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Sterile Processing > Practice exam > Flashcards

Practice exam Flashcards

1
Q

What best describes the purpose of evenly distributing large sets of instruments?

A

Extra condensation will make the set more difficult to dry

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2
Q

What best describes the overall role of the sterile processing area?

A

To provide dependable service to enhance patient care

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3
Q

What government agency has the responsibility for approving new environmental disinfectants prior to their being sold to healthcare facilities?

A

Environmental Protection Agency

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4
Q

The function of a ratchet can be checked by

A

Closing the ratchet on the first click, then tapping the handle on the work table

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5
Q

The science that studies the structure of the body is known as

A

Anatomy

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6
Q

What transports molecules within the cell?

A

Cytoplasm

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7
Q

What set would he considered high-risk for special prion processing?

A

Craniotomy set

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8
Q

The metacarpals are located in the

A

Hands

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9
Q

Microorganisms are measured in

A

Microns

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10
Q

With respect to rigid sterilization container testing, which term defines the sterilizers ability to sterilize under actual use conditions?

A

Maximum-load testing

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11
Q

If you have a fever, your temperature would be above

A

98.6

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12
Q

Which of the following statements is true of a capsulated bacterium?

A

It is more resistant to heat and chemicals

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13
Q

Pulmonary capillaries are found in which system?

A

Respiratory

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14
Q

Ethics is the practice of

A

Doing the right thing

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15
Q

A microorganism that is resting and has a hard, shell-like outer covering is called a

A

Spore

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16
Q

Spongiform encephalopathy is caused by?

A

Prions

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17
Q

Nails, tissues and money are examples of

A

Fomites

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18
Q

The Zika virus is transmitted by

A

Vectors

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19
Q

In the final step of handwashing, three fingers should be rinsed with the fingertips

A

Up

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20
Q

Waterless hand antiseptics contain what percentage concentration of alcohol to make them most effective?

A

60%-95%

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21
Q

All of the following play a role in how bones support other body systems

A

Storage of minerals
Growth of blood cells
Protection of internal organs

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22
Q

The Occupational Safety and Heath Administration requires that transport containers for potentially infectious materials be

A

Leak-proof

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23
Q

Flagella help bacteria to

A

Propel through liquid media

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24
Q

The removal of contamination from an item to the extent necessary for further processing is called

A

Cleaning

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25
Q

Which of the following should be cleaned daily in the SPD area?

A

Floors

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26
Q

What is true about the use of personal protective equipment in the decontamination area

A

Failure to wear personal protective equipment can result in disciplinary action

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27
Q

Before a medical device is cleaned and processed,

A

The manufacturers instructions must be obtained

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28
Q

What additional chemicals is recommended when a high-alkaline detergent is used in a mechanical washer?

A

Neutralizing acid

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29
Q

Higher alkalinity in water used for cleaning instruments

A

Can increase the chance of corrosion

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30
Q

What type of organism is able to survive adverse environmental conditions by forming spores?

A

Clostridium

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31
Q

A solution with a pH of 3 is considered

A

Acidic

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32
Q

A solution with a pH of 13 is considered

A

Alkaline

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33
Q

What are major non-living reservoirs of infectious diseases?

A

Soil and water

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34
Q

What material may be affected by the use of high-alkaline detergents?

A

Anodized aluminum

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35
Q

What can be used to remove severe stains on stainless steel instruments?

A

Organic acid detergent

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36
Q

One method of preventing biofilm formation in linens is to

A

Rinse the lumens with critical water and dry them as well

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37
Q

What is critical water?

A

Critical water is water that has been treated to remove microorganisms. It’s used in the cleaning and processing of reusable medical equipment to ensure devices are cleaned, disinfected, and sterilized.

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38
Q

Generally, the distal end of a rigid endoscope should be cleaned with a

A

Soft bristled brush

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39
Q

Opened but unused instrument sets should be

A

Completely reprocessed

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40
Q

When high-level disinfecting a device, if too many microorganisms remain on an item after the cleaning process, the

A

Disinfection process might be inhibited

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41
Q

What chemicals are used for cleaning inanimate environmental surfaces and floors?

A

Quaternary ammonium compounds

42
Q

Unless otherwise directed, an item high-level disinfected in glutaraldehyde must be rinsed a minimum of

A

2 times

43
Q

What pieces of equipment would be used to regulate body temperature?

A

Hypo/hyperthermia machine

44
Q

What pieces of equipment would be used to prevent the formation of blood clots?

A

Sequential compression device

45
Q

Which series of stainless steel is used to manufacture osteotomes?

A

400

46
Q

For manual lubrication, surgical instruments should be placed in a lubricant solution and then

A

Room air-dried

47
Q

What would be cut with dissecting scissors?

A

Tissue

48
Q

The purpose of a tungsten carbide insert on a needle holder is to

A

Hold the suture needle better

49
Q

When should laparoscopic instruments be reassembled for sterilization?

A

When recommended by the manufacturer

50
Q

What type of instrument is used to view internal organs through very small openings?

A

Laparoscopic

51
Q

Instruments must never be

A

Engraved

52
Q

What is an example of a flexible endoscope?

A

Bronchoscope

53
Q

Anyone entering the preparation area must

A

Wear the proper attire

54
Q

When sterilizing two large basins in the same set, the chemical indicator should be placed in the

A

Middle of the basin set and the bottom basin

55
Q

When can loaned instrument sets be placed inside rigid sterilization containers?

A

With instructions from the loaned instrument company

56
Q

The three basic shapes of microbes are round, spiral and

A

Rod-like

57
Q

In non-table-top steam sterilizers, steam is generated in

A

A boiler

58
Q

Indicator (sterilization) tape is considered which type of chemical indicator?

A

Type 1

59
Q

The part of the steam sterilizer that produces heat inside the chamber to prevent condensation from forming on the chamber walls is the

A

Jacket

60
Q

What is the most effective to minimize frequent reprocessing of sterile supplies?

A

Proper stock rotation

61
Q

The coldest location inside a non-table top steam sterilizer chamber is the

A

Drain line

62
Q

Gradual heating of packs occur during which phase of the steam sterilization cycle?

A

Conditioning

63
Q

An emergency eyewash station must

A

Permit hands free operation

64
Q

When double paper-plastic pouching is permitted by the manufacturer, the

A

Inner pouch must lay flat inside the outer pouch

65
Q

In non-table too steam sterilizers, what describes a minimum exposure time, temperature, and pressure for pre-vacuum steam sterilization of wrapped items?

A

4 minutes at 270F (132C) and 28 to 30 pounds per square inch (psi)

66
Q

What is the first step to take when an instrument needs to be sterilized for immediate use?

A

Clean the instrument according to the manufacturers instructions

67
Q

What is the first step to take when an instrument needs to be sterilized for immediate use?

A

Clean the instrument according to the manufacturers instructions

68
Q

Incoming saturated steam should be within what range of dryness?

A

97% to 100%

69
Q

Failure to remove all air from a package to be steam sterilized may result in

A

Pour steam penetration

70
Q

Damage to medical/surgical supplies stored in the receiving area can be avoided by

A

Avoiding temperature and humidity extremes

71
Q

In a non table top steam sterilizer, steam is exhausted through the

A

Chamber drain line

72
Q

Textile packs must be placed on their sides in the steam sterilizer in order to

A

Facilitate air removal and steam penetration

73
Q

The most unique feature of an integrating chemical indicator is its ability to

A

Perform in parallel to a biological indicator

74
Q

Ethylene oxide gas kills microorganisms by a process called

A

Alkylation

75
Q

The nominal concentration of hydrogen peroxide in a low-temperature gas plasma sterilizer is

A

59%

76
Q

Rigid sterilization containers must be biologically tested before

A

They are purchased

77
Q

In the sterile storage area, the ventilation system must be under

A

Positive pressure

78
Q

What is not a factor affecting the dry time in a steam sterilizer?

A

Selected sterilization time

79
Q

The cochlea is part of the

A

Inner ear

80
Q

What must be made available to distribution personnel?

A

Policies and procedures for correct handling of sterile supplies

81
Q

According to Spaulding’s classification, a critical device requires

A

Sterilization between uses

82
Q

Which distribution system is designed to reduce store room inventory?

A

Just-in-time

83
Q

An item is considered sterile if the sterility assurance level reaches

A

10 to the -6

84
Q

The drain-like basket in a non-table-top steam sterilizer should be cleaned

A

Daily

85
Q

Effective sterilization begins with

A

Thorough cleaning

86
Q

Incident reports should be filed

A

Immediately

87
Q

An exhaust hood over the ethylene oxide gas sterilizer is an example of

A

Engineering control

88
Q

What is the correct incubation temperature range for biological indicators used in steam sterilization?

A

131F to 140F (55C to 60C)

89
Q

Which is the largest part of the brain?

A

Cerebrum

90
Q

What is true regarding steam sterilization?

A

Higher temperatures require higher pressure

91
Q

Ortho-phthalaldehyde is classified as a

A

High-level disinfectant

92
Q

When placing paper-plastic pouches in a sterilizer, the pouches should be positioned

A

Paper facing plastic

93
Q

Which statement is true about table-top steam sterilizer?

A

Have a chamber size of not more than 2 cubic feet

94
Q

Barrier precautions, handwashing, and sharps precautions come under the umbrella of

A

Standard precautions

95
Q

What is a true statement about table-top steam sterilizers?

A

Table-top sterilizers require a printout

96
Q

The reservoir in a table-top steam sterilizer

A

Needs to be filled with distilled or deionized water daily before the sterilizer is used

97
Q

When loading a tabletop steam sterilizer,

A

Items should not be stacked

98
Q

What is a true statement about monitoring of sterilization cycles?

A

The more frequently a BI test is run? The quicker a sterilization process failure can be detected

99
Q

What is true about unloading sterilizers that do not have loading carts?

A

Use sterile gloves when handling packages until cool

100
Q

Should shoes have closed backs at all times?

A

Yes

101
Q

Which instrument set would not be used with the skeletal system?

A

Myringotomy

102
Q

Pass through windows should be

A

Located between the decontamination and preparation areas

Sterile Processing (3 decks)

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