Sterile storage areas should

have positive airflow and at least four air exchanges per hour.

The higher the bioburden on an object

the more difficult it will be to sterilize.

Water must be degassed each time the ultrasonic cleaner's tank is changed because

excess bubbles from filling reduce the energy of the cavitation process.

Survey readiness is the responsibility of

every Central Service technician.

Documentation of immediate use steam sterilization cycles should include

patient identification and the reason for the IUSS cyle.

Three of the main phases of a terminal steam sterilizer cycle are

conditioning, exposure and exhaust.

The purpose of a suction stylet is to

unclog the suction during surgery.

Using untreated water

increases the likelihood of mineral scale deposits.

Product expiration dates are located on this part of each package.

There is no standard place to look for an expiration date

Temperature in the preparation and packaging area should be

between 68 and 73 degrees Fahrenheit.

Which of the following are classified as high-level disinfectants?

Glutaraldehyde and ortho-phthalaldehydes

Medical device reporting is regulated by the

U.S. Food and Drug Administration.

Which of the following statements is correct?

Tracking patient care equipment can prevent equipment shortages.

Asepsis is defined as

the absence of microorganisms that cause disease.

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IAHCSMM Cert. prep. 3 of 3

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Questions 100

Answers

1
Ethylene oxide (EtO) is a toxic gas.
False
True
2
Users are responsible to notify CS if they discover instruments or equipment that are in need of repair.
True
False
3
When using glutaraldehyde technicians should always wear latex gloves for protection.
True
False
4
Multiple drug resistant organisms are a declining threat to patients in healthcare facilities.
False
True
5
Devices categorized as semi-critical items, must be at least ____ prior to use.
intermediate-level disinfected
sterilized
low-level disinfected
high-level disinfected
6
Sterile storage areas should
have positive airflow and at least four air exchanges per hour.
have negative airflow and at least 10 air exchanges per hour.
have negative airflow and at least four air exchanges per hour.
have positive airflow and at least 10 air exchanges per hour.
7
Temperature and humidity levels need to be monitored and recorded
at least daily.
each shift.
weekly, preferable daily.
at least monthly.
8
The higher the bioburden on an object
the less time it will take to sterilize.
the more difficult it will be to sterilize.
the longer it will take to cool after sterilization.
the more biological tests will be needed in the load.
9
Each year, approximately _____ patients develop a healthcare-associated infection.
500,000
700,000
One million
Two million
10
Woven reusable fabrics are the packaging products of choice for ozone sterilization.
False
True
11
Regulations and standards provide information to help ensure
standard guidelines for legal protection.
all the above.
goals for patient safety.
quality and safety.
12
Class III medical devices are identified as high risk.
False
True
13
Water must be degassed each time the ultrasonic cleaner's tank is changed because
excess bubbles from filling reduce the energy of the cavitation process.
excess bubbles reduce the effectiveness of the detergent.
excess bubbles make it difficult to see items being cleaned.
excess bubbles decrease the temperature of the tank.
14
Reprocessing single-use devices, hospitals must prove the device will act the same as it did when manufactured.
True
False
15
The term excise means
to repair.
examine.
to open.
to cut out.
16
C S technicians must wear special attire referred to as ___ to minimize their exposure to bloodborne pathogens.
TEL
CDC
PPE
TPA
17
Survey readiness is the responsibility of
the Infection Prevention and Control Department.
Central Service and other various departments.
the Central Service management team.
every Central Service technician.
18
External indicators can prove an item is sterile when the sterilization cycle is complete.
False
True
19
What is the most common pH for detergents used for most cleaning processes?
neutral pH.
low pH.
high pH.
It depends on the water temperature and exposure time.
20
Documentation of immediate use steam sterilization cycles should include
process challenge device lot number.
leak testing results.
all the above.
patient identification and the reason for the IUSS cyle.
21
Loaner instruments should
be sterilized using a low temperature process.
be decontaminated before use.
should not be used.
be decontaminated if they appear soiled upon arrival.
22
Thermal disinfection is accomplished using
heated chemicals.
heated glutaraldehyde.
heat.
prolonged high pressure steam.
23
Three of the main phases of a terminal steam sterilizer cycle are
conditioning, exposure and exhaust.
exposure, exhaust and dry.
pre-vacuum, exposure and exhaust.
gravity, exposure and exhaust.
24
The purpose of a suction stylet is to
provide a measuring guide for the surgeon.
facilitate the sterilization process.
clean the suction in the decontamination area.
unclog the suction during surgery.
25
The root element gastro refers to the
stomach.
Colon.
heart.
muscles.
26
Information regarding cleaning processes for endoscopes should be provided by
the instrument manufacturer.
the operating room staff.
Association for Professionals in Infection Control and Epidemiology.
the Society of Gastroenterology Nurses and Associates.
27
Requisition systems are primarily used in large facilities.
False
True
28
Cellulose-containing packaging materials are not compatible with hydrogen peroxide sterilization.
False
True
29
Always wearing PPE in the decontamination area is a quality process.
False
True
30
Endoscope procedure that requires visualization of the lower part of the large intestine would be a
ureteroscope.
sigmoidoscope
colonoscope.
gastroscope.
31
Using untreated water
is recommended to be used during the detergent cycle.
decreases the likelihood of mineral scale deposits.
is used for the final rinse process.
increases the likelihood of mineral scale deposits.
32
Product expiration dates are located on this part of each package.
Bottom left hand side of the package
Back of the package
There is no standard place to look for an expiration date
Top part of the package chevron
33
The U.S. Food and Drug Administration classifies sterilization packaging as a
Class III medical device.
Class I medical device.
Class IV medical device.
Class II medical device.
34
Moving transport carts throughout the healthcare facility, CS technicians must yield right of way patients/visitors.
False
True
35
The use of heat to kill all microorganisms, except spores, is called
high-level disinfection.
thermal disinfection.
sterilization.
mechanical disinfection.
36
Items that have been used in patient care should be considered contaminated.
False
True
37
Bacteria that require oxygen are called
anaerobic.
aerobic.
pathogenic.
vibrio.
38
Microbes
can produce toxins
can be useful in food products
are all of the above
are useful to break down sewage
39
This surgical procedure removes tissue or displaced bone from the wrist area to release pressure on the median nerve.
Ulnar nerve transposition
Fasciotomy
Carpal tunnel repair
Arthrotomy
40
Temperature in the preparation and packaging area should be
between 68 and 73 degrees Fahrenheit.
below 75 degrees Fahrenheit.
between 70 and 75 degrees Fahrenheit.
between 60 and 65 degrees Fahrenheit.
41
In an automated washer the key source of disinfection is
heat.
water temperature.
disinfecting detergent.
hydrogen peroxide.
42
Which of the following are classified as high-level disinfectants?
Glutarldehyde and phenolics
Glutaraldehyde and ortho-phthalaldehydes
Quaternary ammonium compounds and phenolics
Halogens and ortho-phthalaldehydes
43
Point-of-use preparation
begins the cleaning process.
replaces the cleaning process.
reduces Operating Room turn over time.
increases Operating Room turn over time.
44
Instrument lubrication is performed
before cleaning.
after cleaning.
after sterilization.
immediately before use.
45
Bacteria that cause disease are called
potentially infectious.
gram positive.
pathogens.
gram negative.
46
The steam sterilization process can be affected by the design of the medical device being sterilized.
True
False
47
The guidelines for sterile storages are the same for both items sterilized in house and for items purchased sterile.
True
False
48
Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function.
False
True
49
Medical device reporting is regulated by the
World Health Organization.
National Fire Protection Association.
Environmental Protection Agency.
U.S. Food and Drug Administration.
50
Which of the following statements is correct?
Patient care equipment should only be tracked if it has a high value
Patient care equipment tracking requires a computer.
Patient care equipment must only be tracked if its usage will be charged
Tracking patient care equipment can prevent equipment shortages.
51
Asepsis is defined as
the absence of all microorganisms.
the ability to prevent a healthcare-associated infection.
the absence of microorganisms that cause disease.
the ability to stop the chain of infection.
52
The purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion.
True
False
53
The iris is
the eyeball.
the white portion of the eye.
the colored portion of the eye.
the circular opening that controls the amount of light entering the eye.
54
Which of the following requires preventive maintenance standards be established for medical equipment?
Association of periOperative Registered Nurses
Association for the Advancement of Medical Instrumentation
Occupational Safety and Health Administration
The Joint Commission
55
The most common reason for steam sterilization failure is
temperature in the sterilizer chamber.
lack of steam contact with the instrument.
time of the conditioning phase.
dry steam.
56
The only way to interrupt the transmission of a causative agent is to
involve the Occupational Safety and Health Administration.
sterilize the item.
eliminate it.
wear appropriate personal protective equipment.
57
The part of a hemostat that locks and holds it in position is called the box lock.
False
True
58
When assembling instrument trays
heavier instruments should be placed on the bottom of the tray.
wicking material should be used in all trays.
instrument lumens should all be dry.
peel packs should be placed on edge on the side of the instrument pan.
59
Which of the following is an advantage of minimally invasive surgery?
Fewer instruments are used
Shorter recovery times
All procedures can be done in a same day surgery center
Cost saving for the patient
60
To help prevent the growth of biofilm, soil on used instruments should be allowed to dry.
False
True
61
EtO, hydrogen peroxide and ozone sterilization process MUST be monitored using chemical, physical & biological monitors.
False
True
62
In the future, which of the following will more frequently become a requirement for working in a CS Dept.?
Formal education
On-the-job training
Experience
Reference from facility administrator
63
Know what is dirty, know what is clean, know what is sterile; keep the 3 conditions apart & fixing contamination asap is
the principles of infection prevention and control.
the basics of the bloodborne pathogen standard.
the principles of asepsis.
the basics of environmental control.
64
Clean multi-part instruments that have been assembled to test for functionality should
be disassembled and placed in peel packs for sterilization.
be disassembled and sterilized following manufacturer's Instruction for Use
remain assembled for sterilization.
broken down and placed in separate containers for sterilization.
65
Using latex tubing to protect delicate instrumentation is the process of choice for items to be steam sterilized.
False
True
66
Wrapped tray should not be stacked because
it will cause the shelving to bend.
the trays will be damaged.
it is ok to stack light weight trays but not heavy trays as the bottom.
it can cause holes in the wrapper of the bottom tray.
67
Case cart systems
are an automated supply requisition system.
reduce the amount of inventory needed in user departments.
are usually used in small facilities.
require a duplicate cart of supplies in inventory.
68
The process by which all forms of microorganisms are completely destroyed is called
chemical disinfection.
high-level disinfection.
sterilization.
thermal disinfection.
69
A true Central Service quality program utilizes
top administrators and the Infection Prevention department.
surgeons and visitors.
all the above.
all Central Service personnel and a cross section of its customers.
70
Capital equipment items are items
with a high cost.
that are purchased, stored, consumed and reordered.
with a low purchase cost.
used for patient care.
71
Sterile trays should
lifted not dragged off the sterilizer cart.
check the external chemical indicators have turned the appropriate color.
not be touched until they are properly cooled.
all the above.
72
Which of the following statements about Immediate Use Steam Sterilization is true?
It is recommended to be used as a primary sterilization process by the AORN
It is the sterilization method of choice for metal instruments.
It reduces turnaround time because cleaning is not required.
Used only when there isn't time to process items using the wrapped method.
73
Immediate use steam sterilization is the process to sterilize trays for future use.
True
False
74
When placing instruments in a peel pack, the tips should always face the paper side of the pack.
False
True
75
Written cleaning instructions for surgical instruments should be provided by
the healthcare facility.
the mechanical washer manufacturer.
the device manufacturer.
the detergent manufacturer.
76
Surgical procedure that removes & replaces an ear bone that has thickened & no longer transmits sound waves.
Myringotomy
Tympanoplasty
Stapedectomy
Auditory implantation
77
The degree or grade of excellence of a product or service is called
the international stndard organization 9000.
Lean.
Six Sigma.
quality.
78
It is recommended to use immediate use steam sterilization to sterilize instruments contaminated with CJD.
False
True
79
More than 55% of blood is made up of this yellowish liquid.
Plasma
Platelets
White blood cells
Red blood cells
80
The ears are made up of three parts
inner, external, and middle.
funnel, stapes, and malleus.
stapes, external and sclera.
external, eardrum, and middle.
81
Kerrison/laminectomy rongeurs should be tested using
a rubber testing material.
tissue paper.
an index card.
a plastic dowel rod.
82
Documentation is not required for items that are immediate use steam sterilized.
False
True
83
Surgical instruments are carefully inspected for cleanliness and function in the ___ area of the CS dept.
decontamination
preparation and packaging
sterilization
sterile storage
84
Info. about a device's compatibility with a specific sterilization process should be obtained from the manufacturer.
False
True
85
The bottom shelf of any sterile storage system should be
solid and two to four inches from the floor.
solid and eight to 10 inches from the floor.
cleaned weekly.
wire and eight to 10 inches from the floor.
86
Monitoring records must be
accurate.
all the above.
complete.
legible
87
Maintaining professional conduct standards and adapting to changing situations are examples of
teamwork.
employability skills.
legal responsibilities.
communication abilities.
88
Steam flush pressure pulse sterilizers are a type of gravity sterilizers.
False
True
89
The suffix plasty
means to suture.
is a prefix meaning surgical restoration
ia a prefix meaning to suture.
is a suffix meaning surgical restoration.
90
The suffix -ectomy means
surgical removal.
surgical revision.
inflammation.
visual examination of organs.
91
If an equipment malfunction causes harm to patients, it should be
returned immediately to the Biomedical department.
sequestered for inspection by Occupational Safety and Health Administration
discarded immediately.
sent to the manufacturer for repairs.
92
To prevent coagulation of proteins, instruments should be pre-rinsed using
cool water.
a disinfectant rinse.
a neutral detergent.
warm water.
93
Occupational Safety and Health Administration is responsible for
biohazard material transport safety, PPE, and product labeling.
prion guidelines, Safe Medical Device Act and MedWatch.
EtO guidelines, worker safety, and the bloodborne pathogen standard.
sterilization safety guidelines, decontamination safety guidelines and PPE.
94
The human resources tool that identifies major tasks performed by persons in specific positions is called a
job description.
task summary review.
job specification.
job duty list.
95
This gland stimulates body growth.
Thyroid gland
Adrenal gland
Pituitary gland
Pancreas
96
When Central Service supports affiliated clinics
only disposable instrument should be sent to the clinics.
equipment preventive maintenance and repair are not as critical.
a separate tracking system must be developed for the clinic areas.
planning and communication are is critical.
97
An organ that filters the blood to remove amino acids and some harmful toxins
liver.
gall bladder.
kidney.
pancreas.
98
One type of formal monitoring is watching the department's temperature and humidity levels.
True
False
99
The term ostomy
is a suffix.
is a root.
means surgical removal.
is a prefix.
100
Instrument lubrication should be performed
in the decontamination area each time the instrument is cleaned.
none of the above.
following the manufacturer's Instructions for Use.
each time the instrument is dissembled.

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