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HSPA- Progress Test 5
HSPA- Progress Test 5
140 terms
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1
Trays that overhang shelving:
Are acceptable for rigid containers but not for flat-wrapped packages
None of the above
Empty choice
Can become contaminated
2
Where should 100% EO cartridges be store
Empty choice
Empty choice
Empty choice
In a steril storage area that has the appropriate air ventilation
3
Aeration instructions for a medical devices can be found:
In the gas cartridge IFU
In the device manufacturer's IFU
On the FDA website
In the sterilizer's IFU
4
Which of the following locations is NOT ideal for sterile storage?
Next to case cart staging areas
Accessible from an outside hallway
Accessible from the breakout area
Next to or near the sterilization cooling area
5
The functional center of a cell that governs activity and hereditary is called the:
Cell membrane
Nucleus
Capsule
Cytoplasm
6
When is point-of-use treatment performed?
Immediately before use
During a critical surgical case
When a used flexible endoscope sits for an hour after a procedure
Immediately after use
7
A component of a quality program that moves decision making to the Frontline staff is called:
Quality monitoring
Process management
Empowerment
All of the above
8
Instrument inspection is performed:
Immediately before use
After cleaning
Before cleaning
After sterilization
9
Why is it important to clean and flush a steam sterilizer's chamber drain?
If not performed, drain lines become weighed down by water minerals & fall
Air and steam wont pass out the chamber efficiently if the drain is blocked
Water minerals build up in the line, which would result in a major flush
Biofilm can build up in the drain
10
The purpose of using a decontamination battery or hose when cleaning powered surgical instruments is to:
Prevent electrical shock
Test the unit while cleaning
Keep fluid from entering the unit
Keep batteries and cords clean
11
The basic unit of a living organism is a:
Cytoplasm
Organ
Cell
Nucleus
12
What is meant by material compatibility?
The device can absord the sterilant
The device can be monitored with a CI
There should be no changes in the device's functionality
The device will not cause a cycle to abort
13
Clean multi-part instruments that have been assembled to test for functionality should:
Be disassembled and sterilized following the manufacturers IFU
Be disassembled and placed in peel packs for sterilization
Remain assembled for sterilization
Be broken down and placed in separate containers for sterilization
14
Bacteria that cause disease are called:
Pathogens
Potentially infectious
Gram-postitive
Gram negative
15
To properly test the sharpness of scissors measuring 4.5" and shorter use:
Orange test material
Yellow test material
an index card
Red test material
16
How are steam flush pressure pulse (SFPP) sterilizers classified?
Gravity
Conditioning
Dynamic air removal
Gaseous
17
Survey readiness is the responsibility of:
Survey readiness is everyone's responsibility
Surgical staff
SP technicians
SP management
18
Providing quality products directly impacts a patient's:
Health
Safety
Outcomes
All of the above
19
The human ear is made up of three parts:
Inner, middle and external
Funnel, stapes and malleus
External, eardrum, and middle
Stapes, external and sclera
20
The FDA classifies sterilization packaging as a:
Class IV medical device
Class I medical device
Class III medical device
Class II medical device
21
Which of the following is NOT a virus
Ebola
Hepatitis
Prion
Chickenpox
22
Microbes:
Can be useful in food products
All of the above
Can produce toxins
Are useful to break down sewage
23
A true SP quality program utilizes :
Top administrators and the Infection Prevention and Control department
All of the above
All SP personnel and a cross section of its customers
Surgeons and visitors
24
Asepsis is defined as the:
Ability to stop the chain of infection
Ability to prevent HAIs
Absence of all microorganisms
Absence of microorganisms that cause disease
25
The suffix -plasty means:
To excise
Surgical restoration
Creation of an opening
To suture
26
Under what circumstances is IUSS acceptable?
Routine implant processing
Empty choice
For reusing single- use devices
Empty choice
27
Items that have been used for patient care should be considered:
Disinfected
Contaminated
Decontaminated
Ready to use
28
Which of the following statements about endoscopes is true?
Ultrasonic cleaning is the process of choice for endoscopes
All endoscopes should be steam sterilized
Flexible endoscopes are not easily damaged
Flexible endoscopes are time-consuming to clean
29
Temperature and humidity parameters in the SPD can best be established by reviewing which document?
OSHA 29 CFR 1910.1030
ANSI/ASHRAE/ASHE 170
AAMI/ANSI ST79
AAMI/ANSI ST91
30
If an equipment malfunction causes harm to a patient, it should be:
Sent to the manufacturer for repair
Returned to the Biomedical department
Sequestered for inspection by OSHA personnel
Discarded immediately
31
The main theory of Standard Precautions is
To treat all human blood and body fluids as infectious
That patients in high risk categories may be infectious
That patients diagnosed with a specific disease may be infectous
patients are generally healthy unless they show symptoms of an infection
32
Items to be disinfected or sterilized at the point of use must be:
Semi-critical devices
Properly cleaned per the manufacturer's IFU
All of the above
Non-critical devices
33
The requisition system where items are ordered as needed is called:
Requisition system
Consignment
Periodic automatic replenishment
Supply chain management
34
The iris is:
One of the bones in the middle ear
The white portion of the eye
The colored portion of the eye
The circular opening that controls the amount of light entering the eye
35
OSHA is responsible for:
Medwatch and the Safe Medical Device Act
Worker safety and the Bloodborne Pathogen Standard
Sterilization safety guidelines
Environmental protection
36
Which of the following is considered formal monitoring?
Monitoring to ensure that everyone who enters area is dressed appropriately
Monitoring that everyone follows established traffic control guidelines
Monitoring that everyone practices good hand hygiene
Monitoring the department's temperature and humidity levels
37
Powered surgical instrument attachments:
Can be peel packaged for sterilization if approved by the manufacturer
Should be sterilized while still attached to the handpiece
Can all be mechanically cleaned
Are interchangeable with all types of drills
38
This inventory system uses preference cards:
PAR
Requisition
Exchange cart
Case cart
39
When sterile storage shelves are cleaned, what should happen to the sterile packages on the shelves?
Carefully removed from the shelf during cleaning
Placed in a clean, corrugated box
Placed in a clean, corrugated box with a liner
Moved to the left or right
40
Capital equipment items are items:
That are purchased, stored, consumed and reordered
With a high purchase price
That are on loan
With a low purchase price
41
Thermal disinfection is accomplished using:
Prolonged high-pressure steam
Heated chemicals
Heated glutaraldehyde
Heat
42
Injuries or disorders of the muscles, nerves, tendons or joints are called:
Workplace disorders
Musculoskeletal disorders
Work related arthritis
Ergonomic disorders
43
Loaned instruments should:
Not be used
Be decontaminated before use
Be decontaminated if they appear soiled upon arrival
Be sterilized using a low-temperature process
44
______ is an example of a fungus.
Athlete's foot
Tuberculosis
Herpes simplex
Pneumonia
45
When working with glutaraldehyde, technicians should always wear ______ gloves for protection.
Rubber
Nitrile
Exam
Latex
46
Case cart systems:
Are usually used in small facilities
Are an automated supply replenishment system
Require a duplicate cart of supplies in inventory
Reduce the amount of space needed for supply storage in user departments
47
The largest part of the human brain is the:
Cerebrum
Brain stem
Pituitary gland
Cerebellum
48
Water must be degassed each time an ultrasonic cleaner's tank is changed because excess bubbles from filling:
Reduce the effectiveness of the detergent
Make it difficult to see items being cleaned
Reduce the energy of the cavitation process
Decrease the temperature of the tank
49
A positive biological indicator (BI) means:
The incubation process is complete
None of the above
There is growth in the ampule after incubation
There is no growth in the ampule after incubation
50
Technicians in the ___ department perform safety inspections and functional testing on equipment.
Supply chain management
Infection Prevention
Facilities Maintenence
Biomedical Engineering
51
Which of the following is an acceptable seal for paper/plastic pouches?
Staples
Painters tape
Self-seal closure systems
Paper clips
52
The degree or grade of excellence of a product or service is called:
Quality
Six Sigma
ISO 9000
Lean
53
Preventative maintenance (PM) is:
Designed to identify potential problems before they occur
Performed when a piece of equipment injures a patient
Completed by SP before equipment is dispensed
Performed when a user unit notices a problem
54
If a user discovers equipment that is in need of repair, they are responsible for notifying the:
Infection Prevention and Control department
SPD
Operating Room (OR)
Biomedical Engineering department
55
Using analytical skills to solve problems and make decisions is a component of:
Safety practices
Communication skills
Facility responsibilities
Employability
56
Sterile trays should:
All of the above
Lifted, not dragged from the sterilizer cart
Checked to ensure the external chemical indicator color changed
Not be touched until they are cooled properly
57
Which of the following statements is accurate?
Empty choice
Patient care equipment tracking requires a computer
Empty choice
Empty choice
58
Robotic instruments:
May have exposed cables
Require extensive PM
Must be containerized for sterilization
Are processed the same as laparoscopic instruments
59
Which FDA classification is most stringently regulated and requires a premarket approval (PMA)?
Class III
Class IV
Class II
Class I
60
When quality is not emphasized:
Conflicts can arise
All of the above
FMEA and RCA will ot work
A cross functional team should be created
61
Immediate use steam sterilization (IUSS) documentation should include:
All of the above
Sterilizer number and cycle
Patient ID
Name of instrument sterilized
62
Instruments should be manually cleaned using a:
Circular motion
Water spray
Stiff metal brush
To-and-fro motion
63
The inventory system that stocks supplies by pre-established stock levels is called a/an:
PAR system
Fulfillment system
Exchange system
Case cart system
64
Automated supply replenishment systems are:
No longer used
Difficult to manage
Computerized
Used only in surgery
65
The use of heat to kill all microorganisms, except spores is called:
High-level disinfection
Thermal disinfection
Sterilization
Mechanical disinfection
66
External CIs should be found:
On the outside of packages
Not applicable; external CIs are optional
Inside every sterilized tray
Only on wrapped items
67
This organization uses announced inspections to monitor standards:
Centers for Medicare and Medicaid Services (CMS)
National Commitee for Quality Assurance (NCQA)
HCAHPS
International Organization for Standardization (ISO)
68
Temperature and humidity levels in the SPD need to be monitored and recorded:
At least daily
For each shift
Weekly, preferably daily
At least monthly
69
Encephalopathy is a/an
Inflammation of a joint
Disease of the brain
Inflammation of the liver
Fluid filled sack
70
Which part of a surgical instrument "locks" the handles in place?
Ratchet
Box lock
Serrations
Shank
71
Using untreated water:
Is recommended during the detergent cycle
Is recommended for the final rinse process
Increases the likelihood of mineral scale deposits
Decreases the likelihood of mineral scale deposits
72
Which of the following cannot be used to protect delicate instrument tips during packaging?
Silicone mats
Latex tubing
Special holders
Foam sleeves
73
Why is it necessary to aerate devices that have undergone EO sterilization?
To cool the load so the items are safe to handle
To remove excess air
To remove residual EO gases before instruments and packaging can be handled
To remove residual moisture that could result in wet packs
74
Product expiration dates are located on this part of each package:
Top part of the package chevron
There is no standard placement for expiration dates
Back of the package
Bottom left-hand side of the package
75
Which disinfectant residue, when left on a surface after use, can be reactivated later by damp mopping?
Phenolics
Alcohol
Quats
Chlorine
76
Healthcare-associated infections (HAIs) are:
Infections without known cures
Infections that occur on or after day three of a hospitalization
Most likely to occur during a surgical procedure
Caused by drug- resistant organisms
77
The main difference between IUSS and steam flush pressure pulse SFPP processes is:
Reduced dry cycle
Reduced exposure cycle
There is no difference
Longer exposure cycle
78
When SP supports affiliated clinics:
Planning and communication are critical
Equipment PM and repair are not as critical
Only disposable instruments should be sent to clinics
A seperate tracking system must be developed for clinics
79
The last word element in a medical term is the:
Prefix
Suffix
Combining vowel
Root
80
See picture for question
Basic of the Bloodborne Pathogen Standard
Principles of infection prevention and control
Basics of environmental control
Principles of asepsis
81
This symbol means:
Use by date
Product lot number (batch code)
Date of manufacture
Single-use item
82
Cartilage is replaced by bone through a process called:
Ossification
Cancellous formation
Osmosis
Calcification
83
____ monitoring uses a device affixed directly on the employee's clothing.
Nasal monitoring
Sterilization monitoring
Quality monitoring
Personal monitoring
84
The decision to use reusable or disposable instruments in procedure trays is determined by:
The number of items to be used, and delivery schedules
Where the instruments will be used
Several factors, including physician preference, storage and cost
The Infection Prevention and Control department
85
When moving transport carts throughout the Healthcare facility, SP technicians must always:
Pass on the right
Pass on the left
Yield to the right of way to patients and visitors
Be escorted by a manager
86
The most common reason for steam sterilization failure is:
Insufficient temperature in the sterilizer chamber
Time of the conditioning phase
Dry steam
Lack of steam contact with the contents of the load
87
Quality control indicators:
All of the above
Should be monitored periodically
Include root cause analysis RCA and failure mode and effect analysis FMEA
Are used to determine how well the department is meeting its objectives
88
While items may be dispensed to all areas of a facility, the major focus of the SP personnel is:
Labor and delivery
The OR
The Emergency Department
Supply chain management
89
Ultrasonics are used for:
Low-level disinfection
High-level disinfection
Cleaning
Sterilization
90
Hand hygiene should be performed:
Before starting work
Before leaving work
All of the above
Upon entering work
91
Information regarding cleaning processes for endoscopes should be provided by the:
OR staff
Society of Gastroenterology Nurses and Associates (SGNA)
Association for Professionals in Infection control and Epidemiology (APIC)
Device manufacturer
92
The coolest area in a steam sterilizer is the:
Drain
Chamber
Jacket
Gasket
93
Which item is not required when in an OR:
Surgical mask
Hair covering
Shoe covers
Surgical scrubs
94
One of the goals of point-of-use treatment and transport is to:
Ensure all instruments are returned to the spd
Prevent cross contamination
All of the above
Speed up the decontamination process
95
Which type of packaging system can be used for IUSS?
Paper/plastic pouches
Tyvek pouches
Muslin
A containment device that has been validated for IUSS
96
What does NOT have an effect on event-related sterility (ERS)?
The quality of the wrapper material
The storage and transport conditions
The handling procedures
The manner in which the device is used
97
Equipment should be inspected for obvious hazards, such as cracked or frayed electrical cords:
Only by trained Biomedical Engineering technicians
Whenever the equipment is inspected by the SP staff
Only during PM activities
Only when there are complaints from user departments
98
Which solution is known to damage surgical instrumentation?
Sterile water
Betadine
Enzymatic spray
Critical water
99
The sterile storage process starts:
As soon as the sterilizer door is opened at the end lf a cycle
When items are placed inside the sterilizer
When items are received in the decontamination area
After items are sterilized and cooled
100
Monitoring records must be:
Accurate
Legible
All of the above
Complete
101
This agency imposes very strict labeling requirements on manufacturers of chemicals used by the SPD
AAMI
EPA
CDC
OSHA
102
Medical device reporting is regulated by the:
World Health Association (WHO)
U.S. Food and Drug Administration (FDA)
U.S. Environmental Protection Agency (EPA)
National Fire Protection Association (NFPA)
103
Being responsible for survey readiness is one factor in:
Keeping focus on the patient
Leadership
FMEA
RCA
104
Maintaining professional standards of conduct and adapting to changing situations are examples of:
Methods to improve employability
Legal responsibilities
Teamwork
Communication skills
105
The surgical procedure that removes tissue or displaced bone from the wrist area to release pressure on the median nerve
Carpal tunnel repair
Arthrotomy
Ulnar nerve transposition
Fasciotomy
106
What is biohazardous waste?
Infectious agents released from a sterilizer at the end lf the cycle
Biohazardous waste that comes from a dirty steam drain
Waste with infectious agents that present a potential risk to human health
Biohazardous material that comes from the washer-disinfector
107
Which of the following is NOT a goal of point-of-use treatment?
Throughly cleaning all instrumentation
Keeping others safe
Preventing damage
Removing gross soil
108
What is a consequence of a Healthcare facility not following regulations and standards?
The facility's representative could be removed from the standards committee
Equipment costs could increase
The facility could face legal consequences
Equipment manufacturers could void their warranties
109
The purpose of a suction sylet is to:
Provide a measuring guide for the surgeon
Unclog the suction during surgery
Facilitate the sterilization process
Clean the suction in the decontamination area
110
To minimize their exposure to Bloodborne Pathogens and contaminants, SP technicians must wear special attire called:
Professional protective equipment
Personal protective equipment
Personal protection garments
Personal safety attire
111
The Hospital Consumer Assessment of Healthcare Providers and Systems is:
Part of the ISO 9000 program
Designed to evaluate hospital stays from a patient's perspective
A government program designed to eliminate mistakes in healthcare
All of the above
112
Scissors with tungsten carbide cutting edges are usually identified by:
The letters "TC"
Gold handles
Black handles
Silver handles
113
The shelving system of choice for the sterile storage area is:
Track
Closed
Open
Semi-closed
114
Which of the following is NOT a consideration for SP when recording and maintaining patient care equipment?
Repair history
Patient diagnosis
Equipment location
PM history
115
Washer-disinfector screens should be cleaned at least
During each shift
Daily
Monthly
Weekly, preferably daily
116
The term -excise means to:
Examine
Open
Repair
Cut out
117
All patient care equipment that is received after use must be considered _ and handled as such, regardless of appearance
Sterile
Contaminated
Clean
Visibly soiled
118
This program is designed to reduce harm to the environment:
Automatic reorders
Case cart system
Sustainability
STAT requisition
119
Packaging materials containing cellulose are not compatible with ________ sterilization.
Ethylene oxide (EO)
Hydrogen peroxide (H2O2)
Steam
SFPP
120
Both AORN and TJC recommend that:
The use of IUSS be minimized or decreased
IUSS be preformed in only one sterilizer per facilty
Healthcare facilities get clearance from the FDA for IUSS
Only SP technicians should operate IUSS
121
Documentation of IUSS cycles should include:
Patient identification and the reason for the IUSS cycle
Leak-testing results
Process challenge device (PCD) lot number
All the above
122
Which of the following requires that preventative maintenance (PM) standards be established for medical equipment?
Association of PeriOperative Registered Nurses (AORN)
The Joint Commission (TJC)
Association for the Advancement of Medical Instrumentation (AAMI)
OSHA
123
Instrument lubrication should be performed:
Following the manufacturers IFU
None of the above
Each time the instrument is disassembled
In the decontamination area each time the instrument is cleaned
124
How long must alcohol remain in wet contact with an item to achieve a reasonable level of disinfection?
Two to three minutes
One to two minutes
Five to 10 minutes
10-20 minutes
125
The purpose of a combining vowel is to:
Connect the prefix and the suffix
Ease pronunciation of a word
Identify the meaning of the root word element
Give the primary meaning of a word
126
This organ filters the blood to remove amino acids and some harmful toxins:
Gallbladder
Pancreas
Liver
Kidney
127
CI's can show a failed result because of:
Using the wrong CI
All of the above
Sterilizer malfunction
Using an incorrect sterilization cycle
128
Which is NOT a goal of point-of-use treatment:
Transporting instruments within two hours of the end of a procedure
Preventing cross-contamination
Removing gross soil
Preventing damage during transport
129
Which of the following is an advantage of minimally invasive surgery (MIS)?
Shorter recovery times
All procedures can be done in a same-day surgery
Cost savings for the patient
Fewer instruments are used
130
The inventory system that uses two identical carts to facilitate supply replenishment is called the:
Requisition system
Case cart system
Exchange cart system
PAR system
131
Which system provides supplies and instruments for individual surgical procedures?
Requisition
PAR
Exchange cart
Case cart
132
Which of the following statements is NOT true about devices processed by IUSS? The devices:
Are identified as IUSS- processed devices
May be stored for later use
Can only be used in urgent clinical situations
Are decontaminated according to the manufacturer's IFU
133
These chemicals are used on animate (living tissue) to slow the growth of microorganisms:
Phenolics
Disinfectants
Halogens
Antiseptics
134
The bottom shelf of any sterile storage system should be:
Solid and two to four inches from the floor
Made of wire and positioned eight to 10 inches from the floor
Solid and eight to 10 inches from the floor
Made of wire and positioned two to four inches from the floor
135
Accessories for electric powered equipment includes:
Foot switches
Pressure regulators
Hoses
Decontamination hoses
136
The FDA class II indicator run daily in dynamic air removal sterilizers is called a/an:
External CI
Bowie-dick test
BI
PCD
137
Wrapped trays shouldn't be stacked because:
Is acceptable to stack trays as long as lightweight trays are placed on top
The trays may become damaged
It can cause holes in the tray wrappers
It will cause the shelving to bend
138
The term -ostomy:
Is a prefix
Is a root
Is a suffix
Means surgical removal
139
SP technicians need to understand the anatomy of a stem sterilizer to know how:
The sterilizer operates
To properly maintain the jacket
To properly clean the chamber
To test the thermostat trap
140
Which of the following are classified as high-level disinfectants?
Quarternary ammonium compunds (quats) and phenolics
Halogens and OPA
Glutaraldehyde and ortho-phthalaldehyde (OPA)
Glutaraldehyde and phenolics