Practice exam Flashcards

(102 cards)

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
Which of the following should be cleaned daily in the SPD area?
Floors
26
What is true about the use of personal protective equipment in the decontamination area
Failure to wear personal protective equipment can result in disciplinary action
27
Before a medical device is cleaned and processed,
The manufacturers instructions must be obtained
28
What additional chemicals is recommended when a high-alkaline detergent is used in a mechanical washer?
Neutralizing acid
29
Higher alkalinity in water used for cleaning instruments
Can increase the chance of corrosion
30
What type of organism is able to survive adverse environmental conditions by forming spores?
Clostridium
31
A solution with a pH of 3 is considered
Acidic
32
A solution with a pH of 13 is considered
Alkaline
33
What are major non-living reservoirs of infectious diseases?
Soil and water
34
What material may be affected by the use of high-alkaline detergents?
Anodized aluminum
35
What can be used to remove severe stains on stainless steel instruments?
Organic acid detergent
36
One method of preventing biofilm formation in linens is to
Rinse the lumens with critical water and dry them as well
37
What is critical water?
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.
38
Generally, the distal end of a rigid endoscope should be cleaned with a
Soft bristled brush
39
Opened but unused instrument sets should be
Completely reprocessed
40
When high-level disinfecting a device, if too many microorganisms remain on an item after the cleaning process, the
Disinfection process might be inhibited
41
What chemicals are used for cleaning inanimate environmental surfaces and floors?
Quaternary ammonium compounds
42
Unless otherwise directed, an item high-level disinfected in glutaraldehyde must be rinsed a minimum of
2 times
43
What pieces of equipment would be used to regulate body temperature?
Hypo/hyperthermia machine
44
What pieces of equipment would be used to prevent the formation of blood clots?
Sequential compression device
45
Which series of stainless steel is used to manufacture osteotomes?
400
46
For manual lubrication, surgical instruments should be placed in a lubricant solution and then
Room air-dried
47
What would be cut with dissecting scissors?
Tissue
48
The purpose of a tungsten carbide insert on a needle holder is to
Hold the suture needle better
49
When should laparoscopic instruments be reassembled for sterilization?
When recommended by the manufacturer
50
What type of instrument is used to view internal organs through very small openings?
Laparoscopic
51
Instruments must never be
Engraved
52
What is an example of a flexible endoscope?
Bronchoscope
53
Anyone entering the preparation area must
Wear the proper attire
54
When sterilizing two large basins in the same set, the chemical indicator should be placed in the
Middle of the basin set and the bottom basin
55
When can loaned instrument sets be placed inside rigid sterilization containers?
With instructions from the loaned instrument company
56
The three basic shapes of microbes are round, spiral and
Rod-like
57
In non-table-top steam sterilizers, steam is generated in
A boiler
58
Indicator (sterilization) tape is considered which type of chemical indicator?
Type 1
59
The part of the steam sterilizer that produces heat inside the chamber to prevent condensation from forming on the chamber walls is the
Jacket
60
What is the most effective to minimize frequent reprocessing of sterile supplies?
Proper stock rotation
61
The coldest location inside a non-table top steam sterilizer chamber is the
Drain line
62
Gradual heating of packs occur during which phase of the steam sterilization cycle?
Conditioning
63
An emergency eyewash station must
Permit hands free operation
64
When double paper-plastic pouching is permitted by the manufacturer, the
Inner pouch must lay flat inside the outer pouch
65
In non-table too steam sterilizers, what describes a minimum exposure time, temperature, and pressure for pre-vacuum steam sterilization of wrapped items?
4 minutes at 270F (132C) and 28 to 30 pounds per square inch (psi)
66
What is the first step to take when an instrument needs to be sterilized for immediate use?
Clean the instrument according to the manufacturers instructions
67
What is the first step to take when an instrument needs to be sterilized for immediate use?
Clean the instrument according to the manufacturers instructions
68
Incoming saturated steam should be within what range of dryness?
97% to 100%
69
Failure to remove all air from a package to be steam sterilized may result in
Pour steam penetration
70
Damage to medical/surgical supplies stored in the receiving area can be avoided by
Avoiding temperature and humidity extremes
71
In a non table top steam sterilizer, steam is exhausted through the
Chamber drain line
72
Textile packs must be placed on their sides in the steam sterilizer in order to
Facilitate air removal and steam penetration
73
The most unique feature of an integrating chemical indicator is its ability to
Perform in parallel to a biological indicator
74
Ethylene oxide gas kills microorganisms by a process called
Alkylation
75
The nominal concentration of hydrogen peroxide in a low-temperature gas plasma sterilizer is
59%
76
Rigid sterilization containers must be biologically tested before
They are purchased
77
In the sterile storage area, the ventilation system must be under
Positive pressure
78
What is not a factor affecting the dry time in a steam sterilizer?
Selected sterilization time
79
The cochlea is part of the
Inner ear
80
What must be made available to distribution personnel?
Policies and procedures for correct handling of sterile supplies
81
According to Spaulding’s classification, a critical device requires
Sterilization between uses
82
Which distribution system is designed to reduce store room inventory?
Just-in-time
83
An item is considered sterile if the sterility assurance level reaches
10 to the -6
84
The drain-like basket in a non-table-top steam sterilizer should be cleaned
Daily
85
Effective sterilization begins with
Thorough cleaning
86
Incident reports should be filed
Immediately
87
An exhaust hood over the ethylene oxide gas sterilizer is an example of
Engineering control
88
What is the correct incubation temperature range for biological indicators used in steam sterilization?
131F to 140F (55C to 60C)
89
Which is the largest part of the brain?
Cerebrum
90
What is true regarding steam sterilization?
Higher temperatures require higher pressure
91
Ortho-phthalaldehyde is classified as a
High-level disinfectant
92
When placing paper-plastic pouches in a sterilizer, the pouches should be positioned
Paper facing plastic
93
Which statement is true about table-top steam sterilizer?
Have a chamber size of not more than 2 cubic feet
94
Barrier precautions, handwashing, and sharps precautions come under the umbrella of
Standard precautions
95
What is a true statement about table-top steam sterilizers?
Table-top sterilizers require a printout
96
The reservoir in a table-top steam sterilizer
Needs to be filled with distilled or deionized water daily before the sterilizer is used
97
When loading a tabletop steam sterilizer,
Items should not be stacked
98
What is a true statement about monitoring of sterilization cycles?
The more frequently a BI test is run? The quicker a sterilization process failure can be detected
99
What is true about unloading sterilizers that do not have loading carts?
Use sterile gloves when handling packages until cool
100
Should shoes have closed backs at all times?
Yes
101
Which instrument set would not be used with the skeletal system?
Myringotomy
102
Pass through windows should be
Located between the decontamination and preparation areas