7 Chapters Test Flashcards
Before being disinfected, patient care equipment should be:
a. Sprayed with water
b. Cleaned with detergent
c. Rinsed with an antiseptic
d. Wiped with a chlorine-soaked cloth
b. Cleaned with Detergent
Patient care equipment must be processed:
a.
After each use
b.
When the nurse sends it to CS/SPD
c.
When it is visibly soiled
d.
Once a week
A. After each use
The unit calls for a patient-cooling machine. Which of the following would be sent?
Select one:
a.
Intravenous pump
b.
Patient-controlled analgesia pump
c.
Hypo/hyperthermia machine
d.
Continuous passive motion device
C. Hypo/hyperthermia machine
Which of the following is not part of the final preparation of patient care equipment for re-use?
Select one:
a.
Checking of the date of the last safety check
b.
Placement of disassembled parts into a plastic bag
c.
Lubrication of movable parts
d.
Checking of cords and plugs for signs of damage
B. Placement of disassembled parts into a plastic bag
Which disinfectant is to be used for patient care equipment?
Select one:
a.
The general use disinfectant for cleaning work surfaces
b.
Alcohol based disinfectant
c.
The disinfectant used in the ultrasonic
d.
The disinfectant recommended by the device manufacturer
D. The disinfectant recommended by the device manufacturer
Patient care equipment that is soiled needs to be:
Select one:
a.
Inspected before transport
b.
Cleaned before transport
c.
Contained during transport
d.
Disinfected before transport
C. Contained during transport
There is a high patient census, and there are no IV pumps available in the CS/SPD department for distribution. Which of the following steps should be taken?
Select one:
a.
Tell the requesting units there are no pumps in the department
b.
Call nursing units to let them know
c.
Wait for the next shift to do rounds
d.
Have staff check the units more frequently
D. Have the staff check the units more frequently
What is the best way to transport an IV pump to CS/SPD after patient use?
Select one:
a.
Hand carried to prevent damage
b.
Soaking in enzymatic cleaner
c.
On top of a case cart
d.
In a covered cart or closed plastic bag
D. In a covered cart or closed plastic bag.
A small cut is noted in the cord of an IV pump that has been disinfected. Which of the following steps should the CS/SPD technician take?
Select one:
a.
Put into service as long as the cut does not reach the inside wires
b.
Tape with electrical tape
c.
Throw the IV pump away
d.
Send to the biomedical engineering department
D. send to the biomedical engineering department
Which of the following BEST describes the process that kills MOST microorganisms but not necessarily spores?
Select one:
a.
High-Level Disinfection
b.
Sterilization
c.
Deionization
d.
Antisepsis
A. High Level Disinfection
Which of the following high-level disinfectants requires activation prior to use?
Select one:
a.
Ortho-phthaldehyde
b.
Peracetic Acid
c.
Glutaraldehyde
d.
Hydrogen Peroxide
C. Glutaraldehyde
Which of the following medical devices would require only low-level disinfection?
Select one:
a.
Blood Pressure Cuff
b.
Hemostat
c.
Flexible endescope
d.
Metal Basin
A. Blood Pressure Cuff
Iodine is used primarily to reduce microorganisms on which of the following?
Select one:
a.
Worksations
b.
SKin
c.
Patient Care equipment
d.
Metals and rubber
B. Skin
To obtain maximum effectiveness, disinfectants must be
Select one:
a.
Mixed with a detergent
b.
Kept at a room temperature
c.
used in the proper concentration
d.
Applied two times
c.
used in the proper concentration
Chemical disinfectants are frequently misused because
Select one:
a.
There is insufficient time to process
b.
the current instructions for use were not followed
c.
the instructions for use are not printed on the label
d.
The department policy and procedure is outdated
B . The current instructions for use were not followed.
When minimum effectiveness testing reveals that the concentration of high-level disinfectant is below the recommended level, you should
Select one:
a.
Continue to use the solution
b.
Add more disinfectant to the basin
c.
discard the solution
d.
Add water to the solution
C.
discard the solution
According to Spaulding’s classifications of medical devices, a semi-critical items REQUIRES which form of disinfection?
Select one:
a.
High Level disinfection
b.
Low Level disinfection
c.
Sterilization
d.
Low level disinfection
a.
High Level disinfection
Which level of disinfection is needed for the destruction of HIV (human immunodeficiency virus)?
Select one:
a.
Low level disinfection
b.
Intermediate Level disinfection
c.
Sterilization
d.
High Level disinfection
A. Low Level Disinfection
The ability of a disinfectant to perform MOST EFFICIENTLY depends on
Select one:
a.
Whether or not it remains wet for the stated amount of time.
b.
Missing it with detergent
c.
A Strong concentration
d.
How quickly it dries
A. Whether or not it remains wet for the stated amount of time.
Sodium hypochlorite belongs to which group of disinfectants
Select one:
a.
Alcohols
b.
Halogens
c.
Phenolics
d.
Quaternary ammonium compounds
B. Halogens
Alcohol inactivates microorganisms by
Select one:
a.
Denaturing the protiens
b.
Oxidizing the portiens
c.
Alkylation
d.
Evaporation
A. Denaturing the proteins
For which of the following chemicals is routine employee monitoring for exposure levels REQUIRED?
Select one:
a.
Tincture of Iodine
b.
Glutaraldehyde
c.
Sodium Hyprochlorite
d.
Ortho-phthaldehyde
B. Glutaraldehyde
Which of the following would be obvious on an improperly cleaned instrument that has been disinfected in ortho-phthaldehyde?
Select one:
a.
foul order
b.
Slimy coating
c.
Blue stain
d.
Yellow stain
C. Blue Stain
Which of the following is NOT required documentation in high-level disinfection records?
Select one:
a.
The time at which the item was immersed in the solution
b.
Confirmation that the item was cleaned
c.
Whether or not the item was completely dry
d.
Results of the MEC (minimum effective concentration test
C. Whether or not the item was completely dry
All instruments and devices received from another facility should be:
Select one:
a.
Resterilized as they are received
b.
Completely reprocessed
c.
Rewrapped and sterilized
d.
Used as delivered
B. Completely reprocessed
According to AAMI, “The removal of contamination from an item to the extent necessary for further processing or for the intended use” defines:
Select one:
a.
Decontamination
b.
Sterilization
c.
Cleaning
d.
Disinfection
C. Cleaning
Which of the following terms refers to disease-producing microorganisms?
Select one:
a.
Pathogen
b.
Biofilm
c.
Bioburden
d.
Pyrogen
A. Pathogen
Microorganisms on contaminated items are referred to as:
Select one:
a.
Bioburden
b.
Antagonists
c.
Infection
d.
Contaminants
A. Bioburden
The TOSI line of products is used to verify the effectiveness of:
Select one:
a.
Steam guns
b.
Mechanical washers
c.
Steam sterilizers
d.
ETO aerators
B. Mechanical Washers
OSHA recommends that contaminated scrub attire be:
Select one:
a.
Laundered by the facility
b.
Thrown away
c.
Laundered at the Laundromat
d.
Laundered at home by the employee
A. Laundered by the facility
When a new medical device is purchased and received into SPD, what information must the technician have before processing it?
Select one:
a.
Ask the rep for verbal instructions
b.
Clean the device in the ultrasonic cleaner
c.
Hand-wash the device in an enzymatic solution
d.
Request written instructions for processing from the manufacturer
d.
Request written instructions for processing from the manufacturer
Generally, fiberoptic light cables should be cleaned:
Select one:
a.
Using a soft cloth soaked with saline
b.
Using a soft cloth and detergent
c.
In the automated endoscope reprocessor
d.
In an ultrasonic cleaner
b.
Using a soft cloth and detergent
A proteolytic enzyme detergent breaks down:
Select one:
a.
Carbohydrates
b.
Fat
c.
Bone Marrow
d.
Blood
D.
Blood
Prior to processing instruments in an ultrasonic cleaner:
Select one:
a.
The water should be changed
b.
The gross soil should be removed
c.
The instruments should be placed in a solid metal basket
d.
The temperature of the water should be 75 degrees F
b.
The gross soil should be removed
What material can be used as a simple test to check the functioning of the ultrasonic cleaner?
Select one:
a.
Tyvek
b.
Aluminum foil
c.
Plastic
d.
Polyethylene film
b.
Aluminum foil
Metal-bristled brushes may be used to clean:
Select one:
a.
Box locks on hinged instruments
b.
Teeth on vascular forceps
c.
Cutting edges of scissors
d.
Tungsten carbide jaws of needle holders
d.
Tungsten carbide jaws of needle holders
Powered equipment should be:
Select one:
a.
Cleaned as specified by the manufacturer
b.
Cleaned with saline
c.
Immersed in an enzymatic solution
d.
Processing in an ultrasonic cleaner
a.
Cleaned as specified by the manufacturer
A solution having a pH of 9 is:
Select one:
a.
Concentrated
b.
Alkaline
c.
Neutral
d.
Acidic
b. Alkaline
The final rinse in the cleaning process should be performed using:
Select one:
a.
Treated water
b.
Saline
c.
Alcohol
d.
Tap water
A.
Treated water
Which of the following should never be used to remove gross soil on instruments?
Select one:
a.
Enzymatic foam
b.
Saline
c.
Water
d.
Moist rag
d.
moist rag
Before it is manually cleaned, what must be done to a flexible endoscope?
Select one:
a.
It must be brushed with a soft brush
b.
It must be tested for leaks
c.
Alcohol must be suctioned through all channels
d.
It must be ultrasonically cleaned
b.
It must be tested for leaks
A solution is considered neutral when the pH is:
Select one:
a.
11
b.
7
c.
5
d.
9
b. 7
Enzyme-based detergents contain organic substances that assist in the breakdown of:
Select one:
a.
Hard Water
b.
Magnesium and copper
c.
Disinfectants
d.
Protein soils and blood
d.
protein soils and blood
The ventilation system in the decontamination area must be maintained at:
Select one:
a.
Positive Pressure
b.
Negative Pressure
c.
Neutral Pressure
d.
Flexible Pressure
b.
negative pressure
What is the first step in the decontamination process?
Select one:
a.
Application of a disinfectant
b.
Soaking in a disinfecting solution
c.
Placing into the sterilizer
d.
Manual and/or automated, mechanical cleaning
d.
Manual and/or automated, mechanical cleaning
Before any item with multiple parts is cleaned, it must be:
Select one:
a.
Soaked in an enzymatic solution
b.
Sprayed with a lipolytic gel
c.
Processed in an ultrasonic cleaner
d.
Disassembled
d.
disassembled
According to OSHA, the use of physical or chemical means to inactivate bloodborne pathogens from a surface is known as:
Select one:
a.
Decontamination
b.
Sterilizing
c.
Cleaning
d.
Disinfection
a.
decontamination
The number of air exchanges in the decontamination area should be:
Select one:
a.
10
b.
20
c.
15
d.
25
a.
10
What is the temperature range for enzymatic cleaners?
Select one:
a.
100 to 140 degrees F
b.
155 to 165 degrees F
c.
140 to 150 degrees F
d.
109 to 140 degrees F
d.
109 to 140 degrees F
Water that has been contaminated by the feces of humans and other animals is most notably responsible for:
Select one:
a.
Ringworm
b.
Herpes
c.
Respiratory disease
d.
Gastrointestinal disease
d.
Gastrointestinal disease
Which concentration is most effective in alcohol hand sanitizers?
Select one:
a.
10% to 35%
b.
75% to 100%
c.
60% to 95%
d.
50% to 75%
c.
60% to 95%
The principal living reservoir of human disease comes from:
Select one:
a.
The human body
b.
The bathroom doorknob
c.
The decontamination room
d.
Wild animals
a.
the human body
Bloodborne pathogen exposure is regulated by:
Select one:
a.
VRE
b.
CSC
c.
OSHA
d.
FDA
c.
OSHA
A confidential medical evaluation must be performed any time:
Select one:
a.
An employee changes jobs
b.
When an employee is first hired
c.
An employee is exposed to blood or body fluid
d.
An employee wants one
c.
An employee is exposed to blood or body fluid
Which of the following is not a disease spread by droplets?
Select one:
a.
Measles
b.
Pneumonia
c.
Whooping cough
d.
Influenza
a.
measles
Healthcare-acquired infections account for more than:
Select one:
a.
50,000 deaths annually
b.
70,000 deaths annually
c.
90,000 deaths annually
d.
110,000 deaths annually
c.
90,000 deaths
The general term for any inanimate object involved in the spread of infection is:
Select one:
a.
Cell
b.
Fomite
c.
Axon
d.
Vector
b.
fomite
Living things responsible for causing disease are called:
Select one:
a.
Zygotes
b.
Fomites
c.
Cells
d.
Vectors
d.
Vectors
A healthcare-acquired infection is generally termed a:
Select one:
a.
Contagious Infection
b.
Disease-causing infection
c.
Antibiotic-resistant infection
d.
Nosocomial infection
d.
Nosocomial infection
Susceptible host?
Select one:
a.
Defense mechanisms
b.
Vehicles
c.
Contact
d.
Vectors
b.
Vehicles