Last Updated: Aug 06, 2026
No. of Questions: 302 Questions & Answers with Testing Engine
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| Section | Weight | Objectives |
|---|---|---|
| Education, Research, and Quality Improvement | 9% | - Development and delivery of education programs - Performance measurement and quality improvement - Evidence-based practice and research application - Regulatory and accreditation compliance |
| Surveillance and Epidemiologic Investigation | 24% | - Outbreak investigation and response - Surveillance system design and implementation - Data collection, validation, and analysis - Benchmarking and reporting |
| Identification of Infectious Disease Processes | 19% | - Risk factors and transmission mechanisms - Emerging and re-emerging pathogens - Epidemiologic principles - Microbiology and pathogenesis |
| Employee and Occupational Health | 10% | - Health screening and surveillance - Immunization programs - Workplace safety policies - Exposure management and post-exposure prophylaxis |
| Prevention and Control of Transmission of Infectious Agents | 28% | - Isolation and patient placement - Cleaning, disinfection, and sterilization - Standard and transmission-based precautions - Hand hygiene and aseptic techniques - Antimicrobial stewardship |
| Environment of Care | 10% | - Water and air quality management - Facility design, construction, and renovation - Safety and risk assessment - Waste management and environmental services |
1. On January 31, the nursing staff of a long-term care facility reports that five out of 35 residents have developed high fever, nasal discharge, and a dry cough. The BEST diagnostic tool to determine the causative agent is:
A) Sputum culture
B) Legionella serology
C) Nasopharyngeal swab
D) Blood culture
2. At a facility with 10.000 employees. 5,000 are at risk for bloodbome pathogen exposure. Over the past five years, 100 of the 250 needlestick injuries involved exposure to bloodborne pathogens, and 2% of exposed employees seroconverted. How many employees became infected?
A) 5
B) 2
C) 1
D) 10
3. A healthy long-term employee with a history of Bacillus Calmette-Guerin (BCG) vaccination has a Tuberculin Skin Test (TST) result of 7 mm induration. The current Centers for Disease Control and Prevention (CDC) recommendations include which of the following?
A) Repeat the test in 1 to 3 weeks
B) Send the employee for a chest x-ray
C) Refer the employee to a physician for treatment
D) No further action is required
4. An 84-year-old male with a gangrenous foot is admitted to the hospital from an extended-care facility (ECF).
The ECF is notified that the wound grew Enterococcus faecium with the following antibiotic sensitivity results:
ampicillin - R
vancomycin - R
penicillin - R
linezolid - S
This is the fourth Enterococcus species cultured from residents within the same ECF wing in the past month.
The other cultures were from two urine specimens and a draining wound. The Infection Preventionist (IP) should immediately:
A) Notify the nursing administrator to close the wing to new admissions.
B) Conduct surveillance cultures for this organism in all residents.
C) Compare the four culture reports and sensitivity patterns.
D) Notify the medical director of the outbreak.
5. A facility performs active surveillance cultures for methicillin-resistant Staphylococcus aureus (MRSA) on all patients upon admission and weekly. Twenty-two of the patients with positive cultures for MRSA were transferred from outlying facilities. The following MRSA data for a 3-month period are shown. Review of the data reveals which of the following is increasing?
A) Prevalence of MRSA at admission
B) Compliance with collecting MRSA cultures
C) Patients with MRSA infection
D) Transmission of MRSA on the unit
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: A |
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