Download Sterile Processing and Instrument Handling and more Exams Nursing in PDF only on Docsity!
CBSPD EXAM 2024/2025 WITH 100%
ACCURATE SOLUTIONS
You have received a loaner instrument, w the IFU's. The IFU's state that the instrument is to be sterilized at 273 degrees , for 4 minutes. You usually run 270 degrees for 4 minutes. What should you do? - Precise Answer ✔✔Call the manufacturer to find out what you can do The set assembly count sheet calls for a Senns, dull. All you have is a Senns, sharp. What kind of behavior is displayed if you put the sharp Senns in and put it in the sterilizer? - Precise Answer ✔✔unethical Why not use sodium hypochlorite to clean surgical instruments? - Precise Answer ✔✔corrosive what is the process that adds the chromium oxide layer? - Precise Answer ✔✔passivation following the EPA's regulations about EtO is : - Precise Answer ✔✔mandatory The type of instruments used to add or remove fluid from the patients body or administer medications :
- Precise Answer ✔✔syringes, cannulas, needles what is used to remove dried blood from an instrument? (no mention of a stain) - Precise Answer ✔✔proteolytic detergent what should the pH be for a detergent used for manually cleaning instruments? - Precise Answer ✔✔7- to manage loaner sets from the time of receipt until return, in an organized orderly way, there must be :
- Precise Answer ✔✔clear policies and procedures what should the technician do to minimize the shedding of skin cells in prep & pack? Put on : - Precise Answer ✔✔warm up jacket
rigid container max load testing is for : - Precise Answer ✔✔testing for actual use conditions newly received PCE with power cords should be checked and self labeled by : - Precise Answer ✔✔Bio Medical Engineering all instruments being removed after cleaning in the US should - Precise Answer ✔✔be rinsed with treated water How should the air in decontamination be routed so as little possible will go into the hallway? - Precise Answer ✔✔it should be vented directly to the outside according to AAMI, how much is the maximum allowable weight for a set, including the container? - Precise Answer ✔✔25lbs which is more difficult for the human body? Removing sets from : - Precise Answer ✔✔above the head where does the technician look to find out what the pressure is in the chamber? - Precise Answer ✔✔gauge what is the largest disadvantage in the exchange cart distribution method ******* - Precise Answer ✔✔set up costs are considerable ********* when sterilizing implants, or other items requiring a BI , why is it NOT okay to only use a Class 5 integrating indicator? - Precise Answer ✔✔bc the Class 5 doesn't contain any biological material in it If a recall is required, what should the technician do? - Precise Answer ✔✔Recall ALL items to the last negative BI How do you package a Frazier Suction Stylette? - Precise Answer ✔✔Lay it in the top of the set, same rigid container as the suction tube
parameters for 100% EtO sterilization are time, temp, EtO gas concentration and : - Precise Answer ✔✔humidity the best packaging material for low temp gas plasma sterilization is : - Precise Answer ✔✔Tyvek shelving in the sterile storage area should be _______ and _________ - Precise Answer ✔✔8 inches from the floor and 18" from sprinklers PASS is related to : - Precise Answer ✔✔fire What kind of material is the Type A extinguisher used for? - Precise Answer ✔✔paper What does the P is "PASS" stand for - Precise Answer ✔✔pull the pin what are sets being loaded into a LTGP Sterilizer allowed to touch? - Precise Answer ✔✔shelf When an incident happens in the hospital, where a medical device causes serious injury or death, the incident must be reported on the Med Watch website located on _______'s website : - Precise Answer ✔✔FDA A co-worker has dropped an instrument from a set in preparation and packaging area, has picked up the instrument and placed it back in the set. What is the right thing to do? - Precise Answer ✔✔make sure the sets completely reprocessed All of the following are possible reasons for a MEC (Minimum Effective Concentration) test failure, EXCEPT : - Precise Answer ✔✔too many instruments have been processed in the HLD solution what is the required hold time for Cidex OPA, with the solution at 68 degrees F? - Precise Answer ✔✔ 12 minutes
How does one prepare a lumped device for HLD (manual)? - Precise Answer ✔✔pull HLD through lumens with a syringe to remove air and make sure high level disinfectant makes contact with the inside and outside of the entire instrument (picture of US cleaner with baskets stacked , one inside another) Is this acceptable use of the US cleaner? - Precise Answer ✔✔No, stacking is not allowed How should multi level sets be processed? - Precise Answer ✔✔place the instruments from each level in a washer basket, tag the baskets and wash them in the same load If there is an issue here, what is the issue in this storage closet in prep and pack area? (picture of items on cupboard shelf with the lid cut off the corrugated cardboard shipping box) - Precise Answer ✔✔corrugated cardboard boxes are not allowed in sterile processing areas as they harbor dust and vermin after bedside cleaning of a laparoscope, what must be done before any further cleaning can proceed? - Precise Answer ✔✔Leak test bending at the knees to pickup something heavy is an example of : - Precise Answer ✔✔good body mechanics what kind of PPE should be used to unload the mechanical washer? - Precise Answer ✔✔heat protective gloves where should the binders be put after they are updated with the manufacturers IFU's - Precise Answer ✔✔one in the sterilization area, one in decontamination what moves material by peristalsis, to the large intestine? - Precise Answer ✔✔the small intestine which body system protects us from the environment? - Precise Answer ✔✔the integumentary event related sterility means that an item sterilized will remain sterile as long as it is protected from : - Precise Answer ✔✔the environment
environmental disinfectants vary in the types of microorganisms against which they are effective - Precise Answer ✔✔true these are environmental disinfectants that are oxidizing agents that have the ability to remove oxygen from the molecules that make up most living things. they are known as : - Precise Answer ✔✔halogens this environmental disinfectant is bacteriostatic and leaves a residual film behind : - Precise Answer ✔✔phenolics according to spaldings hierarchy of disease producing agents, prions require this method of destruction :
- Precise Answer ✔✔extended sterilization the letters in the acronym HLD stand for : - Precise Answer ✔✔high level disinfection a "solution" is defined as : - Precise Answer ✔✔a mixture in which the components are evenly distributed a solvent is a liquid capable of dissolving another substance - Precise Answer ✔✔true a lipolytic is capable of breaking down : - Precise Answer ✔✔fats sterilizer qualification testing (QT) is required under all of the following circumstances, except : - Precise Answer ✔✔a sterilization failure determined to be operator error the following is not compatible with the hydrogen peroxide ozone sterilizer (sterizone VP4), EXCEPT : - Precise Answer ✔✔semi-rigid and rigid endoscopes for EtO sterilization, the technician must know whether the sterilant is a mixture, or 100% EtO, because mixtures have an additional critical parameter, which is : - Precise Answer ✔✔pressure the type of sterilizer that works best with mixed loads of plastics and metals is : - Precise Answer ✔✔LTGP
during the injection phase of the cycle, the LTGP sterilizer injects a premeasured amount of concentrated hydrogen peroxide. The concentration is ___________? - Precise Answer ✔✔59% When conducting QT, when would the technician run the Bowie Dick test? - Precise Answer ✔✔after the BI-PCD When choosing a paper-plastic pouch, aka peel pouch, the technician should consider : - Precise Answer ✔✔whether the instrument can be placed inside the pouch, with at least 1" of space between it and the inner seal of the pouch when using a rigid sterilization container system in dynamic air removal steam sterilization cycles : - Precise Answer ✔✔generally, require only filters only on the top of the container which of the following is NOT a monitoring method for the sterilization process? - Precise Answer ✔✔mechanical the physical monitors have been read and initialed, the external indicators indicate steam was in contact with the packages, the test BI has a negative read out, the sterilizer load cart contents are measured by RF thermometer at 75 degrees F, what should the technician do? - Precise Answer ✔✔release the load all of the following are typical EtO Aeration times , EXCEPT : - Precise Answer ✔✔18 hours who should perform preventative maintenance on the automated detergent dispensers in decontamination? - Precise Answer ✔✔a technician that has been trained in the operation, maintenance, monitoring, and documentation of the system biofilms form more slowly on rough surfaces - Precise Answer ✔✔true ****the case cart system is : - Precise Answer ✔✔a list of required supplies developed for each surgical procedure and each surgeon that performs that surgical procedure
suction tubes can have removable tips that require close attention during cleaning and include the following instruments, EXCEPT : - Precise Answer ✔✔ferris this instrument is used to smooth, cut and clean bone : - Precise Answer ✔✔bone rasp kerrison wrongers are problematic and some must : - Precise Answer ✔✔must be cleaned by the repair service some common hand-held retractors are listed below except : - Precise Answer ✔✔Gelpi retractor - self retaining common table retractors are multi-partand have to be disassembled for cleaning and sterilization and reassembled for reuse. - Precise Answer ✔✔true the three basic types of retractors are hand-held, self retaining and : - Precise Answer ✔✔table retractors instruments that have an ebony finish are used for : - Precise Answer ✔✔laser surgery tungsten carbide inserts or jaws are designated by : - Precise Answer ✔✔gold handles curved scissors : - Precise Answer ✔✔cut and dissect tissue when testing struments for functionality, one must : - Precise Answer ✔✔follow the instructions for use from the manufacturer hemostats and clamps are most delicate and most likely to have damage : - Precise Answer ✔✔at the box lock the final stage of a surgical grade instrument manufacturing is __________________. - Precise Answer ✔✔passivation
steam sterilization and regular use of water soluble lubricants reinforce the protective coating of a surgical stainless steel instrument - Precise Answer ✔✔true clamps or forceps are used to : - Precise Answer ✔✔grasp, hold or occlude retractors are used to : - Precise Answer ✔✔hold back tissues or organs to enlarge orifices and ducts, dilate strictures and locate and define structures or foreign bodies , a dilator or probe may be used : - Precise Answer ✔✔true to test a scissor for sharpness, one must : - Precise Answer ✔✔(ALL OF THE ABOVE) use the appropriate material based on the size of the scissor, make several cuts in the test material, use the one third distal tip to make the cuts the following federal organizations are regulatory and can make laws : the FDA,OSHA,and the EPA - Precise Answer ✔✔true fine laparoscopic scissors should be tested for sharpness using: - Precise Answer ✔✔a single layer of facial tissue (like Kleenex) the diagnostic cycle of 1E, Liquid Chemical sterilant processing system is sued for : - Precise Answer ✔✔testing the filter and the electromechanical systems of the 1E LCS processor the tow cycles of dry heat sterilization are convection (aka mechanical) and : - Precise Answer ✔✔gravity dry heat sterilization is used mainly for sterilizing petroleum based products - Precise Answer ✔✔true ****** to test rigid container systems one must fill the container one third with water, launch it and flip it upside down. If it leaks, it must be removed from use. - Precise Answer ✔✔true *****
training for processing personnel should be one of the following : - Precise Answer ✔✔hands on According to the American National Standards Institute, eyewash stations should be approximately 56 feet from where chemicals are being used, or _________________ travel time. - Precise Answer ✔✔ 10 seconds the most common injury to SPD workers is : - Precise Answer ✔✔back injuries Competency assessments, as per the Joint commission, should be : - Precise Answer ✔✔(ALL OF THE ABOVE) performed when new products are introduced, when new equipment is purchased, annually Anatomy is the branch of science that deals with : - Precise Answer ✔✔the structure of the body This level in the organization of the human body is structure made up of several different kinds of tissue that work together to perform a special function. What is this level called? - Precise Answer ✔✔organ This is the smallest structure of the body capable of performing all the processes needed for life : - Precise Answer ✔✔cell choose the irregular bone from the following - Precise Answer ✔✔the thoracic cage Smooth muscle cells : - Precise Answer ✔✔(ALL OF THE ABOVE) lack striations, are moved involuntarily, produce peristaltic activity Many diseases of the digestive tract require the use of : - Precise Answer ✔✔endoscopes This regulatory agency oversights the production of HLD's (High Level Disinfectants) : - Precise Answer ✔✔FDA When disposing of any HLD, one must : - Precise Answer ✔✔Read the IFU's, and follow the directions
