CBSP PRACTICE EXAM 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET, Exams of Nursing

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CBSP PRACTICE EXAM 100%

VERIFIED ANSWERS

2024/2025 CORRECT STUDY

SET

Which of the following best describe the purpose of evenly distributing large sets of instruments? Extra condensation will make the set more difficult to dry Which of the following best describes the overall role of the sterile processing area? To provide dependable service to enhance patient care Which of the following government agencies has the responsibility for approving new environmental disinfectants prior to their being sold to healthcare facilities? Environmental Protection Agency (EPA) The function of a ratchet can be checked by Closing the ratchet on the first click, then tapping the handle on the worktable During cycle counts items that have a large dollar value but are not frequently used are classified as A items The science that studies the structure of the body is known as anatomy 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 The metacarpals are located in the hands Microorganisms are measured in microns with respect to rigid sterilization container testing; defines the sterilizers ability to sterilize under actual use conditions? Maximum-load testing if you have a fever your temp would be above 98.6 F which of the following statements is true of a capsulated bacterium? It is more 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 has 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 example of

fomites The Zika virus is transmitted by vectors In the final step of handwashing, the fingers should be rinsed with the fingertips...... up Waterless hand antiseptics contain what percentage concentration of alcohol to make them most effective? 60% - 95% All of the following play a role in how bones support other body systems except distribution of horomones The occupational safety and health administration requires that transport containers for potentially infectious materials to be leak-proof Flagella helps bacteria to propel through liquid media 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 Select the following statement that is true about the use of personal protective equipment (ppe) in the decontamination area Failure to wear ppe can result in disciplinary action Before a medical device is cleaned and processed

The manufacturer's instructions must be obtained. Which of the following additional chemicals is recommended when a high-alkaline detergent is used in a mechanical washer? Neutralizing acid Higher alkalinity in water used for cleaning instruments can increase the chance of corrosion Which of the following types of organisms is able to survive adverse environmental conditions by forming spores? Clostridium 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 reservoirs of infectious diseases? Soil and water Which of the following materials may be affected by the use of high-alkaline detergents? Anodized aluminum Which of the following can be used to remove severe stains on stainless steel instruments? Organic acid detergent One method of preventing biofilm formation in lumens is to rinse the lumens with critical water and dry them well Generally, the distal end of a rigid endoscope should be cleaned with a... organic acid solution

Opened but unused instrument sets should be Completely reprocessed When high-level disinfecting a device, if too many microorganisms remain on an item after the cleaning process, the disinfection process might not be effective Which of the following chemicals is used for cleaning inanimate environmental surfaces and floors? Quaternary ammonium compounds Unless otherwise directed, an item high-level glutaraldehyde must be rinsed a minimum of two times Which of the following pieces of equipment would be used to regulate body temperature? Hypo/Hyperthermia machine which of the following pieces of equipment would be used to prevent the formation of blood clots? Sequential compression device Which series of stainless steel is used to manufacture osteotomes? 400 for manual lubrication, surgical instruments should be placed in a lubricant solution and then room air-dried Which of the following would be cut with dissecting scissors? Tissue the purpose of a tungsten carbide insert on a needle holder is 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? Laparoscopic Instruments must be never be engraved Which of the following is an example of a flexible endoscope? Bronchoscope In the sterile storage area of Sterile Processing, the temperature is 70F (21 C) and the humidity is 69%. What should be done? Continue with routine activities Anyone entering the preparation area must wear proper attire when sterilizing two large basins with smaller bowls in the same set, the chemical indicator should be placed 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 When can loaner instrument sets be placed inside rigid sterilization containers? With instructions form the loaner instrument company The three basic shapes of microbes are round, spiral, and rod-like

In non-table top steam sterilizers, steam is generated in a boiler indicator (autoclave) tape is considered which type of chemical indicator? Type 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 Which of the following is most effective to minimize frequent reprocessing of sterile supplies? Proper stock rotation coldest location inside the steam sterilizer chamber is the drain line Gradual heating of the packs occurs during which phase of the steam sterilization cycle? Conditioning An emergency eyewash station must... Permits hands free operation when double paper plastic pouching is permitted by the manufacturer, the inner pouch must lay flat inside the outer pouch Which of the following best describes a minimum exposure time, temperature, and pressure for prevacuum steam sterilization of wrapped items? 4 minutes at 270 F (132 C) and 28 to 30 pounds per square inch (psi) What is the first step to take when an instrument needs to be sterilized for immediate use? Clean the instrument according to the manufacrurer'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 to be steam sterilized may result in poor steam penetration Damage to medial/surgical supplies stored in the receiving area can be avoided by avoiding temperature and humidity extremes In a non-tabletop sterilizer, steam is exhausted through the chamber drain line Textile packs must be placed on their sides in the steam sterilizer in order to... facilitate air removal and steam penetration The most unique feature of an integrating chemical indicator is its ability to perform in parallel to a biological indicator Ethylene oxide gas kills microorganisms by a processed called? Alkylation The nominal concentration of hydrogen peroxide in a low-temperature gas plasma sterilizer is 59% Rigid sterilization containers must be biologically tested before? the first cycle of the day In the sterile storage area, the ventilation system must be under positive pessure The hourly air 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 supply to order is called the? economical order quantity The cochlea is part of the? inner ear The sterile processing area 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 According to Spaulding's classification, a critical device requires sterilization between uses 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 store room inventory? Just in time an item is considered sterile if Sterility Assurance Level reaches 10^- 6 The drain-line basket in a non-table top steam sterilizer should be cleaned daily

Effective sterilization begins with thorough cleaning Incident reports should be filed immediately An exhaust hood over the ethylene oxide gas sterilizer is an example of engineering control Which of the following is the correct incubation temperature range for biological indicators used in steam sterilization? 131 F to 140 F (55 C to 60 C) Which is the largest part of the brain? Cerebrum Which of the following statements is true regarding steam sterilization? Higher temperatures require higher pressure Ortho-phthaldehyde is classified as a High level disinfectant When placing paper-plastic pouches in a sterilizer, the pouches should be positioned paper facing plastic Which of the following statements about tabletop sterilizers is true? Tabletop sterilizers have a chamber size less than 2 cubic feet Barrier precautions, handwashing, and sharps precautions come under the umbrella of standard precautions A broken glass suction bottle is returned to Decontamination. Which of the following should the technician do?

Place it in an appropriate rigid container Material Safety Data Sheets (MSDS) provide health and safety hazard and risk information on which of the following? Chemical Which of the following generally describes the correct sequence for the traffic workflow in areas in which medical devices are processed? Decontamination, assembly, packaging, sterilization, sterile storage Acrylic nails are not permitted to be work in Prep and Packaging because they an allow fungus to grow beneath them Which of the following agencies would approve the disinfectants used on floors and walls in the sterile processing and distribution department? EPA every healthcare facility has an organizational structure or chart that outlines... departmental authority relationships "Dirty to clean" is an SPD term used to described work flow What are the major physical areas of a typical sterile processing department? Decontamination, Assembly and sterile processing, sterile storage, and distribution loose fitting clothing and jewelry should not be worn in SPD because it.... can get caught in moving equipment Warm-up jackets are recommended to be worn in the Prep and Packaging area for the purpose of preventing bacterial shedding from bare arms When lifting heavy objects, which of the following muscles should bear most of the weight?

leg A patient contracts an infection form an improperly sterilized surgical instrument. This is an example of a nosocomial infection Coronary artery bypass surgery may be performed on patients with arteriosclerosis All of the following are classified as critical medical devices EXCEPT thermometers The function of the gastrointestinal system system is to provide the body with nutrients A liver biopsy would be performed to check for which disease? Hep C virus The growth of pathogenic bacteria in living tissue is called sepsis Nosocomial infections can be prevented by all of the following EXCEPT increasing the patient length of stay Healthcare workers are most likely to be infected by which of the following agents? Hep B A staff member brings several contaminated trays to the SPD on a cart and requests that replacement trays be put on the same cart. The technician should clean and dry the transport cart and send it to Distribution for the trays All of the following items of personal protective equipment (PPE) should be worn when manually decontaminating flexible fiber-optic endoscopes EXCEPT

a lead apron Which of the following BEST describes the manual cleaning process of surgical instruments? Cleaning/brushing the instrument beneath the water level A technician working in Decontamination notices that the maintenance person working on the washer/sterilizer did not remove the barrier attire when the person left the area to get additional tools. The technician should ask the maintenance person to remove the barrier attire when leaving the area While delivering sterile supplies to multiple nursing units, the SPD technician is asked by a unit secretary to take an opened and used tray of instruments back to the SPD Decontamination area. Which of the following is the BEST procedure to use? Return for the used tray after completing all deliveries, using the appropriate collection cart When preparing the instruments from a dissection set for processing in a washer/decontaminator, the instruments should be positioned with the retractors on the bottom of the basket and the hand - held instruments on the top The pH of detergent solution that has been demonstrated to be the safest for cleaning surgical instruments is Neutral Which of the following solutions is generally considered MOST appropriate for high-level disinfection of semi-critical devices? 2% activated glutaraldehyde The effectiveness of any chemical disinfection process depends on all the following EXCEPT cost of the chemical After manually cleaning contaminated surgical instruments with a disinfectant solution, the NEXT step in the decontamination process is rinsing

Generally, the first step in loosening blood soils from the channels of an instrument is to soak it in an enzymatic detergent When cleaning and IV pump, it is important to use a germicide on the pump surface in order to reduce the bioburden present on the equipment If it is not possible to wash contaminated instruments immediately after use, they should be kept moist by spraying with an enzymatic foam, covering them with a towel moistened with water, and placing them in a plastic bag A tray of instruments has been brought to the Decontamination area in a saline solution. Which of the following actions should the technician take? Rinse them with water and then clean them in the usual manner An acceptable method of decontaminating an item that has been used on a patient is to clean with a detergent solution and then use an appropriate disinfection agent When working in the decontamination area, transmission of pathogenic organisms from used surgical instruments can BEST minimized by wearing appropriate personal protective equipment plastic sterilization bags are generally used to package respiratory therapy items when using the sequential wrapping method... apply one wrapper followed by a second one surgical grade instruments, if properly cared for, will last longer than floor grade instruments bc they have a ... passivation layer

if the operating room request instruments for an emergency ruptured aortic aneurysm, the tech should send major vascular instruments Which of the following is the main DISADVANTAGE of using a rigid sterilization container system? They must be disassembled, processed, reassembled, and checked before each use containerized packaging systems are most commonly used to protect which of the following during steam sterilization? Surgical instrument set simultaneous wrapping means to wrap an instrument set with a single-woven wrapper, double-ply, bonded at the edges clamps used for hemostasis are also designed to minimize damage to tissue An instrument tray for a laparotomy procedure must include an abdominal retractor Inspection and verification of adequate cleaning is difficult with instruments with lumens cotton gauze cannot be used in which sterilization process? Low temperature gas plasma supplies contaminated with blood and body fluids that require sterilization should be cleaned, dried and passed on to the processing area for assembly, packaging, and sterilization Which of the following items must be sterilized with an accompanying biological indicator? Implants if a technicians skin is exposed to liquid ethylene oxide, what should technician do first?

Wash the exposed area with large amounts of soap and water A positive biological indicator (BI) test shows that the sterilization process did not result in the death of all the test organisms lot control numbers should be placed on each package sterilized and on the... sterilization load record The technician is asked to remove an arthroscopy set from the aerator four hours prior to the completion of aeration time. The supervisor is not available. Which of the following should the technician do? Let the set complete the aeration cycle and borrow a set from another hospital which of the following is necessary to attain the high temperature needed in a steam sterilizer? Pressure Which of the following would be the appropriate sterilization cycle for an autoclave load containing a basin set, a minor surgery set, and twelve towel packs? 270 F (132 C) for 4 minutes, 30 psi, and 30 minutes drying time drains in pre-vacuum and gravity displacement sterilizers are placed at the bottom front of the sterilizers because.. the air tends to concentrate at the bottom of the chambers to kill the remaining microorganisms on metal surgical instruments within SPD, the most cost effective sterilization method is generally considered to be.... Steam under pressure When heat is added to steam w/out increasing the moisture content, the steam is called superheated steam Which of the following sterilization methods would be appropriate for petrolatum gauze dressings?

Dry heat when a steam sterilizer load contains a mixture of fabric and metal items, where should the items be placed? with the metal items below the fabric items when a steam sterilizer is loaded with linen packs only, the packs should be placed on their edge There are two pressure gauges on a steam sterilizer. These gauges measure the pressure in the jacket and the chamber A Bowie Dick test should be performed in which of the following types of sterilizers? Pre-vacuum steam Lot control numbers are used to enable recall following sterilization failure All of the following agencies are involved with the regulation and control of ethylene oxide when it is used as a sterilant EXCEPT the Center for Disease Control and Prevention (CDC) In which distribution system are requisitions filled and delivered as they are received? Demand sterility maintenance cover should be placed on sterile items when the sterilized items cool to room temperature Which of the following statements is the primary reason that items are allowed to cool on a sterilizer cart before being placed in storage? Condensation and contamination may result if items are moved to cooler areas when they are still warm

Which of the following best describes the general environmental conditions of SPD sterile storage? Controlled temperature and humidity, limited traffic. outside shipping cartons should not be brought into SPD because they are often biologically contaminated Which of the following is the most important factor in preventing bacteria from contaminating sterile packages? The handling packages When transporting sterile packaged items by hand place in a plastic bag or tote bin "Inventory performance" (a rough indication of the effectiveness of the inventory system) is evaluated by all of the following except departmental preference Which of the following is the most efficient and cost-effective method for inventory control in the SPD ordering and data generation? Computerized Inventory Control System Before releasing an item to fill a sterile supply order, all of the following must be checked EXCEPT: cost effectiveness data A coworker is observed taking dressing supplies for use at home. Which of the following would be first action to take? Tell him/her that this is not the right thing to do You are taking a used IV pump from a nursing unit to be reprocessed. The nurse tell you not to take it b/c there is an emergency admission and the patient will need it. Which of the following would be ethically correct? Call your department to have a clean pump brought to the unit right away

You are in a hurry to leave for a doctor's appointment and you forget to punch your timecard. Which of the following actions should be taken? Report this to your supervisor the next day You receive a cell phone text message from your friend while you are assembling instrument sets. Which of the following is the best action to take? Ignore the text until you are on break Which of the following would be an action to take if you note that a co-worker has hair hanging out of his/her surgical cap while assembling sets? Let him/her know the hair is visible