Sterile Processing Review

Where should gross soil on an instrument be removed? A. At the point of use B. At the OR C. At Decontamination D. Both a and b

A. At the point of use

The removal of contamination from an item to an extent needed for further processing or for intended use is defined as: A. Cleaning B. Decontamination C. Disinfection D. Sterilization

A. Cleaning

The facility requested the department to sterilize a petroleum based gauze. What type of sterilization process should be used? A. Dry Heat B. Low Temperature Gas Plasma C. Low Temperature Hydrogen Peroxide D. Ethylene Oxide

A. Dry Heat

Ordering the optimum quantity of an item based on historical data is known as: A. Economical order quantity B. Reorder point C. Minimum stock quantity D. Maximum stock quantity

A. Economical order quantity

This patient care equipment is used to drain fluid or air from the chest of a patient: A. Emerson Pumps B. Patient Controlled anesthesia C. Intermitted Suction Machines D. Hyperthermia machine

A. Emerson Pumps

Which of the following government agencies regulate surface disinfectants? A. Environmental Protection Agency B. Food and Drug Adminstration C. Occupational Safety and Health Administration D. Centers for Disease Control and Prevention

A. Environmental Protection Agency

Which agency approves the reprocessing of single - use devices? A. Food and Drug Administration B. Centers for Disease Control and Prevention C. Environmental Protection Agency D. None of the above

A. Food and Drug Administration

What is the morphology of this microorganism (Gram stain Blue/purple, rod-shaped)? A. Gram positive bacilli B. Gram negative bacilli C. Gram positive cocci D. Gram negative cocci

A. Gram positive bacilli

What is the purpose of this device (Lighted work table)? A. Inspect for tears on woven textiles B. Assist checking instrument functionality C. See holes through peel pouches D. Ensure proper wrapping of nonwoven materials

A. Inspect for tears on woven textiles

All of the following are characteristics of a titanium instrument except: A. Magnetic B. Stronger than stainless steel C. Lighter than stainless steel D. Can be identified by its blue color E. None of the above

A. Magnetic

This microorganism can be killed by using a high level disinfectant. It is spread through airborne droplet by an infected person. A. Mycobacterium TB B. Bacillus anthracis C. Hepatitis B virus D. Hepatitis A virus

A. Mycobacterium TB

You are about to process a rigid container through a tunnel washer. Being an effective technician, you must always remember to switch the detergent to: A. Neutral pH B. Medium pH C. Never processed in a tunnel washer D. None of the above

A. Neutral pH

Which is not a factor in the selection of a detergent? A. Number of item being process B. Material the item was made of C. Type and amount of soil in the item D. Water quality

A. Number of item being process

This inventory system requires the department to track supplies individually: A. Perpetual inventory system B. Total inventory system C. Periodic inventory system D. Computerized inventory system

A. Perpetual inventory system

The ability of a disinfectant to pass through the cell wall which is critical to its ability to destroy microorganisms is dependent on: A. Proper dilution of the solution B. Proper concentration of the solution C. Proper cleaning process D. All of the above

A. Proper dilution of the solution

What procedure should be followed in order to minimize outdates? A. Proper stock rotation B. Good communication C. Proper reprocessing D. All of the above

A. Proper stock rotation

You are about to unload the instruments from the sterilizer and noticed that it didn't produce any print out. Unfortunately, it cannot re-print as well. What should be your next step? A. Quarantine the load and report to supervisor B. Release the load for use C. Reprocess the load D. Re- sterilize the load

A. Quarantine the load and report to supervisor

Which distribution system is designed to remove the responsibility of performing an inventory management system to CS/SPD? A. Par Level B. Exchange Cart C. Demand D. Specialty Cart

C. Demand

How do you process this type of instrument (BOOKWALTER)? A. Process the instrument as is B. Discard the instrument C. Disassemble the instrument D. Process with a biological indicator

C. Disassemble the instrument

What solution is used to pre-soak an instrument at the point of use? A. Sodium hypochlorite B. Instrument milk C. Enzymatic foam D. Water based lubricant

C. Enzymatic foam

What is the purpose of the third sink used in the Decontamination Area? A. Pre-soak B. Pre-rinse C. Final rinse with treated water D. None of the above

C. Final rinse with treated water

An OSHA standard that requires facility to obtain vital information regarding all chemicals used in the work place is known as: A. Occupational Exposure B. Emergency Exposure C. Hazard Communication D. Both a and c

C. Hazard Communication

You noticed that a co-worker was about to use an IUSS to sterilize a crile clamp. What should be your next step? A. Ignore your co-worker B. Help you co-worker in processing the instrument C. Inform your co-worker that he cannot use IUSS to sterilize it D. Inform your supervisor

C. Inform your co-worker that he cannot use IUSS to sterilize it

All of the following apply to an emergency eye wash stations except: A. Water temperature at 60F - 100F B. It must flush both eyes at a time C. It must provide 0.04 gallons of water per minute continuously for 15 minutes D. None of the above

C. It must provide 0.04 gallons of water per minute continuously for 15 minutes

Paul is about to disinfect a gastroscope that was used in a suspected CJD case. What should be his next step? A. Reprocess the set using extended sterilization cycle of a pre-vac steam sterilization B. Soak the instrument with ortho-pthaldehyde for 5 min at 68 F C. Soak the instrument with glutaraldehyde for 8 hours at 77 F D. None of the above

D. None of the above

The ceiling threshold limit value for ortho-pthaldehyde is set at: A. 0.5 ppm B. 0.05 ppm C. 5 ppm D. None of the above

D. None of the above

What are you supposed to do with the loads after a negative Specific CI test? A. Continue to the next load B. Reprocess the load C. Increase the exposure time D. None of the above

D. None of the above

What bacteria is used to biologically monitor an extended sterilization cycle? A. Geobacillus stearothermophilus B. Bacillus atropheus C. Both a and b D. None of the above

D. None of the above

What level of disinfection is needed for the destruction of Acquired Immune Deficiency Syndrome? A. High Level Disinfection B. Medium Level Disinfection C. Low Level Disinfection D. None of the above

D. None of the above

Which high level disinfectant leaves a residual film? A. Halogens B. Phenolics C. Glutaraldehyde D. None of the above

D. None of the above

Which of the following microorganisms is used to biologically monitor the peracetic acid sterilization process? A. Bacillus atrophaeus B. Geobacillus stearothermophilus C. Both a and b D. None of the above

D. None of the above

You are supposed to use a chemical indicator in all of these scenarios except: A. First cycle of the day B. First full load of the day C. Qualification testing D. None of the above

D. None of the above

What are you supposed to do when you received a new instrument from a primary vendor? A. Clean the instrument B. Store the instrument C. Distribute the instrument for use immediately D. Reprocess the instrument

D. Reprocess the instrumen

You are about to distribute a wrapped set to the OR and noticed that the tamper evident seal (autoclave tape) was opened. What is your next step? A. Continue to distribute the set B. Change the tape and distribute it C. Re - sterilize the set and notify OR D. Reprocess the set and notify OR

D. Reprocess the set and notify OR

You noticed that some of your co-workers are gossiping about a patient that was diagnosed with HIV. What are you supposed to do? A. Pretend not to listen to them B. Join in with the conversation C. Report them to your supervisor D. Tell them that it is not right to talk about a patient

D. Tell them that it is not right to talk about a patient

The parameters for LTHP are: A. Time, temperature, and 59% hydrogen peroxide gas plasma B. Time, temperature, and 50% humidity C. Time, temperature, and 59% hydrogen gas plasma D. Time, temperature, and 59% hydrogen peroxide concentration

D. Time, temperature, and 59% hydrogen peroxide concentration

Until when are loaner sets tracked? A. When reprocessed B. When distributed C. When sterilized D. When returned to the lender

D. When returned to the lender

Glutaraldehyde can be neutralized or diluted by using all of the following except: A. water B. sodium bisulphate C. glycine D. sodium hypochlorite

D. sodium hypochlorite

In an Exchange Cart distribution system, one cart is placed in the different using departments and the other cart is left where? A. Sterilization Area B. Decontamination Area C. Preparation and Packaging Area D. Sterile Storage Area E. Distribution Area

E. Distribution Area

For steam sterilization, which packaging material is acceptable? A. Tyvek B. Polyethylene C. All paper pouch D. Aluminum foil E. None of the above

E. None of the above

E. 5 min at 77 F

What is the soaking time and temperature needed to achieve high level disinfection of a bronchoscope? A. 8 hours at 77 F B. 12 min at 77 F C. 45 min at 68 F D. 12 hours at 77 F E. 5 min at 77 F

Sterile item should be handled not more than: A. 1 time B. 2 times C. 3 times D. 4 times

D. 4 times

Which of the following is the recommended sterilization cycle for processing a decontaminated instrument from a suspected CJD case? A. 18 minutes, 273 F, pre-vac cycle B. 18 minutes, 272 F, gravity cycle C. 4 minutes, 275 F, pre-vac cycle D. 4 minutes, 275 F, gravity cycle

A. 18 minutes, 273 F, pre-vac cycle

Sterilizer qualification testing is performed after a major repair. How many BI and CI are you supposed to use for the test in Pre-Vac cycle? A. 3 BI and 3 CI, empty chamber B. 3 BI only, empty chamber C. 3 BI and 3 CI, with load D. 3 BI only, with load

A. 3 BI and 3 CI, empty chamber

A laparoscope is an instrument used to see the structures inside which body part? A. Abdomen B. Stomach C. Intestine D. Lungs

A. Abdomen

At the end of the sterilization cycle, the EO cartridges and the gloves used to handle them should be: A. Aerated B. Washed C. Discarded D. Rinsed

A. Aerated

What device is used to separate clean and dirty areas? A. Curtain B. Procedural barrier C. Folded divider D. Line on the floor

B. Procedural barrier

An SPD received a non-woven wrapping in the original boxes. How can the SPD technician bring them to the storage area? A. Remove them from the box, put it on clean cart and take the cart to storage area outside of the decontamination area B. Remove them from the box, put it on clean cart and pass through decontamination area C. Bring the entire box directly to the storage area D. Ignore it, this is not part of your job

A. Remove them from the box, put it on clean cart and take the cart to storage area outside of the decontamination area

After the sterilization process, you noticed that one set showed an incomplete color change of the process indicator. What should be your next step? A. Reprocess the entire load B. Reprocess the affected set only C. Change the wrap and re - sterilize it D. Change the process indicator

A. Reprocess the entire load

The correct sequence of removing Personal Protective Equipment (PPE) is: A. Shoe Covers, Gloves, Face Shield, Gown, Mask B. Gown, Mask, Gloves, Face Shield, Shoe Covers C. Shoe Covers, Gloves, Gown, Face Shield, Mask D. No particular sequence is required

A. Shoe Covers, Gloves, Face Shield, Gown, Mask

A Bowie - Dick Test is an example of what class of chemical indicator? A. Specific CI B. External CI C. Single - variable CI D. Integrating

A. Specific CI

Under Low Temperature Gas Plasma, it is imperative to remember that the load should never come in contact with all of the following except: A. Sterilizer rack B. Chamber walls C. Sterilizer door D. Sterilizer electrodes E. All of the above

A. Sterilizer rack

Lily was diagnosed to have a rabies infection.The pathogenic microorganism that caused her infection is considered as a: A. Vector B. Fomite C. Pyrogenic D. Both a and c

A. Vector

You received a craniotomy set from the OR and about to process it in the Decontamination Area. This traffic pattern is known as: A. Work Flow B. People Flow C. Traffic Control D. Both a and c

A. Work Flow

Is this the correct loading of instruments for steam sterilization (Textile packs on their sides, wrapped items not stacked, rigid containers placed below pouches and wrapped items, 1 inch space between packages)? A. Yes B. No

A. Yes

What is the main disadvantage of a chlorine compound halogen? A. Toxic B. Difficult to rinse off C. Corrosive D. Expensive

C. Corrosive

The main agency involved in categorizing medical devices is: A. Food and Drug Administration B. Centers for Disease Control and Prevention C. Occupational Safety and Health Administration D. Environmental Protection Agency

B. Centers for Disease Control and Prevention

The unique property of ortho-pthaldehyde is: A. Has the ability to kill bacterial spores B. Creates a blue stain if the item is not clean C. Does not need a final rinse D. It creates a blue stain if the item is clean

B. Creates a blue stain if the item is not clean

What is this neurodegenerative disorder of humans caused by an abnormal protein in the brain which has as a sponge - like appearance in the brain and invariably fatal? A. Mad Cow Disease B. Cruetzfeldt-Jacob disease C. Bovine Spongiform Encephalopathy D. Multiple Sclerosis

B. Cruetzfeldt-Jacob disease

What is the primary function of an ultrasonic cleaner? A. Reprocessing the instrument B. Debris removal C. Disinfecting the instrument D. Testing the instrument

B. Debris removal

Under the System 1E sterilization, which cycle inspects the system mechanism and assures the operator that the system is functioning as designed? A. Liquid chemical sterilization cycle B. Diagnostic cycle C. Exposure cycle D. Humidification cycle

B. Diagnostic cycle

You are working in sterilization and noticed a co-worker about to dispose an EO canister, what should be your advise to your co-worker? A. Dispose it as a regular waste B. Dispose it as a regular non-incinerated waste C. Dispose it as a biological hazard waste D. Dispose it as a regular incinerated waste

B. Dispose it as a regular non-incinerated waste

What is one of the disadvantages of the Gravity - Displacement Cycle? A. Drying is easier to achieve B. Drying is more difficult to achieve C. Limited use D. Both b and c

B. Drying is more difficult to achieve

What is the signal for a positive biological indicator test? A. Color change B. Flourescence C. Clarity D. Heat

B. Fluorescence

Which agency regulates personal protective equipment as a medical device? A. Occupational Safety and Health Administration B. Food and Drug Administration C. Environmental Protection Agency D. Centers for Disease Control and Prevention

B. Food and Drug Administration

An anoscope is a rigid endoscope used to view the rectum, how do you reprocess it? A. Manually clean it B. High Level Disinfection C. Sterilization D. Discard the rigid endoscope

B. High Level Disinfection

How long will a sterile item be considered sterile? A. One year B. Indefinitely C. One month D. 45 days

B. Indefinitely

How should fiber - optic light cables be stored? A. Tightly coiled, 8" in diameter B. Loosely coiled, 8" in diameter C. Tightly coiled, 6" in diameter D. Loosely coiled, 6" in diameter

B. Loosely coiled, 8" in diameter

From this picture, where should the PCD be placed (Bowie-Dick)? A. On the top shelf over the drain B. On the bottom shelf over the drain C. Center top shelf D. Center bottom shelf

B. On the bottom shelf over the drain

Which gland is also termed as "Hypophysis"? It coordinates all activities in the body and specifically secretes 9 hormones such as growth hormones. A. Pineal Gland B. Pituitary Gland C. Adrenal Gland D. Thymus Gland

B. Pituitary Gland

This bacteria is the number one leading cause of nosocomial infection: A. Clostridia difficile B. Staphylococcus aureus C. Streptococci D. Mycobacterium tuberculei

B. Staphylococcus aureus

This syndrome can be acquired through improperly cleaned and disinfected eye instruments that leads to an acute inflammation of the optic organ: A. Down syndrome B. Toxic anterior segment syndrome C. Hodgkin's disease D. None of the above

B. Toxic anterior segment syndrome

Record keeping for a high level disinfection process includes all, except: A. Results of MRC testing B. Wet time C. Time item was soaked in solution D. Date of processing

B. Wet time

How many Class 5 chemical indicators must be used when preparing a two - level containerized set? A. 2, each opposite corner B. 1, each level C. 4, (2 each level, opposite corner) D. 1 for the entire set

C. 4, (2 each level, opposite corner)

Observe the set below. Is there anything wrong with it? A. A count sheet is inside the set B. Only one CI was used C. Another container is inside the set D. Nothing is wrong

C. Another container is inside the set

A laparoscopic appendectomy is a Minimally Invasive Surgery that removes which organ? A. Gall Bladder B. Colon C. Appendix D. Sigmoid

C. Appendix

Which agency published guidelines and recommendation on hand hygiene , isolation precaution and environmental infection control? A. Food and Drug Administration B. Joint Commission C. Centers for Disease Control and Prevention D. Environmental Protection Agency

C. Centers for Disease Control and Prevention

This organism is part of the normal microflora of intestines, but when a person starts abusing antibiotics, the drugs alter the gut flora causing the organism to produce toxins in the colon (colitis and severe diarrhea): A. Clostridium Perfringens B. Clostridium Botulinum C. Clostridium Difficile D. Clostridium Tetani

C. Clostridium Difficile

A Type "K" fire extinguisher is designed to extinguish: A. Paper and wood fire B. Electrical fire C. Commercial kitchen fire D. Combustible metals

C. Commercial kitchen fire

High alkaline detergents are mainly used for mechanical washing because: A. Easily rinsed off B. Stronger that neutral based detergents C. Compensates the lack of scrubbing action D. It has a higher pH level

C. Compensates the lack of scrubbing action

The basic parameters of gas sterilization in a 100% EO sterilizer are: A. Concentration, exposure time, humidity and aeration B. Concentration, exposure time, vacuum and aeration C. Concentration, exposure time, humidity and temperature D. Concentration, exposure time, vacuum and pressure

C. Concentration, exposure time, humidity and temperature

You are about to prepare a set that specifically states that you have to containerized it. The container that you have has a latch that is not working properly and you cannot find another container. What should be your next step? A. Ignore the broken latch and continue to use it B. Just wrapped the set C. Look for another container within the hospital (different areas) that needs reprocessing and use that to prepare the set D. Report it to your supervisor

C. Look for another container within the hospital (different areas) that needs reprocessing and use that to prepare the set

Which sterilization process generate free radicals and other chemical species that then recombine to form oxygen and water when the plasma power is turned off? A. Low Temperature Hydrogen Peroxide B. Ethylene Oxide C. Low Temperature Gas Plasma D. Steam Pre - Vacuum

C. Low Temperature Gas Plasma

When are you supposed to wear gloves when collecting soiled instruments and equipment in the different areas of the facility? A. All the time B. No gloves are needed C. Only when touching the soiled instrument D. None of the above

C. Only when touching the soiled instrument

You are about to process a below the knee amputation set, a cataract set and a dilation and curettage set. Following the basic principles in Decontamination, what are you supposed to do with the sets? A. Combine all the sets and process it together B. Process the cataract set separately from the other sets because it is an eye set C. Process each sets individually D. Process the below the knee amputation set separately from the other sets because it requires a different type of detergent

C. Process each sets individually

You received a loaner set from an outside vendor. While verify if all instruments are present, you noticed that there's a missing screw. Unfortunately, the vendor already left the facility. What is your next step? A. Ignore the missing screw and continue to reprocess the set B. Ignore the missing screw and continue to distribute the set C. Report the missing screw to the primary vendor and do not reprocess the set D. Report the missing screw to your supervisor and continue to reprocess the set

C. Report the missing screw to the primary vendor and do not reprocess the set

Re-creating the chromium oxide layer on an instrument can be achieved by: A. Cleaning manually B. Using an enzymatic foam C. Routine lubrication D. Ultrasonic cleaning

C. Routine lubrication

A. Parenteral tissue

Chantal went to the hospital to be injected for immunization. Unfortunately, she acquired a localized infection around the puncture site. What route did the microorganisms used to infect her? A. Parenteral tissue B. Mucous membrane C. Skin D. Subcutaneous tissue

How can Osmosis (the movement of solvent through a semipermeable membrane into a higher concentrate solute) of disinfectants occur? A. Use proper dilution B. Make sure the instruments are dry C. Use correct temperature D. All of the above

D. All of the above

Sheldon is working in Decontamination and noticed that there was a large spill of Cidex, what is his next step to control and neutralize the spill? A. Use ammonia B. Use a cellulose based material C. Use a commercially available solution D. All of the above

D. All of the above

Which of the following sterilization processes require items to be completely dried because it will cause cycle cancellation? A. Ethylene Oxide B. Low Temperature Gas Plasma C. Low Temperature Hydrogen Peroxide D. Both b and c E. All of the above

D. Both b and c

Why is it very essential to maintain the temperature and humidity within range in sterile storage area? A. To protect the technician from biological contamination if the temperature is too high B. To protect the package from deteriorating if the temperature and humidity is too low C. To protect the package from biological contamination if the temperature and humidity is too high D. Both b and c

D. Both b and c

What class of chemical indicator is in the picture (Integrating indicator)? A. Class 1 B. Class 3 C. Class 4 D. Class 5

D. Class 5

You are about to process a set in decontamination and noticed that the instruments were covered a cloth moistened with saline. What are you supposed to do next? A. Discard the instruments since it will be damaged eventually B. Notify the OR about it and start a fight C. Rinse the instruments immediately D. Clean it according to the device manufacturer's written instructions

D. Clean it according to the device manufacturer's written instructions

The Bowie-Dick Test checks all of the following with the exception of: A. Air leaks B. Inadequate air removal C. Inadequate steam penetration D. Condensable gases E. None of the above

D. Condensable gases

You are supposed to use a biological indicator in all of these scenarios except: A. First full load of the day B. Qualification Testing C. Complex instrument D. First cycle of the day

D. First cycle of the day

What part of the laparoscope is tested with a lap-tester? A. Fiber optic light cables B. Cameras C. Telescope D. Insulation

D. Insulation

Which system protects the body from its external environment? A. Nervous System B. Immune System C. Lymphatic System D. Integumentary System

D. Integumentary System

A Class 4 biological indicator is also known as: A. Multi - variable B. Single - variable C. Process indicator D. None of the above

D. None of the above

All of the following gloves can be used when handling Ethylene Oxide with the exception of: A. Butyl rubber B. Nitrile gloves C. Neoprene gloves D. None of the above

D. None of the above