Flexible Endoscope Reprocessing Basics, Exams of Advanced Education

Download Flexible Endoscope Reprocessing Basics and more Exams Advanced Education in PDF only on Docsity! 2024 CBSPD Practice Exam 2 (Basics of Flexible Endoscope Reprocessing) Q and A Flexible endoscopes MUST be competently reprocessed so that - CORRECT ANSWER Patient care is not adversely affected Ethics is the practice of: - CORRECT ANSWER conforming to accepted and professional standards of conduct The Health Insurance Portability and Accountability Act (HIPAA) provides for which ethical issue? - CORRECT ANSWER Confidentiality Recommended practices are: - CORRECT ANSWER Statements of sound principles of practice that are based on scientific data and the opinions of experts A rule designed to govern behavior is called a: - CORRECT ANSWER Regulation Which of the following defines what a department MUST do? - CORRECT ANSWER Policies Steps for performing a task are defined in a - CORRECT ANSWER Procedure Which of the following has published standards of infection prevention in processing flexible gastrointestinal endoscopes? - CORRECT ANSWER SGNA (Society for Gastroenterology Nurse and Associates) Which of the following agencies registers and regulates environmental disinfectants used on non- living things in healthcare facilities? - CORRECT ANSWER EPA (Environmental Protection Agency) Which of the following regulates and assures that products are safe and effective before companies put them on the market? - CORRECT ANSWER FDA (Food Drug Administration) Which agency requires medical device manufacturers to provide end users in healthcare facilities with specific instructions on how to reprocess their reusable products? - CORRECT ANSWER FDA (Food Drug Administration) Compliance with Occupational Safety and Health Administration (OSHA) regulations is - CORRECT ANSWER Required by law Monitoring the effectiveness of work performed in the GI/endoscopy suite is generally referred to as: - CORRECT ANSWER Quality assurance The policies and procedures for all reprocessing activities in the GI/endoscopy suite are usually reviewed and/or approved by the: - CORRECT ANSWER Infection Prevention and Control Committee Which branch of science refers to the form and organization of body parts? - CORRECT ANSWER Anatomy Which branch of science refers to the function of specific body parts? - CORRECT ANSWER Physiology The smallest and MOST numerous structural units possessing the basic characteristics of life are called - CORRECT ANSWER Cells The nucleus is the cell's: - CORRECT ANSWER Brain The pathogens that cause tuberculosis, whopping cough, pneumonia, measles, mumps, and smallpox are discharged through the - CORRECT ANSWER Respiratory tract Living things responsible for causing disease are called - CORRECT ANSWER Vectors Which of the following is a common portal of exit in the transmission of disease? - CORRECT ANSWER The respiratory tract An infection caused by a needlestick enters through which portal of entry? - CORRECT ANSWER Parenteral tissue The single MOST effective way to prevent infections in the healthcare environment is to - CORRECT ANSWER Wash hands frequently The physician who performs examinations of the colon is called a/an - CORRECT ANSWER Endoscopist Enteroscopy is the examination of the - CORRECT ANSWER Small bowel A colonoscope is typically used to perform procedures involving the: - CORRECT ANSWER stomach When an upper endoscopy is being performed, a gastroscope is used to visualize the: - CORRECT ANSWER Esophagus and stomach A percutaneous endoscopic gastrostomy (PEG) is performed to - CORRECT ANSWER Insert a flexible feeding tube A proctoscopy is an examination of the - CORRECT ANSWER Rectum The charge coupled device (CCD) is also known as the: - CORRECT ANSWER Scope camera Which portion of the flexible endoscope runs from the control body to the light guide connector? - CORRECT ANSWER Universal cord Generally, which channel runs from the insertion tip to the control body? - CORRECT ANSWER Biopsy To prevent damage to fiberoptic light bundles, scopes should NOT be - CORRECT ANSWER Tightly coiled Handwashing sinks in the reprocessing area should - CORRECT ANSWER be separate from those used to clean scopes Which if the following should be removed FIRST when removing personal protective equipment (PPE)? - CORRECT ANSWER Shoe covers Reusable gloves used for decontamination procedures should - CORRECT ANSWER Be decontaminated daily When donning PPE, which of the following is the LAST to be applied? - CORRECT ANSWER Gloves The use of PPE is regulated by - CORRECT ANSWER OSHA (Occupational Safety and Health Administration) According to OSHA, a log must be maintained to monitor needle injuries and it must document all of the following EXCEPT - CORRECT ANSWER The employee's age Fingernails should extend at most how far from the tip of the finger? - CORRECT ANSWER One quarter of an inch A solution having a pH of 2 is - CORRECT ANSWER Acidic According to AAMI, "the removal of contamination from an item to the extent necessary for further processing or for the intended use" defines - CORRECT ANSWER Cleaning To enhance the manual cleaning process, brushes are used to - CORRECT ANSWER Create friction A cleaning agent that lowers surface tension to dislodge or dissolve soils is called: - CORRECT ANSWER Detergent The recommended sink size for manual cleaning of endoscopes should be - CORRECT ANSWER Deep and large enough to completely submerge the endoscope A solution having a pH of 9 is: - CORRECT ANSWER Alkaline Which of the following must be done if an automated endoscope reprocessor cycle is interrupted? - CORRECT ANSWER Repeat the entire cycle Protein soils can best be removed using an enzymatic detergent that are: - CORRECT ANSWER Low in alkalinity Biofilms are composed of - CORRECT ANSWER Polysaccharides The amount of detergent needed to manually clean a scope is determined by - CORRECT ANSWER The quality of the water The portion of an endoscope that the endoscopist holds to manipulate the scope is called the: - CORRECT ANSWER control body In which part of the flexible endoscope are the fiberoptic bundles? - CORRECT ANSWER insertion tube To visually examine and treat areas of the respiratory tract which of the following would be needed by the physician? - CORRECT ANSWER bronchoscope Which of the following endoscopes typically has an elevator? - CORRECT ANSWER duodenoscope Automated endoscope reprocessors are used because they: - CORRECT ANSWER provide standardized cleaning of interior and exterior surfaces of the endoscope One of the most important factors in cleaning endoscopes is to: - CORRECT ANSWER follow the manufacturers instructions Which of the following methods is acceptable for manual cleaning of flexible endoscopes? - CORRECT ANSWER below the water level during cleaning One of the most important parts of the inspection process is to observe for: - CORRECT ANSWER damage to the scope sheath Following high-level disinfection and rinsing, accessory channels should be: - CORRECT ANSWER flushed with alcohol Which of the following steps in reprocessing flexible endoscopes is correct? - CORRECT ANSWER manual precleaning, leak testing, manual cleaning, high-level disinfection The purpose of the minimum effective concentration (MEC) test is to determine: - CORRECT ANSWER potential dilution of the high-level disinfectant A storage cabinet for endoscopes should be: - CORRECT ANSWER well ventilated Which of the following must be noted on the high-level disinfectant soaking container? - CORRECT ANSWER date of activation and solution expiration date The process that kills microorganisms but not necessarily large numbers of bacterial spores is known as: - CORRECT ANSWER high-level disinfection All endoscopes should be high-level disinfected or sterilized between each patient use? - CORRECT ANSWER true When using an automated equipment reprocessor with an automated cleaning cycle, it is still necessary to thoroughly clean the endoscope before using the automated cycle? - CORRECT ANSWER true PPE should be changed before removing an endoscope from an automated equipment reprocessor or soak basin? - CORRECT ANSWER true The following should be documented each time an item is high-level disinfected: - CORRECT ANSWER name or initials of the person performing the HLD, MEC minimum effective concentration, and date and time of the high-level disinfection process The high-level disinfection solution in an automated equipment reprocessor should be tested for the minimum effective concentration: - CORRECT ANSWER before each use