Sterile Processing - Final Exam, IAHCSMM CENTRAL SUPPLY STUDY GUIDE, Sterile Processing Study Material for Certification Exam

Sterile Processing - Final Exam, IAHCSMM CENTRAL SUPPLY STUDY GUIDE, Sterile Processing Study Material for Certification Exam Why is it important to evenly distribute large instruments in a set? A. The set is diffic ...

Sterile Processing - Final Exam, IAHCSMM CENTRAL SUPPLY STUDY GUIDE, Sterile Processing Study Material for Certification Exam Why is it important to evenly distribute large instruments in a set? A. The set is difficult to carry if the weight is unevenly distributed B. Extra condensation will make the set more difficult to dry C. It is easier for the end user to sort the instrument D. The overall weight of the set is affected ✔✔B Which of the following BEST describes the overall role of the CS/SPD A. To provide dependable service to enhance patient care B. To provide sterilization services on a rigid schedule C. To provide delivery of supplies D. To provide direct patient care ✔✔A Which of the following government agencies regulates environmental disinfectants? A. OSHA B. FDA C. EPA D. CDC ✔✔C Medical-grade kraft paper CANNOT be used with which of the following sterilization processes ? A. Steam B. Ozone C. Ethylene oxide D. Low temperature gas plasma ✔✔DDuring cycle counts, items that have a large dollar value but are NOT used frequently are classified as A. A B. B C. C D. D ✔✔A Anatomy is the science that deals with the________ of the body parts A. Function B. Structure C. Physiology D. Sociology ✔✔B Which of the following transports molecules within the cell A. Cilia B. Flagella C. Nucleus D. Cytoplasm ✔✔D Which of the following sets would be considered high risk for special prion processing? A. Open heart set B. Laparotomy set C. Abdominal set D. Craniotomy set ✔✔D Which of the following organs produces bile? A. Gallbladder B. Pancreas C. StomachD. Liver ✔✔D Microorganisms are measured in A. Inches B. Microns C. Millimeters D. Centimeters ✔✔B With respect to rigid sterilization container testing, which term defines the sterilizer's ability to sterilize under actual conditions? A. Biological testing B. Small load testing C. Chemical testing D. Maximum load testing ✔✔D What is the ideal human body temperature? A. 96.8° F B. 97.8° F C. 98.6° F D. 99.0° F ✔✔C Which of the following is TRUE of capsules A. It is less difficult to kill than vegatitive bacteria B. It is more difficult to kill than a spore C. It is resistant to heat and chemicals D. It is easily killed by antibiotics ✔✔C Pulmonary capillaries are found in which system? A. Circulatory B. RespiratoryC. Nervous D. Digestive ✔✔B Ethics is the practice of A. Discussing patient issues with friends B. Not reconizing cultural beliefs C. Dealing with what is bad D. Doing the right thing ✔✔D A microorganism that is resting and had a hard shell like outer covering is called a A. Prion B. Spore C. Flagella D. Capsule ✔✔B Spongiform encephalopathy is caused by which of the following A. Prions B. Spores C. Viruses D. Pyrogens ✔✔A Nails,tissues, and money are examples of A. Fomites B. Vehicles C. Vectors D. Flagellae ✔✔A Cholera is transmitted by A. Droplets B. VectorsC. Direct contact D Contaminated food and water ✔✔D In the FINAL step of hand washing, the fingers should be rinsed with the fingertips A. UP B. Left C. Right D. Down ✔✔A Water less hand antiseptics contain what percentage concentration of alcohol make the MOST effective A. 25% to 49% B. 60% to 95% C. 50% to 100% D. 75% to 100% ✔✔B All of the following play a role in how bones support other body systems EXCEPT A. Storage of minerals B. Growth of blood cells C. Distribution of hormones D. Protection of internal organs ✔✔C OSHA requires that containers of potentially infectious materials be A. Leakproof B. Rubber C. Metal D. Glass ✔✔A Round or spherical bacterial are called A. CocciB. Bacilli C. Spiral D. Flagellae ✔✔A The removal of contamination from an item to the extent necessary for further processing is called A. Snorting B. Sterilizing C. Cleaning D. Disinfection ✔✔C Which of the following should be cleaned daily A. Floors and work surfaces B. Walls and vents C. Floor drains D. Ceilings ✔✔A Which of the following is a TRUE statement regarding the use of personal protective equipment (PPE) in the decontamination area A. Its use is optional B. Vinyl gloves are all that is needed manual cleaning C. Failure to wear PPE can result in disciplinary action D. If the temperature in the room is too warm, gowns do not need to be worn ✔✔C Before the medical device is cleaned and processed A. The manufacturer's instructions must be obtained B. Material compatibility testing must be preformed C. It must be approved by the electrician D. It must be checked for function ✔✔A The MINIMUM time needed for effective handwashing isA. 5 seconds B. 10 seconds C. 15 seconds D. 20 seconds ✔✔C Which of the following IS NOT s consideration when selecting a detergent? A. Quality of water B. Amount of soil C. Water temperature D. Cost of detergent ✔✔D The relative acidity or alkalinity of a solution is referred to as its A. TMJ B. pH C. Fx D. B12 ✔✔B Clostridium botulinum is harbored in (the) A. Soil B. Air C. Water D. Body ✔✔A A solution with a pH of 3 is considered A. Concentrated B. Neutral C. Alkaline D. Acidic ✔✔D A solution with a pH of 13 is consideredA. Acidic B. Neutral C. Alkaline D. Concentrated ✔✔C Which of the following are major non living reservois of infectious diseases A. Soil and water B. Oil and water C. Gas and oil D. Soil and gas ✔✔A Alkaline detergents are BEST for mechanical washers because of A. Extended dry cycles B. A lack of friction in washing C. The need to break down protein D. The high water temperature used ✔✔B Which of the following is used to remove severe stains on stainless steel instruments A. Proteolytic enzyme detergent B. Lipolytic enzyme detergent C. Organic alkaline detergent D. Organic acid detergent ✔✔D One method of preventing biofilm formation on instruments is to A. Rinse the instruments with distilled water and dry them out B. Soak the instruments overnight in an enzyme solution C. Use a chlorine based cleaner D. Use a metal bristled brush ✔✔A An ultrasonic lumen cleaner is used to cleanA. Sharp instruments B. Hinged instruments C. Delicate instruments D. Laparoscopic instruments ✔✔D To reduce the potential for instrument corrosion, the multi step process is in a mechanical washer consists of A. Alkaline,wash,acid rinse,regular rinse B. Regular rinse,alkaline wash,acid rinse C. Acid rinse,alkaline wash,regular rinse D.Alkaline wash,regular rinse,acid rinse ✔✔A Opened but unused instrument sets should be A. Resterilized B. Completely reprocessed C. Repackaged and resterilized D. Resterilized after the indicators are changed ✔✔B If too many microorganisms remain on an item after the cleaning process, the A. Disinfection process may not vary B. Disinfection process might not be effective C. Item will need to be sterilized and recleaned D. Passivation layer on the item are changed ✔✔B Which of the following chemicals are bactericidal and used for the cleaning inanimate environmental surfaces and floors? A. Halogen B. Peracetic acid solutions C. Glutaraldehyde solution D. Quaternary ammonium compounds ✔✔DWhat is the ceiling threshold limit value for glutaraldehyde? A. 0.02ppm B. 0.05ppm C. 0.5 ppm D. 0.25 ppm ✔✔B Which of the following pieces of equipment is used to regulate body temperature A. Hypo/hyperthermia machine B. Sequential compression device C. Continuous passive motion decive D. Patient controlled analgesis pump ✔✔A Which of the following pieces of equipment is used to prevent the formation of blood clots? A. Continuous passive motion device B. Patient controlled anagesia pump C. Sequntial compression device D. Hypo/hyperthermia machine ✔✔C Which series of stainless steel is used to manufacturer osteotomes? A. 200 B. 300 C. 400 D. 500 ✔✔C For manual lubrication, surgical instruments should be placed in a lubricant solution and then A. Room air dried B. Rinsed with treated water C. Wiped off with a dry towel D. Blown dried with compressed air ✔✔AWhich of the following should be cut with dissecting scissors ? A. Suture B. Wire C. Tissue D. Dressing ✔✔C What is the purpose of a tungsten carbide insert on a needle holder? A. To hold smaller needles B. To allow easier inspection for cleanliness C. To hold the suture needle better D. To provide more friction than stainless steel ✔✔C When should laparoscopic instruments be reassembled for sterilization? A. Before ultrasonic cleaning B. When recommended by the manufacturer C. Immediately after ultrasonic cleaning D. If they are to be flashed sterilized ✔✔B Which of the following types of instruments are used to view internal organs through very small openings? A. Endoscopic B. Powered C. Self retaining D. Micro ✔✔A Instruments must NEVER be A. Engraved B. Etched C. TapedD. Color bonded ✔✔A Which of the following is an example of a flexible endoscope? A. Bronchoscope B. Arthroscope C. Resectoscope D. Cystoscope ✔✔A In the sterile storage area of CS/SPD, the temperature is 70° F (21°C) and the humidity is 69%. What should be done ? A. Continue with routine activities B. Inspect all packages for excessive moisture C. Contact engineering to lower the temperature D. Contact engineering to increase the humidity ✔✔A Anyone entering the the preparation area MUST A. Sign in B. Be an employee C. Wear proper attire D. Be at least 21 years old ✔✔C Where should the chemical indicator be placed when sterilizing two large basins with smaller basins in one set? A. In the top basin B. In the bottom basin C. In the center of the basins D. In the top and bottom basins ✔✔D If a wrapper will be used as a sterile field, how far over the edge of the table MUST it extend ? A. 2 inchesB. 4 inches C. 6 inches D. 8 inches ✔✔C Rigid containers are a medical device and MUST have a 510(k) clearance from the A. CDC (center for disease control) B. FDA (food and drug administration) C. JC (Joint commission) D. EPA (Environmental protection agency) ✔✔B The three basic shapes of microbes are round spiral and A. Straight B. Square C. Oval D. Rod like ✔✔D In NON TABLE TOP steam sterilizers steam is generated A. The sterilizer jacket B. A boiler C. Steam lines D. The internal chamber ✔✔B Autoclave tape is considered which class of indicator ? A. Class 1 B. Class 2 C. Class 3 D. Class 4 ✔✔A The part of the steam sterilizer that produces heat inside the chamber to prevent condensation from forming on the chamber walls is theA. Steam gauge B. Pressure gauge C. Door jacket D. Jacket ✔✔D The need for frequent reprocessing can be MINIMIZED by A. Proper stock rotation B. Ordering more supplies C. Using plastic bags for dust covers D. Establishing minimum stock quantities ✔✔A What is the coldest part of the sterilizer A. Back top B. Center C. Bottom back D. Drain line ✔✔D Gradual heating of packs occurs during which phase of the steam sterilizer cycle? A. Holding B. Exhaust C. Conditioning D. Exposure ✔✔C An emergency eye wash station MUST A. Provide 0.8 gallons of water per minute B. Supply the water continuously for 30 minutes C. Permit hands free operations D. Flush one eye at a time ✔✔C. What is the MOST important thing to remember when double peel pouching ?A. The inner package must remain unsealed B. The inner package should be folded to fit inside the outer pouch C. The inner pouch must lay flay inside the outer pouch D. The two pouches should be sealed together ✔✔C. Which of the following BEST describes a MINIMUM exposure time, temperature , and pressure for prevaccum steam sterilization of wrapped items? A. 4 minutes at 270°F (132°C) and 28 to 30 pounds per square inch B. 3 minutes at 270°F (132°C) and 38 to 40 pounds per square inch C. 15 minutes at 250°F (121°C) and 28 to 30 pounds per square inch D. 30 minutes at 250°F ( 121°C) and 28 to 40 pounds per square inch ✔✔A. What is the first step to take when an instrument needs to be sterilized for immediate use ? A. Place the item in a peal pouch and seal B. Place a biological indicator in the sterilizer C. Clean the instrument according to the manufacturer's instructions D. Wrap in double thickness non woven wrap ✔✔C Incoming saturated steam should be within which of the following ranges of dryness A. 97% to 100% B. 51% to 55% C. 10% to 12% D. 5% to 6% ✔✔A Failure to remove all air from a package within the steam sterilizer will result in A. Wet packs B. Poor steam penetration C. Drying out of the packaging material D. Poor adherence of the autoclave tape ✔✔BDamage to medical/surgical supplies stored in the RECEIVING AREA can be avoided by A. Storing supplies no closer than 18 inches from the ceiling B. Storing supplies at least 8 inches from the floor C. Avoiding temperature and humidity extremes D. Removing supplies from the origional shipping cartons ✔✔D Steam is exhausted from the sterilizer through the A. Door gasket B. Pressure gauge C. Chamber jacket D. Chamber drain line ✔✔D Why MUST textile packs be placed on their sides for sterilization? A. To aid the drying process B. To facilitate air removal and stream penetration C. To allow as many packs as possible to fit on the rack D. To better the chemical indicator tape ✔✔B The MOST unique feature of an integrating chemical indicator is its ability to A. To take the place of a biological indicator B. Be incubated and read within 3 hours C. Perform in parallel to a biological indicator D. Be suitable for all types of sterilization ✔✔C EO kills microrganisms by a process called A. Condensation B. Maturation C. Oxidation D. Alkylation ✔✔DThe normal concentration of hydrogen peroxide in a low temperature gas plasma sterilizer is A. 30% B. 48% C. 59% D. 75% ✔✔C Rigid sterilization containers should be biologically tested before A. Placement of the filters B. Purchasing C.Testing gaskets D. The first cycle of the day ✔✔B In the sterile storage area, the ventilation system MUST be under A. The sprinklers B. The air conditioners C. Negative pressure D. Positive pressure ✔✔D The hourly exchange rate in the sterile storage area should be AT LEAST A. 2 B. 4 C. 6 D. 8 ✔✔B Which of the following is NOT a factor affecting the dry time in a steam sterilizer ? A. Type of packaging B. Weight of sets C. Selected sterilization time D. Configuration of the load ✔✔CThe optimum amount of a supply to order is called the A. reorder point B. cycle count C. Perpetual inventory count D. Economical order quantity ✔✔D The cochlea is part of the A. Middle ear B. External ear C. Inner ear D. Tympanic cavity ✔✔C CS/CSP should be capable of planning for approximately what percentage of the total needs of a unit? A. 50% B. 75% C. 90% D. 100% ✔✔C Which of the following MUST be made available to distribution personnel? A. A map of the facility B. Dedicated locker rooms C. Computerized inventory and distribution systems D. Policies and procedures for correct handling of sterile supplies ✔✔D Which of the following agencies regulate EO? A. OSHA,JC,CDC B. OSHA ,CDC,EPA C. OSHA,EPA,FDA D. OSHA,AAMI,CDC ✔✔CAnother name for par level inventory is A. Total exchange cart B. Demand distribution C. Just in time distribution D. Fixed inventory level ✔✔D Which of the following is considered a disadvantage of an exchange cart system? A. Inventory is duplicated B. Supplies must be requisitioned C. Patients are charged immediately D. Supplies can be potentially outdate ✔✔A Which distribution system is designed to reduce storeroom inventory ? A. Just in time B. Exchange carts C. Par level stocking D. Demand distribution ✔✔A A biological indicator should contain how many spores? A. 10-1 B. 10-2 C.10-4 D. 10-6 ✔✔A The drain line basket in a steam sterilizer should be cleaned A. Weekly B. Daily C. Monthly D. Quarterly ✔✔B