Sterile Processing Final Exam Questions and Correct Answers 100

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STERILE PROCESSING FINAL EXAM QUESTIONS AND CORRECT

ANSWERS 100% CORRECT!!! LATEST UPDATE 2024

Why is it important to evenly distribute large instruments in a set?


Extra condensation will make the set more difficult to dry

Which of the following BEST describes the overall role of the CS/SPD
To provide dependable service to enhance patient care

Which of the following government agencies regulates environmental


disinfectants?
OSHA

Medical-grade kraft paper CANNOT be used with which of the following


sterilization processes ?
Low temperature gas plasma

During cycle counts, items that have a large dollar value but are NOT used
frequently are classified as
A
Anatomy is the science that deals with the________ of the body parts
Structure

Which of the following transports molecules within the cell?


Cytoplasm

Which of the following sets would be considered high risk for special prion
processing?
Craniotomy set

Which of the following organs produces bile?


Liver

Microorganisms are measured in


Microns

With respect to rigid sterilization container testing, which term defines the
sterilizer's ability to sterilize under actual conditions?
Maximum load testing

What is the ideal human body temperature?


98.6° F

Which of the following is TRUE of capsules


It is resistant to heat and chemicals

Pulmonary capillaries are found in which system?


Respiratory

Ethics is the practice of


Doing the right thing.

A microorganism that is resting and had a hard shell like outer covering is called a
Spore

Spongiform encephalopathy is caused by which of the following


Prions

Nails,tissues, and money are examples of


Fomites

Cholera is transmitted by
Contaminated food and water

In the FINAL step of hand washing, the fingers should be rinsed with the fingertips
UP

Water less hand antiseptics contain what percentage concentration of alcohol


make the MOST effective
60% to 95%

All of the following play a role in how bones support other body systems EXCEPT
Distribution of hormones

OSHA requires that containers of potentially infectious materials be


Leakproof

Round or spherical bacterial are called


Cocci

The removal of contamination from an item to the extent necessary for further
processing is called
Cleaning

Which of the following should be cleaned daily


Floors and work surfaces

Which of the following is a TRUE statement regarding the use of personal


protective equipment (PPE) in the decontamination area
Failure to wear PPE can result in disciplinary action

Before the medical device is cleaned and processed


The manufacturer's instructions must be obtained
The MINIMUM time needed for effective hand washing is
15 seconds

Which of the following IS NOT s consideration when selecting a detergent?


Cost of detergent

The relative acidity or alkalinity of a solution is referred to as its


pH

Clostridium botulinum is harbored in (the)


Soil

A solution with a pH of 3 is considered


Acidic

A solution with a pH of 13 is considered


Alkaline
Which of the following are major non living reservois of infectious diseases
Soil and water

Alkaline detergents are BEST for mechanical washers because of


Extended dry cycles

Which of the following is used to remove severe stains on stainless steel


instruments
Organic acid detergent

One method of preventing biofilm formation on instruments is to


Rinse the instruments with distilled water and dry them out

An ultrasonic lumen cleaner is used to clean


Laparoscopic instruments

To reduce the potential for instrument corrosion, the multi step process is in a
mechanical washer consists of
Alkaline,wash,acid rinse,regular rinse
Opened but unused instrument sets should be
Completely reprocessed

If too many microorganisms remain on an item after the cleaning process, the
Disinfection process might not be effective

Which of the following chemicals are bactericidal and used for the cleaning
inanimate environmental surfaces and floors?
Quaternary ammonium compounds

What is the ceiling threshold limit value for glutaraldehyde?


0.05ppm

Which of the following pieces of equipment is used to regulate body temperature


Hypo/hyperthermia machine

Which of the following pieces of equipment is used to prevent the formation of


blood clots?
Sequential compression device
Which series of stainless steel is used to manufacturer osteotomes?
400

For manual lubrication, surgical instruments should be placed in a lubricant


solution and then
Room air dried

Which of the following should be cut with dissecting scissors ?


Tissue

What is the purpose of a tungsten carbide insert on a needle holder?


To hold the suture needle better

When should laparoscopic instruments be reassembled for sterilization?


When recommended by the manufacturer

Which of the following types of instruments are used to view internal organs
through very small openings?
Endoscopic

Instruments must NEVER be


Engraved

Which of the following is an example of a flexible endoscope?


Bronchoscope

In the sterile storage area of CS/SPD, the temperature is 70° F (21°C) and the
humidity is 69%. What should be done ?
Continue with routine activities

Anyone entering the the preparation area MUST


Wear proper attire

Where should the chemical indicator be placed when sterilizing two large basins
with smaller basins in one set?
In the top and bottom basins
If a wrapper will be used as a sterile field, how far over the edge of the table MUST
it extend ?
6 inches

Rigid containers are a medical device and MUST have a 510(k) clearance from the
FDA (food and drug administration)

The three basic shapes of microbes are round spiral and


Rod like

In NON TABLE TOP steam sterilizers steam is generated


A boiler

Autoclave tape is considered which class of indicator ?


Class 1

The part of the steam sterilizer that produces heat inside the chamber to prevent
condensation from forming on the chamber walls is the
Jacket
The need for frequent reprocessing can be MINIMIZED by
Proper stock rotation

What is the coldest part of the sterilizer


Drain line

Gradual heating of packs occurs during which phase of the steam sterilizer cycle?
Conditioning

An emergency eye wash station MUST


Permit hands free operations

What is the MOST important thing to remember when double peel pouching ?
The inner pouch must lay flay inside the outer pouch

Which of the following BEST describes a MINIMUM exposure time, temperature ,


and pressure for prevaccum steam sterilization of wrapped items?
4 minutes at 270°F (132°C) and 28 to 30 pounds per square inch
What is the first step to take when an instrument needs to be sterilized for
immediate use ?
Clean the instrument according to the manufacturer's instructions

Incoming saturated steam should be within which of the following ranges of


dryness
97% to 100%

Failure to remove all air from a package within the steam sterilizer will result in
Poor steam penetration

Damage to medical/surgical supplies stored in the RECEIVING AREA can be


avoided by
Removing supplies from the original shipping cartons

Steam is exhausted from the sterilizer through the


Chamber drain line

Why MUST textile packs be placed on their sides for sterilization?


To facilitate air removal and stream penetration

The MOST unique feature of an integrating chemical indicator is its ability to


Perform in parallel to a biological indicator

EO kills microorganisms by a process called


Alkylation

The normal concentration of hydrogen peroxide in a low temperature gas plasma


sterilizer is
59%

Rigid sterilization containers should be biologically tested before


Purchasing

In the sterile storage area, the ventilation system MUST be under


Positive pressure

The hourly exchange rate in the sterile storage area should be AT LEAST
4

Which of the following is NOT a factor affecting the dry time in a steam sterilizer ?
Selected sterilization time

The optimum amount of a supply to order is called the


Economical order quantity

The cochlea is part of the


Inner ear

CS/CSP should be capable of planning for approximately what percentage of the


total needs of a unit?
90%

Which of the following MUST be made available to distribution personnel?


Policies and procedures for correct handling of sterile supplies

Which of the following agencies regulate EO?


OSHA,EPA,FDA

Another name for par level inventory is


Fixed inventory level

Which of the following is considered a disadvantage of an exchange cart system?


Inventory is duplicated

Which distribution system is designed to reduce storeroom inventory ?


Just in time

A biological indicator should contain how many spores?


10-1

The drain line basket in a steam sterilizer should be cleaned


Daily

Effective sterilization starts with


Through cleaning

Generally, incident reports should be filled


Within 24 hours of incident

An exhaust hood over the EO sterilizer is an example of a(n)


Engineering control

Which of the following is the correct incubation temperature range for biological
indicators used in steam sterilization?
131°F to 140°F

Which is the largest part of the brain


Cerebrum

A chemical indicator responding to two or more critical parameters belongs to


which class?
Class 4
Ortho phtaldehyde is classified as a
High level disinfectant

When placing paper plastic pouches in a sterilizer the pouches should be placed
Paper facing plastic in a basket
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
D

During 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. Stomach
D. 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. Respiratory
C. 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. Vectors
C. 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. Cocci
B. 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 is


A. 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 considered


A. 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 clean
A. 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
D

What 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
A

Which 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. Taped
D. 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 inches
B. 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 the
A. 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
B

Damage 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

We have an expert-written solution to this problem!


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
D

The 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
C

The 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
C

Another 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

Effective sterilization starts with


A. Proper handwashing
B. Use of a germicide
C. Through cleaning
D. use of enzymatics
C

Generally, incident reports should be filled


A. within 24 hours of incident
B. Only If there is a severe injury
C. When requested by workman's compensation
D. For employees injuries only
A

An exhaust hood over the EO sterilizer is an example of a(n)


A. Regulated area
B. Emission control
C. Emergency plan
D.Engineering control
D

Which of the following is the correct incubation temperature range for biological
indicators used in steam sterilization?
A. 131°F to 140°F
B. 140°F to 183°F
C. 250°F to 275°F
D. 270°F to 275°F
A

Which is the largest part of the brain


A. Cerebrum
B. Cerebellum
C. Brain stem
D. Spinalcord
A

A chemical indicator responding to two or more critical parameters belongs to


which class?
A. Class 2
B. Class 3
C. Class 4
D. Class 5
C

Ortho phtaldehyde is classified as a


A. Low level disinfectant
B. Immediate level disinfectant
C. High level disinfectant
D. Liquid sterilant
C

When placing paper plastic pouches in a sterilizer the pouches should be placed
A. Paper to paper in a basket
B. Plastic to plastic in a basket
C. Paper facing plastic in a basket
D. On their edge placed in between other packages
C

Extra condensation will make the set more difficult to dry.


What is the purpose of evenly distributing large sets of instruments?
To provide dependable service to enhance patient care.
What is the overall role of the SPD?

Environmental Protection Agency (EPA)


What government agency has the responsibility for approving new environmental
disinfectants prior to their being sold to healthcare facilities?

Low-temperature gas plasma


Medical-grade kraft paper cannot be used in what type of sterilization process?

A items
During cycle counts, items that have a large dollar value but are not used
frequently are classified as what?

Anatomy
The science that studies the structure of the body is known as...

Cytoplasm
What transports molecules within the cell?
Craniotomy set
What set would be considered high-risk for special prion processing?

Liver
What organ produces bile?

Microns
Microorganisms are measured in what?

Maximum-load testing
What respect to rigid sterilization container testing, which term defines the
sterilizer's ability to sterilize under actual use conditions?

98.6 F (37 C)
If you have a fever, your temperature would be above what temperature?

It is resistant to heat and chemicals


What is a capsule resistant to?
Respiratory system
Pulmonary capillaries are found in what system?

Doing the right thing.


Ethics is the practice of what?

Spore
A microorganism that is resting and has a hard, shell-like outer covering is called
a...

Prions
What is spongiform encephalopathy caused by?

Fomites
Nails, tissues, and money are examples of what?

Contaminated food and water


Cholera is transmitted by...
pointed up
In the final step of handwashing, the fingers should be rinsed with the
fingertips......

60% - 95%
Waterless hand antiseptics contain what percentage concentration of alcohol to
make them most effective?

~ Storage of minerals
~Growth of blood cells
~Protection of the internal organs
How do the bones support the other body systems?

Leak proof.
The OSHA (Occupational Safety and Health Administration) requires that
containers for potentially infectious materials be...

Cocci
Round or spherical bacteria are called what?
Cleaning
The removal of contamination from an item to the extent necessary for further
processing is called what?

Floors and work surfaces


What should be cleaned daily?

C) Failure to wear PPE can result in disciplinary action.


Select the following statement that is true about the use of PPE in the
decontamination area.
A) Its use is optional.
B) Vinyl floves are all that is needed for 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.

The manufacturer's instructions must be obtained.


What must happen before a medical device is cleaned and processed?

15 seconds
The minimum time needed for effective handwashing is...

Neutralizing acid
What chemical is required for rinsing when a high-alkaline detergent is used in a
mechanical washer?

pH
The relative acidity or alkalinity of a solution is referred to as its...

the soil
Clostridium botulinum is harbored in...

Alkaline
A solution with a pH of 13 is considered...

Soil and water


which of the following are major non-living reservoirs of infectious diseases?

Acidic
A solution with a pH of 3 is considered...

Anodized aluminum
What materials may be affected by the use of high-alkaline detergents?

Organic acid detergent


What is used to remove severe stains on stainless steel instruments?

rinse the lumens with distilled water and dry them well.
One method of preventing biofilm formation in lumens is to...

soft bristled brush


Generally, the distal end of a rigid endoscope should be cleaned with a...

alkaline wash, acid rinse, regular rinse.


To reduce the potential for corrosion, the multi-step process in a mechanical
washer consists of...

completely reprocessed.
Opened but used instruments sets should be...

disinfection process might not be effective.


When high-level disinfecting a device, if too many microorganisms remain on an
item after the cleaning process, the...

Quaternary ammonium compounds


what chemical is used for cleaning inaniae environmental surfaces and floors?

two times.
Unless otherwise directed, an item high-level disinfected in Gluraraldehyde must
be rinsed a minimum of...

Hypo/hyperthermia machine
What piece of equipment would be used to regulate body temperature?

Sequential compression device


What piece of equipment would be used to prevent the formation of blood clots?
400 series
Which series of stainless steel is used to manufacture osteotomes?

room air-dried.
For manual lubrication, surgical instruments should be placed in a lubricant
solution and then....

Tissue
What is cut with dissecting scissors?

To hold the suture needle better.


What is the purpose of a tungsten carbide insert on a needle holder?

When recommended by the manufacturer


When should laparoscopic instruments be re-assembled for sterilization?

Endoscopic instrument
What instrument is used to view internal organs through very small openings?
It should never be engraved
What should never be done to an instrument?

Bronchoscope
What is an example of a flexible endoscope?

Continue with routine activities


In the sterile storage area of the SPD, the temperature is 70 degrees F (21 C) and
the humidity is 69%. What should be done?

wear proper attire


Anyone entering the preparation area must...

top and bottom basins


When sterilizing two large basins with smaller bowls in the same set, the chemical
indicator should be placed in the...

6 inches
If a wrapper will be used as a sterile field, how far over the edge of the table must
it extend?
With written manufacturer's instructions
When can loaner instrument sets be placed inside rigid sterilization containers?

round, spiral, and rod-like


The three basic shapes of microbes are...

a boiler
In non-table top steam sterilizers, steam is generated in...

Class 1
Autoclave tape is considered which class of chemical indicator?

jacket
The part of the steam sterilizer that produces heat inside the chamber to prevent
condensation from forming on the chamber walls is the.....

Proper stock rotation


What is most effective to minimize frequent reprocessing of sterile supplies?
drain line
The coldest location inside the steam sterilizer chamber is the...

Conditioning
Gradual heating of packs occurs during which phase of steam sterilization cycle?

permit hands-free operation.


An emergency eyewash station must....

inner pouch must lay flat inside the outer pouch.


When double paper-plastic pouching is permitted, the...

4 minutes at 270 degrees F (132 C) and 28 to 30 pounds of pressure per square


inch (psi)
What is the minimum exposure time, temperature, and pressure for pre-vacuum
steam sterilization of wrapped items?

Clean the instrument according to the manufacturer's instructions.


What is the first step to take when a instrument needs to be sterilized for
immediate use?

97% - 100%
Incoming saturated steam should be within which of the following ranges of
dryness?

poor steam penetration.


Failure to remove all air from a package to be steam sterilized may result in...

avoiding temperature and humidity extremes.


Damage to medical/surgical supplies stored in the receiving area can be avoided
by...

Chamber drain line


Steam is exhausted from the sterilizer through the...

facilitate air removal and steam penetration.


Textile packs must be placed on their sides in the steam sterilizer in order to...
perform in parallel to a biological indicator.
The most unique feature of an integrating chemical indicator is its ability to...

Alkylation
Ethylene Oxide gas kills microorganisms by a process called...

59%.
The normal concentration of hydrogen peroxide in low-temperature gas plasma
sterilizer is...

they are purchased.


Rigid sterilization containers must be biologically bested before...

Positive pressure
In the sterile storage area, the ventilation system must be under what kind of
pressure?

4 exchanges per hour


The hourly air exchange rate in the sterile storage area should be at least...
Selected sterilization time
What is not a factor affecting the dry time in a steam sterilizer?

Economical order quantity


The optimum amount of a supply to order is called the...

Inner ear
The cochlea is part of the...

90%
The SPD should be capable of planning for approximately what percentage of the
total needs of a unit?

Policies and procedures for correct handling of sterile supplies.


What must be made available to distribution personnel?

Low-level disinfection
According to Spaulding's classification, a noncritical device requires what kind of
sterilization?

Fixed inventory level


Another name for par-level inventory is...

Inventory is duplicated
What is considered a disadvantage of an exchange cart system?

Just-in-time
Which distribution system is designed to reduce storeroom inventory?

10^ -6
An item is consdered sterile if the sterility asssurance level reaches...

Daily
How often should the drain-line basket in a steam sterilizer be cleaned?

thorough cleaning.
Effective sterilization begins with...

immediately.
Incident reports should be filed...

Engineering control
An exhaust hood over the ethylene oxide gas sterilizer is an example of an...

131-140 degrees F (55-60 C)


What is the correct incubation temperature range for biological indicators used in
steam sterilization?

Cerebrum
What is the largest part of the brain?

Higher temperatures require higher pressure.


What is true regarding steam sterilization?

high-level disinfectant.
Ortho-phthaldehyde is classified as a...

Paper facing plastic


When placing paper-plastic pouches in a sterilizer, the pouches should be
positioned how?

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
D

During 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. Stomach
D. 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. Respiratory
C. 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. Vectors
C. 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. Cocci
B. 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 is


A. 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 considered


A. 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 clean
A. 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
D

What 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
A

Which 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. Taped
D. 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 inches
B. 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 the
A. 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
B

Damage 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

We have an expert-written solution to this problem!


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
D

The 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
C

The 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
C

Another 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

Effective sterilization starts with


A. Proper handwashing
B. Use of a germicide
C. Through cleaning
D. use of enzymatics
C

Generally, incident reports should be filled


A. within 24 hours of incident
B. Only If there is a severe injury
C. When requested by workman's compensation
D. For employees injuries only
A

An exhaust hood over the EO sterilizer is an example of a(n)


A. Regulated area
B. Emission control
C. Emergency plan
D.Engineering control
D

Which of the following is the correct incubation temperature range for biological
indicators used in steam sterilization?
A. 131°F to 140°F
B. 140°F to 183°F
C. 250°F to 275°F
D. 270°F to 275°F
A

Which is the largest part of the brain


A. Cerebrum
B. Cerebellum
C. Brain stem
D. Spinalcord
A

A chemical indicator responding to two or more critical parameters belongs to


which class?
A. Class 2
B. Class 3
C. Class 4
D. Class 5
C

Ortho phtaldehyde is classified as a


A. Low level disinfectant
B. Immediate level disinfectant
C. High level disinfectant
D. Liquid sterilant
C

When placing paper plastic pouches in a sterilizer the pouches should be placed
A. Paper to paper in a basket
B. Plastic to plastic in a basket
C. Paper facing plastic in a basket
D. On their edge placed in between other packages
C

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