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CRCST > PROGTest#3 > Flashcards

PROGTest#3 Flashcards

1
Q

When donning PPE what is the first item you put on?

A

Gown

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2
Q

IUSS sterilization is appropriate to use when:

A

A ONE OF A KIND instrument is dropped.

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3
Q

For sterilization to occur steam must:

A

make direct CONTACT with all surfaces.

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4
Q

What is the weakest part of a steam sterilizer?

A

The Door

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5
Q

Event-related sterility is the concept that:

A

Sterile products remain sterile until an event occurs to make them unsterile.

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6
Q

Which of the following involves the act or process of oxidizing?

A

Oxidation

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7
Q

For sterilization, paper-plastic peel packs should be placed:

A

On Edge

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8
Q

Loaned instruments should:

A

Be decontaminated before use.

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9
Q

The process by which all forms of microbial life (including bacteria, viruses, spores, and fungi are completely destroyed is called?

A

Sterilization

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10
Q

Informal work groups frequently develop an informal communication system called the ______.

A

Grapevine

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11
Q

During assembly, multi-part instruments should be:

A

Assembled to ensure they are in working condition, then disassembled for sterilization.

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12
Q

To ensure successful sterilization, the sterilizer should not be:

A

Overloaded

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13
Q

The sequence of steps used to address customer complains and problems in a manner that yields a win-win situation for the customer and the department is called _______.

A

Service Recover

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14
Q

Which of the following should be used to verify that sterilized items have reached room temperature?

A

An infrared device

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15
Q

A _______ is an infectious protein particle that, unlike a virus, contains no nucleic acid, does not trigger an immune response, and is not destroyed by extreme heat or cold.

A

Prion

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16
Q

_______ are microorganisms capable of forming a thick wall around themselves, enabling them to survive in adverse conditions.

A

Endospores (spores)

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17
Q

The chamber drain strainer should be removed _______ and cleaned thoroughly under running water using a mild detergent and non-abrasive brush.

A

At least DAILY

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18
Q

An inanimate object that can transmit bacteria is called a _______.

A

Fomite

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19
Q

What has a working channel (lumen) through which instruments or accessories can be passed to perform surgical procedures?

A

Operative Endoscopes

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20
Q

When sterilizing an implant, the load must:

A

Contain a (BI) BIOLOGICAL INDICATOR

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21
Q

The probability of a viable microorganism being present on a device after sterilization is called:

A

(SAL) Sterility Assurance Level

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22
Q

IUSS documentation should include the:

A
  • Name of instrument(s) being sterilized
  • Patient ID
  • Sterilizer number and cycle
  • Reason for the use of IUSS
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23
Q

Once items are removed from the sterilizer, they should be moved to a:

A

Designated cooling area

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24
Q

Which of the following sterilization methods can permeate throughout a wide range of materials to reach recessed areas?

A

(EO) Ethylene Oxide

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25
Q

__________ is the scientific study of the nature, life, and action of microorganisms.

A

Microbiology

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26
Q

After sterilized items have cooled and are ready for storage, you should place heavy items on _______ shelves to allow for safe lifting.

A

Middle

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27
Q

Which of the following may occur if packages are moist at the end of the steam cycle?

A

Bacteria can wick into the package

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28
Q

In a mixed load of textile and metal goods, the metal goods should be placed:

A

On the BOTTOM racks

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29
Q

__________ is the 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

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30
Q

One or more air samples representing a full shift exposure to EO are taken to comply with OSHA’s:

A

(PEL) Permissible Exposure Limits

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31
Q

To ensure the safety of healthcare workers, __________ has established (PEL) Permissible Exposure Limits for all low-temperature sterilants.

A

OSHA

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32
Q

The door gasket should be inspected and wiped clean ______ with a clean, damp, non-linting cloth.

A

Daily

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33
Q

What should not be processed in a low-temperature gas plasma sterilizer?

A

Gauze Sponges

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34
Q

H2O2 is a highly effective sterilant that sterilizes by _______ of key cellular components.

A

Oxidation

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35
Q

The microorganism of choice for H2O2 gas plasma BIs is the _________ spore.

A

Geobacillus Stearothermophilus

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36
Q

The best way to transport soiled instruments is in:

A

Enclosed Carts

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37
Q

Items to be sterilized in low-temperature gas plasma must be packaged in:

A

Non-Cellulose based material

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38
Q

The process used to give instruments a mirror finish is called:

A

Polishing

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39
Q

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

A

IUSS Sterilization

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40
Q

What can be used in an EO Sterilizer?

A

Tyvek Peel Packs

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41
Q

Scissors longer than 4.5” should be tested using:

A

RED test material

42
Q

When cleaning shelving systems, all items should be:

A

Carefully removed from the shelf

43
Q

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

A

Terminal Sterilization

44
Q

Washer-disinfectors work on the principle of _______ and are effective means for cleaning and disinfecting instruments because of their spray force.

A

Impingement

45
Q

Which packaging material is NOT recommended for the EO sterilizer?

A

Nylon

46
Q

An emergency eyewash/shower station should be accessible within ______ seconds or 30 meters of areas of potential chemical exposure.

A

10

47
Q

Cartridges with 100% EO should be stored in a ventilated _________ that is exhausted outside, away from heat, sparks, and sunlight.

A

Flammable Liquid Storage Cabinet

48
Q

In a 3-sink arrangement used for manual cleaning the second sink should contain:

A

UTILITY or CRITICAL water

49
Q

To be legally marketed in the US the _______ requires each sterilant and sterilization technology to be rigorously tested against a broad range of microorganisms.

A

FDA

50
Q

Many microorganisms, or microbes, are harmless. In fact _____ of bacteria are beneficial and essential.

A

95%

51
Q

The microorganism of choice for EO BIs is:

A

Bacillus Atrophaeus

52
Q

The decontamination department of sterile processing should be under _____ pressure.

A

Negative

53
Q

This is the term used to describe instruments or equipment that must receive priority processing to be made available for another procedure.

A

Turnover/Turnaround

54
Q

Which of the following sterilization methods requires an emergency plan?

A

(EO) Ethylene Oxide

55
Q

EO sterilizers should be located in a well-ventilated area, with a room air exchange rate of at least ____ changes per hour.

A

10

56
Q

What item would be considered a “critical” item based on the Spaulding Classification system?

A

Needles

57
Q

The more bioburden on an object:

A

The more difficult it will be to sterilize.

58
Q

Per fire codes, stored items should be placed at least _____ inches below the ceiling or the level of the sprinkler heads to allow for proper air circulation and for water to flow unimpeded.

A

18

59
Q

______ is the first step in the sterilization process.

A

Cleaning

60
Q

Peel Pack Sterilization pouches are placed ____ to ____ for air and steam circulation.

A

Paper to Plastic

61
Q

______ bacteria are bacteria that can live in the absence of atmospheric oxygen.

A

Anaerobic

62
Q

A collection of microorganisms that attach to surfaces and each other to form a colony is known as:

A

Biofilm

63
Q

ANSI/ASHRAE/ASHE 170 recommends that the temperature in the sterile storage area may be:

A

75 degrees Fahrenheit or lower

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

An osteotome is used to:

A

Cut or Shave bone

66
Q

Which of the following enzyme is used to breakdown fatty tissue on instruments?

A

Lipase Enzymes

67
Q

The bottom shelf of each shelving unit must be between ____ and ____ inches from the floor.

A

8-10 inches

68
Q

To prevent coagulation of proteins, surgical instruments should be pre-rinsed using:

A

Cool Water

69
Q

A low-level disinfectant that is INCOMPATIBLE with soap.

A

(QUATs) Quaternary Ammonium Compounds

70
Q

EO inactivates microbes by a process called:

A

Alkylation

71
Q

Pneumatic-powered surgical devices require the use of _____ to function.

A

Compressed Air/ Gas-Powered

72
Q

To properly test the sharpness of scissors 4.5” or LESS you should use:

A

YELLOW test material

73
Q

It is important to keep packs at least _____ inches away from exterior walls, windows, and window seals where condensation can form.

A

2 inches

74
Q

These bacteria are shaped like RODS or BRICKS

A

Bacillus

75
Q

ANSI/ASHRAE/ASHE 170 recommends that the relative humidity (RH) of the sterile storage area be:

A

Less than 70%

76
Q

To test the sharpness of a Kerrison Rongeur, you should use:

A

An Index Card

77
Q

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

A

Passivation

78
Q

_____ is the process of transmitting information from one person to another by the use of words and non-verbal expressions such as body language.

A

Communication

79
Q

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

A

Cavitation

80
Q

At least how many air exchanges are required per house for the sterile storage area of the sterile processing department?

A

4

81
Q

All loaned instruments should be _____ and _____ upon their receipt and after use.

A

Cleaned and Decontaminated

82
Q

_____ are the basic units of all living organisms and they are the smallest unit that can live, grow, and reproduce.

A

Cells

83
Q

How often should floors be cleaned (damp mopped)?

A

At least DAILY

84
Q

This enzyme catalyzes (changes) starch into sugars.

A

Amylase

85
Q

_____ is a stock rotation system whereby the oldest produce ( that has been in storage the longest) is used first.

A

(FIFO) First In, First Out

86
Q

These items usually come into direct contact with the patient’s unbroken skin.

A

Non-Critical Items

87
Q

A wet pack should be considered _____ and must be completely reprocessed.

A

Contaminated

88
Q

Which of the following sterilization methods requires aeration?

A

(EO) Ethylene Oxide

89
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.

90
Q

Both AORN/TJC recommend that:

A

The use of IUSS should be MINIMIZED or DECREASED

91
Q

During handwashing, hands should be lathered and scrubbed for at least:

A

20 seconds

92
Q

Sterile Processing (SP) technicians MUST wear special attire called _____ to minimize exposure to bloodborne pathogens and other contaminants.

A

(PPE) Personal Protective Equipment

93
Q

Which of the following would be an example of fungi?

  • Athlete’s Foot
  • COVID-19
  • Ebola
  • Herpes Simplex Virus (HSV)
A

Athlete’s Foot

94
Q

High-Level Disinfectants (HLDs) MUST be tested:

A

PRIOR to each use

95
Q

Documentation of IUSS cycles should include:

A

Patient ID and the REASON for the IUSS

96
Q

Before items can be placed in a low-temperature sterilization processing system, the items must be:

A

Cleaned

97
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.

98
Q

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

A

Ratchet

99
Q

Iodophors are buffered iodines that are also members of the _____ family.

A

Halogen

100
Q

The most commonly encountered temperatures for Dynamic Air Removal steam sterilization are:

A

270F - 275F

CRCST (5 decks)

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