CRQ Aseptic Technique, Sterility, and Disinfection Flashcards
Which of the following statements regarding the sterilization of basin sets is true?
A) Basins must be separated by a porous material if they are nested
B) sponges and linen may be packaged inside the basin to be sterilized
C) Basins are placed flat in the autoclave
D) Basins must always be placed on the top shelf of the autoclave in a combined load
A) Basins must be separated by a porous material if they are nested
Procedure for destroying pathogens at the end of a procedure is:
A) surgical asepsis
B) surgical conscience
C) sterilization
D) terminal sterilization
D) terminal sterilization
Degree of microbial contamination:
A) Bioburden
B) Contaminated
C) Infected
D) Surgical Asepsis
A) Bioburden
In the middle of a surgical procedure a critical stainless steel instrument is contaminated and there is no sterile replacement. Which time setting would be selected for the immidiate use sterilizer (flash)?
A) 3 minutes
B) 10 minutes
C) 15 minutes
D) 30 minutes
A) 3 minutes
Eyewear, goggles, and or face shields should be worn
A) on every case
B) on orthopedic cases
C) on vascular cases
D) on positive HIV cases
A) on every case
The Bowie -Dick test must run daily in which of the following types of sterilizers?
A) Ethylene oxide gas
B) Hydrogen peroxide plasma
C) paracetic acid
D) prevacuum
D) prevacuum
When draping the sterile field, the scrubbed person would do all of the following except:
A) drape from the periphery to the operative site
B) Protect the gloved hand with a cuff
C) drape the patient and all the furniture and equipment to be included in the sterile field
D) hold drapes in a compact position above the waist level
A) drape from the periphery to the operative site
The surgical scrub is
A) sterilization of the skin
B) mechanical cleansing of the skin
C) chemical cleansing of the skin
D) mechanical washing and chemical antisepsis of the skin
D) mechanical washing and chemical antisepsis of the skin
Agent that kills microorganisms on inanimate oblects
A) Aerosol
B) Antiseptic
C) Disinfectant
D) sporicidal
C) Disinfectant
The maximum storage life for a muslin-wrapped item in a closed cabinet is
A) 7 days
B) 14 days
C) 21 days
D) 30 days
D) 30 days
Any item dropped on the floor is considered safe only if
A) it is wrapped in woven material
B) it is enclosed in a impervious material
C) it is used right away
D) it is inspected carefully
B) it is enclosed in a impervious material
If the scrub nurse needs to change a glove during a operation
A) the scrub must also regown
B) the circulator pulls the glove off
C) the scrub pulls the glove off
D) the scrub uses closed glove technique to reapply gloves
B) the circulator pulls the glove off
What method of sterilization is used on objects that cannot tolerate heat, moisture, and the presence of steam sterilization?
A) gravity displacement
B) ETO
C) Hydrogen peroxode
D) Cidex
B) ETO
Scrub technique ends
A) 2 inches below the elbow
B) just below the elbow
C) at the elbow
D) 2 inches above the elbow
D) 2 inches above the elbow
In which procedure would a high-level disinfectant be acceptable instrument preparation?
A) Suction lipectomy
B) tracheotomy
C) cystoscopy
D) mediastinoscopy
C) cystoscopy
All of the following statements regarding gowning another person are true EXCEPT
A) open the hand towel and lay it on the person’s hand
B) hand the folded gown to the person at the neck band
C) keep hands on the outside of the gown under a protective cuff
D) release the gown once the person touches it
B) hand the folded gown to the person at the neck band
The scrub has completed the sterile set up when notified that the surgeon will be 30 minutes late. He or She would:
A) remain with the sterile field until further notified
B) cover the sterile items and take a break
C) break scrub and get directions from the supervisor
D) find a comfortable stool and wait for further instructions
A) remain with the sterile field until further notified
At the end of the case, drapes should be
A) pulled off and placed in the hamper
B) rolled off and placed on the floor so they can be checked for instruments
C) rolled off and placed in the hamper
D) checked for instruments, rolled off, and placed in the hamper
D) checked for instruments, rolled off, and placed in the hamper
Which of the following types of sterilizers require a drying cycle?
A) gravity displacement
B) ethylene oxide gas
C) ionizing radiation
D) paracetic acid
A) gravity displacement
Packages wrapped in muslin must have
A) one thickness
B) two thickness
C) three thickness
D) four thickness
D) four thickness
When storing sterile packs, you should place them:
A) in open cabinets near a vent
B) behind packs with older dates
C) on their sides
D) in areas of high humidity
B) behind packs with older dates
When flipping a sterile item onto the field, the circulator may
A) lean over the sterile field to shake item out of package
B) project item without reaching over the sterile field
C) shake item into sterile basin stand
D) lean over sterile linen pack and drop them onto it
B) project item without reaching over the sterile field
Gluteradlehyde is a high-level disinfectant, that is,a sporicidal, a bacteriocidal, and a virocidal at a 2% concentration for _______, it is also a tuberculocidal.
A) 10 minutes
B) 15 minutes
C) 20 minutes
D) 40 minutes
C) 20 minutes
When using a high-level disinfectant, always
A) submerge items while wet
B) rinse items with sterile distilled water before using
C) soak items in saline before using
D) add hot diluent to activated agent
B) rinse items with sterile distilled water before using
Agent that inhibits bacterial growth:
A) Aerosol
B) Antiseptic
C) Bacteriocidal
D) Bacteriostasis
D) Bacteriostasis
All of the following regarding instrument sets are true Except?
A) instruments must be placed in perforated trays
B) heavy instruments are placed on the bottom
C) all instruments must be closed
D) all detachable parts must be disassembled
C) all instruments must be closed
Agent that kills bacteria.
A) Bacteriocidal
B) Bacteriostasis
C) Disinfectant
D) Sterile
A) Bacteriocidal
When opening a wrapper, the circulator should open the top flap
A) toward self
B) away from self
C) after the sides
D) over the sterile field
B) away from self
An acceptable action when drying the hands and arms after the surgical scrub is to
A) dry from elbow to fingertip
B) dry thoroughly, cleanest area first
C) keep the hands and arms close to the body, at waist level
D) dry one hand and arm thoroughly before proceeding to the next
B) dry thoroughly, cleanest area first
If a solution soaks through a sterile drape
A) discard drape and replace it
B) cover wet area with impervious sterile drape or towel
C) cover wet area with at least two layers of fabric
D) fill out a incident report at the end of the case
B) cover wet area with impervious sterile drape or towel
Which statement regarding the surgical scrub indicates Inappropriate preparation by the scrub?
A) Artificial nails/ devices must not cover nails
B) Nail polish may be worn, if not chipped
C) Finger nails should not reach beyond fingertips
D) Skin should be protected with a non-oil-based product
B) Nail polish may be worn, if not chipped
Means without infection:
A) Antiseptic
B) Aseptic
C) Sanitary
D) Sterile
B) Aseptic
Bioburden refers to
A) the degree of microbial contamination
B) a hospital acquired infection
C) a chemical agent
D) high-level disinfectant
A) the degree of microbial contamination
Gravity displacement, steam sterilizers operate on the principle that
A) Air is heavier than steam
B) air and steam have equal weight
C) steam is heavier than air
D) water is heavier than air
A) Air is heavier than steam
Regarding the surgical scrub, which statement would violate acceptable practice?
A) Fingermails should not reach beyond fingertip
B) Nail polish may be worn if freshly applied
C) Anyone with a cut, abrasion, or hangnail should not scrub
D) A non-oil-based hand lotion may be used to protect the skin
B) Nail polish may be worn if freshly applied
Sterility was previously measured by time but is now considered invalid. The principle used now is
A) carefully checked sterile indicators
B) event-related sterility
C) terminal sterilization
D) Both B and C
D) Both B and C
What is the function of an aerator in EO sterilization?
A) It is used to aerate items before sterilization
B) it is a separate unit used to decrease the aeration time
C) It is the last cycle in the EO sterilizer, which helps exhaust the gas and add air
D) It adds air to the cycle, which is essential for obtaining ite, sterility
B) it is a separate unit used to decrease the aeration time
An effective surgical scrub procedure is
A) time method
B) brush-stroke method
C) 3-minute anatomic method
D) both A and B
D) both A and B
Which of the following is the only acceptable plastic that can be used for a steam sterilization wrapper?
A) Polyethylene
B) Polypropylene
C) Polyamide
D) Polyvinyl Chloride
B) Polypropylene
When dispensing sterile items to a sterile field, the circulator would:
A) open the far side of the package last
B) stand as close to the sterile field as possible
C) ensure the wrapper tails are properly secured
D) recap the ramaining portion of the sterile saline for dispensing later during the procedure
C) ensure the wrapper tails are properly secured
All are environmental disinfectants used for low-level disinfection and terminal decontamination except
A) gluteraldehyde
B) hypochlorite
C) quaternary ammonium compound
D) alcohol
A) gluteraldehyde
Which of the following is essential when using activated gluteraldehyde for sterilization?
A) items must be rinsed thoroughly in steile water before use
B) The solution must be heated in order to be effective
C) The items must be thoroughly moistened before placement in solution
D) The items must be air dried before use
A) items must be rinsed thoroughly in steile water before use
When opening supplies for a case, what should be passed directly to the scrub, or flipped into an area where they are clearly visible?
A) medications
B) 10cc syringe
C) Peanuts
D) Blades
D) Blades
The safest, most practical means for sterilizing heat- and moisture-stable items is:
A) Ethylene oxide
B) Activated gluteraldehyde
C) bioling water
D) saturated steam under pressure
D) saturated steam under pressure
What is the role of moisture in EO sterilization?
A) The items will dry out during the process if no humidity is added
B) The sterilizer will deteriorate from gas over a period of time if no moisture is added
C) Dried spores are resistant to the gas, so the must be hydrated
D) Moisture is not an essential element in gas sterilization
C) Dried spores are resistant to the gas, so the must be hydrated
Professional commitment to honesty, use of strict aseptic technique,conscientiousness, and respect for others
A) Surgical asepsis
B) Surgical Conscience
C) Code of Ethics
D) Code of Honor
B) Surgical Conscience
The process of terminal decontamination follows every case. Decontamination of the walls consists of
A) cleaning all walls up to 3 feet
B) cleaning all walls up to 1 foot
C) spot clean where soiled
D) always clean with alcohol
C) spot clean where soiled
Which of the following kills bacterial spores?
A) Sterilant
B) Germicide
C) Antiseptic
D) Fungicide
A) Sterilant