Test 2 Flashcards
Category: Science
In medical terminology, the role of the combining vowel is to tell the primary meaning of a word.
True
False
The correct answer is B. False
The role of the combining vowel in medical terminology is not to indicate the primary meaning of a word. Instead, the combining vowel is used to facilitate pronunciation and improve the flow of the term. It is inserted between word roots, prefixes, and suffixes to create a smoother and more easily spoken term. The combining vowel does not carry its own independent meaning.
For example, in the term “cardiology,” the combining vowel “o” is inserted between the word root “cardi-” (meaning “heart”) and the suffix “-logy” (meaning “study of”). The combining vowel “o” helps connect the components of the word, making it easier to pronounce: “car-di-ol-o-gy.”
Similarly, in the term “dermatology,” the combining vowel “o” is used between the word root “dermat-” (meaning “skin”) and the suffix “-logy.” This aids in pronunciation: “der-mat-ol-o-gy.”
Therefore, the combining vowel in medical terminology does not convey the primary meaning of a word.
Category: Science
The principle that seeks to eliminate all microorganisms that cause disease is called:
A. Asepsis.
B. Medical asepsis.
C. Asepsis techniques
D. Surgical asepsis.
The correct answer is A.
The principle of asepsis is the absence of all harmful microorganisms that cause disease. Surgical asepsis and medical asepsis techniques follow the principle of asepsis. Asepsis techniques are the activities or procedures that prevent or break the chain of infection. They can be divided into two types: medical asepsis, which is a cleaning technique that reduces the number of microorganisms or minimizes their spread (e.g., instrument decontamination and handwashing), and surgical asepsis, which are procedures performed to eliminate the presence of microorganisms (e.g., proper processing and storage of surgical instruments).
Category: Science
________ is tissue, body fat, blood, and other bodily substances.
A. Contaminated waste.
B. Gross soil.
C. Mucous tissue.
D. Biofilm.
The correct answer is B.
Gross soil refers to any visible contaminant, such as tissue, body fat, blood, and other bodily substances, that can be seen on a surgical instrument or equipment. It is important to effectively remove gross soil to ensure proper cleaning and disinfection of instruments.
Category: Science
What is the process called when microorganisms attach to surfaces and form a colony?
A. Biofilm
B. Gross soil
C. Colony
D. Microbial adhesion
The correct answer is A.
Biofilm. Biofilm refers to the process in which microorganisms attach to surfaces and form a colony-like structure. It involves the adhesion of microorganisms to a surface, followed by their growth and development into a complex community known as a biofilm. This biofilm can be resistant to disinfection and contribute to the persistence of microorganisms in certain environments.
Category: Science
What does the suffix “ectomy” mean?
A. Surgical removal
B. To cut
C. To repair
D. Inflammation
The correct answer is A.
The term “ectomy” means surgical removal. For example:
Cystectomy – Removal of the cyst
Tonsillectomy – Removal of the tonsils
Category: Science
What is the outer covering of a cell that regulates what enters and leaves it called?
A. Cytoplasm
B. Cell wall
C. Nucleus
D. Cell membrane
The correct answer is D.
The cell membrane is the outer covering of a cell that regulates what enters and leaves it.
Category: Science
What is the function of the connective tissue in the human body?
A. Provides support and stores energy
B. Acts as a means of transport of food and oxygen to all parts of the body
C. Covers the external surface of the body
D. A and B
E. All of the above
The correct answer is A.
Connective tissue provides support and stores energy in the human body.
Category: Science
Microorganisms have the capacity to form a thick wall around themselves. This enables them to survive under adverse conditions. These thick walls are called:
A. Endospores
B. Biofilm
C. Pathogens
D. Micron
The correct answer is A.
Microorganisms form endospores, which are thick walls that enable them to survive under adverse conditions.
Category: Science
Bacteria that are capable of causing disease are called:
A. Pathogens
B. Micron
C. Endospores
D. Aerobic bacteria
The correct answer is A.
Bacteria that are capable of causing disease are called pathogens.
Category: Science
The male sex hormone produced in the testes that promotes the development of sperm cells and maintains secondary sex characteristics is called:
A. Sperm duct
B. Ejaculatory duct
C. Testosterone
D. Scrotum
The correct answer is C.
Testosterone is the male sex hormone produced in the testes that promotes the development of sperm cells and maintains secondary sex characteristics.
The sperm duct allows the transit of sperm from the testicles to the outside of the body and allows the maturation of sperm cells themselves.
The ejaculatory duct is a duct formed by the joining of the seminal vesicles with the vas deferens through which semen moves during ejaculation.
The scrotum is a sac in which the testes are suspended.
Category: Science
Which mode of transmission involves infectious agents carried by insects or arthropods?
A. Direct contact
B. Indirect contact
C. Droplet transmission
D. Vector-borne transmission
The correct answer is D. Vector-borne transmission
Vector-borne transmission involves infectious agents carried by insects or arthropods, such as mosquitoes, ticks, or fleas.
Category: Science
Which type of bacteria prefers high-temperature environments areas?
A. Psychrophiles
B. Mesophiles
C. Thermophiles
D. Tetrophiles
The correct answer is C. Thermophiles
Thermophiles are bacteria that thrive in high-temperature environments, typically ranging from 45°C to 80°C or even higher. They have adapted to withstand extreme heat found in places like hot springs or hydrothermal vents.
Category: Science
Prions are most frequently found in which part of the body in infected patients?
A. Heart
B. Liver
C. Kidney
D. Brain
The correct answer is D. Brain
Prions are most frequently found in the brain of infected patients.
Category: Cleaning, Decontamination & Disinfection
When it is necessary to transport soiled items between facilities using a truck or van, facilities must consult the U.S. Department of Transportation, as well as state and local laws for transporting biohazardous items.
True
False
The correct answer is A. True
Facilities must consult the U.S. Department of Transportation and adhere to state and local laws for transporting biohazardous items when necessary. It is important to comply with the regulations and guidelines to ensure safe and proper transportation of biohazardous materials.
Category: Cleaning, Decontamination & Disinfection
Because there are effective high-level disinfectants for cleaning surgical instruments, it does not matter if the soil is left to dry on them.
True
False
The correct answer is B. False
Dry blood and soil make it difficult to clean and could potentially damage the instrument. It is always best to prevent soil from drying on instruments and to use wetting agents to keep the instruments moist, making them easier to clean and disinfect.
Category: Cleaning, Decontamination & Disinfection
Quaternary Ammonium Compounds are the disinfectant of choice for semi-critical devices.
True
False
The correct answer is B. False
Quaternary Ammonium Compounds are low-level disinfectants used for environmental sanitation, such as floors and furniture.
Category: Cleaning, Decontamination & Disinfection
It is acceptable to reuse disposable masks and gowns if they appear clean and undamaged.
True
False
The correct answer is B. False
Disposable masks and gowns are designed for single-use only and should not be reused. Reusing them may compromise their effectiveness and increase the risk of contamination. Referance Chapter: Cleaning and Decontamination
Category: Cleaning, Decontamination & Disinfection
An Ortho surgery was performed on a 45-year-old patient successfully, but after about a week, the patient’s wounds were not healing. A test was conducted, and it was noticed that there is a surgical site infection. What could be the cause of the infection?
A. The medical device used for the surgery was not processed according to the manufacturer’s instructions for use (IFU).
B. An instrument fell during the procedure and was wiped and given to the surgeon to use.
C. The patient’s body is not responding to treatment.
D. A and B.
The correct answer is D.
Both options A and B could potentially cause a surgical site infection. Option A suggests that if the medical device used for the surgery was not processed according to the manufacturer’s instructions for use (IFU), it could have introduced contaminants and increased the risk of infection. Option B indicates that if an instrument fell during the procedure and was not properly sterilized again before use, it could have introduced bacteria or other microorganisms into the surgical site, leading to infection. Both factors, improper processing of the medical device and improper handling of instruments can contribute to surgical site infections. Option C is not directly related to the cause of the infection
Category: Cleaning, Decontamination & Disinfection
An SP technician was seen wearing a ring during an inspection by the infection control nurse. They were told it was not allowed and would face disciplinary action. Why are jewelry and long fingernails not allowed in the Central Service Department?
A. They are expensive.
B. Jewelry can harbor bacteria.
C. They may get damaged while working.
D. Jewelry may fall and get lost in the patient’s body.
The correct answer is B.
The primary reason for not allowing jewelry and long fingernails in the Central Service Department is the potential risk of harboring bacteria. Jewelry, such as rings, can create spaces where bacteria can accumulate and be difficult to clean thoroughly. This poses a risk of contamination to the sterile processing environment and the instruments being processed. Similarly, long fingernails can also harbor bacteria and make it challenging to maintain proper hand hygiene. Options A, C, and D are not the primary reasons for restricting jewelry and long fingernails in the Central Service Department.
Category: Cleaning, Decontamination & Disinfection
A Sterilization technician received instruments from the Operating Room and needs to clean them. What should they wear to protect themselves from splashes and spills?
A. Fluid-resistant gowns.
B. Double cloth gowns.
C. Sterile Operating Room gowns.
D. B and C.
The correct answer is A.
A fluid-resistant gown protects the skin and scrubs and provides a barrier against splashes and spills. The complete PPE should include a fluid-resistant gown, face shield, heavy-duty gloves, and shoe covers. Option B is not correct because one fluid-resistant gown is sufficient protection for the SP technician, as recommended by the HSPA group. Also, since these gowns generate heat, it would be very uncomfortable to work in the decontaminated department with two gowns on. Option C is not correct because sterile gowns are specially designed for use in operating theaters and cannot resist fluids like fluid-resistant gowns since they are lighter and can easily tear.
Category: Cleaning, Decontamination & Disinfection
A new SP technician has been constantly getting sick. She took a lab test, and the results show she has an infection. It was also noticed that her fingernails are long, and she would always put them in her mouth. What could be the cause or means of infection?
A. Her fingernails could harbor microorganisms.
B. Since her fingernails are long, they could easily tear the gloves, and she may not notice.
C. Long fingernails are not a problem in the Central Service Department as long as they are clean.
D. A and B are correct.
The correct answer is D.
The presence of long fingernails can contribute to the spread of infection in a healthcare setting. Fingernails can harbor microorganisms, including bacteria and viruses, which can be easily transferred to surfaces, equipment, or even directly to patients. Additionally, long fingernails can increase the risk of glove tears, allowing microorganisms to come into direct contact with the technician’s hands. Therefore, both factors—the potential presence of microorganisms on the fingernails and the increased risk of glove tears—can contribute to the technician getting infected.
Category: Cleaning, Decontamination & Disinfection
A sterile processing (SP) technician arrives at work in the morning and is about to set up their workstation in the decontamination area. What should they consider when setting up the wash sink?
A. The first sink should be filled with water and an enzymatic solution.
B. The temperature of the water should be between 80°F to 110°F and should be monitored.
C. The detergent manufacturer’s instructions for use (IFU) should be followed.
D. All of the above.
The correct answer is D. All of the above.
When setting up the wash sink in the decontamination area, the SP technician should consider multiple factors to ensure proper cleaning and decontamination of instruments.
Referance Chapter: Regulations and Standards
A. The first sink should be filled with water and an enzymatic solution: This is important as the enzymatic solution helps in the breakdown of organic debris on the instruments, facilitating effective cleaning.
B. The temperature of the water should be between 80°F to 110°F and should be monitored: The temperature of the water is crucial for optimal enzymatic activity and detergent effectiveness. It should be within the recommended range, and regular monitoring ensures consistency.
C. The detergent manufacturer’s IFU should be followed: Each detergent has specific instructions for use provided by the manufacturer. Following these instructions ensures proper dilution, usage, and effectiveness of the detergent.
By considering all of these factors, the SP technician can ensure an appropriate setup of the wash sink and maintain a high standard of cleanliness and decontamination in the decontamination area.
Category: Cleaning, Decontamination & Disinfection
While working in the Central Service department, you accidentally cut yourself with a contaminated surgical instrument. What should you do?
A. Continue working and wash the cut later.
B. Immediately report the incident to your supervisor or designated individual.
C. Ignore the cut if it seems minor.
D. Wait until the end of your shift to report the incident.
The correct answer is B. Immediately report the incident to your supervisor or designated individual.
In the event of an exposure incident, it is crucial to immediately report the incident to your supervisor or designated individual. This ensures that proper evaluation and follow-up actions can be taken to address the potential risk of bloodborne pathogens.
Category: Cleaning, Decontamination & Disinfection
You are preparing to perform the decontamination process, and you notice that one of the members of the team is not wearing a mask properly, leaving their nose exposed. What should you do in this situation?
A. Ignore it since it’s not your responsibility.
B. Inform the team member about the importance of wearing the mask properly.
C. Proceed with the procedure as long as you and others are wearing masks correctly.
D. Report the incident to the hospital administration
The correct answer is b Inform the team member about the importance of wearing the mask properly.
Wearing masks properly is crucial for preventing the spread of infectious agents, especially in a surgical setting where the risk of contamination is high. By informing the team member about the proper way to wear the mask, you are promoting adherence to infection control protocols and ensuring the safety of everyone involved in the surgical procedure. It is essential to address such issues promptly to maintain a safe and sterile environment. Ignoring the situation (option a) or proceeding with the procedure without addressing the issue (option c) can compromise infection control practices. Reporting the incident to the hospital administration (option d) should be considered if the team member continues to disregard mask-wearing guidelines despite being informed
Category: Cleaning, Decontamination & Disinfection
You receive a cart of soiled surgical instruments in the decontamination room. What is the first step you should take?
A. Inspect the instruments for any visible damage.
B. Sort the instruments based on their type and size.
C. Wear appropriate personal protective equipment (PPE).
D. Rinse the instruments to remove any visible debris.
The correct answer is C: Wear appropriate personal protective equipment (PPE).
Before handling any soiled instruments, it is crucial to prioritize personal safety by wearing appropriate PPE. This includes gloves, goggles, masks, and gowns, as necessary, to protect against potential exposure to contaminants or hazardous materials.
Category: Cleaning, Decontamination & Disinfection
You are preparing a flexible endoscope for steam sterilization. However, the manufacturer’s instructions state that the endoscope should not be exposed to steam. What should you do?
A. Proceed with steam sterilization as usual
B. Use an alternative sterilization method recommended by the manufacturer
C. Dry the endoscope thoroughly before steam sterilization
D. Increase the sterilization time and temperature to compensate
The correct answer is B: Use an alternative sterilization method recommended by the manufacturer
It is crucial to follow the manufacturer’s instructions for sterilization. If the manufacturer advises against steam sterilization, an alternative method should be used to ensure the endoscope’s integrity.
Category: Cleaning, Decontamination & Disinfection
Hand hygiene is one of the asepsis techniques used to minimize the spread of microorganisms from one area of the department to another. In this light, it should be lathered and scrubbed properly for at least:
A. 10 – 15 seconds.
B. 20-30 seconds.
C. 40-60 seconds.
D. 5-10 minutes
The correct answer is B.
Proper hand hygiene involves lathering and scrubbing hands for an adequate duration to effectively remove microorganisms. The recommended duration for handwashing is typically 20-30 seconds. This allows enough time for the soap or antimicrobial agent to work effectively in removing dirt, oils, and microorganisms from the hands. Options A, C, and D do not align with the recommended duration for proper hand hygiene.
Category: Cleaning, Decontamination & Disinfection
Since hand hygiene is one of the bases of asepsis, when should it be performed?
A. Hand hygiene should be performed before starting work.
B. When entering or leaving a work area.
C. Hand hygiene should be done before handling instruments and medical devices for sterilization.
D. All of the above.
The correct answer is D.
Hand hygiene is a critical component of asepsis, aiming to prevent the transmission of microorganisms and maintain cleanliness. It should be performed in the following situations:
Before starting work: Hand hygiene is necessary before beginning any work, especially in healthcare settings, to ensure clean hands and minimize the risk of self-contamination and contamination of others and the surrounding environment.
When entering or leaving a work area: Hand hygiene is important upon entering a work area to remove any potential microorganisms acquired during the transition. Similarly, it is crucial when leaving a work area to prevent the spread of microorganisms to other areas or individuals.
Before handling instruments and medical devices for sterilization: Clean hands are essential when handling instruments and medical devices that require sterilization. Practicing hand hygiene before handling these items helps prevent the introduction of harmful microorganisms and maintains the effectiveness of sterilization processes.
Therefore, the correct answer is D. Hand hygiene should be performed in all of the mentioned situations to ensure comprehensive infection control and promote a safe and hygienic environment.
Category: Cleaning, Decontamination & Disinfection
The only way to interrupt the transmission of a causative agent is to:
A. Sterilize all items..
B. Wear appropriate personal protective equipment in the Decontaminated area always.
C. Involve the Occupational Safety and Health Administration.
D. Eliminate it.
The correct answer is D.
Causative agents are microorganisms that cause infectious diseases. A causative agent is the first link in the chain of infection. If you can eliminate it, then you have broken the cycle. This can be done by initiating the appropriate processes, such as using asepsis techniques to avoid cross-contamination, physically removing the contaminated substance through cleaning, and using effective disinfection and sterilization processes.
Category: Cleaning, Decontamination & Disinfection
When should the floor in the Central Service Department be cleaned?
A. Twice a day.
B. Floors should be cleaned once every day.
C. Floors should be wet-mopped daily.
D. Each time the floor is physically dirty.
The correct answer is C. Floors should be wet-mopped daily or as needed..
Option D is not correct because there is no specific method of cleaning mentioned. Simply swiping is not allowed as it would raise dust, which may land on instruments and contaminate them. Also, the floor should be wet-mopped daily even if it appears physically clean, not just when it is visibly dirty.
Category: Cleaning, Decontamination & Disinfection
________ is the best way of transporting soiled instruments.
A. In an open cart.
B. In plastic bags that are clearly labeled as biohazardous
C. In an enclosed cart.
D. In a tray.
The correct answer is C.
All used surgical instruments must be transported in an enclosed cart to reduce or eliminate cross-contamination. This helps maintain a safe and controlled environment for handling and transporting soiled instruments.
Category: Cleaning, Decontamination & Disinfection
What is the term for the removal of all visible and non-visible soil and other foreign material from a medical device being reprocessed?
A. Cleaning
B. Decontamination
C. Sterilization
D. Disinfection
The correct answer is A.
Cleaning is the first and most important step in the decontamination process. One can clean without sterilization but can never sterilize without cleaning.
Category: Cleaning, Decontamination & Disinfection
A sterile processing (SP) technician arrives at work in the morning and is about to set up their workstation in the decontamination area. What should they consider when setting up the wash sink?
A. The first sink should be filled with water and an enzymatic solution.
B. The temperature of the water should be between 80°F to 110°F and should be monitored.
C. The detergent manufacturer’s instructions for use (IFU) should be followed.
D. All of the above.
The correct answer is D. All of the above.
When setting up the wash sink in the decontamination area, the SP technician should consider multiple factors to ensure proper cleaning and decontamination of instruments.
A. The first sink should be filled with water and an enzymatic solution: This is important as the enzymatic solution helps in the breakdown of organic debris on the instruments, facilitating effective cleaning.
B. The temperature of the water should be between 80°F to 110°F and should be monitored: The temperature of the water is crucial for optimal enzymatic activity and detergent effectiveness. It should be within the recommended range, and regular monitoring ensures consistency.
C. The detergent manufacturer’s IFU should be followed: Each detergent has specific instructions for use provided by the manufacturer. Following these instructions ensures proper dilution, usage, and effectiveness of the detergent.
By considering all of these factors, the SP technician can ensure an appropriate setup of the wash sink and maintain a high standard of cleanliness and decontamination in the decontamination area.
Category: Cleaning, Decontamination & Disinfection
Why is water degassed each time the ultrasonic cleaner’s tank is changed?
A. Excess bubbles reduce the effectiveness of the detergent.
B. Excess bubbles from filling reduce the energy of the cavitation process.
C. Excess bubbles decrease the temperature of the tank.
D. Excess bubbles make it difficult to see items being cleaned.
The correct answer is B.
Excess bubbles interfere with the cavitation process, making it less effective in the cleaning process.
Category: Cleaning, Decontamination & Disinfection
What process uses electrical current in a solution to produce a metallic coating?
A. Electroplating
B. Impingement
C. Electrophoresis
D. Cavitation
The correct answer is A.
Electroplating is the process that uses electrical current in a solution to produce a metallic coating.
Impingement is the mechanical spray force action of pressurized water against instruments being processed to physically remove bio-burden.
Cavitation is the process used by an ultrasonic cleaner in which low-pressure bubbles in a cleaning solution burst inward and dislodge soil from instruments.
Electrophoresis is a laboratory technique used to separate DNA, RNA, and protein molecules based on their sizes and electrical charge.
Category: Cleaning, Decontamination & Disinfection
What is the mechanical spray force action of pressurized water against instruments being processed to physically remove bio-burden called?
A. Electroplating
B. Impingement
C. Electrophoresis
D. Cavitation
The correct answer is B.
Impingement is the process by which washer-disinfectors use a high spray force of heated water and chemicals to disinfect reusable medical devices.
Cavitation is the process used by an ultrasonic cleaner in which low-pressure bubbles in a cleaning solution burst inward and dislodge soil from instruments.
Electrophoresis is a laboratory technique used to separate DNA, RNA, and protein molecules based on their sizes and electrical charge.
Electroplating is the process that uses electrical current in a solution to produce a metallic coating.
Category: Cleaning, Decontamination & Disinfection
What are the important factors SP technicians should remember when using water for a mechanical washer to be effective and serve its purpose according to the manufacturer’s recommendations?
A. Remove all disposable items, such as filters, that may clog the water.
B. Do not overload the water racks, and spray arms should move freely during operation.
C. Disassemble all instruments, and small parts should be placed inside an approved container device.
D. All of the above.
The correct answer is D. All of the above factors should be considered for the proper and effective use of the washer disinfector.
When using a mechanical washer, SP technicians should keep in mind several important factors to ensure the effectiveness and proper functioning of the equipment according to the manufacturer’s recommendations. Let’s examine each option and the rationale behind it:
A. Remove all disposable items, such as filters, that may clog the water: Disposable items like filters can potentially obstruct the water flow within the washer, leading to inadequate cleaning and disinfection. Removing these items ensures unimpeded water circulation and enhances the washer’s performance.
B. Do not overload the water racks, and spray arms should move freely during operation: Overloading the water racks can hinder the proper circulation and distribution of water, resulting in incomplete cleaning and disinfection. It is crucial to maintain sufficient spacing between items and allow the spray arms to move freely to ensure thorough coverage of water during the washing process.
C. Disassemble all instruments, and small parts should be placed inside an approved container device: Disassembling instruments before placing them in the washer allows for better access to all surfaces and ensures proper cleaning and disinfection. Placing small parts in an approved container device prevents their loss or damage during the washing cycle. It also helps in organizing and facilitating the reassembly process.
By considering and implementing these factors, SP technicians can optimize the performance of the washer disinfector, promote effective cleaning and disinfection of instruments, and adhere to the manufacturer’s recommendations.
Category: Cleaning, Decontamination & Disinfection
What is a chemical used on living tissue to slow the growth of microorganisms called?
A. Glutaraldehyde
B. Disinfectant
C. Antiseptics
D. Halogens
The correct answer is C.
Antiseptics are used on the body, while disinfectants are used on non-living things.
Category: Cleaning, Decontamination & Disinfection
Which member of the halogen family is used for the treatment of water and sewage? It is often recommended for biohazard clean-up procedures.
A. Hydrogen Chloride
B. Alcohol
C. Halogens
D. Chlorine
The correct answer is D.
Chlorine is a member of the halogen family and may be found in SPD as a hypochlorite solution.
Category: Cleaning, Decontamination & Disinfection
Which of the following statements about sharps disposal is correct?
A. It is acceptable to overfill a sharps container if necessary.
B. Sharps containers should be disposed of in regular trash bins.
C. Containers should be replaced when they are 75% full.
D. Sharps containers should be kept in a locked cabinet.
The correct answer is C. Containers should be replaced when they are 75% full.
Sharps containers should not be overfilled, as it increases the risk of injury and may compromise the integrity of the container. When a sharps container reaches approximately 75% of its capacity, it should be replaced to ensure safe and proper disposal of sharps. This allows for adequate space and prevents overflow or accidental exposure to used sharps
Category: Cleaning, Decontamination & Disinfection
What should be done if a soiled item is too large or bulky to fit in a standard container?
A. Cut the item into smaller pieces for easier transportation.
B. Wrap the item in multiple layers of plastic bags.
C. Use specialized oversized containers for such items.
D. Transport the item uncovered to save time.
The correct answer is C. Use specialized oversized containers for such items
If a soiled item is too large or bulky to fit in a standard container, specialized oversized containers should be used. These containers are designed to accommodate larger items safely and effectively during transportation.
Category: Cleaning, Decontamination & Disinfection
Which of the following describes non-critical items in Spaulding Classification?
A. Items that come into contact with intact skin
B. Items that come into contact with mucous membranes
C. Items that penetrate soft tissues or bone
D. Items that require high-level disinfection or sterilization
The correct answer is A. Items that come into contact with intact skin
Non-critical items in Spaulding Classification refer to items that come into contact with intact skin, such as blood pressure cuffs, stethoscopes, or crutches. These items have a low risk of transmitting infection and typically require low-level disinfection.
Category: Cleaning, Decontamination & Disinfection
What should be done if a soiled item is found to be damaged or missing parts during transportation?
A. Document the issue and report it to the supervisor.
B. Dispose of the item immediately to avoid any safety risks.
C. Attempt to repair the item before continuing transportation.
D. Ignore the issue and continue transporting the item.
The correct answer is A. Document the issue and report it to the supervisor.
If a soiled item is found to be damaged or missing parts during transportation, it should be documented, and the issue should be reported to the supervisor. This ensures proper tracking, assessment, and resolution of the issue to maintain the quality and safety of the processing operations.
Category: Cleaning, Decontamination & Disinfection
Which level of Spaulding Classification requires the highest level of disinfection or sterilization?
A. Non-critical
B. Semi-critical
C. Critical
D. Disposable
The correct answer is C. Critical
Critical items in Spaulding Classification require the highest level of disinfection or sterilization. This is because they come into contact with sterile tissues and have the highest risk of transmitting infection.
Category: Cleaning, Decontamination & Disinfection
During manual cleaning of flexible endoscopes, which of the following should be used to brush the channels?
A. Abrasive scrub brushes
B. Toothbrushes
C. Disposable swabs
D. Channel cleaning brushes
The correct answer is D. Channel cleaning brushes
Channel cleaning brushes should be used to brush the channels. These brushes are specifically designed for the size and shape of the endoscope channels, allowing for effective cleaning without causing damage. Abrasive scrub brushes (option A) can damage the delicate surfaces of the endoscope. Toothbrushes (option B) are not suitable for cleaning endoscope channels as they may not reach all areas and can introduce contaminants. Disposable swabs (option C) are useful for cleaning external surfaces but are not effective for cleaning the channels.
Category: Cleaning, Decontamination & Disinfection
Which of the following is NOT one of the six elements of the chain of infection?
A. Causative agent
B. Reservoir
C. Mode of transmission
D. Infection prevention
The correct answer is D. Infection prevention
The six elements of the chain of infection are causative agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host. Infection prevention refers to the measures taken to interrupt the chain of infection but is not one of the elements.
Category: Preparation & Packaging
It is acceptable to wear casual clothing, such as jeans or t-shirts, as long as they are clean and in good condition, in the packing area.
True
False
The correct answer is B. False
In the packing area, casual clothing, such as jeans or t-shirts, is
not acceptable even if they are clean and in good condition. Dress code requirements usually call for more formal attire, such as scrubs or uniforms, to maintain a professional appearance and minimize the risk of contamination.
Referance Chapter: Assembly and Packaging
Category: Preparation & Packaging
You are preparing for packaging delicate surgical instruments. What should you consider when selecting packaging materials for these instruments?
A. Compatibility with sterilization methods.
B. Resistance to tears, punctures, and moisture.
C. Ability to provide cushioning and protection.
D. All of the above.
The correct answer is A. All of the above.
When selecting packaging materials for delicate surgical instruments, it is important to consider their compatibility with sterilization methods, their resistance to tears, punctures, and moisture, and their ability to provide cushioning and protection to the delicate instruments.
Category: Preparation & Packaging
You are preparing the work area for packaging surgical instruments. You notice that one of the packaging materials has a small tear near the seal. What should you do?
A. Use the material as long as the tear is small and does not compromise sterility.
B. Discard the material and replace it with a new, undamaged one.
C. Attempt to repair the tear using adhesive tape.
D. Use the material but mark it with a label indicating the tear.
The correct answer is B. Discard the material and replace it with a new, undamaged one.
Even a small tear near the seal of a packaging material can compromise its integrity and the sterility of the packaged items. It is crucial to discard the damaged material and replace it with an undamaged one to ensure the packaging process is carried out properly.
Category: Preparation & Packaging
You are responsible for training a new staff member in the packing area. The staff member arrives for training wearing open-toe sandals.
Question: What is the appropriate response to the situation?
A. Proceed with the training and mention the dress code requirement during breaks.
B. Allow the staff member to continue wearing open-toe sandals if they feel comfortable.
C. Explain the dress code requirement and provide the staff member with suitable footwear options.
D. Consult with your supervisor to determine whether open-toe sandals are permissible in the packing area.
The correct answer is C. Explain the dress code requirement and provide the staff member with suitable footwear options.
In this scenario, it is important to address the dress code requirement immediately to maintain a safe working environment. By explaining the requirement and offering suitable footwear options, you can ensure compliance with the dress code policy.
Category: Preparation & Packaging
You are performing routine lubrication on a piece of equipment in the Central Service department. While applying the lubricant, you notice that it has exceeded its expiration date.
Question: What should you do in this scenario?
A. Continue using the expired lubricant since it is still in good condition.
B. Dispose of the expired lubricant and find a replacement from the department’s stock.
C. Complete the lubrication process without using any lubricant.
D. Consult with your supervisor to determine the appropriate action.
The correct answer is B. Dispose of the expired lubricant and find a replacement from the department’s stock.
Using expired lubricant may compromise the effectiveness and quality of lubrication. It is important to dispose of the expired lubricant and find a replacement from the department’s stock to ensure proper lubrication of the equipment
Category: Preparation & Packaging
You have received a set of robotic surgical instruments that require decontamination. What should you do before initiating the decontamination process?
A. Follow the same process as for standard surgical instruments.
B. Disassemble the robotic instruments completely into individual components.
C. Consult the manufacturer’s instructions for specific decontamination guidelines.
D. Skip the decontamination process as robotic instruments are sterile.
The correct answer is C: Consult the manufacturer’s instructions for specific decontamination guidelines.
Complex robotic surgical instruments have unique decontamination requirements. It is essential to consult the manufacturer’s instructions or guidelines for specific decontamination procedures to ensure proper cleaning and maintenance of these instruments.
Category: Preparation & Packaging
You are working with a new heat sealer in the Central Service department. What is the recommended practice for operating the heat sealer?
A. Begin using it without any additional precautions.
B. Familiarize yourself with the manufacturer’s instructions before operation.
C. Ask a coworker to demonstrate how to use it.
D. Skip reading the instructions as it is a standard heat sealer.
The correct answer is B: Familiarize yourself with the manufacturer’s instructions before operation.
Familiarizing yourself with the manufacturer’s instructions is essential to ensure safe and effective operation of the heat sealer. Following the recommended guidelines helps prevent accidents and damage.
Category: Preparation & Packaging
The importance of point-of-use treatment and transportation of surgical instruments is:
A. Removal of gross soil and preventing damage.
B. Prevention of cross-contamination and keeping others safe.
C. Timeliness.
D. All of the above.
The correct answer is D.
The importance of point-of-use treatment and transportation of surgical instruments includes the removal of gross soil to prevent damage, prevention of cross-contamination to keep others safe, and ensuring timeliness in handling and processing instruments. All of these factors contribute to maintaining quality and safety in instrument management.
Category: Preparation & Packaging
What should be done in the event of a sharps injury?
A. Keep it to yourself and continue working
B. Wash the area with soap and water and continue your work
C. Report the incident to a supervisor and seek immediate medical attention
D. Apply a bandage and resume work
The correct answer is C. Report the incident to a supervisor and seek immediate medical attention
In the event of a sharps injury, it is crucial to report the incident to a supervisor or responsible authority within the healthcare facility. Seeking immediate medical attention is also necessary to assess the injury, receive appropriate treatment, and follow any necessary protocols for potential exposure to infectious materials.
Category: Preparation & Packaging
What is the purpose of preparing the work area before packaging?
A. To ensure compliance with regulatory requirements
B. To enhance the efficiency of the packaging process
C. To minimize the risk of contamination
D. All of the above
The correct answer is D. All of the above
Preparing the work area before packaging serves multiple purposes. It ensures compliance with regulatory requirements, enhances the efficiency of the packaging process, and minimizes the risk of contamination by creating a clean and organized environment.
Category: Preparation & Packaging
How often should sharpness testing be performed on surgical instruments?
A. Before each use
B. Once a week
C. Whenever the surgeon is complaints
D. At least once a month
The correct answer is A. Before each use
Sharpness testing should be performed before each use of surgical instruments to ensure their sharpness and prevent potential harm during procedures.
Category: Preparation & Packaging
Which of the following is an advantage of using double pouch packaging?
A. It provides enhanced visibility of the item.
B. It allows for easy identification of the packaged item.
C. It offers an extra layer of protection against contamination.
D. It is the most cost-effective packaging method.
The correct answer is C. It offers an extra layer of protection against contamination.
Double pouch packaging provides an extra layer of protection against contamination, which enhances the sterility and integrity of the packaged item.
Category: Preparation & Packaging
Can the expiration date of a sterilized item be extended beyond the predetermined date if it appears to be in good condition?
A. Yes, as long as it passes visual inspection
B. Yes, if approved by the department supervisor
C. No, the predetermined expiration date must be followed
D. No, unless validated by additional microbial testing
The correct answer is C.
The expiration date of a sterilized item must be followed and cannot be extended based on visual inspection or personal judgment. It is essential to adhere to established expiration dates to maintain patient safety.
Category: Preparation & Packaging
When labeling a peel pouch, where should you write the necessary information?
A. On the paper side of the peel pouch.
B. On the plastic side of the peel pouch.
C. On the back of the peel pouch.
D. Labeling is not required for peel pouches.
The correct answer is B. On the plastic side of the peel pouch.
When labeling a peel pouch, it is recommended to write the necessary information on the plastic side of the peel pouch. This ensures that the label remains visible and legible even after sterilization.
