Progress Test 4: Complete the following 100 multiple-choice and true/false questions.

1. The process by which instruments are sterilized for immediate use is called

2. Steam sterilization is the most commonly used method of sterilization used in healthcare because

3. When placing sterile items on the shelf, check

4. Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges.

5. Implantable devices

6. One common cause of a clogged drain screen is

7. The best way to clean a suction lumen is

8. Which of the following statements about endoscopes is true?

9. When using high-level disinfectants it is important to remember that they may be deactivated by

10. Which of the following steps happens first when processing flexible endoscopes?

11. All rigid sterilization containers have tamper-evident seals.

12. Tissue forceps have teeth.

13. Under current regulations who is required to report suspected medical device-related deaths to the U.S. Food and Drug Administration?

14. Floors in the Central Service department should be

15. The staining method most frequently used to identify the shape and characteristics of bacteria is called

16. During instrument manufacture the process of passivation helps build a protective chromium oxide layer on the instrument’s surface.

17. The first step to inspect the insulation of a laparoscopic instrument is to

18. When arranging paper/plastic pouches in the sterilizer, the pouches should be arranged

19. Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as

20. The first sink bay in the decontamination area should be filled with a neutral detergent or enzyme.

21. Regulations under the Clean Air Act are administered by the

22. If soiled items are held in user units before pick up for processing, they must be kept at the patient’s bedside until Central Service collects them.

23. Jewelry should not be worn in the Central Service department work areas because

24. One goal of point-of-use preparation is to prevent instruments from being damaged.

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

26. All bacteria require the same conditions to live and grow.

27. The term oscopy means

28. Instrument sets and other required instrumentation needed for all scheduled procedures for an entire day are usually pulled

29. A septoplasty is

30. Personal protective equipment is not required when cleaning items for immediate use steam sterilization.

31. The weakest part of a steam sterilizer is the

32. Because shelf life is event related, stock rotation is no longer necessary.

33. Aluminum foil is an approved packaging material for use in ethylene oxide sterilizers.

34. Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders.

35. Endoscopes are often processed in a mechanical unit called

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

37. Phenolics are classified as

38. Cleaning is defined as the removal of all visible and non-visible soil.

39. Standards and regulations help set

40. When it is necessary to transport soiled items between facilities using a truck or van,  facilities must consult U.S. Department of Transportation, as well as state and local laws for transporting biohazardous items.

41. Which of the following is NOT a requirement of the Occupational Safety and Health Administration Bloodborne Pathogen Standard?

42. Due to the difficulty of cleaning items contaminated with prions

43. Arthroscopy means

44. The hip joint is an example of a

45. All items sterilized or high-level disinfected at the point-of-use must be carefully monitored and logged.

46. When loading a steam sterilizer

47. One of the goals of stock arrangement is to provide minimal product handling while allowing first in, first out rotation.

48. What exposure monitoring is required for all personnel using a hydrogen peroxide sterilizer?

49. To properly test the sharpness of scissors four inches or less use

50. Loaner instrumentation can cause receiving challenges.

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

52. When mixing several low- to intermediate-level disinfectants together, it is important to remember

53. Powered surgical instruments should be cleaned using a mechanical cleaning process.

54. Following Occupational Safety and Health Administration regulations for wearing personal protective equipment in the Central Service decontamination area is optional.

55. It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves.

56. What color should biohazard labels/signs be?

57. Microorganisms reproduce by a process called

58. Not understanding medical terminology may compromise patient care.

59. This the first step in the sterilization process.

60. This surgical procedure is the removal of the gall bladder.

61. When transporting items that have been immediate use steam sterilized, it is required that

62. Using the wrong container filter or poor filter placement can be a cause of a wet pack.

63. Heavy items should be placed

64. Lumens should be moist when using hydrogen peroxide as a sterilizing agent.

65. Outside shipping containers

66. Microgrind or supercut scissors are usually identified with a black handle.

67. The purpose of the insulation covering laparoscopy instruments is to

68. Airflow in the prep and pack area should be

69. The process by which all forms of microorganisms are completely destroyed is called

70. What is the most common pH for detergents used for most cleaning processes?

71. Surgical instruments are carefully inspected for cleanliness and function in the of the Central Service department.

72. This surgical procedure consists of removing an ear bone that has thickened and no longer transmits sound waves and replacing it with an artificial implant to improve hearing.

73. Multiple drug resistant organisms are a declining threat to patients in healthcare facilities.

74. The root element gastro refers to the

75. Point-of-use preparation

76. The only way to interrupt the transmission of a causative agent is to

77. Which of the following statements about Immediate Use Steam Sterilization is true?

78. The guidelines for sterile storages are the same for both items sterilized in house and for items purchased sterile.

79. Information about a device’s compatibility with a specific sterilization process should be obtained from the device’s manufacturer.

80. The higher the bioburden on an object

81. Sterile storage areas should

82. The part of a hemostat that locks and holds it in position is called the box lock.

83. The purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion.

84. Temperature in the preparation and packaging area should be

85. In an automated washer the key source of disinfection is

86. Written cleaning instructions for surgical instruments should be provided by

87. In the future, which of the following will more frequently become a requirement for working in a Central Service department?

88. More than 55% of blood is made up of this yellowish liquid.

89. Bacteria that require oxygen are called

90. The suffix -ectomy means

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

92. Regulations and standards provide information to help ensure

93. When assembling instrument trays

94. Devices categorized as semi-critical items, must be at least

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

96. This gland stimulates body growth. a. Adrenal gland b. Thyroid gland C. Pancreas d. Pituitary gland 97. The steam sterilization process can be affected by the design of the medical device being sterilized.

97. The steam sterilization process can be affected by the design of the medical device being sterilized.

98. Ethylene oxide, hydrogen peroxide and ozone sterilization process must all be monitored using chemical, physical and biological monitors.

99. Kerrison/laminectomy rongeurs should be tested using

100. Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope’s function.