has been in place for 5 days. What is the recommended action?

Accepted Answer

Remove and replace at a new site as soon as an alternative site is feasible

Answer

Femoral sites carry a higher infection and thrombosis risk; CDC guidelines recommend removing femoral catheters and using an alternative (subclavian or jugular) site as soon as clinically feasible.

Question 2

Which term describes the practice of bathing ICU patients daily with chlorhexidine gluconate (CHG) to reduce healthcare-associated infections?

Accepted Answer

Universal decolonization

Answer

Daily CHG bathing applied to all ICU patients regardless of MDRO status is called universal decolonization, shown in the REDUCE MRSA trial to lower bloodstream infection rates.

Question 3

A visitor arrives to see a patient on contact precautions for VRE. What is the MOST appropriate instruction?

Accepted Answer

Visitors should perform hand hygiene before entering and upon leaving

Answer

Visitors should perform hand hygiene upon entering and leaving the room; gown and gloves are recommended if they will have direct contact with the patient or environment, but hand hygiene is always required.

Question 4

Which element of the ventilator-associated event (VAE) surveillance definition distinguishes a ventilator-associated condition (VAC) from a patient with baseline respiratory stability?

Accepted Answer

A sustained increase in daily minimum FiO2 ≥0.20 or PEEP ≥3 cmH2O for ≥2 days

Answer

VAC is defined by a sustained increase in FiO2 ≥0.20 or PEEP ≥3 cmH2O above the baseline minimum for at least 2 consecutive days, indicating worsening oxygenation.

Question 5

A sterile processing technician notices that a surgical instrument pouch has a compromised seal after sterilization. What is the correct response?

Accepted Answer

Consider the item non-sterile and reprocess it

Answer

A compromised seal means the sterile barrier is breached; the item must be considered non-sterile and must be fully reprocessed before use.

CIC - Certification in Infection Prevention and Control Practice Test

CIC - Certification in Infection Prevention and Control Practice Test

CIC Prevention Practices 5