exam 1

Question 1

Which organization furthers international cooperation in improving health condition?

Answer 1

WHO

Question 2

What bodies develop international standards to reduce the burden of fire and other hazards?

Answer 2

NFPA

Question 3

Which minerals will be removed by a water softener?

Answer 3

calcium and magnesium

Question 4

What is used to remove chalky, powder-like, hard to remove substances that sometimes form on equipment and sinks?

Answer 4

descaler

Question 5

What is the primary cause of pitting?

Answer 5

chloride

Question 6

Why is routine surgical instrument maintenance and repair important?

Answer 6

prevent surgical instrument corrosion

Question 7

Which indicator is recommended for use in monitoring sterilization cycles?

Answer 7

type 5 or 6 indicators

Question 8

Where can requirements for cleaning, disinfection and sterilization, inspection, and routine maintenance of equipment be obtained from?

Answer 8

IFU

Question 9

What should the efficacy of sterilizers be routinely monitored using?

Answer 9

BI PCD

Question 10

What are the three major areas in sterility assurance related to environmental controls?

Answer 10

temperature, humidity, air exchanges

Question 11

What are chemicals that hold hard water minerals in solution and prevent soaps or detergents from reacting with the minerals?

Answer 11

chelating agents

Question 12

Ultrasonic cleaners clean by a process called _______.

Answer 12

cavitation

Question 13

How frequently should de-gassing in an ultrasonic cleaner be performed?

Answer 13

each time the solution is changed

Question 14

What will occur if the ultrasonic bath temperature is too high?

Answer 14

it will cause the protein on the instruments to coagulate

Question 15

Why must water be degassed each time the ultrasonic cleaner’s tank is changed?

Answer 15

excess bubbles formed while filling the tank will reduce the energy of the cavitation process

Question 16

Which organization provides guidelines for cleaning and care of surgical instruments?

Answer 16

AORN

Question 17

Which organization specializes in endoscopy issues and has established standards for the effective processing of flexible endoscopes?

Answer 17

SGNA

Question 18

What is used to remove chloride from water?

Answer 18

granular activated charcoal

Question 19

What system is used to treat the final rinse water used for cleaning?

Answer 19

deionization

Question 20

Which elements cause bluish or rainbow stains on the surface of surgical instruments?

Answer 20

iron and silicates

Question 21

What is the ideal level of chloride in tap water?

Answer 21

100 ppm

Question 22

What is the final phase of the EtO sterilization cycle?

Answer 22

aeration

Question 23

OSHA requires that EtO personal monitoring records be stored for how long after the employee has completed the last EtO related task?

Answer 23

30 years

Question 24

What are the primary variables of Ethylene oxide sterilization?

Answer 24

concentration, humidity, temperature, and time

Question 25

To clean, disinfect, and rinse flexible fiberoptic endoscopes, which equipment will you use?

Answer 25

automated endoscope reprocessor

Question 26

What is a mode of bacterial transmission where an infectious agent is transmitted through an item such as food or fluid?

Answer 26

common vehicle

Question 27

What packing material is compatible with Ethylene oxide (EtO)?

Answer 27

tyvek

Question 28

Internal chemical indicators may be placed in these areas except _______.

Answer 28

in an area most accessible to steam penetration

Question 29

What is the recommended maximum weight for containerized trays?

Answer 29

25 lbs

Question 30

What action should the CS technician take if he finds out that some instruments were missing while assembling an instrument tray?

Answer 30

he should seek clearance from the owning department to substitute the missing item

Question 31

If a processed tray is opened and found to be missing an internal chemical indicator, what needs to happen?

Answer 31

the tray should not get used in surgical procedures

Question 32

When does the sterile storage process begin?

Answer 32

when the sterilizer is opened at the end of the cycle

Question 33

The bottom shelf of any sterile storage system should be _______.

Answer 33

solid and 8-10 inches from the floor

Question 34

Trays with overhang shelving can become _______.

Answer 34

contaminated

Question 35

To prevent coagulation of proteins, instruments should be pre-rinsed using _______.

Answer 35

cold water

Question 36

Which areas should be cleaned first?

Answer 36

sterile storage

Question 37

What are the two key factors to consider when handling sterilized items?

Answer 37

employee safety and contamination of sterile items

Question 38

Brushing instruments under water should be done using a _______.

Answer 38

to and fro motion

Question 39

The detergents used in an ultrasonic cleanser should be _______.

Answer 39

low foaming

Question 40

Which instruments can be cleaned in an ultrasonic cleaner?

Answer 40

lumens

Question 41

Manual cleaning needs to be performed as soon as possible upon entering the decontamination area to _______.

Answer 41

prevent the formation of bioburden

Question 42

Instruments with lumens should be soaked in a _______.

Answer 42

vertical position

Question 43

Which organization provides regulations and requirements for biohazard material transport safety?

Answer 43

DOT

Question 44

What is an inventory system that keeps track of all incoming and outgoing supplies?

Answer 44

Perpetual Inventory System

Question 45

What is an inventory system where items are owned by the vendor but stored at the health care facility?

Answer 45

consignment

Question 46

What is removed with descalers?

Answer 46

chalky white substance

Question 47

When should the process of pre-cleaning begin?

Answer 47

immediately after the completion of an invasive procedure

Question 48

Among the following low temperature sterilizations, which has the longest instrument turnaround time?

Answer 48

ethylene oxide

Question 49

At a minimum, what PPE should the sterile technician wear when cleaning the sterilizer drain strainer?

Answer 49

gloves, face shield and protective gown, shoe covers

Question 50

What is considered a critical device?

Answer 50

retractor