CBSPD Test 4 Exam Edge Study Guide Questions & Answers Best Rated A+, Exams of Nursing

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Chemical indicators that are used to test the humidity, temperature, sterilant or a variety of parameters of the sterilization process are called? - Exact Answer: Chemical Integrators. There are four primary objectives for all packaging materials. Each of the following is one of them EXCEPT? - Exact Answer: They must not allow penetration of the chosen sterilant and must be compatible with any other requirements of the sterilization process. Lighting in the decontamination area should be adequate for detailed cleaning and inspection. All of the following are factoring that lighting be based EXCEPT? - Exact Answer: The same wattage of lighting throughout. Brushing should be done underwater and by? - Exact Answer: Following the grain. Prohibiting recapping needles with a two- handed technique is an example of which of the following? - Exact Answer: Work Practice controls.

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The removal of contamination from a surface to the extent necessary for further processing for intended use is? - Exact Answer: Cleaning. A piece of patient equipment is returned in a nonfunctioning condition. This piece of equipment should be? - Exact Answer: Tagged for repair. The internal path through a needle is known as which of the following?

• Exact Answer: Ideally, which type of wetting agent should be utilized as a free rinsing agent to minimize the deposit of minerals that appear as water spots when dry? - Exact Answer: De-ionized water. In terms of patient care equipment which of the following would be an appropriate safety tip? - Exact Answer: Cover contaminated equipment that is being transported to the Central Service Department for processing.

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For larger packs, which of the following is often done to absorb moisture? - Exact Answer: Tray Liners. An active listener would incorporate all but which of the following practices? - Exact Answer: Always take notes. When healthcare facilities lease patient care equipment, at the end of the contract which of the following happens? - Exact Answer: Equipment is returned or purchased. Central Service Technicians must track all patient care equipment for all but which of the following reasons? - Exact Answer: For reporting to the manufacturer on performance. Which of the following is not a part of the chain of infection? - Exact Answer: Portal of entry of the agent from the reservoir. Which of the following statements about disinfection is accurate? - Exact Answer: A disinfectant is used on inanimate objects to kill all organisms except spores.

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The percentage of items unavailable when an order is placed for sterile items is known by which of the following items? - Exact Answer: Inventory stock out rate. Liquid loads may only be sterilized by which of the following cycles? - Exact Answer: Gravity- Displacement. If items being packaged are 'double peel pouched', it must be which of the following to ensure sterilant penetration? - Exact Answer: Double protected with an adhesive "peel" inside of larger packaging. "Flat wraps" are another name for which of the following? - Exact Answer: Non-woven wraps. Which of the following should be used to sterilize liquid loads? - Exact Answer: Gravity-displacement liquid cycle.

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The test material used to test the sharpness of scissors measuring 4 inches or smaller is which of the following? - Exact Answer: Yellow test material. Which of the following requires that preventive maintenance standards be established for healthcare equipment? - Exact Answer: The Joint Commission. Surgical procedures involving the nervous system include reconstruction of the eardrum. This surgery is called a? - Exact Answer: Tympanoplasty. To ensure that sterile items are stored in a way that will reduce the potential for contamination, humidity should be controlled so that it does not exceed which of the following percentages? - Exact Answer: 70%. Manufacturers of surgical instruments may use a chemical process that provides a corrosion- resistant finish. This process is which of the following? - Exact Answer: Passivation.

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If you are checking to determine if water contains sediments or solids that, when stirred, make the water appear cloudy, you are checking the? - Exact Answer: Turbidity. Which of the following is an example of the correct workflow order? - Exact Answer: Receiving, Inspection, Distribution. Gases such as carbon dioxide, methane, halogenated, fluorocarbons, and ozone are considered? - Exact Answer: Greenhouse Gases. In 2000, the FDA released its final guidance document for reprocessing single-use devices. However, the enforcement document does not currently apply to which of the following? - Exact Answer: Opened but unused SUDs Health care facilities that are not hospitals. Pacemakers. All of the above.

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The period during which an item is considered safe for use is which of the following? - Exact Answer: Shelf Life. Items with lumens must be flushed with sterile, distilled water? - Exact Answer: Immediately before sterilization. When selecting enzymatic detergents for use with endoscopes, which of the following is least appropriate? - Exact Answer: They must be high-foaming. Central service technicians must be familiar with medical terminology. The initials "THA" stand for which of the following? - Exact Answer: Total hip arthroplasty. Even when all processes are carefully followed, a recall of sterilized items may be necessary. initiating a recall procedure and report involves specific components to ensure a complete and accurate report is created to clearly identify what happened and how the recall was handled. Which of the following is not typically included in the recall report? - Exact Answer: Name of manufacturers of all products recalled.

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The practice of central service technology requires professionalism, and includes the essential elements of a profession which include all of the following EXCEPT? - Exact Answer: Regulation by both state and federal government. Which of the following would NOT apply to recordkeeping in the Central Service Department? - Exact Answer: Recordkeeping is voluntary. The most stringently regulated medical devices are classified as which of the following? - Exact Answer: Class 3. When dehydrated textiles are subjected to steam sterilization this may cause which of the following? - Exact Answer: Superheating. A replenishment system in which items removed from inventory are identified and tracked is called? - Exact Answer: Automated supply replenishment system.

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The first step in the packaging process is to choose the appropriate type of material for packaging. Which of the following types of sterilization would require packaging that is able to tolerate a deep vacuum draw without absorbing the sterilant? - Exact Answer: Gaas plasma sterilization. Which of the following disease-producing agents can be destroyed by low-level disinfectants? - Exact Answer: Gram positive and gram negative vegetative bacteria. One of the long- term effects of using glutaraldehyde as a disinfectant is that is a(n)? - Exact Answer: Sensitizer. Whixh of the following is the best time to ensure that electrical cords have no frays or cracks? - Exact Answer: Whenever the equipment is cleaned. Which of the following are considered low-level disinfectants? - Exact Answer: Quaternary ammonium compounds.

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Companies should maximize the benefits of their communication activities. Which of the following actions would be least likely to improve communication? - Exact Answer: Increase the number of messages. Which of the following types of wrapping is inappropriate for use within wrapped sets? - Exact Answer: Paper/Plastic pouches. For items with lumens it is necessary to soak them in a(n)? - Exact Answer: Enzymatic Soultion. The reordering function involves which of the followig? - Exact Answer: The reorder point and order quantity. Which of the following is not an appropriate guideline for loading sterilizers? - Exact Answer: Linen packs should be placed flat on the carrier cart or the sterilizer racks.

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If an actual ETO exposure has occurred, documentation must be done. These documents must be retained for how long after the affected employee's last day of employment? - Exact Answer: At least 30 years. Laparoscopic instrument ring handles can be designed in all but which of the following styles? - Exact Answer: Sealed handle. medical devices and instruments that are fragile may require physical protection from damage and so sometimes it is necessary to? - Exact Answer: Use rigid plastic and metal containers. Properly labeling the contents of a package is necessary for all of the following reasons EXCEPT? - Exact Answer: Whether it has been sterilized. When a person has to make a choice between two equally unfavorable alternatives this is known as which of the following? - Exact Answer: Ethical Dilema.

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Sterile storage areas should have controlled temperature and humidity of which of the following? - Exact Answer: Temperature less than 75 degrees Fahrenheit and humidity of 30-70%. Active listening is giving your full attention to the customer for the entire time the message is being sent. Each of the following is an appropriate guideline for developing active listening skills EXCEPT? - Exact Answer: Interrupt when necessary to add your own information. Not all peel pouches can be used in all types of sterilization processes. Plastic/paper peel pouches are used with? - Exact Answer: Steam sterilization. Documentation for each sterilizer cycle must contain all but which of the following? - Exact Answer: Manufacturer of the sterilizer. When products are ordered from a vendor prepacked for a particular department this is known as which of the following? - Exact Answer: Pick-n-pack system.

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An agent such as alcohol or ethylene oxide that can cause birth defects is known as a? - Exact Answer: Teratogen. The NIOSH immediately dangerous to life and health index for exposureto ETO is which of the following? - Exact Answer: 800ppm. Laparoscopic instruments with minute holes in insulation of shaft or handle may result in? - Exact Answer: Burns to patients. Bili lights are used to treat infants with? - Exact Answer: Jaundice. The act of withdrawing supplies from storage for transfer to areas where they will be used is? - Exact Answer: Issue. The density of linen packs should not exceed? - Exact Answer: 7. pounds. The technique used to find the best practices to incorporate within a department is which of the following? - Exact Answer: Benchmarking.

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Bili lights are used to treat which of the following? - Exact Answer: Jaundice. Every reprocessed medical device, especially an implant, should be fully traceable to the patient on whom it is used or in whom it is implanted. There are many reasons that there is a higher degree of risk of infection to patient with implants. Which of the following statements about the risk to patients with implants is least accurate? - Exact Answer: If infection occurs from implants, it will be evident within 24 hours. Sometimes packaging is damaged. If this happens which of the following statements is correct? - Exact Answer: The item must be considered contaminated. If reusable, the item must be reprocessed before it can be used. If it is a disposable item, it may have to be discarded. All of the above. < Exact Answer:. Official inventories of consumable supplies are generally included on a facility's balance sheet as a? - Exact Answer: Current Asset.

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Which of the following actions is most important when performing equipment cleaning? - Exact Answer: Attention to detail. Of the following, which organization requires that a material safety data sheet be maintained with information on all potentially dangerous chemicals used in the workplace? - Exact Answer: OSHA. The best time to begin the instrument cleaning process is within how long after the procedure for which it was used? - Exact Answer: 15 minutes to one hour. Popular enzymes used in the central service department include protease enzymes. These enzymes do which of the following? - Exact Answer: Break down blood, mucous, feces, and albumin. Surgical instruments, supplies, and most other medical devices must be prepared and packaged so that their sterility can be maintained? - Exact Answer: Up to the point of use.

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Horizontal work surfaces in the decontamination area should be cleaned and disinfected? - Exact Answer: At the beginning and end of each shift. Damage to stainless steel instruments being processed in a washer/sterilizer can be avoided by doing which of the following? - Exact Answer: Separating them from instruments made of other metals. Environmental cleaning should start at which of the following areas? - Exact Answer: Sterile holding area. The annual dollar value of the items issued from a storeroom, divided by the dollar value of the supplies stored in the storeroom is the formula for? - Exact Answer: Inventory Turnover. Service provided to equipment to maintain it in proper operating condition is called? - Exact Answer: Preventative maintenance.

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Ethylene oxide destroys microorganisms by which of the following processes? - Exact Answer: Alkylation. Compounds that contain a positive electrical charge on the large organic hydrophobic molecule are which of the following? - Exact Answer: Cationic. Heat transmission for sterilization is accomplished in a number of ways. The type of heat transfer that involves transfer of heat in solids from molecule to molecule is? - Exact Answer: Conduction. Chelating or sequestering agents help do all of the following EXCEPT? - Exact Answer: Measures alkalinity. There are three categories of quality control indicators. Which of the following is NOT one of them? - Exact Answer: Random. Instrument decontamination begins in which of the following places? - Exact Answer: Point-of-use.

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Sterile packages should be arranged and maintained with the FIFO system of inventory. This ensures that? - Exact Answer: The oldest items are used first. Which of the following statements about routine sterilizer efficacy monitoring is accurate? - Exact Answer: Results of all routine efficacy monitoring should be documented. If on an examination of a culture, it is determined that no microorganisms have survived, the BI test is? - Exact Answer: Negative. In which of the following places should sterile packs never be stored? - Exact Answer: Near a window. Of the following, which is the healthiest style of communication? - Exact Answer: Assertive Communication. The three basic types of packaging systems for sterilization include each of the following EXCEPT? - Exact Answer: Aluminum foil.

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Human tissue or body parts are considered which type of waste? - Exact Answer: Pathological Waste. Water used in the cleaning process should be free of particulates, total dissolved solids, microbes, and pyrogens. Pyrogens are defined as? - Exact Answer: Fever- Producing substances. There are certain rules for transporting sterile packages between healthcare facilities. Which of the following statements in regard to this is least accurate? - Exact Answer: All transport vehicles(motorized or manual) may be constructed of any type of materials. Dressing forceps are identical to tissue forceps except for which of the following? - Exact Answer: Serrations rather than teeth at the distal end. A wet pack is created when sterilization results in condensation of too much moisture. This can be caused by which of the following? - Exact Answer: If packs are too dense.

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Inspection of a sample from a larger lot to decide whether the lot should be received is called? - Exact Answer: Acceptance Sampling. A decision that requires a unique solution in an ill-structured situation in which the decision-maker has little, or no experience is which of the following? - Exact Answer: Non-programmed decision.