(8th Edition) Final Exam
Instrument marking tape should be wrapped approximately _____ times around the instrument
1 to 1 1/2
When using the pH scale, which of the following numbers would be suggest the most alkaline?
14
The two most common temperatures used in steam sterilization are
250 degrees and 270-275 degrees F
To achieve a reasonable level of disinfection, alcohol used as an intermediate-level disinfectant must remain in wet contact with the surface of the obect disinfected for a minimum of _____ minutes.
5
Purified water should have a pH of ____
6.5-7.5
Sterile packages should be stored no lower than _____ inches from the floor
8-10
The organization that sets recommended practices and standards for care and processing of devices and systems is:
AAMI
Flash sterilization of implants is not recommended by
AAMI & AORN
Which of the following statements about the use of mechanical washers is NOT true?
All items should be washed on the same cycle
These chemicals are used to slow the growth of bacteria on living tissue such as skin.
Antiseptics
These carry blood away from the heart
Arteries
Rod-shaped bacteria are classified as
Bacillus
Tests which use live bacterial spore to challenge the efficiency of the sterilization process and provide a direct measure of lethality are called:
Biological Indicators
This prion is of special concern to Central service Technicians because it cannot be destroyed by normal sterilization cycles.
CJD
The surgical procedure that removes tissue or displaced bone in wrist area to release pressure on the median nerve is called:
Carpal Tunnel Repair
Chemical indicators are classified by the FDA as _____ devices
Class II
Round-shaped bacteria are classified as
Coccus
A mode of bacterial transmission that would take place when an infectious agent was transmitted through an item such as food or water is called:
Common Vehicle
Which of the following instrument marking method is not recommended?
Engraving
Of the 3 major low temperature sterilants, which one has the longest instrument turnover time?
Ethylene Oxide (EtO)
Medical Device reporting is regulated by the:
FDA
The agency responsible for Pre-Market Requirements of medical devices is:
FDA
The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises, is called:
Flash Sterilization
The spore used in the testing of steam sterilization is
Geobacillus stearothermophilus
What type of hepatitis vaccine is strongly recommended for most healthcare workers?
Hepatitis B
The knee is an example of a
Hinge Joint
The percentage of items filled (available) when an order is placed is called the:
Inventory Service Level
The number of times per year that inventory is purchased, consumed, and replaced is called the:
Inventory Turnover Rate
Which of the following requires preventive maintenance standards be established for medical equipment?
Joint Commission
These are used to breakdown fatty deposits and adipose tissue on instruments:
Lipase enzymes
Information on each package that identifies the date of sterilization, the sterilizer and the sterilizer cycle run is contained in the:
Load Control Number
400 series stainless steel is also called:
Martensitic
Which of the following sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity?
Mechanical Monitor Charts/Printouts
These bacteria grow well at body temperature and are often patogenic to humans
Mesophiles
Which of the following statements about microorganisms is true?
Microorganisms are necessary for life
The surgical removal of a kidney is called a:
Nephrectomy
Which of the following statements about endoscopes is true?
Not all endoscopes can be processed in an AER
Which of the following would be the best choice for high level disinfection of instruments?
OPA
Which of the following surgical abbreviations might be used relating to a fractured bone?
ORIF
Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation
OSHA
Which of the following systems involves the transfer of the control of the healthcare facility's equipment management to an external entity?
Outsourcing
The main theory of Standard Precautions is that:
Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not
Which of the following tracking methods provides real time information?
RFID
The ____ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness and/or death to the manufacturer and the FDA.
Safe Medical Devices Act
The method of wrapping that creates a package within a package is called:
Sequential
Central Service's largest customer is:
The Operating Room
Which type of fire extinguisher should be used on flammable liquids?
Type B
The amount of time that it takes to kill 90% of the microorganisms present on an object is called:
a D-Value
Which of the following would be best choice for cleaning walls, fixtures and floors in Decontamination area?
a Quaternary Ammonium Compound
Ortho-Phthalaldehyde (OPA) is classified as
a high level disinfectant
Standards and regulations help set levels of ____ in Central Service departments
all of the above
Which of the following can be removed from water when a reverse osmosis process is used?
all of the above
Wicking materials are used to
allow air removal, steam penetration and facilitate drying
The absence of microorganisms that cause disease is called:
asepsis
Which of the following is not an example of surgical asepsis?
assest management
Loaner instruments should:
be decontaminated before use
Sterilizer recording charts and/or printouts should be checked
before, during and after each load
Microorganisms reproduce by a process called:
binary fission
Which of the following is an example of regulated medical waste?
blood-soaked sponges
Water softeners are used to remove _____ in the water.
chloride and iron
The inventory control method in which the supplier owns the inventory, stores it at the healthcare facility, and does not charge the healthcare facility for it until it is used or lost, referred to as the _________ method.
consignment
How frequently should a sterilizer's drain strainer be removed and thoroughly cleaned?
daily
Which of the following is a system used to treat the final rinse water used for cleaning?
deionization
The term "superheated steam" means:
dry steam
A Class C fire involves
energized electrical equipment
A step in communication that occurs when a listener asks a question or repeats information is called:
feedback
The part of the cell that enables it to move through liquid is the:
flagella
Cellulosic materials (paper, cotton and linen) cannot be processed in a/an:
hydrogen peroxide gas plasma sterilizer
This unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower body temperature
hypothermia unit
100% ethylene oxide gas canisters should be stored:
in a chemical storage cabinet
Biological testing should be performed in an ethylene oxide sterilizer
in every load
In order to elevate the temperature in a steam sterilizer, you must
increase steam pressure
The largest operating channel of an endoscope is the ____ channel.
instrument (biopsy)
If a sterilizer has successfully killed all the bacterial spores in a biological indicator:
it is called a negative test
The human resources tool that identifies major tasks performed by persons in specific positions is called a:
job description
In medical terminology, the purpose of a combining vowel is to:
make the word easier to pronounce
What type of carts/baskets should be used in an EtO sterilizer?
metal
Healthcare Regulations and Standards provide consistency of departmental activities by outlining.
minimal performance standards
Sterilizer loads containing implants
must contain a biological indicator
The part of a cell that controls cell function is the:
nucleus
When arranging plastic-paper pouches in the sterilizer, the pouches should be arranged
paper-to-plastic
Which of the following means "beside or near"?
para
Bacteria that cause diseases are called
pathogenic
A system that keeps track of all incoming and outgoing supplies so that quantities of supplies in storage are known at all times, is:
perpetual inventory system
Which of the following is the circular opening of the eye which controls the amount of light which enters the eye?
pupil
Which of the following disinfectants is also known as a "wetting agent"?
quaternary ammonium compounds (quats)
Which of the following types of trash must be red-bagged?
regulated medical waste
Which of the information is not included on MSDS Sheet?
required inventory levels
Implantable devices:
should not be flash sterilized
Which type of scope is used to visualize the lower part of the large intestine?
sigmoidoscope
Some bacteria develop hard shells around them which make them more difficult to destroy. Those bacteria are called:
spores
When soil remains on a device after cleaning:
the device cannot be sterilized
In an ABC Inventory Control system, "A" items represent:
the items that will be consummed (used up) first
The most efficient type of dry heat sterilizer is
the mechanical convection sterilizer
In the event of a load recall, information about specific load contents can be obtained from :
the sterilization log
Bacteria that grow well in warm temperatures (122 degrees F- 158 degrees F) are called:
thermophiles
Watches and other jewelry should not be worn in the Central Service department work areas because:
they harbor bacteria
The first step in the sterilization process is
thorough cleaning
Floors in Central Service department should be:
wet-mopped daily
Involuntary muscles
work without consciousness