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IBSC Certified Designated Infection Control Officer (DICO-C) Certification Practice Exam

Browse all practice questions for the IBSC Certified Designated Infection Control Officer (DICO-C) Certification Practice Exam. Search by topic, open any question and review its full explanation, then test yourself in the practice quiz.

IBSC Certified Designated Infection Control Officer (DICO-C) Certification Practice Exam 2026 - Free Infection Control Practice Questions and Study Guide course image
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  • Standard Precautions were developed by expanding policies from Universal Precautions to include which elements?
  • What is the standard HIV PEP regimen?
  • What is the exam fee for non-members?
  • What must the sharps injury log contain?
  • What is OSHA's 'general duty clause'?
  • What does the employer's written opinion from the HCP state?
  • FIRST action when a patient source refuses HIV testing after an exposure?
  • Under the Ryan White Act, what is the notification timeline after an emergency responder exposure?
  • What is correct regarding employer notification if an EMS provider is infected with hepatitis C?
  • Which description best fits the Ryan White 'Medical Facility Report'?
  • The average risk of hepatitis C virus transmission after a needlestick exposure is closest to:
  • What is the number of unscored pilot questions on the exam?
  • In which situation is an N95 respirator required instead of a surgical mask?
  • In respirator fit testing, which event requires retesting?
  • How often must respirator fit testing under OSHA be performed?
  • In the context of HBV vaccination, what term is used for an individual who does not develop a detectable antibody response after the full series?
  • Which PPE is required for airborne precautions?
  • In the Source documentation process after exposure, which statement is accurate?
  • How much time should you spend per question during a 2.5-hour test with 125 questions?
  • To whom is the employer's written opinion after exposure addressed?
  • What are the core duties of a Designated Infection Control Officer (DICO)?
  • Under Spaulding Classification, which type of item requires high-level disinfection?
  • Who submits the Ryan White 'Medical Facility Report'?
  • Sharps injury logs must be retained for how long?
  • Which is an example of an engineering control under OSHA BBP?
  • What is the required frequency for respirator fit testing and when else must it be performed?
  • What does the Hierarchy of Controls acronym ESEAP stand for?
  • What is the FIRST action after a needlestick or exposure?
  • Which statement correctly ranks the relative per-needlestick transmission risks for HIV, HBV, and HCV in unvaccinated individuals?
  • When should anti-HBs serology be drawn to verify seroconversion after completing the HBV vaccine series?
  • Which statement best describes hepatitis C post-exposure management?
  • What does the HCP provide regarding employee medical information?
  • What is the maximum time after exposure within which HIV PEP remains potentially effective?
  • The exposure control plan lists vaccination programs for which of the following?
  • Which personal protective equipment component protects the eyes from splashes?
  • What is Mycobacterium tuberculosis?
  • What distinguishes a 'significant exposure' from a routine BBP contact?
  • Which of the following best describes an administrative control?
  • How often must the Exposure Control Plan be reviewed and updated?
  • What does the ADA require of employers regarding employees with HIV/HBV/HCV?
  • Under the Ryan White timeline, who must be notified within 48 hours?
  • In the GMGG PPE donning sequence, which item is donned third?
  • What is the HBV post-exposure protocol for a vaccinated employee who is a non-responder?
  • What dilution of household bleach is effective for bloodborne pathogen decontamination?
  • What does the Ryan White HIV/AIDS Treatment Extension Act for EMS require?
  • Which statement best describes Universal Precautions?
  • Sharps injury logs retention under OSHA BBP?
  • For airborne precaution pathogens like TB and measles, which respirator is required and what additional requirement applies?
  • What type of transmission occurs during unprotected intubation on a patient with active tuberculosis?
  • Which OSHA standard governs exposure to bloodborne pathogens?
  • What is the ratio of scored questions to unscored pilot questions on the exam?
  • Which statement correctly describes the hepatitis B vaccine schedules?
  • Under the Needlestick Safety Act, who must be involved in selecting engineering controls?
  • For how long should BBP training records be retained?
  • What must OSHA-required BBP training include?
  • What is the recommended post-exposure protocol for a vaccinated healthcare worker with anti-HBs ≥ 10 after exposure to HBV?
  • When is double-gloving recommended?
  • What is the correct order for doffing PPE?
  • What is the approximate HBV transmission risk per needlestick for unvaccinated individuals?
  • Which statement describes the alternative hepatitis B vaccine schedule?
  • List the six links of the Chain of Infection.
  • What is the HIV PEP timeline after exposure?
  • When should baseline testing for hepatitis C be performed after exposure to an HCV-positive source?
  • What term describes an employee who fails to mount a detectable antibody response after completing a full HBV vaccine series?
  • What is the most effective way to stop the transmission of infection within the Chain of Infection?
  • What is the purpose of preparing a 1:10 bleach solution for blood spill cleanup?
  • How often must BBP training be provided to at-risk employees under OSHA?
  • Mnemonic for PPE donning?
  • What is a 'contaminated sharp' according to OSHA BBP?
  • What vaccines are recommended for EMS/fire personnel by ACIP?
  • Which statement about OPIM is true?
  • Influenza precautions require which protective measure?
  • Should post-exposure prophylaxis (PEP) be delayed to wait for the source's HIV status?
  • Which statement correctly describes isolation and quarantine?
  • Standard Precautions are expanded to include which materials?
  • What is the OSHA Bloodborne Pathogens Standard citation?
  • Which body fluid is NOT classified as OPIM unless visibly contaminated with blood?
  • How many questions are scored toward the exam score?
  • According to the Spaulding Classification, what level of decontamination is required for a laryngoscope blade?
  • What is a hepatitis B declination form?
  • How many total questions are included on the IBSC DICO-C Certification Exam, including unscored pilot questions?
  • What is the primary goal of post-exposure prophylaxis (PEP) after potential HIV exposure?
  • What are the next 3 actions for a firefighter who sustains a needlestick?
  • How often must the Exposure Control Plan be reviewed?
  • Which of the following best describes an exposure determination in the ECP?
  • What are the 5 required components of an Exposure Control Plan?
  • Who recommends the official immunization schedules for adults?
  • Which statement about TB testing results is true?
  • Under OSHA rules, who may access the medical record besides the employee?
  • Which of the following is a core duty of a DICO?
  • Which law requires employers to involve non-managerial frontline employees in selecting engineering controls?
  • What is the minimum number of correct scored answers required to pass the exam?
  • What is the average needlestick transmission risk for hepatitis C virus (HCV)?
  • In infection control question analysis, what should you eliminate?
  • What is a 'restricted duty' scenario for an HBV-infected healthcare worker?
  • What federal agency enforces the Bloodborne Pathogens Standard?
  • What rights are protected under OSHA BBP after an exposure incident?
  • What records must employers maintain under OSHA BBP?
  • Which of the following is NOT a component of the Exposure Control Plan?
  • In the Chain of Infection, which link refers to the route by which the agent leaves the reservoir?
  • Which arrangement lists the Spaulding levels in the correct order?
  • What is the management approach for HCV PEP?
  • What is the FIRST priority in preventing future needle puncture incidents?
  • The Ryan White 'Medical Facility Report' must be submitted within how many hours after exposure?
  • What is the HCV transmission risk per needlestick?
  • Medical records must be kept for how long under OSHA BBP?
  • Which term refers to the actual exposure event?
  • Which statement accurately describes how Standard Precautions relate to Universal Precautions?
  • What is the validity period of the IBSC DICO-C Certification, and how can it be renewed?
  • Which testing provider delivers the IBSC DICO-C Certification Exam format?
  • Which statement best describes PPE for healthcare workers during TB airborne precautions?
  • Which of the following is included in the BIG 8 OPIM fluids?
  • Under Spaulding Classification, which level of disinfection is required for non-critical items?
  • How long must medical records be kept under OSHA BBP?
  • What is the approximate risk of HIV transmission per needlestick from an HIV-positive source?
  • What are the three levels of the Spaulding Classification used for decontamination?
  • What is the correct order for donning PPE?
  • What information must be included in OSHA-required BBP employee training?
  • What are 'work practice controls' in the BBP context?
  • What should you do in the first 5 minutes of a test?
  • What formats are used for taking the IBSC DICO-C Certification Exam?
  • Which statement best describes a DICO's duty related to exposure control?
  • What information about the source patient is needed after an exposure?
  • What precautions are required for TB?
  • Under Ryan White, within how many hours must the designated officer be notified after an incident?
  • When is an Exposure Control Plan required to be updated?
  • What is the DICO's role during a community disease outbreak?
  • Which fluids are considered OPIM under OSHA?
  • In occupational health terminology, exposure incident refers to:
  • Using an N95 respirator requires which type of precautions?
  • Which elements are included in the management approach for HCV PEP?
  • What dilution should a bleach solution be prepared at for surface decontamination of blood spills?
  • HBV post-exposure protocol for an unvaccinated employee?
  • HBV vaccine must be offered within how many working days after assignment before exposure-prone tasks begin?
  • Which statement best describes the Spaulding classification in healthcare decontamination?
  • What role does interdisciplinary collaboration play in infection control?
  • Which action would break the chain of infection?
  • Which category of precautions requires gown and gloves?
  • In the proper donning sequence for full personal protective equipment, which item is put on last?
  • What is the primary purpose of reading test instructions at the start?
  • What is the minimum requirement for reviewing the Exposure Control Plan?
  • What is the purpose of an infection control risk assessment (ICRA)?
  • How many unscored pilot questions are included on the exam?
  • A surgical mask provides which type of precautions?
  • The Needlestick Safety and Prevention Act aims to
  • Under OSHA BBP, how often must employee training be provided?
  • What does a positive TB skin test (TST) or IGRA indicate?
  • What happens if an employee fails to respond to the first HBV series?
  • What must the sharps injury log include?
  • How do disinfection and sterilization differ in terms of microbial life?
  • What is the 'source unknown' protocol for a needlestick in a public setting?
  • Which PPE is required when there is a risk of blood splashes to the face?
  • How long must employee medical records be retained under OSHA BBP requirements?
  • In the event of a needlestick, what is the first action to take?
  • What does HIPAA protect?
  • In HBV post-exposure management, a fully vaccinated employee with an adequate anti-HBs response after exposure should take which action?
  • For how long must training records for OSHA BBP be maintained?
  • Which professionals are eligible to take the IBSC DICO-C Certification Exam?
  • If there is doubt between administrative action and clinical action, what should drive the decision?
  • Who is the designated officer for EMS under the Ryan White Act?
  • Which element is NOT required in an OSHA Exposure Control Plan?
  • Which fluids are considered OPIM under OSHA?
  • In BBP, which option best defines engineering controls?
  • When is post-exposure prophylaxis (PEP) for HIV most effective to initiate?
  • In suspected meningococcal meningitis cases, which protective equipment is considered essential for EMS personnel?
  • How do 'Should' and 'Must/Shall' differ in regulatory terms?
  • Which of the following is an engineering control?
  • In the Hierarchy of Controls, which level follows Elimination?
  • What is LAIV and who should NOT receive it?
  • According to the guidance, which of the following best describes the transmission route addressed by droplet precautions?
  • Which vaccine is NOT listed among ACIP's vaccines for EMS/Fire personnel?
  • Why is meningococcal disease relevant to EMS?
  • Which activity poses the highest risk for meningococcal exposure in EMS?
  • If there is a risk of blood splashes to the face, which PPE combination is required?
  • Medical records retention under OSHA BBP?
  • What is the exam fee for NAPSICO members?
  • Which statement is true regarding anti-HBs serology after HBV vaccination?
  • Which statement best reflects the relative transmission risk ranking after needlestick exposure among HIV, HBV, and HCV?
  • Which scenario demonstrates an engineering control that reduces exposure risk?
  • Which statement correctly differentiates droplet transmission from airborne transmission?
  • Under Spaulding classification, items that contact mucous membranes require what level of decontamination?
  • When is intact skin contact with blood considered a 'significant exposure'?
  • What is the first action to take after a needlestick from an unknown-source needle?
  • Meningococcal disease is caused by which organism?
  • What does the employer's written opinion to the healthcare provider include after an exposure?
  • Which vaccine group does ACIP recommend annually for all EMS and public safety personnel?
  • Under the Ryan White Act, how many hours must a medical facility notify the EMS Designated Officer of a life-threatening diagnosis?
  • What happens if an employee refuses HBV vaccination and later wants it?
  • What is respirator fit testing and how often is it required?
  • Under OSHA BBP, which retention period is correct for the sharps injury log?
  • What is an 'administrative control' in infection prevention?
  • Which statement best describes confidential post-exposure follow-up?
  • Which statement best captures the rationale for OSHA BBP training and records requirements?
  • Which item is NOT included in the sharps injury log?
  • In the GGMG doffing sequence, which item is removed first?
  • What is a common trap regarding 'exposure determination' and 'exposure incident'?
  • What is an 'exposure determination' in the ECP?
  • Which scenario correctly describes HBV vaccine availability timing under BBP rules?
  • When must HBV vaccination be offered to at-risk employees?
  • What is the Needlestick Safety and Prevention Act?
  • For an EMS crew transporting a patient with suspected meningococcal meningitis, which combination of PPE is most appropriate?
  • Which factor determines restriction of HBV-infected providers performing exposure-prone procedures?
  • What precautions are required when treating a patient with confirmed influenza?
  • In the Hierarchy of Controls, which takes priority?
  • After revaccination due to non-response, when should the anti-HBs be retested?
  • HBV post-exposure management is used to protect against infection with which virus?
  • Which of the following is included in post-exposure evaluation and follow-up as part of the ECP?
  • If an employee declines the hepatitis B vaccine and later wants it, what is the correct action?
  • What anti-HBs titer is considered protective?
  • Standard Precautions were designed to cover which of the following?
  • In the BBP/TB context, what is a medical surveillance program?
  • What is the primary role of the Designated Infection Control Officer (DICO)?
  • LAIV is contraindicated in which groups?
  • How often must OSHA-required bloodborne pathogen (BBP) training be provided to at-risk employees?
  • Within the Source Individual documentation process, which statement is true?
  • What is TB and what type of precautions does it require?
  • If you have a 2.5-hour test with 125 questions, approximately how many minutes should you spend per question?
  • Which control is prioritized highest in the Hierarchy of Controls for eliminating exposure?
  • A vaccinated EMS employee has an anti-HBs titer of 15 mIU/mL. What is the appropriate management?
  • What is the risk of HIV transmission after a needlestick exposure?
  • HIV PEP should start after exposure within how many hours?
  • Which of the following is NOT among the BIG 8 infectious body fluids (OPIM)?
  • Under OSHA rules, who may access an employee's medical record?
  • When is anti-HBs titer measured after completing the hepatitis B vaccine series?
  • Universal Precautions require treating all of the following as potentially infectious for HIV, HBV, and HCV?
  • What is the most appropriate action for a law enforcement officer bitten by an HIV-positive individual with an undetectable viral load?
  • What is the correct sequence for doffing PPE according to the standard mnemonic?
  • What is the official time limit to complete the IBSC DICO-C Certification Exam?
  • When must an exposure determination be made?
  • Training records retention under OSHA BBP?
  • For an unvaccinated EMS provider exposed to blood from an HBsAg-positive source, what is the recommended post-exposure treatment?
  • Which citation is most applicable if an agency has not updated its Exposure Control Plan despite adding new task categories?
  • Under OSHA BBP, within how many working days must hepatitis B vaccine be made available to at-risk employees after assignment?
  • What is the correct donning order for PPE?
  • Which statement about TB testing is true?
  • What are the three main routes of disease transmission?
  • What information can the employer's written opinion from a healthcare provider include after a significant exposure?
  • Which is the correct order of the Chain of Infection?
  • What does the Hierarchy of Controls prescribe for infection control priority?
  • Meningococcal disease is defined as which of the following?
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