Quiz 5

401. Chemical indicators are FDA _____ devices:

A. Class I
B. Class II
C. Class III

402. 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 stolen

403. Which of the following is a system used to treat the final rinse water used for cleaning?

A. Water conductivity
B. Reverse osmosis
C. Deionization

404. Medical Device reporting is regulated by the:

A. NFPA
B. FDA
C. EPA

405. Microorganisms reproduce by a process called:

A. Repopulation
B. Binary fission
C. Bilateral reproduction

406. Purified water should have a pH of _____.

A. 4.5-5.5
B. 5.5-6.5
C. 6.5-7.5

407. Manufacturers of new Class I devices must obtain pre-market approval (PMA) from the FDA by submitting PMA applications with extensive test data to demonstrate the safety/effectiveness of their products.

A. True
B. False

408. Which of the following can be removed from water when a reverse osmosis process is used?

A. Bacteria
B. Pyrogens
C. Endotoxins
D. All the above

409. Failure to perform soiled pickup rounds as scheduled can lead to equipment shortages.

A. True
B. False

410. 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:

A. Contact
B. Common vehicle
C. Vector-borne

411. Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation:

A. OSHA
B. AAORN
C. FDA

412. The main theory of Standard Precautions is that:

A. Patients in high-risk categories may be infectious
B. Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not
C. Patients diagnosed with a specific disease may be infectious

413. When it 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

414. Floors in the Central Service department should be:

A. Wet-mopped daily
B. Wet-mopped weekly
C. Swept daily

415. The absence of microorganisms that cause disease is called:

A. Infection protection
B. Infection control
C. Asepsis

416. Standards and regulations help set levels of ______ in Central Service departments:

A. Quality
B. Safety
C. Efficiency
D. All the above

417. 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 the above

418. Water softeners are used to remove ____ in the water:

A. Iron and pyrogens
B. Calcium and magnesium
C. Chloride and iron

419. To impede the growth of bacteria, soil on used instruments should be allowed to dry:

A. True
B. False

420. It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves:

A. True
B. False

421. The human resources tool that identifies major tasks performed by persons in specific positions is called a:

A. Job duty list
B. Job specification
C. Job description

422. Bacteria that are often pathogenic to humans because they grow well at body temperature are called:

A. Mesophiles
B. Thermophiles
C. Anaerobic

423. The largest customer of Central Service is:

A. The ER
B. The OR
C. Material Management

424. Which of the following is true about microorganisms?

A. All microorganisms are harmful to humans
B. Microorganisms are necessary for life
C. Healthy humans do not carry microorganisms

425. The organization that sets recommended practices and standards for sterilization is:

A. AAMI
B. FDA
C. SGNA

426. Detergents and disinfectants are virtually the same thing:

A. True
B. False

427. Intermediate-level disinfectants can kill all bacterial spores:

A. True
B. False

428. To achieve a reasonable level of disinfection, alcohol used as an intermediate-level disinfectant must remain in wet contact with the surface of the object being disinfected for a minimum of _______ minutes:

A. 2
B. 5
C. 8

429. When using the pH scale, which of the following numbers would suggest the most alkaline?

A. 14
B. 1
C. 7

430. 400 series stainless steel is also called Martensitic:

A. True
B. False

431. All disinfectants can make something sterile:

A. True
B. False

432. Items must be decontaminated before they are sterilized; they need to not be decontaminated before they are disinfected:

A. True
B. False

433. When liquid chemical sterilants are labeled for use as both sterilant and high-level disinfectants, their use for sterilization requires a longer contact time:

A. True
B. False

434. Instrument marking tape should be wrapped approximately _______ times around the device:

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

435. Which of the following statements is correct about powered surgical instruments?

A. During processing, it is important that fluid does NOT enter the cable or handpiece
B. Cables should be disconnected from the handpiece during processing
C. Hoses that attach to pneumatic-powered instrument should not be sterilized

436. The decision to sterilize or high-level disinfect a scope is based upon its use according to the Spaulding Classification System:

A. True
B. False

437. These are used to break down fatty tissue on instrument:

A. Protease enzymes
B. Lipase enzymes
C. Neutral pH cleansers

438. Round-shaped bacteria are classified as:

A. Coccus
B. Bacillus
C. Anhydrous

439. Most endoscopes can be sterilized by high temperature:

A. True
B. False

440. Gluteraldehyde and ortho-phthalaldehyde (OPA) solutions are both approved for the disinfection of endoscopes:

A. True
B. False

441. Ortho-Phthalaldehyde (OPA) is classified as:

A. A low level disinfectant
B. A high level disinfectant
C. An enzyme

442. Hospital equipment, such as IV pumps and feeding pumps should be decontaminated after each use:

A. True
B. False

443. When marking instruments, engraving is the method of choice:

A. True
B. False

444. Which of the following is an example of regulated medical waste?

A. Discarded sterilization wraps
B. Blood soaked sponges
C. General trash from surgery departments

445. Which of the following statements about the use of mechanical washers is NOT true?

A. Multi-level trays should be separated
B. All items should be washed on the same cycle
C. Instruments should be disassembled and opened

446. Loaner instruments should:

A. Be decontaminated before use
B. Should not be used
C. Be sterilized using a low temperature process

447. Which of the following statements about endoscopes is true?

A. Not all endoscopes can be processed in an AER
B. All endoscopes should be steam sterilized
C. Flexible endoscopes are not easily damaged

448. All flexible endoscopes have internal channels:

A. True
B. False

449. The biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning:

A. True
B. False

450. Stainless steel jaw needle holders last longer than Tungsten Carbide jaw needle holders:

A. True
B. False

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

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

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

A. Attitude
B. Promptness
C. Loyalty

453. 100% ethylene oxide gas canisters should be stored:

A. In a chemical storage cabinet
B. Outside the building
C. In a refrigerator

454. Which of the following surgical abbreviations might be used relating to a fractured bone?

A. BSO
B. CABG
C. ORIF

455. Single-use items and their packaging reduce the level of combustible loading in storage areas within a Central Service department:

A. True
B. False

456. The average concentration of a chemical in the air to which a worker can be exposed over a particular period of time (usually eight hours) is referred to as a:

A. PEL
B. TWA
C. OSHA

457. Since the types of surgeries performed are smaller, PPE is not required when cleaning instruments used in ambulatory surgery centers:

A. True
B. False

458. Which of the following disinfectants is also known as a "wetting agent"?

A. Quaternary ammonium compounds (quats)
B. Phenolics
C. Alcohol

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

A. Stereotyping
B. Feedback
C. Interpretation

460. Sterilization load recalls should only be made if patients develop infections:

A. True
B. False

461. Low temperature sterilization processes are not used in ambulatory surgery centers:

A. True
B. False

462. The relevant measurable characteristics of water are: hardness, purity, temperature and ________.

A. Contamination
B. pH
C. Porosity

463. Which of the following scissors is designed to have the sharpest cutting edge?

A. Black handled
B. Gold handled
C. Silver handled

464. Which of the following is the most important priority?

A. Saving money
B. Helping patients
C. Completing assignments on time

465. The unity of measure used to describe the amount of EtO in the air is called:

A. TWA
B. PPM
C. PEL

466. The safest way to transport a gas cylinder is to roll it across the floor:

A. True
B. False

467. Legal behavior is defined as behavior relating to what is right or wrong:

A. True
B. False

468. Which of the following information is NOT included on an MSDS sheet?

A. Special precautions
B. Required inventory levels
C. Product identification

469. Following paperwork practices and negative reinforcement to discourage inappropriate work practices is called:

A. Communications
B. Human relations
C. Coaching

470. Implantable devices:

A. Should be flash sterilized in extended cycles
B. Should be discarded if not used
C. Should not be flash sterilized

471. Customer complaints are best handled through which of the following approaches?

A. Empowerment
B. Service recovery
C. Uniform implementation of policies

472. During instrument manufacture, the process of milking helps build a protective chromium oxide layer on each instrument's surface:

A. True
B. False

473. Repetitive motions are:

A. Ergonomic stressors
B. WMSD injuries
C. Not a part of Central Service duties

474. Risk management involves assessing and identifying risks and developing a program to reduce losses from exposure to those risks:

A. True
B. False

475. Human relations and communication skills are only necessary for employees who deal with customers:

A. True
B. False

476. Official inventory is generally included on the balance sheet as a current asset:

A. True
B. False

477. 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.

A. OSHA patient safety act
B. Safe medical devices act
C. FDA equipment notification act

478. The largest operating channel of an endoscope is the _____ channel.

A. Instrument (biopsy)
B. Suction (aspiration)
C. Air

479. The inventory control method in which the supplier owns the inventory and does not charge the healthcare facility for it until it is used or lost is referred to as the __________ method.

A. Consignment
B. Safety stock
C. Stockless

480. Which technology can provide real-time information?

A. RFID
B. Standard bar code
C. Laser-etched bar codes

481. Which of the following statements is correct?

A. Patient care equipment tracking requires a computer
B. Patient care equipment must only be tracked if its usage will be charged to patients
C. Tracking patient care equipment can prevent equipment shortages

482. The distribution system which involves replacing a freshly loaded supply cart for an identical cart that has been depleted on a patient unit is called the ________ system.

A. Exchange cart
B. Requisition
C. Case cart

483. Thermal disinfection is accomplished using:

A. Heated chemicals
B. Heated water
C. Heated Glutaraldehyde

484. A failure mode and effects analysis looks backward at an event to help prevent its reoccurrence:

A. True
B. False

485. When marking instruments, engraving is the method of choice:

A. True
B. False

486. The Joint Commission uses routine and unannounced inspections to monitor standards in healthcare facilities:

A. True
B. False

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

A. OSHA
B. Joint Commission
C. AORN

488. Computerized tracking systems are fast, but manual tracking systems are more effective for tracking data:

A. True
B. False

489. Which of the following would be the best choice for high level disinfection of instruments?

A. Phenolics
B. Chlorine
C. OPA

490. Having a low inventory service level would increase customer satisfaction:

A. True
B. False

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

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

492. Of the 3 major low temperature sterilants, ozone has the longest instrument turnaround time:

A. True
B. False

493. The number of times per year that inventory is purchased, consumed, and replaced is called the inventory turnover rate:

A. True
B. False

494. Wicking materials are used to:

A. Dry instruments before sterilization
B. Allow air removal, steam penetration and facilitate drying
C. Hold water away from the bottom of the tray

495. Which of the following means "beside or near"?

A. Para
B. Peri
C. Parta

496. This unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower body temperature:

A. Hypothermia unit
B. Infusion pump
C. Suction pump

497. A current asset is an asset that is expected to be used within one year:

A. True
B. False

498. In an ABC Inventory Control system, "A" items represent:

A. The largest number of items and largest dollar value
B. The smallest number of items and largest dollar value
C. The items that will be consumed (used up) first

499. Product standardization is only important in healthcare facilities where storage space is limited:

A. True
B. False

500. A system that keeps track of all incoming and outgoing supplies so that quantities of supplies in storage are known at all times, is:

A. Perpetual inventory system
B. Min/max system
C. Pick-n-pack system

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

A. Paper-to-plastic
B. Paper-to-paper
C. Plastic-to-plastic

502. Which type of scope is used to visualize the lower part of the large intestine?

A. Colonoscope
B. Sigmoidoscope
C. Cystoscope

503. Aeration is required for items sterilized in ozone sterilization processes:

A. True
B. False

504. 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 it
C. The more biological tests you will need in the load

505. Gauze squares should be used as wicking material when basins are sterilized one inside another:

A. True
B. False

506. How frequently should a sterilizer's drain strainer be removed and thoroughly cleaned?

A. Daily
B. After each use
C. Once weekly

507. Sterilization documentation is not required for items that are flash sterilized:

A. True
B. False

508. The relative humidity of the sterile storage area should be:

A. Less than 25%
B. Less than 50%
C. Less than 75%

509. Upon opening, paper-plastic pouch seals must destruct and be incapable of resealing:

A. True
B. False

510. The term "superheated steam" means:

A. The type of steam necessary for high temperature sterilization
B. Moist steam at sea level
C. Dry steam

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

A. TWA
B. A D-Value
C. Exposure time

512. Which of the following sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity?

A. Biological tests
B. Bowie dick tests
C. Mechanical recording charts/printouts

513. Some plastics including formulations of spun-bonded polyolefin are intended for use in ______ temperature sterilization processes:

A. High
B. Low

514. Paper-plastic pouches should NOT be labeled on the ______ side of the pouch:

A. Paper
B. Plastic

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

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

516. When arranging instruments in an instrument tray, you should:

A. Position the instruments in a manner that will facilitate sterilization
B. Arrange the instruments in alphabetical order
C. Arrange the instruments in the order of their use

517. 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. Core sterilization

518. Implantable devices:

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

519. Ethylene oxide has better penetration capabilities than ozone and hydrogen peroxide gas plasma:

A. True
B. False

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

A. The central service supervisor
B. The procedure manual
C. The sterilization log

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

A. The gravity convection sterilizer
B. The mechanical convection sterilizer
C. The dynamic air removal sterilizer

522. Because shelf life is event related, stock rotation is no longer necessary:

A. True
B. False

523. Temperatures in a sterile storage area should be 64 to 75 degrees F:

A. True
B. False

524. Sterile packages should be stored no lower than 4-6 inches from the floor:

A. True
B. False