Quiz 4

301. The higher the bioburden on an object:

A. The more difficult it will be to sterilize
B. The less time it will take to sterilize
C. The more biological tests you will need in the load
D. The longer it will take to cool after sterilization

302. The transport of flash sterilized items is difficult because:

A. They have no protective wrapping
B. They are wet
C. They are hot
D. Contained in heavy trays

303. When processing flexible endoscopes in a liquid chemical sterile processing system you should:

A. Pressurize the scope before starting the machine
B. Use tap water as pre-rinse
C. Connect channels to special connectors that allow liquid to flow through them
D. Run the cycle twice to ensure that proper microbial kill has taken place

304. Which of the following systems provides supplies and instruments for individual surgical procedures?

A. Exchange carts
B. Par-level
C. Case cart
D. Requisition

305. Official inventory:

A. Does not exist in today's modern healthcare facilities
B. Can be counted as an asset on the facility's balance sheet
C. Is owned by the vendor but stored at the healthcare facility
D. Is owned by the healthcare facility but stored by the vendor

306. The inventory system that stocks supplies by established stock levels is called:

A. Par-level
B. Case cart
C. ADT system
D. Exchange system

307. The movement of supplies throughout the healthcare facility is called:

A. Distribution
B. Inventory management
C. Case cart system
D. Procurement

308. Implantable devices:

A. Should not be flash sterilized
B. Should be discarded if not used
C. Should only be sterilized using ethylene oxide
D. Should be flash sterilized in extended cycles

309. If an equipment malfunction causes harm to patients, it should be:

A. Sent to the manufacturer for repairs
B. Sequestered for inspection by OSHA personnel
C. Returned immediately to the biomedical department
D. Discarded immediately

310. Instrument making tape should be wrapped approximately ____________ around the instrument.

A. 1 1/2 to 2
B. 2 1/2 to 3
C. 1 to 1 1/2
D. 2 to 2 1/2

311. Disadvantages to a Case Cart Distribution System:

A. Not require orders
B. A lag time between usage and replenishment
C. A waste of time
D. Less efficiency organization

312. Material safety data are provided by:

A. OSHA
B. The product manufacturer
C. The risk management department
D. The FDA

313. The inventory system that uses two identical carts to facilitate the distribution of supplies is known as:

A. Exchange cart
B. Par-level
C. Case cart
D. Stock cart

314. Wicking materials are used to:

A. Allow air removal, steam penetration and facilitate drying
B. Cushion instruments from the extreme force in steam sterilizer chambers
C. Hold water away from the bottom of instrument trays
D. Dry instruments before sterilization

315. Which of the following steps happens first when proceeding with flexible endoscopies?

A. High-level disinfecting/sterilizing
B. Drying
C. Leak testing
D. Manual cleaning

316. Some plastics including formulations of spun-bonded polyolefin are intended for use solely in these sterilization processes:

A. Flash
B. Low temperature
C. High temperature
D. Liquid

317. Why is it important to evenly distribute large instruments in a set?

A. Follow procedures of the supervisor
B. Because the sterilizer has a big space
C. Contact manufacturer for further instructions
D. Extra condensation will make the set more difficult to dry

318. The movement of supplies throughout the healthcare facility is called:

A. Distribution
B. Procurement
C. Inventory management
D. Case cart system

319. In order to elevate the temperature in a steam sterilizer, you must:

A. Achieve ambient pressure
B. Inject boiler amines
C. Decrease the steam pressure
D. Increase the steam pressure

320. Which of the following is NOT a feature of an instrument tracking system?

A. Productivity information
B. Product updates and recall information
C. Financial data
D. Quality assurance information

321. Which of the following information is NOT included in the MSDS?

A. Product identification
B. Required inventory levels
C. Special precautions
D. Physical data

322. Which of the following systems provides supplies and instruments for individual surgical procedures?

A. Case cart
B. Par level
C. Exchange cart
D. Requisition

323. In the event of a load recall, information about specific load contents can be obtained from:

A. The sterilization log
B. The hospital safety director
C. The procedure manual
D. The central service supervisor

324. Which of the following common items of patient care equipment limits the development of DVT (deep vein thrombosis) and peripheral edema in immobile patients?

A. Defibrillator
B. Intermittent suction device
C. Respirator
D. Sequential compression unit

325. Bowie Dick tests should be run in:

A. Washers/sterilizers
B. Downward displacement sterilizers
C. Dynamic air removal steam sterilizers
D. Ethylene oxide sterilizers

326. Which type of fire extinguisher should be used on flammable liquids?

A. Type C
B. Type A
C. Type B
D. Type D

327. Equipment leasing and rental differ in that:

A. Equipment rental is usually done on a shorter-term basis than equipment leasing
B. Leasing involves purchase; rental does not require ownership
C. Equipment leasing involves the most expensive equipment; equipment rental involves less expensive equipment
D. Equipment leasing is an operating expense; equipment rental does not have cost implications

328. The inventory system that stocks supplies by established levels is called:

A. Par-level
B. Case cart
C. Exchange system
D. ADT system

329. The first step to inspect the insulation of laparoscopic instruments is to:

A. Visually check the instrument shaft
B. Check the handle for chipping or cracking
C. Check the collar at the distal tip
D. Try to slide the insulation back

330. All patient care equipment dispensed for use must be considered __________ and handled as such, regardless of its appearance:

A. Clean
B. Contaminated
C. Defibrillator
D. Sterile

331. 1005 ethylene oxide gas canisters should be stored:

A. Outside
B. In a chemical storage cabinet
C. In a refrigerator
D. In a chamber heated to 75°F

332. Parts of this surgical instrument?

A. Jaw, tips, box lock, shanks, handle, neck
B. Proximal end, handle, tip serrations
C. Rings, ratchet, shanks, box lock, jaw, tips
D. Loop handle, shank, blade

333. Heat sensitive items:

A. Should not be used
B. Cannot be flash sterilized
C. Must not be immersed
D. Should be disposable

334. Point of use computing:

A. Eliminates data entry jobs
B. Moves computers into central service department work areas
C. Provides no benefit to the central service department
D. Is impossible in central service department because of infection control requirements

335. The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called:

A. Emergency sterilization
B. Flash sterilization
C. Rapid reprocessing
D. Core sterilization

336. Technicians on the __________ department perform safety inspections and functional tests on equipment:

A. Biomedical engineering
B. Facilities and maintenance
C. Infection control
D. Material management

337. What is burning in a class C fire?

A. Energized electrical equipment
B. Wood or paper
C. Flammable liquid
D. Cloth or plastic

338. When loading a steam sterilizer, items with solid bottoms should be:

A. Placed on edge
B. Placed in a wire basket
C. Placed in an upright position
D. Loaded first

339. Information regarding cleaning processes for endoscopes should be provided by:

A. APIC
B. The instrument manufacturer
C. The SGNA
D. The operating room staff

340. Which of the following basic listening tactics is most useful?

A. Try to listen to the specific facts
B. Ignore all non-verbal communication “sent” by the speaker
C. Focus on the delivery of the message rather than its content
D. None of the above tactics is useful listening tactics

341. Which of the following is NOT an acceptable sterilization packaging material?

A. Twills
B. Canvas
C. Barrier cloth
D. Muslin

342. A step in communication that occurs when a listener asks a question is called:

A. Communication looping
B. STEREOTYPING
C. Feedback
D. Halo interpretation

343. How frequently should a sterilizer strainer be removed and cleaned?

A. Once weekly
B. Only when the machine's operating control gauge indicates cleaning is necessary
C. Daily
D. After each use

344. Disposable components such as pads and tubing on patient care equipment should be:

A. Removed in the biomedical engineering department
B. Discarded at point of use
C. Be reprocessed for re-use
D. Discarded during preventive maintenance

345. When arranging plastic-paper pouches in the sterilizer, the pouches should be arranged:

A. Plastic to plastic
B. Paper to plastic
C. Paper to paper
D. The way in which the most packages can be placed in the sterilizer

346. What is the concentration of an antiseptic liquid used in healthcare facilities?

A. 60% to 95%
B. 80% to 20%
C. 100% to 70%
D. 50% to 50%

347. Kerrison laminectomy rongeurs should be tested using:

A. A plastic dowel rod
B. An index card
C. Tissue paper
D. Rubber testing material

348. Which of the following statements is true?

A. None of the above statements is true
B. Words mean the same to everyone
C. We only communicate when we want to
D. Message should contain all possible information

349. Maintenance insurance:

A. Is the same as outsourcing
B. Can reduce equipment downtime
C. Is required by the FDA
D. Can help manage costs

350. Which of the following tracking methods provides real-time information?

A. Do matrix applications
B. Standard bar code
C. RFID
D. Laser etched bar codes

351. Behavior relating to what is "right and wrong" relative to the standards of conduct for your profession are called:

A. Personal behavior
B. Legal behavior
C. Ethical behavior
D. Moral behavior

352. The endoscope that would be dispensed for a procedure that requires visualization of the lower part of the large intestine would be a:

A. Gastroscope
B. Sigmoidoscope
C. Ureteroscope
D. Colonoscope

353. A material that removes electrons from another substance is called:

A. A demagnetizer
B. An oxidizing agent
C. A molecule
D. An atom

354. If a sterilizer has successfully killed all the bacterial spores in a biological test:

A. It is called a positive test
B. An alarm will sound at the completion of the cycle
C. It is taken out of service until it is repaired
D. It is called a negative test

355. The term "superheated steam" means:

A. Moist steam at sea level
B. The type of steam necessary for high temperature sterilization
C. Dry steam
D. Steam that has had chemicals added to it to increase its temperature

356. The most efficient type of dry heat sterilizer is:

A. The special purpose dry heat oven
B. The mechanical convection sterilizer
C. The gravity convection sterilizer
D. The dynamic air removal sterilizer

357. The transport of flash sterilized items is difficult because:

A. They are hot
B. They are wet
C. Contained in heavy trays
D. They have no protective wrapping

358. Chemical indicators:

A. Prove that an item is sterile
B. Provide information about bacterial spore kill within the sterilizer
C. Prove that the sterilizer did not damage heat sensitive items
D. Provide a visual indication that an item was exposed to a sterilization process

359. The higher the bioburden on an object:

A. The longer it will take to cool after sterilization
B. The more biological tests you will need in the load
C. The more difficult it will be to sterilize
D. The less time it will take to sterilize it

360. Ergonomic injuries:

A. Happen only in the office setting
B. Are a risk factor for persons who perform repetitive or physical work
C. Are rare in today's work environment
D. Are not a concern for central service employees

361. Paper/plastic sterilization pouches:

A. Should be used only for dry heat sterilization processes
B. Are not suitable for steam sterilization processes
C. Should not be placed inside of wrapped sets or containers
D. Are used to package wood and cork products for sterilization

362. Tests which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called:

A. Biological tests
B. Chemical integrator tests
C. Ampulization tests
D. Chemical indicator tests

363. Secondary containers of chemicals:

A. Must be labeled with a permanent marker and must state the chemical's name and designated storage location
B. There are no restrictions for secondary container labels at this time
C. Secondary containers of chemicals are not allowed in healthcare facilities
D. Must be labeled with a copy of the original manufacturer's label or a generic label that identifies hazard warnings and directions

364. When placing ring-handled instruments in an instrument tray, you should:

A. Arrange the instruments in alphabetical order
B. Unlock the handles and open the instruments
C. Lock the handles to prevent damage during sterilization
D. Arrange the instruments in the order of their use

365. Loaner instruments should:

A. Not be used
B. Be sterilized using a low-temperature process
C. Be decontaminated if they appear soiled upon arrival
D. Be decontaminated before use

366. Both AORN and the Joint Commission recommend that:

A. Only central service technicians operate flash sterilizers
B. Healthcare facilities get FDA approval for flash sterilization
C. The use of flash sterilization be minimized or decreased
D. Flash sterilization be performed in only one sterilizer per facility

367. The purpose of using a decontamination battery or cord when cleaning powered surgical instruments is:

A. To prevent electrical shock
B. To keep functioning batteries and cords clean
C. To keep fluid from entering the unit
D. To test the unit while cleaning

368. A solution having a pH of 7 means:

A. Too dense
B. Too alkaline
C. Too acidic
D. Neutral

369. Which of the following is the most important factor necessary for teamwork?

A. Cooperation
B. Promptness
C. Attitude
D. Loyalty

370. Which of the following requires preventive maintenance standards be established for medical equipment?

A. AORN
B. AAMI
C. Joint Commission
D. OSHA

371. The amount of time that it takes to kill 90% of the microorganisms present on an object is called:

A. Exposure time
B. Time weighted average
C. A sterilization cycle
D. A D value

372. What instruments clean the sonic irrigator?

A. Power instruments
B. Luminex instruments
C. Case carts
D. Forceps

373. The relative humidity of the central service department should be:

A. Less than 75%
B. Less than 50%
C. Less than 35%
D. Less than 60%

374. In this system items are owned by the vendor but stored at the healthcare facility:

A. Min/max
B. Consignment
C. Stockless
D. Just-in-time

375. Before an item can be placed in a liquid chemical sterile processing system they must be:

A. Sterilized
B. Heated
C. Cleaned
D. Filled with air

376. Official inventory:

A. Is owned by the vendor but stored at the healthcare facility
B. Is owned by the healthcare facility but stored by the vendor
C. Can be counted as an asset on the facility's balance sheet
D. Does not exist in today's modern healthcare facilities

377. All soiled instruments and materials are received from the user units into the Central Service ______ area:

A. Preparation
B. Decontamination
C. Sterilization

378. All medical terms consist of each of the following word elements: prefix, root and suffix:

A. True
B. False

379. The purpose of a prefix is to alter or modify the meaning of the root element:

A. True
B. False

380. There are two parts to the ear: the outer ear and the inner ear:

A. True
B. False

381. A function of the digestive system is to convert food into energy for the body:

A. True
B. False

382. The gastrointestinal tract is one portal of entry used by an infectious agent to enter a susceptible host:

A. True
B. False

383. Which of the following is not an example of surgical asepsis?

A. Sterilization of instruments
B. Asset management
C. Operating room techniques to prevent contamination of sterile instruments

384. Given the word, "hemigastrectomy", which element of that word is the root?

A. Hemi
B. Gastro
C. Ectomy

385. Which of the following glands is located at the base of the brain and is considered the "master gland"?

A. Pituitary
B. Thyroid
C. Adrenal

386. Which of the following is the circular opening of the eye which controls the amount of light which enters the eye?

A. Iris
B. Pupil
C. Cornea

387. Cells are the basic units of all living organisms and are the smallest element that can live, grow, and reproduce:

A. True
B. False

388. A virus can move by means of its flagella:

A. True
B. False

389. What type of bacteria develops spores?

A. Gram-positive
B. Gram-negative
C. Both of the above

390. Bacteria that cause diseases are called:

A. Aerobic
B. Thermophillic
C. Pathogenic

391. What percentage of microorganisms are harmful to humans because they can grow at approximately human body temperature?

A. 1%
B. 2%
C. 3%

392. What type of hepatitis vaccine is strongly recommended for most healthcare workers?

A. Hepatitis A
B. Hepatitis B
C. Hepatitis D

393. Eliminating the infectious agent will interrupt the transmission of an infectious disease:

A. True
B. False

394. In Central Service, the term, "customers" includes anyone who utilizes the department's services:

A. True
B. False

395. The part of the cell that controls cell function is the:

A. Nucleus
B. Cytoplasm
C. Capsule

396. Healthy people carry bacteria:

A. True
B. False

397. Involuntary muscles:

A. Work without consciousness
B. Work only when commanded
C. Are not necessary

398. Rod-Shaped bacteria are classified as:

A. Coccus
B. Bacillus
C. Anhydrous

399. Air pressure in the decontamination area should be negative in relation to surrounding areas:

A. True
B. False

400. In medical terminology, the purpose of a combining vowel is to:

A. Tell the primary meaning of a word
B. Enhance pronunciation
C. Make easier to spell