board study

Which are the minimum parameters required when using steam sterilization at 15psi, using gravity displacement cycle: A . 250F @ 30 min B . 275F @ 30 min C . 275F @ 3min D 270F @ 15min

A . 250F @ 30 min

What color dots in the fiber optic light cables produce image indicates that there is damage to the glass: A . Black B . Blue C .Pink D. Purple

A . Black

34 The phase in steam sterilization where the amount of condensation in the chamber is reduced is: A . Conditioning Phase B . Exposure Phase C . Exhaust Phase D Drying Phase

A . Conditioning Phase

Reporting failure of non-compliance with policies and procedures is: A . Everyone's responsibility B . not an ethical thing to do C only documented when needed D . grounds for immediate termination of all involved

A . Everyone's responsibility

Patients who may be experiencing severe pain will probably need to control their pain ny using this type of device: A . PCA B . CPM C . SCD D . IV pump

A . PCA

An ongoing inventory management system is also known as : A . Perpetual Inventory system B . Total Inventory system C Manual Inventory system D Computerizes Inventory system

A . Perpetual Inventory system

Instruments infected with prions are quickly sterilized in which one of the following processes: A . Pre-vac cycle B. IUSS C Gravity-displacement D None of the above

A . Pre-vac cycle

Which of the following statements is CORRECT about the guidelines for measuring retractors: A . The length and the width of the blade us included B . Measured from the screw point to the tip of the rectractor and the blades length C . Measured from thr tip of the finger rings to the end of the jaw D . The length from the tip of the handle to the end of the finger ring is included

A . The length and the width of the blade us included

A package us received un SPD, it is then processed and dispensed to patient care. This is an example of: A . Work flow B . People flow C . Traffic flow D . Traffic control

A . Work flow

The parameters on the physical read out stated: 4 min @270 and 28-30psi in pre-vac for a routine load, the SPD tech will need to: A . continue working, parameters are correct B increase the time C put the sign out-of -order on D decrease the time

A . continue working, parameters are correct

Proper PPE is required by OSHA and covered garment attire should be worn: A . in the decontamination area B . in prep & packaging only C . In the cafeteria D . Outside the facility

A . in the decontamination area

Sonic-irrigators are specifically designed to be used with: A . items containing lumens B . flexible endoscopes only C rigid endoscopes only D TOSI line of products only

A . items containing lumens

Ergonomics refers to designing the equipment and tasks to conform to: A . the workers physical abilities B . the patients needs only C . facilities budget preferences D . getting the job done quickly

A . the workers physical abilities

Ideally what type of mechanical equipment is used to disinfect an instrument after processing it in an ultrasonic cleaner: A . washer-decontaminator B. pre-soaking sink C. washer sterilizer D. indexing washer

A . washer-decontaminator

When marking and instrument, which of the following methods should never be used: A Engraving B Surgical marking tape C Color bonded handle D . Chemical etching

A Engraving

Which of the following shows the CORRECT order of phases of EO sterilization: A. Vacuum, Humidification, introduction of sterilant, exposure, final vacuum, aeration B. Vacuum, humidification, exposure, introduction of sterilant, final vacuum aeration C. Vacuum, exposure, humidification, introduction of sterilant, final vacuum aeration D. vacuum, humidification, introduction of sterilant, final vacuum, aeration

A Vacuum, Humidification, introduction of sterilant, exposure, final vacuum, aeration

A request was made by a ward nurse for a pediatric patient with a temp of 106 F, to help regulate the patient's temperature, what type of patient care equipment will be requested: A. Hypothermia machine B. Hyperthermia machine C. Heating pads D. Emerson pump

A. Hypothermia machine

Par level distribution system quantities should be based on: A. actual use B. Weekly average use C. Monthly average use D. actual facility budget

A. actual use

Ideally, prepared glutaraldehyde solutions are disposed of: A. after 14-28 days B. after 30 days C. every time used D. when the solution turns blue

A. after 14-28 days

MEC testing of high level disinfectants is ideally performed: A. before each use B. daily C. each shift D.. after each item is used

A. before each use

The main purpose of an ultrasonic cleaner is: A. debris removal B. cleaning and disinfection C. disinfection and sterilization D. reprocessing and disinfection

A. debris removal

What is the main function of cleaning and rinsing: A. removing microorganisms B. Inactivating microorganisms C. activating microorganisms D. killing microorganisms

A. removing microorganisms

How are microorganisms inactivated using LTGP: A . moisture B . Free-radicals or radio frequent energy C . low-temperatures D . 50% Hydrogen Peroxide

B . Free-radicals or radio frequent energy

Care must be taken in processing intraocular surgical instruments to prevent the occurrence of conditions such as TASS> Generally, this condition is due to which of the following: A. Incomplete reprocessing of instruments B. Inadequate removal of detergents, chemical disinfectants or sterilants C. Inadequate cleaning methods of hard to reach areas and serrated surfaces D. Inappropriate use of wrapping material, resulting in incompatibility

B . Inadequate removal of detergents, chemical disinfectants or sterilants

Both the control and the BI indicator MUST have the same: A . color after processing B . Lot number C . sterilization number & cycle D . load number

B . Lot number

A doctor is scheduled with an out-patient and needs to view a patient's sigmoid through the colon. What instrument is needed: A . Laparoscope B . Sigmoidoscope C . gastroscope D bronchoscope

B . Sigmoidoscope

It is said to be the "most common cause if Healthcare Associated Infection" or "Nosocomial Infection" within a hospital or healthcare setting: A Mycobacterium TB B . Staphylococci C Bacillus anthracis D H1N1

B . Staphylococci

When no walls are available to separate decontamination area and prep & packaging area, what can be done: A divider barriers B . procedural barriers C . paint or color stripes D . curtain barriers

B . procedural barriers

In a Frazier suction set, the stylet should be: A . placed in a peel pouch before you include it in a tray B . removed from the suction tip and placed separately on the tray C . assembled, then set on the tray with a liner D . soaked in a HLD the placed on a tray

B . removed from the suction tip and placed separately on the tray

Which sterilization process is highly recommended for stainless steel instruments or for heat and moisture tolerant instruments: A . dry heat B . steam sterilization C . low-temp gas plasma D peracetic acid

B . steam sterilization

A rigid sterilization container top lid is dented, how would it affect the sterilization process: A . it will allow steam to get inside packages B . the lid will not close and process will not be effective C . the process will take longer D . steam will not enter the package at all

B . the lid will not close and process will not be effective

If air is trapped in a package, steam.... A . can cause wet packs B . will not be able to get inside a package C . will cause superheating D can cause super saturation

B . will not be able to get inside a package

It is a simple but labor-intensive and sometimes inconvenient system: A . Par Level B Demand Distribution C . Just-in time D Exchange cart

B Demand Distribution

TASS is a condition involving: A Prions B Eyes C .Brain D Biofilm

B Eyes

Which of the following us the correct sequence of removing PPS: A Gown, mask, gloves, face shield, shoe covers B Shoe covers, face shield, gown, mask C Gown, gloves, face shield, mask, shoe covers D Gloves face shield, gown, mask, shoe cover

B Shoe covers, face shield, gown, mask

What part of the hemostat places pressure or controls the action of the jaw: A . box-lock B finger rings C . shank D ratchet

B finger rings

In order to occlude arteries, what instrument must be used: A . needle holder B hemostat C . suction tube D . Dilator

B hemostat

Where would you find a physicians reference list where a large amount if supplies are needed for a specialized procedure: A sterile storage B on or in the case cart for that specific case C MSDS D in the OR

B on or in the case cart for that specific case

Formation of biofilm on medical devices can be avoided by which of the following: A prolonged soaking B rinsing with critical water during the final rinse C ensuring that the instruments were pre-soaked & dried by hand D by air drying

B rinsing with critical water during the final rinse

What prevents bacterial shedding from bare arms in the Prep & Packaging area: A . Shaving your arms B warm up-jackets C sanitizer with 70% alcohol D shoe covers

B warm up-jackets

Protein is easily denatured when the processing solution contains an alcohol concentration of: A. 45-5-% B. 50-60% C. 60-95% D. 95-100%

C. 60-95%

What type of cart is used during emergency solutions: A. Case cart B. Distribution cart C. Crash cart D. Respiratory cart

C. Crash cart

Blue rod bacilli appear as: A. Gram (t) Cocci B. Gram (-) Cocci C. Gram (t) Bacilli D. Gram (-) Bacilli

C. Gram (t) Bacilli

Enzyme- based detergents contain organic substances that assist in the breakdown of A. Hard water B. Disinfectants C. Magnesium and copper D. Protein soils and blood

C. Magnesium and copper

This gland is called the Master Gland, because it coordinates all to the activities of the endocrine system: C A. Thymus gland B. Pineal gland C. Pituitary gland D. Adrenal gland

C. Pituitary gland

How should the instruments that were used on patients with Prions be processed: A. by using HLD and critical water B. Using LCS and critical water C. extended sterilization in Pre-Vac sterilization D. Extended sterilization in an IUSS

C. extended sterilization in Pre-Vac sterilization

It is said to be the most expensive part of the rigid endoscope: A. eye piece B. elevator mechanism C. optical element D. light post

C. optical element

A lighted work table is primarily used for: A. assisting in checking instruments B. See holes in peel pouches C. see holes & tears in woven textiles D. verify expiration dated clearly

C. see holes & tears in woven textiles

Aside from reprocessing medical devices and patient care equipment, other responsibilities of the SPD techs are all of the following, EXCEPT: A. cleaning counter tops & work stations B. disinfection and cleaning of case carts C. treating walls, ceiling and wet-mopping the floor D. cleaning shelves, bins and the sterile storage area

C. treating walls, ceiling and wet-mopping the floor

Which of the following sets would most likely require extended sterilization: A. Cardio-vascular B. Epistaxis C. Myringotomy D. Iridectomy

D . Iridectomy

Because of the potentially high levels of contaminants in the decontamination area, the ventilation system should be designed to maintain what type of pressure: A 80% B . 100% Humidity C . Positive Pressure D . Negative Pressure

D . Negative Pressure

Which of the following shows the correct order of phases of LTGP sterilization: A . Vacuum, diffusion, Injection, plasma, injection ventilation B . Vacuum, injection diffusion, plasma ventilation C . Vacuum, injection, plasma, injection diffusion, ventilation D . Vacuum, injection, diffusion, plasma, injection, ventilation

D . Vacuum, injection, diffusion, plasma, injection, ventilation

LTGP has limitations in reprocessing which of the following: A. cameras B. heat-sensitive items C. Pressure-sensitive items D. dead-end lumens

D . dead-end lumens

Loaned instruments should be monitored and traced: A During the patients entire hospitalization period B . during surgery C Until item is completely reprocessed and packaged accordingly D . until the item is returned to the lender

D . until the item is returned to the lender

Liquid chemical disinfectants and sterilants should have the minimum effective concentration (MEC) of the solution tested with what frequency: A . Twice a week B . Weekly C . Daily D Before each use

D Before each use

Instruments infected with prions are quickly sterilized in which one of the following processes: A . Parasitic Acid B . IUSS C . Gravity displacement D Pre-vac

D Pre-vac

Sterility maintenance covers or dust covers should be removed: A . prior to distributing B before putting it on the sterile storage shelf C only after dust is found on top D at the time of use by the end-user

D at the time of use by the end-user

Pitting on a stainless steel instrument appears as: A . Blue B rust color C Blue stained protein D dark black craters

D dark black craters

The best way to transport an infusion pump is: A placing it in a bin with a lid B using a mesh container C place it in a container with a solid bottom D using a covered or enclosed cart

D using a covered or enclosed cart

When are you supposed to wear gloves in Sterile Processing: A no gloves are necessary B during your entire shift C when your super is their D when touching soiled devices or contaminated surface

D when touching soiled devices or contaminated surface

When loading items in LTGP, items should generally be in contact with: A. door B. shelf C. chamber walls D. Electrode

B. shelf

A laryngoscope is a rigid endoscope used to insert endotracheal tubing through a patient's: A. throat B. voice box C. nasal cavity D. esophagus

B. voice box

An opportunistic bacterium that causes colitis and diarrhea, prevalent in hospital outbreaks, and us also associated with the abuse of antibiotics: A . Clostridium Botulinum B . Mycobacterium tb C . Clostridium Difficile D . Staphylococcus

C . Clostridium Difficile

Receiving, patient charging and storage, are all elements of: A . Computer system B Communication system C . Distribution system D Total inventory system

C . Distribution system

Glutaraldehyde (Cidex) solutions are generally used as: A . Cleaning agent B Low-level disinfectant C . High-level disinfectant D Sterilants

C . High-level disinfectant

Which of the following nerves carries messages from the brain to the organs and muscles of the body: A . Sensory nerves B. Cranial nerves C . Motor nerves D spinal nerves

C . Motor nerves

Tass (Toxic Anterior Segment Sydrome) is a medical condition involving the: A . prions B . Brain C . eyes D . spinal cord tissue

C . eyes

Following ultrasonic cleaning, the items are: A . only rinsed B. always and immediately sterilized C .mechanically or manually disinfected D .manually cleaned

C . mechanically or manually disinfected

You are about to clean multipart item in decontamination area. What should you do first: A . properly disassemble the item B . Process in ultrasonic cleaner C . refer to the device manufacturer's instructions D . pre-soak in enzymatic solution

C . refer to the device manufacturer's instructions

The general humidity in the Prep& packaging area should be: A 20% to 30% B 40% to 75% C 35% to 60% D . 65% to 75%

C 35% to 60%

These generally contain surgical instruments, syringes, needles, gauze, drapes and towels that are used to perform specific surgical procedures: A . Floor trays B Count sheets C Case carts D . Rigid containers

C Case carts

What is the best reason why Pre-Vac is selected as a processing method: A . It takes longer to dry B Items sterilize quickly C Items dry faster D Sterilizes more effectively for all items

C Items dry faster

What are the correct parameters for Steam Sterilization method: A Dry saturated steam, Time & Temperature B . Sterilant concentration, Time & Temperature C Saturated steam under pressure, Time & Temp D Pressure, Time, Temp & Humidity

C Saturated steam under pressure, Time & Temp

Ideally, during sterilization, non-perforated trays or mayo-trays with small holes should be placed in which of the following positions: A . Upwards B laid flat C tilted on their edge (sideways) D facing down

C tilted on their edge (sideways)

What is the TLV-C ( ceiling threshold limit value) for Glutaraldehyde: A. 0.05ppm B. 5 ppm C. 0.005 ppm D. 2%

C. 0.005 ppm

What is the optimal tempratture for enzymatic cleaners? A. 100°F B. 109°F C. 140°F D. 155°F

C. 140°F

After items have been processed in a steam sterilizer and allowed to cool, they SHOULD be handled no more than: A. 1 time B. 2 times C. 3 times D. 4 times

A. 1 time

The term "nesting" is used to describe: A. Basins stacked together in a set B. Laying lighter objects above heavy objects in a set C. Bowls faced down in a set D all of the above

A. Basins stacked together in a set

What is the first and most important step in the decontamination process: A. Cleaning B. Disinfecting C. sorting D. pre-soaking and critical water rinse

A. Cleaning

It is considered "Gold Standard" of sterilization because of its Broad material compatibility: A. EO B. Steam C. LTGP D. LTHP

A. EO

Which of the following is not a component of a rigid endoscope: A. Elevator mechanics B. Optical elements C. Objective lens D. light post

A. Elevator mechanics

The temp of a patient reads 95.4F. What equipment would most likely be required: A. Hyperthermia machine B. Hypothermia machine C. PCA D. SCD

A. Hyperthermia machine

Whenever the detergent solution is changed, the sink or basin should be cleaned before it is refilled with: A. LCS B. 70% Isopropyl Alcohol C. enzyme-based solutions D. HDL

B. 70% Isopropyl Alcohol

Which requires a BI to be included every time it is processed: A. Thoracentesis tray B. Arterio-Venous stent C. Mediasinoscopy Set D. Intraocular Set

B. Arterio-Venous stent

What class of CI is used for multi-variables: A . Class 3 B . Class 4 C Class 5 D Class 6

B. Class 4

Policies and procedure for disassembly, cleaning, disinfection & reassembly are all based on: A. Hospital Policy & Procedure Manual B. Equipments Manufacturer's Instructions C. AAMI'S Recommendations D. FDA'S Regulations

B. Equipments Manufacturer's Instructions

It's the state of the equilibrium in which the internal environment of the body remains relatively constant: A. Cerebellum B. Homeostasis C. Myringotomy D. Tympanoplasty

B. Homeostasis

What is the beat reason for selecting a Pre-Vac Cycle: A Items take longer to dry B . Items dry quicker C . Items sterilize quicker D . Items sterilizes less effectively

B. Items dry quicker

Where should the BI be placed when operating the EO sterilizer: A . Placed in the fullest shelf being loaded B Placed in the geometric center of the load C . On the bottom shelf, preferably on the top tray D . Bottom rack, over the drain line

B. Placed in the geometric center of the load

This type of environmental disinfectant is ideally used to clean the nursery and dietary department: A. Alcohol B. Quats C. Phenolics D. Halogen

B. Quats

It is the period of time during which a sterile item is considered safe to use is known as : A. Use life B. Shelf life C. Storage life D. Product life

B. Shelf life

The prefix HEMO means: A. tissue B. blood C. vein D. hand

B. blood

Which type of procedure is an example of MIS: A . hysterectomy B. laparoscopy C . transplant D . fluid draining

B. laparoscopy

In a mixed load of textiles and metal goods, the textile pack SHOULD be places: A Textiles at the back, metals in the front B Alternately on each rack C . On the bottom rack D . On the top rack

D. On the top rack

If you are walking by the sterile storage area and see a tamper-evident seal with a lock missing from a rigid sterilization container, what should you do: A Keep walking, it's not your business B Find the employee who did it and return the container to him or her for reprocessing C Go get a new lock and place it on the container D. Reprocess the container yourself and report it to a supervisor

D. Reprocess the container yourself and report it to a supervisor

Staphylococci can be transformed in a hospital setting via: A. airborne transmission B. direct contact C. indirect contact D. all of the above

D. all of the above

Items that are MOST affected by biofilm are: A. hemostats B. Retractors C. complex devices D. colonoscopes

D. colonoscopes

PCD's for LTHP sterilizers are placed: D A. during the first cycle of the day B. center of the load C. on the bottom of the shelf D. in the center of the top shelf of the sterilizer

D. in the center of the top shelf of the sterilizer

In perpetual inventory, how are supplies tracked: A. after each dispensing B. after each wash C. by weekly inventory D. individually

D. individually

What are the 3 types of detergents used for mechanical washers?

Neutral Detergents, Moderate Alkaline Detergents, High Alkaline Detergents