LTC-CIP High-Risk Care Processes and Devices Questions
Published 2026-10-28 · Facts and text checked 2026-10-16 · Questions from our LTC-CIP study guide · Reviewed by Hana N., Quality Reviewer
These free LTC-CIP practice questions cover High-Risk Care Processes and Devices, part of Prevention and Control of Infectious and Communicable Diseases (22 items) on the exam. Preventing infections linked to devices and high-risk procedures. Each question comes from a practice test in our LTC-CIP study guide and shows the correct answer with an explanation.
Preventing infections linked to devices and high-risk procedures. On the exam this is part of Prevention and Control of Infectious and Communicable Diseases (22 items). Open each answer to read the explanation.
Question 1Easy
The endotracheal tube cuff should be maintained at which pressure range to prevent both aspiration and tracheal injury?
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Correct answer: C. 20 to 30 cm H2O
A cuff pressure of 20 to 30 cm H2O seals the airway to prevent aspiration while preserving capillary blood flow to the tracheal mucosa. Pressures above 30 cm H2O risk tracheal ischemia, and pressures below 20 cm H2O allow microaspiration.
From practice test 7 of our LTC-CIP study guide (question 75). Original question, not an official exam item.
Question 2Medium
A resident had an indwelling urinary catheter placed 3 days ago for accurate output monitoring during a short-term illness. The monitoring period has ended, and the resident is clinically stable. What action is most appropriate?
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Correct answer: D. Remove the catheter and document the reason, since the indication no longer exists
Continued need must be reassessed daily, and the catheter should be removed as soon as the indication ends. Leaving it until a monthly review unnecessarily prolongs the strongest risk factor for CAUTI; replacing a still-indicated catheter for infection prevention is not supported.
From practice test 10 of our LTC-CIP study guide (question 101). Original question, not an official exam item.
Question 3Medium
A resident needs total parenteral nutrition and a vesicant medication expected to continue for several weeks. Which vascular access device is appropriate?
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Correct answer: D. Peripherally inserted central catheter
A PICC terminates in the superior vena cava, providing central access needed for vesicant drugs and total parenteral nutrition. A midline ends in peripheral veins and cannot safely deliver vesicants, while a peripheral IV is not suitable for TPN.
From practice test 8 of our LTC-CIP study guide (question 62). Original question, not an official exam item.
Question 4Medium
A PICC insertion is about to be performed by the vascular access team at the bedside. Which set of precautions constitutes maximal sterile barrier precautions?
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Correct answer: A. Surgical cap, mask, sterile gown, sterile gloves, and a full-body sterile drape
Maximal sterile barrier precautions require a cap, mask, sterile gown, sterile gloves, and a full-body sterile drape. Omitting the gown or using a small drape reduces the protective effect and is not considered maximal.
From practice test 8 of our LTC-CIP study guide (question 129). Original question, not an official exam item.
Question 5Medium
During routine tracheostomy care for a resident 5 days after placement, the stoma appears clean with no signs of infection. Which action is appropriate for cleaning the site?
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Correct answer: A. Clean with sterile saline or the prescribed solution from the stoma outward
Sterile saline or the prescribed cleansing solution is the standard for tracheostomy stoma care because it is nonirritating and does not damage healing tissue. Hydrogen peroxide is cytotoxic and not recommended, and routine antibiotic ointment is not indicated without signs of infection.
From practice test 6 of our LTC-CIP study guide (question 145). Original question, not an official exam item.
Question 6Easy
A resident has a tracheostomy tube with an internal diameter of 6.0 mm. According to the established safety rule, which suction catheter French size is appropriate?
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Correct answer: B. 8 Fr
The suction catheter's outer diameter must not exceed half the internal diameter of the tracheostomy tube, so for a 6.0 mm tube the maximum is 3.0 mm. Because French size equals 3 times the diameter in millimeters, 8 Fr (2.7 mm) is the only option below the limit; 10 Fr (3.3 mm) exceeds it.
From practice test 5 of our LTC-CIP study guide (question 89). Original question, not an official exam item.
Question 7Medium
A resident is receiving a continuous intravenous infusion through a PICC. When should the needleless connector be changed?
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Correct answer: A. With the administration set, typically every 96 hours
Needleless connectors are changed with the administration set, usually every 96 hours for continuous infusions or per the manufacturer's instructions. Changing more frequently, only at dressing changes, or only when visibly contaminated is not the standard.
From practice test 2 of our LTC-CIP study guide (question 68). Original question, not an official exam item.
Question 8Medium
During PICC insertion, the clinician applies chlorhexidine gluconate (CHG) in alcohol to prepare the insertion site. Which step is required before the insertion proceeds?
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Correct answer: B. Allow the antiseptic to dry completely
CHG in alcohol must be allowed to dry completely because wet antiseptic is less effective and more likely to irritate the skin under the dressing. Rinsing, adding povidone-iodine, or wiping the site off is not done.
From practice test 2 of our LTC-CIP study guide (question 53). Original question, not an official exam item.
Question 9Hard
What is the maximum safe size of a suction catheter relative to the tracheostomy tube?
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Correct answer: A. No larger than half the internal diameter of the tracheostomy tube.
A suction catheter larger than half the internal diameter can obstruct the airway and cause hypoxemia during suctioning. The half diameter limit is the standard safety parameter.
From practice test 10 of our LTC-CIP study guide (question 36). Original question, not an official exam item.
Question 10Medium
A ventilated resident is receiving a continuous infusion of a sedative. Which action supports daily assessment for possible extubation and VAP prevention?
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Correct answer: A. Once each day, hold the sedative and assess the resident's neurologic status and spontaneous breathing
A daily sedation vacation, or interruption, allows the clinician to assess whether the resident can follow commands and breathe spontaneously, supporting timely extubation. Maintaining continuous sedation or adding neuromuscular blockade delays this assessment and does not reduce VAP risk.
From practice test 9 of our LTC-CIP study guide (question 35). Original question, not an official exam item.
Question 11Medium
A resident is to receive vancomycin therapy for two weeks. Which statement explains why a midline catheter is appropriate?
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Correct answer: C. Its tip terminates in the axillary or subclavian vein, suitable for therapies compatible with peripheral veins
A midline ends in the axillary or subclavian vein, well short of the central circulation, making it suitable for drugs that are compatible with peripheral veins, such as a two-week vancomycin course. A PICC is needed for central delivery of vesicants or longer therapy.
From practice test 9 of our LTC-CIP study guide (question 109). Original question, not an official exam item.
Question 12Medium
During a routine tracheostomy suctioning procedure for a resident whose stoma is fully healed, which technique should be used to prevent lower respiratory infection?
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Correct answer: C. Sterile gloves and a new sterile suction catheter, discarding both after the procedure.
Even when a stoma has healed, tracheal suctioning is a sterile procedure that requires sterile gloves and a sterile single-use catheter. Reusing the catheter, even after rinsing, can reintroduce biofilm and bacteria into the lower airway.
From practice test 10 of our LTC-CIP study guide (question 3). Original question, not an official exam item.
Question 13Hard
A physician proposes exchanging a suspected infected PICC over a guidewire to preserve venous access. What is the correct response?
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Correct answer: A. Refuse the exchange; remove the catheter and place a new one at a different site if access is still required
A suspected infected central line should not be exchanged over a guidewire because this can seed the new catheter; the line should be removed and a new catheter placed at a different site if still needed. Negative cultures, absence of purulence, or immediate antibiotics do not make guidewire exchange acceptable for a suspected infection.
From practice test 5 of our LTC-CIP study guide (question 134). Original question, not an official exam item.
Question 14Hard
Why is a tracheostomy stoma best described as healing by secondary intention?
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Correct answer: B. The wound is left open around the tube and fills in with granulation tissue.
A tracheostomy stoma is an open wound around the tube that heals by granulation, so it is secondary intention. Primary intention requires approximated wound edges, which is not the case.
From practice test 10 of our LTC-CIP study guide (question 62). Original question, not an official exam item.
Question 15Medium
A facility is standardizing the needleless connectors used for PICC and midline lines. Which type should be selected to lower infection risk?
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Correct answer: B. Closed or neutral displacement needleless connectors
Closed or neutral displacement connectors reduce the internal dead space and contamination risk compared with open designs. Positive displacement connectors may be appropriate for certain devices, but they are not the general preference stated in the standard.
From practice test 9 of our LTC-CIP study guide (question 24). Original question, not an official exam item.
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