Download CBSPD Practice Exam 2: Flexible Endoscope Reprocessing and Infection Prevention and more Exams Microbiology in PDF only on Docsity!
CBSPD Practice Exam 2 |114 questions
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Flexible endoscopes MUST be competently reprocessed so that - answer Patient care is not adversely affected Ethics is the practice of: - answer conforming to accepted and professional standards of conduct The Health Insurance Portability and Accountability Act (HIPAA) provides for which ethical issue? - answer Confidentiality Recommended practices are: - answer Statements of sound principles of practice that are based on scientific data and the opinions of experts A rule designed to govern behavior is called a: - answer Regulation Which of the following defines what a department MUST do? - answer Policies Steps for performing a task are defined in a - answer Procedure Which of the following has published standards of infection prevention in processing flexible gastrointestinal endoscopes? - answer SGNA (Society for Gastroenterology Nurse and Associates) Which of the following agencies registers and regulates environmental disinfectants used on non-living things in healthcare facilities? - answer EPA (Environmental Protection Agency) Which of the following regulates and assures that products are safe and effective before companies put them on the market? - answer FDA (Food Drug Administration)
Which agency requires medical device manufacturers to provide end users in healthcare facilities with specific instructions on how to reprocess their reusable products? - answer FDA (Food Drug Administration) Compliance with Occupational Safety and Health Administration (OSHA) regulations is - answer Required by law Monitoring the effectiveness of work performed in the GI/endoscopy suite is generally referred to as: - answer Quality assurance The policies and procedures for all reprocessing activities in the GI/endoscopy suite are usually reviewed and/or approved by the: - answer Infection Prevention and Control Committee Which branch of science refers to the form and organization of body parts? - answer Anatomy Which branch of science refers to the function of specific body parts? - answer Physiology The smallest and MOST numerous structural units possessing the basic characteristics of life are called - answer Cells The nucleus is the cell's: - answer Brain DNA (deoxyribonucleic acid) is found in which part of the cell? - answer Nucleus Which of the following is the largest internal organ of the body? - answer Liver The tendency of the body to maintain a stable internal environment is referred to as: - answer Homeostaisis
In order to cause an infection, microorganisms must be: - answer Present in sufficient numbers The principal route of transmission of healthcare-acquired infections from hospital staff to patients is - answer Direct contact Which of the following is a vector that could cause disease? - answer Mosquito A healthcare-acquired infection is generally called what type of infection? - answer Nosocomial The principal living reservoir of human disease is - answer The human body Water that has been contaminated by the feces of humans and other animals is MOST notably responsible for - answer Gastrointestinal disease The general term for any inanimate object involved in the spread of infection is - answer fomite Which if the following IS NOT a disease spread by droplets? - answer Measles The pathogens that cause tuberculosis, whopping cough, pneumonia, measles, mumps, and smallpox are discharged through the - answer Respiratory tract Living things responsible for causing disease are called - answer Vectors Which of the following is a common portal of exit in the transmission of disease? - answer The respiratory tract An infection caused by a needlestick enters through which portal of entry? - answer Parenteral tissue
The single MOST effective way to prevent infections in the healthcare environment is to - answer Wash hands frequently The physician who performs examinations of the colon is called a/an - answer Endoscopist Enteroscopy is the examination of the - answer Small bowel A colonoscope is typically used to perform procedures involving the: - answer stomach When an upper endoscopy is being performed, a gastroscope is used to visualize the: - answer Esophagus and stomach A percutaneous endoscopic gastrostomy (PEG) is performed to - answer Insert a flexible feeding tube A proctoscopy is an examination of the - answer Rectum The charge coupled device (CCD) is also known as the: - answer Scope camera Which portion of the flexible endoscope runs from the control body to the light guide connector? - answer Universal cord Generally, which channel runs from the insertion tip to the control body? - answer Biopsy To prevent damage to fiberoptic light bundles, scopes should NOT be - answer Tightly coiled Handwashing sinks in the reprocessing area should - answer be separate from those used to clean scopes
Which of the following must be done if an automated endoscope reprocessor cycle is interrupted? - answer Repeat the entire cycle Protein soils can best be removed using an enzymatic detergent that are: - answer Low in alkalinity Biofilms are composed of - answer Polysaccharides The amount of detergent needed to manually clean a scope is determined by - answer The quality of the water The process that kills all microorganisms but not necessarily large numbers of bacterial spores is known as - answer High-level disinfection According to Spaulding's classification of medical devices, a semicritical item requries which of the following? - answer High-level disinfection Which of the level of disinfection is the MINIMUM needed for the destruction of HIV (human immunodeficiency virus)? - answer Low-level disinfection Which of the following disinfectants requires activation prior to use? - answer Glutaraldehyde Which of the following will NOT affect the effectiveness of a disinfectant? - answer Number of times it is used Which of the following disinfectants should NEVER be used as an environmental disinfectant? - answer Glutaraldehydes
The length of time for which a high-level disinfectant can be used after it has been opened is known as its - answer Use life Items manually soaked in ortho-phthaldehyde at a minimum temperature of 68F can achieve high-level disinfection in - answer 12 minutes In order to protect the reagent on high-level disinfectant test strips, it is important that the container be - answer Kept tightly closed Ortho-phthaldehyde can be neutralized for disposal with - answer Glycine The MOST critical step in the manual reprocessing of flexible endoscopes is: - answer Cleaning Reprocessing is considered "delayed" if a scope is not cleaned within - answer 60 minutes The purpose of precleaning at the point of use is to: - answer Prevent build up for bioburden and formation of biofilm Precleaning at the point of use involves which of the following steps? - answer Flushing of channels Containers or bags used to transport contaminated endoscopes should be labeled - answer As biohazardous Before a flexible endoscope is manually cleaned, it should be - answer Leak tested Coiling a scope too tightly may cause - answer Damage to the fiberoptic rods Which of the following is NOT a method of leak testing? - answer Suction
One of the most important parts of the inspection process is to observe for: - answer damage to the scope sheath Following high-level disinfection and rinsing, accessory channels should be: - answer flushed with alcohol Which of the following steps in reprocessing flexible endoscopes is correct? - answer manual precleaning, leak testing, manual cleaning, high-level disinfection The purpose of the minimum effective concentration (MEC) test is to determine: - answer potential dilution of the high-level disinfectant A storage cabinet for endoscopes should be: - answer well ventilated Which of the following must be noted on the high-level disinfectant soaking container? - answer date of activation and solution expiration date The process that kills microorganisms but not necessarily large numbers of bacterial spores is known as: - answer high-level disinfection All endoscopes should be high-level disinfected or sterilized between each patient use? - answer true When using an automated equipment reprocessor with an automated cleaning cycle, it is still necessary to thoroughly clean the endoscope before using the automated cycle? - answer true PPE should be changed before removing an endoscope from an automated equipment reprocessor or soak basin? - answer true
The following should be documented each time an item is high-level disinfected: - answer name or initials of the person performing the HLD, MEC minimum effective concentration, and date and time of the high-level disinfection process The high-level disinfection solution in an automated equipment reprocessor should be tested for the minimum effective concentration: - answer before each use
