CBSPD Practice Exam 1

CBSPD Practice Exam 1 Which of the following agencies regulates clearances for glutaraldehyde-based disinfectants? - OSHA - CDC - EPA - FDA - ✔✔FDA Which agency is responsible for employee health and safety at work ...

CBSPD Practice Exam 1 Which of the following agencies regulates clearances for glutaraldehyde-based disinfectants? - OSHA - CDC - EPA - FDA - ✔✔FDA Which agency is responsible for employee health and safety at work? - EPA - FDA - CDC - OSHA - ✔✔OSHA Recommended practices are: - Statements of sound principles of practice that are based on scientific data and the opinions of experts - Principles, laws, or rules designed to govern behavior - Documents that reflects state and federal regulations - Established norms determined by opinion, authority, research, and/or theory - ✔✔Statements of sound principals of practice that are based on scientific data and the opinions of experts. Which of the following agencies registers and regulates environmental disinfectants used on non-living things in healthcare facilities? - EPA - NFPA - OSHA - FDA - ✔✔EPA Reprocessing of single-use devices is regulated by the : - OSHA - FDA - TJC - CDC - ✔✔FDA Which of the following has published standards of infection prevention in processing flexible gastrointestinal endoscopes? - EPA - FDA - AAMI - SGNA - ✔✔SGNA Which of the following must be provided by the chemical manufacturer for every the chemical used in the department? - Approval notice from Infection Control - Product distributer - Safety Data Sheets (SDS) - Facility contract - ✔✔Safety data sheets (SDS) According to Earl Spaulding, devices that come in contact with intact mucous membranes during use are classified as : - Sterile - Semicritical - Critical - Noncritical - ✔✔Semicritical The policies and procedures for all reprocessing activities in the GI/endoscopy suite are usually reviewed and/or approved by the : - Supervisors and managers - staff performing the reprocessing - physicians performing the procedures - Infection Prevention and Control Committiee - ✔✔Infection Prevention and Control Committee Which agency requires medical device manufacturers to provide end-users in healthcare facilities with specific instructions on how to reprocess their reusable products? - FDA - CDC - OSHA - AAMI - ✔✔FDA Environmental disinfectants should never bu used on : - Items that contact the patient - Patient beds - Medical equipment - Tables in the processing room - ✔✔Items that contact the patient Compliance with OSHA regulations is : - Optional - Required by law - Only required during unsafe practices - Recommended whenever there is time - ✔✔Required by law According to Spaulding's classification of medical devices, a semicritical item requires which of the following? - High-level disinfection - Sanitization - Low-level disinfection - Sterilization - ✔✔High level disinfection A healthcare-acquired infection is generally called what type of infection? - Disease-causing - Antibiotic resistant - Contagious - Nosocomial - ✔✔Nosocomial The single most effective way to prevent infection in the healthcare environment is to : - bathe daily - cover the mouth when sneezing - wash hands frequently - use clean tissue for each cough - ✔✔Wash hands frequently Water that has been contaminated by the feces of humans and other animals is most notably responsible for : - ringworm - herpes - gastrointestinal disease - respiratory disease - ✔✔Gastrointestinal disease The principal route of transmission of healthcare-acquired infections from hospital staff to the patient is: - direct contact - ventilation - indirect contact - food - ✔✔Direct contact Reusable gloves used for decontamination procedures should : - have cut-resistant liners - be discarded after every two uses - be made of polypropylene - be decontaminated daily - ✔✔Be decontaminated daily Which of the following organisms has developed drug resistance and is responsible for many healthcare-acquired infections? - Pseudomonas - Streptococcus - Staphylococcus - Helicobacter pylori - ✔✔Staphylococcus The smallest and most numerous structural units possessing the basic characteristics of life are called : - organs - systems - cells - tissues - ✔✔cells Inflammation of the liver is known as : - Hepatitis - Gastritis - Cholecystitis - Colitis - ✔✔hepatitis Which of the following are two functions of the respiratory system? - Oxygen distribution and gas exchange - cooling of air and homeostasis - filtration of air and intake of carbon dioxide - regulation of PH and drying of the air - ✔✔Oxygen distribution and gas exchange Which of the following organs is responsible for absorbing water and electrolytes? - liver - small intestine - stomach - large intestine - ✔✔Large intestine Which of the following organs is the largest? - heart - brain - stomach - liver - ✔✔Liver Which of the following is required if a specimen will be processed at another facility? - transport in a biohazard bag - refrigerated container - diagnosis of the patient - transport in a clear bag - ✔✔Transport in a bio hazard bag When an upper endoscopy is being performed, a gastroscope is used to visualize the :Esophagus and stomach - ✔✔Esophagus and stomach Very thin glass rods that transmit light are called: - ✔✔Fiberoptic bundles The charge couple device (CCD) is also known as the: - ✔✔Scope camera The portion of an endoscope that the endoscopist holds to manipulate the scope is called the: - ✔✔control body In which part of the flexible endoscope are the fiberoptic bundles? - ✔✔insertion tube To visually examine and treat areas of the respiratory tract which of the following would be needed by the physician ? - ✔✔Bronchoscope Which of the following endoscopes typically has an elevator? - ✔✔Duodenscope Which portion of the flexible endoscope runs from the control body to the light guide connector? - ✔✔Universal cord Generally, which channel runs from the insertion tip to the control body? - ✔✔Biopsy A colonscope is typically used to perform precedures involving the - ✔✔large intestine The most critical step in the manual reprocessing of flexible endoscope is - ✔✔cleaning A solution having a pH of 9 is - ✔✔alkaline A cleaning agent that lowers surface tension to dislodge or dissolve soils is called - ✔✔detergent The purpose of precleaning at the point of use is to - ✔✔prevent buildup of bioburden and formation of biofilm Automated endoscope reprocessors are used because they: - ✔✔provide standardized cleaning of interior and exterior surfaces of the endoscope One of the most important factors in cleaning endoscopes is to - ✔✔follow the manufacturers instructions Which of the following methods is acceptable for manual cleaning of flexible endoscopes? - ✔✔below the water level during cleaning One of the most important parts of the inspection process is to observe for: - ✔✔damage to the scope sheath Following high level disinfection and rinsing, accessory channels should be: - ✔✔flushed with alcohol Which of the following steps in reprocessing flexible endoscopes is correct? - ✔✔manual precleaning, leak testing, manual cleaning, high level disinfection The purpose of the minimum effective concentration (MEC) test is to determine: - ✔✔potential dilution of the high level disinfectant Protein soils can best be removed using enzymatic detergents that are: - ✔✔low in alkalinity A storage cabinet for endoscopes should be - ✔✔well ventilated Which of the following must be noted on the high level disinfectant soaking container? - ✔✔date of activation and solution expiration date The process that kills all microorganisms but not necessarily large numbers of bacterial spores is known as - ✔✔high level disinfection In order to protect the reagent on high level disinfectant test strips, it is important that the container be: - ✔✔kept tightly closed For effective high level disinfection you must have correct - ✔✔concentration of the disinfectant, temperature and contact time Water bottles and tubing must be cleaned and high level disinfected - ✔✔daily Which of the following disinfectants requires activation prior to use? - ✔✔glutaraldehyde Which of the following is a major cause of AER failures? - ✔✔using incorrect connectors Which of the following chemicals requires minimal effective concentration (MEC) testing? - ✔✔glutaraldehyde The length of time for which a high level disinfectant can be used after it has been opened is known as its : - ✔✔use life Which of the following will be noted on an improperly cleaned instrument that has been disinfected in ortho-phthalaldehyde? - ✔✔blue stain Ortho-phthalaldehyde can be neutralized for disposal with: - ✔✔glycine Sterilization / disinfection records should be kept for a minimum of: - ✔✔as directed by legal counsel Incident reporting is required when: - ✔✔an employee is injured on the job The main reason to keep a log of the scopes being processed is to: - ✔✔be able to track the scope to a specific patient It is not necessary to record which of the following on the high level disinfectant record? - ✔✔whether the item was completely dry Healthcare workers have the ethical responsibility of: - ✔✔maintaining patient confidentiality Ethics is the practice of: - ✔✔conforming to accepted and professional stands of conduct Flexible endoscopes must be completely reprocessed so that: - ✔✔patient care is not adversely affected The regulation that provides for the protection of confidentiality and security of health data through setting and enforcing standards is known as (the): - ✔✔Health Insurance Portability and Accountability Act (HIPAA) Delays in reprocessing endoscopes may result in the formation of biofilms and dried soil on/in the endoscopes? - true - false - ✔✔true Reprocessing residues, such as detergent, can interfere with the patient's healing process? - true - false - ✔✔true When cleaning the lumens of an endoscope, the brush should be rinsed before pulling it back through the channel? - true - false - ✔✔true Reusable cleaning brushes should be cleaned and disinfected at least once per shift? - true - false - ✔✔false When manually cleaning endoscopes, the cleaning solution should be changed: - for each endoscope - each shift or when debris is noticed - at least twice per shift - for every other endoscope - ✔✔for each endoscope