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Sterile Processing > Chapter 8-Final > Flashcards

Chapter 8-Final Flashcards

1
Q

The preparation and packaging area must have an air exchange rate of:
Select one:

a.
6 per hour

b.
10 per hour

c.
8 per hour

d.
4 per hour

A

b.

10 per hour

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2
Q

Which of the following should be used to write on the count sheets and tray lists?
Select one:

a.
Lead pencils

b.
Permanent, nontoxic ink

c.
China markers

d.
Crayons

A

b.

Permanent, nontoxic ink

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3
Q

Basin sets must be prepared for sterilization with:
Select one:

a.
Basins separated by at least ½ inch

b.
A nonabsorbent material between each basin

c.
Basins placed in opposite directions

d.
An absorbent material between each basin

A

An absorbent material between each basin

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4
Q

What is the acceptable temperature range for the prep and packaging area?
Select one:

a.
62 deg F – 68 deg F (17 – 20 deg C)

b.
70 deg F – 75 deg F (21 – 24 deg C)

c.
60 deg F – 65 deg F (16 – 18 deg C)

d.
68 deg F – 73 deg F (20 - 23 deg C)

A

68 deg F – 73 deg F (20 - 23 deg C)

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5
Q

Approximately how much space should be left between an item and the inside edges of a peel pouch?
Select one:

a.
1”

b.
2”

c.
3”

d.
4”

A

a. 1”

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6
Q

Where should the heavier instruments be placed when assembling a set containing heavy and delicate instruments?
Select one:

a.
On the bottom of the set

b.
On the right hand side

c.
On the top of the delicate instruments

d.
In the center of the tray

A

a.

on the bottom of the set

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7
Q

The ideal humidity level in the prep and pack area should be:
Select one:

a.
50%

b.
35%

c.
40%

d.
20%

A

a.

50%

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8
Q

The floors in the preparation area should be:
Select one:

a.
Vacuumed once a week

b.
Swept with a broom on the night shift

c.
Wet-mopped daily

d.
Dry-mopped each shift

A

c.

wet-mopped daily

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9
Q

What is the maximum size and weight of a textile pack?
Select one:

a.
12” x 20” x 10”, 7.2 pounds

b.
12” x 12” x 20”, 12 pounds

c.
12” x 12” x 12”, 10 pounds

d.
10” x 10” x 12”, 20 pounds

A

b.

12” x 12” x 20”, 12 pounds

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10
Q

If a non-perforated tray is used for the sterilization of instrument sets, it must be:
Select one:

a.
Processed on the top rack of the sterilizer

b.
Tilted on the sterilizer rack

c.
Laid flat on the sterilizer rack

d.
Wrapped with a towel prior to placing the instruments on it

A

Tilted on the sterilizer rack

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11
Q

Tamper-evident seals on rigid containers include:
Select one:

a.
Latches and locks

b.
Lids and gaskets

c.
Lids and Latches

d.
Filters and gaskets

A

Latches and locks

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12
Q

The air flow in the preparation and packaging area must be maintained at:
Select one:

a.
Negative pressure

b.
Automatic pressure

c.
Constant pressure

d.
Positive pressure

A

d.

positive pressure

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13
Q

Which of the following packaging materials is acceptable for steam sterilization?
Select one:

a.
Nonwoven wraps

b.
Polyethylene

c.
Aluminum foil

d.
Tyvek

A

nonwoven wraps

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14
Q

Where should the chemical indicator be placed in a wrapped set of instruments?
Select one:

a.
Two opposite corners

b.
The left-hand corner

c.
The center of the set

d.
The right-hand side

A

The right-hand side

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15
Q

Which of the following is not one of the basic principles of packaging?
Select one:

a.
The package must be able to be opened without contamination

b.
The material must be acceptable for all types of sterilization

c.
The material must be a barrier to microorganisms

d.
The material must allow the sterilant to reach the contents

A

The material must be acceptable for all types of sterilization

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16
Q

Which of the following packaging materials is acceptable for low-temperature gas plasma and ozone sterilization?
Select one:

a.
Textile wraps

b.
Paper/plastic pouches

c.
Nonwoven wraps

d.
Tyvek

A

Tyvek

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17
Q

When rigid containers are processed in a steam sterilizer, they must be placed:
Select one:

a.
On their side during sterilization

b.
On the middle shelf during sterilization

c.
On the top shelf during sterilization

d.
Flat on the cart during sterilization

A

Flat on the cart during sterilization

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18
Q

Multi-layer container systems should have chemical indicators placed in:
Select one:

a.
The middle of the tray

b.
Each corner

c.
Each level

d.
The bottom level

A

Each Level

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19
Q

When marking and identifying instruments, which of the following should never be used?
Select one:

a.
Color-bonded handles

b.
Chemical etching

c.
Marking tape

d.
Engraving

A

d.

engraving

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20
Q

What is the final stage in manufacturing a surgical grade instrument?
Select one:

a.
Ebonizing

b.
Passivation

c.
Lubrication

d.
Cavitation

A

b.

passivation

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21
Q

When the jaws of a stainless steel needle holder become worn, the needle holder must be:
Select one:

a.
Used only on house trays

b.
Discarded

c.
Given to a friend for his tackle box

d.
Resurfaced

A

b.

discarded

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22
Q

Cracked insulation on a laparoscopic instrument can cause:
Select one:

a.
Poor cutting

b.
Electrical shock

c.
Poor grasping

d.
A tear in the surgeon’s glove

A

b.

electrical shock

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23
Q

How is an instrument with tungsten carbide inserts identified?
Select one:

a.
Black handles

b.
Satin finish

c.
Gold handles

d.
Shiny finish

A

c.

gold handles

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24
Q

The chromium oxide layer is intended to make an instrument:
Select one:

a.
Reflect light

b.
Resistant to corrosion

c.
Easier to clean

d.
Grasp and hold tissue

A

b.

resistant to corrosion

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25
Q

Which of the following is not a method for checking the visual clarity of a rigid endoscope?
Select one:

a.
Holding the scope up to a light source

b.
Using a tester manufactured for this purpose

c.
Looking at a white piece of paper through the scope

d.
Using a leak tester

A

d.

using a leak tester

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26
Q

` When labeling a rigid scope for sterilization, which of the following information is not required?
Select one:

a.
O.R. service

b.
Manufacturer

c.
Surgeon’s name

d.
Size and visual field of scope

A

c.

surgeon’s name

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27
Q

What is the most difficult part of a hemostat to clean?
Select one:

a.
Box lock

b.
Ratchet

c.
Shanks

d.
Jaws

A

a.

box lock

28
Q

What type of finish on a surgical instrument is used for laser procedures?
Select one:

a.
Ebonized

b.
Shiny

c.
Satin

d.
Gold

A

a.

ebonized

29
Q

Unless otherwise directed by the manufacturer, an instrument should be lubricated:
Select one:

a.
Every time it is used

b.
When it gets stiff

c.
Weekly

d.
Monthly

A

b.

When it gets stiff

30
Q

Which of the following lubricants is recommended for use on surgical instruments?
Select one:

a.
Petroleum based

b.
Water-based

c.
Oil-based

d.
Silicone-based

A

b.

water-based

31
Q

When testing a scissor for sharpness, it is important to:
Select one:

a.
Check the tightness of the screw

b.
Cut with the entire length of the blade

c.
Cut into a piece of cardboard

d.
Make several cuts in the testing material

A

d.

Make several cuts in the testing material

32
Q

Scissors with black handles are often referred to as:
Select one:

a.
Super sharps

b.
Satin

c.
Martensitic

d.
Surgical grade

A

a.

Super sharps

33
Q

The weakest part of the instrument is/are the:
Select one:

a.
Box lock

b.
Shanks

c.
Ratchet

d.
Jaws

A

a. box lock

34
Q

Which of the following is not part of routine inspection of instruments?
Select one:

a.
Jaw alignment

b.
Vendor identification number

c.
Ratchet tension

d.
Box lock stiffness

A

b.

Vendor identification number

35
Q

Black dots in a fiber optic light cable indicate:
Select one:

a.
There is damage to the glass rods

b.
The cable is normal and OK to use

c.
How many times it has been used

d.
The wrong light source has been used

A

a.

There is damage to the glass rods

36
Q

Which of the following would be used to hold back tissue or organs?
Select one:

a.
Tissue Forceps

b.
Retractor

c.
Dressing Forceps

d.
Cannulas

A

b.

Retractor

37
Q

Power equipment should be lubricated;
Select one:

a.
With an oil based lubricant

b.
Using the lubricant cycle in the washer-decontaminator

c.
Soaking in enzymatic cleaner

d.
According to manufacturer’s instructions

A

d.

According to manufacturer’s instructions

38
Q

Which series of stainless steel is used to manufacture malleable retractors?
Select one:

a.
300

b.
400

c.
200

d.
500

A

a.

300

39
Q

The layer on a surgical instrument created by the passivation process is called:
Select one:

a.
Tungsten carbide

b.
A satin finish

c.
Chromium oxide

d.
An ebonized surface

A

c.

chromium oxide

40
Q

Which of the following is critical to EO penetration of bacterial cells?
Select one:

a.
Temperature

b.
Humidity

c.
Hydrogen

d.
Chlorofluorocarbons

A

b. humidity

41
Q

For sterilization, paper-plastic peel packages should be placed:
Select one:

a.
On the bottom shelf

b.
On their edge

c.
Plastic side down

d.
Paper side down

A

b. on their edge

42
Q

Which step should be taken when a wet pack is noticed while unloading the sterilizer?
Select one:

a.
Reprocess the item

b.
Leave the item on the cart until dry

c.
Place the item back in the sterilizer to dry

d.
Set it near a heat vent

A

a. reprocess the item

43
Q

What is the maximum number of 100% EO cartridges permitted by OSHA to be stored outside of a flammable goods cabinet?
Select one:

a.
12

b.
10

c.
6

d.
8

A

a. 12

44
Q

In a mixed load of textile and metal goods the textile packs should be placed:
Select one:

a.
On the top rack

b.
On the bottom rack

c.
Textiles in back and metal in front on both racks

d.
Alternately on each rack

A

a. on the top rack

45
Q

The Type 5 indicator is called a(n):
Select one:

a.
Single-parameter indicator

b.
Multi-parameter indicator

c.
Process indicator

d.
Integrator

A

d. integrator

46
Q

What should be done if the Bowie Dick test fails the first time?
Select one:

a.
Call for service

b.
Shut down the sterilizer, then turn it back on

c.
Report to the Supervisor for further instruction

d.
Increase the sterilization time and repeat the test

A

c.

Report to the Supervisor for further instruction

47
Q

Immediate-use steam sterilization (flash) is appropriate when:
Select one:

a.
The instrument is delicate

b.
A one-of-a-kind instrument is dropped

c.
Loaner instruments are received late

d.
Instrument inventory is low

A

b.

A one-of-a-kind instrument is dropped

48
Q

Stacking of rigid sterilization containers on the autoclave rack is permitted when:
Select one:

a.
It is the last load of the day and the sets will sit overnight

b.
The top shelf is removed to make more space

c.
The load will only contain rigid containers

d.
The manufacturer provides technical data stating it is acceptable

A

d.

The manufacturer provides technical data stating it is acceptable

49
Q

For sterilization to occur, steam must:
Select one:

a.
Be flushed into each package

b.
Trap air inside the package

c.
Make direct contact with all surfaces

d.
Be superheated

A

c.

Make direct contact with all surfaces

50
Q

All loads containing implantable devices should be:
Select one:

a.
Recorded with the surgeon’s name

b.
Monitored with a BI

c.
Recorded with the patient’s name

d.
Monitored with a Class V chemical integrator

A

b.

Monitored with a BI

51
Q

In non-tabletop steam sterilizer’s, where are PCD’s (Process Challenge Devices or test packs) placed to present the greatest challenge to the steam sterilizer?
Select one:

a.
Center of the sterilizer

b.
Bottom shelf of the cart directly over the drain

c.
Top rack back

d.
Bottom rack back

A

b.

Bottom shelf of the cart directly over the drain

52
Q

In the event of a positive BI, how many loads should be recalled?
Select one:

a.
All loads containing implants

b.
All loads back to the last negative BI

c.
Loads for the entire week

d.
Only the affected load

A

b.

All loads back to the last negative BI

53
Q

The process by which all forms of microbial life, including spores, are destroyed is the definition of:
Select one:

a.
Sanitization

b.
Disinfection

c.
Decontamination

d.
Sterilization

A

d. sterilization

54
Q

The three parameters of steam sterilization are:
Select one:

a.
Steam under pressure, time and temperature

b.
Steam under pressure, concentration, and time

c.
Temperature, time, and humidity

d.
Time, temperature and concentration of sterilant

A

a.

Steam under pressure, time and temperature

55
Q

What is the correct action to take if a written item needs to be removed from the load record?
Select one:

a.
Cross off the item with a black sharpie

b.
Draw a line through the item and initial

c.
Rewrite the entire record

d.
Use a white-out pen

A

b.

Draw a line through the item and initial

56
Q

The sterilizer’s heat-sensing thermometer is located in the:
Select one:

a.
Drain line

b.
Steam injector

c.
Jacket

d.
Chamber

A

a. drain line

57
Q

What is used to verify that the sterilizer air removal mechanism is functioning properly?
Select one:

a.
Bowie Dick test

b.
Bacterial spore strip

c.
Process challenge device

d.
Sterilizer indicator tape

A

a. bowie dick test

58
Q

Which of the following is the recommended sterilizer setting for the Bowie-Dick test?
Select one:

a.
2 ½ to 4 minutes at 250 deg F (121 deg C) dynamic-air-removal

b.
3 ½ to 4 minutes at 270 deg F (134 deg C) gravity

c.
3 ½ to 4 minutes at 270 deg F (132 deg C) dynamic-air-removal

d.
2 ½ to 4 minutes at 250 deg F (121 deg C) gravity

A

3 ½ to 4 minutes at 270 deg F (132 deg C) dynamic-air-removal

59
Q

Which method of sterilization is used to sterilize liquids?
Select one:

a.
Prevac steam

b.
Peracetic acid

c.
Ethylene oxide

d.
Gravity steam

A

d. gravity steam

60
Q

If a biological test is performed daily, how often is it necessary to incubate a control biological indicator?
Select one:

a.
Once a day, and if a new lot number is used

b.
With each BI placed in the incubator

c.
With each new case of BI’s

d.
Once a week, unless a new lot number is used

A

a.

Once a day, and if a new lot number is used

61
Q

The Bowie-Dick test is used to monitor:
Select one:

a.
Diagnostic performance

b.
Dynamic-air-removal cycles

c.
Process challenge test

d.
Gravity steam cycles

A

b.

Dynamic-air-removal cycles

62
Q

Routine BI testing for steam sterilizers should be performed at least:
Select one:

a.
Daily

b.
Weekly

c.
Every other day

d.
Monthly

A

b. weekly

63
Q

Which of the following is the minimum exposure time for wrapped goods in a prevac steam cycle at 275 deg F (135 deg C)?
Select one:

a.
4 minutes

b.
3 minutes

c.
15 minutes

d.
10 minutes

A

3 minutes

64
Q

When items are unloaded from the steam sterilizer rack, they should be handled with:
Select one:

a.
Clean hands

b.
Rubber gloves

c.
Cotton gloves

d.
Butyl gloves

A

a. clean hands

65
Q

For sterilization, basin sets should be positioned:
Select one:

a.
Under a rigid container

b.
Over a linen pack

c.
Facing up

d.
Tilted on their side

A

d. tilted on their side.

66
Q

The basic parameters of gas sterilization in a 100% EO sterilizer are concentration, exposure time,
Select one:

a.
Vacuum and pressure

b.
Humidity and aeration

c.
Humidity and temperature

d.
Vacuum and aeration

A

c.

Humidity and temperature

67
Q

Which of the following monitoring methods verifies that conditions within the load were adequate to kill bacterial spores?
Select one:

a.
Administrative

b.
Biological

c.
Chemical

d.
Mechanical

A

b. biological

Sterile Processing (2 decks)

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