QUESTIONS 1

50. The decontamination area of the Central Service department should have: A. 10 air exchanges per hour B. 15 air exchanges per hour C. 20 air exchanges per hour D. No air exchanges because it is a biohazard area

10 air exchanges per hour

1. During hand washing, hands should be lathered and scrubbed for at least: A. 10 seconds B. 15 seconds C. 1 minute D. 2 minutes

10 seconds

1. Each year, approximately BLANK patients develop a Healthcare-associated infection A. 1 million B. 2 million C. 10 million D. 20 million

2 million

96. The AORN is A. A regulatory agency that writes regulatory standards for the operating toom B. Responsible for writing infection prevention guidelines C. A voluntary agency that oversees professional standards D. A professional organization that writes guidelines for the operating room

A professional organization that writes guidelines for the operating room

59.Is considered one of the major resources for healthcare guidelines. A. AORN B. AAMI C. Joint Commission D. WHO

AAMI

62. Develops recommended Standards, Practices and Guidelines for care and processing of devices A. DOT B. FDA C. AAMI D. SGNA

AAMI

75. The organization that sets recommended practice and standards for sterilization is: A. FDA B. CDC C. AAMI D. SGNA

AAMI

60.Flash sterilization of implants is NOT recommended by A. AAMI and AORN B. PETA C. DOT D. CDC

AAMI and AORN

1. Enhances the global competitiveness and quality of life by promoting standards and ensuring their integrity. A. ANSI B. AORN C. WHO D. USP-NFR

ANSI

1. Develops nationally recognized Standards, Recommended Practices and Guidelines for the PeriOperative setting. A. DOT B. FDA C. AORN D. SGNA

AORN

1. A voluntary international organization dedicated to the prevention and control of infections and related outcomes. A. APIC B. CDC C. AORN D. AAMI

APIC

92. The basics of aseptic technique is : A. Knowing the chain of infection B. Activities that prevent infection C. Following the bloodborne pathogen standard D. All of the above.

Activities that prevent infection

1. Standards and regulations help set levels of BLANK in our departments A. Quality B. Safety C. Efficiency D. All of the above E. None of the above

All of the above

1. Under current regulations who is required to report suspected medical device-related deaths to the FDA? A. Device manufacturer B. Hospitals C. All of the above D. None of the above

All of the above

47. The absence of microorganisms that cause disease is called: A. Infection prevention B. Infection control C. Asepsis D. HIA-control

Asepsis

63. Which of the following is not an example of surgical asepsis? A. Sterilization of instruments B. Asset management C. Operation room techniques to prevent contamination of sterile instruments D. All of the above are example of surgical asepsis

Asset management

72. Standards and regulations help set levels of __________________ in Central Service Department. A. Quality B. Safety C. Efficiency D. Both quality and safety

Both quality and safety

1. Promotes health by preventing and controlling disease. A. CDC B. APIC C. AAMI D. OSHA

CDC

1. Proposed standards are submitted from members such as AAMI. A. ANSI B. APIC C. CDC D. WHO

CDC

1. Chemical indicators are FDA BLANK devices A. Class I B. Class II C. Class III D. Not regulated by FDA

CLASS ll

1. Heart valves and pacemakers are examples of FDA BLANK medical devices A. Class I B. Class II C. Class III D. Not regulated by FDA

CLASS lll

58. Maintenance insurance: A. Can help manage costs B. Is required by the FDA C. Is the same as outsoursing D. Can reduce equipment downtime

Can help manage costs

52. A compound in which chlorine is combined with another element or radical (e.g., a salt or hydrochloric acid) A. Silicate B. Chloride

Chloride

1. Enforces laws relating the transportation of medical wastes. A. CDC B. APIC C. DOT D. OSHA

DOT

1. Agency which imposes very strict labeling requirements on manufacturers of chemicals used by Central Service departments. A. OSHA B. FDA C. EPA D. AAMI

EPA

1. Creates and enforces laws relating to cleaner water, air, and land. A. FDA B. EPA C. SGNA D. DOT

EPA

1. Regulations under the Clean Air Act are administered by A. OSHA B. FDA C. EPA D. AORN

EPA

90. The FDA is responsible for : A. Maintaining all manufacturer records B. Ensuring items can be properly cleaned and sterilized C. Monitoring the high-level disinfection process D. Ensuring food, drugs and cosmetics are safe for use.

Ensuring food, drugs and cosmetics are safe for use.

44. Departmental dress code apply to: A. Everyone entering the Central Service department B. Only hospital employees C. Only persons who will be spending more than 10 minutes in the Central Service work area D. Only visitors such as sales reps, maintenance personnel, etc

Everyone entering the Central Service department

1. Agency responsible for the MedWatch program A. CDC B. AORN C. FDA D. ISO

FDA

1. Medical Device reporting is regulated by the A. NFPA B. EPA C. WHO D. FDA

FDA

1. Responsible for pre and post market medical device requirements, MedWatch, medical device classification, medical device recall. A. Joint Commission B. FDA C. SGNA D. AORN

FDA

61. The agency responsible for pre-market requirements of medical devices is A. OSHA B. CDC C. FDA D. EPA

FDA

64. Chemical indicators are classified as A. FDA Class I medical devices B. FDA Class II medical devices C. FDA Class III medical devices D. None, Not regulated by FDA

FDA Class II medical devices

88. Heart valves and pacemakers are examples of A. FDA Class I medical devices B. FDA Class II medical devices C. FDA Class III medical devices D. None, not regulated by FDA

FDA Class II medical devices

86. Heart valves and pacemakers are examples of A. FDA Class I medical devices B. FDA Class II medical devices C. FDA Class III medical devices D. None, not regulated by FDA

FDA Class III medical devices

66. Medical device reporting is regulated by the: A. NFPA National Fire Protection Association B. EPA Environmental Protection Agency C. WHO World Health Organization D. FDA U.S. Food and Drugs Administration

FDA U.S. Food and Drugs Administration

1. ANSI is a voluntary association dedicated to infection control and prevention A. True B. False

False

1. Following OSHA regulations for wearing Personal Protective Equipment in the Central Service Decontamination area is optional A. True B. False

False

1. Re-use of single use medical devices is less regulated now than it was in the 1990s A. True B. False

False

1. The organization that conducts on-site surveys to evaluate healthcare organizations is the ISO A. True B. False

False

54. Horizontal work surfaces in the decontamination area should be cleaned and disinfected once per day. A. True B. False

False

67. Manufacturers of new Class I devices must obtain pre-market approval (PMA) from de FDA by submitting a PMA applications with extensive test data to demonstrate the safety and effectiveness of their products. A. True B. False

False

77. Temperatures in sterile storage area should be 64 F to 75 F A. True B. False

False

82. Since the types of surgeries performed are smaller, PPE is not required when cleaning instruments used in ambulatory surgery centers. A. True B. False

False

84. Legal behavior is defined as behavior relating to what is right or wrong A. True B. False

False

91. CDC guidelines are considered regulatory guidelines A. True B. False

False

97. When putting PPE it is important to put the mask first A. True B. False

False

99. All Central Service Department perform the same basic service A. True B. False

False

1. To protect themselves from splashes and spills, Central Service Techs assigned to the decontamination area should wear: A. Double-cloth gowns B. Blue Surgical Scrubs C. Fluid-Resistant Gowns D. Sterile Operating Room Gowns

Fluid-Resistance Gowns

45. Inanimate objects that can transmit bacteria are called: A. Transmission devices B. Fomites C. Carriers D. Framiseals

Fomites

85. If the sterilizer has successfully killed all the bacterial spores in a biological test: A. It is called a positive test B. It is called a negative test C. It is taken out of service until it is required D. An alarm will sound at the completion of the cycle

It is taken out of service until it is required

1. Provides standards and evaluations for health care facilities. These evaluations are in the form of on-site surveys at least every three years. A. DOT B. FDA C. Joint Commission D. CDC

JOINT COMMISSION

80. Which of the following require preventive maintenance standards be established for medical equipment. A. OSHA B. JOINT COMMISSION C. AAMI D. AORN

JOINT COMMISSION

57. Which of the following requires preventive maintenance standards be established for medical equipment? A. OSHA B. Joint Commission C. AAMI D. AORN

Joint Commission

98. Which organization conduct onsite survey of healthcare facilities? A. SGNA B. APICE C. ANSI D. Joint Commission

Joint Commission

42. Which of the following is NOT a requirement of the OSHA Bloodborne Pathogen Standard? A. Provide hepatitis B vaccine to employees at no cost B. Observe standard precautions C. Keep biohazards areas locked D. Use engineering controls to prevent biohazard exposures

Keep biohazards areas locked

76. The relative humidity of the sterile storage area should be: A. Less than 25% B. Less than 50% C. Less than 70% D. None of the above

Less than 70%

93. Federal program designed for reporting of device relating to problems is : A. Safe Medical Act B. Medical Device Recall C. MedWatch D. FDA reporting requirement

MedWatch

73. Healthcare Regulations and Standards establish. A. Minimal level of quality and safety B. Equal pay practices C. Productivity time lines D. All of the above E. None of the above

Minimal level of quality and safety

1. Healthcare Regulations and Standards provide consistency of departmental activities by outlining. A. Minimal performance standards B. Equal pay practices C. Productivity time lines D. All of the above E. None of the above

Minimal performance standarda

1. International standards to reduce the burden of fire and other hazards. A. OSHA B. EPA C. CDC D. NFPA

NFPA

1. Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation. A. OSHA B. EPA C. FDA D. AORN

OSHA

1. Protects workers from occupationally-caused illnesses and injuries. A. ISO B. FDA C. OSHA D. Joint Commission

OSHA

43. Following Standard Precautions protocols is required by: A. The FDA B. The NFPA C. The EPA D. OSHA

OSHA

68. Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation. A. OSHA Occupational Safety and Health Administration B. EPA Environmental Protection Agency C. FDA U.S. Food and Drugs Administration D. AORN Association of periOperative Registered Nurses

OSHA Occupational Safety and Health Administration

1. Agency responsible for regulating EO. A. DOT and FDA B. FDA and CDC C. OSHA and EPA D. APIC and CDC

OSHA and EPA

81.The average concentration of a chemical in the air to which a worker can be expose over a particular period of time (usually 8 hours) is referred to as a: A. PEL B. TWA C. STEL D. OSHA

PEL

83. The unit of measure used to describe the amount of EtO in the air is called: A. TWA B. STEL C. PEL D. PPM

PPM

1. The main theory of Standard Precautions is that: A. Patients in high-risk categories may be infectious B. Patients in diagnosed with a specific disease may be infectious C. Patients are generally healthy unless they show symptoms of an infectious disease D. Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not

Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not

56. Specialized clothing or equipment worn by an employee for protection against a hazard is called: A. Restricted Apparel B. Safety Apparel C. Hazard Equipment D. Personal Protective Equipment

Personal Protective Equipment

49. What color should biohazard labels/signs be? A. Red/orange B. Orange/yellow C. Orange/blue D. Green/black

Red/orange

51. Which of these traffic control/dress code requirements applies to the Operating Room? A. Biohazard B. Unrestricted C. Semi-Restricted D. Restricted

Restricted

1. This organization has established standards for the effective processing of flexible endoscopes. A. CDC B. AAMI C. SGNA D. APIC

SGNA

78.The ________________________ requires that the healthcare facility report malfunctions of medical devices that have contributed to patients injury, illness, and or death to the manufacturer and the FDA. A. OSHA Patient Safety Act B. Safe Medical Devices Act C. EPA Patient Security Act D. FDA Equipment Notification Act

Safe Medical Devices Act

95. Which of there traffic control/dress code requirements applies to the clean assembly area of Central Service Department. A. Biohazard B. Unrestricted C. Semi-restricted D. Restricted

Semi-restricted

94. When removing PPE, first remove the: A. Gloves B. Gown C. Mask D. Shoe covers

Shoe covers

74.While items may be dispensed to all areas of a facility, the major focus of the sterile storage personnel is: A. The emergency department B. Labor and delivery C. Material management D. The operating room

The operating room

48. Know what is dirty, know what is clean, know what is sterile, keep the three conditions separate, and remedy contamination immediately are: A. The principles of asepsis B. The basics of the bloodborne pathogen standard C. The principles of infection prevention and control D. The basics of environmental control

The principles of asepsis

1. Established national emissions standards for EO used by hospitals are regulated A. In all states B. In Washington DC C. In the western states D. There are no established national emissions standards

There are no established national emissions standards

1. Watches and other jewelry should not be worn in the Central Service department work areas because: A. They harbor bacteria B. They are expensive C. They may be damaged D. They may be misplaced or stolen

They Harbor bacteria

65. Watches and other jewelry should not be worn in the Central Service Department work area because: A. They harbor bacteria B. They are expensive C. They may be damage D. They may be misplaced or stolen

They harbor bacteria

69. The main theory of Standard Precaution is that: A. Patient in high-risk categories may be infectious B. Patients diagnosed with a specific disease may be infectious C. Patients are generally healthy unless they show symptoms of an infectious disease D. To treat all human blood and bodily fluids as infectious

To treat all human blood and bodily fluids as infectious

100. The main theory of standard precautions is : A. That patients in high-risk categories may be infectious B. That patients diagnosed with a specific disease may be infectious C. That patients are generally healthy unless they show simptoms of an infectious disease. D. To treat all human blood and body fluids as infectious.

To treat all human blood and body fluids as infectious.

1. Class III medical devices are identified as High Risk A. True B. False

True

1. Failure to receive accreditation from the Joint Commission can result in the loss of Medicare and Medicaid payments A. True B. False

True

1. Recommendations regarding sterilization practices are provided by AAMI A. True B. False

True

1. Sometimes State or local regulations differ from Federal regulations and when that happens, the most stringent regulations apply. A. True B. False

True

1. The SGNA is a good source for information about the proper processing of flexible endoscopes A. True B. False

True

1. Third Party Preprocessor's are regulated by the FDA A. True B. False

True

53. Infectious medical waste is regulated by the EPA A. True B. False

True

55. PPE should be changed immediately if it becomes soaked with blood or other infectious material. A. True B. False

True

70. When is necessary to transport soiled items between facilities using a truck or van, facilities must consult U.S. Department of Transportation, as well as state and local laws for transporting biohazard items. A. True B. False

True

79. The Joint Commission uses routine and unannounced inspections to monitor standards in healthcare facilities. A. True B. False

True

87. Class III medical devices are identified as high risk. A. True B. False

True

89. Class III medical devices are identified as high risk. A. True B. False

True

1. Creates and revises standards for processing water for irrigation. A. EPA B. FDA C. ISO D. USP-NFR

USP-NFR

1. Furthers international cooperation in improving health conditions. A. WHO B. AAMI C. EPA D. ANSI

WHO

46. Floors in the Central Service department should be: A. Wet-mopped daily B. Wet-mopped weekly C. Swept daily and wet-mopped weekly D. Swept daily

Wet-mopped daily

71. Floor in the Central Service Department should be: A. Wet-mopped daily B. Wet-mopped weekly C. Swept-mopped and wet-mopped weekly D. Swept daily

Wet-mopped daily