PROGtest#4 Flashcards

1
Q

_____ is the first step in the sterilization process.

A

Cleaning

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2
Q

What type of air pressure is required for decontamination areas?

A

Negative

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3
Q

Healthcare-associated infections are:

A

Those that occur in the course of being treated in the hospital.

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4
Q

Subcutaneous means:

A

Beneath the skin

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5
Q

Surgical instruments should be inspected:

A

After they are cleaned

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6
Q

The sterile storage area in the Central Service department should be restricted to:

A

Properly attired personnel meeting facility requirements.

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7
Q

Soiled instruments and other items are received in what area of the CS department?

A

Decontamination

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8
Q

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

A

Paper to Plastic

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9
Q

Sterile packages should be stored no lower than _____ and _____ inches from the floor.

A

8-10

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10
Q

What is the advantage of rigid sterilization containers?

A

Eliminates torn wrappers

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11
Q

What material cannot be processed within a gas plasma sterilizer?

A

Cellulose containing items

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12
Q

What agency regulates the re-use of single-use devices?

A

FDA

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13
Q

A sealing method that allows users to determine if sterile packages have been open (contaminated) and helps users identify packages that are unsafe for patient use.

A

Tamper Evident Seals

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14
Q

Stock rotation system used where the oldest product (that has been in storage the longest) is used first:

A

FIFO (First In First Out)

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15
Q

What are examples of Communication?

A

-Words you Speak
-Words you Write
-Nonverbal Expressions

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16
Q

CS Techs must wear special attire referred to as _____ to minimize their exposure to bloodborne pathogens and other contaminants.

A

PPE

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17
Q

The procedure to remove the stomach is called:

A

Gastrectomy

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18
Q

Which of the following is used for the final rinse water used for decontamination cleaning?

A

Deionized

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19
Q

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

A

Unlock the handles and open the instruments

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20
Q

Knowing and understanding medical terminology helps technicians:

A

Understand what is asked when a request is made.

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21
Q

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

A

Job description

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22
Q

What test material is used for scissors longer than 4.5”

A

RED test material

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23
Q

This sterilization process DESTROYS the cell’s ability to metabolize or reproduce by ALKYLATION:

A

EO (Ethylene Oxide)

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24
Q

ANSI/AAMI/ST77 and ANSI/AAMI ST79 recommend a maximum weight of _____ pounds for containerized trays:

A

25 lbs.

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25
Q

How many inches should a sterile package be stored from the wall?

A

2 Inches

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26
Q

The WEAKEST part of the steam sterilizer is the _____.

A

Door

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27
Q

A class _____ emulating indicator, also called verification indicators or cycle-specific indicators is designed to react to all critical parameters of a steam sterilization cycle.

A

6

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28
Q

Who approves the use of HLDs (High-Level Disinfectants), sterilants, packaging material, sterilizers, and quality monitors such as biological indicators?

A

FDA

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29
Q

This is the process by which all forms of microbial life, including bacteria, viruses, spores, and fungi, are completely destroyed.

A

Sterilization

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30
Q

_____ is a chemical used on inanimate objects such as medical instruments to kill all organisms except spores.

A

Disinfectant

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31
Q

Decontamination of all instruments and equipment starts:

A

At the Point of Use

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32
Q

FDA class _____ devices are considered LOW-RISK products such as most hand-held surgical instruments and ultrasonic cleaners:

A

1

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33
Q

This is an activity or procedure that prevents infection or breaks the chain of infection.

A

Aseptic Technique

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34
Q

The _____ Program is a voluntary program in which device-related problems are reported.

A

MedWatch

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35
Q

HLDs are used to process _____ items that may come in contact with mucous membranes of the body.

A

Semi-Critical

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36
Q

The use of heat to reduce the amount of microorganisms (excluding spores) on a medical device is called:

A

Thermal Disinfection

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37
Q

Behavior relating to what is ‘right and wrong’ relative to the standards of conduct for your profession is called:

A

Ethical Behavior

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38
Q

In Central Service, the concept of a one-way flow of materials refers to the movement of products:

A

From soiled areas to clean processing areas in the CS Department

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39
Q

______ is a HLD used for semi-critical devices such as endoscopes and ultrasonic probes.

A

Glutaraldehyde

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40
Q

_____ is the process used by ultrasonic cleaner in which low pressure bubbles collapse (implode) and dislodge soil from instrumentation.

A

Cavitation

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41
Q

_____ breaks down the fatty deposits such as bone marrow.

A

Lipase

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42
Q

What test material is used for CHISELS and OSTEOTOMES:

A

Plastic Dowel Rod

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43
Q

Loaner trays that come from the outside should be considered _____ and handled accordingly.

A

Contaminated

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44
Q

Air pressure in the PREP and PACK area should be:

A

Positive

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45
Q

_____ compounds have been the agent of choice for housekeeping services because a residual film is left after each use which can be reactivated later by damp mopping.

A

Phenolic

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46
Q

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

A

Attitude

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47
Q

The largest customer of Sterile Processing is:

A

OR (Operating Room)

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48
Q

To achieve a reasonable level of disinfection, alcohol must remain in wet contact with the surface for a minimum of _____ minutes

A

FIVE (5)

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49
Q

When _____ is placed on the rings of an instrument, it indicates that the jaws/blades are made of TUNGSTEN CARBIDE.

A

Gold

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50
Q

These surgical instruments are used to CUT, INCISE and/or DISSECT tissue.

A

Scissors

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51
Q

Which agency regulates worker safety issues?

A

OSHA

52
Q

One benefit of using a sterilizer with a jacket is that the jacket:

A

Minimizes the amount of condensation (moisture) that forms when hot steam contacts the chamber walls.

53
Q

Which association develops and maintains sterilization standards?

A

AAMI

54
Q

Which of these statements are true?

-We only communicate when we want to
-Words mean the same to everyone
-A message should contain all possible information

A

None of the Above

55
Q

What agency regulates environmental contamination?

A

EPA

56
Q

_____ is a process in which sterilized packages are subjected to moving air to facilitate the removal of toxic residuals after exposure to a sterilizing agent, such as EO.

A

Aeration

57
Q

A proper _____ is the most important factor necessary for teamwork.

A

Attitude

58
Q

When placing instruments in a peel pack, the tips should always face the _____ side of the package.

A

Plastic

59
Q

Type of flexible endoscope that has a working channel and allows physicians to perform some surgeries.

A

Operative

60
Q

The surgical procedure removes the uterus:

A

Hysterectomy

61
Q

This circular opening is found at the center of the iris:

A

Pupil

62
Q

What percentage of bacteria are beneficial and essential for the existence of humans, plants, and animals?

A

95%

63
Q

What of these precautions uses appropriate barriers to reduce the risk of transmissions of bloodborne and other pathogens?

A

Standard Precautions

64
Q

If IUSS must be used for an implant, what should be in place to trace the IUSS load to the patient?

A

A Tracking System

65
Q

Items introduced directly into the bloodstream are classified as:

A

Critical Items

66
Q

Sterile items and other items within the central service department should be kept _____ from sprinkler heads:

A

18 Inches

67
Q

Voluntary standards:

A

Provide guidelines for better patient care.

68
Q

A group of employees from different departments within the healthcare facility that work together to solve operating problems is called a:

A

Cross-Functional Team

69
Q

What test material is used for pituitary and kerrison rongeurs:

A

Index Card

70
Q

Which of the following agencies has strict labeling requirements for disinfectants and sanitizers?

A

EPA

71
Q

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

A

Canvas

72
Q

The suffix -ectomy means:

A

Surgical Removal

73
Q

Dark areas on the lens of a scope are:

A

Damaged Light Fibers

74
Q

Mushrooms, molds and yeast are common types of:

A

Fungi

75
Q

The prefix word element comes:

A

Before the root.

76
Q

Microbes:

A

-Can be found on hair and skin
-Can produce toxins
-Are useful for breaking down sewage

77
Q

It is not uncommon for priorities to change during a shift; when instrument priorities change, it is important to look at the _____.

A

Communication Board

78
Q

What is terminal sterilization?

A

The process by which surgical instruments and medical devices are sterilized in their final containers, allowing them to be stored until needed.

79
Q

This procedure views the urinary bladder using an endoscope:

A

Cystoscopy

80
Q

The human muscular system:

A

-Pumps blood throughout the body
-Produces heat for the body
-Assists with movement

81
Q

This is sometimes used to ease the pronunciation of a medical word:

A

Combining Vowel

82
Q

A collection of microorganisms that attach to surfaces and each other and form a colony. The colony produces a protective gel that is very difficult to penetrate with detergents and disinfectants.

A

Biofilm

83
Q

This is a federal agency that works to promote health and quality of life by preventing and controlling disease, injury and disability and by responding to health emegencies.

A

CDC (Centers for Disease Control and Prevention

84
Q

Sterile storage should have _____ airflow:

A

Positive

85
Q

Automatic instrument washer disinfectors clean using a spray-force action called:

A

Impingement

86
Q

When removing (doffing) your PPE, you should remove _____ first.

A

Shoe Covers

87
Q

More than 55% of blood is made up of _____.

A

Plasma

88
Q

Which of the following tells the primary meaning of a word:

A

Root

89
Q

The Association of periOperative Nurses (AORN) is:

A

A professional organization that writes guidelines for the OR

90
Q

Which of the following basic listening tactics is most useful?

-Try to listen only for specific facts
-Ignore any non-verbal communication sent by the speaker
-Focus on the delivery of the message rather than the content

A

None of the Above

91
Q

When putting on PPE (donning), what is the third step?

A

Goggles/Face Shield

92
Q

To prevent aerosols, items should be brushed below the surface of the water in a _____ motion.

A

To and Fro

93
Q

In a three sink arrangement used for manual cleaning, the third sink should contain:

A

Critical Water

94
Q

These are the basic units of all living organisms:

A

Cells

95
Q

Which of the following statements is NOT true about devices processed by IUSS? The devices:

A

May be stored for later use

96
Q

The term -hypo means

A

Below

97
Q

To ensure air removal within pre-vacuum steam sterilizers, the integrity of the sterilizer should be checked daily by processing a _____ test.

A

Bowie-Dick

98
Q

Detergents used in mechanical cleaners should be:

A

Low-Foaming

99
Q

All mechanical cleaning equipment provides:

A

Consistent Process

100
Q

Which of the following procedures abbreviations would relate to a fractured bone:

A

ORIF

101
Q

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

A

Feedback

102
Q

A system is:

A

A group of organs that work together to carry out a particular activity.

103
Q

Which of the following FDA devices are the most stringently regulated devices? The devices include heart valves, pacemakers, and other life-sustaining devices:

A

Class 3 Medical devices

104
Q

ANSI/ASHREA/ASH170 recommends that the sterile storage area have less than _____ relative humidity (RH).

A

70%

105
Q

Viruses are the smallest microorganisms and are about _____ times smaller than bacteria.

A

1000

106
Q

This means the treatment of a fractured bone without a surgical incision:

A

CR (Closed Reduction)

107
Q

What is the largest organ of the body?

A

Skin

108
Q

This chemical process is applied during instrument manufacturing and provides a corrosion-resistant finish by forming a thin, transparent oxide film.

A

Passivation

109
Q

The white portion of the eye is called the:

A

Sclera

110
Q

The CMS states that IUSS should not be performed on:

A

Implants unless there is a documented emergency.

111
Q

In this flat wrapping method, the package is only wrapped once but it requires a special double-layered synthetic nonwoven material bound on two or four sides.

A

Simultaneous

112
Q

The process of pre-cleaning should begin at:

A

Immediately after the completion of a surgical procedure.

113
Q

Why is it important to clean and flush a steam sterilizer’s chamber drain:

A

Air and steam will not pass out of the chamber efficiently if the drain line is blocked.

114
Q

Microgrind or supercut blades are visually identified by their _____.

A

Black Rings

115
Q

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

A

Service Recovery

116
Q

This is the part of a surgical instrument that “locks” the handles in place:

A

Ratchet

117
Q

Why is it important to inspect the insulation coverings of laparoscopic instrumentation?

A

Failure to discover pin holes or damage to the insulation can result in leaked electricity that can cause damage to the patient.

118
Q

Both AORN and TJC recommend that:

A

The use of IUSS should be minimized or decreased

119
Q

Which of the following sterilization methods requires aeration?

A

EO (Ethylene Oxide)

120
Q

How many air exchanges are required per hour for the Sterile Storage area of the Central Service Department?

A

4

121
Q

The FDA classifies sterilization packaging as a:

A

Class 2 Medical Device

122
Q

How should a freshly sterilized set or item be tested to determine if it is cool enough to transport?

A

Use an infrared device.

123
Q

The skin that covers our body’s external surface and the lining of body cavities is _____ tissue.

A

Epithelial Tissue

124
Q

When is Point of Use treatment performed?

A

Immediately after use

125
Q

Items that have been used in patient care areas regardless of it they are visually soiled, should be considered:

A

Contaminated