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CIC EXAM UPDATED EXAM WITH
VERIFIED SOLUTIONS.
1. Adult learners - correct answer -Are autonomous and self
directed; have experiences and knowledge already. Are
oriented towards goals and relevancy/practical. Must be shown
respect. Engaging learners in formulating the objectives for the
education is helpful. Generally prefer more active learning
activities; teaching others/immediately using learning is the
most likely to result in retention.
2. Learning style assessment tools - correct answer -Very
important for success of activity and key to personalizing
education. Kolb has 4 styles: accomodative (concrete
experience/experimentation), assimilative (abstract thinking
and reflection), divergent (concrete experience and reflective
observation), and convergent (abstracts and active
experimentation). PEPS is a self diagnostic that assesses 4
areas, including environmental and sociologicla conditions for
learning, plus physical and emotional learning preferences.
VARK is the visual/audio/kinesthetic.
3. Education program evaluaation - correct answer -Pre/posttest
and direct observation of practice are common options.
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evaluation method should be consistent with the objectives of
the program.
4. Instructional methods - correct answer -Positive deviance-
community and problem solving based way to find new
solutions and promote them. Lecture is not ideal; having Q+A
time helps, as does forum or panel presentations. Computer-
based training is flexible and fun, but requires tech support and
some learners may lack computer skills or computer access.
Train-the-trainer is good for training lots of people in a short
time. Lots of others.
5. Staffing - correct answer -Data is outdated, but CDC says at
least one IP for every 250 beds; other recommendations/
common practice is for 1 IP per 100 beds. Facility factors
beyond bed size should be considered when assessing staff
needs.
6. Some studies have linked lower nurse staffing with higher HAI
rates, particularly for VAP. Studies have also shown that float
nurses/ temporary staff are associated with higher rates than
permanent staff; probably related to lack of familiarity and also
the need for good communication and teamwork.
7. Strategic plans - correct answer -An organizational plan to
reach goal/mission/vision. Includes an analysis of the org,
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conclusion about what to do based on issues, and action
planning. Action plans describe the who/when/how/resources.
8. Performance measures - correct answer -Should have clear-cut
definitions, provide precise and usable information, be
supported by studies, and are easily applied in most settings.
They should also be clinically important and helpful to
leadership.
9. human factors - correct answer -Components of the task
(work/rest amount), the worker, and the environment. Issues
here contribute to errors. Key factors: people have limited
memory capacity, in stressful/intense situations can get tunnel
vision, people get tired or overwhelmed, and we sometimes
require too much multitasking. When processes don't
accomodate limitations, workers improvise and adapt in
nonstandard ways => errors.
10. VAP IP - correct answer -Bundle includes elevating head of
bed, DAILY sedation vacations and assessments of readiness
to extubate, peptic ulcer prophy, DVT prophy, and daily oral
care with chlorhexidine. Don't change vent circuits unless
visibly soiled or malfunctioning (don't just routinely swap every
couple days.) Periodically drain and tubing of condensate. Use
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sterile water for bubbling humidifiers. Noninvasive ventilation
when possible; orotracheal better than nasotracheal
11. CAP IP - correct answer -Immunization and not smoking
decrease risk. Patients already hospitalized with CAP are at
high risk for readmission, so give them flu an pneumococcal
vaccines
12. CAP epi+ treatment - correct answer -4 most common
pathogens are strep pneumo, h flu, moraxella catarrhalis, and
staph aureus. There are also atypical pathogens, and most
Enterobacteriaceae. Always suspect TB if there are any risk
factors. Suspect an MDRO if recent abx, current hospitalization
of 5+ days, or that's common in area. People with recent abx,
kidney disease, IVDU, and recent flu are at higher risk for SA
CAP. People with structural lung disease or chronic steroid use
are at increased risk for Pseudomonas.
13. SSI components/pathogenesis - correct answer -All surgical
wounds will be contaminated by the end; but the inoculum size
matters, usually at least 10^5 bacteria per gram. Also need it to
be a virulent pathogen- more virulent organisms have lower
inoculums, and toxin producers can cause severe tissue
damage. 3rd variable is the microenvironment of the wound
itself; impants/foreign bodies promote biofilms, and blood/dead
CIC EXAM UPDATED EXAM WITH
VERIFIED SOLUTIONS.
1. Adult learners - correct answer -Are autonomous and self
directed; have experiences and knowledge already. Are
oriented towards goals and relevancy/practical. Must be shown
respect. Engaging learners in formulating the objectives for the
education is helpful. Generally prefer more active learning
activities; teaching others/immediately using learning is the
most likely to result in retention.
2. Learning style assessment tools - correct answer -Very
important for success of activity and key to personalizing
education. Kolb has 4 styles: accomodative (concrete
experience/experimentation), assimilative (abstract thinking
and reflection), divergent (concrete experience and reflective
observation), and convergent (abstracts and active
experimentation). PEPS is a self diagnostic that assesses 4
areas, including environmental and sociologicla conditions for
learning, plus physical and emotional learning preferences.
VARK is the visual/audio/kinesthetic.
3. Education program evaluaation - correct answer -Pre/posttest
and direct observation of practice are common options.
, Page | 2
evaluation method should be consistent with the objectives of
the program.
4. Instructional methods - correct answer -Positive deviance-
community and problem solving based way to find new
solutions and promote them. Lecture is not ideal; having Q+A
time helps, as does forum or panel presentations. Computer-
based training is flexible and fun, but requires tech support and
some learners may lack computer skills or computer access.
Train-the-trainer is good for training lots of people in a short
time. Lots of others.
5. Staffing - correct answer -Data is outdated, but CDC says at
least one IP for every 250 beds; other recommendations/
common practice is for 1 IP per 100 beds. Facility factors
beyond bed size should be considered when assessing staff
needs.
6. Some studies have linked lower nurse staffing with higher HAI
rates, particularly for VAP. Studies have also shown that float
nurses/ temporary staff are associated with higher rates than
permanent staff; probably related to lack of familiarity and also
the need for good communication and teamwork.
7. Strategic plans - correct answer -An organizational plan to
reach goal/mission/vision. Includes an analysis of the org,
, Page | 3
conclusion about what to do based on issues, and action
planning. Action plans describe the who/when/how/resources.
8. Performance measures - correct answer -Should have clear-cut
definitions, provide precise and usable information, be
supported by studies, and are easily applied in most settings.
They should also be clinically important and helpful to
leadership.
9. human factors - correct answer -Components of the task
(work/rest amount), the worker, and the environment. Issues
here contribute to errors. Key factors: people have limited
memory capacity, in stressful/intense situations can get tunnel
vision, people get tired or overwhelmed, and we sometimes
require too much multitasking. When processes don't
accomodate limitations, workers improvise and adapt in
nonstandard ways => errors.
10. VAP IP - correct answer -Bundle includes elevating head of
bed, DAILY sedation vacations and assessments of readiness
to extubate, peptic ulcer prophy, DVT prophy, and daily oral
care with chlorhexidine. Don't change vent circuits unless
visibly soiled or malfunctioning (don't just routinely swap every
couple days.) Periodically drain and tubing of condensate. Use
, Page | 4
sterile water for bubbling humidifiers. Noninvasive ventilation
when possible; orotracheal better than nasotracheal
11. CAP IP - correct answer -Immunization and not smoking
decrease risk. Patients already hospitalized with CAP are at
high risk for readmission, so give them flu an pneumococcal
vaccines
12. CAP epi+ treatment - correct answer -4 most common
pathogens are strep pneumo, h flu, moraxella catarrhalis, and
staph aureus. There are also atypical pathogens, and most
Enterobacteriaceae. Always suspect TB if there are any risk
factors. Suspect an MDRO if recent abx, current hospitalization
of 5+ days, or that's common in area. People with recent abx,
kidney disease, IVDU, and recent flu are at higher risk for SA
CAP. People with structural lung disease or chronic steroid use
are at increased risk for Pseudomonas.
13. SSI components/pathogenesis - correct answer -All surgical
wounds will be contaminated by the end; but the inoculum size
matters, usually at least 10^5 bacteria per gram. Also need it to
be a virulent pathogen- more virulent organisms have lower
inoculums, and toxin producers can cause severe tissue
damage. 3rd variable is the microenvironment of the wound
itself; impants/foreign bodies promote biofilms, and blood/dead
