CBSPD Chapter 10 Practice Exam

Which of the following best describes what the Steam Quality supplied to the sterilizer should be?

A. 97% Dry Saturated Steam, 3% Entrained Water

What is the frequency with which a Low-Temperature Gas Plasma Sterilizer should be monitored with a PCD containing both a CI and a BI?

A. Daily, preferably every load

Which of the following actions should be taken when a negative biological indicator is achieved from a sterilized Test BI?

A. Release the load for distribution

The recommendation for Routine Biological Testing of a Steam Sterilizer is to be done _________ , preferably _________ .

D. Weekly, Daily

The air exchange rate in the Sterilization area MUST be maintained at __________.

C. 10 air exchanges per hour

AAMI currently recommends processing instruments used on a CJD patient, either confirmed or suspected, using a cycle having a minimum exposure time of _______ .

C. 273° F at 18 minutes in a Prevacuum Cycle

A Type (Class) ___ indicator is called an Integrating Indicator?

C. 5

Which one of the following statements about Bowie-Dick Tests is True?

C. A Bowie-Dick Test should be run in a prevac cycle daily, in an empty chamber

Formerly known as Flash Sterilization, IUSS (Immediate Use Steam Sterilization) would be acceptable for which of the following situations?

C. A one-of-a-kind instrument was accidentally dropped on the floor in the O.R.

Which of the following microorganisms is found in the PCD (Process Challenge Device) is used for the Biological Testing of an Ethylene Oxide Sterilizer?

C. Bacillus atrophaeus

Which one of the following MUST be placed inside each and every package to be sterilized, regardless of sterilization method?

C. Chemical Indicator

Which of the following Monitoring Processes is the Bowie-Dick Test considered to be classified as?

C. Chemical Monitoring

What is the frequency with which an Ethylene Oxide (EO) Sterilizer should be monitored with a PCD containing both a CI and a BI?

C. Each load

Which of the following microorganisms is found in the PCD (Process Challenge Device) is used for the Biological Testing of a Steam Sterilizer?

C. Geobacillus stearothermophilus

The parameters for Ethylene Oxide Sterilization using 100% EO Canisters are: Temperature, EO Gas Concentration __________ and ___________.

C. Humidity, Time

Which of the following Sterilization methods kill microorganisms by Oxidation?

C. LTGP Sterilization

In addition to an Internal & External Chemical Indicator, what else MUST every package to be sterilized have affixed to the outside packaging?

C. Lot Control Label

Which one of the following Sterilizers would require ONLY a special outlet for installation?

C. Low-Temperature Gas Plasma Sterilizer

In a Steam Sterilizer, in order for sterilization to occur, the steam MUST

C. Make direct contact with all surfaces of the instruments

The Pressure Gauge on the main steam line usually accessible in the Sterilizer Access area, found in the back of the Sterilizer, measures _______________ .

C. Pressure of steam as it is entering the Jacket

Which of the following Sterilizers does NOT have to be biologically monitored at least daily?

C. Steam Sterilizer

Which of the following is a process designed to kill one million bacterial spores?

C. Sterilization

S40 is the single-use sterilant that is used in which of the following equipment?

C. Steris System 1E

Which one of the following are the correct parameters for Steam Sterilization?

C. Temperature, Saturated steam under pressure, Time

Look at the photo below and select the answer that best describes what is wrong with this sterilized tray?

C. The wrapped tray has visible external moisture

Which one of the following is the proper way to unload a processed load that was removed from the steam sterilizer and has cooled down?

C. With Clean Hands

When loading surgical instruments, in a Steam Sterilizer, which describes how the instruments packaged in Paper-Plastic pouches are placed on the sterilization cart?

D. Paper-Plastic pouches must be placed on edge

Which of the following Sterilization methods performs the following phases during the sterilization process: Conditioning, Sterilization, Exhaust, Drying?

D. Steam Sterilization

______________ is the process by which ALL microbial life, including bacterial spores, are destroyed.

D. Sterilization

The incubation temperature for Geobacillus stearothermophilus is _________ .

B. 131° - 140° F

Which of the following is the correct sterilizer setting for the Bowie-Dick Test?

B. 3 ½ to 4 minutes at 270° F in a Dynamic Air Removal cycle

What is the exposure time when sterilizing an item in the Steris System 1E Liquid Chemical Sterilant System?

B. 6 minutes

The required temperature range in the Sterilization area is __________. Note: due to changes in current AAMI standards, this may not apply at your facility.

B. 68° - 73°F (17° - 20°C)

Which of the following methods verifies that conditions within the Sterilizer were adequate to kill ALL microorganisms including bacterial spores?

B. Biological Monitoring

All devices to be processed in the Low-Temperature Gas Plasma Sterilizer MUST be ____________ .

B. Clean and Dry

When a technician makes a mistake in the Sterilization Log, which of the following is the ONLY acceptable method to make corrections?

B. Draw a single line through the item and initial

Which of the following sterilants used in EO Sterilization is most susceptible to leaks?

B. EO Mixture Cylinder

Which of the following Sterilization methods kill microorganisms by Alkylation?

B. EO Sterilization

Which of the following CANNOT be processed in a Low-Temperature Gas Plasma Sterilizer?

B. Gauze Sponges

Where is the proper placement of a BI PCD (Process Challenge Device) in an Ethylene Oxide Sterilizer?

B. Geometric center of the load

Look at the photo below and select the answer that best describes what sterilization method is the following PCD used for?

B. Hydrogen Peroxide - Ozone Sterilizer

Which of the following best describes the Temperature / Time Relationship?

B. If the Temperature goes down, the Time goes up

Which of the following sterilization methods have the following critical parameters that MUST be met: Time, Temperature, Hydrogen Peroxide.

B. Low-Temperature Gas Plasma Sterilization

Which of the following can occur if packages contain visible external moisture at the end of a Steam Sterilization cycle?

B. Microorganisms can wick into the package

In a mixed load of textile packs and wrapped instrument trays, textile packs should be placed on which shelf of the sterilization cart?

B. On the top shelf

In a Sterile Processing Department where a Biological Test is performed daily, how often will it be necessary to incubate a Control BI (Biological Indicator)?

B. Once daily and whenever a new lot number is used

Which of the following is the sterilant used in the Steris System 1E?

B. Peracetic Acid 35%

In the Sterilization area the Air Pressure should ALWAYS be maintained at _____________ pressure.

B. Positive

When are Steam Sterilized packages MOST vulnerable to being contaminated?

B. Within the first hour, while packages are still hot

In a Steam Sterilizer what is the MINIMUM exposure time for a wrapped tray in a Prevacuum cycle at 275° F and 28-30 PSI (Pounds per Square Inch)?

A. 3 minutes

Which of the following sterilization processes requires that sterilized items be aerated (a process that will take hours to accomplish) to remove toxic residual gas.

A. Ethylene Oxide Sterilization

Which of the following gloves is NOT acceptable to wear when changing an EO Mixture Cylinder?

A. Medical Exam Latex-Free Gloves

What is the reason for which chemicals are added to the boiler feed-water?

A. Minimize contaminants

Where is the proper placement of a BI PCD (Process Challenge Device) in an Steam Sterilizer?

A. On the bottom shelf, above the drain

Which of the following packages is NOT compatible with Steam Sterilization?

A. Tyvek Pouches

Which of the following would best describe a "Wet Pack"?

D. A single Wrapped tray with visible external moisture

In what situation(s) would Qualification Testing be performed on any Sterilizer?

D. All of the above

Every implant that is sterilized MUST be monitored with a ______________ .

D. Biological Indicator

Which of the following PCD (Process Challenge Device) is used to detect air leaks or Insufficient air removal in Steam Sterilizers?

D. Bowie-Dick Test

Which of the following is a Type (Class) 6 Chemical Indicator?

D. Emulating Indicator

Which of the following statements best describes how "Superheating" occurs in a Steam Sterilizer?

D. Heat is added to dry steam in the absence of water

What is the sterilant used in a Low-Temperature Gas Plasma Sterilizer?

D. Hydrogen Peroxide 59% Concentration

Which of the following best describes the Temperature / Pressure Relationship?

D. If the Temperature goes up, the Pressure goes up

Which of the following sterilizers operates in a temperature range of 113° - 131°F?

D. LTGP Sterilizer

When a technician is going to sterilize a load containing an implant, what type of action MUST the technician take?

D. Monitor the load with a Biological Indicator