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31 Cards in this Set

  • Front
  • Back

The process by which all forms of microbial life, including spores, are destroyed is the definition of


A. Sanitization


B. Disinfection


C. Decontamination


D. Sterilization

D. Sterilization

A gauge on the main steam line,usually located at the back of the sterilizer, tells you the steam pressure


A. Inside the jacket


B. Inside the chamber


C. As it is entering the jacket


D. As it is exiting the chamber

C. As it is entering the jacket

Which of the following is the minimum exposure time for wrapped goods in a dynamic air-removal steam cycle at 275°F and 28 to 30 pounds per square inch (psi)


A. 3 minutes


B. 4 minutes


C. 10 minutes


D. 15 minutes

A. 3 minutes

Immediate-use steam sterilization may be indicated when


A. A one-of-a-kind instrument is contaminated


B. Loaner instruments are received late


C. Instrument inventory is low


D. The instrument is delicate

A. A one of the kind instrument is contaminated

Which of the following best describes a "wet load"


A. A single package with moisture droplets


B. Excess moisture collecting in the drain time


C. Wet sets placed into the sterilizer


D. Multiple packages in the same load found with excess moisture

D. Multiple packages in the same load found with excess moisture

For sterilization to occur, steam must


A. Be superheated


B. Trap air inside the package


C. Be flushed into each package


D. Make direct contact with all surfaces


D. Make direct contact with all surfaces

Which of the following actions should be taken if a sterilized load is determined to be wet


A. Reprocess the wet items


B. Reprocess the entire load


C. Return it to the sterilizer to dry


D. Leave it on the cart until it is dry

B. Reprocess the entire load

Which of the following can occur if packages are moist at the end of the steam cycle


A. Mold can form on the package


B. Microorganisms can wick into the package


C. The package can be too hot to handle


D. A false reading of external chemical indicators can occur

B. Microorganisms can wick into the package

For sterilization, paper-plastic packages should be placed


A. On their edge


B. Paper side down


C. Plastic side down


D. On the bottom shelf

A. On their edge

In a mixed load of textile and metal goods, the textile packs should be placed


A. On the top rack


B. On the bottom rack


C. Alternately on each rack


D. On both racks with the textiles in back and the metal items in front

A. On the top rack

For steam sterilization, basin sets should be positioned


A. Under a rigid container


B. Tilted on their sides


C. Above a linen pack


D. Facing up

B. Tilted on their sides

Stacking of rigid sterilization containers in a steam sterilizer is permitted when


A. The manufacturer provides technical data showing that it is acceptable


B. It is the last load of the day and the sets will sit overnight


C. The top shelf is removed to make more space


D. The load will only contain rigid containers

A. The manufacturer provides technical data showing that it is acceptable

Which of the following is used to detect air leaks or insufficient air removal


A. Bacterial spore strip


B. Sterilizer indicator tape


C. Process challenge device


D. Bowie-dick test

D. Bowie-dick test

One reason for adding chemicals to the boiler feed-water is to


A. Distill the water


B. Prevent condensate


C. Provide 100% saturated steam


D. Minimize contaminates

Minimize contaminants

Which of the following monitoring methods verifies that conditions within the load were adequate to kill bacterial spores


A. Chemical


B. Biological


C. Mechanical


D. Administrative

B. Biological

What is the correct action to take if an item needs to be corrected or removed from the sterilization load record


A. Use a white out pen


B. Rewrite the entire record


C. Cross off the item with a black sharpie


D. Draw a line through the item and initial

D. Draw a line through the item and initial

The Bowie-dick test is considered which type of monitoring process


A. Administrative


B. Chemical


C. Mechanical


D. Biological

B. Chemical

A Class 5 indicator is called a


A. Process indicator


B. Integrating indicator


C. Multi-parameter indicator


D. Single-parameter indicator

B. Integrating indicator

Class 6 indicators are also called


A. Process indicators


B. Emulating indicators


C. Integrating indicators


D. Multi-variable indicators

B. Emulating indicators

What should be done if the Bowie dick test fails the first time


A. Run an empty cycle, then repeat the test


B. Report to the supervisor for further instruction


C. Shut down the sterilizer, then turn it back on


D. Increase the sterilization time and repeat the test

B. Report to the supervisor for further instruction

Which of the following is the recommended sterilizer setting for the Bowie-dick test


A. 3 1/2 to 4 minutes @ 270° gravity


B. 3 1/2 to 4 minutes @ 270° dynamic-air-removal


C. 2 1/2 to 4 minutes @ 250° gravity


D. 2 1/2 to 4 minutes @ 250° dynamic-air-removal

B. 3 1/2 to 4 minutes @ 270° dynamic-air-removal

Generally, if a biological test is performed daily, how often is it necessary to incubate a control biological indicator


A. With each new case of biological indicators


B. With each biological indicator placed in the incubator


C. Once a day and if a new lot number is used


D. Once a week unless a new lot number is used

C. Once a day and if a new lot number is used

Routine biological testing of steam sterilizers should be performed no less than


A. Daily


B. Weekly


C. Monthly


D. Every other day

B. Weekly

All loads containing implantable devices should be


A. Monitored with a biological indicator


B. Recorded with the patient's name


C. Recorded with the surgeon's name


D. Monitored with a class 4 chemical indicator

A. Monitored with a biological indicator

For testing of rigid sterilization containers, the biological indicators should be placed


A. In two opposite Corners of the inner basket and the lid


B. As recommended by the manufacturer of the container


C. In the center of the inner basket and the center of the lid


D. In each corner of the inner basket and under the center of the lid

B. As recommended by the manufacturer of the container

Sterile packs are most vulnerable to contamination


A. After they have cooled to room temperature


B. When the package is still hot


C. When left on the sterilizer rack for long periods


D. After cracking the door at the end of the cycle

B. When the package is still hot

Items being unloaded from the steam sterilizer should be handled with


A. Cotton gloves


B. Rubber gloves


C. Butyl gloves


D. Clean hands

D. Clean hands

A loaner instrument has been contaminated during a procedure and the OR wants to sterilize it in the immediate-use steam sterilizers. Which of the following is the first step to take


A. Immediately clean the instrument in an ultrasonic cleaner and send it back to the OR for sterilization


B. Consult the manufacturer's written instructions for Approved sterilization methods and parameters


C. Ask a sales representative if the instrument is required to be lubricated before sterilization


D. Tell the OR to clean the Instrument, place it in a covered container, and use the prevacuum cycle

B. Consult the manufacturer's written instructions for Approved sterilization methods and parameters

Which of the following best defines "superheating" of steam


A. Steam heated to greater than 500° degrees


B. Heat added to dry steam in the absence of water


C. Steam contacting cool Services, causing condensation


D. Coagulation of protein during the heating process

B. Heat added to dry steam in the absence of water

Which of the following sterilization methods would require aeration after processing


A. Ethylene oxide


B. Hydrogen peroxide


C. Steam under pressure


D. Low-pressure gas plasma

A. Ethylene oxide

The basic parameters of gas sterilization in a 100% percent ethylene oxide sterilizer are concentrating, exposure time


A. Humidity and aeration


B. Vacuum and aeration


C. Vacuum and pressure


D. Humidity and temperature

D. Humidity and temperature