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STERILE PROCESSING FINAL EXAM.TESTING CHAPTERS
1,2,3,4,5,6,7,8,9,10,11,12,13. ALREADY PASSED WITH A+
An osteotome is (A) used to cut or shave bone. (B) a retractor. (C) a hemostatic forceps. (D) none of the above. ✔✔A When returning loaner items to the vendor (A) all items should be completely assembled, tested and sterile. (B) trays should be returned immediately after point-of-use cleaning.(C) all items should be cleaned and decontaminated. (D) trays should be terminally sterilized before returning them to the vendor. ✔✔C The first goal of creating an instrument pack is (A) obtain the proper packaging container for the pack. (B) decide on the order of instrument placement. (C) create a pack that meets user needs. (D) create a pack that makes the physician happy. ✔✔C Positive air flow means when the door is opened, air flows out instead of into the area. (A) True (B) False ✔✔A
Molds, mushrooms and yeast are common (A) gram-negative organisms. (B) fungi. (C) gram-positive organisms. (D) prions. ✔✔B The surgery of the ear that reconstructs the eardrum so sound waves can be sent to the middle ear (A) tympanoplasty. (B) stapedectomy. (C) auditory implantation. (D) myringotomy. ✔✔A Dark areas on the lens of an endoscope are? (A) Debris (B) Light-emitting diode optics (C) Light-emitting diode bulbs (D) Damaged light fibers ✔✔D Soiled instruments and other items are received in the (blank) area of the Central Service department. (A) preparation (B) packaging (C) decontamination (D) sterilization ✔✔C Which of the following statements about the use of mechanical washers is NOT true?
(B) False ✔✔B The system that gives the body shape and support (A) muscular system. (B) nervous system. (C) skeletal system. (D) circulatory system. ✔✔C Electronic testing of laparoscopic insulation should be done (A) in the decontamination area prior to cleaning. (B) in the clean assembly area prior to set assembly. (C) at the factory or onsite repair unit. (D) in the operating room at the end of the procedure. ✔✔B Count sheets (A) describe each instrument in detail. (B) are used only for Operating Room trays and large procedure packs. (C) provide a detailed list of tray contents. (D) all the above. ✔✔C Central Service technicians must wear special attire referred to as (blank) to minimize their exposure to bloodborne pathogens and other contaminants. (A) PPE (B) OSHA (C) TPA (D) CDC ✔✔A
The temperature in the decontamination area should be between (A) 55 to 60 degrees Fahrenheit (B) 58 to 6 2 degrees Fahrenheit (C) 60 to 65 degrees Fahrenheit (D) 65 to 70 degrees Fahrenheit ✔✔C Staphylococcus is classified as a gram-positive bacteria. (A) True (B) False ✔✔A Kerrison/laminectomy rongeurs should be tested using (A) tissue paper. (B) a plastic dowel rod. (C) rubber testing material. (D) an index card. ✔✔D Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope's channels? (A) Forced air (B) Water containing approved sterilant (C) Treated water (D) A heated glutaraldehyde ✔✔C The prefix hemi- (A) means near.
Bacteria that do not require oxygen to live are called (A) pathogenic. (B) anaerobic. (C) aerobic. (D) vibrio. ✔✔B Instruments (Scissors) with tungsten carbide jaws can be easily identified by (A) the diamond serration pattern on the instrument jaws. (B) the black handles on the instrument. (C) the gold handles on the instrument. (D) the self-retaining lock on the instrument shaft. ✔✔C Robotic instruments (A) do not come apart for cleaning. (B) have mechanical and electrical components in the proximal end of the instrument. (C) are heavier than standard laparoscopic instruments. (D) are all of the above. ✔✔D The mechanical process by which an ultrasonic cleaner works is called cavitation. (A) True (B) False ✔✔A Clean multi-part instruments that have been assembled to test for functionality should (A) remain assembled for sterilization. (B) be disassembled and placed in peel packs for sterilization. (C) be disassembled and sterilized following manufacturer's Instructions for Use.
(D) broken down and placed in separate containers for sterilization. ✔✔C To protect themselves from splashes and spills, Central Service technicians assigned to the decontamination area should wear (A) double-cloth gowns. (B) blue surgical scrubs. (C) fluid-resistant gowns. (D) sterile operating room gowns. ✔✔C These are used to break down fatty tissue on instruments (A) protease enzymes. (B) lipase enzymes. (C) amylase enzymes. (D) neutral pH cleaners. ✔✔B This is the lining of the uterus. (A) Vagina (B) Endometrium (C) Fimbriae (D) Skin ✔✔B Healthcare regulations and standards provide consistency of departmental activities by outlining (A) minimal levels of quality and safety. (B) equal pay practices. (C) productivity time lines. (D) all of the above. ✔✔A
(A) True (B) False ✔✔B Chemical indicators are (blank) devices. (A) FDA Class I (B) FDA Class II (C) FDA Class III (D) unregulated ✔✔B The main theory of standard precautions is (A) the patients in high-risk categories may be infectious. (B) that patients diagnosed with a specific disease may be infectious.(C) that patients are generally healthy unless they show symptoms of an infectious disease. (D) to treat all human blood and body fluids as infectious. ✔✔D Rigid container filter retention plates should be (A) removed from the container and lid and cleaned separately. (B) manually cleaned and attached to the lid for mechanical cleaning.(C) left attached to the lid during the cleaning process. (D) none of the above. ✔✔A The absence of microorganisms that cause disease is called (A) infection prevention. (B) infection control. (C) asepsis.
(D) healthcare-associated infection control. ✔✔C When an instrument has a shiny surface it is said to have a (blank) finish. (A) satin (B) passivation (C) matte (D) mirror ✔✔D The word laminectomy means (A) removal of a cyst in the spine. (B) removal of part of a lamina. (C) to cut out part of a small bone. (D) the study of the spine. ✔✔B Recommendations regarding sterilization practices are provided by the Association for the Advancement of Medical Instrumentation. (A) True (B) False ✔✔A Hand hygiene is considered the single most important factor in reducing infections. (A) True (B) False ✔✔A Sometimes state or local regulations differ from federal regulations and when that happens, the most stringent regulations apply.
(D) should be discarded if not used. ✔✔C The best way to clean suction lumen is (A) using running warm water. (B) using the proper sized brush. (C) soaking in an enzyme solution for three minutes. (D) using the appropriate stylet. ✔✔B Which of the following statements about endoscopes is true? (A) Not all endoscopes can be processed in an automated endoscope reprocessor. (B) Ultrasonic cleaning is the process of choice for endoscopes. (C) Flexible endoscopes are not easily damaged. (D) All endoscopes should be steam sterilized. ✔✔A Which of the following steps happens first when processing flexible endoscopes? (A) Leak testing (B) High-level disinfecting/sterilizing (C) Manual cleaning (D) Drying ✔✔A All rigid sterilization containers have tamper-evident seals. (A) True (B) False ✔✔A Tissue forceps have teeth.
(A) True (B) False ✔✔A Under current regulations who is required to report suspected medical device-related deaths to the U.S. Food and Drug Administration? (A) Device manufacturer (B) Hospitals (C) All the above (D) None of the above ✔✔C Floors in the Central Service department should be (A) wet-mopped daily. (B) wet-mopped weekly. (C) swept daily and wet-mopped weekly. (D) swept daily. ✔✔A The staining method most frequently used to identify the shape and characteristics of bacteria is called (A) acid fast. (B) Ziehl Neelsen. (C) gram. (D) skin test. ✔✔C During instrument manufacture the process of passivation helps build a protective chromium oxide layer on the instrument's surface. (A) True
(A) they harbor bacteria. (B) they are expensive. (C) they may be damaged. (D) they may be misplaced or stolen. ✔✔A During handwashing, hands should be lathered and scrubbed for at least (A) 10 seconds. (B) 20 seconds. (C) one minute. (D) two minutes. ✔✔B All bacteria require the same conditions to live and grow. (A) True (B) False ✔✔B The term oscopy means (A) visual examination. (B) disease. (C) surgical removal. (D) diagnosis of a medical condition. ✔✔A Instrument sets and other required instrumentation needed for all scheduled procedures for an entire day are usually pulled (A) two days before they will be used. (B) the day or evening before they will be used. (C) the morning of the planned surgery.
(D) early morning (for morning procedures) and early afternoon (for afternoon procedures) on the day of surgery. ✔✔B A septoplasty is (A) the repair of the small intestine. (B) repair of a septic wound. (C) repair of a tendon sheath. (D) straightening the nose. ✔✔D Personal protective equipment is not required when cleaning items for immediate use steam sterilization. (A) True (B) False ✔✔B Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders. (A) True (B) False ✔✔B Endoscopes are often processed in a mechanical unit called (A) an ultrasonic cleaner. (B) a washer-disinfector. (C) a flush-pulse endoscope reprocessor. (D) an automatic endoscope reprocessor. ✔✔D Which of the following is NOT an acceptable sterilization packaging material?
(D) all the above. ✔✔D Arthroscopy means (A) visual exam of a joint. (B) surgical replacement of a joint. (C) inflammation of a joint. (D)surgical removal of a joint. ✔✔A The hip joint is an example of a (A) gliding joint. (B) ball and socket joint. (C) pivot joint. (D) hinge joint. ✔✔B All items sterilized or high-level disinfected at the point-of-use must be carefully monitored and logged. (A) True (B) False ✔✔A To properly test the sharpness of scissors four inches or less use (A) yellow test material. (B) red test material. (C) an index card. (D) orange test material. ✔✔A Loaner instrumentation can cause receiving challenges.
(A) True (B) False ✔✔A When placing instruments in a peel pack, the tips should always face the paper side of the pack. (A) True (B) False ✔✔B Powered surgical instruments should be cleaned using a mechanical cleaning process. (A) True (B) False ✔✔B Following Occupational Safety and Health Administration regulations for wearing personal protective equipment in the Central Service decontamination area is optional. (A) True (B) False ✔✔B What color should biohazard labels/signs be? (A) Red / orange (B) Orange / yellow (C) Orange / blue (D) Green / black ✔✔A Microorganisms reproduce by a process called (A) repopulation.
