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CBSPD Final Exam
Questions and Answers
Main role of sterile processing is: - Correct Answer-provide reliable services to enhance quality of patient care instruments sets and patient care equipment processing and distributing must be done accurately and timely so: - Correct Answer-patient care is not adversely affected Ethics is - Correct Answer-doing the right thing Compliance with OSHA is - Correct Answer-required by law Establishes sterile practice based on opinion, research and theory: - Correct Answer- AAMI Reccomended practices are: - Correct Answer-statements of sound principals based on scientific data EPA, FDA, OSHA & DOH issue - Correct Answer-regulations CS/SPD practice are written by - Correct Answer-AAMI HIPPA is all about what ethical issue? - Correct Answer-Confidentiality Governing behavior involves what type of rule? - Correct Answer-Regulation An established norm based on theory is: - Correct Answer-Standard Government agency that evaluated pesticides? - Correct Answer-EPA Single-use devices in the hospital setting are regulated by - Correct Answer- FDA Cleaning/sterilization instructions should be requested from device manufacturers - Correct Answer-each time the item is purchased OSHA requires SDS for - Correct Answer-each chemical in the department Science branch refers to form and organization of body parts: - Correct Answer- Anatomy
Science branch refers to function of specific body parts: - Correct Answer- Physiology
Food is transported to the stomach through the - Correct Answer- Esophagus Term pathogenic means: - Correct Answer-disease producing Gram-Positive microorganisms stain what color? - Correct Answer-Blue or Purple Units that microorganisms are measured in: - Correct Answer-Microns Streptococcus shape is: - Correct Answer-spherical Spirochete shape is: - Correct Answer-Spiral Bacteria reproduce by: - Correct Answer-Binary fission Gram-Negative microorganisms stain what color? - Correct Answer-Red or Pink Cocci shape: - Correct Answer-Round Microorganism that can slow down its metabolism and become dormant is: - Correct Answer-Gram-Positive Bacillus - Blue or Purple in color Bacilli are what shape? - Correct Answer-Rod-shape What do bacteria need to survive? - Correct Answer-Warmth, water and waste elimination What is used to test sterilization cycles? - Correct Answer-Spores A dehydrated cell with a thick, shell-like wall is a: - Correct Answer-spore What survives extreme heat, lack of water and exposure to many toxic chemicals and radiation? - Correct Answer-Spores Pathogen that causes tuberculosis: - Correct Answer-Mycobacteria Includes single cell yeasts: - Correct Answer-Fungi Disease not caused by virus: - Correct Answer-CJD Difficult to kill by usual sterilization methods: - Correct Answer-Prions Aerobic bacteria require: - Correct Answer-Oxygen Disease caused by Prions: - Correct Answer-CJD
Single-celled microorganisms are called: - Correct Answer-Protozoa Requires living host to multiply? - Correct Answer-Virus An abnormal protein describes a - Correct Answer-prion Gram-positive coccus example? - Correct Answer-Staphylococcus aureus can survive on hands for hours. - Correct Answer-VRE Healthcare infection is generally termed- Correct Answer-Nosocomial Healthcare-acquired infections kill how many people annually? - Correct Answer-90, The principal living reservoir of human disease comes from - Correct Answer- human body Gastrointestinal disease is usually a result of- Correct Answer- water contaminated by feces of humans and other animals The principal route of nosocomial infections is - Correct Answer-Direct contact An inanimate object involved in spreading infection is called - Correct Answer-a fomite is not a disease spread by droplets - Correct Answer-Measles discharges pathogens that cause TB, whooping cough, pneumonia, measles, mumps and smallpox. - Correct Answer-Respiratory tract Living things that cause disease are called - Correct Answer-vectors Most common portal of exit in disease transmission: - Correct Answer-The respiratory tract Portal of entry caused by a needle stick is: - Correct Answer-parenteral tissue causes lyme disease - Correct Answer-Vector The best way to prevent infection: - Correct Answer-Wash hands Minimum time needed for effective hand washing: - Correct Answer- seconds When washing hands, turn off the water with: - Correct Answer-a disposable towel regulates bloodborne pathogen exposure. - Correct Answer-OSHA
A proteolytic enzyme detergent breaks down - Correct Answer-blood
should not be ever used to remove gross soil on instruments. - Correct Answer- Saline An item with multiple parts to be cleaned must first be - Correct Answer- disassembled may be used to clean tungsten carbide jaws of needle holders. - Correct Answer- Metal-bristled brushes The final rinse in the cleaning process should be performed using: - Correct Answer- treated water Term which refers to the mechanical action in the automated cleaning process which uses sound waves and imploding bubbles. - Correct Answer- Cavitation Prior to processing instruments in an ultrasonic cleaner, should be removed - Correct Answer-gross soil Power equipment should be cleaned in what way? - Correct Answer-As specified by the manufacturer Fiberoptic light cables should be cleaned with - Correct Answer-soft cloth and detergent Prior to manual cleaning of a flexible endoscope, what must be done? - Correct Answer- Leak testing Instruments and devices received from another facility should be: - Correct Answer- Completely reprocessed Material which can be used as a simple test to check the functioning of the ultrasonic cleaner is? - Correct Answer-Aluminum foil The TOSL line of products verifies the effectiveness of - Correct Answer- mechanical washers Process that kills most microorganisms but not spores is: - Correct Answer- high-level disinfection Spaulding's classfication of medical devices indicates that a semi-critical item requires which form of disinfection? - Correct Answer-High-level Which level of disinfection destroys HIV? - Correct Answer-Low-level
The final stage in manufacturing a surgical grade instrument is: - Correct Answer- passivation Scissors with black handles are often referred to as: - Correct Answer-Super sharps The layer on a surgical instrument created by the passivation process is called: - Correct Answer-Chromium oxide How is an instrument with tungsten carbide inserts identified? - Correct Answer-Gold handles What type of finish on a surgical instrument is used for laser procedures? - Correct Answer-Ebonized Which of the following lubricants is recommended for use on surgical instruments? - Correct Answer-Water-based Which layer makes an instrument resistant to corrosion? - Correct Answer-The chromium oxide layer What are routine parts of inspecting instruments? - Correct Answer-1. Jaw alignment 2. Ratchet tension
- Box lock stiffness How often should an instrument be lubricated unless otherwise directed by the manufacturer? - Correct Answer-Every time it is used What should one do to test a scissor for sharpness? - Correct Answer- Make several cuts in the testing material When the jaws of a stainless steel needle holder become worn, it must be - Correct Answer-discarded Instrument cracks most likely occur where? - Correct Answer-Box lock Cracked insulation on a laparoscopic instrument can cause- Correct Answer- electrical shock How should power equipment be lubricated? - Correct Answer-According to manufacturer's instructions What information is required when labeling a rigid scope for sterilization? - Correct Answer-1. Manufacturer
- Size and visual field of scope 3. O.R. Service
What indicates damage to glass rods in a fiber optic light cable? - Correct Answer-Black dots What are the 3 common methods of checking visual clarity for a rigid endoscope? - Correct Answer-1. Looking at a white piece of paper through the scope
- Holding the scope up to a light source
- Using a tester manufactured for this purpose What is never to be used to mark and identify instruments? - Correct Answer- Engraving The prep and packaging area must be maintained inpressure - Correct Answer- Positive The prep and packaging area must have an air exchange rate of per
- Correct Answer-10 per hour The acceptable temperature range for the prep and packaging area is 'F - Correct Answer-68-73'F The ideal humidity in the prep and pack area should be % - Correct Answer-50% A non-perforated tray used for sterilizing instrument sets must be on the sterilizer rack - Correct Answer-tilted How often should floors in the preparation area be wet mopped? - Correct Answer-Daily While assembling a set with heavy and delicate instruments, where should the heavier instruments be placed? - Correct Answer-On the bottom of the set What can aid in the drying of wrapped instruments sets? - Correct Answer-A towel in the bottom of the tray What is ideal for writing count sheets and tray lists? - Correct Answer- Permanent, nontoxic ink Where should the chemical indicator be placed in a wrapped set of instruments? - Correct Answer-The center of the set Multi-layer container systems should have chemical indicators placed in level
- Correct Answer-each level What is the maximum size and weight of a textile pack? - Correct Answer- 12" x 12" x 20", 12 pounds
Basic principles of packaging are: - Correct Answer-1. The material must allow the sterilant to reach the contents
- The material must be a barrier to microorganisms
- The package must be able to be opened without contamination A wrapper that is too large can sterilant penetration - Correct Answer-inhibit How much space should be left between an item and the inside edges of a peel pouch?
- Correct Answer-1" Which type of packaging materials is acceptable for steam sterilization? - Correct Answer-Nonwoven wraps Which packing material is acceptable for low-temperature gas plasma and ozone sterilization? - Correct Answer-Tyvek Latches and locks are examples of seals on rigid containers. - Correct Answer- tamper-evident Rigid containers processed in a steam sterilizer must be placedon the cart during sterilization. - Correct Answer-Flat The absence of microbial life forms including spores is - Correct Answer- sterility Drain line - Correct Answer-Where the heat-sensing thermometer is located Over the drain line - Correct Answer-Where are process challenged devices placed to present the greatest challenge to the sterilizer? Steam under pressure, time and temperature - Correct Answer- parameters of steam sterilization 3 minutes - Correct Answer-minimum exposure for prevac steam cycle at 275'F (135'C) one of a kind instrument is dropped - Correct Answer-Appropriate use of Flash sterilization Decontaminated as usual - Correct Answer-Instruments exposed to CJD 18 min, 273'F, Prevac cycle - Correct Answer-Recommended cycle for CJD instruments Make direct contact with all surfaces - Correct Answer-For sterilization to occur, steam must
Reprocess the item - Correct Answer-If a wet pack is noticed, what should be done with it? Gravity steam - Correct Answer-Method of sterilization for liquids Bacteria can wick into package - Correct Answer-Moisture at the end of the steam cycle means On their edge - Correct Answer-Peel pack should be placed Top rack - Correct Answer-Textile packs should be placed where in a mixed load of textile and metal goods? Tilted on their side - Correct Answer-Basin sets should be positioned Manufacturer provides technical data stating as such - Correct Answer- Stacking rigid sterilization containers on the autoclave rack is permitted when Bowie Dick test - Correct Answer-Verifys the sterilizer air removal mechanism is functioning properly Biological - Correct Answer-Method used to verify that conditions in the load can adequately kill spores Draw a line through and initial - Correct Answer-If a written item is removed from the load record, what should be done on the load record? Chemical - Correct Answer-Bowie Dick test is what type of monitoring process? Integrator - Correct Answer-Class 5 integrator term Dynamic air removal cycles - Correct Answer-Bowie Dick tests monitors what? Report to the supervisor - Correct Answer-If the Bowie Dick tests fails the first time, what should be done? 3.5 to 4 min at 270'F - Correct Answer-Correct sterilizer setting for Bowie Dick test Once a day and if new lot number is used - Correct Answer-How often should a biological indicator control be incubated? All loads back to the last negative BI - Correct Answer-How many loads should be recalled in a positive BI event? Weekly - Correct Answer-How often should routine BI testing for steam sterilizers be performed?
70% - Correct Answer-Relative humidity in sterile storage area should not exceed % 75'F - Correct Answer-Temperature in sterile storage area should not exceed 'F? Growth of microorganisms - Correct Answer-Humidity controls in the sterile storage area? Solid - Correct Answer-Bottom shelf of storage carts should be 18 inches - Correct Answer-Sterile items on the top shelf should be how far below sprinklers? 2 inches - Correct Answer-How far from the outside walls should shelving in the sterile storage area be? Harbor soil - Correct Answer-Shipping cartons are not acceptable storage containers in the sterile storage area because they: FIFO - Correct Answer-Rotating stock is known as
- Expiration date
- Whether package is damaged
- Chemical indicator verification - Correct Answer-Before releasing an item to fill a sterile supply order, all of the following must be checked:
- Receiving
- Storage
- Patient charging - Correct Answer-Elements of a distribution system are what 3 main items: Receiving - Correct Answer-The first area to accept responsibility for all supplies in the facility? on the floor - Correct Answer-Supplies are never to be stored where?
- Must be legible
- Must specify quantity needed
- Must specify delivery destination - Correct Answer-Requisition necessary requirements are: Daily - Correct Answer-Transportation carts must be cleaned: Demand distribution - Correct Answer-A distribution system which requires the using department to maintain inventory levels is called?
Actual use - Correct Answer-Par levels should be based on: Fixed - Correct Answer-Another term for par-level distribution system is? Labor intensive - Correct Answer-Demand distribution systems are: Par level - Correct Answer-A predetermined inventory list is required for what type of distribution system? Demand - Correct Answer-Simple but labor intensive system is what type of distribution system? Total exchange cart - Correct Answer-The most efficient distribution system is the Par level system - Correct Answer-The computerized locked supply system is a variation of what distribution system?
- Disaster
- Dialysis
- Code - Correct Answer-Examples of specialty carts are: Good communication - Correct Answer-Required for an effective case cart system. Stock-less distribution system - Correct Answer-Another term for Just-in-time distribution systems 40% - Correct Answer-The % represented in terms of inventory of medical and surgical supplies in a facility's operating budget is Perpetual inventory system - Correct Answer-An ongoing inventory management system Lowest amount of stock - Correct Answer-The reorder point Economical order quantity - Correct Answer-Ordering optimum quantity of an item based on historical data is known as Tracking systems - Correct Answer-Bar-coding of instrument sets is an integral part of: 10-6 - Correct Answer-Ideal for spores Daily - Correct Answer-How often should the drain line be cleaned 55-60'C - Correct Answer-Incubation temperature 2+ critical parameters - Correct Answer-Class 4 refers to what type of parameters?
Pressure - Correct Answer-What main factor helps a steam sterilizer attain the high temperature needed? Doing the right thing - Correct Answer-Ethics is the practice of Spore - Correct Answer-A resting microorganism with a hard, shell-like outer covering. Prions - Correct Answer-This causes spongiform encephalopathy. Fomites - Correct Answer-Nails, tissues and money are examples of this. Vehicle - Correct Answer-How cholera is transmitted Up - Correct Answer-Direction fingers should be rinsed in the final step of hand washing. 60-95% - Correct Answer-Waterless hand antiseptics % of alchol for maximum effectiveness.
- Storage of minerals 2. Growth of blood cells
- Protection of internal organs - Correct Answer-What are the 3 roles in how bones support other body systems? Leakproof - Correct Answer-OSHA's requirement for containers of potentially infectious materials. Cocci - Correct Answer-Round or spherical bacteria Cleaning - Correct Answer-Removing contamination to the extent necessary for further processing Negative pressure of 10 exchanges per hour - Correct Answer-Ventilation in the decontamination area Floors and work surfaces - Correct Answer-What should be cleaned daily? Disciplinary action - Correct Answer-What is true if one fails to wear PPE in the decontamination area? Manufacturer's instructions - Correct Answer-What must be obtained before a medical device is cleaned and processed? 15 seconds - Correct Answer-The minimum time needed for effective hand washing
- Water quality
- Water temperature
- Amount of soil - Correct Answer-What are considerations for selecting a detergent? pH - Correct Answer-Relative acidity or alkalinity of a solution is its Soil - Correct Answer-Where is clostridium botulinum harbored? Box lock - Correct Answer-The weakest part of an instrument Alkaline - Correct Answer-pH of 13 is Acid/Alkaline? soil and water - Correct Answer-Nonliving reservoirs of infectious diseases are? A lack of friction in washing - Correct Answer-Why are alkaline detergents best used in mechanical washers? Organic acid detergents - Correct Answer-What type of detergent can be used to remove severe stains on stainless steel instruments? Rinse with distilled water and dry them well. - Correct Answer-What is one method to prevent biofilm formation on instruments? Lumened instruments - Correct Answer-What is a sonic irrigator used to clean? Alkaline wash, acid rinse, regular rinse - Correct Answer-To reduce corrosion potential, what is the mechanical washer multistep process? completely reprocessed - Correct Answer-Opened but unused instrument sets should be: The disinfection process is ineffective - Correct Answer-If too many mircroorganisms remain on an item after the cleaning process, what does it indicate? Quaternary ammonium compounds - Correct Answer-What is used for cleaning inanimate environmental surfaces and floors and is bacteriostatic? 0.05 ppm - Correct Answer-The threshold limit value for glutaraldehyde is? Hypo/hyperthermia machine - Correct Answer-A piece of equipment used to regulate body temperature is Sequential compression device - Correct Answer-What type of equipment is used to prevent the formation of blood clots? 400 - Correct Answer-The series of stainless steel used to manufacture
