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STERILE PROCESSING - FINAL EXAM, IAHCSMM
CENTRAL SUPPLY STUDY GUIDE, STERILE
PROCESSING STUDY MATERIAL FOR
CERTIFICATION EXAM
Why is it important to evenly distribute large instruments in a set? A. The set is difficult to carry if the weight is unevenly distributed B. Extra condensation will make the set more difficult to dry C. It is easier for the end user to sort the instrument D. The overall weight of the set is affected - correct answers-B Which of the following BEST describes the overall role of the CS/SPD A. To provide dependable service to enhance patient care B. To provide sterilization services on a rigid schedule C. To provide delivery of supplies D. To provide direct patient care - correct answers-A Which of the following government agencies regulates environmental disinfectants? A. OSHA B. FDA C. EPA D. CDC - correct answers-C Medical-grade kraft paper CANNOT be used with which of the following sterilization processes? A. Steam B. Ozone C. Ethylene oxide
D. Low temperature gas plasma - correct answers-D During cycle counts, items that have a large dollar value but are NOT used frequently are classified as A. A B. B C. C D. D - correct answers-A Anatomy is the science that deals with the________ of the body parts A. Function B. Structure C. Physiology D. Sociology - correct answers-B Which of the following transports molecules within the cell A. Cilia B. Flagella C. Nucleus D. Cytoplasm - correct answers-D 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 set - correct answers-D Which of the following organs produces bile? A. Gallbladder B. Pancreas
A. Circulatory B. Respiratory C. Nervous D. Digestive - correct answers-B Ethics is the practice of A. Discussing patient issues with friends B. Not reconizing cultural beliefs C. Dealing with what is bad D. Doing the right thing - correct answers-D A microorganism that is resting and had a hard shell like outer covering is called a A. Prion B. Spore C. Flagella D. Capsule - correct answers-B Spongiform encephalopathy is caused by which of the following A. Prions B. Spores C. Viruses D. Pyrogens - correct answers-A Nails,tissues, and money are examples of A. Fomites B. Vehicles C. Vectors D. Flagellae - correct answers-A
Cholera is transmitted by A. Droplets B. Vectors C. Direct contact D Contaminated food and water - correct answers-D In the FINAL step of hand washing, the fingers should be rinsed with the fingertips A. UP B. Left C. Right D. Down - correct answers-A Water less hand antiseptics contain what percentage concentration of alcohol make the MOST effective A. 25% to 49% B. 60% to 95% C. 50% to 100% D. 75% to 100% - correct answers-B All of the following play a 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 answers-C OSHA requires that containers of potentially infectious materials be A. Leakproof B. Rubber C. Metal D. Glass - correct answers-A
C. It must be approved by the electrician D. It must be checked for function - correct answers-A The MINIMUM time needed for effective handwashing is A. 5 seconds B. 10 seconds C. 15 seconds D. 20 seconds - correct answers-C Which of the following IS NOT s consideration when selecting a detergent? A. Quality of water B. Amount of soil C. Water temperature D. Cost of detergent - correct answers-D The relative acidity or alkalinity of a solution is referred to as its A. TMJ B. pH C. Fx D. B12 - correct answers-B Clostridium botulinum is harbored in (the) A. Soil B. Air C. Water D. Body - correct answers-A A solution with a pH of 3 is considered A. Concentrated
B. Neutral C. Alkaline D. Acidic - correct answers-D A solution with a pH of 13 is considered A. Acidic B. Neutral C. Alkaline D. Concentrated - correct answers-C Which of the following are major non living reservois of infectious diseases A. Soil and water B. Oil and water C. Gas and oil D. Soil and gas - correct answers-A Alkaline detergents are BEST for mechanical washers because of A. Extended dry cycles B. A lack of friction in washing C. The need to break down protein D. The high water temperature used - correct answers-B 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 answers-D One method of preventing biofilm formation on instruments is to
Which of the following chemicals are bactericidal and used for the cleaning inanimate environmental surfaces and floors? A. Halogen B. Peracetic acid solutions C. Glutaraldehyde solution D. Quaternary ammonium compounds - correct answers-D What is the ceiling threshold limit value for glutaraldehyde? A. 0.02ppm B. 0.05ppm C. 0.5 ppm D. 0.25 ppm - correct answers-B Which of the following pieces of equipment is used to regulate body temperature A. Hypo/hyperthermia machine B. Sequential compression device C. Continuous passive motion decive D. Patient controlled analgesis pump - correct answers-A Which of the following pieces of equipment is used to prevent the formation of blood clots? A. Continuous passive motion device B. Patient controlled anagesia pump C. Sequntial compression device D. Hypo/hyperthermia machine - correct answers-C Which series of stainless steel is used to manufacturer osteotomes? A. 200 B. 300
C. 400
D. 500 - correct answers-C For manual lubrication, surgical instruments should be placed in a lubricant solution and then A. Room air dried B. Rinsed with treated water C. Wiped off with a dry towel D. Blown dried with compressed air - correct answers-A Which of the following should be cut with dissecting scissors? A. Suture B. Wire C. Tissue D. Dressing - correct answers-C What is the purpose of a tungsten carbide insert on a needle holder? A. To hold smaller needles B. To allow easier inspection for cleanliness C. To hold the suture needle better D. To provide more friction than stainless steel - correct answers-C When should laparoscopic instruments be reassembled for sterilization? A. Before ultrasonic cleaning B. When recommended by the manufacturer C. Immediately after ultrasonic cleaning D. If they are to be flashed sterilized - correct answers-B Which of the following types of instruments are used to view internal organs through very small openings?
Where should the chemical indicator be placed when sterilizing two large basins with smaller basins in one set? A. In the top basin B. In the bottom basin C. In the center of the basins D. In the top and bottom basins - correct answers-D If a wrapper will be used as a sterile field, how far over the edge of the table MUST it extend? A. 2 inches B. 4 inches C. 6 inches D. 8 inches - correct answers-C Rigid containers are a medical device and MUST have a 510(k) clearance from the A. CDC (center for disease control) B. FDA (food and drug administration) C. JC (Joint commission) D. EPA (Environmental protection agency) - correct answers-B The three basic shapes of microbes are round spiral and A. Straight B. Square C. Oval D. Rod like - correct answers-D In NON TABLE TOP steam sterilizers steam is generated A. The sterilizer jacket B. A boiler
C. Steam lines D. The internal chamber - correct answers-B Autoclave tape is considered which class of indicator? A. Class 1 B. Class 2 C. Class 3 D. Class 4 - correct answers-A The part of the steam sterilizer that produces heat inside the chamber to prevent condensation from forming on the chamber walls is the A. Steam gauge B. Pressure gauge C. Door jacket D. Jacket - correct answers-D The need for frequent reprocessing can be MINIMIZED by A. Proper stock rotation B. Ordering more supplies C. Using plastic bags for dust covers D. Establishing minimum stock quantities - correct answers-A What is the coldest part of the sterilizer A. Back top B. Center C. Bottom back D. Drain line - correct answers-D Gradual heating of packs occurs during which phase of the steam sterilizer cycle?
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 answers-A Failure to remove all air from a package within the steam sterilizer will result in A. Wet packs B. Poor steam penetration C. Drying out of the packaging material D. Poor adherence of the autoclave tape - correct answers-B Damage to medical/surgical supplies stored in the RECEIVING AREA can be avoided by A. Storing supplies no closer than 18 inches from the ceiling B. Storing supplies at least 8 inches from the floor C. Avoiding temperature and humidity extremes D. Removing supplies from the origional shipping cartons - correct answers-D Steam is exhausted from the sterilizer through the A. Door gasket B. Pressure gauge C. Chamber jacket D. Chamber drain line - correct answers-D Why MUST textile packs be placed on their sides for sterilization? A. To aid the drying process B. To facilitate air removal and stream penetration C. To allow as many packs as possible to fit on the rack
D. To better the chemical indicator tape - correct answers-B The MOST unique feature of an integrating chemical indicator is its ability to A. To take the place of a biological indicator B. Be incubated and read within 3 hours C. Perform in parallel to a biological indicator D. Be suitable for all types of sterilization - correct answers-C EO kills microrganisms by a process called A. Condensation B. Maturation C. Oxidation D. Alkylation - correct answers-D The normal concentration of hydrogen peroxide in a low temperature gas plasma sterilizer is A. 30% B. 48% C. 59% D. 75% - correct answers-C Rigid sterilization containers should be biologically tested before A. Placement of the filters B. Purchasing C.Testing gaskets D. The first cycle of the day - correct answers-B In the sterile storage area, the ventilation system MUST be under A. The sprinklers B. The air conditioners
B. 75%
C. 90%
D. 100% - correct answers-C 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 answers-D Which of the following agencies regulate EO? A. OSHA,JC,CDC B. OSHA ,CDC,EPA C. OSHA,EPA,FDA D. OSHA,AAMI,CDC - correct answers-C Another name for par level inventory is A. Total exchange cart B. Demand distribution C. Just in time distribution D. Fixed inventory level - correct answers-D 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 be potentially outdate - correct answers-A Which distribution system is designed to reduce storeroom inventory?
A. Just in time B. Exchange carts C. Par level stocking D. Demand distribution - correct answers-A A biological indicator should contain how many spores? A. 10- 1 B. 10- 2 C.10- 4 D. 10- 6 - correct answers-A The drain line basket in a steam sterilizer should be cleaned A. Weekly B. Daily C. Monthly D. Quarterly - correct answers-B Effective sterilization starts with A. Proper handwashing B. Use of a germicide C. Through cleaning D. use of enzymatics - correct answers-C Generally, incident reports should be filled A. within 24 hours of incident B. Only If there is a severe injury C. When requested by workman's compensation D. For employees injuries only - correct answers-A
