MY CRCST PRACTICE letters
Degassing of the ultrasonic unit should be done A. after the tank is filled B. while the tank is being filled C. when the tank is half-way filled D. after the instrument has been processed
A
During an EtO aeration phase which of the following is the recommended minimum exposure and temperature? A.8 hours at 140 degrees F B.10 hours at 112 degrees F C.6 hours at 120 d degrees F D.12 hours at 135 degrees F
A
Group of similar cells working together: A.Tissue B.Cell C.Organ D.Organ system
A
What property of Hydrogen Peroxide (H2O2) makes it highly effective to quickly inactivate microorganisms? A. Ability to act as strong oxidizing chemical B. Ability to have very high penetration capabilities C. Ability to produce high vapor pressure D. All of the above
A
What should be done if the Bowie Dick test fails the first time? A.repeat the test one more time B.shut down the sterilizer, then turn it back on C.increase the sterilization time and repeat the test D.call for service
A
Which of the following is newest sterilization method? A.Ozone B.Ethylene Oxide C.Hydrogen Peroxide D.Sodium Hydroxide
A
Which of the following means "beside or near"? A. Para B. Peri C. Intra D. Nect
A
Which word element is gastro? A. Root B. Suffix C. Prefix D. Combining vowel
A
A molecular reaction that creates an uncontrolled release of energy is called A. combustion B. polymerization C. fire D. Vaporization
B
A voluntary organization whose standards are considered one of the major resources for healthcare guidelines A.AORN B.AAMI C.APIC D.NFPA
B
According to ANSI/AAMI ST79, sterility of a package is A.Time-related B.Event-related C.Weight-related D.Storage-related
B
After sterilization, the wrapped package should be A.allowed to cool for at least 15 mins before removing it from the sterilizer B.allowed to cool to room temperature before removing it from the sterilizer C.removed from the sterilizer immediately and allowed to dry outside the unit D.removed from the sterilizer while it is still hot
B
All of the following can be used as sterilization packaging material except A. Barrier cloth B. Canvas C. Muslim D. Twills
B
An activity designed to identify and resolve work task-related problems is called A. Root cause analysis B. Process improvement C. Six Sigma D. Troubleshoot
B
Anesthesia breathing circuits and endotracheal tubes are examples of A.Surgical instruments B.Non-critical devices C.Semi-critical devices D.Critical devices
B
As part of releasing a patient care equipment like Intravenous pump, the CS technician must ensure A.Safety Data Sheet is included B.Freshly charged backup battery is included C.Manufacturer`s manual is included D.It is tagged with information on when it was last serviced
B
Bacteria that are rod-shaped are classified as: A. Anaerobic B. Bacillus C. Cocci D. Spiral
B
CS technician will use test strips to test the glutaraldehyde solution for its A. shelf-life B. Minimum effective concentration C. Minimum density D. Acidic level
B
Case carts can be used for general supply replenishment A. True B. False
B
Coccus is a ____ shaped bacteria A.Rod B.Round C.Spiral D.Star
B
Endoscopes are often processed in a mechanical unit called A.a flush-pulse endoscope reprocessor B.an automatic endoscope reprocessor C.a washer-decontaminator D.an ultrasonic cleaner
B
For routine monitoring, AAMI recommends that a conventional biological testing be done at least: A. daily B. weekly C. bi-weekly D. monthly
B
Herpes Simplex is a an example of : A.Protozoan B.Virus C.Fungus D.Endospore
B
How should the floors in the Central Service department be cleaned? A.Swept daily B.Wet-mopped daily C.Swept daily and wet-daily D.Wet-mopped weekly
B
Impregnated gauze strips may be sterilized using: A.Steam Sterilization B.Dry Heat Sterilization C.Ethylene Oxide Sterilization D.Hydrogen Peroxide Gas Plasma Sterilization
B
Instrument washer sterilizers provide: A. dry heat sterilization B. a decontamination process C. flash sterilization for immediate patient use D. terminal sterilization
B
Sterilizer recording charts and or printouts should be checked A.By the facility director B.During and at the end of each cycle C.Every 12 hours D.At the end of the shift
B
Tests which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality is referred to as: A.Ampulization Tests B.Biological Tests C.Chemical Integrator Tests D.Chemical Indicator Tests
B
The best choice for high level disinfection of instruments would be: A.Phenolics B.OPA C.Chlorine D.Iodophors
B
The medical term, "periosteal elevator", refers to: A. An instrument for cutting skin B. An instrument used to remove tissue around the bone C. Surgical removal of tissue near the thyroid D. Surgical removal of one-half of the stomach
B
The movement of clean (sterile) supplies and the return of contaminated items for decontamination and sterilization is referred to as: A. Material flow B. Work flow C. Distribution D. Flow chart
B
The occupational exposure limits of High Level Disinfectant is regulated by A. EPA B. OSHA C. FDA D. CDC
B
The optimum amount of a supply to order is called the A. cycle count B. economical order quantity C. perpetual inventory count D. reorder point
B
The use of analytical skills to solve problems and make decisions is a component of A. Management skill B. Employability skills C. Standard practices D. Communication abilities
B
The use of analytical skills to solve problems and make decisions is a component of A.Management skill B.Employability skills C.Standard practices D.Communication abilities
B
This body creates and revises standards for packaging requirements for sterilizing water for irrigation A.ANSI B.USP-NF C.EPA D.APIC
B
Until cleaning can begin it is important to: A. Discard all disposable items B. Keep instruments moist C. Remove gross soil by wiping it off the items D. Sort instruments according to the cleaning process that will be used
B
What FDA device classification does Chemical indicators fall into? A. Class I B. Class II C. Class III D. Chemical indicators are not yet regulated
B
What FDA device classification does Chemical indicators fall into? A.Class I B.Class II C.Class III D.Chemical indicators are not yet regulated
B
What is atmospheric pressure at sea level? A.10.5 psi B.14.7 psi C.25.8 psi D.33.4 psi
B
What is the correct incubation temperature range for biological indicators used in steam sterilization? A. 125F -128F B. 131F - 140F C. 140F - 145F D. 146F - 150F
B
What is the reasoning behind double peel pouching? A.To prevent air penetration onto the items B.It allows aseptic presentation of the sterile item without contamination C.To support heavier instruments D.To provide more cushion for the inner items
B
What is the required air pressure level in the decontamination area relative to the surrounding areas? A. A positive air pressure B. A negative air pressure C. Atmospheric pressure D. Neutral air pressure
B
What is worn to protect the technicians in the decontamination area from contamination A. SCRUB B. PPE C. HAZMAT suit D. Street clothes
B
What percentage of hospitalized patients develop a healthcare facility-associated infection each year? A.5 B.10 C.15 D.20
B
What would be the recommended exposure time for a Dry Heat sterilization load that was run at an exposure temperature of 320°F (160°C)? A.1 hour B.2 hours C.3 hours D.4 hours
B
Where does the digestive process begin? A. Esophagus B. Mouth C. Stomach D. Colon
B
Which agency develops the documentation for the immediately dangerous to life or health (IDLH) values? A.OSHA B.NIOSH C.FDA D.CDC
B
Which agency regulates medical device reporting? A.OSHA B.FDA C.AAMI D.ANSI
B
Which of the following can be said of the centralized supply system? A.It is labor-intensive B.Leads to efficient use of space C.Promotes redundant inventory D.A and B
B
Which of the following devices are compatible with ozone sterilization? A. flexible endoscopes B. stainless steel instruments C. woven textiles D. natural rubber and latex E. natural rubber and latex
B
Which of the following is an example of regulated medical waste? A.Discarded sterilization wraps B.Blood soaked sponges C.General trash from surgery departments D.None of the above
B
Which of the following is an international standard setting body that facilitates world trade by providing common standards between nations A. ANSI B. ISO C. WHO D. AAMI
B
Which of the following is most responsible for sterilization failures in the hospital? A. Improper use of chemical indicators B. Lack of steam contact C. Inadequate time for sterilization D. Insufficient moisture
B
Which of the following is represented by Julian date of 009? A. 9th month of the year B. January 9 C. September 1 D. Year 9 BC
B
Which of the following is the correct sterilizer setting for the Bowie Dick test? A. 3.5 to 4 mins at 270F(132C)gravity B. 3.5 to 4 mins at 270F(132C)prevac C. 2.5 to 4 mins at 250F(121C)prevac D. 2.5 to 4 mins at 250F(121C)gravity
B
Which of the following is the international standard used by participating organizations to help assure that they consistently deliver quality services and products? A. EN550 B. ISO 9000 C. IEC 8000 D. CSA Z7000
B
Which of the following is true about secondary containers of chemicals? A. Secondary containers must be approved by the manufacturer before use B. They must have a label that identifies hazard warnings and directions C. Their use is not permitted in healthcare facilities D. They must be labeled and must indicate the storage information
B
Which of the following packaging materials should not be used with steam sterilization? A.Paper/plastic B.Spunbond-polyolefin C.Kraft-type papers D.Spunbond-meltblown-spunbond
B
Which of the following statements is true about the use of ultrasonic cleaners for complex instruments? A.They should never be used to clean laparoscopic instruments B.They use the process of cavitation to clean instruments C.They use the process of impingement to clean instruments D.Pre-cleaning is not required before using ultrasonic cleaners
B
Which of these is an example of a fungal infection? A. Gonorrhea B. Athletes foot C. Herpes simplex Type 1 D. Tuberculosis
B
With this delivery system, the facility keeps minimal stock on hand and supplies are delivered when needed, usually just prior to use: A. Stockless B. Just-in time C. Perpetual D. Requisition
B
Forceps should be taped on the: A. Handle B. Lock box C. Shank D. Proximal end
D
Which agency protects workers from occupationally caused illnesses and injuries? A.FDA B.EPA C. AORN D.OSHA
D
Which of the following packaging materials should not be used with steam sterilization? A. Paper/plastic B. Spunbond-polyolefin C. Kraft-type papers D. Spunbond-meltblown-spunbond
D
Which of the following requirements are important for low temperature sterilization? A.Monitoring B.Quality Assurance C.Effectiveness D.All of the above
D
The body that requires preventive maintenance standards be established for medical equipment is? A. Joint Commission B. AAMI C. AORN D. OSHA
A
Which of the following microorganisms is used to biologically monitor the ozone sterilizer? A. geobacillus stearothermophilus B. bacillus atrophaeus C. geobacillus subtilis D. bacillus subtilis
A
Which of the following piece of information will not be found on the Physicians Preference card? A.Name of patient undergoing the surgery B.Name of procedure C.Instruction to ensure a patient is shaved D.Information on the required instruments
A
Air pressure required for storage area must be A. Neutral B.Negative C.Positive D.Low
C
Bacteria within biofilms can be up to how many times more resistant to a given agent than their counterparts that are not part of a biofilm colony? A. 10 B. 100 C. 1000 D. 10000
C
What is used to verify that the sterilizer air removal mechanism is functioning properly? A. sterilizer indicator tape B. bacterial spore strip C. bowie dick test D. process challenge device
C
Which of the following events will warrant a recall? A.If there were less than 10 air exchanges per hour in the decontamination area during sterilization B.If the humidity of the decontamination area fell above the recommended value during sterilization C.If a positive BI result was obtained after a processed medical device is released D.If a negative BI result was obtained after a processed medical device is released
C
Which of the following provides specific information about a set of instruments in a tray? A.Manufactur`s IFU B.Safe data sheet C.Count sheet D.Case cart
C
Forceps with serrations at the distal end will be used for A. Control the flow of blood B. Drive suture needles to close surgical sites C. Manipulating tissue for suture D. Manipulating tissue and pack surgical site
D
If at the end of Bowie Dick test cycle , the color of the test sheet is found to be patchy. What action should be taken? A. CS technician should go ahead and load the sterilizer for sterilization to begin B. The sterilization time should be increased and the test rerun per manufacturer`s IFU C. An `out-of-order` sign should be placed on the sterilizer and placed in a dumpster D. Sterilizer must be taken out of service until the issue is identified and fixed
D
On the pH scale, which of the following numbers would suggest the most alkaline? A.1 B.5 C.7 D.11
D
Spunbond-Meltblown-Spunbond packaging material.. A. Is reusable B. Can be single-use or reusable depending on the facility C. Can be safely used with steam sterilization D. Is only for single-use
D
Surgical instruments used to cut away at bone and tissue: A.retractors B.biospy forceps C.cannulas D.rongeurs
D
Surgical procedure to straighten the bone and cartilage that divides the two nostrils A. Nasoplasty B. Rhinoplasty C. Arthroplasty D. Septoplasty
D
Which of the following is not true about the storage areas? A.Temperature should be approximately 24ºC (75ºF). B.There should be at least 4 air exchanges per hour C.Relative humidity should be controlled and not exceed 70%. D.Sterile packages should be stored at least 1 foot from the floor
D
Which of the following is the flexible connective tissue that provides framework to the body? A.ligament B.nerve C.muscle D.cartilage
D
Which of the following is true about valuing diversity effort? A. It happens because top-level officials require it B. It occurs because a Central Service Director desires it C. It is a program in which a committee decides what to do D. It brings benefit to employees and to their health care facility
D
Which of the following is used to divide medical devices into categories based on the risk of infection involved with their use ? A. Device categorization system B. Device classification system C. Medical labeling system D. Spaulding classification system
D
Which of the following is used to efficiently dispense surgical instruments from the Central Supply and Processing department to the Operating rooms? A. Instrument delivery system B. Instrument trucking system C. Material management transportation system D. Safe cart system
D
Which of the following unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower body temperature A. PCA pump B. suction pump C. infusion pump D. hypothermia unit
D
Which of the following will require the use of magnifying glass or other visual enhancing equipment for inspection? A. Serrations B. Box locks C. Ratchets D. All of the above
D
Which water purification system can remove all particles in water? A. Water softeners B. Distillation C. Deionization D. Reverse osmosis
D
The suffix ECTOMY refers to .. A.Surgical removal B.Surgical fixation C.Surgical restoration D.Incision into and organ
A
A method of stock rotation system in which the oldest product in storage is used first is known as: A. LIFO B. FIFO C. Periodic D. None of the above
B
Which of the following sterilants does not use oxidation as a sterilization mechanism? A.Ozone B.Hydrogen Peroxide C.Ethylene Oxide D.Sodium Hydroxide
C
The surgical procedure for the removal of the gall bladder is: A. Cystectomy B. Colectomy C. Pneumonectomy D. Cholecystectomy
D
Which of the following is(are) examples of treated water required for the final rinse in instrument cleaning? A. Deionized B. Tap C. Reverse Osmosis D. A and C
D
It is preferable to use highly purified water (water with low conductivity) to clean instruments A. True B. False
A
What class of medical device is sterilization packaging? A.Class 2 B.Class 3 C.Class 4 D.Class 5
A
Which of these regulations established national emission standards for EtO for commercial sterilization facilities? A.NESHAP B.FIFRA C.The Safe Medical Device Act D.Occupational Safety and Health Act
A
The pH for human blood is usually: A. 5 -6 B. 6 - 6.5 C. 7- 7.8 D. 8-8.5
C
Which agency regulates clean air and public water? A.OSHA B.FDA C.EPA D.CDC
C
Which of the following is the female sex cell? A. Vulva B. Uterus C. Ovum D. Ovary
C
Which of the following suffixes means "incision into"? A.-ectomy B.-scopy C.-ostomy D.-tomy
D
The packaging of choice for dry heat sterilization is A. aluminum foil B. non-woven wrap C. paper plastic D. canvas
A
Validation is done by device manufacturer and verification is performed by healthcare facility A. True B. False
A
When do Central Supply technicians working in the storage area fill the case carts? A.The day or evening before the supply will be used B.The morning before the supply will be used C.Two days before the supply will be used D.Not more than 12 hours before they will be used
A
What is OSHA-PEL's 8-hour TWA limit for the Hydrogen Peroxide (H2O2)? A. 0.1 ppm B. 0.2 ppm C. 1 ppm D. 5 ppm
C
Which of the following acts regulates microbial products like disinfectants, sanitizer and ethylene oxide (EtO)? A. OSHA B. HIPPA C. FIFRA D. NFPA
C
surgical instruments used to control flow of blood is: A. cannulas B. biospy forceps C. hemostatic forceps D. rongeurs
C
Which agency provides the guidelines for fire safety? A. FDA B. USP-IF C. FIFRA D. NFPA
D
Which class of indicators does autoclave tape falls under? A. Class 1 B. Class 2 C. Class 3 D. Class 4
A
Which of the following will the CS technician dispense if an equipment is needed for administering IV therapy fluids A.Sequential Compression Device B.Infusion pump C.Suction pump D.PCA pump
B
Which of these is not a female reproductive organ? A.Ovaries B.Prostate Gland C.Uterus D.Fallopian Tubes
B
what action should be taken if a scope does not pass the leak test? A.Try to fix it if you think you know how to B.process the scope following routine cleaning instructions C.remove the scope from service and send for repair D.process it but label it as needing repair
C
Hemigastrectomy stands for? A. Surgical removal of the thyroid gland B. Surgical removal of the uterus C. Surgical removal of the Hernia D. Surgical removal of half the stomach
D
Which agency regulates emission standards for ethylene oxide (EtO)? A. FDA B. OSHA C. SGNA D. EPA
D
Which of the following endoscope would be dispensed for a procedure that require visualization of the lower part of the large intestine? A.ureteroscope B.gastroscope C.colonoscope D.sigmoidoscope
D
A disease acquired in the course of being treated in the hospital is called A. HAI B. HPV C. HIA D. MRSA
A
A process designed to predict the adverse outcomes of various human and machine failures to prevent future adverse outcomes: A. Failure mode and effect analysis B. Root cause analysis C. Key outcome analysis (KOA) D. None of the above
A
A voluntary international organization dedicated to the prevention and control of infections such as HAI in healthcare facilities A. APIC B. UNESCO C. WHO D. ANSI
A
A voluntary international organization dedicated to the prevention and control of infections such as HAI in healthcare facilities A.APIC B.UNESCO C.WHO D.ANSI
A
After loaner instruments have been sterilized they should be A. Trays must be handled with care if they are still hot B. Immediately sent to the Operating room C. Kept in a cold room to effect rapid cooling D. Moved to an area with low traffic to cool away
A
How frequently should the Ultrasonic washer drain be checked and cleaned? A. Anytime unit is loaded B. At the end of work shift C. Once every week D. Once every day
A
How much space should be left on each side of a peel pouch when filling it with instruments? A. 1/2 inch B. 1/4 inch C. 1/8 inch D. One inch
A
How should basin sets be placed in steam sterilizer? A. placed on edge B. loaded first C. placed in an upright position D. placed in a wire basket
A
In an ABC Inventory Control system, what does the "A" items represent? A.the items that cost the most. To handle and store B.the items that will be consumed (used up) first C.the smallest number of items and the largest dollar value D.the largest number of items and largest dollar value
A
Should a Joint Commission survey show failure to meet standards, the hospital can lose accreditation by federal and state governments resulting in: A.Loss of Medicare and Medicaid payments B.Failure to receive required state licenses C.Increases in facility operating costs
A
The increasing pressure and demands for reprocessing services have led to the formation of: A.IDN B.PHO C.HMO D.UNIONS
A
The inventory control method in which the supplier owns the inventory and does not charge the healthcare facility for it until it is used or lost is referred to as the __________ method A.consignment B.safety stock C.prestock system D.external inventory
A
The part of a surgical instruments that locks the handles in place is the A.Ratchet B.Box lock C.Shank D.Jaws
A
The purpose of material safety data sheets (MSDS) is to provide: A.Information about chemicals used by employees B.Cleaning instructions for medical devices C.Operating instructions for medical devices D.Set assembly instructions for endoscopes
A
The removal of visible soil and organic material ( dirt, body fluids) from objects by washing or scrubbing with water and detergents or soaps is known as: A. Cleaning B. Disinfection C. Sterilization D. None of the above
A
The two most common temperatures used in steam sterilization are A. 250° and 270° to 275°F B. 320° and 350° to 355°F C. 120° and 140°F D. 100° and 130°F
A
This yellowish liquid is made up of more than 55% of blood A. Plasma B. Red Blood Cells C. Platelets D. White Blood Cells
A
Toxic Ethylene Oxide residues remaining on a sterilized medical device can be reduced to safe levels by using: A. Mechanical aeration B. Deionization C. Decontamination D. Deoxidation
A
Upon completion of Bowie Dick test, the chemically impregnated sheet was found to have a uniform color change. How would you interpret the result? A.It means the test was negative B.It means the test was positive C.It means the test was inconclusive D.It means air is present in the chamber
A
What action should be taken by the CS technician if a stain is discovered in the linen wrap? A.Any linen wrap with a stain must be removed from service B.The stain must be removed with stain removing chemical C.It is acceptable to use the wrap if the stain is small D.The wrap should be re-laundered
A
What is the surgical instrument used to extract blood and other fluids from a surgical site A.Suction device B.Osteotomes C.Hemostatic forceps D.Ronguers
A
What percentage of microorganisms are harmful to humans? A.1% B.2% C.3% D.4%
A
What should be the ideal chloride concentration in tap water? A. 100ppm or less B. 150ppm or less C. 200ppm or less D. 250ppm
A
What type of bacteria develops spores? A. Gram-positive B. Gram-negative C. Both of the above D. Neither of the above
A
What word element tells the primary meaning of a word? A. Root B. Suffix C. Prefix D. combining
A
Which of the following activities is typically the primary responsibility of the Central Service department? A. manufacture sterile supplies B. distribution C. procurement D. inventory control
A
Which of the following are cleaned by multi-enzymatic cleaning products containing lipase? A. Fats B. sugars C. enzymes D. Protein soils
A
Which of the following are removed by water softeners? A. Calcium and magnesium B. Iron and pyrogens C. Silicates and pyrogens D. Chloride and iron
A
Which of the following can be sterilized in Hydrogen peroxide and ozones? A.Tyvek pouches B.Kraft-type paper pouches C.Paper-plastic pouches D.Canvas pouches
A
Which of the following factors is a reason for assigning an expiration date to a product? A. package degradation B. product labeling C. expiration date D. product stability
A
Which of the following is NOT a reason for tracking supplies, equipment and instruments? A. meet CDC and OSHA requirements B. assist with quality processes C. measure item usage D. ensure that items can be quickly located
A
Which of the following is NOT a requirement of the OSHA Bloodborne Pathogen Standard? A. Use engineering controls to prevent biohazard exposures B. Keep biohazards areas locked C. Observe standard precautions D. Provide hepatitis B vaccine to employees at no cost
A
Which of the following is not an acceptable sterilization packaging material? A.Canvas B.Muslin C.Twills D.Barrier Cloth
A
Which of the following is the medical term for skin disease? A.Dermopathy B.Liposuction C.Colectomy D.Arthroscopy
A
Which of the following refers to a state of being free from disease-causing microorganisms? A. Asepsis B. HIA-control C. Infection prevention D. Infection control
A
Which of the following would you consider the most efficient type of dry heat sterilizer? A.the mechanical convection sterilizer B.the gravity convection sterilizer C.the special purpose dry heat oven D.the dynamic air removal sterilizer
A
Which of these refers to the use of heat to kill all microorganisms A. Thermal Disinfection B. High-level Disinfection C. Mechanical Disinfection D. high-voltage disinfection
A
Which of these will not be considered employability skill expected of Central Service Technicians? A.Good personal reference B.Have problem solving and decision making skill C.Use critical thinking skills to formulate solutions D.Listen attentively to verbal instructions for accuracy
A
Which organization develops nationally recognized Standards, Recommended Practices and Guidelines for the PeriOperative setting? A. AORN B. AAMI C. OSHA D. FDA
A
Why is the admission, discharge and transfer (ADT) system important to CS technician? A. It provides patient census information B. It provides patients medical record to CS technicians C. It is used by CS technicians to obtain inventory control information D. Provides location of medical equipment
A
A healthcare facility in Rochester, New York had crutches and canes shipped directly to the Physical Therapy Department. This is an example of what type of distribution system? A.Emergency requisition B.Stocess C.PAR leklvel D.Flash
B
Impregnated gauze strips may be sterilized using: A. Steam Sterilization B. Dry Heat Sterilization C. Ethylene Oxide Sterilization D. Hydrogen Peroxide Gas Plasma Sterilization
B
The bacterial reproductive process that takes place when a mother cell divides into two daughter cells is known as A.Reproduction B.Binary Fission C.Replication D.Division
B
The optimum amount of a supply to order is called the A.cycle count B.economical order quantity C.perpetual inventory count D.reorder point
B
The process by which Ethylene Oxide (EtO) destroys microorganisms resulting in the inability of the cell to normally metabolize, reproduce or both is known as: A.Sterilization B.Alkylation C.metabolization D.Deoxidation
B
The quality process that uses the DMADV/DMAIC processes to improve processes is known as: A. Root cause analysis B. Six Sigma C. Quality indicators D. Quality control
B
The recommended temperature for steam sterilization for tabletop and gravity air displacement sterilizers is approximately A. 260-degrees F or 126-degrees C B. 250-degrees F or 121-degrees C C. 240-degrees F or 115-degrees C D. 230-degrees F or 110-degrees C
B
The relative humidity of the sterile storage area should be: A. less than 80% B. less than 70% C. less than 50% D. less than 30%
B
To prevent coagulation of proteins, water temperature should be: A.below 24°C (75°F) B.below 43°C (110°F) C.above 43°C (110°F) D.below 100°C (212°F)
B
What is the minimum relative humidity to ensure adequate moisture contact for steam sterilization? A.96% B.97% C.98% D.99%
B
What is the most cost effective method of processing surgical instrumentation and equipment? A.Vapor phase hydrogen peroxide B.Steam sterilization C.EtO D.Hydrogen peroxide gas plasma
B
What is the procedure used by healthcare facilities to confirm that sterilization recommendations from the manufacturer can be successfully undertaken in the hospital setting ? A. Certification B. Verification C. Authentication D. Authorization
B
What should be the minimum air exchange rate per hour for work areas in which EtO sterilizers are located? A.5 Changes B.10 Changes C.15 Changes D.20 Changes
B
What type of hepatitis vaccine is strongly recommended for most healthcare workers? A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis D
B
Which of these statements about microorganisms is true? A. Healthy humans do not carry microorganisms B. Microorganisms are necessary for life C. Microorganisms die within one day of leaving the body D. All microorganisms are harmful to humans
B
Which of these the following order indicates items are needed immediately, or at once ? A.STOCK B.STAT C.CASE CART D.REQUISITION
B
Which organization provides ST91 comprehensive guide to flexible and semi-rigid endoscope processing in health care facilities? A. ASGE B. AAMI C. AORN D. SGNA
B
A proactive process designed to predict and prevent future adverse outcomes A. Lean B. Root Cause Analysis C. Failure mode and effect analysis D. Six Sigma
C
A proactive process designed to predict and prevent future adverse outcomes A.Lean B.Root Cause Analysis C.Failure mode and effect analysis D.Six Sigma
C
CS technician must inspect endoscopes for cracks and exposed wires to ensure the ______is not compromised A. installation B. assembling C. insulation D. instrument software
C
Central Service technicians assigned to the clean assembly, and sterile storage area should wear A. Fluid-resistant gowns B. Fluid resistant shoe Covers C. Surgical Scrubs and Hair Covering D. Utility gloves
C
Cleaning instructions must be ______. A.Verified by the manufacturer B.Verified by the FDA C.Validated by the manufacturer D.Validated by the FDA
C
Compliance with OSHA is A. an opinion of an expert B. optional C. required by law D. doing what you think is right
C
Dry steam in a sterilizer cycle causes A.expired linen packs to be re-sterilized much quicker B.Wrapped items in the sterilizer to remain hot much longer and microorganisms killed quicker C.Items in the sterilizer to remain dry and microorganisms cannot be killed readily D.Items in the sterilizer to remain dry and microorganisms killed readily
C
During handwashing, hands should be lathered and scrubbed for at least: A. 10 seconds B. 15 seconds C. 20 seconds D. 30 seconds
C
Hard water stains appear on instruments as: A.A chalky build-up B.A bluish stain C.Water spots D.A rainbow-type stain
C
How does biofilm impact the cleaning process? A. It can contaminate the air in Central Service areas B. It encourages rust and stains C. It prevents antimicrobial agents from reaching microorganisms D. All of the above
C
How frequently should a sterilizer's strainer be removed and cleaned? A.once weekly B.only when the machine`s operating control gauge indicates cleaning is necessary C.daily D.after each use
C
How should misunderstanding between the CS department and the user department be resolved? A. Issue should be ignored until it begins to impact the departments operations B. The CS technicians should attempt to address the issue themselves C. Issue should be left for the department heads to resolve D. An outside agency should be invited to address the issue
C
In cleaning and sterilization process of instruments, final rinse refers to A. Final cleaning of instruments in detergents before they are placed in the sterilizer B. The final rinse cycle of the sterilizer C. Removing chemical residues and debris from instrument with deionized or reverse osmosis water D. Thoroughly cleaning the instruments with softened water
C
In order to elevate the temperature in a steam sterilizer, which of the following must be done? A.decrease the steam pressure B.achieve ambient pressure C.increase the steam pressure D.inject boiler amines
C
Inoperative patient care equipment should A.Marked with `Use with Caution` tag B.Have its settings adjusted C.Be tagged and sent to biomedical engineering D.Be disassembled
C
Mesophile is an organism that grows best at body temperature of A.57 degrees F B.58 degrees F C.98 degrees F D.118 degrees F
C
Packaging material should be held at what temperature prior to sterilization? A. 30 degrees F to 60 degrees F B. 55 degrees F to 65 degrees F C. 68 degrees F to 73 degrees F D. 65 degrees F to 82 degrees F
C
Procedures performed to eliminate the presence of all microorganisms and or to prevent the introduction of microorganisms into an area A. Disinfection B. Decontamination C. Surgical asepsis D. Medical asepsis
C
Services provided by Central Service personnel are generally: A.Affected by fewer guidelines because the profession has matured B.Of decreasing importance because of automation C.Absolutely essential for proper patient treatment D.Helpful
C
Strict labeling requirements on manufacturers of chemicals used by Central service departments are imposed by A.FDA B.AORN C.EPA D.OSHA
C
Tetanus which does not require free oxygen to grow is classified as: A.Aerobic B.Vegetative C.Anaerobic D.Cytoplasm
C
The activities of reprocessing soiled goods and sterilizing devices to make them ready for the next procedure are conducted in _______ A. The decontamination area B. Various department of the health facility C. A centralized location of the health facility D. The surgery room
C
The activities of reprocessing soiled goods and sterilizing devices to make them ready for the next procedure are conducted in _______ A.The decontamination area B.Various department of the health facility C.A centralized location of the health facility D.The surgery room
C
The amount of EtO that remains inside material after sterilization is called: A.Leftover B.Sediment C.Residual D.Silt
C
The distribution system which involves replacing a freshly loaded supply cart for an identical cart that has been depleted on a patient unit is called : A. Requisition system B. Case cart system C. Exchange cart system D. Max cart system
C
The first thing the CS technician should do upon receiving a loaner instruments is to A. Sign the inventory control sheet accompanying the delivery B. Send them to storage C. Inspect them D. Send them to decontamination area for sterilization
C
The inside of the sterilizer chamber should be cleaned with A. Abrasive sponge B. Steel wool C. Lint-free soft material D. Cotton wool
C
The inventory system used to facilitate the accurate tracking of inventory using bar codes or radio frequency identification is called: A. JIT system B. par-level C. automated inventory tracking systems D. min/max system
C
The most frequent cause of Central Service errors is probably: A.incorrect instrument storage procedures B.improper instrument transportation C.cutting corners D.ineffective preventive maintenance
C
The number of times per year that inventory is purchased, consumed, and replaced is called A. Inventory replenishment rate B. Inventory fulfillment rate C. The inventory turnover rate D. Inventory acquisiton rate
C
The number of times per year that inventory is purchased, consumed, and replaced is called A.Inventory replenishment rate B.Inventory fulfillment rate C.The inventory turnover rate D.Inventory acquisiton rate
C
The percentage of items filled when an order is placed is called: A.inventory stock out rate B.par-level C.inventory service level D.economic order quantity
C
The period of time during which a sterile item is considered safe to use is known as A.product stability B.expiration date C.shelf life D.use life
C
The process by which microorganisms reproduce is known as: A. Binary fusion B. Bilateral Reproduction C. Binary Fission D. Multiplication
C
The process by which the stomach muscles contract to propel food along the alimentary canal is called A.regurgitation B.secretion C.peristalsis D.absorption
C
The responsibility of reporting suspected medical device-related deaths to the FDA lies with: A. The hospital B. The device manufacturer C. Both A and B D. None of the above
C
The sharpness of Kerrison and laminectomy ronguers is tested with A. Red test material B. Rubber testing material C. An index card D. A plastic dowel rod
C
Water purification usually involves the use of a: A.Pre-and post-filter B.Pre-filter or post-filter C.Pre-filter D.Post-filter
C
What FDA program is used by healthcare professionals to notify FDA about medical device malfunctions? A.Whistle blower B.Case cart C.Medwatch D.device assessment system
C
What is the OSHA's Permissible Exposure Limits (PELs) for low temperature sterilants? A.2-hour TWA B.5-hour TWA C.8-hour TWA D.12-hour TWA
C
What is the correct action to take if a written item needs to be removed from the load record? A. rewrite the entire record B. cross off the item C. draw a line through the item and initial D. use a white out pen
C
What is the function of wicking materials ? A.hold water away from the bottom of instrument trays B.dry instruments before sterilization C.cushion instruments from the extreme force in steam sterilizer chambers D.allow air removal, steam penetration and facilitate drying
C
What is the largest part of the human brain that controls mental activities? A.Cerebellum B.Brain Stem C.Cerebrum D.Cranium
C
What is the pathway that food takes through the digestive system? A. Trachea B. Fallopian tube C. Alimentary Canal D. Esophagus
C
What is the pathway that food takes through the digestive system? A.Trachea B.Fallopian tube C.Alimentary Canal D.Esophagus
C
What is the purpose of a suction stylet? A.provide a measuring guide for the surgeon B.clean the suction in the decontamination area C.unclog the suction during surgery D.facilitate the sterilization process
C
What is the purpose of decontamination? A. Minimize cellular inflammation B. Ensure devices are functioning properly C. Render devices safe for handling without protective equipment (PPE) D. Expose devices to a microbiocidal process
C
What is the purpose of using instrument stringers? A.For protecting the instruments in the instrument tray B.For grouping instruments according to their functions C.For keeping hinged instruments in open positions D.For arranging instruments so they can be easily removed from the tray
C
What is the recommended temperature for the sterile storage area? A. 15°C (59°F) B. 20°C (68°F) C. 24°C (75°F) D. 30°C (86°F)
C
What is the relative humidity of the decontamination area? A.80 to 90% B.70 to 80% C.30 to 60% D.20 to 30%
C
What medical device class do heart valves and pacemakers fall under ? A. Class I B. Class II C. Class III D. Not regulated
C
What medical device class do heart valves and pacemakers fall under ? A.Class I B.Class II C.Class III D.Not regulated
C
What mode of bacteria transmission applies to microorganisms transmitted by contaminated items such as food, water and water? A.Contact B.Vector-borne C.Common Vehicle D.Airborne
C
What should be done if a reusable sterile basin set is dropped on the floor? A. check it to be sure that it did not break B. return it to the shelf to be used first C. send it to be reprocessed D. check it to be sure that it did not break
C
When placing packages on shelves, heavy items should be placed A.on the lowest shelf B.on the top shelves C.on the middle shelves D.on any shelf
C
Where should the Bowie-dick test be placed in a sterilizer rack? A. Placed on the top shelf of the rack B. placed outside the sterilizer chamber C. placed on the bottom shelf over the drain D. none of the above
C
Which agency requires medical device manufacturers to provide end users in healthcare with specific instructions on how to clean and sterilize their products? A.AAMI B.AORN C.FDA D.OSHA
C
Which class of disinfectants do Phenolics belong to? A. Sterilizers B. High-level disinfectants C. Intermediate to low-level disinfectants D. Intermediate to high level disinfectants
C
Which healthcare department is responsible for researching, ordering and managing inventory for their facility? A. Central Service department B. Inventory department C. Material management department D. Supplies department
C
Which of the following about battery powered surgical instruments is true? A. should be cleaned using a mechanical washer B. should only be washed under water with the batteries removed C. Cannot be immersed D. should be cleaned at the point of use
C
Which of the following can be used to monitor the efficiency of automated mechanical washer? A. Cycle completion time B. Cycle print out C. Cycle temperature D. Cycle steam production
C
Which of the following glands is considered the "master gland" and is located at the base of the brain? A.Thyroid B.Adrenal C.Pituitary D.Pancreas
C
Which of the following indicates water's ionic (electrical) charge? A.ionization B.pH C.Conductivity D.turbidity
C
Which of the following is a requirement of the OSHA Bloodborne Pathogen Standard? A.Transport contaminated items in open, puncture-proof containers B.Keep biohazards areas locked C.Provide hepatitis B vaccine to employees D.Provide lockers for CS technicians
C
Which of the following is not an acceptable form of instrument marking? A.Acid base etching B.Heat fused nylon C.Engraving D.Electric etching
C
Which of the following is not considered to be a category of quality control indicators in Central Service? A.Administrative B.Customer satisfaction C.Supply D.Technica
C
Which of the following is the most important factor necessary for teamwork? A. promptness B. loyalty C. attitude D. dedication
C
Which of the following is used to remove chloride from water? A.Descalers B.Chelating agents C.Granular Activated Charcoal D.Enzymatic detergent
C
Which of the following is used to treat the final rinse water used for cleaning? A.Vaporization B.Distillation C.Deionization D.Reverse osmosis
C
Which of the following monitoring methods verifies that conditions within the load were adequate to kill bacterial spores? A. mechanical B. administrative C. biological D. chemical
C
Which of the following packaging materials should not be used in hydrogen oxide sterilizers A. Polyolefin plastic B. Tyvek C. Paper containing cellulose D. None of the above
C
Which of the following packaging materials should not be used in hydrogen oxide sterilizers A.Polyolefin plastic B.Tyvek C.Paper containing cellulose D.None of the above
C
Which of the following steps in reprocessing flexible endoscopes is correct? A. manual cleaning, high level disinfection B. manual cleaning, leak testing, high level disinfection C. manual pre-cleaning, leak testing, manual cleaning, high level disinfection D. manual pre-cleaning, leak testing, high level disinfection
C
Which of the following sterilization cycles uses a mechanical air remover A.IUSS B.Prevacuum C.Gravity D.SFPP
C
Which of the following systems generates automated request for patients care items? A. Electronic medical record B. Supply chain management systems C. Centralized patient order entry system D. Asset management system
C
Which of the following tracking methods provides real time information? A. laser-etched bar codes B. standard bar code C. RFID D. dot matrix applications
C
Which of the following when present in water cause bluish or rainbow-type stains on surgical instruments? A. Fluoride B. Chlorides and magnesium C. Iron and silicates D. Calcium
C
Which of these organism can be killed by using a low-level disinfection? A. Spores B. Prions C. vegetative bacteria D. Mycobacteria
C
Which organ is responsible for filtering the blood to remove amino acids and neutralize some harmful toxins? A.Kidney B.Gall bladder C.Liver D.Pancreas
C
Which phase of Ethylene oxide cycle is the residual gas removed from the instruments? A.Evacuation B.Conditioning C.Aeration D.Exposure
C
Which quality assurance technique is used to analyze circumstances that led to an unwanted event and identify underlying process flaws? A.cause and effect process B.cause assessment process C.root cause analysis D.critical situation analysis
C
Which surgical procedure removes tissue or displaced bone from the wrist to release pressure on the median nerve? A. Ulner Nerve Transposition B. Fasciotomy C. Carpal Tunnel Repair D. Arthrotomy
C
Who is responsible to check patient equipment before it is cleared for patient use when the equipment enters a healthcare facility? A. Central Service Director B. Central Service Technician C. Biomedical Technician D. Infection Control Committee member
C
Who must ensure and verify that devices requiring sterilization have been validated for use in the sterilizers available at a specific facility? A. Device manufacturers B. Sterilization equipment manufacturers C. User facility personnel D. EPA administrators
C
Why does the ultrasonic tank needs to be degassed? A.Excess bubbles make it difficult to see items being cleaned. B.Excess bubbles decrease the temperature of the tank C.Excess bubbles from filling reduce the energy of the cavitation process D.Excess bubbles reduce the effectiveness of the detergent
C
A prion is which of the following? A.Virus B.Bacteria C.Fungus D.None of the above
D
A process that looks backwards at an event to help prevent it from reoccurring is known as: A.Troubleshoot B.Assessment C.Reverse analysis D.Root Cause Analysis
D
A set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin and mucous membranes is called A. Standard Operating Procedures B. Prevention Procedures C. Disease Control Rules D. Standard precautions
D
A solution with pH of 0 to 6 is said to be A.Turbid B.Neutral C.Alkaline D.Acidic
D
A voluntary international organization that develops and publishes standards submitted by its members to make the industry more effective and efficient A.ANSI B.OSHA C.WHO D.ISO
D
According to Spaulding classification ________ are classified as non-critical A. Flexible endoscope B. Cardiac Catheter C. Implant D. Blood pressure cuff
D
Another name for the THROAT is: A. Larynx B. Esophagus C. Trachea D. Pharynx
D
Another name for the THROAT is: A.Larynx B.Esophagus C.Trachea D.Pharynx
D
At the end of the sterilization cycle, the EtO cartridges and the gloves used to handle them should be A.disinfected B.washed C.irradiated D.aerated
D
Customer complaints are best handled through which of the following approaches? A.Procedure compliance tactics B.Empowerment C.Uniform implementation of policies D.Service recovery
D
Doors and windows must be shut in the decontamination area A.To make the technicians feel comfortable in their PPE B.To maintain humidity C.To maintain temperature D.To maintain air pressure
D
Failure to remove all air from a package within the steam sterilizer will result in A.drying out of the packaging material B.poor adherence of the autoclave tape C.wet packs D.poor steam penetration
D
For successful steam sterilization, the steam pressure on the chamber and jacket gauges during the exposure phase of the cycle for a 270 degree F ( 132 degree C ) should be: A. 15 psig B. 20 psig C. 25 psig D. 27 psig
D
How should paper-plastic peel pouches be placed in the sterilizer? A. paper side down B. on the bottom shelf C. plastic side down D. on their edge
D
In medical parlance, the term "hemi" is a: A.Suffix B.Connector C.Root D.Prefix
D
The Bowie Dick test is considered a _________indicator A.Mechanical B.Biological C.Class I chemical D.Class II chemical
D
The act of granting authority to employees to make decisions within their areas of responsibility is called: A. authorization B. proxy C. delegation D. empowerment
D
The basic parameters of gas sterilization in a 100% EtO sterilizer are concentration, exposure time, A. vacuum and aeration B. vacuum and pressure C. humidity and aeration D. humidity and temperature
D
The inventory system that uses two identical carts to facilitate supply replenishment is called the A. Par-level system B. Requisition system C. Case cart system D. Exchange cart system
D
The most common reason for steam sterilization failure is A.inadequate drying time B.inadequate exposure time C.lack of steam contact with the instrument D.insufficient temperature
D
The most significant cause of instrument processing errors is: A. inadequate Central Service budgets B. uncooperative surgical suite personnel C. lack of proper processing equipment D. improperly trained personnel
D
The process of pre-cleaning should begin: A.Immediately after instruments are inspected B.As soon as devices reach the Central Service area C.Before items are sorted D.Immediately after the completion of an invasive procedure
D
Ultrasonic cleaners use the process of A. Alkylation B. Impingement C. Passivation D. Cavitation
D
Vital organs in the body are protected by? A. Circulatory system B. Muscular system C. Endocrine system D. Skeletal system
D
What are the characteristics of a marker that should be used for labeling? A.Indelible, bleeding and non-toxic B.It should be non-bleeding, delible, non-toxic C.It should be delible, non-bleeding and non-fading D.It should be indelible, non-toxic and non-bleeding
D
What happens if there is a discrepancy between the IFU and current standards and recommended practice on the use of a device? A. IFU will override professional standards B. Professional standards will override IFU C. Technician should use his judgement D. Scientific judgment be applied to make the best medical decision that promotes the safety of patient
D
What is not true about the used of mechanical washers? A.Trays with lids should be opened B.Instruments should be disassembled and opened C.Multi-level trays should be separated D.All items should be washed on the same cycle
D
What is the number of air exchanges in the sterile storage area per hour? A. 10 air exchanges per hour B. 8 air exchanges per hour C. 6 air exchanges per hour D. 4 air exchanges per hour
D
What is the preferred pH for detergent used for most cleaning processes? A.High pH B.Low pH C.It depends on the water temperature and exposure time. D.Neutral pH
D
What is the process by which cartilage is replaced by bone? A.Cartisclerosis B.Solidification C.Calcification D.Ossification
D
What is the purpose of the paper side of a peel pouch? A. To allow direct visualization of the contents B. To allow air removal C. To allow the sterilant to enter the pouch D. B and C above
D
What is the purpose of the paper side of a peel pouch? A.To allow direct visualization of the contents B.To allow air removal C.To allow the sterilant to enter the pouch D. B and C above
D
When CS technicians receive prepackaged sterile items from outside the facility, they should check A. check for the cost of the items B. check for name of the manufacturer C. check for the safety of items D. for expiration date
D
When loading a steam sterilizer, linen packs should be A.Placed on the lowest shelf B.Placed flat on the shelf C.Parallel to the shelf D.Perpendicular to the shelf
D
When should cleaning and decontamination begin? A. During use B. Within 24 hours of use C. Upon arrival in the decontamination area D. At the point-of-use
D
Where should 100% ethylene oxide gas canisters be stored? A. Outside the building B. In the deep freezer C. next to the fire extinguisher D. in a chemical storage cabinet
D
Which agency regulates reprocessing of single-use devices A.AORN B.SGNA C.AAMI D.FDA
D
Which area of the Central Service are items delivered once the items are safe for handling without the need for wearing protective attire? A.Storage B.Distribution C.Decontamination D.Preparation and Package
D
Which is true about protein tests to verify instrument cleanliness? A.A test strip is inserted inside the lumen B.They can detect the presence of biofilm C.They use the flush method D.B and C
D
Which of the following agencies regulate EtO? A. OSHA, CDC, EPA B. OSHA, JC, CDC C. OSHA, AAMI, CDC D. OSHA, EPA, FDA
D
Which of the following are classified as high-level disinfectants? A.Glutaraldehyde and Phenolics B.Quaternary ammonium compounds and phenolics C.Halogens and OPA D.Glutaraldehyde and OPA
D
Which of the following disinfectants is also known as a "wetting agent?" A. alcohol B. phenolics C. halogens D. quaternary ammonium compounds
D
Which of the following is atypical of decentralized supply system? A.Efficient time management B.Overstocked supply C.Efficient use of space D.A and C
D
Which of the following is not true about the storage areas? A. Temperature should be approximately 24ºC (75ºF). B. There should be at least 4 air exchanges per hour C. Relative humidity should be controlled and not exceed 70%. D. Sterile packages should be stored at least 1 foot from the floor
D
Which of the following is used to efficiently dispense surgical instruments from the Central Supply and Processing department to the Operating rooms? A.Instrument delivery system B.Instrument trucking system C.Material management transportation system D.Safe cart system
D
Which of the following medical terms is not a root word element? A. Litho B. Hyster C. Cardio D. Hemi
D
Which of the following packaging materials is not recommended for EtO sterilization? A. paper plastic pouches B. tyvek C. polypropylene D. nylon
D
Which of the following suffixes means "incision into"? A. -ectomy B. -scopy C. -ostomy D. -tomy
D
Which of the following techniques for brushing instruments should be used? A. Brushes made of wire are the best because of their exceptional cleaning ability B. Brushing should be done above water C. Brushing should be done against the grain of the device D. Brushing should be done under water
D
Which of these carry blood away from the heart? A.Veins B.Aorta C.Liver D.Arteries
D
Which of these factors are necessary for a successful steam sterilization? A. Temperate, moisture, pressure B. Time, contact, pressure C. Moisture, temperature, pressure D. Temperature, time, contact
D
Which of these steps is the first of the activities that take place in the decontamination area? A.Cleaning B.Sorting C.Soaking D.Receiving
D
Which organization has established standards for the effective processing of flexible endoscopes? A. AORN B. WHO C. FDA D. SGNA
D
While cleaning a monitor, you noted that a cord is frayed. What action should you take? A. continue to use until it can be sent for repair B. affix a repair tag and discontinue use C. tape with electrical tape D. discontinue use, decontaminate, and send for repair
D
manage activities at the central service department? A.Central Service Technologist B.The coordinator of central services C.The supervisor of central servicesD.The director of central services
D
