Final Review Chapter 18
Which of the following must be resterilized? A pack that has been crushed. A pack that is torn. All are correct. A pack that has been dropped. A pack that has opened up.
A pack that has been crushed. A pack that is torn. A pack that has been dropped. A pack that has opened up
What is the term for an agent that is applied to inanimate objects to kill disease-producing microorganisms? Antiseptic Fungicide Detergent Disinfectant
Disinfectant
What type of water should be used in the autoclave? Distilled water Salt water Mineral water Tap water
Distilled water
Which of the following statements is NOT true regarding cold sterilization with a chemical agent? The chemical must be designated as a sterilant by the EPA. It is the preferred method for sterilizing instruments with sharp cutting edges. Items must be submerged in the chemical for 6 to 24 hours. Each time a new item is added to the chemical, the clock must be reset for the entire amount of time.
It is the preferred method for sterilizing instruments with sharp cutting edges.
Why should a chemical not be used past its expiration date? It may leave residue on an instrument It may cause an instrument to malfunction It may cause stains on an instrument. It may lose its potency.
It may lose its potency.
What is the purpose of lubricating an instrument? Reduces the time needed to sterilize the instrument. Makes the instrument last longer and function better. Assists in killing pathogens on the instrument. Prevents rusting of the instrument.
Makes the instrument last longer and function better.
What should be used when cleaning the surface of an instrument? Soft cloth Stainless steel wire brush Nylon brush Antiseptic wipe
Nylon brush
Which of the following is accomplished through sanitization? All microorganisms are removed from the article. Spores are killed. The article is sterilized. Organic matter is removed from the article.
Organic matter is removed from the article.
Which of the following should be used to disinfect a laboratory work surface? Phenol Soap and water Glutaraldehyde Iodine
Phenol
Which of the following represents an error in technique when loading the autoclave? Positioning sterilization pouches on their sides Placing small packs ½ inch apart Placing a dressing pack in a vertical position Placing glassware on their sides
Placing small packs ½ inch apart
Which of the following is true regarding a SDS? Provides information regarding hazardous chemicals. Must be readily available to employees. Available from the manufacturer of the hazardous chemical. Must be kept on file for each hazardous chemical stored in the workplace. All are correct.
Provides information regarding hazardous chemicals. Must be readily available to employees. Available from the manufacturer of the hazardous chemical. Must be kept on file for each hazardous chemical stored in the workplace.
Which of the following represents an error in technique during the sanitization procedure? Keeping sharp instruments separate from other instruments Using a low-sudsing detergent Using steel wool to remove stains from an instrument Cleansing the grooves of hinged instruments with a wire brush
Using steel wool to remove stains from an instrument
All of the following are characteristics of GHS pictograms except: consist of standardized graphic symbols. allow for quick identification of hazards associated with chemicals. identifies the proper handling and storage of chemicals. consists of 8 different pictograms.
identifies the proper handling and storage of chemicals.
Sterilization strips should be positioned: on the bottom tray of the autoclave. on the top tray of the autoclave. in the center of the wrapped pack. on the outside of the pack.
in the center of the wrapped pack.
Autoclave tape: ensures whether sterilization has occurred. indicates whether the article was in the autoclave. can be used only to close the pack. plays "Jingle Bells" when it has been exposed to steam.
indicates whether the article was in the autoclave.
Dry heat is preferred for sterilizing: instruments with sharp cutting edges. flexible sigmoidoscopes. disposable syringes. vaginal specula.
instruments with sharp cutting edges.
The agent used to destroy microorganisms on an article depends on the: intended use of the article. size of the article. weight of the article. number of microorganisms present on the article.
intended use of the article.
The most common temperature and pressure used for autoclaving is: 145° F at 20 pounds of pressure/square inch. 250° F at 15 pounds of pressure/square inch. 212° F at 15 pounds of pressure/square inch. 320° F at 20 pounds of pressure/square inch.
250° F at 15 pounds of pressure/square inch.
The recommended exposure time and temperature for a dry heat oven is: 320° F for 15 to 20 minutes. 320° F for 1 to 2 hours. 212° F for 20 to30 minutes. 250° F for 1 hour.
320° F for 1 to 2 hours.
Which of the following is used most often to sterilize articles in the medical office? Dry heat oven Autoclave Ethylene oxide sterilizer Chemical agents
Autoclave
Which of the following is the best means of determining the effectiveness of the sterilization process? Biologic indicators Autoclave tape The temperature gauge on the autoclave Sterilization strips
Biologic indicators
Utility gloves over clean disposable gloves should be worn during the sanitization procedure to protect the hands from: Bloodborne pathogens Irritating chemicals All are correct Infectious materials
Bloodborne pathogens Irritating chemicals Infectious materials
Which of the following items requires high-level disinfection? Surgical instruments Examining table Flexible fiberoptic sigmoidoscope Stethoscope
Flexible fiberoptic sigmoidoscope
Which of the following sterilization methods is often used by medical manufacturers to sterilize disposable items? Ethylene oxide gas Cold sterilization Dry heat oven Autoclave
Ethylene oxide gas
Which section of SDS includes information on the personal protective equipment that should be used with the hazardous chemical? Exposure controls/personal protection Regulatory information Stability and reactivity Accidental release measures
Exposure controls/personal protection
Which section of SDS includes information on the care to administer to an individual who has been exposed to the hazardous chemical? Exposure controls/personal protection Accidental release measures First-aid measures Regulatory information
First-aid measures
Low-level disinfection cannot be used for which of the following? Examining tables Floors Flexible fiberoptic sigmoidoscope Countertops
Flexible fiberoptic sigmoidoscope
According to the Hazard Communications Standard, which of the following must be included on the label of a hazardous chemical? GHS hazard statements and precautionary statements GHS hazard pictogram All are correct Product identifier GHS signal word
GHS hazard statements and precautionary statements GHS hazard pictogram Product identifier GHS signal word
What is the term for a phrase that describes the recommended measures to be taken to minimize or prevent adverse effects resulting from exposure to a hazardous chemical? GHS signal word GHS hazard statement GHS hazard classification GHS precautionary statement
GHS precautionary statement
Which of the following indicates the degree of severity of a hazardous chemical? Product identifier GHS precautionary statement GHS signal word GHS hazard statement
GHS signal word
Which section of SDS includes the emergency telephone number of the manufacturer of the hazardous chemical? Accidental release measures First-aid measures Hazards identification Identification
Identification
How should sterilized packs be stored? In a clean dry area All are correct In an area free from dust and insects With the most recently sterilized article placed in the back
In a clean dry area In an area free from dust and insects With the most recently sterilized article placed in the back
How should sterilization indicators be stored? In the refrigerator In an airtight container In a warm, moist area In a cool, dry area
In a cool, dry area
Which of the following is true regarding the Globally Harmonized System of Classification and Labeling of Chemicals (GHS)? It is an international standard. Classifies chemicals according to their health and physical hazards. Provides consistency in the classification and labeling of chemicals. All are correct. Enables employees to quickly obtain information regarding hazardous chemicals.
It is an international standard. Classifies chemicals according to their health and physical hazards. Provides consistency in the classification and labeling of chemicals. Enables employees to quickly obtain information regarding hazardous chemicals.
What should be done if a sterilization indicator does not change properly? Review the manufacturer's guidelines for proper operation of the autoclave. Resterilize the article. Check for a problem with the sterilization technique. All are correct. Check the working order of the autoclave.
Review the manufacturer's guidelines for proper operation of the autoclave.
Which of the following is an example of a health hazard? All are correct Serious eye damage Reproductive toxicity Respiratory sensitization Skin corrosion
Serious eye damage Reproductive toxicity Respiratory sensitization Skin corrosion
Which of the following is an example of a critical item? Percussion hammer Tongue blade Surgical instrument Stethoscope
Surgical instrument
Which of the following indicates an instrument is defective and not in proper working condition? The blades of the instrument are bent. The cutting edge of a sharp instrument is smooth and devoid of nicks. The tips of an instrument approximately tightly when closed. All are correct. Thumb forceps have sufficient tension to grasp objects tightly.
The blades of the instrument are bent.
Which of the following is a characteristic of bacterial spores? They consist of a hard, thick-walled capsule. They represent a resting and protective stage. They usually cannot be killed by disinfectants. They are more resistant to heat. All are correct.
They consist of a hard, thick-walled capsule. They represent a resting and protective stage. They usually cannot be killed by disinfectants. They are more resistant to heat.
Which of the following is removed from an article during sanitization? Tissue Body fluids All are correct Blood
Tissue Body fluids Blood
Which section of SDS includes information on the signs and symptoms of overexposure to the hazardous chemical? Stability and reactivity Exposure controls/personal protection Physical and chemical properties Toxicologic information
Toxicologic information
Something that is sterile is free of: all living microorganisms. pathogens. all living microorganisms and spores. nonpathogens.
all living microorganisms and spores.
The purpose of the Hazard Communications Standard (HCS) is to ensure that employees: practice quality control when performing laboratory tests. do not come in contact with hazardous chemicals. are informed of the hazards associated with chemicals in the workplace. are protected from bloodborne pathogens in the workplace.
are informed of the hazards associated with chemicals in the workplace.
The wrapper used to autoclave articles should: be made of a substance that does not tear or puncture easily. all are correct. allow steam to penetrate it. be made of a substance not affected by the sterilization process. prevent contaminants from getting in during handling and storage.
be made of a substance that does not tear or puncture easily. allow steam to penetrate it. be made of a substance not affected by the sterilization process. prevent contaminants from getting in during handling and storage.
Removing a wet pack from the autoclave results in: invalid results on the sterilization indicator. all are correct. contamination of the pack. dulling of sharp instruments. rusting of metal instruments.
contamination of the pack.
The inside of the autoclave should be wiped every day with a: damp cloth. scouring pad. low-sudsing detergent. disinfectant.
damp cloth.
High-level disinfection is a process that: destroys all microorganisms except tubercle bacilli. destroys all microorganisms, but not spores. destroys all pathogenic microorganisms. destroys all microorganisms and spores.
destroys all microorganisms, but not spores.
The purpose of wrapping articles before they are sterilized in the autoclave is to: protect the articles from recontamination after autoclaving. permit better steam penetration during autoclaving. protect the articles from damage. all are correct. ensure complete destruction of all pathogens.
protect the articles from recontamination after autoclaving.
All of the following are characteristics of sterilization pouches except: they are reusable. a sterilization indicator is usually present on the pouch. they provide good visibility of the contents. they can be labeled.
they are reusable.
The proper time for sterilizing an article in the autoclave depends on: the intended use of the article. what is being sterilized. the type of sterilization indicator being used. the type of autoclave being used.
what is being sterilized.