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CBIC Certified Infection Control Exam Sample Questions (Q218-Q223):

NEW QUESTION # 218
A suspected measles case has been identified in an outpatient clinic without an airborne infection isolation room (AIIR). Which of the following is the BEST course of action?

Answer: D

Explanation:
Measles is a highly contagious airborne disease, and the best immediate action in an outpatient clinic without an Airborne Infection Isolation Room (AIIR) is to mask the patient and isolate them in a private room with the door closed.
Why the Other Options Are Incorrect?
* A. Patient should be sent home - While home isolation may be necessary, sending the patient home without proper precautions increases exposure risk.
* B. Staff should don a respirator, gown, and face shield - While N95 respirators are necessary for staff, this does not address patient containment.
* C. Patient should be offered the MMR vaccine - The vaccine does not treat active measles infection and should be given only as post-exposure prophylaxis to susceptible contacts.
CBIC Infection Control Reference
Measles cases in outpatient settings require immediate airborne precautions to prevent transmission.


NEW QUESTION # 219
Which of the following is an example of a syndromic surveillance indicator?

Answer: D

Explanation:
The CBIC Certified Infection Control Exam Study Guide (6th edition) describes syndromic surveillance as a surveillance method that focuses on clinical signs, symptoms, or health-seeking behaviors rather than confirmed diagnoses. Its primary purpose is early detection of outbreaks or emerging health threats, often before laboratory confirmation is available.
Option A is the correct example because tracking the number of individuals presenting with influenza-like illness (ILI) relies on symptom patterns such as fever, cough, and sore throat. These data are typically collected in near real time from emergency department chief complaints or triage notes, allowing infection preventionists and public health authorities to identify unusual increases quickly and initiate early response measures.
Option B is not syndromic surveillance because it depends on laboratory-confirmed diagnoses, which are characteristic of traditional, diagnosis-based surveillance. Option C represents device-associated infection surveillance, which is retrospective and outcome-focused. Option D involves laboratory-confirmed antimicrobial-resistant organisms and is also not syndromic.
For CIC exam preparation, it is important to remember that syndromic surveillance prioritizes speed over diagnostic certainty. By monitoring symptom clusters rather than confirmed cases, it enables earlier recognition of outbreaks such as influenza, gastrointestinal illness, or bioterrorism-related events, making it a critical component of public health preparedness and response.


NEW QUESTION # 220
When designing a physical construction containment barrier to contain dust as well as potentially infectious microorganisms generated, reduced air pressure in the contained space relative to adjacent occupied spaces results in airflow from the:

Answer: B

Explanation:
The Certification Study Guide (6th edition) explains that during construction, renovation, or maintenance activities in healthcare facilities, negative (reduced) air pressure within the contained work area is a critical engineering control to prevent the spread of dust and potentially infectious microorganisms. When the pressure inside the containment is lower than in adjacent occupied areas, air naturally flows from areas of higher pressure to areas of lower pressure.
As a result, airflow moves from the clean adjacent space into the contained work space, rather than allowing contaminated air to escape outward. Once inside the containment, the air is then exhausted directly to the outside of the building or through appropriate filtration systems. This airflow pattern protects patients, visitors, and healthcare personnel in occupied areas by preventing construction-related contaminants-such as fungal spores (e.g., Aspergillus)-from spreading into patient care environments.
The study guide emphasizes that this principle is foundational to Infection Control Risk Assessments (ICRAs) and construction containment planning. Improper airflow direction can result in airborne contamination and has been associated with outbreaks, particularly among immunocompromised patients.
The incorrect options either reverse the airflow direction or allow contaminated air to re-enter the building, both of which violate infection prevention standards. Understanding airflow dynamics and pressure differentials is a frequently tested concept on the CIC exam and is essential for ensuring safe construction practices in healthcare facilities.
Reference: Certification Study Guide (CBIC/CIC Exam Study Guide), 6th edition, Chapter 9: Environment of Care.


NEW QUESTION # 221
A city has a population of 150.000. Thirty new cases of tuberculosis (TB) were diagnosed in the city last year.
These now cases brought the total number of active TB cases in the city last year to 115. Which of the following equations represents the incidence rate tor TB per 100.000 in that year?

Answer: D

Explanation:
The incidence rate is calculated using the formula:

Why the Other Options Are Incorrect?
B). (30 ÷ 150,000) × 100 = X - Incorrect multiplier (should be 100,000 for standard incidence rate).
C). (115 ÷ 150,000) × 100,000 = X - 115 represents total cases (prevalence), not incidence.
D). (115 ÷ 100,000) × 100 = X - Uses the wrong denominator and multiplier.
CBIC Infection Control Reference
APIC defines the incidence rate as the number of new cases per population unit, typically per 100,000 people.


NEW QUESTION # 222
A nurse exposed to pertussis develops a mild cough 14 days later. What is the recommended action?

Answer: C

Explanation:
* The CDC recommends exclusion of healthcare workers with pertussis until completing at least five days of antibiotic therapy.
CBIC Infection Control References:
APIC-JCR Workbook, "Occupational Health Considerations," Chapter 10


NEW QUESTION # 223
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