Verified Detailed Answers on Endoscope Reprocessing, Exams of Nursing

Download Verified Detailed Answers on Endoscope Reprocessing and more Exams Nursing in PDF only on Docsity! 1 | P a g e CBSPD CERTIFICATION EXAM 3 WITH LATEST VERSION A, B AND C 2024-2025 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW VERSION!!! |GUARANTEED PASS |LATEST UPDATE The process that kills all microorganisms but not necessarily large numbers of bacterial spores is known as High-level disinfection According to Spaulding's classification of medical devices, a semicritical item requries which of the following? High-level disinfection Which of the level of disinfection is the MINIMUM needed for the destruction of HIV (human immunodeficiency virus)? Low-level disinfection Which of the following disinfectants requires activation prior to use? Glutaraldehyde Which of the following will NOT affect the effectiveness of a disinfectant? Number of times it is used Which of the following disinfectants should NEVER be used as an environmental disinfectant? 2 | P a g e Glutaraldehydes The length of time for which a high-level disinfectant can be used after it has been opened is known as its Use life Items manually soaked in ortho-phthaldehyde at a minimum temperature of 68F can achieve high-level disinfection in 12 minutes In order to protect the reagent on high-level disinfectant test strips, it is important that the container be Kept tightly closed Ortho-phthaldehyde can be neutralized for disposal with Glycine The MOST critical step in the manual reprocessing of flexible endoscopes is: Cleaning Reprocessing is considered "delayed" if a scope is not cleaned within 60 minutes The purpose of precleaning at the point of use is to: Prevent build up for bioburden and formation of biofilm Precleaning at the point of use involves which of the following steps? Flushing of channels Containers or bags used to transport contaminated endoscopes should be labeled As biohazardous Before a flexible endoscope is manually cleaned, it should be Leak tested Coiling a scope too tightly may cause Damage to the fiberoptic rods Which of the following is NOT a method of leak testing? Suction A detergent that is too concentrated can cause Inadequate rinsing 5 | P a g e Regulation Which of the following defines what a department MUST do? Policies Steps for performing a task are defined in a Procedure Which of the following has published standards of infection prevention in processing flexible gastrointestinal endoscopes? SGNA (Society for Gastroenterology Nurse and Associates) Which of the following agencies registers and regulates environmental disinfectants used on non-living things in healthcare facilities? EPA (Environmental Protection Agency) Which of the following regulates and assures that products are safe and effective before companies put them on the market? FDA (Food Drug Administration) Which agency requires medical device manufacturers to provide end users in healthcare facilities with specific instructions on how to reprocess their reusable products? FDA (Food Drug Administration) Compliance with Occupational Safety and Health Administration (OSHA) regulations is Required by law Monitoring the effectiveness of work performed in the GI/endoscopy suite is generally referred to as: Quality assurance The policies and procedures for all reprocessing activities in the GI/endoscopy suite are usually reviewed and/or approved by the: Infection Prevention and Control Committee Which branch of science refers to the form and organization of body parts? Anatomy Which branch of science refers to the function of specific body parts? Physiology The smallest and MOST numerous structural units possessing the basic characteristics of life are called Cells 6 | P a g e The nucleus is the cell's: Brain DNA (deoxyribonucleic acid) is found in which part of the cell? Nucleus Which of the following is the largest internal organ of the body? Liver The tendency of the body to maintain a stable internal environment is referred to as: Homeostaisis DNA is the only molecule in the body capable of: Reproducing itself The term pathogenic means: Disease-producing Which of the following deals with microorganisms and their effects on other living organisms? Microbiology Microorganisms are measured in? Microns Bacteria are unicellular and reproduce by: Binary fission Which type of microorganism has the ability to slow down its metabolism and become dormant? Gram-positive bacillus Which of the following is NOT a requirement for bacteria to survive? Bright light A dehydrated microorganism with a thick, shell-like wall is known as a Spore Which of the following describes the shape of the bacterium Pseudomonas? Rod In order to survive, aerobic bacteria require Oxygen Which of the following requires a living host to multiply? 7 | P a g e Viruses Which of the following organisms can grow inside the lumens of flexible endoscopes that have not been properly dried and rinsed with 70% alcohol? Pseudomonas In order to cause an infection, microorganisms must be: Present in sufficient numbers The principal route of transmission of healthcare-acquired infections from hospital staff to patients is Direct contact Which of the following is a vector that could cause disease? Mosquito A healthcare-acquired infection is generally called what type of infection? Nosocomial The principal living reservoir of human disease is The human body Water that has been contaminated by the feces of humans and other animals is MOST notably responsible for Gastrointestinal disease The general term for any inanimate object involved in the spread of infection is fomite Which if the following IS NOT a disease spread by droplets? Measles The pathogens that cause tuberculosis, whopping cough, pneumonia, measles, mumps, and smallpox are discharged through the Respiratory tract Living things responsible for causing disease are called Vectors Which of the following is a common portal of exit in the transmission of disease? The respiratory tract An infection caused by a needlestick enters through which portal of entry? Parenteral tissue 10 | P a g e What is the first step in the decon process? Cleaning with detergent. According to OSHA, what means are used to inactivate blood borne pathogens? Disinfection The removal of contamination from an item to the extent necessary for further processing or for intended use is defined as: Decontamination Micro organisms on contaminated items are generally referred to as: Bio burdens Why is there an even distribution of large instruments? To avoid extra condensation and difficulty drying. Which describes the overall role of the CS/SPD? To provide dependable services to enhance patient care. Which government agency regulates environmental disinfectants? EPA-Environmental Protection Agency Medical grade kraft paper is NOT used in which type of sterilization? Low temp gas plasma (Sterrad) During cycle counts, items that have a high dollar value but not frequently used are which classification ? Classification A Anatomy is the science that deals with___of body parts? Structure (morphology) What transports molecules within the cell? Cytoplasm A micro-organism that is resting and has a hard., shell-like outer covering is called Spore What instrument set would be considered high risk for stop special prion processing? 11 | P a g e Craniotomy Micro-organisms are measured in? Microns What testing method is used to sterilize under actual conditions? Small load testing What is resistant to heat and chemicals? A capsule What are fomites? Inanimate objects that can act as intermediates in infectious disease transmission. Spongiform encephalopathy is caused by? Prions (CJD) How is cholera transmitted? Contaminated water or food How much alcohol is in waterless hand antiseptics? 60% to 95% alcohol to be effective The minimum time needed for effective hand washing is 15 seconds What type of solution is bacteriostatic and is used on surfaces and floors? Quaternary ammonium compounds What is the ceiling threshold limit value for glutaraldehyde? 0.05cm What series of stainless steel is used to manufacturer osteotomes? 400 series How does tungsten carbide insert on a needle holder help? It helps hold smaller needles What is an example of a flexible endoscope? Bronchoscope Where is clostridium botulinum harbored? Soil 12 | P a g e What major non-living reservoirs of infectious diseases? Soil and water Why are alkaline detergents best for mechanical washers? A lack of friction in washing What is used to remove severe stains in stainless steel instruments? Organic acid detergents What is one method of preventing biofilm formation on instruments? Rinse the instruments with distilled water and dry them well What is a sonic irrigator used to clean? Lumened instruments What is the multi-step process in a mechanical washer? Alkaline wash Acid wash Regular rinse Opened, but unused instruments should be processed how? Completely reprocessed If too many Micro-organisms remain on an item after the cleaning process, the... The disinfection process may not be effective. Which of the following are bacteriostatic and used for cleaning inanimate environmental surfaces and floors? A. Halogen compounds B.peracetic compounds C.glutaraldehyde formulations D quaternary ammonium compounds D. quaternary ammonium compounds Where should the chemical indicator be placed when sterilizing two large basins with the smaller basins on top? In the top and bottom basins 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. 6inches D. 8 inches 15 | P a g e CBSPD may be called different names in other facilities. True Doing what is right. Ethics A principle, rule, or law designed to govern or control behavior. Regulation Is a established norm determined by opinion, authority, research, and/or theory. Standard Statements of sound principles of practice that are based upon scientific data and the opinions of experts. Recommended practices Requires medical device manufacturers and distributors to report patient deaths, serious injuries, and serious device malfunctions to FDA. MD Medical device reporting regulation Regulates all medical devices. FDA Promotes and protects the publics health. FDA Those that are expected exposed to normally sterile areas of the body. Critical Devices Devices that come in contact with intact mucous membranes during use. Semicritical Devices Devices only touch skin or come in contact with persons indirectly. Noncritical Health hazard Blue diamond Flammability Red diamond 16 | P a g e Instability Yellow diamond Special hazard information White diamond To ensure that all employees are learning the same information, training should be Standardize Collection of data and identification of issues are part of what kind of program Quality assurance HIPPAA provides for which ethical issue? Confidential-ity Defines what a department MUST do? Policies Before a pesticides can be marketed and used in the US, it must be evaluated and registered by the EPA Step steps for performing a task are defined as Procedure The EPA, FDA, OSHA, and DOH primarily issue Regulations Establishes sterilization practice standards based on opinion, research, and/or theory AAMI How often should cleaning and sterilization instructions be requested from device manufacturers? Each time the device is purchased Annual competency testing is required by JC Standards for CS/SPD practice are written by AAMI Which agency requires that eyewash stations be available for emergency use OSHA 17 | P a g e Requires that a MSDS MUST be available OSHA Which of the following agencies regulates clearances for glutaraldehyde-based disinfectants? - OSHA - CDC - EPA - FDA FDA Which agency is responsible for employee health and safety at work? - EPA - FDA - CDC - OSHA OSHA Recommended practices are: - Statements of sound principles of practice that are based on scientific data and the opinions of experts - Principles, laws, or rules designed to govern behavior - Documents that reflects state and federal regulations - Established norms determined by opinion, authority, research, and/or theory Statements of sound principals of practice that are based on scientific data and the opinions of experts. Which of the following agencies registers and regulates environmental disinfectants used on non-living things in healthcare facilities? - EPA - NFPA - OSHA - FDA EPA Reprocessing of single-use devices is regulated by the : - OSHA - FDA - TJC - CDC FDA Which of the following has published standards of infection prevention in processing flexible gastrointestinal endoscopes? - EPA - FDA 20 | P a g e Direct contact Reusable gloves used for decontamination procedures should : - have cut-resistant liners - be discarded after every two uses - be made of polypropylene - be decontaminated daily Be decontaminated daily Which of the following organisms has developed drug resistance and is responsible for many healthcare- acquired infections? - Pseudomonas - Streptococcus - Staphylococcus - Helicobacter pylori Staphylococcus The smallest and most numerous structural units possessing the basic characteristics of life are called : - organs - systems - cells - tissues cells Inflammation of the liver is known as : - Hepatitis - Gastritis - Cholecystitis - Colitis hepatitis Which of the following are two functions of the respiratory system? - Oxygen distribution and gas exchange - cooling of air and homeostasis - filtration of air and intake of carbon dioxide - regulation of PH and drying of the air Oxygen distribution and gas exchange Which of the following organs is responsible for absorbing water and electrolytes? - liver - small intestine - stomach - large intestine 21 | P a g e Large intestine Which of the following organs is the largest? - heart - brain - stomach - liver Liver Which of the following is required if a specimen will be processed at another facility? - transport in a biohazard bag - refrigerated container - diagnosis of the patient - transport in a clear bag Transport in a bio hazard bag When an upper endoscopy is being performed, a gastroscope is used to visualize the :Esophagus and stomach Esophagus and stomach Very thin glass rods that transmit light are called: Fiberoptic bundles The charge couple device (CCD) is also known as the: Scope camera The portion of an endoscope that the endoscopist holds to manipulate the scope is called the: control body In which part of the flexible endoscope are the fiberoptic bundles? insertion tube To visually examine and treat areas of the respiratory tract which of the following would be needed by the physician ? Bronchoscope Which of the following endoscopes typically has an elevator? Duodenscope Which portion of the flexible endoscope runs from the control body to the light guide connector? Universal cord Generally, which channel runs from the insertion tip to the control body? 22 | P a g e Biopsy A colonscope is typically used to perform precedures involving the large intestine The most critical step in the manual reprocessing of flexible endoscope is cleaning A solution having a pH of 9 is alkaline A cleaning agent that lowers surface tension to dislodge or dissolve soils is called detergent The purpose of precleaning at the point of use is to prevent buildup of bioburden and formation of biofilm Automated endoscope reprocessors are used because they: provide standardized cleaning of interior and exterior surfaces of the endoscope One of the most important factors in cleaning endoscopes is to follow the manufacturers instructions Which of the following methods is acceptable for manual cleaning of flexible endoscopes? below the water level during cleaning One of the most important parts of the inspection process is to observe for: damage to the scope sheath Following high level disinfection and rinsing, accessory channels should be: flushed with alcohol Which of the following steps in reprocessing flexible endoscopes is correct? manual precleaning, leak testing, manual cleaning, high level disinfection The purpose of the minimum effective concentration (MEC) test is to determine: potential dilution of the high level disinfectant Protein soils can best be removed using enzymatic detergents that are: low in alkalinity A storage cabinet for endoscopes should be well ventilated