test questions Flashcards
Technicians on the ___________ department perform safety inspections and functional test on equipment
functional test on equipment
Material management
Infection control
Biomedical engineering
Facilities and manteniance
Biomedical engineering
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
True or False?
True
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
True or False?
True
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
True or False?
True
When moving transport carts throughout the healthcare facility, Central Service Techs must always yield right of way to patients and visitors.
When patient equipment enters a healthcare facility,it must be safety checked by a_________ before it is cleared for patient use
Biomedical technician
Infection control committee member
Central service technician
Central service director
Biomedical technician
Powered surgical instruments should be cleaned using a mechanical cleaning process.
T/F?
False
Recommendations regarding sterilization practices are provided by AAMI
T/F
True
“-oscopy” is :
Inflammation of a joint
Skin disease
Visual examination of an organ or joint.
Fluid-filled sack
Visual examination of an organ or joint.
Used to repair and reconstruct teeth and jawbones.
Dermabraider
Dental drill
Dental drill
The process of pre-cleaning should begin:
As soon as devices reach the Central Service area
Immediately after the completion of an invasive procedure
Immediately after instruments are inspected
Before items are sorted
Immediately after the completion of an invasive procedure
Disposable components should be removed at point-of-use.
T/F
TRUE
What instruments are cleaned by the sonic Irrigator?
Lummens in instruments
Power instruments
Case carts
Forceps
Lummens in instruments
For safety purposes, Central Service Technicians should consider all microorganisms in the decontamination area:
Gram-Positive
Gram-Negative
Manageable
Potentially Infectious
Potentially Infectious
Medical Device reporting is regulated by the
NFPA
EPA
WHO
FDA
FDA
Nosocomial infections are:
Most likely to accur during international travel
Caused by drug resistant organisms
Those without known cures
Those which occur in the course of being treated in the hospital
Those which occur in the course of being treated in the hospital
Microorganisms that are capable of forming a thick wall around themselves to survive in adverse conditions are called:
Spores
Flagella
Bacillus
Airborne
Spores
The moisture content of saturated steam should posses a relative humidity of:
88% to 100%
97% to 100%
99% to 100%
50% to 50%
97% to 100%
This gland stimulates body growth.
Adrenal Gland
Thyroid Gland
Pancreas
Pituitary Gland
Pituitary Gland
The intermediate number of items (in stock) and intermediate dollar value; consumed (used) the most
“A” Items in ABC Inventory Control System
“B” Items in ABC Inventory Control System
“C” Items in ABC Inventory Control System
None of the above
“B” Items in ABC Inventory Control System
The term “super heated steam” means:
The type of steam necessary for high temperature sterilization
Steam that has had chemicals added to it increase its temperature
Dry steam
Moist steam at sea level
Dry steam
Thread-like “tails” that help bacteria move through liquids are called:
Nucleus
Causative agent
Flagella
Spores
Flagella
The majority of medical terms are of either BLANK or BLANK origin.
Greek or French
Greek or Latin
Latin or French
Latin or English
Greek or Latin
PPE should be changed immediately if it becomes soaked with blood or other infectious material.
T/F
TRUE
The process by which cartilage is replaced by bone.
Joint
Ossification
Calcification
Ureters
Ossification
Water that has been treated and is acceptable for drinking.
Tap water
potable water
Tap water
What is the preferred pH of detergents used for most cleaning processes?
Low pH
High pH
Neutral pH
It depends on the water temperature and exposure time
Neutral pH
What is the coolest part of the sterilizer?
Drain line of the sterilizer
Center of the sterilizer
Bottom of the sterilizer
Side of the sterilizer
Drain line of the sterilizer
Used in open heart surgery.
Sternal Saw
Micro Drill
Sternal Saw
Agency which imposes very strict labeling requirements on manufacturers of chemicals used by Central Service departments.
OSHA
FDA
EPA
AAMI
EPA
Which of the following is not an example of communication?
The words you speak
The words you write
Non –verbal expressions you use
ALL OF THE ABOVE ARE EXAMPLES OF COMMUNICATION
ALL OF THE ABOVE ARE EXAMPLES OF COMMUNICATION
One goal of point of use preparation is to prevent instruments from being damaged.
T/F
TRUE
Flash sterilization of implants is NOT recommended by
AAMI and AORN
PETA
DOT
CDC
AAMI and AORN
This tissue covers the body’s external surface.
Epithelial Tissue
Connective Tissue
Muscular Tissue
Nervous Tissue
Epithelial Tissue
Which of the following can be removed from water when reverse osmosis process is used?
Bacteria
Pyrogens
Endotoxins
All of the above
All of the above
Central Service Technicians can protect patients by breaking the chain of infection.
T/F
TRUE
Third Party Reprocessors are regulated by the FDA
T/F
TRUE
These chemicals are used on animate (living tissue) to slow the growth of microorganisms:
Glutaraldehydes
Disinfectants
Halogens
Antiseptics
Antiseptics
This is where the digestive process begins.
Esophagus
Mouth
Stomach
Colon
Mouth
Following Standard Precautions protocols is required by:
The FDA
The NFPA
The EPA
OSHA
OSHA
Equipment should be inspected for obvious hazards such as cracked or frayed electrical cords:
Only by trained biomedical engineering technicians
Only during preventive maintenance activities
Only when there are complains from user department personnel
Whenever the equipment is cleaned
Whenever the equipment is cleaned
This tissue connects one bone to another.
Tendon
Muscle
Cartilage
Ligament
Ligament
The term “hypo” means
Quickly
Above
Below
Measured
Below
In a ABC inventory control system “A” items represent
The smallest number of items and the largest dollar value
The largest number of items and the smallest dollar value
The smallest number of items and the largest dollar value
Which of the following means “around or about’?
Para
Peri
Parta
Pana
Peri
The bacterial reproductive process that takes place when a mother cell divides into two daughter cells is called:
Reproduction
Binary Fission
Binary Fusion
Division
Binary Fission
The “throat”.
Esophagus
Larynx
Trachea
Pharnyx
Pharnyx
Before an item can be placed in a liquid chemical sterile processing system they must be:
Heated
Filled with air
Sterilized
Cleaned
Cleaned
Cretion of a new blood supply to an area of he heart with a clotted/blocked artery
TBA
ORIF
CABG
BKA
CABG
The purpose of using a decontamination battery or cord when cleaning powered surgical powered surgical instruments is:
To keep fluid from entering the unit
To keep functioning batteries and cords clean
To prevent electrial shock
To test the unit while cleaning
To keep fluid from entering the unit
Furthers international cooperation in improving health conditions.
WHO
AAMI
EPA
ANSI
WHO
Which of the following requires preventive maintenance standards be established for medical equipment?
OSHA
Joint Commission
AAMI
AORN
Joint Commission
When placing ring handled instruments in an instrument tray,you should:
Lock the handles to prevent damage during sterilization
Arrange the instruments in alphabetical order
Arrange the instruments in the order of their use
Unlock the handles and open the instruments
Unlock the handles and open the instruments
Anaerobic bacteria require free oxygen to live.
T/F
FALSE
Which of the following is NOT required for sharps safety?
Dispose of all single use sharps in an appropiate comtainer
Never use your fingers to remove a blade form scalpel
Wash all disposable sharps before discarding them
Separate reusable sharps from other instruments when processing
Wash all disposable sharps before discarding them
All flexible endoscopes have internal channels.
T/F
FALSE
An unexpected occurrence involving death, serious physical or psychological injury, or the risk thereof
Sentinal Event
Event
Major Event
None of the above
Sentinal Event
Autoclave sterilizer is a _____ class of device.
Class I
No class
Class III
Class II
Class I
In condition and exhuast phases, air and steam are mechanically injected and removed; standard sterilization cycle with a limited drying time
Sterilization
Gravity Flash Sterilization
Steam Sterilization
Pre-Vacuum Flash Sterilization
Pre-Vacuum Flash Sterilization
The term “ hemi “ is a
Prefix
Root
Suffix
Noun
Prefix
The hip joint is an example of a:
Gliding joint
Ball and socket joint
Pivot joint
Ball and socket joint
_________ is the first step in the sterilization process.
Receiving
Sorting
Soaking
Cleaning
Receiving
Considered the master gland because it helps control the activities of all other endocrine glands.
Prostate Gland
Pituitary Gland
Kidney
Brain Stem
Pituitary Gland
Which of the following steps happens first when processing flexible endoscopes?
Leak-testing
High-level disinfecting/sterilizing
Manual cleaning
Drying
Leak-testing
During instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument’s surface.
True
False
True
Winch of the following statements about endoscopes is true?`
Not all endoscopes can be processed in the AER
Ultrasonic cleaning is the process of choice for endoscopes
Flexible endoscopes are not easily damaged
All endoscopes should be steam sterilized
Not all endoscopes can be processed in the AER
Soiled items that are held in user departments for pick up must be stored in designated areas labeled with BLANK signage.
Caution
Hazardous
Contagious
Biohazard
Biohazard
When attached to bone, this tissue makes body movement possible
Connective Tissue
Epithelial Tissue
Nervous Tissue
Muscular Tissue
Muscular Tissue
Automatic washers clean using a spray-force action called inpingement.
True
False
True
Chemical indicators:
Prove than an item is sterile
Provide a visual indication that an item was exposed to a sterilization process
Prove that the sterilizer did not damage heat sensitive items
Provide information about bacterial spore kill within the sterilizer
Provide a visual indication that an item was exposed to a sterilization process
Which of the following disinfectants is also known as a wetting agent
Formaldehyde
OPA
Phenolic
QUATs ( quaternary ammonium compounds )
QUATs ( quaternary ammonium compounds )
Career growth and progression is virtually non-existent for Central Service Technicians.
True
False
False
Surface-acting agent that lowers the surface tension of liquid so it can penetrate deeper and prevent debris from being re-deposited on item to which the soil was attached
Descaler
Surfactant
Wetting Agent
Softener
Surfactant
The inventory system that stocks supplies by established levels is called:
Par-level
Case cart
ADT system
Exchange system
Par-level
Ergonomic injuries:
Are not a concern for central service employees
Are rare in today’s work enviroment
Are risk factor for persons who perform repetitive or physical work
Happen only in the office setting
Are risk factor for persons who perform repetitive or physical work
This organization has established standards for the effective processing of flexible endoscopes.
CDC
AAMI
SGNA
APIC
SGNA
How frequently should a steam sterilizer’s door gasket be inspected and cleaned
Every hour
Daily
Monthy
Weekly
Daily
Patient care equipment should be stored in a________ condition
Ready to use
Ready to clean
Ready to inspect
Ready to sterilize
Ready to use
“Dermopathy” is a(an):
Skin disease
Inflammation of the liver
Fluid-filled sack
Inflammation of a joint
Skin disease
Why is important to evenly distribute large instruments i a set?
Extra condensation will make the set more difficult to dry
Because the sterilizer have big space
Follow procedures of the supervisor
Contact manufacturer for further instructions
Extra condensation will make the set more difficult to dry
Loaner instruments trays that are received sterile from other facilities do not need to be decontaminated and resterilized before use.
True
False
False
Used to visualize the entire large intestine.
Sigmoidoscope
Colonoscope
Colonoscope
What type of carts or baskets should be used in an ETO sterilizer
Plastic
Paper
Metal
Rubbermaid
Metal
What is burning in a class C fire?
Wood or paper
Cloth or plastic
Flammable liquid
Energized electrical equipment
Energized electrical equipment
Tap water should ideally have a chloride concentration of BLANK ppm or less.
200
150
100
50
100
Which of these traffic control/dress code requirements applies to the Operating Room?
Biohazard
Unrestricted
Semi-Restricted
Restricted
Restricted
Which of the following is NOT a feature of an instrument tracking system?
Productivity information
Financial data
Quality assurance information
Product updates and recall information
Product updates and recall information
“Pneumonectomy” is:
Inflammation of a joint
Surgical removal of the lung
Inflammation of the liver
Fluid-filled sack
Surgical removal of the lung
Secondary containers of chemicals
Must be labeled with a copy of the original manufacturer’s label of generic label that identifies hazard warnings and directions
Must be labeled with a permanent marker and must state the chemical’s name and designated storage location
Secondary containers of chemicals are not allowed in healthcare facilities
There are no restrictions for secondary container labels at this time
Must be labeled with a copy of the original manufacturer’s label of generic label that identifies hazard warnings and directions
Horziontal work surfaces in the decontamination area should be cleaned and disinfected once per day.
True
False
False
The physical method by which a ultrasonic units clean is called:
Bubbles
Cavitation
Captivation
Calibration
Cavitation
Test which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called
Chemical indicator tests
Chemical integrator tests
Ampulization tests
Biological tests
Biological tests
A succession of progressively more responsible professional positions that serves as the foundation of a professional development plan.
Overcome
Career Ladder
Standing up
Succession Career
Career Ladder
It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separated shelves.
True
False
False
This procedure is performed by healthcare facilities to confirm that the sterilization validation undertaken by the equipment manufacturer is applicable to the specific setting
Verification
Communication
Verification
Modern powered surgical instruments are immersible.
True
False
False
A voluntary international organization dedicated to the prevention and control of infections and related outcomes.
APIC
CDC
AORN
AAMI
APIC
Preventive maintenance:
Is performed when a piece of equipment injures apatient
Is designed to identify potential problems before occur
Is performed when a user unit notices a problem
Is done by central service equipment is dispensed
Is designed to identify potential problems before occur
Package condensation will occur when:
Placing hot or warm packages in cold surfaces
Wet packs
Because a water leak in the sterilizer
Open to soon the sterilizer door
Placing hot or warm packages in cold surfaces
Spiral shaped bacteria are classified as
Coccus
Rods
Spirillum
Flaggella
Spirillum
What is the concentration on an antiseptic liquid used in healthcare facilities?
60% to 95%
80% to 20%
100% to 70%
505 to 50%
60% to 95%
Thermal disinfection is accomplished using
Heated chemicals
Heated glurataldehyde
Prolonged high pressure steam
Heated water
Heated water
The decontamination area of the Central Service department should have:
10 air exchanges per hour
15 air exchanges per hour
20 air exchanges per hour
No air exchanges because it is a biohazard area
10 air exchanges per hour
The desired solution for cleaning instruments is:
Soap
Steam
A disinfectant
A detergent
A detergent
How long must alcohol remain in wet contact with an item to achieve a reasonable level of disinfection?
3 minutes
5 minutes
10 minutes
20 minutes
5 minutes
Regulations under the Clean Air Act are administered by
OSHA
FDA
EPA
AORN
EPA
The term, “periosteal elevator,” refers to”
Surgical removal of tissue near the thyroid
Surgical removal of one-half of the stomach
An instrument for cutting skin
An instrument used to remove tissue around the bone
An instrument used to remove tissue around the bone
Bowie dick tests should be run in:
Dynamic air removal steam sterilizers
Downward displacement sterilizers
Ethylene oxide sterilizers
Washers/sterilizers
Dynamic air removal steam sterilizers
-Rrhage” is:
Inflammation
Skin disease
Surgical fixation
Flow
Flow
The place where the two parts of a ring handled instrument meet and pivot is called the box lock.
True
False
True
Heat sensitive items:
Cannot be flash sterilized
Should be disposable
Must not be inmersed
Should not be used
Cannot be flash sterilized
This surgery uses implants, like screws & plates, to realign a fractured bone
ORIF
CR
CABG
BKA
ORIF
The FDA classifies sterilization packaging as a:
Class I medical device
Class II medical device
Class III medical device
Class IV medical device
Class II medical device
The sterile storage area in a Central Service department should be restricted to:
Central Service managers and supervisors
Operating Room personnel
Central Service employees only
Properly attired personnel meeting facility requirements
Properly attired personnel meeting facility requirements
Failure to receive accreditation from the Joint Commission can result in the loss of Medicare and Medicaid payments
True
False
True
A compound in which chlorine is combined with another element or radical (e.g., a salt or hydrochloric acid)
Silicate
Chloride
Chloride
A step in communication that occurs when a listener asks a question is called:
STEREOTYPING
Feedback
Communication looping
Halo interpretation
Feedback
This system gives the body shape and support.
Muscular System
Nervous System
Skeletal System
Circulatory System
Skeletal System
Instruments are heat treated to give their surface a mirror (shiny) finish.
True
False
False
Which the following steps happens first when proceeding flexible endoscopies?
Leak testing
Higth-level disinfecting/sterilizing
Manual cleaning
Drying
Leak testing
Point of use computing:
Is impossible in central service department because of infection control requirements
Provide no benefit to the central service department
Moves computers into central service department work areas
Eliminates data entry jobs
Moves computers into central service department work areas
Which of the following basic listening tactics is most useful?
Try to listen the specific facts
Ignore all non-verbal communication “sent “by the speaker
Focus on the delivery of the message rather than this content
None of the above tactics is useful listening tactics.
None of the above tactics is useful listening tactics.
When arranging plastic-paper pouches in the sterilizer,the pouches should be arranged:
Paper to plastic
Paper to paper
Plastic to plastic
The way in which the most packages can be placed in the sterilizer
Paper to plastic
The organization that conducts on-site surveys to evaluate healthcare organizations is the ISO
True
False
False
Tube-like structures that connect the kidneys to the urinary bladder.
Ureters
Fallopian Tubes
Esophagus
Intestines
Ureters
Female reproductive organs.
Uterus
Ovaries
Prostate Gland
Fallopian Tubes
Ovaries
Steam pressure on the chamber and jacket gauges should be equal, and at least 27 pounds per square inch gauge (psig)
Exhaust Phase of Steam Sterilization
Drying Phase of Steam Sterilization
Conditioning Phase of Steam Sterilization
Exposure Phase Pressure Reading
Exposure Phase Pressure Reading
The first step to inspect the insulation of a laparoscopic instrument is to:
Check the collar at the distal tip
Try to slide the insulation back
Check the handle for chipping or cracking
Visually check the instrument’s shaft
Check the collar at the distal tip
Specialized clothing or equipment worn by an employee for protection against a hazard is called:
Restricted Apparel
Safety Apparel
Hazard Equipment
Personal Protective Equipment
Personal Protective Equipment
Herpes Simplex is a BLANK disease.
Ziehl-Nielson Stain
Viral
Fungus
Susceptible host
Viral
Healthy people do not harbor or transmit bacteria.
True
False
False
Used to visualize the urethra and bladder.
Cystoscope
Hysteroscope
Cystoscope
This surgical procedure is the removal of a testicle.
Transurethral Resection
Prostatectomy
Orchiopexy
Orchiectomy
Orchiectomy
If soiled items are held in user units before pick up for processing, they must be kept at the patient’s bedside until Central Service collect them.
True
False
False
The endoscope that would be dispensed for a procedure that required visualization of the lower part of the large intestine would be a:
Colonoscope
Sigmoidoscope
Gastroscope
Ureteroscope
Sigmoidoscope
In a sterilization load containing 2 small basins, the chemicals indicators will be positioned.
On the middle of the basins
On the top of the basins
On the lowest par of the basin
On the handles to check proper identification
On the top of the basins
Powered surgical instruments have one of three power sources; electricity, air, or battery.
True
False
True
The desired flow of materials in a CS Dept; from soiled to clean to sterile.
Two-Way Workflow
Backwards
One-Way Workflow
Sideways
One-Way Workflow
Hyperglycemia” refers to:
A malignant tumor
Tissue death of an artery
High blood sugar
Enlargement of the heart
High blood sugar
When moving transport carts throughout the healthcare facility, Central Service Techs must always yield right of way to patients and visitors.
True
False
True
1005 ethylene oxide gas canisters should be stored:
In a chemical storage cabinet
Outside
In a refrigerator
In a chamber heated to 75°F
In a chemical storage cabinet
Disciplined, complex, and data-driven quality process that focuses on developing and delivering near-perfect products and services
Five Sigma
Six Sigma
Four Sigma
Ten Sigma
Six Sigma
Endoscopes are often processed in a mechanical unit called:
An ultrasonic cleaner
A washer-decontaminator
A flush-pulse endoscope reprocessor
An automatic endoscope reprocessor
An automatic endoscope reprocessor
The lining of the uterus.
Vagina
Endometrium
Fimbriae
Skin
Endometrium
Which of the following statements is true?
We only communicate when we want to
Words mean the same to everyone
message should contain all possible information
none of the above statements is true
none of the above statements is true
Scissors with tungsten carbide cutting edges are usually identified by:
Black handles
Silver handles
Gold handles
The letters “TC
Gold handles
These organs act as a filter to remove excess water & waste substances from the blood
Kidneys
Liver
Uterus
Small intestines
Kidneys
An organism, typically a biting insect or tick, that transmits a disease or parasite from one animal or plant to another
Droplet
Common Vehicle
Fomite
Vector
Vector
Bacillus” is:
Round or Spherical-Shaped Bacteria
Rod-Shaped Bacteria
Spiral-shaped Bacteria
Square-shaped Bacteria
Rod-Shaped Bacteria
Point-of-use preparation of soiled items is normally performed by the user department.
True
False
True
Enzymes that break down blood, mucous, feces, & albumin
Protease Enzymes
Lipase Enzymes
Protease Enzymes
Leak testing should be performed on each flexible endoscope annually.
True
False
False
To remove ions which are have an electrical charge.
Reverse Osmosis
Deionize
Deionize
Instrument lubrication is performed:
Immediately before use
After sterilization
After cleaning
Before cleaning
After cleaning
How frequently should a sterilizer’s strainer be removed and cleaned
Daily
After each use
Once weekly
Only when the machine’s operating control gauge indicates cleaning is necessary
Daily
Proposed standards are submitted from members such as AAMI.
ANSI
APIC
CDC
WHO
ANSI
Spores help some microorganisms survive in adverse conditions.
True
False
True
Instrument sets and other required instrumentation needed for all surgical procedures for an entire day are usually pulled (collected):
Two days before they will be used
The day or evening before they will be used
The morning of the planned surgery
Early morning (for morning procedures) and early afternoon (for afternoon procedures) on the day of surgery
The day or evening before they will be used
Both AORN and the joint commission recommend that::
The use of flash sterilization be minimized or decreased
Flash sterilization be performed in only one sterilizer per facility
Healthcare facility get FDA approval for flash sterilization
Only central service technicians operate flash sterilizers
The use of flash sterilization be minimized or decreased
The SGNA is a good source for information about the proper processing of flexible endoscopes
True
False
True
The “voice box”.
Pharynx
Larnyx
Mouth
Trachea
Larnyx
