CBSPD Multi-Choice Final Comprehensive Nursing Exam with Complete Questions and Answers, Exams of Nursing

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CBSPD Multi-Choice Final Comprehensive Nursing Exam

with Complete Questions and Answers

1. Why is it important to evenly distribute large instruments in a set? A. Extra condensation will make the set more difficult to dry B. It came help with storage C. Easier to carry D. None of the above - Correct Answer A. Extra condensation will make the set more difficult to dry
2. Which of the following best describe the overall role of the CB/SPD A. To help Nurse prepare for patients B. To provide dependable service to enhance patient care C. Specialized portable devices D. None of the above - Correct Answer B. To provide dependable service to enhance patient care
3. Which of the following government agencies regulates environmental disinfectants? A. FDA B. OSHA C. EPA D. CDC - Correct Answer C. EPA (Environmental Protection Agency)
4. Medical-grade kraft paper cannot be used with which of the following sterilization processes? A. Low temperature gas plasma B. Flash heat C. High temperature gas plasma D. Dry heat - Correct Answer A. Low temperature gas plasma
5. During cycle counts, items that have a large dollar value but are not used frequently are classified as: A. B:items B. C:items C. A:items D. Z:items - Correct Answer C. A:Items that have a large dollar value but are not used frequently.
6. Anatomy is the science that deals with the _________ of body parts. A. Role B. Structure C. Concept D. Alignment - Correct Answer B. Structure
7. Which of the following transports molecules within the cell? A. Cilia B. Flagella C. Nucleus D. Cytoplasm - Correct Answer D. Cytoplasm
8. 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 - Correct Answer D. Craniotomy Set
9. Which of the following organs produces bile? A. Gallbladder B. Pancreas C. Stomach D. Liver - Correct Answer D. Liver
10. Microorganisms are measured in: A. Microns B. Feet C. Millimeters D. Nano- meters - Correct Answer A. Microns
11. With respect to rigid sterilization container testing, which term defines the sterilizer's ability to sterilize under actual use conditions? A. Full-load testing B.

Maximum-load testing C. Overload testing D. Load testing - Correct Answer B. Maximum-load testing

12. What is the ideal human body temperature? A. 75 F B. 87.4 F C. 98 F D. 98.6 F - Correct Answer D. 98.6 F
13. Which of the following is true of a capsule? A. It is less difficult to kill than vegetive 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 - Correct Answer C. It is resistant to heat and chemicals
14. Pulmonary capillaries are found in which system? A. Muscular System B. Lymphatic System C. Digestive System D. Respiratory System - Correct Answer D. Respiratory System
15. Ethics is the practice of? A. Doing the right thing B. Making money C. Being nice D. None of the above - Correct Answer A. Doing the right thing
16. A microorganism that is resting and has a hard, shell-like outer covering is called a? A. Cell B. Spore C. Capsule D. Prion - Correct Answer B. Spore
17. Transmissible spongiform encephalopathies (TSE) is caused by which of the following? A. Bacteria B. Fungi C. Protozoa D. Prions - Correct Answer D. Prions
18. Nails, tissues, and money are examples of A. Vectors B. Vehicle C. Fomites D. None of the above - Correct Answer C. Fomites
19. Cholera is transmitted by? A. Contaminated food and water B. Air-born bacteria C. Fomites D. Vector - Correct Answer A. Contaminated food and water
20. In the final step of handwashing, the fingers should be rinsed with the fingertips: A. Up B. Down C. Left D. Right - Correct Answer A. Up
21. All of the following play 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 - Correct Answer C. distribution of hormones
22. OSHA requires that containers of potentially infectious materials be? A. Open B. Soft C. Leak-proof D. Semi-permeable - Correct Answer C. Leak-proof
23. Round or spherical bacteria are called? A. Bacilli B. Rod C. Cocci D. Spirochete - Correct Answer C. cocci

24. The removal of contamination from an item to the extent necessary for further processing is called? A. Rinsing B. Washing C. Soaking D. Cleaning - Correct Answer D. cleaning
25. Which of the following should be cleaned daily? A. Floors and work surfaces B. Walls and vents C. Floor drains D. Ceilings - Correct Answer A. Floors and work surfaces
26. 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 for manual cleaning C. Failure to wear PPE can result in disciplinary D. If the temperature in the room is too warm. gowns do not need to be worn - Correct Answer C. Failure to wear PPE can result in disciplinary action
27. Before a medical device is cleaned and processed? A. It must be secured B. The manufacturer's instructions must be obtained (IFU) C. Check in by security D. Materialized - Correct Answer B. The manufacturer's instructions must be obtained (IFU)
28. The minimum time needed for effective hand washing is? A. 10 seconds B. 15 seconds C. 25 seconds D. 16 Seconds - Correct Answer B. 15 seconds
29. Which of the following is not a consideration when selecting a detergent? A. Quality of water B. Amount of Soil C. Water temperature D. Cost of detergent - Correct Answer D. Cost of detergent
30. The relative acidity or alkalinity of a solution is referred to as its? A. pH B. LBS C. HLDs D. None of the above - Correct Answer A. pH
31. Clostridium botulinum is harbored in (the)? A. water B. air C. food D. soil - Correct Answer D. soil
32. A solution with pH of 3 is considered? A. alkaline B. acidic C. neutral D. none of the above - Correct Answer B. acidic
33. A solution with pH of 13 is considered? A. alkaline B. acidic C. neutral D. none of the above - Correct Answer A. alkaline
34. Which of the following are major non-living reservoirs of infectious diseases? A. Soil and water B. Oil and water C. Gas and oil D. Soil and gas - Correct Answer A. Soil and water
35. High Alkaline detergents are best for mechanical washers because of? A. more friction in washing B. a lack of friction in washing C. a lack of heat in washing D. water hardness - Correct Answer B. a lack of friction in washing

36. 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 - Correct Answer D. Organic acid detergent
37. One method of preventing biofilm formation on instruments is to? A. rinse the instruments with distilled water and dry them well B. rinse the instruments with hard water and dry them well C. rinse the instruments with cold water and dry them well D. None of the above - Correct Answer A. rinse the instruments with distilled water and dry them well
38. An ultrasonic lumen cleaner is used to clean? A. IV pump B. laparoscopic instruments C. Fiber-optic cable D. None of the above - Correct Answer B. laparoscopic instruments
39. To reduce the potential for instrument corrosion, the multi-step process in a mechanical washers consists of? A. acid rinse, alkaline wash, heat rinse B. alkaline wash, water rinse, dry rinse C. water rinse, dry rinse, heat rinse D. alkaline wash, acid rinse, regular rinse - Correct Answer D. alkaline wash, acid rinse, regular rinse
40. Opened but unused instrument sets should be? A. completely reprocessed B. reused C. closed D. none of the above - Correct Answer A. completely reprocessed
41. Which of the following chemicals are bactericidal and used for cleaning inanimate environmental surfaces and floors? A. Halogen compounds B. Peracetic acid solutions C. Glutaraldehyde solution D. Quaternary ammonium compounds - Correct Answer D. Quaternary ammonium compounds
42. What is the ceiling threshold limit value for glutaraldehyde (CIDEX)? A. 0.09 ppm B. 1.0 ppm C. 0.15 ppm D 0.05 ppm - Correct Answer D. 0.05 ppm
43. Which of the following pieces of equipment is used to regulate body temperature? A. Hypo/hyperthermia machine B. Thermometer C. Air pump D. None of the above - Correct Answer A. Hypo/hyperthermia machine
44. Which of the following pieces of equipment is used to prevent the formation of blood clots? A. Infusion pump B. Sequential compression device C. IV pump D. Maxium hold device - Correct Answer B. Sequential compression device
45. Which series of stainless steel is used to manufacture osteotomes? A. 100 B. 300 C. 700 D. 400 - Correct Answer D. 400

46. For manual lubrication, surgical instruments should be placed in a lubricant solution and then? A. dry heat treated B. fan blown dry C. room air-dried D. None of the above - Correct Answer C. room air-dried
47. Which of the following should be cut with dissecting scissors? A. Suture B. Wire C. Tissue D. Dressings - Correct Answer C. Tissue
48. What is the purpose of a tungsten carbide insert on a needle holder? A. To hold the suture needle better B. Easier to clean C. To make instrument lighter D. None of the above - Correct Answer A. To hold the suture needle better
49. When should laparoscopic instruments be reassembled for sterilization? A. When approved by the manager B. When recommended by the manufacturer C. When needed D. Both A and C - Correct Answer B. When recommended by the manufacturer
50. 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 - Correct Answer A. Endoscopic
51. Instruments must never be? A. Cleaned B. Touched C. Sterilized D. Engraved - Correct Answer D. engraved
52. Which of the following is an example of a flexible endoscope? A. Bronchoscope B. Arthroscope C. Resectoscope D. Cystoscope - Correct Answer A. Bronchoscope
53. 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. Reset temperature C. Contact biomed D. Do nothing - Correct Answer A. Continue with routine activities
54. Anyone entering the preparation area must? A. Wear PPE B. Wear proper attire C. Ask for signature D. Do nothing - Correct Answer B. Wear proper attire
55. Where should the chemical indicator be placed when sterilizing two large basins with smaller basins in one set? A. On the floor next to the basins B. On the door C. In the middle of all basins D. In the top and bottom basins - Correct Answer D. In the top and bottom basins
56. If a wrapper will be used as a sterile field, how far over the edge of the table must it extend? A. 10 inches B. 4 inches C. 6 inches D. 8 inches - Correct Answer C. 6 inches

57. Rigid containers are a medical device and must have a 510(k) clearance from the? A. EPA B. FDA C. OSHA D. AAMI - Correct Answer B. FDA (Food and Drug Administration)
58. The three basic shapes of microbes are round, spiral, and? A. square B. rod-like C. triangle D. hexagon - Correct Answer B. rod-like
59. In non-table top steam sterilizers, steam is generated in? A. a boiler B. a furnace C. a cooker D. a smoker - Correct Answer A. a boiler
60. Autoclave tape is considered which class of indicator? A. Class 9 B. Class 6 C. Class 3 D. Class 1 - Correct Answer D. Class 1
61. The part of the steam sterilizer that produces heat inside the chamber to prevent condensation from forming on the chamber walls is the? A. hood B. jacket C. tube D. None of the above - Correct Answer B. jacket
62. The need for frequent reprocessing can be minimized by? A. thorough cleaning B. re-cleaning C. proper stock rotation D. dry-cleaning - Correct Answer C. proper stock rotation
63. What is the coldest part of the sterilizer? A. Heater B. Cooler C. Basin D. Drain line - Correct Answer D. Drain line
64. Gradual heating of packs occurs during which phase of the steam sterilization cycle? A. Reheating B. Reconfiguration C. Conditioning D. Cleaning - Correct Answer C. Conditioning
65. An emergency eyewash station must? A. be controlled by feet B. permit hands- free operation C. be above the knees D. Run forever - Correct Answer B. permit hands-free operation
66. What is the most important thing to remember when double peel-pouching? A. The outside must touch the inside of the outside B. The inside pouch must be visible C. The inner pouch must lay flat inside the outer pouch D. The outer pouch must lay flat inside the inner pouch - Correct Answer C. The inner pouch must lay flat inside the outer pouch
67. Which of the following best describes a minimum exposure time, temperature, and pressure for prevacum 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 ( 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 - Correct Answer A. 4 minutes at 270 F (132 C) and 28 to 30 pounds per square inch

68. What is the first step to take when an instrument needs to be sterilized for immediate use? A. Disinfect the instrument B. Make sure the instrument needs to be cleaned C. Clean the instrument according to manufacturer's instructions(IFU) D. Both A and B - Correct Answer C. Clean the instrument according to manufacturer's instructions
69. 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% - Correct Answer A. 97% to 100%
70. Failure to remove all air from a package within the steam sterilizer will result in? A. nice heat exchange B. the right stuff C. only the best penetration D. poor steam penetration - Correct Answer D. poor steam penetration
71. Damage to medical/surgical supplies stored in the receiving area can be avoided by A. avoiding temperature and humidity extremes B. avoiding the lead technician C. making the supplies move visable D. none of the above - Correct Answer A. avoiding temperature and humidity extremes
72. Steam is exhausted from the sterilizer through the? A. exhaust pipe B. outtake pipe C. chamber drain line D. none of the above - Correct Answer C. chamber drain line
73. Why must textile packs be placed on their sides for sterilization? A. To facilitate air removal and steam penetration B. To facilitate fast load times C. To compensate for air removal time D. To compensate for steam penetration - Correct Answer A. To facilitate air removal and steam penetration
74. The most unique feature of an integrating chemical indicator is its ability to? A. indicate things B. perform in parallel to biological indicator C. integrate with chemicals D. none of the above - Correct Answer B. perform in parallel to biological indicator
75. EO kills microorganisms by a process called? A. calcification B. replication C. alkylation D. dilatation - Correct Answer C. alkylation
76. The nominal concentration of hydrogen peroxide in a low-temperature gas plasma sterilizer is? A. 12% B. 100% C. 45% D. 59% - Correct Answer D. 59%
77. Rigid sterilization containers should be biologically tested before? A. manufactured B. reprocessing C. purchasing D. non of the above - Correct Answer C. purchasing
78. In the sterile storage area, the ventilation system must be under? A. negative pressure B. positive pressure C. neutral pressure D. none of the above - Correct Answer B. positive pressure

79. The hourly air exchange rate in the sterile storage area should be at least? A. 4 B. 10 C. 5 D. 8 - Correct Answer A. 4
80. 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 - Correct Answer C. Selected sterilization time
81. The optimum amount of a supply to order is called the? A. quantity order B. economical order quantity C. physical order D. none of the above - Correct Answer B. economical order quantity
82. The cochlea is part of the? A. inner ear B. outer ear C. middle ear D. ears - Correct Answer A. inner ear
83. CS/SPD should be capable of planning for approximately what percentage of the total needs of a unit? A. 50% B. 75% C. 90% D. 100% - Correct Answer C. 90%
84. 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 - Correct Answer D. Policies and procedures for correct handling of sterile supplies
85. Which of the following agencies regulate EO? A. OSHA, JC, CDC B. OSHA, CDC. EPA C. OSHA, EPA, FDA D. OSHA, AAMI, CDC - Correct Answer C. OSHA, EPA, FDA
86. Another name for par-level inventory is? A. mixed inventory level B. fixed inventory level C. random inventory level D. none of the above - Correct Answer B. fixed inventory level
87. 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 potentially outdate - Correct Answer A. Inventory is duplicated
88. Which distribution system is designed to reduce storeroom inventory? A. Just-in- time B. Exchange carts C. Par level stocking D. Demand distribution - Correct Answer A. Just-in-time
89. A biological indicator should contain how many spores? A. 10^-1 B. 10^2 C. 10^ D. 10^6 - Correct Answer D. 10^
90. The drain-line basket in a steam sterilizer should be cleaned? A. monthly B. hourly C. bi-weekly D. daily - Correct Answer D. daily

91. Effective sterilization begins with? A. rinsing B. pre-soaking C. thorough cleaning D. none of the above - Correct Answer C. thorough cleaning
92. Generally, incident reports should be filed? A. Within 12 hours of the incident B. Within the week of the incident C. Within the month of the incident D. Within the 24 hours of the incident - Correct Answer D. Within 24 hours of the incident
93. An exhaust hood over the EO sterilizer is an example of an? A. hood B. pipe C. engineering control D. none of the above - Correct Answer C. engineering control
94. Which of the following is the correct incubation temperature range for biological indicators used in steam sterilization? A. 131 F to 140 F (55 C to 60 C) B. 140 F to 183 F (60 C to 84 C) C. 250 F to 275 F (121 C to 135 C) D 270 F to 275 F (132 C to 135 C) - Correct Answer A. 131 F to 140 F (55 C to 60 C)
95. What is the largest part of the brain? A. the eyes B. cerebellum C. cerebrum D. none of the above - Correct Answer C. cerebrum
96. 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 - Correct Answer C. Class 4
97. Ortho-phthaldehyde is classified as a? A. low-level disinfectant B. disinfectant C. medium-level disinfectant D. high-level disinfectant - Correct Answer D. high- level disinfectant
98. When placing paper-plastic pouches in a sterilizer, the pouches should be placed? A. paper facing plastic in a basket B. inside out C. paper facing basket in the plastic D. plastic facing the basket in the paper - Correct Answer A. paper facing plastic in a basket
99. You received a Spine Laminectomy set from the OR and about process it in the DECON area. The Traffic pattern is known as? A. Work Flow B. People Flow C. Traffic control D. None of the above - Correct Answer A. Work flow
100. The manger of the Sterile Processing Department is giving a tour of the facility to a new employee. Knowing the principles of correct traffic pattern, he should start from the clean areas to the dirty areas. This traffic pattern is know as? A. Work Flow B. People Flow C. Traffic control D. None of the above - Correct Answer B. People flow
101. Patient confidentiality is one of many ethical issues in a health care setting environment. The practice of doing the right thing is the responsibility of? A.

Manger B. Lead technician C. Nurses D. Everyone - Correct Answer D. Everyone

102. As an effective healthcare team member, where are you not supposed to wear scrubs with a cover gown? A. Distribution B. Preparation and Packaging C. Outside the facility D. Cafeteria - Correct Answer C. Outside the facility
103. Compliance with the different regulating agencies is? A. Required by law B. Optional C. Doing what you want to do D. None of the above - Correct Answer A. Required by law
104. If the Temperature is at 73 F and humidity is at 60% within the Sterile Storage area, what must the SPD technician do? A. Asked Bio-Med engineering to adjust environmental conditions B. SPD technician should re-adjust parameters because it's to hot for the technician to work C. Continue working as usual D. Report the incident to the supervisor - Correct Answer C. Continue working as usual
105. If the Temperature is at 62 F and humidity is at 50% within the Decontamination area, What must the SPD tech do? A. Asked Bio-Med engineering to adjust environmental conditions B. SPD technician should re- adjust parameters because it's to hot for the technician to work C. Continue working as usual D. Report the incident to the supervisor - Correct Answer C. Continue working as usual
106. If the Temperature is at 68 F and humidity is at 36% within the Preparation and Packagaing/Sterilization area, What should the SPD tech do? A. Asked Bio- Med engineering to adjust environmental conditions B. SPD technician should re- adjust parameters because it's to hot for the technician to work C. Continue working as usual D. Report the incident to the supervisor - Correct Answer C. Continue working as usual
107. Personal Protective Equipment(PPE) in decontamination area includes everything except? A. Gown B. Gloves C. Goggles/Facial shield D.None of the above - Correct Answer D. None of the above
108. Fire drills should be performed? A. Monthly B. Yearly C. Bi-Yearly D. As needed only - Correct Answer B. Yearly
109. The primary organization that develops consensus standards for decontamination, disinfection's, and sterilization? A. AAMI B. CDC C. AORN D. CBSPD - Correct Answer A. AAMI
110. The CDC classifies medical devices into the following different categories; a stethoscope is a example of? A. Surgical B. Critical C. Semi-Critical D. Non- critical - Correct Answer D. Non-critical

111. The agency that regulates PPE as a medical device? A. EPA B. OSHA C. FDA D. CDC - Correct Answer C. FDA
112. The agency that regulates Chemical indicators, biological indicators, glutaraldehyde and the reprocessing of single-use devices? A. EPA B. FDA C. OSHA D. CDC - Correct Answer B. FDA
113. The agency that regulates the sale and manufacture of Ethylene Oxide? A. EPA B. FDA C. OSHA D. CDC - Correct Answer A. EPA
114. The agency that regulates the wearing of PPE? A. EPA B. OSHA C. FDA D. CDC - Correct Answer B. OSHA
115. The science of Ergonomics is designed for? A. Workers B. Work environment C. Work to be done D. All of the above - Correct Answer A. Workers
116. An accrediting agency with a primary function of conducting extensive onsite visit and evaluating healthcare facility's? A. AAMI B. CDC C. JC D. AORN

- **Correct Answer** C. JC 

117. Which agency recommends topics such as hand hygiene, isolation precaution and environmental infection control? A. FDA B. EPA C. CDC D. AAMI

- **Correct Answer** C. CDC 

118. An OSHA standard that requires facility to obtain an have the MSDS available to the employee for chemicals used? A. Hazard Communication B. Occupational Exposure C. Right to know D. Both A and C - Correct Answer D. Both A and C
119. All of the following apply to eye wash stations except? A. It must provide 0.4 gallons of water per minute continuously for 15 minutes B. It must permit hands free operation C. It must flush both eyes at the same time D. Water temperature at 60F - 100F E. None of the above - Correct Answer D. None of the above
120. Which government agency regulates disinfectants such as Quats and Alcohol? A. OSHA B. FDA C. EPA D. CDC - Correct Answer C. EPA
121. What is the immediate consequence if a healthcare facility failed the accreditation process of the JC? A. The facility can be shut down B. The facility cannot accept insurance payments C. The facility will be paying a fine D. Both B and C - Correct Answer D. Both B and C

122. OSHA regulates employee exposure to blood borne pathogens. The three most common blood borne pathogens are the following with the exception of? A. Hep A B. Hep B C. Hep C D. HIV - Correct Answer A. Hep A
123. The agency that regulates the reprocessing of opened but unused devices? A. FDA B. OSHA C. EPA D. None of the above - Correct Answer D. None of the above
124. Under CDC's guidelines, the length of your finger nails should be? A. 0. inch B. 2 inches C. 0.50 inches D. 1 inch - Correct Answer A. 0.25 inch
125. You are about to process an insulated laparoscope in decontamination. The first thing that you have to do in processing the equipment is? A. Clean it with a soft brush B. Process it in an ultrasonic cleaner C. Leak test the device D. LAP test the device - Correct Answer D. LAP test the device
126. While working the department, you notice that two of your co-workers always have a heated discussion every time the manager is out of the office. As an effective team member, what are you suppose to do? A. Ignore your co- workers B. Join in the argument C. Act as a mediator D. Report it to your supervisor - Correct Answer D. Report it to your supervisor
127. A laparpscope is a rigid endoscope that is used to view which part of the body? A. Stomach B. Intestine C. Abdomen D. Lungs - Correct Answer C. Abdomen
128. This is referred to as treating everything as it were infectious? A. Sterility Precaution B. Standard Precaution C. Universal Precaution D. Both B and C - Correct Answer D. Both B and C
129. When should the device manufacture's written instructions be requested from the manufacturer? A. First purchase of the device B. Every time a facility obtains a new device C. Once a year D. For all new medical devices - Correct Answer B. Every time a facility obtains a new device
130. The Medical Device Reporting(MDR) regulations requires device manufacturers to report to FDA these important information except? A. Patient's Death B. Serious Device Malfunctions C. Serious Injuries D. Patient's Health Problems - Correct Answer D. Patient's Health Problems
131. Lenny received a cardiovascular set from a distributor. Upon opening the set, he noticed that the device manufacturer's written instructions manual(IFU) is not included. What should he do next? A. Ignor it and continue reprocessing the set B. Request the manual within the facility and reprocess the set C. Request the manual with the distributor and reprocess the set D. Request the manual with the distributor and do not reprocess the set until the manual is received - Correct

Answer D. Request the manual with the distributor and do not reprocess the set until the manual is received

132. This is designed to control access in the different areas? A. Work flow B. People flow C. Traffic Patterns D. Traffic control - Correct Answer D. Traffic control
133. When lifting heavy objects, it is important to bend your knees. This is known as? A. Proper body Mechanics B. Ergonomics C. Power lifting D. Both A and B - Correct Answer D. Both A and B
134. While working in the department, you noticed that you co-worker dropped an infusion pump and returned it to the shelf. What should be your next step? A. Report it to your supervisor B. Tell your co-worker to reprocess it C. Tell your co- worker to send it to Bio-Med D. Ignore it - Correct Answer C. Tell your co- worker to send it to Bio-Med
135. Which organ in the human body can fully regenerate? A. Stomach B. Liver C. Skin D. Kindneys - Correct Answer B. Liver
136. What is the only molecule in the body that is capable of reproducing itself? A. DNA B. RNA C. Cells D. Flagella - Correct Answer A. DNA
137. Physiology is the science that deals with the _________ of body parts. A. Structure B. Function C. Layout D. Postion - Correct Answer B. Function
138. A gram negative bacteria can be identified by what stain? A. Purple or Blue B. Red or pink C. Yellow or black D. None of the above - Correct Answer B. Red or pink
139. A spirochete can be identified by what stain? A. Purple or Blue B. Red or pink C. Yellow or black D. None of the above - Correct Answer D. None of the above
140. In order to survive, anaerobic bacteria require all the following except? A. Oxygen B. Warmth C. Liquids D. Darkness - Correct Answer A. Oxygen
141. Rod-Shape Bacteria are called? A. Cocci B. Flagella C. Bacilli D. Spiral - Correct Answer C. Bacilli
142. The shape of a coccus is? A. Oval B. Round C. Spherical D. All of the above - Correct Answer D. All of the above
143. A healthcare-acquired infection is generally termed as? A. contagious infection B. antibiotic-resistant infection C. disease-causing infection D. nosocomial infection - Correct Answer D. nosocomial infection

144. An organism that transmits a pathogen? A. Fomite B. Vectors C. Axon D. Cell - Correct Answer B. Vectors
145. Hank was diagnosed with conjunctivitis. He was advised to separate his personal belongings to prevent the spread of infection. His contaminated towel is considered as a? A. Fomite B. Vector C. Axon D. Cell - Correct Answer A. Fomite
146. Alcohol hand sanitizers are used in different scenarios expect? A. Changing work locations B. Changing gloves C. Handling equipment D. Hands are visually soilded - Correct Answer D. Hands are visually soilded
147. The following are steps on proper hand-washing except? A. Hands are shaken off after the final rinse B. Rotational rubbing of palms and fingers C. Lathering hands D. Turning off faucet using a disposable towel - Correct Answer A. Hands are shaken off after the final rinse
148. The most common portal/s of exit is/are the following? A. Respiratory tract B. Gastrointestinal tract C. Genitourinary tract D. Both A and B - Correct Answer D. Both A and B
149. The reservoir of infection, portal of entry, defense mechanism, and portals of exit are part of? A. Chain of command B. Chain of infection C. Chain of precaution D. Chain of contact - Correct Answer B. Chain of infection
150. The organism is part of the normal micro-flora of intestines, but when a person starts abusing antibiotics, the drugs alter the gut flora causing the organism to produce toxins in the colon(colitis and severe diarrhea): A. Clostridium Diffcile B. Clostridium Tetani C. Clostridium Botulinum D. Clostridium Perfringens - Correct Answer A. Clostridium Diffcile
151. The microorganism can be killed by using a high level disinfectant. It is spread through airborne droplet by an infected person? A. Measles B. Hep B virus C. Hep A virus D. Mycobacterium TB - Correct Answer D. Mycobacterium TB
152. The rib cage is made up of what type of bones? A. Flat bones B. Irregular bones C. Short bones D. Long bones - Correct Answer A. Flat bones
153. This gland coordinates all activities of the endocrine system and is also known as the "master gland"? A. Adrenal gland B. Pituitary gland C. Pineal glans D. Thyroid gland - Correct Answer B. Pituitary gland

154. All of the following diseases are acquired via airborne transmission with the exception of? A. Tuberculosis B. Influenza C. Measles D. Chickenpox - Correct Answer B. Influenza
155. An exposure Control Plan includes all of the following except? A. Should be available to all employees B. Protect employees against exposure to blood borne pathogens C. Employee to follow procedures and guidelines D. All employees should only have training when it's necessary - Correct Answer D. All employees should only have training when it's necessary
156. This microorganism is the common cause of Nosocomial Infections or HAI: A. Gram + B. Gram - C. Virus D. Both A and B - Correct Answer A. Gram +
157. The term pathogenic means? A. Disease-producing B. Communicable C. Fever-producing D. Poisonous capors - Correct Answer A. Disease-producing
158. All are important functions of the skeletal System with the exception of? A. Provides movement B. Gives protection C. Provides framework D. Produces RBCs an WBCs - Correct Answer A. Provides movement
159. The largest organ of the body and considered as the best line of defense is? A. Heart B. Liver C. Skin D. Large intestines - Correct Answer C. Skin
160. Which concentration is most effective for alcohol hand sanitizer? A. 10- 40% B. 60-95% C. 75-100% D. 50-65% - Correct Answer B. 60-95%
161. All are the following areas where prions usually attaches itself except? A. Eye B. Brain C. Spine D. Ears - Correct Answer D. Ears
162. It is a highly durable dehydrated cell with a thick, hard and shell like cells walls. It is also used to test the effectiveness of sterilization cycles? A. Capsule B. Spore C. Mycobacterium D. Both B and C - Correct Answer B. Spore
163. The skeletal system is composed of the following except? A. Cartilage B. Bone C. Muscles D. Ligaments - Correct Answer C. Muscles
164. A neurodegenerative disorder of humans caused by an abnormal protein in the brain it has a sponge-like appearance in the brain and invariably fatal? A. Mad Cow Disease B. Bovine Spongiform Encephalopathy C. Multiple Sclerosis D. Cruetzfeldt-Jacob Disease(CJD) - Correct Answer D. Cruetzfeldt-Jacob Disease
165. Nerves are divided into two parts: one carry messages from the brain to organs and muscles; the other carry information to the brain. A. Axon and dendrites B. Motor and Sensory nerves C. Cranial and spinal nerves D. None of the above - Correct Answer B. Motor and Sensory nerves

166. This is the condition where our body is in a relative constant (equilibrium) state? A. Homeostasis B. Communicable C. Asepsis D. Both A and C - Correct Answer A. Homeostasis
167. The CDC classifies medical devices into the following different categories; a Flexible endoscope is a example of? A. Surgical B. Critical C. Semi-Critical D. Non-critical - Correct Answer C. Semi-Critical
168. The CDC classifies medical devices into the following different categories; a implant is a example of? A. Surgical B. Critical C. Semi-Critical D. Non-critical - Correct Answer B. Critical
169. The CDC classifies medical devices into the following different categories; if you use sterilization to process it, it is a? A. Surgical B. Critical C. Semi-Critical D. Non-critical - Correct Answer B. Critical
170. The CDC classifies medical devices into the following different categories; if you use sterilizations/high-level disinfection(atleast) to process it, it is a? A. Surgical B. Critical C. Semi-Critical D. Non-critical - Correct Answer C. Semi- Critical
171. The CDC classifies medical devices into the following different categories; if you use intermediate-level disinfection(alcohol) to process it, it is a? A. Surgical B. Critical C. Semi-Critical D. Non-critical - Correct Answer D. Non-critical
172. Which of these chemicals are HLDs? A. Glutaraldehyde B. Ortho- phthalaldehyde C. Quaternary ammonium compound D. Both A and B - Correct Answer D. Both A and B
173. ________ is the process of killing or inhibiting the growth of microorganisms? A. Cleaning B. Disinfection C. Rinsing D. None of the above - Correct Answer B. Disinfection
174. ________ is the process of removal of bio-burdens an contaminants? A. Cleaning B. Disinfection C. Rinsing D. None of the above - Correct Answer A. Cleaning
175. There are 6 steps to cleaning, the most important one is? A. Presorting B. Drying C. Rinsing D. None of the above - Correct Answer C. Rinsing
176. Which of these areas have a air exchange of 10 per hour? A. Decontamination B. Prep an Package/sterilization C. Sterile storage D. Both A and B - Correct Answer D. Both A and B

177. Which of these areas has a negative air exchange? A. Decontamination B. Prep an Package/sterilization C. Sterile storage D. Both A and B - Correct Answer A. Decontamination
178. Which of these areas have a positive air exchange? A. Decontamination B. Prep an Package/sterilization C. Sterile storage D. Both B and C - Correct Answer D. Both B and C
179. A _______ is a principle, rule or law designed to control or govern behavior. A. Standard B. Regulation C. Recommended practice D. None of the above - Correct Answer B. Regulation
180. In the context of SPD, a ___________ is an established norm determined by opinion, authority, research, and/or theory. A. Standard B. Regulation C. Recommended practice D. None of the above - Correct Answer A. Standard
181. ________________ are statements of sound principles of _____________ that are based upon scientific data and the opinions of experts. A. Standard B. Regulation C. Recommended practice D. None of the above - Correct Answer C. Recommended practice, practice
182. Decontamination area should have a temperature, humidity, and air exchange/pressure of? A. 68 - 73F & 35 - 60%H & 10/hr positive B. 60 - 65F & 30 - 60%H & 10/hr negative C. 68 - 75F & 35 - 70%H & 4/hr positive D. 60 - 75F & 30 - 70%H & 4/hr negative - Correct Answer B. 60 - 65F & 30 - 60%H & 10/hr negative
183. Sterile storage should have a temperature, humidity, and air exchange/pressure of? A. 68 - 73F & 35 - 60%H & 10/hr positive B. 60 - 65F & 30 - 60%H & 10/hr negative C. 68 - 75F & 35 - 70%H & 4/hr positive D. 60 - 75F & 30 - 70%H & 4/hr negative - Correct Answer C. 68 - 75F & 35 - 70%H & 4/hr positive
184. Prep & pack/sterilization area should have a temperature, humidity, and air exchange/pressure of? A. 68 - 73F & 35 - 60%H & 10/hr positive B. 60 - 65F & 30 - 60%H & 10/hr negative C. 68 - 75F & 35 - 70%H & 4/hr positive D. 60 - 75F & 30 - 70%H & 4/hr negative - Correct Answer A. 68 - 73F & 35 - 60%H & 10/hr positive
185. You should change sharp containers when they are? A. 1/2 full B. 2/4 full C. Full D. 2/3 full - Correct Answer D. 2/3 full
186. Water temperature for manual cleaning should be? A. 100 - 140F B. 109 - 140F C. 98 - 140F D. 109 - 170F - Correct Answer B. 109 - 140F

187. Water temperature for mechanical cleaning should be? A. 100 - 140F B. 109 - 140F C. 98 - 140F D. 109 - 170F - Correct Answer A. 100 - 140F
188. What type of enzymatic detergents breaks down blood, mucus, feces and albumin? A. Lipolytic B. Amylase C. Proteolytic D. Keratinases - Correct Answer C. Proteolyic
189. What type of enzymatic detergents breaks down fat, bone marrow, and adipose? A. Lipolytic B. Amylase C. Proteolytic D. Keratinases - Correct Answer A. Lipolytic
190. What type of enzymatic detergents breaks down starches and carbohydrates? A. Lipolytic B. Amylase C. Proteolytic D. Keratinases - Correct Answer B. Amylase
191. Fiberoptic light cables must be? A. Tightly coiled at least 8 inches B. Loosely coiled at least 8 inches C. Tightly coiled at least 5 inches D. Loosely coiled at least 5 inches - Correct Answer B. Loosely coiled at least 8 inches
192. Which of these are not environmental disinfectants? A. Quaternary ammonium compounds B. Halogens C. Phenolics D. Alcohols E. None of the above - Correct Answer E. None of the above
193. What is the shelf life of a chemical? A. Its Expiration date B. The day the bottle is open C. One year D. None of the above - Correct Answer A. Expiration Date
194. What is the use life of a chemical? A. How many days the chemical is affective for once the bottle is open B. The day the bottle should be used by C. One year D. None of the above - Correct Answer A. How many days the chemical is affective for once the bottle is open
195. What type of enzymatic detergents is used in prion cases? A. Lipolytic B. Amylase C. Proteolytic D. Keratinases - Correct Answer D. Keratinases
196. To contain contamination of the environment, the cleaning process should be performed? A. Centralized, in one location B. At the point of use C. In various location s D. Both A and B - Correct Answer A. Centralized, in one location
197. What level of disinfection is needed for the destruction of Hepatitis B virus? A. High level B. Mid level C. Low level D. None of the above - Correct Answer C. Low level
198. You are about to process a sigmoidoscope in decontamination. The first thing you have to do in processing the equipment? A. Clean it with a soft brush

B. Process it in an ultrasonic cleaner C. Leak test the device D. Consult the manufacture's written instructions - Correct Answer C. Leak test the device

199. Which of the following is used to separate a clean area from a dirty? A. Curtain B. Folded divider C. Procedure barrier D. Line on the floor - Correct Answer C. Procedure barrier
200. Soaking time need to kill a mycobacterium bacteria using glutaraldehyde? A. 45 mins @ 68 F B. 45 mins @ 77 F C. 12 mins @ 68 F D. 12 mins @ 77 F - Correct Answer B. 45 mins @ 77 F
201. Antiseptics are used to inhibit the growth of microorganisms on which surface? A. Living tissue B. Patient care equipment C. Environment surface D. Surgical instruments - Correct Answer C. Environment surface
202. Which of the following general surface disinfectants leaves residual film behind? A. Quats B. Halogens C. Phenolics D. Alcohol - Correct Answer C. Phenolics
203. Heidi received a Bookwalter set from the OR. As an effective sterile processing technician, what should be her first step? A. Properly disassemble B. Place in solid bottom container C. Processed in ultrasonic cleaner D. Soak in enzymatic detergent - Correct Answer A. Properly disassemble
204. What should be monitored daily in a washer decontaminated machine? A. Water temperature B. Water level C. Drying cycle D. Lubrication cycle - Correct Answer A. Water temperature
205. Which is at risk for biofilm formation? A. Kelly clamp B. Laparoscope C. Mayo hegar needle holder D. Metzembaum - Correct Answer B. Laparoscope
206. In cleaning rigid sterilization container using the cart washer, the detergent must be switched from high level detergent to? A. Neutral pH B. Low medium pH C. High level pH D. Both A and B - Correct Answer A. Neutral pH
207. Hardness of water is determined by the presence of? A. Organic matter B. Minerals C. pH D. All of the above - Correct Answer B. Minerals
208. The use of physical or chemical means to remove, inactivate or destroy blood-borne pathogens on a surface of an item is? A. Cleaning B. Decontamination C. Disinfection D. Sterilization - Correct Answer B. Decontamination
209. If the rinsing process is not performed properly and chemical/microorganisms are left on an instrument after sterilization, which of the

following will be the result? A. Biofilms B. Bioburdens C. Pathogens D. Pyrogens

• Correct Answer D. Pyrogens

210. What is the most important step in reprocessing surgical instruments? A. Disinfection B. Decontamination C. Cleaning D. Sterilization - Correct Answer C. Cleaning
211. When using an AER, how many minutes are you supposed to expose the instrument with a HLD? A. 12 mins @ 68 F B. 5 mins @ 77 F C. 12 mins @ 77 F D. 5 mins @ 68 F - Correct Answer B. 5 mins @ 77 F
212. Which of the following environmental disinfectants are under the Halogen group? A. Sodium hypochlorite B. Chromium oxide C. Sodium chloride D. None of thee above - Correct Answer A. Sodium hypochlorite
213. What should be the ideal temperature off the water when using an ultrasonic cleaner? A. 109 F B. 100 F C. 125 F D. 140 F - Correct Answer D. 140 F
214. Where should gross soil on a surgical instrument be removed? A. At Decontamination B. At point of use C. At the OR D. At CS/SPD - Correct Answer B. At point of use
215. Paul received a total hip replacement set from the OR. As an effective technician, what type of detergent should he use? A. Proteolytic B. Lipolytic C. Amylase D. Keratinae - Correct Answer B. Lipolytic
216. To avoid recontamination of instruments, the type of water for final rinse should be? A. Distelled water B. Deionized water C. Reverse osmosis water D. All the above - Correct Answer D. All the above
217. All are true regarding CIDEX - OPA with the exception of? A. Non - glutaraldehyde B. Use life of 14 days C. Can destroy spores D. Creates a blue stain - Correct Answer C. Can destroy spores
218. TOSI line of products can be used in all of these equipment except? A. Ultrasonic cleaner B. Sonic irrigator C. AER D. None of the above - Correct Answer D. None of the above
219. The ability of a disinfectant to penetrate the cell wall of microorganisms is dependent on? A. Proper dilution B. Proper temperature C. Proper contact time D. All of the above - Correct Answer A. Proper dilution
220. What type of glove should be used when handling glutaraldehyde? A. Butyl rubber gloves B. Neoprene gloves C. Latex gloves D. Vinyl gloves - Correct Answer A. Butyl rubber gloves

221. All the following can be performed when disposing CIDEX with the exception of? A. Directly over the drain with running water B. Sodium hypochlorite C. Sodium bisulphate D. Glycine - Correct Answer B. Sodium hypochlorite
222. Which is not factor in the selection of a detergent? A. Water quality B. Type and amount of soil in the item C. Material the item was made of D. Number of items being process - Correct Answer D. Number of items being process
223. Which of the following cleaning tools cannot be found in decontamination? A. Metal bristle brush B. Nylon brush C. Plastic brush D. Plastic scrubbies - Correct Answer D. Plastic scrubbies
224. Quats can become inactive when it comes in contact with? A. Distelled water B. Enzyme C. None of the above D. Both A and B - Correct Answer B. Enzyme
225. Soaking time needed to kill spores using ortho-pthaldehyde? A. 45 mins @ 77 F B. 90 mins @ 77 F C. 8 - 12 hrs @ 77F D. None of the above - Correct Answer D. None of the above
226. Which of the following instruments cannot be processed under an ultrasonic cleaner? A. Orthopedic set B. Robotic instruments C. Flexible endoscope D. Laparoscope - Correct Answer C. Flexible endoscope
227. Which of the following sets have a high risk to acquire prions? A. Epistaxis set B. Anterior cervical cushion set C. Dilation and curettage set D. AV shunt set

- **Correct Answer** B. Anterior cervical cushion set 

228. Susan received a loaner set from an outside vendor. What should be her next step? A. Reprocess the instrument according to the IFU B. Reprocess the instrument according to facility procedures C. Re-sterilize the set only D. Distribute the set immediately - Correct Answer A. Reprocess the instrument according to the IFU
229. What is the most common cause of mechanical washer failure? A. Improper detergent B. Improper temperature C. Improper loading of the instrument D. Improper cycle used - Correct Answer C. Improper loading of the instrument
230. What is the main purpose of ultrasonic equipment found in the decontamination area? A. Debris removal B. Disinfection C. Rinsing D. Sterilizing

- **Correct Answer** A. Debris removal 

231. It specifically used to destroy microorganisms on inanimate objects? A. Antiseptics B. Environmental disinfectants C. Both B and D D. Phenolics - Correct Answer B. Environmental disinfectants
232. What level of disinfection is needed for the destruction of acquired immune deficiency syndrome(AIDS)? A. High level B. Mid level C. Low level D. None of the above - Correct Answer D. None of the above
233. You are about to process a colonoscope in decontamination. The first thing that you have to do in processing these types of equipment is? A. Clean it with a soft brush B. Process it in an ultrasonic cleaner C. Leak test the device D. Immerse the device in water with detergent - Correct Answer C. Leak test the device
234. Enzyme based detergents contain organic substances that assist in the breakdown of? A. Inorganic substances B. Hard water C. Surface tension D. Protein soils - Correct Answer D. Protein soils
235. Soaking time needed to achieve high level disinfection of microorganisms for glutaraldehyde? A. 45 mins B. 60 mins C. 8 hrs D. 12 hrs - Correct Answer A. 45 mins
236. Cavitations is a mechanical action that involves the use of? A. Imploding oxygen bubbles B. Exploding oxygen bubbles C. Imploding bubbles D. Exploding bubbles - Correct Answer C. Imploding bubbles
237. Which of the following chemical disinfectants have regulations requiring all employees to routinely monitor exposure level? A. Quats B. Halogens C. Phenolics D. Glutaraldehyde - Correct Answer D. Glutaraldehyde
238. Before an item with multiple parts is cleaned it must be? A. Properly disassemble B. Placed in would bottom container C. Processed in ultrasonic cleaner D. Soak in enzymatic detergent - Correct Answer A. Properly disassemble
239. Why is glutaraldehyde not used in processing eye instruments? A. It is not effective B. It leaves chemical residue C. Very corrosive D. All of the above - Correct Answer B. It leaves chemical residue
240. Patrick received a breast resized from the operating room. As an effective technician, he knows that he should process the device using? A. Enzymatic based detergents B. Alcohol C. Soap D. Both A and C - Correct Answer C. Soap

241. The removal of contamination from an item to an extent needed for further processing or for intended use is defined as? A. Cleaning B. Decontamination C. Disinfection D. Sterilization - Correct Answer A. Cleaning
242. Microorganisms on contaminated items are generally referred to as? A. Biofilms B. Bioburdens C. Pathogens D. Pyrogens - Correct Answer B. Bioburdens
243. Phenols should not be used in what area? A. ER B. OR C. CS/SPD D. Nursery - Correct Answer D. Nursery
244. If too many microorganisms remain on an item after the cleaning process, the? A. Cleaning process may not be effective B. Item must be sterilized, then re- cleaned C. Protective layer of the item might be damaged D. Cleaning process should vary - Correct Answer A. Cleaning process may not be effective
245. Before a medical device is cleaned and processed? A. Device must be checked for function B. Device must be cleared by the nursing supervisor C. Device must be check for completeness D. Device manufacturer's written instructions must be obtained - Correct Answer D. Device manufacturer's written instructions must be obtained
246. Bobby received a shadowline retractor set used (used for spine cases) from the OR. As an effective technician, what type of detergent should he use? A. Proteolytic B. Lipolytic C. Amylase D. Keratinase - Correct Answer B. Lipolytic
247. Record keeping for a high level disinfection process includes all, except? A. Results of MRC testing B. Date of processing C. Wet time D. Time item was soaked in solution - Correct Answer C. Wet time
248. All are false regarding CIDEX with there exception of? A. Non - glutaraldehyde B. Use life of 75 days C. Can destroy spores D. Time item was soaked in solution - Correct Answer C. Can destroy spores
249. Osmosis, where a lower concentrate solution passes through a semipermeable membrane to become a higher concentrate solution making both solution balanced, can occur by observing? A. Proper temperature B. Proper dilution C. Proper soaking time D. All of the above - Correct Answer B. Proper dilution
250. The unique property of ortho-pthaldehyde is? A. Has the ability to kill bacteria B. It creates a blue if the item is clean C. It is not used in a wells ventilated area D. It creates a blue stain if the item is not clean E. Does not need a final rinse - Correct Answer D. It creates a blue stain if the item is not clean

251. Glutaraldehyde is effective against all vegetative bacteria, mycobacteria, and viruses at what concentration? A. 0.2% B. 2% C. 20% D. 0.02% - Correct Answer B. 2%
252. The environmental disinfectant is toxic and not recommended in dietary and neonatal departments? A. Alcohol B. Glutaraldehyde C. Phenolics D. Quats - Correct Answer C. Phenolics
253. Soaking time needed to kill spores using glutaraldehyde? A. 45 mins B. 90 mins C. 4 - 6 hrs D. 8 - 12 hrs - Correct Answer D. 8 - 12 hrs
254. In processing orthopedic instruments the following must be considered, except? A. Education or training in processing is not necessary B. Extended cleaning process and extended sterilization process C. Ultrasonic washer highly recommended D. Detergent used is a lipolytic enzymatic cleaner - Correct Answer A. Education or training in processing is not necessary
255. The decontamination area should? A. Provide sufficient space to accommodate the type and quantity of supplies, equipment and instrumentation to be used B. Allow traffic controls and efficient work flow C. Allow unobstructed access to eyewash facilities D. All of the above - Correct Answer D. All of the above
256. How are instruments with tungsten carbide jaw inserts identified? A. With gold handles B. With black handles C. With satin finish D. With shiny finish - Correct Answer A. With gold handles
257. As an effective sterile processing technician, how can you process a tapered lumen device? A. Using a technique called reverse flushing B. Soaking the instruments for an extended period of time C. Use a high alkaline detergent D. All of the above - Correct Answer A. Using a technique called reverse flushing
258. Which cleaning implement is used to clean a tungsten carbide insert of a needle holder? A. Plastic brush B. Nylon brush C. Metal brush D. Plastic scrubber - Correct Answer C. Metal brush
259. Plastic sterilization bags are generally used to package? a. heavy single instruments b. small sharp instruments c. respiratory therapy items d. large orthopedic trays - Correct Answer c. respiratory therapy items
260. When using the sequential wrapping method? a. use extra packaging material to line the tray inside b. apply one wrapper followed by a second one c. the first fold should not cover the contents of the set d. only one wrapper should be used - Correct Answer b. apply one wrapper followed by a second one

261. Surgical grade instruments, if properly cared for, usually last longer than floor grade instruments because they have a? a. passivization layer b. ferrous oxide layer c. chromium plating d. reflective plating - Correct Answer a. passivization layer
262. If the Operating Room requests instruments for an emergency ruptured aortic aneurysm, the technician should send? a. laparoscopic instruments b. major vascular instruments c. stereotaxic instruments d. carotid endarterectomy instruments - Correct Answer b. major vascular instruments
263. Which of the following is the main DISADVANTAGE of using a rigid sterilization container system? a. They are difficult to wrap b. They have surfaces that are slow to reach sterilizer chamber temperature c. They have easily damaged outernsurfaces d. They must be disassembled, processed, reassembled, and checked before each use - Correct Answer d. They must be disassembled, processed, reassembled, and checked before each use
264. Containerized packaging systems are MOST commonly used to protect which of the following during steam sterilization? a. Flexible fiberoptic endoscopes b. Surgical instrument sets c. Linen packs d. Basin sets - Correct Answer b. Surgical instrument sets
265. Simultaneous wrapping means to wrap an instrument set with? a. two double-woven textile wrappers applied one at a time b. a single-woven textile wrapper around a metal container c. a single non-woven wrapper, double-ply, bonded at the edges d. one double-woven wrapper and one non-woven wrapper applied one at a time - Correct Answer c. a single non-woven wrapper, double- ply, bonded at the edges
266. Clamps used for hemostasis are also designed to? a. hold sutures b. minimize damage to tissue c. separate edges of a wound d. hold edges of a wound - Correct Answer b. minimize damage to tissue
267. An instrument tray for a laparotomy procedure must include? A. a Hibbs retractor b. a Simms retractor c. an abdominal retractor d. a thyroid retractor - Correct Answer C. an abdominal retractor
268. Inspection and verification of adequate cleaning is difficult with instruments? a. with lumens b. without lumens c. with locks d. with blades - Correct Answer a. with lumens
269. Which area is responsible in processing patient care equipment? A. Prep and package B. At the point of use C. Decon D. Both A and B - Correct Answer D. Both A and B