Progressive Six Exam Flashcards

1
Q

Information technology is often the cornerstone of initiatives to transform healthcare (T or F)

A

True

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2
Q

Disposable items increase combustible load in a healthcare facility. (T or F)

A

True

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3
Q

Enabling people to use information gained to interact with others is known as

A

Human relations

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4
Q

At this time, tracking systems are unable to track worker productivity information.

A

False

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5
Q

A step in communication that occurs when a listener asks a question is called

A

Feedback

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6
Q

Improving professional development skills is an important part of

A

Career advancement

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7
Q

The U.S. Food and Drug Administration Class II chemical indicator run daily in dynamic air removal sterilizers is called

A

Bowie-Dick Test

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8
Q

Always wearing personal protective equipment in the decontamination area is a quality process. (T or F)

A

True

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9
Q

Product expiration dates are located on this part of each package.

A

There is no standard place to look for an expiration date.

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10
Q

When patient equipment enters a healthcare facility, it must be safety checked by a ___________ before it is cleared for patient use.

A

Biomedical technician

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11
Q

These are used to breakdown fatty tissue on instruments

A

Lipase enzymes

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12
Q

Anaerobic bacteria require oxygen to live (T or F)

A

False

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13
Q

The absence of microorganisms that cause disease is called

A

Asepsis

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14
Q

Immediate use steam sterilization was developed to process items when the facility does not have enough instruments to perform the surgery (T or F)

A

False

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15
Q

When an instrument has a shiny surface it is said to have a _________ finish

A

Mirror

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16
Q

Lumens should be moist when sterilized using hydrogen peroxide as a sterilizing agent. (T or F)

A

False

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17
Q

Most Central Service departments employ some sort of automated Information management system (T or F)

A

True

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18
Q

Ethylene oxide gas canisters should be stored

A

in a containment locker

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19
Q

Knowing what is expected and consistently meeting those expectations are part of

A

Professional behavior

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20
Q

Improving employability skills requires

A

identifying goal requirements

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21
Q

Sterile packages should be stored no lower than eight to 10 inches from the floor. (T or F)

A

True

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22
Q

Combining vowels are used to

A

help with pronunciation of the word

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23
Q

If soiled instruments are to be transported to an off site facility for processing

A

they should be transported following the U.S. or state Department of transportation guidelines

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24
Q

The decontamination area of the central service department is where instruments are carefully checked for cleanliness and function. (T or F)

A

False

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25
Q

Arthroscopy instruments are used during

A

Joint surgery

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26
Q

Some plastics including formulations os spun-bonded polyolefin are intended for use in these sterilization processes

A

Ozone and hydrogen peroxide

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27
Q

The amount of time an item must remain wet with a disinfectant to achieve disinfection is called

A

Wet contact time

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28
Q

The drain screen in the steam sterilizer must be cleaned

A

at least daily

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29
Q

This surgical procedure removes the uterus

A

Hysterectomy

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30
Q

Recommendations regarding sterilization practices are provided by the association for the Advancement of Medical Instrumentation (T or F)

A

True

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31
Q

Which of the following is NOT a result of computer integration?

a. ) Eliminating redundant entry of information
b. ) Promotes efficiency
c. ) Automatically provides critical update to industry standards
d. ) Reduced inaccurate and conflicting information

A

c.) Automatically provides critical update to industry standards

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32
Q

A plane crash is an example of an external disaster (T or F)

A

True

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33
Q

Effective communication skills will resolve all communication problems (Tor F)

A

False

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34
Q

Professional development is a commitment to continuous learning (T or F)

A

True

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35
Q

In addition to providing financial and operational management, information technology systems are used to help ensure patient safety. (T or F)

A

True

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36
Q

Which of the following is true about a valuing diversity effort?

a. ) it “happens” because top-level officials require it
b. ) It occurs because a Central Service director desires it
c. ) It is a “program” in which a committee “decides what to do”
d. ) None of the above statements is correct

A

d.) None of the above statements is correct

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37
Q

Safety relates to freedom from damage, risk or injury. (T or F)

A

True

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38
Q

Personal development is mandatory while professional development is only needed for career advancement. (T or F)

A

False

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39
Q

Employee training should occur

A

for both new employees and employees who move to a new position.

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40
Q

If everybody develops a quality-driven focus, written policies and procedures are not necessary in the Central Service department (T or F)

A

False

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41
Q

The movement of supplies throughout the healthcare facility is called

A

distribution

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42
Q

All patient care equipment that was dispensed for use must be considered _________ and handled as such, regardless of its appearance.

A

contaminated

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43
Q

What is the preferred pH for detergents used for most cleaning processes?

A

Neutral pH

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44
Q

All microorganisms are harmful to humans (T or F)

A

False

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45
Q

Inanimate objects that can transmit bacteria are called

A

fomites

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46
Q

All items sterilized or high-level disinfected at point of use must be carefully monitored and logged (T or F)

A

True

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47
Q

Instrument marking tape should be wrapped approximately _______ around the instrument

A

1.5 times

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48
Q

Hydrogen peroxide kills microorganisms by a process called oxidation (T or F)

A

True

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49
Q

Event related shelf life means items are safe until opened for use. (T or F)

A

False

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50
Q

The term ectomy means

A

surgical removal

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51
Q

The proper handling of instrumentation is the responsibility of

A

everyone who comes in contact with the instrumentation

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52
Q

A pick list contains information that

A

identifies the supplies and instruments needed for specific doctor and procedure

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53
Q

After use, loaner instrumentation must be decontaminated before it is shipped back to the vendor (T or F)

A

True

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54
Q

Cellulose material cannot be processed within a hydrogen peroxide sterilizer (T or F)

A

True

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55
Q

Which of the following would be the best choice for high-level disinfection of instruments?

a. ) Phenolics
b. ) Chlorine
c. ) Iodophors
d. ) Orth-phthalaldehydes

A

d.) Orth-phthalaldehydes

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56
Q

The steam sterilization process can be affected by the design of the medical device being sterilized. (T of F)

A

True

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57
Q

Organs are two or more cells that are similar (T or F)

A

False

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58
Q

Organization that writes standards relating to the processing of flexible endoscopes

A

The Society of Gastroenterology Nurses and Associates

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59
Q

Traffic control/dress code requirements applies to the clean assembly area of Central Service

A

Semi restricted

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60
Q

Computerized tracking systems are fast, but manual tracking systems are more effective for tracking (T or F)

A

False

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61
Q

Which of the following information is NOT included on a safety data sheet?

a. ) Special precautions
b. ) Physical data
c. ) Required inventory levels
d. ) Product identification

A

c.) Required inventory levels

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62
Q

Customer complaints are best handled through

A

Being cheerful and courteous

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63
Q

Networking inside ones profession can help increase knowledge toward advancement, while networking outside ones professional does not. (T or F)

A

False

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64
Q

Which of the following is NOT a feature of an instrument tracking system?

a. ) Productivity information
b. ) Financial data
c. ) Quality assurance information
d. ) Product updates and recall information

A

d.) Product updates and recall information

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65
Q

This process allows a person to understand someone else’s needs.

A

Communication

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66
Q

Safety data sheets are provided by

A

the product manufacturer

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67
Q

One important step in preparing for an interview is

A

anticipating possible interview questions

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68
Q

Sterilizer load records should contain

A

items and quantity sterilized.

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69
Q

The quality method failure mode and effects analysis is

A

a quality method to prevent problems before they occur

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70
Q

A disadvantage of exchange cart system is

A

they require duplicate inventory

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71
Q

Patient care equipment should be stored in a _______ condition.

A

“ready to dispense”

72
Q

Cleaning brushes

A

should be cleaned and sterilized at least daily

73
Q

Microbiology is the study of

A

microorganisms

74
Q

The basics of aseptic technique

A

are activities that prevent infection

75
Q

To sterilize items using immediate use steam sterilization, the items’s manufacturer instructions must state the item can be sterilized using an immediate use steam sterilization cycle (T or F)

A

True

76
Q

Laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched (T or F)

A

False

77
Q

Information about a device’s compatibility with a specific sterilization process should be obtained from the device’s manufacturer. (T or F)

A

True

78
Q

Temperatures in the sterile storage area be 64 to 78 Fahrenheit (T or F)

A

False

79
Q

The suffix -tome means

A

cutting instrument

80
Q

It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves (T or F)

A

False

81
Q

Soiled instruments and other items are received in the _______ area of the central service department.

A

decontamination

82
Q

What should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope

A

Treated Water

83
Q

When placing instruments that open in an instrument tray

A

Unlock the handles and open the instrument

84
Q

Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as

A

critical items

85
Q

Gravity steam sterilizers use a pump or water injector to remove air from the chamber. (T or F)

A

False

86
Q

The procedure to remove the stomach is

A

gastrectomy

87
Q

Failure to receive accreditation from The Joint Commission can result in the loss of Medicare and Medicaid payments (T or F)

A

True

88
Q

Tracking method that provides real-time information

A

Radio frequency identification tags

89
Q

Healthcare facilities using ethylene oxide should have a dedicated ventilation system to remove residual ethylene oxide during the exhaust cycle. (T or F)

A

True

90
Q

Which of the following is an example of communication?

a. ) Spoken word
b. ) Written words
c. ) Non-verbal expression
d. ) All of the above

A

d.) All of the above

91
Q

Professional development skill building activities include:

a. ) team building activities
b. ) Public speaking
c. ) writing
d. ) All the above

A

d.) All the above

92
Q

A group employees from different departments within the healthcare facility that work together to solve operating problems is called a

A

cross-functional team

93
Q

Which of the following is NOT a component of risk management?

a. ) Injury management
b. ) Claims management
c. ) Staff management
d. ) Accident reporting

A

c.) Staff management

94
Q

Planning and reviewing goals will identify activities to help meet those goals. (T or F)

A

True

95
Q

Documentation of immediate use steam sterilization cycles should include

A

patient identification and reason for immediate use steam sterilization cycle

96
Q

Quality requires the efforts and participation of everyone in the healthcare facility. (T or F)

A

True

97
Q

Supplies such as disposable wraps are called

A

consumable

98
Q

Preventive maintenance

A

is designed to identify potential problems before they occur.

99
Q

Detergents used in mechanical cleaners should be

A

low foaming

100
Q

When cleaning prion contaminated instruments no special cleaning procedures are required only following standard cleaning protocols and manufacturer’s instructions for Use. (T or F)

A

False

101
Q

Hand hygiene is considered the single most important factor in reducing infections. (T or F)

A

True

102
Q

Immediate use steam sterilization documentation should include:

a. ) name of patient for which the items were sterilized
b. ) sterilizer number and cycle
c. ) name of the instrument sterilized
d. ) all of the above

A

d.) all of the above

103
Q

An osteotome is

A

used to cut or shave bone

104
Q

Woven reusable fabrics are the packaging products of choice for ozone sterilization. (T or F)

A

False

105
Q

Sterile items should be stored at least ________ inches below sprinkler heads

A

18

106
Q

What means beside or near

A

Para

107
Q

Decontamination of instruments and equipment starts

A

at the point of use

108
Q

All central service departments perform the same basic services. (T or F)

A

False

109
Q

Leak testing should be performed on each flexible endoscope annually. (T or F)

A

False

110
Q

When placing instruments in a peel pack, the tips should always face the paper side of the pack. (T or F)

A

False

111
Q

Devices listed as critical items, must be __________ prior to use.

A

Sterilized

112
Q

When combining loads, hard goods should be placed on top shelves to allow for more efficient removal of the condensate. (T or F)

A

False

113
Q

Items that are wrapped moist can be cause of wet packs (T or F)

A

True

114
Q

A herniorrhaphy surgical procedure is

A

repair of the muscle layer that is allowing all or part of an organ to project through an opening.

115
Q

Voluntary standards

A

provide guidelines for better patient care

116
Q

Tracking individual instruments is important to help ensure specific instruments are kept with a specific set. (T or F)

A

True

117
Q

Personal headsets should not be used in the Central Service department because they

A

reduce the ability to hear telephones, alarms and coworkers.

118
Q

Which of the following is NOT required for sharps safety?

a. ) Dispose of all single use sharps in an appropriate container
b. ) Sharp ends should be pointed away from anybody’s body during transport
c. ) Wash all disposable sharps before discarding them
d. )All of the above are related to sharps safety

A

c.) Wash all disposable sharps before discarding them

119
Q

On the job relationships do not change when one team member has been promoted. (T or F)

A

False

120
Q

Hospitals can effectively validate sterilization processes. (T or F)

A

False

121
Q

Six Sigma focuses on :

a. ) reducing defects
b. ) delivering near perfect products
c. ) strives to eliminate variations in the process
d. ) all of the above

A

d.) all of the above

122
Q

The “Hour Glass” symbolizes

A

use of date

123
Q

The ___________ requires that the healthcare facility report malfunctions of medical devices that have contributed to prevent injury, illness and/or death to the manufacturer and the U.S. Food and Drug Administration.

A

Safe Medical Devices

124
Q

Because of the cavitation and impingement action of mechanical cleaners there is no need to pre-clean items that will be processed in a mechanical cleaner. (T or F)

A

False

125
Q

When cleaning items contaminated with pseudomonas,

A

there are no special cleaning requirements for items contaminated with pseudomonas

126
Q

The decontamination are of the Central Services department should have

A

negative air flow

127
Q

Before an item can be placed in a low-temperature sterilization processing system they must be

A

cleaned

128
Q

Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders (T or F)

A

False

129
Q

Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges. (T or F)

A

False

130
Q

When transporting sterile items in an approved vehicle, soiled items can be transported in the same cart as long as they are on different shelves from clean or sterile items. (T or F)

A

False

131
Q

the term hyster means

A

uterus

132
Q

Items should be contained for transport

A

to minimize the spread of microorganisms

133
Q

In Central Service, the concept of “one-way flow of materials” refers to the movement of products

A

from soiled areas to clean processing areas within Central Service

134
Q

The muscular system:

a. ) assist w/ movement
b. ) produces heat for the body
c. ) pumps blood throughout the body
d. ) is all of the above

A

d.) is all of the above

135
Q

U.S. Food and Drug Administration Medical Device recall

A

means the item(s) need to be checked or repaired

136
Q

Endoscope cameras are sealed instruments so fluid invasion is not a concern during the cleaning process. (T or F)

A

False

137
Q

The U.S. Food and Drug Administration classifies sterilization packaging as a

A

Class II Medical Device

138
Q

The relative humidity of the assembly area should be

A

30% to 60%

139
Q

The use of test strips to test the minimum effective concentration in high-level disinfection solutions is required

A

each time the solution will be used

140
Q

After sterilization the load contents may take two hours or more to cool. (T or F)

A

True

141
Q

What is the most important factor necessary for teamwork?

A

Attitude

142
Q

Information about chemical or hazardous substances must be available to all employees. (T or F)

A

True

143
Q

The following resources will help a technician stay current in the Central Service field:

a. ) Conferences
b. ) On-the-job training
c. ) Continuing education
d. ) All of the above

A

d.) All of the above

144
Q

A biological indicator that is incubated without being sterilized is called

A

control

145
Q

Not following established policies and procedures will result in lower quality program. (T or F)

A

True

146
Q

Capital equipment items are

A

items with a higher purchase cost

147
Q

Equipment leasing and rental differ in that

A

equipment rental is usually done on a shorter-term basis than equipment leasing

148
Q

Powered surgical instruments

A

cannot be immersed

149
Q

Prions are

A

abnormal forms of proteins

150
Q

To protect themselves from splashes and spills, Central Service technicians assigned to the decontamination area should wear

A

fluid-resistant gowns

151
Q

When transporting items that have been immediate use steam sterilized, it is required that

A

They be transported in such a manner the reduces the potential for contamination.

152
Q

Instruments with tungsten carbide jaws can be easily identified by

A

the gold handles on the instrument

153
Q

Exposure monitoring is _____ for all personnel using a hydrogen peroxide sterilizer.

A

not required

154
Q

All items should be removed from storage shelves prior to cleaning the shelf (T or F)

A

True

155
Q

The term ante means

A

before

156
Q

Endoscopes should be cleaned and the internal channels left moist for storage

A

False

157
Q

Gauze squares are the wicking material of choice for instrument sets (T or F)

A

False

158
Q

Pasteurizers disinfect using

A

heated water

159
Q

When loading a steam sterilizer, basins should be

A

placed on edge

160
Q

This tissue covers the body’s external surface

A

Epithelial tissue

161
Q

U.S. Food and Drug Administration recall may be either mandatory or voluntary (T or F)

A

True

162
Q

Central Service technicians who do not think they are being treated appropriately by their employer should

A

discuss the situation with their supervisor

163
Q

Healthcare facilities are required by the ________ to provide adequate ventilation systems, personal protective equipment and safe work operating procedures?

A

Occupational Safety and Health Administration

164
Q

Steps toward attaining professional goals in Central Service include:

a. ) certification
b. ) education conferences
c. ) professional groups
d. ) all the above

A

d.) all the above

165
Q

There are currently no methods available to verify cleaning outcomes (T or F)

A

False

166
Q

Viruses use this method of transportation to move

A

Viruses have no means of movement on their own

167
Q

The best way to clean a suction lumen is

A

using the proper sized brush

168
Q

Jewelry is discouraged in sterile storage it can damage or contaminate packages. (T or F)

A

True

169
Q

Automatic endoscope reprocessors are not recommended for flexible endoscopes. (T or F)

A

False

170
Q

When using high-level disinfectants it is important to remember they may be deactivated by

A

organic matter

171
Q

Peel pouches should be placed __________ for sterilization.

A

on edge, paper to plastic

172
Q

The brain center of a cell is called the

A

nucleus

173
Q

Coaching is an example of

A

formal communication

174
Q

The process of changing work or work conditions to reduce physical stress is

A

called ergonomics

175
Q

When water is seen on the outside of a pack after sterilization the pack is considered safe to use if all other packs in the load are dry. (T or F)

A

False