CBSPD Practice Exam 2

CBSPD Practice Exam 2 Flexible endoscopes MUST be competently reprocessed so that - ✔✔Patient care is not adversely affected Ethics is the practice of: - ✔✔conforming to accepted and professional standards of conduct ...

CBSPD Practice Exam 2 Flexible endoscopes MUST be competently reprocessed so that - ✔✔Patient care is not adversely affected Ethics is the practice of: - ✔✔conforming to accepted and professional standards of conduct The Health Insurance Portability and Accountability Act (HIPAA) provides for which ethical issue? - ✔✔Confidentiality Recommended practices are: - ✔✔Statements of sound principles of practice that are based on scientific data and the opinions of experts A rule designed to govern behavior is called a: - ✔✔Regulation Which of the following defines what a department MUST do? - ✔✔Policies Steps for performing a task are defined in a - ✔✔Procedure Which of the following has published standards of infection prevention in processing flexible gastrointestinal endoscopes? - ✔✔SGNA (Society for Gastroenterology Nurse and Associates) Which of the following agencies registers and regulates environmental disinfectants used on nonliving things in healthcare facilities? - ✔✔EPA (Environmental Protection Agency) Which of the following regulates and assures that products are safe and effective before companies put them on the market? - ✔✔FDA (Food Drug Administration) Which agency requires medical device manufacturers to provide end users in healthcare facilities with specific instructions on how to reprocess their reusable products? - ✔✔FDA (Food Drug Administration) Compliance with Occupational Safety and Health Administration (OSHA) regulations is - ✔✔Required by law Monitoring the effectiveness of work performed in the GI/endoscopy suite is generally referred to as: - ✔✔Quality assurance The policies and procedures for all reprocessing activities in the GI/endoscopy suite are usually reviewed and/or approved by the: - ✔✔Infection Prevention and Control Committee Which branch of science refers to the form and organization of body parts? - ✔✔Anatomy Which branch of science refers to the function of specific body parts? - ✔✔Physiology The smallest and MOST numerous structural units possessing the basic characteristics of life are called - ✔✔Cells The nucleus is the cell's: - ✔✔Brain DNA (deoxyribonucleic acid) is found in which part of the cell? - ✔✔Nucleus Which of the following is the largest internal organ of the body? - ✔✔Liver The tendency of the body to maintain a stable internal environment is referred to as: - ✔✔Homeostaisis DNA is the only molecule in the body capable of: - ✔✔Reproducing itself The term pathogenic means: - ✔✔Disease-producing Which of the following deals with microorganisms and their effects on other living organisms? - ✔✔Microbiology Microorganisms are measured in? - ✔✔Microns Bacteria are unicellular and reproduce by: - ✔✔Binary fission Which type of microorganism has the ability to slow down its metabolism and become dormant? - ✔✔Gram-positive bacillus Which of the following is NOT a requirement for bacteria to survive? - ✔✔Bright light A dehydrated microorganism with a thick, shell-like wall is known as a - ✔✔Spore Which of the following describes the shape of the bacterium Pseudomonas? - ✔✔Rod In order to survive, aerobic bacteria require - ✔✔Oxygen Which of the following requires a living host to multiply? - ✔✔Viruses Which of the following organisms can grow inside the lumens of flexible endoscopes that have not been properly dried and rinsed with 70% alcohol? - ✔✔Pseudomonas In order to cause an infection, microorganisms must be: - ✔✔Present in sufficient numbers The principal route of transmission of healthcare-acquired infections from hospital staff to patients is - ✔✔Direct contact Which of the following is a vector that could cause disease? - ✔✔Mosquito A healthcare-acquired infection is generally called what type of infection? - ✔✔Nosocomial The principal living reservoir of human disease is - ✔✔The human body Water that has been contaminated by the feces of humans and other animals is MOST notably responsible for - ✔✔Gastrointestinal disease The general term for any inanimate object involved in the spread of infection is - ✔✔fomite Which if the following IS NOT a disease spread by droplets? - ✔✔Measles The pathogens that cause tuberculosis, whopping cough, pneumonia, measles, mumps, and smallpox are discharged through the - ✔✔Respiratory tract Living things responsible for causing disease are called - ✔✔Vectors Which of the following is a common portal of exit in the transmission of disease? - ✔✔The respiratory tract An infection caused by a needlestick enters through which portal of entry? - ✔✔Parenteral tissue The single MOST effective way to prevent infections in the healthcare environment is to - ✔✔Wash hands frequently The physician who performs examinations of the colon is called a/an - ✔✔Endoscopist Enteroscopy is the examination of the - ✔✔Small bowel A colonoscope is typically used to perform procedures involving the: - ✔✔stomach When an upper endoscopy is being performed, a gastroscope is used to visualize the: - ✔✔Esophagus and stomach A percutaneous endoscopic gastrostomy (PEG) is performed to - ✔✔Insert a flexible feeding tube A proctoscopy is an examination of the - ✔✔Rectum The charge coupled device (CCD) is also known as the: - ✔✔Scope camera 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 To prevent damage to fiberoptic light bundles, scopes should NOT be - ✔✔Tightly coiled Handwashing sinks in the reprocessing area should - ✔✔be separate from those used to clean scopes Which if the following should be removed FIRST when removing personal protective equipment (PPE)? - ✔✔Shoe covers Reusable gloves used for decontamination procedures should - ✔✔Be decontaminated daily When donning PPE, which of the following is the LAST to be applied? - ✔✔Gloves The use of PPE is regulated by - ✔✔OSHA (Occupational Safety and Health Administration) According to OSHA, a log must be maintained to monitor needle injuries and it must document all of the following EXCEPT - ✔✔The employee's age Fingernails should extend at most how far from the tip of the finger? - ✔✔One quarter of an inch A solution having a pH of 2 is - ✔✔Acidic According to AAMI, "the removal of contamination from an item to the extent necessary for further processing or for the intended use" defines - ✔✔Cleaning To enhance the manual cleaning process, brushes are used to - ✔✔Create friction A cleaning agent that lowers surface tension to dislodge or dissolve soils is called: - ✔✔Detergent The recommended sink size for manual cleaning of endoscopes should be - ✔✔Deep and large enough to completely submerge the endoscope A solution having a pH of 9 is: - ✔✔Alkaline Which of the following must be done if an automated endoscope reprocessor cycle is interrupted? - ✔✔Repeat the entire cycle Protein soils can best be removed using an enzymatic detergent that are: - ✔✔Low in alkalinity Biofilms are composed of - ✔✔Polysaccharides The amount of detergent needed to manually clean a scope is determined by - ✔✔The quality of the water The process that kills all microorganisms but not necessarily large numbers of bacterial spores is known as - ✔✔High-level disinfection According to Spaulding's classification of medical devices, a semicritical item requries which of the following? - ✔✔High-level disinfection Which of the level of disinfection is the MINIMUM needed for the destruction of HIV (human immunodeficiency virus)? - ✔✔Low-level disinfection Which of the following disinfectants requires activation prior to use? - ✔✔Glutaraldehyde Which of the following will NOT affect the effectiveness of a disinfectant? - ✔✔Number of times it is used Which of the following disinfectants should NEVER be used as an environmental disinfectant? - ✔✔Glutaraldehydes The length of time for which a high-level disinfectant can be used after it has been opened is known as its - ✔✔Use life Items manually soaked in ortho-phthaldehyde at a minimum temperature of 68F can achieve high-level disinfection in - ✔✔12 minutes In order to protect the reagent on high-level disinfectant test strips, it is important that the container be - ✔✔Kept tightly closed Ortho-phthaldehyde can be neutralized for disposal with - ✔✔Glycine The MOST critical step in the manual reprocessing of flexible endoscopes is: - ✔✔Cleaning Reprocessing is considered "delayed" if a scope is not cleaned within - ✔✔60 minutes The purpose of precleaning at the point of use is to: - ✔✔Prevent build up for bioburden and formation of biofilm Precleaning at the point of use involves which of the following steps? - ✔✔Flushing of channels Containers or bags used to transport contaminated endoscopes should be labeled - ✔✔As biohazardous Before a flexible endoscope is manually cleaned, it should be - ✔✔Leak tested Coiling a scope too tightly may cause - ✔✔Damage to the fiberoptic rods Which of the following is NOT a method of leak testing? - ✔✔Suction A detergent that is too concentrated can cause - ✔✔Inadequate rinsing After each use, reusable cleaning brushes MUST be - ✔✔Disinfected Endoscopes should be inspected for cleanliness - ✔✔Using a lighted magnifier Very thin glass rods that transmit light are called: - ✔✔fiberoptic bundles 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? - ✔✔duodenoscope 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 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 microorganisms but not necessarily large numbers of bacterial spores is known as: - ✔✔high-level disinfection All endoscopes should be high-level disinfected or sterilized between each patient use? - ✔✔true When using an automated equipment reprocessor with an automated cleaning cycle, it is still necessary to thoroughly clean the endoscope before using the automated cycle? - ✔✔true PPE should be changed before removing an endoscope from an automated equipment reprocessor or soak basin? - ✔✔true The following should be documented each time an item is high-level disinfected: - ✔✔name or initials of the person performing the HLD, MEC minimum effective concentration, and date and time of the high-level disinfection process The high-level disinfection solution in an automated equipment reprocessor should be tested for the minimum effective concentration: - ✔✔before each use