Iahcsmm Exam Review #3
85. The OSHA PEL for Hydrogen peroxide is ____ ppm: - 5 - 10 - 1 - 15
1
101. The minimum required SAL for sterilant is: - 10-6 - -60 - 110-6 - -106
10 -6
71. Sterile items should be stored following these measurements except: - 2" away from exterior walls - 8-10" above the floor - 12- 15" from the ceiling - all the above
12"- 15" from the ceiling
56. Muslin is a broad term for plain-weave cotton having approximately ______ threads per square inch: - 80 - 140 - 100 - 40
140
129. When examing through the lens of the rigid or semi-rigid endoscopes with the paper, this paper should be held approximately ______ inches from the distal tip. - 2 - 3 - 5 - 6
3
115. The standard temperature where EtO turns to gas is ______ degrees F. - 53.1 - 51.3 - 35.1 - 55.3
51.3
66. Proper coil size for sterilizing air hoses should be _____ to _____ inches: - 5-6 - 8- 10 - 9-12 - none of the above
9- 12
77. Tests for sterilization that uses bacteria spores: - BI - CI - Ampulization Test - Print outs
BI
133. Used to harvest skin grafts and reshape skin surfaces: - gastroscope - colonoscope - micro drill - dental drill - dermatome/ dermabraider -cebatome -sternal saw
Dermatome/Dermabraider
137. Which of the following has been the primary sterilant of choice for items that cannot withstand steam since the 1960's . - plasma - ozone - autoclave - EtO
EtO
133. Used to visualize the entire large intestine: - gastroscope - colonoscope - micro drill - dental drill - dermatome/ dermabraider -cebatome -sternal saw
colonscope
157. Placing warm steriliex package on a cool surface will cause: - condensate to form - dry steam of teh sterilization process
condensate to form
72. Factors that can cause strilant contact failure with the instrument are: - cleaning, loosely packed load - conditioning, size and weight of the instrument - solid buttom containers, exposure time - crowded loads, clogged drain strainer
crowded loads, clogged drain strainer
119. Equipment shortages can be caused if CS technicians fail to perform soiled pickup rounds: - true - false
false
121. The three power sources of PSIs are steam, electric, and pneumatic: - true - false
false
125. Facing paper to paper is the recommended arrangement for peel pouches in the sterilizer: - true - false
false
151. Patient census information used in Central Service is obtained from the electronic health record: - true - false
false
36. All sonic cleaners have a decontamination cycle? - true -false
false
44. Hydrogen peroxide gas plasma is compatible with powders and paper: - true - false
false
45. At least, 20 minutes is the time recommended for hand washing. - true - false
false
50. Computer supply chain management systems are used to monitor facility assets: - true - false
false
52. Computerized tracking systems are fast but manual tracking systems are more effective for tracking: - true - false
false
63. Endoscope channel should be cleaned and then left moist for storage. - true - false
false
69. Canvas has been approved by FDA as one of the best sterilization packing materials: - true - false
false
75. Flexible endoscopes that fail a leak test may be used until the break impacts the scope's function. - true - false
false
76. Gauze squares are the wicking material of choice for instrument sets: - true - false
false
79. Cleaning brushes clean better when they are larger than the lumens: - true - false
false
80. Textile packaging requires less labor than disposble packing: - true - false
false
84. Communication skills involve only verbal and written? - true - false
false
86. Connective tissue of the body includes the skin: - true - false
false
92. Immediate use steam sterilization (IUSS) is the process to sterilize trays for future use. - true - false
false
97. Decentralization of Central Service in now a growing trend: - true - false
false
112. The product rotation used in the storage area of sterile processing is: - first out last in - last in first out - first in first out - none of the above
first in first out
47. Coaching is an example of: - formal communication - informal communication - discipline - mentoring
formal communication
78. Cholecystectomy is the removal of the: - urinary bladder - small bowel - gall bladder - stomach
gall bladder
114. During pasteurization ______ is used: - phenols - high level disinfectant - heated water - sterilization
heated water
57. Below refers to an anatomy or level that is termed: - hyper - iso - para - hypo
hypo
88. Contaiminated items are normally returned to the decontamination area: - in open cart - in a closed cart - with clean items only - with sterile items
in a closed cart
58. Electronic testing of laparoscopic insulation should be done: - in the decontamination area prior to cleaning - in the clean assembly area prior to set assebly - at the factory or on site repair unit - in the Operating room at the end of the procedure
in the clean assembly area prior to set assembly
46. Hydrogen peroxide is a popular low temperature sterilizatio method because of: - its long cycle times - its abundant residue - its short sterilization cycle -its high toxicity
its short sterilization cycle
135. For a Central Service technician to understanding what is asked when a request is made for a surgical procedure requires: - medical terminology - high level english vocabulary - clinical experience - managerial skills
medical terminology
133. Used in ear surgery and for driving very small wires through bone: - gastroscope - colonoscope - micro drill - dental drill - dermatome/ dermabraider -cebatome -sternal saw
micro drill
30. Ethylene oxide is: - less toxic than ozone - more toxic than hydrogen peroxide gas plasma - just as toxic as steam - safer to use than gas plasma
more toxic than hydropgen peroxide gas plasma
89. Immediate Use Steam Sterilization documentation should include: - the name of the patient for which the items were sterilized - sterilizer number and cycle - name of the instrument sterilized - all of the above
name of the patient for which the items were sterilized, sterilizer number and cycle, name of the instrument sterilized
110. Due to event related sterility stock rotation is ____ for effective inventory: - not necessary - necessary
necessary
105. Detergents for cleaning most surgical instruments are: - acidic - base - alkaline - neutral
neutral
93. Craniotomy is: - fixing of facial fractures - incision into the scalp - open reduction of the skull - open made into the skull
opeing made into the skull
113. Items to be disinfected or sterilized at the point of use must be: - properly cleaned per Manufacturer's Instructions for Use - semi-critical devices - non-critical devices - heat sensitive
properly cleaned per Manufacturer's Instructions for Use
55. Count sheets: - describe each instruments in detail - are used only for Operating Room trays and large procedures packs - provide a detailed list of tray contents - include manufacturer's Instructions for use
provide a detailed list of tray contents
61. Binary Fission is a method of: - sterilization - reproduction - ATP production - colonization
reproduction
91. The amount of EtO that remains inside a material after they are sterilized is the: - aeration - the toxicity level - the residue - unapplied sterilant
residue
111. The process of monitoring requires the "4 R's". What is the meaning of the "4 R's": - remember, retain, remind, respond - retain, remind, read, record - run, read, remember, record - run, read, recod, retain
run, read, record, retain
133. Used to perform specific cutting actions such as reciprocating or oscillating: - gastroscope - colonoscope - micro drill - dental drill - dermatome/ dermabraider -cebatome -sternal saw
saw
107. Dressing forceps have: - teeth - serrations - both serrations and teeth
serrations
59. Beneath the skin is termed: - hypoglycemia - asepsis - subcutaneous - hypoxia
subcutaneaous
53. Bacteria that develops into spores: - survive in adverse conditions - are similar to viruses - are gram positive - are very susceptible to high level disinfection
survive in adverse conditions
145. One of the most frequent causes of a clogged drain screen is: - tape - wrapper particles - poor steam - malfunctioning baffle plate
tape
109. Information regarding cleaning processes for endoscopes should be provided by: - the Society of Gastroenterology Nurses and Associates - the Association for Professionals in Infection Control and Epidemiology - the Instrument manufacturer - the Operating Room staff
the instrument manufacturer
62. No toxic sterilant residuals should be left on packaging devices after sterilization process is completed. - to increase - to reduce the sterilization time - to avoid safety risks to patients - to prevent bacterial kill
to avoid safety risks to patients
100. Demineralized (treated) water should be used to thoroughly rinse all traces of disinfectant from an endoscope: - true - false
true
102. Inadequate exposure time at the correct elevated temperature is a reason for sterilization failure? - true -false
true
103. Information Technology is often the cornerstome of initative to transform healthcare: - true - false
true
108. Information about chemical or hazardous substances must be available to all employees: - true - false
true
123. Everyone entering the CS Department has to comply with department dress code: - true - false
true
149. Packs that are improperly packaged or loaded on the sterilizer cart frequently become wet packs: - true - false
true
155. High level disfection done at the point of use requires logging: - true - false
true
27. All mechanical cleaning equipment provides consistent process: - true - false
true
33. All rigid sterilization containers have tamper-evident seals: - true - false
true
42. Hydrogen peroxide allows faster instrument turnaround time than EtO: - true - false
true
48. Bacteriz are larger than viruses: - true - false
true
54. Low temperature sterilization requires physical, chemical, and biological monitoring: - true - false
true
60. Nitrogen can be used for pneumatic power: - true - false
true
68. Relative humidity is a required cycle parameter for ozone and ethlene oxide: - true - false
true
87. Immediate Use Steam Sterilization (IUSS) should be used only when there is no time to process items using the wrapped method: - true - false
true
98. In addition to providing financial and operational management, information technology and systems are used to help ensure patient safety: - true - false
true
141. Gold handle instruments are called: - microgrind - supercut - serrated - tungsten carbide
tungsten carbide
117. Endometrium is the lining of the: - heart - lungs - uterus - fallopian tubes
uterus
127. Floors in central service must be _____ daily: - swept - wet-mopped - vacummed - washed
wet-mopped
147. The meaning of SAL is: - Safety Assurance Level - Sterility Assurance Limit - Sterilant Aeration Limit - Sterility Assurance Level
Sterility Assurance Level
74. Sterilization packaging is classified by the FDA as a ____ packaging. - Class 2 - Class 4 - Class 3 - Class 1
Class 2
131. When packaging instruments only materials approved by ______ are used. - FDA - OSHA - AAMI - Joint Commission
FDA
73. Chemical Indicators are class 2 devices and regulated by: - AAMI - CDC - AORN - FDA
FDA
132. Fluid Resistant gowns used in the decontamination area to protect technicians from splashes and spills are enforced by: - AAMI - AORN - EPA - OSHA
OSHA
81. Healthcare facilities are required by the ____ to provide adequate ventilation systems, personal protective equipemnt and safe work operating procedures. - EPA - FDA - OSHA - Centers for Medicare and Medicaid Services
OSHA
106. The probability of a viable microorganism being present on a product unit after sterilization is known as: - PEL - SAL - TWA - IDLH
SAL
94. Implantable devices: - should be sterilized in immediate use steam sterilization in extended cycles - should only be sterilized using ethylene oxide -require double cycle sterilization to ensure sterility - should not be sterilized by IUSS unless there is a tracking system in place to track the item to a patient
Should not be sterilized by IUSS unless there is a tracking system in place to trace the item to a patient
51. Information about a device's compatibility witha specific sterilization process should be obtained from: - OSHA handbook - AAMI Regulations - Hospital Policy Manual - The manufacturer
The manufacturer
83. The 8 hour TWA is the: - permissible exposure limits for 40 hours work week - 15 minutes short- term excursion - total allowable worker exposure during an 8-hour period - standard action level for 8 hours
Total allowable worker exposure during an 8-hour period
64. Endoscopes are often processed in a mechanical unit called: - an ultrasonic cleaner - a washer decontaminator - a flush pulse endoscope reprocessor - an automatic endoscope reprocessor
an automatic endoscope reprocessor
67. Ergonomic injuries: - are not a concern for Central Service employees - are rare in today's work environment - are a risk factor for persons who perform repetitive or physical work - happen only in the office setting
are a risk factor for persons who perform repetitive or physical work
96. The consequences of a non-sterile item being used during surgery: - is safe for the patient - can be life threatening - is life saving - must be approved by the director
can be life threatening
99. The microorganism of choice to test items sterilized by EtO method is: - tubercle bacillus - geobacillus stearothermophilus - bacillus atrophaeus - mycobacterium tuberculosis
bacillus astrophaeus
70. Cell is the: - atomic number of living room - a combination of molecules - DNA of a nucleus - basic unit of a living organism
basic unit of a living organism
104. The most accepted means for providing quality assurance for H202 sterilizers is: - biological indicator - chemical indicator - physical monitoring - tape indicators
biological indicator
82. How frequently should a sterilizer's strainer be removed and cleaned? - daily - after each use - once weekly - only when the machine's operating control guage indicates cleaning is necessary
daily
95. Damaged light fibers of an endoscope shows ____ areas: - white -green - silver -dark
dark
90. The _______ process is the most critical step in processing loaner instrumentation: - receiving - documentation - decontamination - shipping
decontamination
133. Used to repair and reconstruct teeth: - gastroscope - colonoscope - micro drill - dental drill - dermatome/ dermabraider -cebatome -sternal saw
dental drill
49. Bacteria require _____ to live and grow: - the same conditions - only warm temperatures - different conditions - over 1000 degrees F
different conditions
43. Central Service technicians who do not think they are being treated appropriately by their employer should: - find another job - discuss the problem with their co-workers - discuss the situation with their supervisor - accept the situation as the way things are done in the facility
discuss the situation with their supervisor
