FCCS FCCS Sepsis and Infection Control 2

Question 1

Central line-associated bloodstream infection (CLABSI) prevention requires which bundle element?

Accepted Answer

Maximal sterile barrier precautions during insertion

Answer

The CLABSI prevention bundle includes maximal sterile barrier (mask, cap, gown, sterile gloves, full drape) during insertion as a core element.

Question 2

Ventilator-associated pneumonia (VAP) prevention bundles include which intervention?

Accepted Answer

Daily sedation vacation and spontaneous breathing trials

Answer

Daily sedation interruption and spontaneous breathing trials reduce ventilator days — the primary risk factor for VAP — and are core VAP bundle elements.

Question 3

Which isolation precaution is required for a patient with suspected pulmonary tuberculosis?

Accepted Answer

Airborne precautions with negative pressure room

Answer

Pulmonary TB is transmitted via airborne droplet nuclei < 5 µm requiring airborne precautions: N95 respirator and negative pressure isolation room.

Question 4

Empiric antifungal therapy with an echinocandin is most appropriate in which ICU patient?

Accepted Answer

Critically ill patient with multiple risk factors and positive beta-D-glucan or clinical candidiasis

Answer

Echinocandin empiric therapy is indicated in critically ill patients with multiple candidiasis risk factors (prolonged antibiotics, TPN, renal replacement, colonization) plus suggestive biomarkers or clinical signs.

Question 5

Catheter-associated urinary tract infection (CAUTI) prevention is best achieved by:

Accepted Answer

Removing the urinary catheter as soon as it is no longer needed

Answer

The most effective CAUTI prevention measure is daily reassessment and prompt removal of urinary catheters when no longer clinically indicated.

FCCS - Fundamentals of Critical Care Support Practice Test

FCCS - Fundamentals of Critical Care Support Practice Test

FCCS FCCS Sepsis and Infection Control 2