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127 Cards in this Set

  • Front
  • Back

Residual ethylene oxide is removed from sterilized items by a


A. Impingement


B. Cavitation


C. Aeration


D. Free Rinsing

Aeration

Employee safety is regulated by


A. OSHA


B. JCAHO


C. CDC


D. FDA

OSHA


Parenteral solutions are administered


A. Topically


B. By inhalation


C. Intravenously


D. By mouth

Intravenously

The decontamination area of CS should have


A. 10 complete air exchanges per hour


B. 10 complete air exchanges per day


C. Zero air exchanges to reduce airborne bacteria


D. Zero air exchanges to maintain established temperatures

10 complete air exchanges per hour

The test used to evaluate the efficacy of air removal in a dynamic air removal steam sterilizer is the


A. Bowie Dick


B. Smith Kline


C. Becton Dickinson


D. Brown Hart

Bowie Dick

The two most common techniques of flat wrap packaging are


A. Heat seal and self seal


B. Accordion fold and oblong fold


C. Circular fold and triangular fold


D. Square fold and envelope fold

Square fold and envelope fold

Enzymes are used to


A. Provide low level disinfection


B. Provide intermediate level disinfection


C. Break down and remove heavy soil


D. Provide high level disinfection

Break down and remove heavy soil

The maximum density recommended for linen packs is


A. 2.7 pounds per square foot of pack


B. 7.2 pounds per square foot of pack


C. 9.7 pounds per square foot of pack


D. 9.2 pounds per square foot of pack

7.2 pounds per square foot of pack

Intercosto means


A. Inside the bladder


B. Between the ribs


C. Inside the cranium


D. Between the toes

Between the ribs

What would the recommended exposure time for a dry heat sterilization load that was run at an exposure time of 320°F


A. 1 hour


B. 1.5 hours


C. 2 hours


D. 2.5 hours

2 hours

The physical method by which ultrasonic units clean is called


A. Vibration


B. Radiation


C. Cavitation


D. Friction

Cavitation


Which of the following is the white portion of the eye?


A. Iris


B. Pupil


C. Cornea


D. Sclera

Sclera

When washing their hands, Central Service Technicians should lather and scrub them for a minimum of_______seconds


A. 5


B. 10


C. 15


D. 60

15

What percentage of microorganisms are harmful to humans because they can grow at approximately human body temperature?


A. 1%


B. 2%


C. 3%


D. 4%

1%

Which of the following glands is located at the base of the brain and is considered the master gland?


A. Pituitary


B. Thyroid


C. Adrenal


D. Parathyroid

Pituitary

The medical term for the absence of microorganisms that can cause disease is


A. Aerobic


B. Anerobic


C. Asepsis


D. Antiseptic

Asepsis


Spiral shaped bacteria are classified as


A. Coccus


B. Bacillus


C. Spirillum


D. Anerobic

Spirillum

The physical method by which ultrasonic units cleaned is called:


A. Vibration


B. Radiation


C. Cavitation


D. Friction

Cavitation

The physical method by which a washer/decontaminator cleans is called:


A. Agitation


B. Cavitation


C. Impingement


D. Sterilization

Impingement

The body system that is designed to provide support, shape and protection is called:


A. Digestive system


B. Nervous system


C. Muscular system


D. Skeletal system

Skeletal system

Microorganisms that are capable of growing in free oxygen (require free oxygen) are called


A. Aerobic


B. Anerobic


C. Flagellan


D. Angellan

Aerobic

The suffix oscopy means


A. Surgical removal


B. Surgical repair


C. Manual manipulation


D. Visual examination

Visual examination

Which of the following is NOT a principle of asepsis?


A. Know what is dirty


B. Know what is clean


C. Know what is sterile


D. Keep the three conditions separate


E. Remedy contamination immediately


F. Maintain good work flow process

Maintain good work flow process

A patient experiencing neuralgia is


A. Having a stroke


B. Having a nerve pain


C. Having a heart attack


D. Having a migraine

Having a nerve pain

This surgery reconstructs the eardrum so sound waves can be sent to the middle and inner ear:


A. Tympanoplasty


B. Stapedectomy


C. Myringotomy


D. Drum reconstruction and repair

Tympanoplasty

Which of the terms below would you associate with a cardiac surgery?


A. ACL


B. TAH


C. BKA


D. CABG

CABG

Flexible Cystoscopes provide


A. Visualization of the urethra and bladder


B. Visualization of the trachebronchial tree


C. Visualization of the lower part of the large intestine


D. Visualization of the digestive tract

Visualization of the urethra and bladder

Impregnated gauze strips may be sterilized using


A. Ethylene Oxide Sterilization


B. Hydrogen Peroxide Gas Plasma Sterilization


C. Dry Heat Sterilization


D. Steam Sterilization

Dry Heat Sterilization

Microgrind, or Supercut scissors are usually identified with:


A. Black handles


B. Gold handles


C. Silver matte handles


D. Silver high gloss handles

Black handles

In order to prevent breathing in bacteria, via aerosols, during brush cleaning, you should:


A. Hold the brush away from you


B. Hold your your breath


C. Brush under the surface of the water


D. Utilize a fan to direct air currents

Brush under the surface of the water

The term arthro means:


A. Joint


B. Bone


C. Hip


D. Knee

Joint

The recommended air pressure for a CS decontamination area is:


A. Positive air pressure


B. Negative air pressure


C. Neutral air pressure


D. High volume air pressure

Negative air pressure

The term excise means:


A. To create a new opening


B. To cut out


C. A surgical repair


D. To suture

To cut out

An idophor is a


A. Buffered iodine


B. 2% aqueous solution


C. Low level disinfectant


D. High level disinfectant

Buffered iodine

Phenolics are often used to disinfect


A. Critical items


B. Noncritical items


C. Linens


D. Implants

Noncritical items

Chlorine and iodine are members of the


A. Halogen family


B. Hydrogen peroxide group


C. Quat group


D. Phenolic family

Halogen family

Quats are classified as


A. Low level disinfectant


B. Intermediate level disinfectants


C. High level disinfectants


D. Sterilants

Low level disinfectants

The minimum recommendation for the frequency of biological testing in steam sterilizers is


A. Weekly and in every load that contains an implant


B. Daily and in every load that contains an implant


C. Monthly and in every load that contains an implant


D. In every load sterilized

Weekly and in every load that contains an implant

Which of the following sterilization quality assurance measurements is designed to measure individual package penetration


A. Biological tests


B. Bowie Dick tests


C. Mechanical monitors charts/printouts


D. Chemical indicators

Chemical indicators

A hemigastrectomy is


A. A surgical repair of the colon


B. The removal of a stone


C. The removal of half of the stomach


D. A surgical repair of the uterus

The removal of half of the stomach

Which of the following terms denotes a malignant tumor


A. Adenoma


B. Canceroma


C. Carcinoma


D. Chrondroma

Carcinoma

The body system that controls growth and maintains body functions and chemical messengersis called the


A. Digestive system


B. Nervous system


C. Endocrine system


D. Circulatory system

Endocrine system

A device that allows the auto administration of pain medication


A. PCA pump


B. Hypothermia pump


C. IV fusion


D. Medication unit

PCA pump

Which of the following should not be processed in an ultrasonic cleaner


A. Rasps and files


B. Lumened instruments


C. Stainless steel instruments


D. Plastic instruments

Plastic instruments

Saturated steam


A. Has a relative humidity of 35-50%


B. Has a relative humidity of 55-77%


C. Has a relative humidity of 60-90%


D. Has a relative humidity of 97-100%

Has a relative humidity of 97-100 %

Disposable medical devices should be separated from reusable devices


A. At the point of use


B. In the operating room sub sterile area


C. In the decontamination room receiving area


D. In the housekeeping bio hazard area

At the point of use

Items requiring manual cleaning should be


A. Processed before mechanically cleaned items


B. Cleaned per manufacturer's recommendations


C. Pre - soaked, tested, cleaned, disinfected, dried, and stored


D. Cleaned after all other instrumentation has been processed

Cleaned per manufacturer's recommendations

When using the FIFO method of storage, each item should be


A. Kept in sterility maintenance covers


B. Inspected for integrity before placing on or removing from the storage shelf


C. Removed and reprocessed after six months of storage


D. Be stored at a minimum temperature of 80°F

Inspected for integrity before placing on or removing from the storage shelf

If a storeroom temperature is 85°F and the humidity is 80%, the storeroom conditions are


A. To cool and dry


B. To cool and moist


C. To warm and dry


D. To warm and moist

To warm and dry?

Precleaning, leak testing, cleaning, high level disinfection, drying and storage is the proper sequence for processing:


A. Endoscopic cameras


B. Rigid endoscopes


C. Flexible endoscopes


D. Laparoscopic graspers

Flexible endoscopes

Whenever possible, sterile supplies should be transported


A. In a closed cart


B. On a cart or table


C. While held tightly as close to the midline of the body as possible


D. In the hands

In a closed cart

The distribution system used to provide specific products for individual surgical procedures is a


A. Par level system


B. Requisition system


C. Case cart system


D. Exchange cart system

Case cart system

Surgical removal of the uterus is called a


A. Hysterectomy


B. Hysterocopy


C. Dilation and Curettage (D&C)


D. Bilateral Salpingoophorectomy

Hysterectomy

An infectious agent that grows only in living tissue or cells is called


A. Psychrophile


B. Mesophile


C. Thermophile


D. Virus

Virus

This voluntary international organization is dedicated to the prevention and control of infection


A. IAHCSMM


B. ISO


C. APIC


D. AORN

APIC

Sponges used for cleaning should be:


A. Replaced daily


B. Replaced weekly


C. Decontaminated daily


D. Sterilized daily

Replaced daily

In a 3-sink arrangement used for manual cleaning the third sink should contain


A. Water soluble lubricant


B. An enzyme cleaner


C. Tap water


D. Distilled or deionized

Water soluble lubricant

Chisels and osteotomes should be tested using


A. An index card


B. A plastic dowel rod


C. Facial tissue


D. Red testing material

A plastic dowel rod

When a flexible fiberoptic endoscope fails a leak test, it should be


A. Returned to service and used until it no longer functions


B. Discarded and replaced


C. Taken out of service and sent for repair


D. Cleaned and sterilized without exposing it to water/solution

Taken out of service and sent for repair

Information about the required cleaning and sterilization protocols for loaner instrumentation should be obtained from


A. The CDC


B. AAMI


C. The hospital that previously used the instruments


D. The instrument manufacturer

The instrument manufacturer

When wet packs are discovered after a steam sterilization process


A. The contents must be repackaged and resterilized


B. The pack must be allowed extended drying time before use


C. The moisture should have no effect on the quality of the pack


D. The pack should be labeled as "wet" and flashed sterilized before use

The contents must be repackaged and resterilized

When assembling an instrument set for steam sterilization


A. Instruments should be closed to prevent damage


B. Instruments should be placed in peel pouches to keep them organized


C. Instruments should be opened and disassembled to facilitate steam contact


D. Instruments should be placed under a wet towel

Instruments should be opened and disassembled to facilitate steam contact

You can reduce a combustible load of a storage area by


A. Installing a sprinkler system


B. Installing fire extinguishers at 10 foot intervals


C. Reducing the amount of disposable supplies stored in the area


D. Installing fire doors

Reducing the amount of disposable supplies stored in the area

Forming a general opinion about a specific group and then applying that opinion to every member of that group is called


A. Unfair comparison


B. Stereotyping


C. Halo effect


D. Pitchfork effect

Stereotyping

An_______is a type of equipment used to clean, disinfect, and rinse flexible fiberoptic endoscopes


A. Ultrasonic cleaner


B. Impingement waher-disinfector


C. Automatic endoscope reprocessor


D. Enzyme based endoscope reprocessor sa q

Automatic endoscope reprocessor

Which of the following packaging materials is not acceptable for use in steam sterilization


A. Rigid container system


B. Spunbound-polyolefin combination pouches


C. Paper/plastic combination pouches


D. Non-woven SMS flat wrap

Spunbound-polyolefin combination pouches

Sterility maintenance covers(dust covers)should be applied


A. After sterilization


B. Before sterilization


C. After an item has been stored 30 days


D. After an item has been stored 90 days

After sterilization

Which of the following would be the best choice for high level disinfection of instruments


A. Phenolics


B. Chlorine


C. Iodophors


D. OPA

OPA

Bacteria that cause diseases


A. Aerobic


B. Anaerobic


C. Pathogenic


D. Thermophillic

Pathogenic

Which type of fire extinguisher should be used on flammable liquids


A. Type A


B. Type B


C. Type C


D. Type D

Type B

Which of the following disinfectants is also known as a " wetting agent


A. Quaternary ammonium compounds ( quats )


B. Phenolics


C. Alcohol


D. Halogens

Quaternary ammonium compounds ( quats )

The inventory control method in which the supplier owns the inventory, stores it at the healthcare facility, and does not charge the healthcare facility for it until it is used or lost is referred to as the _ _ _ method.


A. Safety stock


B. Stockless


C. Consignment


D. Economic order quantity ( EOQ )

Consignment

Of the 3 major low temperature sterilants, which one has the longest instrument turnover time


A. Ozone


B. Hydrogen peroxide gas plasma


C. Steam


D. Ethylene oxide

Ethylene oxide

The number of times per year that inventory is purchased, consumed and replaced is called the


A. Inventory reduction rate


B. Inventory turnover rate


C. Asset reduction quota


D. Balance sheet

Inventory turnover rate

Which of the following tracking methods provides real time information?


A. RFID


B. laser-etched bar codes


C. Standard bar code


D. Dot matrix applications

RFID

Which of the following requires preventive maintenance standards be established for medical equipment ?


A. OSHA


B. Joint Commission


C. AAMI


D. AORN

Joint Commission

How frequently should a sterilizer's drain strainer be removed and thoroughly cleaned


A. Daily


B. After each use


C. Once weekly


D. When the sterilizer's operating control gauge indicates that cleaning is necessary

Daily

A step in communication that occurs when a listener asks a question or repeats information is called


A. Stereotyping


B. Feedback


C. Communication looping


D. Interpretation

Feedback

The method of wrapping that creates a package within a package is called


A. Single fold


B. Double fold


C. Simultaneous


D. Sequential

Sequential

100% ethylene oxide gas canisters should be stored :


A. In a chemical storage cabinet


B. Outside the building


C. In a refrigerator


D. In a chamber heated to 75 degrees Fahrenheit

In a chemical storage cabinet

Wicking materials are used to


A. Dry instruments before sterilization


B. Allow air removal, steam penetration and facilitate drying


C. Cushion instruments from the extreme force in steam sterilizer chambers


D. Hold water away from the bottom of instrument trays

Allow air removal, steam penetration and facilitate drying

Instrument marking taping should be wrapped approximately _ _ _ _ _


A. 1 to 1 1/2


B. 1 1 / 2 to 2


C. 2 to 2 1 / 2


D. 2 1 / 2 to 3

1 to 1 1 / 2

The term " superheated steam " means :


A. The type of steam necessary for high temperature sterilization


B. Steam that has had chemicals added to it to increase its temperature


C. Dry steam


D. Moist steam at sea level

Dry steam

The amount of time that it takes to kill 90 % of the microorganisms present on an object is called


A. The time-weighted average


B. A D-Value


C. A sterilization cycle


D. The exposure time

A D-Value

400 series stainless steel is also called


A. Pakistan


B. Austenitic


C. Martensitic


D. Passivated

Martensitic

Which of the following means " beside or near?


A. Para


B. Peri


C. Parta


D. Pana

Para

Which of the following statements about the use of mechanical washers is not true ?


A. Multi-level trays should be separated


B. Trays with lids should be opened


C. Instruments should be disassembled and opened


D. All items should be washed on the same cycle

All items should be washed on the same cycle

This unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower body temperature.


A. Hypothermia unit


B. Infusion pump


C. Suction pump


D. PCA pump

Hypothermia unit

Which of the following sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity?


A. Biological tests


B. Bowie Dick tests


C. Mechanical monitor charts / printouts


D. Chemical integrators

Mechanical monitor charts / printouts

Tests which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called


A. Chemical indicators


B. Chemical integrators


C. Ampulization tests


D. Biological indicators

Biological indicators

These are used to break down fatty deposits and adipose tissue on instruments :


A. Protease enzymes


B. Lipase enzymes


C. Amylase enzymes


D. Neutral pH cleaners

Lipase enzymes

The ________requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness, and / or death to the manufacturer and the FDA.


A. Osha Patient Safety Act


B. Safe Medical Devices Act


C. EPA Patient Security Act


D. FDA Equipment Notification Act

Safe Medical Devices Act

The largest operating channel of an endoscope is the _ _ _


A. Instrument ( biopsy )


B. Suction ( aspiration )


C. Air


D. Water ( irrigation )

Instrument ( biopsy )

Which of the following is a system used to treat the final rinse water used for cleaning?


A. Water conductivity


B. Reverse osmosis


C. Deionization


D. Sterilization

Deionization

Medical device reporting is regulated by the


A. NFPA


B. EPA


C. WHO


D. FDA

FDA

Chemical indicators are classified by the FDA as _ _ _ _ devices


A. Class l


B. Class ll


C. Class lll


D. Chemical indicators are not regulated by FDA

Class ll

Which of the following statements about endoscopes is true


A. Not all endoscopes can be processed in an AER


B. Ultrasonic cleaning is the process of choice for endoscopes


C. Flexible endoscopes are not easily damaged


D. All endoscopes should be steam sterilized

Not all endoscopes can be processed in an AER

In an ABC inventory control system, " A " items represent :


A. The largest number of items and largest dollar value


B. The smallest number of items and largest dollar value


C. The items that will be consumed ( used up ) first


D. The items that cost the most to handle and store

The smallest number of items and largest dollar value

Rod-shaped bacteria are classified as


A. Coccus


B. Bacillus


C. Anhydrous


D. Anerobic

Bacillus

Floors in the Central Service department should be :


A. Wet-mopped daily


B. Wet-mopped weekly


C. Swept daily and Wet-mopped weekly


D. Swept daily

Wet-mopped daily

Microorganisms reproduce by a process called :


A. Repopulation


B. Binary fission


C. Replication


D. Bilateral reproduction

Binary fission

Purified water should have a ph of _ _ _


A. 4.5-5.5


B. 5.5-6.5


C. 6.5-7.5


D. 7.5-8.5

6.5-7.5

Standards and regulations help set levels of _ _ _ _ in Central Service departments


A. Quality


B. Safety


C. Efficiency


D. All of the above

Quality Safety and Efficiency

In medical terminology, the purpose of a combining vowel is to :


A. Tell the primary meaning of the word


B. Make the word easier to pronounce


C. Make the word easier to spell


D. Differentiate between past and present tense


Make the word easier to pronounce

These carry blood away from the heart


A. Arteries


B. Veins


C. Lymph Nodes


D. Atria

Arteries

A system that keeps track of all incoming and outgoing supplies so that quantities of supplies in storage are known at all times, is :


A. Perpetual inventory system


B. Min / Max system


C. Pick-n-pack system


D. Requisition system

Perpetual inventory system

When arranging plastic-paper pouches in the sterilizer, the pouches should arrange


A. Paper to plastic


B. Paper to paper


C. Plastic to plastic


D. The way in which the most packages can be placed in the sterilizer

Paper to plastic

Which of the following can be removed from water when a reverse osmosis process is used?


A. Bacteria


B. Pyrogens


C. Endotoxins


D. All of the above

Bacteria Pyrogens Endotoxins

The most efficient type of dry heat sterilizer is


A. The gravity convection sterilizer


B. The mechanical convection sterilizer


C. The dynamic air removal sterilizer


D. The special purpose dry heat oven

The mechanical convection sterilizer

Ortho-phthalaldehyde ( OPA ) is classified as


A. A low level disinfectant


B. An Intermediate level disinfectant


C. An enzyme


D. A high level disinfectant

A high level disinfectant

These bacteria grow well at body temperature and are often pathogenic to humans


A. Psychrophiles


B. Mesophiles


C. Thermophiles


D. Aerobicides

Mesophiles

Water softeners are used to remove _ _ _in the water


A. Iron and Pyrogens


B. Silicates and Pyrogens


C. Chloride and iron


D. Calcium and magnesium

Calcium and magnesium

The removal of a kidney is called a


A. Nephrectomy


B. Lithotripsy


C. Endometrial Ablation


D. Orchiectomy

Nephrectomy

Which type of scope is used to visualize the lower part of the large intestine?


A. Colonoscope


B. Cystoscope


C. Sigmoidoscope


D. Gastroscope

Sigmoidoscope

Sterile packages should be stored no lower than -----inches from the floor


A. 2-4


B. 4-6


C. 8-10


D. 12-14

8-10

To achieve a reasonable level of disinfection, alcohol used as an Intermediate - level disinfectant must remain in wet contact with the surface of the object being disinfected for a minimum of _ _ _ _ minutes


A. 2


B. 3


C. 4


D. 5

5

Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation


A. OSHA


B. EPA


C. FDA


D. AORN

OSHA

The human resources tool that identifies major tasks performed by persons in specific positions is called a :


A. Job duty list


B. Job specification


C. Task summary review


D. Job description

Job description

When using a pH scale, which of the following numbers would suggest the most alkaline ?


A. 1


B. 6


C. 10


D. 14

14

Bacteria that grow well in warm temperatures ( 122 ° F - 158 ° F ) are called


A. Aerobic


B. Anaerobic


C. Thermophiles


D. Mesophiles

Thermophiles

Central Service's largest customer is :


A. The emergency department


B. Labor and delivery


C. Material management


D. The operating room

The operating room

The main theory of Standard Precautions is that :


A. Patients in high risk categories may be infectious


B. Patients diagnosed with a specific disease may be infectious


C. Patients are generally healthy unless they show symptoms of an infectious disease


D. Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not

Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not

The two most common temperatures used in steam sterilization are


A. 120 ° F and 140 ° - 145 ° F


B. 100 ° and 130 ° - 135 ° F


C. 320 ° and 325 ° F


D. 250 ° and 270 ° - 275 ° F

320 ° and 325 ° F

Which of the following systems involves the transfer of the control of the healthcare facility's equipment management to an external entity


A. Outsourcing


B. Manufacturers Loan


C. Rental


D. Lease

Outsourcing

Which of the following instrument marking methods is not recommended


A. Heat fused nylon


B. Engraving


C. Acid based etching


D. Laser etching

Engraving

Enzymes are used to


A. Provide low level disinfection


B. Provide intermediate level disinfection


C. Provide high level disinfection


D. Break down and remove heavy soil

Break down and remove heavy soil

Sterilizer loads containing implants


A. Must be sterilized in the first load of the day


B. Must be sterilized at 300°F


C. Must contain an Ampulization test


D. Must contain a biological indicator

Must contain a biological indicator