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Best Practices for Instrument Sterilization and Cleaning in Healthcare Settings, Exams of Health sciences

A comprehensive guide on the proper methods for sterilizing and cleaning medical instruments in healthcare settings. It covers topics such as low temperature gas plasma, cycle counts, contaminated food and water, handwashing, bone support, non-living reservoirs of infectious diseases, ultrasonic lumen cleaners, reprocessing of opened but unused instrument sets, cleaning chemicals, autoclave tape, steam sterilizer parts, traffic control, nosocomial infections, skin organisms, alcohol hand sanitizer concentration, enzymatic detergents, record keeping, cidex, osmosis, orthopedic instrument processing, decontamination area, handheld instrument parts, 300 series steel surgical instruments, and specific ci tests.

Typology: Exams

2023/2024

Available from 05/18/2024

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CBSPD EXAM MULTIPLE CHOICE
QUESTIONS WITH ANSWERS
Why is it important to evenly distribute large instruments in a set?
A. Extra condensation will make the set more difficult to dry B. It
came help with storage C. Easier to carry D. None of the above -
Answer>> A. Extra condensation will make the set more difficult
to dry
Which of the following best describe the overall role of the
CB/SPD A. To help Nurse prepare for patients B. To provide
dependable service to enhance patient care C. Specialized
portable devices D. None of the above - Answer>> B. To
provide dependable service to enhance patient care
Which of the following government agencies regulates
environmental disinfectants? A. FDA B. OSHA C. EPA D. CDC -
Answer>> C. EPA (Environmental Protection Agency)
Medical-grade kraft paper cannot be used with which of the
following sterilization processes? A. Low temperature gas plasma
B. Flash heat C. High temperature gas plasma D. Dry heat -
Answer>> A. Low temperature gas plasma
During cycle counts, items that have a large dollar value but are
not used frequently are classified as: A. B:items B. C:items C.
A:items D. Z:items - Answer>> C. A:Items that have a large
dollar value but are not used frequently.
Anatomy is the science that deals with the _________ of body
parts. A. Role B. Structure C. Concept D. Alignment - Answer>>
B. Structure
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CBSPD EXAM MULTIPLE CHOICE

QUESTIONS WITH ANSWERS

Why is it important to evenly distribute large instruments in a set? A. Extra condensation will make the set more difficult to dry B. It came help with storage C. Easier to carry D. None of the above - Answer>> A. Extra condensation will make the set more difficult to dry Which of the following best describe the overall role of the CB/SPD A. To help Nurse prepare for patients B. To provide dependable service to enhance patient care C. Specialized portable devices D. None of the above - Answer>> B. To provide dependable service to enhance patient care Which of the following government agencies regulates environmental disinfectants? A. FDA B. OSHA C. EPA D. CDC - Answer>> C. EPA (Environmental Protection Agency) Medical-grade kraft paper cannot be used with which of the following sterilization processes? A. Low temperature gas plasma B. Flash heat C. High temperature gas plasma D. Dry heat - Answer>> A. Low temperature gas plasma During cycle counts, items that have a large dollar value but are not used frequently are classified as: A. B:items B. C:items C. A:items D. Z:items - Answer>> C. A:Items that have a large dollar value but are not used frequently. Anatomy is the science that deals with the _________ of body parts. A. Role B. Structure C. Concept D. Alignment - Answer>> B. Structure

Which of the following transports molecules within the cell? A. Cilia B. Flagella C. Nucleus D. Cytoplasm - Answer>> D. Cytoplasm Which of the following sets would be considered high-risk for special prion processing? A. Open heart set B. Laparotomy set C. Abdominal set D. Craniotomy - Answer>> D. Craniotomy Set Which of the following organs produces bile? A. Gallbladder B. Pancreas C. Stomach D. Liver - Answer>> D. Liver Microorganisms are measured in: A. Microns B. Feet C. Millimeters D. Nano-meters - Answer>> A. Microns With respect to rigid sterilization container testing, which term defines the sterilizer's ability to sterilize under actual use conditions? A. Full-load testing B. Maximum-load testing C. Overload testing D. Load testing - Answer>> B. Maximum-load testing What is the ideal human body temperature? A. 75 F B. 87.4 F C. 98 F D. 98.6 F - Answer>> D. 98.6 F Which of the following is true of a capsule? A. It is less difficult to kill than vegetive bacteria B. It is more difficult to kill than a spore C. It is resistant to heat and chemicals D. It is easily killed by antibiotics - Answer>> C. It is resistant to heat and chemicals Pulmonary capillaries are found in which system? A. Muscular System B. Lymphatic System C. Digestive System D. Respiratory System - Answer>> D. Respiratory System

The removal of contamination from an item to the extent necessary for further processing is called? A. Rinsing B. Washing C. Soaking D. Cleaning - Answer>> D. cleaning Which of the following should be cleaned daily? A. Floors and work surfaces B. Walls and vents C. Floor drains D. Ceilings - Answer>> A. Floors and work surfaces Which of the following is a true statement regarding the use of personal protective equipment (PPE) in the decontamination area? A. Its use is optional B. Vinyl gloves are all that is needed for manual cleaning C. Failure to wear PPE can result in disciplinary D. If the temperature in the room is too warm. gowns do not need to be worn - Answer>> C. Failure to wear PPE can result in disciplinary action Before a medical device is cleaned and processed? A. It must be secured B. The manufacturer's instructions must be obtained (IFU) C. Check in by security D. Materialized - Answer>> B. The manufacturer's instructions must be obtained (IFU) The minimum time needed for effective hand washing is? A. 10 seconds B. 15 seconds C. 25 seconds D. 16 Seconds - Answer>> B. 15 seconds Which of the following is not a consideration when selecting a detergent? A. Quality of water B. Amount of Soil C. Water temperature D. Cost of detergent - Answer>> D. Cost of detergent The relative acidity or alkalinity of a solution is referred to as its? A. pH B. LBS C. HLDs D. None of the above - Answer>> A. pH

Clostridium botulinum is harbored in (the)? A. water B. air C. food D. soil - Answer>> D. soil A solution with pH of 3 is considered? A. alkaline B. acidic C. neutral D. none of the above - Answer>> B. acidic A solution with pH of 13 is considered? A. alkaline B. acidic C. neutral D. none of the above - Answer>> A. alkaline Which of the following are major non-living reservoirs of infectious diseases? A. Soil and water B. Oil and water C. Gas and oil D. Soil and gas - Answer>> A. Soil and water High Alkaline detergents are best for mechanical washers because of? A. more friction in washing B. a lack of friction in washing C. a lack of heat in washing D. water hardness - Answer>> B. a lack of friction in washing Which of the following is used to remove severe stains on stainless steel instruments? A. Proteolytic enzyme detergent B. Lipolytic enzyme detergent C. Organic alkaline detergent D. Organic acid detergent - Answer>> D. Organic acid detergent One method of preventing biofilm formation on instruments is to? A. rinse the instruments with distilled water and dry them well B. rinse the instruments with hard water and dry them well C. rinse the instruments with cold water and dry them well D. None of the above - Answer>> A. rinse the instruments with distilled water and dry them well An ultrasonic lumen cleaner is used to clean? A. IV pump B. laparoscopic instruments C. Fiber-optic cable D. None of the above - Answer>> B. laparoscopic instruments

For manual lubrication, surgical instruments should be placed in a lubricant solution and then? A. dry heat treated B. fan blown dry C. room air-dried D. None of the above - Answer>> C. room air- dried Which of the following should be cut with dissecting scissors? A. Suture B. Wire C. Tissue D. Dressings - Answer>> C. Tissue What is the purpose of a tungsten carbide insert on a needle holder? A. To hold the suture needle better B. Easier to clean C. To make instrument lighter D. None of the above - Answer>> A. To hold the suture needle better When should laparoscopic instruments be reassembled for sterilization? A. When approved by the manager B. When recommended by the manufacturer C. When needed D. Both A and C - Answer>> B. When recommended by the manufacturer Which of the following types of instruments are used to view internal organs through very small openings? A. Endoscopic B. Powered C. Self-retaining D. Micro - Answer>> A. Endoscopic Instruments must never be? A. Cleaned B. Touched C. Sterilized D. Engraved - Answer>> D. engraved Which of the following is an example of a flexible endoscope? A. Bronchoscope B. Arthroscope C. Resectoscope D. Cystoscope - Answer>> A. Bronchoscope In the sterile storage area of CS/SPD, the temperature is 70 F ( C) and the humidity is 69%. What should be done? A. Continue with routine activities B. Reset temperature C. Contact biomed D. Do nothing - Answer>> A. Continue with routine activities

Anyone entering the preparation area must? A. Wear PPE B. Wear proper attire C. Ask for signature D. Do nothing - Answer>> B. Wear proper attire Where should the chemical indicator be placed when sterilizing two large basins with smaller basins in one set? A. On the floor next to the basins B. On the door C. In the middle of all basins D. In the top and bottom basins - Answer>> D. In the top and bottom basins If a wrapper will be used as a sterile field, how far over the edge of the table must it extend? A. 10 inches B. 4 inches C. 6 inches D. 8 inches - Answer>> C. 6 inches Rigid containers are a medical device and must have a 510(k) clearance from the? A. EPA B. FDA C. OSHA D. AAMI - Answer>> B. FDA (Food and Drug Administration) The three basic shapes of microbes are round, spiral, and? A. square B. rod-like C. triangle D. hexagon - Answer>> B. rod-like In non-table top steam sterilizers, steam is generated in? A. a boiler B. a furnace C. a cooker D. a smoker - Answer>> A. a boiler Autoclave tape is considered which class of indicator? A. Class 9 B. Class 6 C. Class 3 D. Class 1 - Answer>> D. Class 1 The part of the steam sterilizer that produces heat inside the chamber to prevent condensation from forming on the chamber walls is the? A. hood B. jacket C. tube D. None of the above - Answer>> B. jacket

according to manufacturer's instructions(IFU) D. Both A and B - Answer>> C. Clean the instrument according to manufacturer's instructions Incoming saturated steam should be within which of the following ranges of dryness? A. 97% to 100% B. 51% to 55% C. 10% to 12% D. 5% to 6% - Answer>> A. 97% to 100% Failure to remove all air from a package within the steam sterilizer will result in? A. nice heat exchange B. the right stuff C. only the best penetration D. poor steam penetration - Answer>> D. poor steam penetration Damage to medical/surgical supplies stored in the receiving area can be avoided by A. avoiding temperature and humidity extremes B. avoiding the lead technician C. making the supplies move visable D. none of the above - Answer>> A. avoiding temperature and humidity extremes Steam is exhausted from the sterilizer through the? A. exhaust pipe B. outtake pipe C. chamber drain line D. none of the above - Answer>> C. chamber drain line Why must textile packs be placed on their sides for sterilization? A. To facilitate air removal and steam penetration B. To facilitate fast load times C. To compensate for air removal time D. To compensate for steam penetration - Answer>> A. To facilitate air removal and steam penetration The most unique feature of an integrating chemical indicator is its ability to? A. indicate things B. perform in parallel to biological indicator C. integrate with chemicals D. none of the above - Answer>> B. perform in parallel to biological indicator

EO kills microorganisms by a process called? A. calcification B. replication C. alkylation D. dilatation - Answer>> C. alkylation The nominal concentration of hydrogen peroxide in a low- temperature gas plasma sterilizer is? A. 12% B. 100% C. 45% D. 59% - Answer>> D. 59% Rigid sterilization containers should be biologically tested before? A. manufactured B. reprocessing C. purchasing D. non of the above - Answer>> C. purchasing In the sterile storage area, the ventilation system must be under? A. negative pressure B. positive pressure C. neutral pressure D. none of the above - Answer>> B. positive pressure The hourly air exchange rate in the sterile storage area should be at least? A. 4 B. 10 C. 5 D. 8 - Answer>> A. 4 Which of the following is not a factor affecting the dry time in a steam sterilizer? A. Type of packaging B. Weight of sets C. Selected sterilization time D. Configuration of the load - Answer>> C. Selected sterilization time The optimum amount of a supply to order is called the? A. quantity order B. economical order quantity C. physical order D. none of the above - Answer>> B. economical order quantity The cochlea is part of the? A. inner ear B. outer ear C. middle ear D. ears - Answer>> A. inner ear CS/SPD should be capable of planning for approximately what percentage of the total needs of a unit? A. 50% B. 75% C. 90% D. 100% - Answer>> C. 90%

Generally, incident reports should be filed? A. Within 12 hours of the incident B. Within the week of the incident C. Within the month of the incident D. Within the 24 hours of the incident - Answer>> D. Within 24 hours of the incident An exhaust hood over the EO sterilizer is an example of an? A. hood B. pipe C. engineering control D. none of the above - Answer>> C. engineering control Which of the following is the correct incubation temperature range for biological indicators used in steam sterilization? A. 131 F to 140 F (55 C to 60 C) B. 140 F to 183 F (60 C to 84 C) C. 250 F to 275 F (121 C to 135 C) D 270 F to 275 F (132 C to 135 C) - Answer>> A. 131 F to 140 F (55 C to 60 C) What is the largest part of the brain? A. the eyes B. cerebellum C. cerebrum D. none of the above - Answer>> C. cerebrum A chemical indicator responding to two or more critical parameters belongs to which class? A. Class 2 B. Class 3 C. Class 4 D. Class 5 - Answer>> C. Class 4 Ortho-phthaldehyde is classified as a? A. low-level disinfectant B. disinfectant C. medium-level disinfectant D. high-level disinfectant

  • Answer>> D. high-level disinfectant When placing paper-plastic pouches in a sterilizer, the pouches should be placed? A. paper facing plastic in a basket B. inside out C. paper facing basket in the plastic D. plastic facing the basket in the paper - Answer>> A. paper facing plastic in a basket You received a Spine Laminectomy set from the OR and about process it in the DECON area. The Traffic pattern is known as? A.

Work Flow B. People Flow C. Traffic control D. None of the above

  • Answer>> A. Work flow The manger of the Sterile Processing Department is giving a tour of the facility to a new employee. Knowing the principles of correct traffic pattern, he should start from the clean areas to the dirty areas. This traffic pattern is know as? A. Work Flow B. People Flow C. Traffic control D. None of the above - Answer>> B. People flow Patient confidentiality is one of many ethical issues in a health care setting environment. The practice of doing the right thing is the responsibility of? A. Manger B. Lead technician C. Nurses D. Everyone - Answer>> D. Everyone As an effective healthcare team member, where are you not supposed to wear scrubs with a cover gown? A. Distribution B. Preparation and Packaging C. Outside the facility D. Cafeteria - Answer>> C. Outside the facility Compliance with the different regulating agencies is? A. Required by law B. Optional C. Doing what you want to do D. None of the above - Answer>> A. Required by law If the Temperature is at 73 F and humidity is at 60% within the Sterile Storage area, what must the SPD technician do? A. Asked Bio-Med engineering to adjust environmental conditions B. SPD technician should re-adjust parameters because it's to hot for the technician to work C. Continue working as usual D. Report the incident to the supervisor - Answer>> C. Continue working as usual If the Temperature is at 62 F and humidity is at 50% within the Decontamination area, What must the SPD tech do? A. Asked

The agency that regulates Chemical indicators, biological indicators, glutaraldehyde and the reprocessing of single-use devices? A. EPA B. FDA C. OSHA D. CDC - Answer>> B. FDA The agency that regulates the sale and manufacture of Ethylene Oxide? A. EPA B. FDA C. OSHA D. CDC - Answer>> A. EPA The agency that regulates the wearing of PPE? A. EPA B. OSHA C. FDA D. CDC - Answer>> B. OSHA The science of Ergonomics is designed for? A. Workers B. Work environment C. Work to be done D. All of the above - Answer>> A. Workers An accrediting agency with a primary function of conducting extensive onsite visit and evaluating healthcare facility's? A. AAMI B. CDC C. JC D. AORN - Answer>> C. JC Which agency recommends topics such as hand hygiene, isolation precaution and environmental infection control? A. FDA B. EPA C. CDC D. AAMI - Answer>> C. CDC An OSHA standard that requires facility to obtain an have the MSDS available to the employee for chemicals used? A. Hazard Communication B. Occupational Exposure C. Right to know D. Both A and C - Answer>> D. Both A and C All of the following apply to eye wash stations except? A. It must provide 0.4 gallons of water per minute continuously for 15 minutes B. It must permit hands free operation C. It must flush both eyes at the same time D. Water temperature at 60F - 100F E. None of the above - Answer>> D. None of the above

Which government agency regulates disinfectants such as Quats and Alcohol? A. OSHA B. FDA C. EPA D. CDC - Answer>> C. EPA What is the immediate consequence if a healthcare facility failed the accreditation process of the JC? A. The facility can be shut down B. The facility cannot accept insurance payments C. The facility will be paying a fine D. Both B and C - Answer>> D. Both B and C OSHA regulates employee exposure to blood borne pathogens. The three most common blood borne pathogens are the following with the exception of? A. Hep A B. Hep B C. Hep C D. HIV - Answer>> A. Hep A The agency that regulates the reprocessing of opened but unused devices? A. FDA B. OSHA C. EPA D. None of the above - Answer>> D. None of the above Under CDC's guidelines, the length of your finger nails should be? A. 0.25 inch B. 2 inches C. 0.50 inches D. 1 inch - Answer>> A. 0.25 inch You are about to process an insulated laparoscope in decontamination. The first thing that you have to do in processing the equipment is? A. Clean it with a soft brush B. Process it in an ultrasonic cleaner C. Leak test the device D. LAP test the device - Answer>> D. LAP test the device While working the department, you notice that two of your co- workers always have a heated discussion every time the manager is out of the office. As an effective team member, what are you suppose to do? A. Ignore your co-workers B. Join in the argument

This is designed to control access in the different areas? A. Work flow B. People flow C. Traffic Patterns D. Traffic control - Answer>> D. Traffic control When lifting heavy objects, it is important to bend your knees. This is known as? A. Proper body Mechanics B. Ergonomics C. Power lifting D. Both A and B - Answer>> D. Both A and B While working in the department, you noticed that you co-worker dropped an infusion pump and returned it to the shelf. What should be your next step? A. Report it to your supervisor B. Tell your co-worker to reprocess it C. Tell your co-worker to send it to Bio-Med D. Ignore it - Answer>> C. Tell your co-worker to send it to Bio-Med Which organ in the human body can fully regenerate? A. Stomach B. Liver C. Skin D. Kindneys - Answer>> B. Liver What is the only molecule in the body that is capable of reproducing itself? A. DNA B. RNA C. Cells D. Flagella - Answer>> A. DNA Physiology is the science that deals with the _________ of body parts. A. Structure B. Function C. Layout D. Postion - Answer>> B. Function A gram negative bacteria can be identified by what stain? A. Purple or Blue B. Red or pink C. Yellow or black D. None of the above - Answer>> B. Red or pink A spirochete can be identified by what stain? A. Purple or Blue B. Red or pink C. Yellow or black D. None of the above - Answer>> D. None of the above

In order to survive, anaerobic bacteria require all the following except? A. Oxygen B. Warmth C. Liquids D. Darkness - Answer>> A. Oxygen Rod-Shape Bacteria are called? A. Cocci B. Flagella C. Bacilli D. Spiral - Answer>> C. Bacilli The shape of a coccus is? A. Oval B. Round C. Spherical D. All of the above - Answer>> D. All of the above A healthcare-acquired infection is generally termed as? A. contagious infection B. antibiotic-resistant infection C. disease- causing infection D. nosocomial infection - Answer>> D. nosocomial infection An organism that transmits a pathogen? A. Fomite B. Vectors C. Axon D. Cell - Answer>> B. Vectors Hank was diagnosed with conjunctivitis. He was advised to separate his personal belongings to prevent the spread of infection. His contaminated towel is considered as a? A. Fomite B. Vector C. Axon D. Cell - Answer>> A. Fomite Alcohol hand sanitizers are used in different scenarios expect? A. Changing work locations B. Changing gloves C. Handling equipment D. Hands are visually soilded - Answer>> D. Hands are visually soilded The following are steps on proper hand-washing except? A. Hands are shaken off after the final rinse B. Rotational rubbing of palms and fingers C. Lathering hands D. Turning off faucet using a disposable towel - Answer>> A. Hands are shaken off after the final rinse