Workbook tests Flashcards
1
Q
True or False? Since Sterile Processing technicians do not handle money, ethics considerations do not apply to them.
A
False
2
Q
True or false? SP technicians practice resource management when they control costs and reduce waste. l
A
True
3
Q
True or false? SP technicians must be able to identify approximately 100 surgical instruments in order to be proficient in their job.
A
False
4
Q
True or false? SP technicians must be able to adapt to change?
A
True
5
Q
True or false? Because all Sterile Processing departments are structured alike, healthcare facilities use one standard job description for all SP technicians.
A
False
6
Q
True or false? Personal protective equipment (PPE) is required in the decontamination AND sterile storage areas.
A
False
7
Q
True or false? Good communication skills are an important part of an SP technician’s basic job requirements.
A
True
8
Q
True or false? SP workflow can be divided into the handling of three categories of items: soiled items, clean items and sterile items.
A
True
9
Q
True of false? The use of good verbal communication skills is the most important and most used skill for SP technicians to provide or obtain information.
A
False
10
Q
True or false? Since modern SPDs are virtually risk free, SP technicians need not be concerned with safety practices.
A
False
11
Q
Soiled instruments and other items are received in which area of the Sterile Processing department?
a. Preparation
b. Packaging
c. Decontamination
d. Sterilization
A
c. Decontamination
12
Q
The first step in the sterilization process is:
a. Receiving
b. Sorting
c. Soaking
d. Cleaning
A
d. Cleaning
13
Q
Instrument sets and other required instrumentation
needed for all scheduled procedures for an entire day are usually pulled (collected):
a. Two days before it will be used
b. The day or evening before it will be used
c. The morning of the planned surgery
d. Early morning (for morning procedures) and early
afternoon (for afternoon procedures) on the day of
surgery
A
b. The day or evening before it will be used
14
Q
Using analytical skills to solve problems and make
decisions is a component of:
a. Communication skills
b. Facility responsibilities
c. Employability
d. Safety practices
A
c. Employability
15
Q
Healthcare-associated infections (HAIs) are:
a. Most likely to occur during a surgical procedure
b. Caused by drug-resistant organisms
c. Infections without known cures
d. Infections that occur on or after day three of a hospitalization
A
d. Infections that occur on or after day three of a hospitalization
16
Q
The Human Resources tool that defines job duties
performed by persons in a specific position is called a:
a. Job duty list
b. Job specification
c. Task summary review
d. Job description
A
d. Job description
17
Q
SP workflow should move from:
a. Clean to soiled
b. Unrestricted to semi-restricted
c. Soiled to clean
d. Clean to sterile
A
c. Soiled to clean
18
Q
While items may be dispensed to all areas of a facility,
the major focus of the SPD is:
a. The Emergency Department
b. Labor and Delivery
c. Supply Chain Management
d. The Operating Room
A
d. The Operating Room
19
Q
Working in the decontamination area requires:
a. Knowledge of microbiology
b. Knowledge of cleaning and disinfecting processes
c. Instrument identification
d. All the above
A
d. All the above
20
Q
The prefix hyper- means ___ while the prefix hypo- means ___
A
above, excessive & below, deficient
21
Q
The prefix para- means ___ while the prefix peri- means ___
A
beside, near & around
22
Q
The prefix inter- means ___ while the prefix intra- means
A
between & within
23
Q
The prefix anti- means ___ while the prefix ante- means ___
A
against & before
24
Q
A
25
The suffix *-ostomy* means ___ while the suffix *-otomy* means ___
creation of an opening & incision into an organ
26
The suffix *-ecotomy* means ___ while the suffix *-oscopy* means ___
surgical removal & visual examination
27
The suffix *-cide* means ___ while the suffix *-cise* means ___
kill & cut
28
Name three of the suffixes that mean pertaining to:
*-ac, -al, -ic, -eal, -ary, -ous*
29
*Cardio*
Heart
30
*Chole*
Bile
31
*Cranio*
Skull
32
*Cysto*
Bladder
33
*Derma*
Skin
34
*Gastro*
Stomach
35
*Gyne*
Woman
36
*Hepat*
Liver
37
*Herni*
Rupture
38
*Hyster*
Uterus/womb
39
*Lipo*
Fat
40
*Litho*
Stone
41
*Rhino*
Nose
42
*Arthro*
Joint
43
ORIF
Open reduction internal fracture
44
BSO
Bilateral salpingo-oopherectomy
45
BKA
Below knee amputation
46
CABG
Coronary artery bypass graft
47
THA
Total hip arthroplasty
48
TAH
Total abdominal hysterectomy
49
CR
Closed reduction
50
Cholecystectomy
Removal of the gallbladder
51
Hysterectomy
Removal of the uterus
52
Prostatectomy
Removal of the prostate
53
A surgical procedure to examine the thoracic cavity is called a ___ whereas the procedure to remove a lung is called ___
thoracoscopy & pneumonectomy
54
The surgical procedures have visually examined or do it is called an ___ whereas the procedure to visually examine organs of the abdomen is called a ___
arthroscopy & laparoscopy
55
56
A colostomy is a procedure to ___ whereas a colectomy is a procedure to ___
create a new opening to the colon & remove a part of the large intestine (colon)
57
A hysteroscopy is a procedure to ___ whereas a hysterectomy is a procedure to ___
physically exam the uterus & remove the uterus
58
Herpes simplex is a ___ disease
Viral
59
Bacteria that require oxygen to grow are called ___ bacteria
Aerobic
60
Bacteria are divided into what three main shape classifications:
Coccus (spherical), bacillus (rod), spirilla (spiral)
61
Microorganisms capable of forming a thick wall around themselves, enabling them to survive in adverse conditions are called ___
Endospores
62
The two most common processes designed to classify bacteria by color change are ___ and ___
gram stain and acid fast (Ziehl-Neelsen stain)
63
Tetanus and botulism do not require oxygen to grow, so they are classified as ___ bacteria
Anaerobic
64
The bacterial reproductive process that takes place on a cell divides into two equal cells is called ___
Binary fission
65
___ is defined as the state of being soiled by contact with infectious organisms or other materials
Contaminated
66
Most bacteria are approximately ___ microns in size
One or two
67
Sunlight is lethal to the ___ stage of pathogens
vegetative
68
Proper attire for Decon
Scrub attire; gloves; gown; face mask; goggles/face shield; shoe covers
69
Proper attire for clean assembly and sterile storage
Scrub attire; head cover; facial hair covering
70
List the chain of infection in order
1. Causative agent
2. Reservoir
3. Portal of exit
4. Mode of transmission
5. Portal of entry
6. Suspectible host
71
Voluntary or regulatory? Society of Gastroenterology Nurses and Associates (SGNA)
Voluntary - Specializes in endoscopy issues and has established standards for the effective processing of flexible endoscopes
72
Voluntary or regulatory? World Health Organization (WHO)
Voluntary - Further international cooperation in improving health conditions
73
Voluntary or regulatory? Association of perioperative Registered Nurses (AORN)
Voluntary - Develops nationally recognized guidelines for the perioperative setting
74
Voluntary or regulatory? Occupational Safety and Health Administration (OSHA)
Regulatory - Protects workers from occupationally cause illnesses and injuries
75
Voluntary or regulatory? International Organization for Standardization (ISO)
Voluntary - Provides state-of-the-art specifications for products, services and good practices
76
Voluntary or regulatory? The Joint Commission (TJC)
Voluntary - Provides standards and evaluations for healthcare facilities; the evaluations are in the form of on-site surveys at least every three years
77
Voluntary or regulatory? United States Pharmacopoeia-National Formulary (USP-NF)
Voluntary - Creates and revises standards for processing water for irrigation
78
Voluntary or regulatory? U.S. Environmental Protection Agency (EPA)
Regulatory - Responsible for regulating ethylene oxide (EO) emissions and creates and enforces laws relating to cleaner water, air and land
79
Voluntary or regulatory? Association for Professionals in Infection Control and Epidemiology (APIC)
Voluntary - Works to prevent healthcare-associated infections
80
Voluntary or regulatory? U.S. Department of Transportation (DOT)
Regulatory - Enforces laws relating to the transportation of medical waste
81
Voluntary or regulatory? Association for the Advancement of Medical Instrumentation (AAMI)
Voluntary - Is considered one of the major resources for healthcare guidelines
82
Voluntary or regulatory? National Fire Protection Association (NFPA)
Voluntary - Develops international standards to reduce the risk of fire and other hazards
83
Voluntary or regulatory? Centers for Disease Control and Prevention (CDC)
Voluntary - Promotes health by preventing and controlling disease
84
Voluntary or regulatory? U.S. Food and Drug Administration (FDA)
Regulatory - Responsible for pre-market and post-market medical device requirements as well as medical device classification and recalls
85
Voluntary or regulatory? American National Standards Institute (ANSI)
Voluntary - Enhances global competitiveness and quality of Life by promoting standards and ensuring their integrity
86
While instruments are prepared for transport to the decontamination area, it is important to keep them ___
Moist, you run the risk of biofilm forming if dry
87
Point-of-use treatment of soiled items begins the ___ process
Decontamination
88
Disposable items and linen should be removed at the ___
Point of use
89
90
91
92
Knowing and understanding medical terminology helps Sterile Processing (SP) technicians
Understand what is asked when a request is made
93
The origin of most medical terms is either:
Greek or Latin
94
What gives the primary meaning of a word?
Root word element
95
The purpose of a combining vowel is to
Ease pronunciation of a word
96
The last word element in a medical term is the
Suffix
97
The suffix *-itis* means
Inflammation
98
The suffix *-ecotomy* means
Surgical removal
99
The suffix *-oscopy* means
Visual examination
100
Arthroscopy means
Visual examination of a joint
101
The term *ostomy*
Is a suffix
102
The suffix *-tome* means a
Cutting instrument
103
*Plasty* is a
Suffix meaning surgical restoration
104
The word laminectomy means
Removal of part of the vertebrae in the spine
105
Which of the following means beside or near?
Para
106
Which of the following surgical abbreviations might be used relating to a fractured bone?
ORIF
107
The term intercostal means
Between the ribs
108
The prefix *hypo-* means
Below
109
The term septorhinoplasty means
Surgical repair of the nose
110
111
Encephalopathy is an a/an:
Disease of the brain
112
Lithotripsy means
Crushing of a stone
113
The organ that pumps blood throughout the body
Heart
114
The prices by which cartilage is relaxed by bone
Ossification
115
A place where two bones meet
Joint
116
The main control unit of the central nervous system (CNS)
Brain
117
Considered the master gland because it helps control the activities of all other endocrine glands
Pituitary gland
118
The organ that filters blood to remove amino acids and neutralize some harmful toxins
Liver
119
Produces a fluid element in semen that stimulates motility of sperm
Prostate gland
120
The largest part of the brain; controls mental activities and movement
Cerebrum
121
These carry blood away from the heart
Arteries
122
A somewhat flexible tube that helps move food into the stomach
Esophagus
123
A type of connective tissue fluid that moves throughout the circulatory system
Blood
124
The pathway that food takes through the digestive system
Alimentary canal
125
Female reproductive organs
Ovaries
126
A cord of fibrous tissue that connects a muscle to a bone
Tendon
127
The largest organ of the body
Skin
128
The basic unit of life
Cell
129
Tube-like structures that connect the kidneys to the urinary bladder
Ureters
130
This is where the digestive process begins
Mouth
131
Clear, jelly-like substance that surrounds the nucleus of a cell
Cytoplasm
132
The part of the nervous system that controls many automatic body functions such as heartbeat and breathing
Brain stem
133
134
The system that gives the body shape and support is the
Skeletal system
135
The tissue that acts as a cushion between bones to prevent them from rubbing together is
Cartilage
136
These muscles control involuntary movements such as breathing and digestion
Smooth
137
This surgical procedure consist of removing an ear bone that has thickened and no longer transmits sound waves and replacing it with an artificial implant to improve hearing
Stapedectomy
138
This yellowish liquid makes up more than 55% blood
Plasma
139
This organ filters the blood to remove amino acids and neutralize some harmful toxins
Liver
140
This surgical procedure removes the uterus
Hysterectomy
141
This gland stimulates body growth
Pituitary
142
This plane passes through the body, organ or structure dividing into left and right halves
Sagittal
143
This surgical procedure removes tissue or displaced bone from the wrist area to release pressure on the median nerve
Carpal tunnel repair
144
The largest of the part of the human brain is the
Cerebrum
145
The the of a body party that is closest to the point of origin or the end of an instrument that is closest to the operator is called the _______ end
Proximal
146
The throat is also called the
Pharynx
147
This surgical procedure removes the gallbladder
Cholecystectomy
148
The hip joint is an example of a
Ball and socket joint
149
This tissue covers the body's external surface
Epithelial tissue
150
Which of the following is the brain center of a cell
Nucleus
151
Cartilage is replaced by bone through a process called
Ossification
152
The white portion of the eye is called the
Sclera
153
This is referred to as the voice box
Larynx
154
155
Which percentage of bacteria is not harmful to humans?
95%
156
Anaerobic bacteria are able to survive without
Oxygen
157
Viruses are
Smaller than bacteria
158
A spore is
Very difficult to kill
159
Staphylococcus is classified as a
Gram-negative bacteria
160
The measure of alkalinity or acidity refers to
pH
161
Which hepatitis virus is said to be the most prevalent chronic bloodborne infection today?
Hepatitis C
162
Which virus has an incubation period that ranges from 2 to 21 day
Ebola
163
Which of the following is **not** a gram-positive bacteria?
Klebsiella
164
Which is **not** a common bacterial shape?
Cylindrical
165
Microorganisms that cause disease are called
Pathogens
166
The functional center of a cell is the
Nucleus
167
The virus that causes hepatitis B is transmitted by
Blood
168
______ is an example of a fungus
Athlete's foot
169
A case cart pull sheet (pick list) contains information that
Identities the supplies, utensils and instruments needed for a specific physician and procedure
170
The basic unit of a living organism is a
cell
171
The surgical procedure where an opening is made into the skull is called a/an
Craniotomy
172
A major portion of work performed in the sterile storage area is
Receipt of supplies
173
174
A periosteal elevator is used for
Lifting a thin layer of tissue to expose the bone
175
Which of the following has no means to on its own?
Viruses
176
Instruments sets and other required instrumentation needed for all scheduled procedures for an entire day are usually pulled (collected)
The day or evening before it will be used
177
The abbreviation BKA refers to a surgical procedure involving
Surgical removal of the leg below the knee
178
The body's control center is the
Central nervous system
179
The prefix word element comes
Before the root
180
The muscular system:
a) Assists with movement
b) Produces heat for the body
c) Pumps blood throughout the body
d) All the above
All the above
181
Microbes:
a) Can be found on hair and skin
b) Are useful to break down sewage
c) Can produce toxins
d) All the above
All the above
182
The pupil is the
Circular opening that controls the amount of light entering the eye
183
This organ contains glands that, through the process of perspiration, produce and excrete sweat
Skin
184
Floors in the Sterile Processing should be wet mopped daily, why should they never be swept or dust mopped?
To avoid dust from landing on instruments
185
186
Temperature and humidity parameters can best be established by reviewing which document?
ANSI/ASHRAE/ASHE 170
187
Jewelry should **not** be worn in Sterile Processing work areas because it
Harbors microorganisms
188
During hand washing, hands should be lathered and scrubbed for at least
20 seconds
189
To protect themselves from splashes and spills, SP technicians assigned to the decontamination area should wear
Fluid resistant gowns
190
The main theory of Standard Precautions is that patients
Must all be treated as if their blood and bodily fluids are infectious
191
Which of the following is **not** a requirement of OSHA's Bloodborne Pathogen Standard
Keep medical records of exposure for the months
192
The only way to interrupt the transmission of a causative agent is to
Eliminate it
193
Departmental dress codes apply to
Everyone entering the Sterile Processing department (SPD)
194
Inanimate objects that can transmit bacteria are called
Fomites
195
Floors in the SPD should be
Wet mopped daily
196
The absence of microorganisms that cause disease is called
Asepsis
197
Know what is dirty, know what is clean, know what is sterile. Keep the conditions separate and remedy contamination immediately. These are known as the
Principles of asepsis
198
The color of biohazard containers, labels and signs should be
Red/orange
199
The decontamination area of the SPD should have
Negative airflow
200
Which of these traffic control/dress requirements applies to the clean assembly area of the SPD?
Semi-restricted
201
202
25
