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To prevent coagulation of proteins, water temperature should be - CORRECT ANSWER-Below 43 C (110 F) Secondary containers of chemicals - CORRECT ANSWER-must be labeled with a copy of the original manufacturer's label or a generic label that identifies hazard warnings and directions These carry blood away from the heart - CORRECT ANSWER-arteries
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To prevent coagulation of proteins, water temperature should be - CORRECT ANSWER-Below 43 C (110 F) Secondary containers of chemicals - CORRECT ANSWER-must be labeled with a copy of the original manufacturer's label or a generic label that identifies hazard warnings and directions These carry blood away from the heart - CORRECT ANSWER-arteries The percentage of hospital patients that develop a healthcare facility-associated infection. - CORRECT ANSWER-Approximately 10% Spiral shaped bacteria are classified as - CORRECT ANSWER-spirillum The two most common techniques of flat wrap packaging are - CORRECT ANSWER- Square-fold and envelope-fold Third party reprocessors are regulated by the FDA - CORRECT ANSWER-True The physical method by which an ultrasonic units clean is called - CORRECT ANSWER-Cavitation Equipment should be inspected for obvious hazards such as cracked or frayed electrical cords: - CORRECT ANSWER-whenever the equipment is cleaned Impregnated Gauze Strips may be sterilized using: - CORRECT ANSWER-dry heat sterilization Powered surgical instruments should be cleaned using a mechanical cleaning process.
Horizontal work surfaces in the decontamination area should be cleaned and disinfected
Bowie dick tests should be run in - CORRECT ANSWER-Dynamic air removal steam sterilizers Cellulosic materials (paper, cotton and linen) cannot be processed in a/an: - CORRECT ANSWER-hydrogen peroxide gas plasma sterilizer Central service technicians must be able to identify approximately 100s of instruments - CORRECT ANSWER-True Creates and revises standards for processing water for irrigation. - CORRECT ANSWER-USP-NF (the United States Pharmacopoeia-national formulary) Creation of a new blood supply to an area of the heart with a clotted/blocked artery - CORRECT ANSWER-CABG (coronary artery bypass graft) Deionized water is used for: - CORRECT ANSWER-Sterile irrigation develops recommended standards, practices and guidelines for care and processing of devices - CORRECT ANSWER-AAMI Disadvantages to a case cart distribution system - CORRECT ANSWER-A lag time between usage and replenishment During instruments manufacture the process of passivation helps build a protective chromium oxide layer on each instruments surface - CORRECT ANSWER-True Each year, approximately____ patients develop a healthcare associated infection - CORRECT ANSWER-2 million Typically 1 min of drying time programmed into flash cycles removes steam from chamber but doesn't dry device completely - CORRECT ANSWER-Drying phase of steam sterilization What would be the recommended exposure time for a dry heat sterilization load that was run at an exposure temperature of 320 degrees •F - CORRECT ANSWER-2 hours The term "super heated steam" means - CORRECT ANSWER-Dry steam Some plastics including formulations of spun bonded polyolefin are intended for use solely in these sterilization processes: - CORRECT ANSWER-low temperature The part of the digestive system where the greatest absorption of nutrients into body cells takes place - CORRECT ANSWER-small intestines Water that is turbid is : - CORRECT ANSWER-cloudy
Softened water - CORRECT ANSWER-decreases the likelihood of mineral scale deposits A liquid oxidizing agent that is an effective biocide at low temperatures. It is a used in a sterilizaiton system that processes immersible instruments for immediate use - CORRECT ANSWER-Paracetic Acid (PA) Award given by the American nurses credentialing center to hospitals that satisfy factors that measure the strength and quality of nursing care viewed as one of the highest achievement a hospital can obtain - CORRECT ANSWER-Magnet status Modern powered surgical instruments are immersive. True or False - CORRECT ANSWER-False The term "excise" means - CORRECT ANSWER-To cut out Which of the following tracking methods provides real time information? - CORRECT ANSWER-RFID The spore used in the testing of steam sterilization is - CORRECT ANSWER- Geobacillus stearothermophilus In a sterilization load containing 2 small basins, the chemicals indicators will be positioned. - CORRECT ANSWER-On the top of the basins This unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower the body temperature - CORRECT ANSWER-hypothermia unit Which of the following is the most popular title for the central service department head - CORRECT ANSWER-director Implantable devices - CORRECT ANSWER-should not be flash sterilized Heat sensitive items - CORRECT ANSWER-The nurse is aware that the use of ethylene oxide gas is reserved for the sterilization of: Two most common temperatures used in steam sterilization are - CORRECT ANSWER- 250 and 270- 275 Test which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called - CORRECT ANSWER- In order to elevate the temperature in a steam sterilizer, you must - CORRECT ANSWER-Increase the steam pressure
Instruments washers sterilizers provide - CORRECT ANSWER- official inventory - CORRECT ANSWER-can be counted as an asset on the facility's balance sheet The inventory system that stocks supplies by established levels is called - CORRECT ANSWER- In this system items are owned by the vendor, but stored at the healthcare facility - CORRECT ANSWER-consignment If an equipment malfunction causes harm to patients, it should be - CORRECT ANSWER-returned immediately to the biomedical department The____ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury and/or death to the manufacturer and the FDA. - CORRECT ANSWER- Which of the following is NOT a reason for tracking supplies, equipment and instruments. - CORRECT ANSWER-meet CDC and OSHA requirements Which of the following tracking methods provides real time information? - CORRECT ANSWER-radio frequency identification tags (RFID) Point of use computing: - CORRECT ANSWER-moves computers into central service department work areas Which of the following is not a feature of an instrument tracking system - CORRECT ANSWER-product updates and recall information Which of the following is NOT required for sharps safety? - CORRECT ANSWER-Wash all disposable sharps before discarding them What is burning in a class C fire? - CORRECT ANSWER-energized electrical equipment Hands should be finished rinsed in what position? - CORRECT ANSWER-up The pathway that food takes through the digestive system - CORRECT ANSWER- alimentary canal These cell components are comprised of DNA and pass on traits of parent cells to new cells. - CORRECT ANSWER-chromosomes This gland stimulates body growth - CORRECT ANSWER-pituitary gland
Most bacteria are approximately _____ microns in size - CORRECT ANSWER-1/ Sunlight is lethal to the _________ stage of pathogens - CORRECT ANSWER- vegetative Which of the following is a system used to treat the final rinse water used for cleaning? - CORRECT ANSWER-Deionization Purified water should have a ph of - CORRECT ANSWER-6.5-7. Endotracheal tubes and anesthesia breathing circuits are examples of: - CORRECT ANSWER-Semi-critical devices. if a sterilizer has successfully killed all bacterial spores in a biological test - CORRECT ANSWER-it is called a negative test How frequently should a sterilizers strainer be removed and cleaned - CORRECT ANSWER-daily The transport of flash sterilized items is difficult because: - CORRECT ANSWER-they have no protective wrapping When processing flexible endoscopes in a liquid chemical sterile processing systems should - CORRECT ANSWER- The inventory system that stocks supplies by stablished stock levels is called - CORRECT ANSWER- International standards to reduce the burden of fire and other hazards - CORRECT ANSWER-NFPA (national fire protection association) furthers international cooperation in improving health conditions - CORRECT ANSWER- who Enhances the global competitiveness and quality of life by promoting standards and ensuring their integrity - CORRECT ANSWER-ANSI Proposed standards are submitted from members such as AAMI - CORRECT ANSWER- agency responsible for regulating EO - CORRECT ANSWER- Recommendations regarding sterilization practices are provided by AAMI? - CORRECT ANSWER-
Centers for disease control guidelines are considered regulatory guidelines - CORRECT ANSWER-False Laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched - CORRECT ANSWER-False The prefix hemi - CORRECT ANSWER-means half robotic instruments (all of the above) - CORRECT ANSWER-Do not come apart for cleaning, have mechanical/electrical components in the proximal end of the instrument, and are heavier than standard laparoscopic instruments Healthcare regulations and standards provide consistency of departmental activities by outlining - CORRECT ANSWER-minimal levels of quality and safety All sonic cleaners have a decontamination cycle (T/F) - CORRECT ANSWER-False Rigid container filter retention plates should be - CORRECT ANSWER-removed from the container and lid and cleaned separately The amount of time an item must remain wet with a disinfectant to achieve disinfection is called - CORRECT ANSWER-Wet contact time Contaminated items may be returned to central service (all of the above) - CORRECT ANSWER-During scheduled soiled pick up rounds, by staff from user departments, and in case carts Cleaning brushes - CORRECT ANSWER-should be decontaminated at least daily steam sterilization is the most commonly used method of sterilization used in healthcare because - CORRECT ANSWER-Cycles are fast and inexpensive When placing sterile items on the shelf, check - CORRECT ANSWER-Package integrity, an expiration date and deals and filters to be sure they are intact (all of above). One common cause of a clogged drain screen is - CORRECT ANSWER-Tape The first sink bay in the decontamination area should be filled with a neutral detergent or enzyme. - CORRECT ANSWER-True due to the difficulty of cleaning items contaminated with prions (all of the above) - CORRECT ANSWER-disposable instruments should be used during the case. Heat- sensitive items should not be used as they will probably be destroyed during cleaning. And if reusable items are used guidelines suggest disposing of the items contaminated with high-risk tissue.
When loading a steam sterilizer - CORRECT ANSWER-Basin sets should be placed on edge/tilted, sold containers should be placed so air can get out, there should be visible space between packs (do all of the above) What exposure monitoring is required for all personnel using hydrogen peroxide sterilizer? - CORRECT ANSWER-No monitoring is required To properly test the sharpness of scissors four inches or less use - CORRECT ANSWER-yellow test material When placing instruments in a peel pack, the tips should always face the paper side of the pack. (A) True (B) False - CORRECT ANSWER-False Using the wrong container filter or poor filter placement can be a cause of a wet pack (T/F) - CORRECT ANSWER-True Heavy items should be placed - CORRECT ANSWER-On the middle shelves The purpose of the insulation covering laparoscopy instrument is to - CORRECT ANSWER-Protect the patient from electrical current The guidelines of sterile storage are the same for both items sterilized in house and for items purchased sterile. - CORRECT ANSWER-True Information about a devices compatibility with a specific sterilization process should be - CORRECT ANSWER- Temperature in the preparation and packaging area should be - CORRECT ANSWER- Between 68 and 73 degrees Fahrenheit In an automated washer the key source of disinfection is - CORRECT ANSWER-water temperature When assembling instrument trays - CORRECT ANSWER-Heavier instruments should be placed on the bottom of the tray The steam sterilization process can be affected by the design of the medical device being sterilized. - CORRECT ANSWER-True Ethylene oxide, hydrogen peroxide and ozone sterilization process must all be monitored using chemical, physical and biological monitors. - CORRECT ANSWER- True