IAHCSMM EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

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IAHCSMM EXAM 2024/2025 WITH 100%

ACCURATE SOLUTIONS

Approx 2 million patients, __% of those hospitalizes in the u.s. develop a nosocomial infection? - Precise Answer ✔✔10% __is the act of washing one's hands with soap & water or using an alcohol-based hand rub? - Precise Answer ✔✔Hand Hygiene __s specialized clothing or equipment worn by an employee for protection against a hazard? - Precise Answer ✔✔PPE The use of fluorescent orange or orange red__labels to identify contaminated items or regulated waste? - Precise Answer ✔✔Bio- hazard The__of water is an important measurement that indicates its ionic(electrical) charge? - Precise Answer ✔✔Conductivity __is water that has been treated, & is acceptable for drinking - Precise Answer ✔✔Tap Water __is the diffusion of water through a semi-permeable membrane to eliminate impurities that it contains? - Precise Answer ✔✔Reverse Osmosis

__can be used to clean basins etc. should be replaced daily to assure they will not become a source of contamination? - Precise Answer ✔✔Sponges The__regulates the manuf. of all medical devices, and requires the pre- market clearance of new medical devices? - Precise Answer ✔✔FDA Manufs. of disinfectants or sanitizers must submit data relating to labeling claims, effectiveness, & safety to the __? - Precise Answer ✔✔EPA A__is a mandatory law or rule that is issued by a governing body? - Precise Answer ✔✔Regulation __is a voluntary consensus organization that develop recommended practices & standards that address the use, care & processing of devices & systems? - Precise Answer ✔✔AAMI What does JCAHO stand for? - Precise Answer ✔✔Joint Commission on Accreditation of Health Care Organizations Under OSHA violations, a __is a violation that the employer intentionally and knowingly commits - Precise Answer ✔✔Willful

The temperature in the Decontamination area should be what? - Precise Answer ✔✔60-65 deg F or 16-18 deg C The humidity in the prep & pack area should be what__? - Precise Answer ✔✔30%-60% Floors should be cleaned (wet mopped) at least__? - Precise Answer ✔✔Daily __is any activity or procedure that prevents infection or breaks the chain of infection? - Precise Answer ✔✔Aseptic Technique __is the process by which ions with an electrical charge are removed from the water? - Precise Answer ✔✔Deionization __is a unit of measurement that expresses the amount of resistance to the flow of an electric current? - Precise Answer ✔✔Ohm __is a unit of measurement that is one millionth of a meter? - Precise Answer ✔✔Micron The six links in the chains of infection in order are: - Precise Answer ✔✔1. Causative Agent

2. Reservoir
3. Portal of Exit

4. Mode of Transmission
5. Portal of Entry
6. Susceptible Host __are chisel-like instruments used to cut/shave bone? - Precise Answer ✔✔Osteotomes __(Stainless Steel) also known as 400 series stainless steel. Is magnetic, and may be heat-hardened? - Precise Answer ✔✔Martensic is a chemical process applied during instrument manufacture that provides a corrosion-resistant layer? - Precise Answer ✔✔Passivation The first step in manufacturing a surgical instrument is? - Precise Answer ✔✔Forge A__is a chemical used on inanimate objects such as medical instruments to kill all organisms except spores? - Precise Answer ✔✔Disinfectant __is the use of physical or chemical procedures to completely destroy all microbial life? - Precise Answer ✔✔Sterilization __-__are items that come in contact with intact mucous membranes, and do not ordinarily penetrate body surfaces? - Precise Answer ✔✔Semi- Critical

A__-__disinfection kills all microbial organisms but not necessarily large numbers of bacterial spores? - Precise Answer ✔✔High-Level __is air-powered instruments using compressed gas like CO2? - Precise Answer ✔✔Pneumatic Most flexible endoscopes need to be "tested" before submersion to assure that internal components do not get damaged? - Precise Answer ✔✔Leak Effective-__policies and practices are critical to minimize or eliminate cross-contamination? - Precise Answer ✔✔Infection Control __approves the use of high-level disinfectants & sterilants used for critical & semi-critical medical devices based on their identified use? - Precise Answer ✔✔FDA __waste may cause mortality or serious illness if disposed of improperly, & must be re-bagged? - Precise Answer ✔✔Hazardous __-__is the amount of water vapor in the atmosphere expressed as a percentage of the total amount of vapor the atmosphere could hold without condensation? - Precise Answer ✔✔Relative Humidity

The ventilation system should allow for no less than__air exchanges per hour? - Precise Answer ✔✔ 10 Horizontal work surfaces should be cleand & disinfected at the__&__of each shift? - Precise Answer ✔✔Beginning & End __are(wetting agents)/ cationic surface-active compounds? - Precise Answer ✔✔Quats __compounds have long been the agent of choice for housekeeping services because a residual film is left after use which can be reactivated later by damp mopping? - Precise Answer ✔✔Phenolic To achieve a reasonable level of disinfection, alcohol must remain in wet contact with the surface for a minimum of__min.? - Precise Answer ✔✔ 5 Alcohol can destroy viruses up to__hours? - Precise Answer ✔✔Several In the manufacturing process & depending upon the style of the instrument, a device is heated to approximately__degrees - Precise Answer ✔✔ 1500 Kelly Hemostats have__serrations on it's distal tip? - Precise Answer ✔✔Partial

When__is placed on an instrument, this indicates that the (jaws) are made of Tungsten Carbide? - Precise Answer ✔✔Gold Instrument marking tape must be wrapped around an instrument__to__times? - Precise Answer ✔✔1 to 1 1/ The largest operating channel in a flexible endoscope is the__channel? - Precise Answer ✔✔Instrument __cleaning is the most important step in processing flexible endoscopes?

• Precise Answer ✔✔Manual In some laparoscopic instruments the black__coating is very susceptible to pin holes, cracks, tears & overall loosening? - Precise Answer ✔✔Insulation Loaner instrumentation that come from the outside should be considered__and handled accordingly? - Precise Answer ✔✔Contaminated __-__are chemicals that hold hard water minerals in solution, & prevent soaps or detergents from reacting with the minerals? - Precise Answer ✔✔Chelating Agents __break down or "digest" large organic molecules to facilitate their removal? - Precise Answer ✔✔Enzymes

__break down fatty deposits such as bone marrow? - Precise Answer ✔✔Lipases __is the process used by an ultrasonic cleaner in which low-presser bubbles in a cleaning solution burst inward? - Precise Answer ✔✔Cavitation __is a high level disinfectant used for semi-critical devices such as endoscopes & ultrasonic probes? - Precise Answer ✔✔Glutaraldehyde The time for a high-level disinfectant to be a sterilant is extended to__hours or more depending on Manf. Recoms? - Precise Answer ✔✔ 10 A__book should be maintained when using high-level disinfectants like glutaraldehyde and OPA? - Precise Answer ✔✔Log Disinfection can also be done by heat in a process call__disinfection, like automatic washer-sanitizers/disinfectors? - Precise Answer ✔✔Thermal Put the following steps in the right order for an instrument manufacturing process? 1.Tempering

2. Final Inspection

3. Etched & Packaged
4. Forge
5. Ground & Milled
6. Polishing & Passivation - Precise Answer ✔✔1. Forge 2.Ground & Milled
7. Tempering
8. Polishing & Passivation
9. Final Inspection
10. Etched & Packaged The FDA classifies sterilization packaging as a Class__Medical Device?

• Precise Answer ✔✔ 2 Linen packs have been limited to a size of X__X? - Precise Answer ✔✔12x12x AAMI states that the weight of wrapped basin sets should not exceed__lbs? - Precise Answer ✔✔ 7 The pre-made opening of a pouch is called the__? - Precise Answer ✔✔Chevron What does AAMI stand for? - Precise Answer ✔✔Association for the Advancement of Medical Instrumentation

What does IAHCSMM stand for? - Precise Answer ✔✔International Association for Healthcare Central Service Material Management What does ISO stand for? - Precise Answer ✔✔International Standards Organization __is that which occurs when a medical device is processed immediately before use,and/or close to the patient area? - Precise Answer ✔✔Point- of-use-processing is the process by which unwrapped instruments are sterilized for immediate use when an emergency situation arises? - Precise Answer ✔✔Flash Sterilization Flash sterilization can be accomplished with three types of cycles: gravity displacement,, and express? - Precise Answer ✔✔Pre-vacuum Regarding flash sterilization, if the load includes complex or lumened instruments, and mixed materials a__min. cycle at__degrees F should be used? - Precise Answer ✔✔10 min. at 270 deg F A Class__Integrator monitors all the critical parameters of the sterilization cycle (time, temp, & the presence of steam(moisture)? - Precise Answer ✔✔ 5

For routine monitoring,__recommends that a BI test be done at least weekly, preferably every day that the sterilizer is used? - Precise Answer ✔✔AAMI is a liquid oxidizing agent that is an effective biocide at low temp sterilization system? - Precise Answer ✔✔Peracetic Acid When using Peracetic Acid the entire sterile processing cycle is completed in approximately__min.? - Precise Answer ✔✔ 30 The__is the weakest part on a steam sterilizer? - Precise Answer ✔✔Door The chamber drain in a steam sterilizer must be cleaned at least? - Precise Answer ✔✔Daily __sterilizers are frequently used in clinics and dentists offices? - Precise Answer ✔✔Table-Top is a sterilizer that uses higher temps & shorter exposure times to handle emergency sterilization of dropped instruments? - Precise Answer ✔✔Flash Sterilizer There are 3 low temp sterilization methods which are EtO, hydrogen peroxide(gas plasma), and? - Precise Answer ✔✔Ozone

To be legally marketed in the U.S., the__requires that each sterilant be rigorously tested against a broad range of microorganisms? - Precise Answer ✔✔FDA is the employee's average airborne exposure in any 8-hour works shift of a 40-hour work week which should not be exceeded? - Precise Answer ✔✔TWA Process monitoring consists of the "4R's", run, read,, and retain? - Precise Answer ✔✔Record has been the primary sterilant of choice for items that cannot tolerate steam sterilization since the 1960's? - Precise Answer ✔✔EtO For EtO, the minimum general recommendations for product aeration are 8 hours at 140 degrees F, and__hours at 122 degrees F? - Precise Answer ✔✔ 12 Regarding Hydrogen Peroxide sterilization OSHA establishes a PEL of__ppm over an__hour TWA - Precise Answer ✔✔1 ppm over 8 hour For Ozone sterilzation the complete cycle time is__hours? - Precise Answer ✔✔ 4 The moister content of saturated steam should possess a relative humidity of%-__%? - Precise Answer ✔✔97%-100%

__or "dry" steam, is the condition of steam when its temperature is too high relative to its pressure in a steam table? - Precise Answer ✔✔Superheated Steam __is a heat transfer method in which heat is absorbed by an item's exterior surface, and passed inward to the next layer? - Precise Answer ✔✔Conduction __is the process of heat transfer by the circulation of currents from one area to another? - Precise Answer ✔✔Convection __method is when a package is wrapped twice & is a package within a package? - Precise Answer ✔✔Sequential There are 2 techniques for wrapping packages: envelope fold &fold? - Precise Answer ✔✔Square Traditionally, the sterility of a package has been thought of as "time- related" and now is? - Precise Answer ✔✔Event Related Sterile packages should be at least__inches from the wall? - Precise Answer ✔✔ 2 List the six things you would have to document when using a flash sterilization cycle: - Precise Answer ✔✔1. Patient's name

2. Contents of the load
3. Type of sterilization cycle used
4. Cycle parameters
5. Reason for the flash sterilization
6. Signature of the staff person responsible for the release of the load for patient use __(or lack of it!) can have dramatic consequences on the health and safety of both patients & faculty personnel? - Precise Answer ✔✔Quality __is the consistent delivery of products and services according to established standards? - Precise Answer ✔✔Quality Top level__must emphasize quality because their support is critical for success? - Precise Answer ✔✔Administrators __is the process of "driving" the process of decision-making & implementation down the facility's chain of command? - Precise Answer ✔✔Empowerment __is the condition that occurs when reusable or consumable inventory items required are not available? - Precise Answer ✔✔Stock outs __inventory are consumable products found in CS and other storerooms, warehouses, and satellite storage areas? - Precise Answer ✔✔Official

A__sheet is a financial summary of what a healthcare facility owns, owes, & its worth at a specific point in time? - Precise Answer ✔✔Balance A__cart system is a cart used to hold inventory for a location and exchanged/replenished daily? - Precise Answer ✔✔Exchange Periodic automatic replenishment abb600-in chapter 17, the abbv STAT in Latin is "statim", which means what? - Precise Answer ✔✔Immediately or at once In chapter 18, the abbv CPM stands for continuous passive__? - Precise Answer ✔✔Motion In chapter 20, the abbv "TQM" means__quality management? - Precise Answer ✔✔Total When managing patient care equipment. Tasks include: assmebly,,tracking, retrieval, and decontamination? - Precise Answer ✔✔Delivery Patient care equip must be safe,,ready-to-use, & free from soil and contaminants? - Precise Answer ✔✔Functional

When any equipment item enters a healthcare facility, it must be safety- checked & tested by a__technician/department? - Precise Answer ✔✔Biomedical __requires that preventive maintenance(PM) standards be established for healthcare equipment? - Precise Answer ✔✔JCAHO __is an activity designed to identify & resolve work task-related problems that yield poor quality? - Precise Answer ✔✔PI (performance improvement) __dept. leaders should serve on the quality committee? - Precise Answer ✔✔Senior In "process management" the only consistent way to achieve goals is with a__process? - Precise Answer ✔✔Capable Those who successfully achieve a consistently high quality standards should be__by the senior management team? - Precise Answer ✔✔Recognized Automated info systems have been used since the__to help achieve greater productivity & operational efficiency? - Precise Answer ✔✔1970's

__instruments can be located with in a set/tray using laser-etched dot type applications? - Precise Answer ✔✔Single Tracking systems can also help maximize equipment & inventory__to yield information as future budgets are developed? - Precise Answer ✔✔Usage In chapter 19, what does RFID stand for? - Precise Answer ✔✔Radio Frequency Identification Device __cart system is used for products and equipment generally prepared for one special surgical case? - Precise Answer ✔✔Case A__inventory system keeps track of all incoming, issued, on-hand supplies on a on-going basis? - Precise Answer ✔✔Perpetual A__system are items that are stored at the healthcare facility, but the supplier owns the inventory, and does not charge for it until it is used or lost? - Precise Answer ✔✔Consignment __-__is the number of times per year that inventory is purchased, consumed, and replaced? - Precise Answer ✔✔Turnover rate Each time an item of patient care equipment is returned to the CS department for cleaning, its__sticker should be checked? - Precise Answer ✔✔PM

CS Techs should also check for damaged (cracked, torn, or__) electrical cords? - Precise Answer ✔✔Frayed A__pump provides automatic administration of pain meds? - Precise Answer ✔✔PCA Disposables such as pads & tubing should be removed from each piece of equipment, & discarded at the__? - Precise Answer ✔✔Point-of-use There are 3 categories of quality control indicators:__, customer satisfaction, & technical? - Precise Answer ✔✔Administrative Remember, it is in the eyes of the__that quality is measured? - Precise Answer ✔✔Customer The__must be at the center of every quality concern? - Precise Answer ✔✔Patient __surveys results can indicate potential problems that may not be apparent to Central Service personnel? - Precise Answer ✔✔Customer A nurse came down to the Central Service department and ordered 100 needles. A Central Service Tech went to the shelf to fill the nurse's request, but noticed that there was only 85 needles on hand. The Central Service Tech had to figure out the stock out rate and the service level to

give to his supervisor. What was the stock out rate and inventory service level for the needles? - Precise Answer ✔✔Stock out rate 15% Inventory Service Level is 85% All items sterilized with EtO must be fully__to ensure that no EtO residue or by-products are introduced into the patient? - Precise Answer ✔✔Aerated In the "Fire Triangle" you must have 3 things: a source of oxygen, a combustible/flammable substance, and__? - Precise Answer ✔✔Source of Ignition A type__extinguisher is used for flammable liquids? - Precise Answer ✔✔Type B An__disaster is a situation like earthquakes, floods, hurricanes, or a large number of injured patients like a plane crash? - Precise Answer ✔✔External __is the process transmitting information & understanding from one person to another by use of words & nonverbal expressions such as body language? - Precise Answer ✔✔Communication __-__is the development & maintenance of effective interpersonal relationships that enhance teamwork? - Precise Answer ✔✔Human Relations

__are specialized words or phrases known only by persons working in a position? - Precise Answer ✔✔Jargon CS Techs must follow a professional code of behavior that includes moral, legal, and__aspects of responsibility? - Precise Answer ✔✔Ethical are not urgent care facilities of physicians offices? - Precise Answer ✔✔ASC (Ambulatory Surgery Centers) The first ASC was organized in__by physicians? - Precise Answer ✔✔ 1970 Physicians are involved in the ownership of approx.% of all ASC's - Precise Answer ✔✔90% __is a voluntary process by which an organization measures the quality of its services & performance against nationally recognized standards? - Precise Answer ✔✔Accreditation __sterilization is not generally used in ASC's because of installation concerns, faster turnovers, and environmental concerns? - Precise Answer ✔✔EtO

__most common sterilization performed in dental facilities? - Precise Answer ✔✔Steam __sterilizers are used in dental facilities to sterilize burrs & orthodontic insts.,because they may be damaged by moist heat? - Precise Answer ✔✔Dry-heat __facilities do not permit "event related" practices for sterilize items and use "time related"? - Precise Answer ✔✔VA __is a skill & to do well requires practice? - Precise Answer ✔✔Communication __is a preconceived belief or opinion about a group of people that is applied to every person in that group? - Precise Answer ✔✔Stereotype __is a step in communication that occurs when the listener asks a question, repeats information or otherwise helps the speaker to know if the message has been correctly received? - Precise Answer ✔✔Feedback __ people that tend to like others who behave or think as they do, & who have similar backgrounds/characteristics? - Precise Answer ✔✔Just- Like-Me

Mishandling contaminated__such as knife blades, needles, can break the skin's surface and produce puncture wounds? - Precise Answer ✔✔Sharps When cleaning instruments in a sink, always scrub below the surface of the water to avoid the formation of__? - Precise Answer ✔✔Aerosols Heavy & bulky materials and cases of glass containers should be stored on__shelves? - Precise Answer ✔✔Lower Items used most frequently should be placed on__shelves to enable them to be easily & safely accessed by employees? - Precise Answer ✔✔Middle __-__is when a person is favored because of a quality found to be attractive or valuable? - Precise Answer ✔✔Halo-Effect __-__occurs when one dislikes another person because of a specific quality or personal characteristic? - Precise Answer ✔✔Pitchfork Effect In telephone etiquette, try to answer the phone in the fewest possible rings. Many organizations use the "within__rings" rule? - Precise Answer ✔✔ 3 A proper__is the most important factor necessary for teamwork? - Precise Answer ✔✔Attitude

All plugs on all electrical equipment (installed or portable) must be__- wire and grounded? - Precise Answer ✔✔ 3 EtO has a__ppm short-term excursion limit (STEL) over a__minute period? - Precise Answer ✔✔5ppm over a 15 min. __is the process of changing work or working conditions to reduce employee stress? - Precise Answer ✔✔Ergonomics When transporting a cart from the EtO sterilizer to the aerator,__it instead of__it to avoid inhaling EtO fumes? - Precise Answer ✔✔Pull & Push Many facilities use the term, "R-A-C-E" to help staff recall appropriate fire response procedures. What does it stand for? - Precise Answer ✔✔R=Rescue(remove persons in danger) A=Alarm(Call 911 and activate alarms) C=Contain the fire(Close doors in the area) E=Extinguish the fire only if safe or evacuate the area horizontally or vertically