Cbspd final exam quizlet
Cbspd final exam questions and answers
Cbspd final exam questions
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cbspd practice exam questions
cbspd practice test 2023
cbspd exam
cbspd practice exam quizlet
Why is it Important to evenly distribute large instruments in a set?
Extra condensation will make the set more difficult to dry.
Which of the following best describes the overall role of the CS/SPD?
To provide dependable service to enhance patient care.
Which of the following government agencies regulates environmental disinfectants?
EPA
The function of a ratchet can be checked by?
Closing the ratchet on the first click, then tapping the handle on the worktable.
During cycle counts, items that have a large dollar value but are not used frequently are classified as?
Class A
Anatomy is the science that deals with the ? Of the body parts?
Structure
Which of the following transports molecules within the cell?
cytoplasm
Which of the following sets are considered high-risk for special prion processing?
Craniotomy Set
The metacarpals are located in the?
Hands
Microorganisms are measured in?
Microns
With respect to rigid sterilization container testing, which term defines the sterilizes ability to sterilize under actual use conditions?
Maximum-load testing
What is the ideal human body temperature?
98.6 degrees F
What may be the cause of a blue stain Ima scope in Orthophthaldehyde?
Improper cleaning
Which of the following is true of a capsule?
It is resistant to heat and chemicals.
Pulmonary capillaries are found in which system?
Respiratory
Ethics is the practice of:
Doing the right thing.
A microorganism that is resting and has a hard, shell like outer covering is called a ?
Spore
Spongiform encephalopathy is caused by which of the following?
Prions?
Nails, tissues, and money are examples of ?
Fomites
The Zika virus is transmitted by ?
Vectors
In the final step of hand washing, the fingers should be rinsed with the fingertips facing ?
Up.
Waterless hand antiseptics contain what percentage concentration f alcohol to make them nose effective?
65%-95%
All of the following play a role in how bones support other body systems except?
Distribution of hormones
OSHA requires that containers of potentially infectious materials be ?
Leakproof
Flagella helps bacteria to ?
Propel through liquid medium
The removal of contamination from an item to the extent necessary for further processing is called?
Cleaning
Ventilation in the decontamination area should be ?
Negative pressure with 10 air exchanges per hour.
Which of the following should be cleaned daily?
Floors and work surfaces.
Which of the following is a TRUE statement regarding the use of PPE in the decontamination area?
Failure to wear PPE can result in a disciplinary action.
Before a medical device is cleaned and processed?
The manufacturers instructions must be obtained.
Which of the following additional chemicals is recommended when a high-alkaline detergent is used in a mechanical washer ?
Neutralizing Acid
Which of the following types of organisms is able to survive adverse environment conditions by forming spores?
Clostrudium
The relative acidity or alkalinity of a solution is referred to as ?
pH
Barrier precautions, hand washing and sharps precautions come under the umbrella of ?
Standard precautions
A solution with a pH level of 3 is considered ?
Acidic
A solution having a pH of 13 is ?
Alkaline
Which of the following are major non living reservoirs of infectious diseases?
Soil and water
Alkaline detergents are best for mechanical washers because of ?
A lack of friction in washing
Which of the following is used to remove severe stains on stainless steel instruments?
Organic acid detergent
One method of preventing biofilm formation on instruments is to ?
Rinse the instruments with distilled water and dry them well.
Open but unused instrument sets should be ?
Completely reprocessed.
Unless otherwise directed, an item high-level disinfected in glutaraldehyde MUST be rinsed a minimum of ?
Two times
Generally the distal end of a rigid endoscope should be cleaned with a ?
Soft bristle brush.
If too many microorganisms remain on an item after the cleaning process, the what?
Disinfection process may not be effective.
Which of the following are bacteriostatic and used for inanimate environmental surfaces and floors?
Quaternary ammonium compounds
Which of the following is true of steam sterilization?
Higher temps these require higher pressure.
Which of the following pieces of equipment is used to regulate body temperature?
Hypo/Hyperthermia machine
Which of the following pieces of equipment is used to prevent the formation of blood clots?
Sequential compression device
Which series of stainless steel is used to manufacture osteotomes?
400
Instruments should be placed in the lubricant solution and then ?
Allowed to air-dry.
Which of the following should be cut with dissecting scissors?
tissue
What is the purpose of a tungsten carbide insert on a needle holder?
to hold suture needle better
When should laparoscopic instruments be reassembled for sterilization?
When recommended by the manufacturer
Which of the following types of instruments is used to view internal organs through very small openings?
Endoscopic
Instruments must never be ?
engraved
Which of the following is an example of a flexible endoscope?
Colonoscopy scope.
In the sterile storage are of the SPD, the temperature is 70 deg F and the humidity is 69%. What should be done?
Continue with routine activities
Anyone entering the preparation are must?
Wear proper attire.
Where should the chemical indicator be placed when sterilizing two large basins with smaller basins in one set?
In the top and bottom basins.
If a wrapper is to be used as a sterile field, how far over the edge of the table should it be?
6 inches
When can loaner instrument sets be placed inside rigid sterilization containers?
With instructions from the loaner instrument company
The three basic shapes of microbes are round, spiral and ?
Rod-like
in non table top steam sterilizers steam is generating in
boiler
Autoclave tape is considered which class of indicator ?
Class 1
Which part of the steam sterilizer produces heat inside the chamber to prevent condensation from forming on the chamber walls?
The jacket
The need for frequent reprocessing can be minimized by
Proper stock rotation
What is the coldest part of the sterilizer?
Drain line
Gradual heating of the packs occur during which phase of the steam sterilization cycle?
Conditioning
All of the following apply to eye wash expect ?
They must flush one eye at a time.
What is the most important thing to remember when double peel pouching?
The inner pouch must lay flat inside the outer pouch.
Which of the following best describes a minimum exposure time, temperature, and pressure for prevacuum steam sterilization of wrapped items ?
4 minutes @270 degree F 38-40 pounds per square inch.
What is the first step to take when an instrument needs to be sterilized for immediate use ?
Clean the instrument according to the manufactures instructions.
Incoming saturated steam should be witching which of the following ranges of dryness ?
97%-100%
Failure to remove all air from a package within the steam sterilizer will result in ?
Poor steam penetration
Damage to medical/surgical supplies stored in the receiving area can be avoided by ?
avoiding temperature and humidity extremes
In a NON tabletop sterilizer, Steam is exhausted from the sterilizer through the ?
Chamber drain line
Why must textile packs be placed on their sides for sterilization?
To facilitate air removal and steam penetration.
The most unique feature of a chemical integrator is its ability to ?
Perform in parallel to a biological indicator.
EO kills microorganisms by a process called ?
Alkylation
The nominal concentration of hydrogen peroxide in a low temperature gas plasma sterilizer is ?
59%
Rigid sterilization containers should be biologically tested before ?
Purchasing
In the sterile storage area, the ventilation system must be under ?
Positive pressure
The hourly air exchange rate in the sterile storage area should be at least ?
4
Which of the following is NOT a factor affecting the dry time in a steam sterilizer ?
Selected sterilization time.
The optimum amount of a supply to order is called the ?
Economical order quantity
The cochlea is part of the ?
Inner ear
CS/SPD should be capable of planning for approximately what percentage of the total needs of a unit ?
90%
Which of the following must be made available to distribution personnel ?
Policies and procedures for correct handling of sterile supplies.
According to Spaulding classifications, a critical device requires ?
Sterilization between uses
Another name for par-level inventory is?
Fixed inventory level
Which of the following is considered a disadvantage of an exchange cart system?
inventory is duplicated
Which distribution system is designed to reduce storeroom inventory ?
just in time
A biological indicator should contain how many spores ?
10-6
How often should the drain line basket in a steam sterilizer be cleaned ?
Daily
Effective sterilization begins with ?
thorough cleaning
Generally, incident reports should be filed
Within 24 hours of the incident.
An exhaust hood over the EO sterilizer is an example of an ?
Engineering control
Which of the following is the correct incubation temperature range for biological indicators used in steam sterilization?
55 deg C-60 deg C
Which is the largest part of the brain?
Cerebrum
A chemical indicator responding to two or more critical parameters belongs to which class ?
Type 4
The main role of the sterile processing area is to
provide dependable reliable services to enhance the quality of patient care.
Instruments sets and patient care equipment processing and distributing must be done accurately and timely so:
patient care is not adversely affected
ethics is
doing the right thing
compliance with OSHA is
required by law
Establishes sterile practice based on opinion, research and theory:
AAMI(Association for the Advancement of Medical Instrumentation)
Recommended practices are:
Statements of sound principals of practice that are based on scientific data and the opinions of experts.
EPA, FDA, OSHA and state departments of health (DOH) primarily issue:
regulations
CS/SPD practice are written by _
AAMI(Association for the Advancement of Medical Instrumentation)
HIPPA is all about what ethical issue?
Confidentiality
Governing behavior involves what type of rule?
regulation
An established norm based on what theory is:
standard
goverment agency that evaluates pesticides
EPA(Environmental Protection Agency)
Single-use devices in the hospital setting are regulated by _
FDA(Food And Drug Administration)
cleaning/sterilization instructions requested from manufacturers
each time the item is purchased
OSHA requires SDS(Safety data sheets) for _
each chemical in the department
Science branch refers to FORM and ORGANIZATION of body parts:
Anatomy
science branch refers to FUNCTION of specific body parts:
physiology
Smallest most numerous structural units processing basic life characteristics are:
cells
An environment factor not required for the life of cells is:
cold
The cell’s brain is the
nucleus
cell portion that contains DNA
nucleus
complex structures with specialized functions in the body are:
organs
where do red blood cells develop?
bone marrow
smallest bones of the body are found in the:
middle ear
Bone which supports the tongue and swallowing functions:
hyoid bone
skull, hyoid, vertebral column and thoracic cage (rib cage) are part of_____ skeleton
axial
muscles make up___% of body
50%
sternum is located in _ skeleton
axial
The humerus is located in the
appendicular
Bones of the lower limb
femur, tibia, fibula
Bones of the upper limb
humerus, radius, ulna
muscle cells with lack striations
smooth muscle cells
connects muscle to bone
tendons
specialized cells responsible for body contractions
muscles
largest organ in the body
skin
Which layer of the skin contains nerves and blood supply?
dermis
provides immunity?
white blood cells
which gas is removed from body cells?
carbon dioxide
which body system regulates pH
respiratory
food is transported to the stomach through the __
esophagus
the term pathogenic means:
disease producing
gram-positive microorganisms stain what color?
blue or purple
units that microorganisms are measured in:
microns
streptococcus shape is
spherical
spirochete shape is:
spiral
bacteria reproduced by:
binary fission
gram-negative microorganisms stain what color?
red or pink
cocci shape :
round
microorganism that can slow down its metabolism and become dormant is:
gram-positive bacillus-blue or purple in color
bacilli are what shape
rod-shaped
what do bacteria need to survive?
warmth, water, and waste elimination
what is used to test sterilization cycles?
spores
a dehydrated cell with a thick, shell like wall is a :
spore
What survives extreme heat, lack of water and exposure to many toxic chemicals and radiation?
Spores
Pathogen that causes tuberculosis:
Mycobacteria
Includes single cell yeasts:
Fungi
Disease not caused by virus:
CJD(Creutzfeldt-Jakob disease)
Difficult to kill by usual sterilization methods:
prions
Aerobic bacteria require:
Oxygen
Disease caused by Prions:
CJD
Single-celled microorganisms are called
protozoa
Requires living host to multiply?
virus
an abnormal protein describes a __
prion
Gram-positive coccus example?
Staphylococcus aureus
__ can survive on hands for hours
VRE(Vancomycin-resistant enterococci)
healthcare infection is generally termed___
nosocomial
Healthcare-aquired infections kill how many people annually?
90,000
The principal living reservoir of human disease comes from___
human body
Gastrointestinal disease is usually a result of _
water contaminated by feces of humans and other animals
the principal route of nosocomial infection is __
direct contact
an inanimate object involved in spreading infection is called __
a fomite
__ is not a disease spread by droplets
measles
___discharges pathogens that cause TB, whooping cough, pneumonia , measles , mumps and smallpox
respiratory tract
living things that cause disease are called__
vectors
most common portal of exit in disease transmission
respiratory tract
Portal of entry caused by a needle stick is:
Parenteral Tissue
___cause lyme disease
Vector
the best way to prevent infection:
wash hands
minimum time needed for effective hand washing
15 seconds
when washing hands, turn off the water with:
a disposable towel
_ regulates bloodborne pathogen exposure
OSHA(Occupational Safety and Health Administration)
Most effective alcohol hand sanitizers contain __%alcohol
60-95%
During instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument’s surface. T OR F?
True
Each year, approximately BLANK patients develop a Healthcare-associated infection
2 million
A mode of bacterial transmission that would take place when an infectious agent was transmited through anitem such as food or water is called:
Common vehicle
A solution which inhibits the growth of bacteria. It is usually used topically and only on animate objects.
Antiseptic
A type of connective tissue fluid that moves throughout the circulatory system.
blood
After applying instrument identification tape, instruments should be autoclaved to help the tape bound to the instrument.
True
Allows for visual inspection of the upper digestive tract.
Gastroscope
Agency which imposes very strict labeling requirements on manufacturers of chemicals used by Central Service departments.
EPA
Automatic washers clean using a spray-force action called inpingement. T or F?
True
Instrument marking tape should be wrapped approximately _ around the instrument.
1 to 1½
The purpose of a suction stylet is to:
unclog the suction during surgery
The endoscope that would be dispensed for a procedure that required the visualization of the lower part of the large intestine would be a:
Sigmoidoscope
Endotracheal tubes and anesthesia breathing circuits are examples of
Semi-critical device
The surgical procedure that consist of removing an ear bone that has thickened and no longer transmits sound waves and replacing it with an artificial implant to improve hearing.
stapedectomy
This gland stimulates body growth.
pituitary gland
This surgical procedure is the removal of the gall bladder.
cholecystectomy
The distribution system which involves replacing a freshly loaded supply cart for an identical cart that has been depleted on a patient unit is called the __ system.
Exchange cart
A failure mode and effects analysis looks backward at an event to help prevent its reoccurrence.
false
Which of the following requires preventive maintanence standards be established for medical equipment?
Joint Comission
Wicking materials are used to:
allow air removal, steam penetration and facilitate drying
Aeration is required for items sterilized in ozone sterilization processes.
false
How frequently should a sterilizer’s drain strainer be removed and thoroughly cleaned?
daily
The relative humidity of the sterile storage area should be:
less then 75%
The term “superheated steam” means:
dry steam
The amount of time that it takes to kill 90% of the microorganisms present on an object is called:
D-value
Ethylene oxide has better penetration capabilities than ozone and hydrogen peroxide gas plasma.
True
The most efficient type of dry heat sterilizer is
the mechanical convection sterilizer
Rod-Shaped bacteria are classified as
Bacillus
Manufacturers of new Class I devices must obtain pre-market approval (PMA) from the FDA by submitting PMA applications with extensive test data to demonstrate the safety/effectiveness of their products.
false
In medical terminology, the purpose of a combining vowel is to:
enhance pronunciation
Water softeners are used to remove __ in the water.
Calcium and magnesium
400 series stainless steel is also called Martensitic
True
Items must be decontaminated before they are sterilized; they need to not be decontaminated before they are disinfected.
false
When liquid chemical sterilants are labeled for use as both sterilant and high-level disinfectants, their use for sterilization requires a longer contact time.
True
These are used to break down fatty tissue on instrument:
Lipase enzymes
Hospital equipment, such as IV pumps and feeding pumps should be decontaminated after each use
True
ALL flexible endoscopes have internal channels.
False
The biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning.
False
Single-use items and their packaging reduce the level of combustible loading in storage areas within a Central Service department.
false
Which of the following disinfectants is also known as a “wetting agent”?
Quarternary ammonium compunds (quats)
Sterilization load recalls should only be made if patients develop infections.
false
Which of the following scissors is designed to have the sharpest cutting edge>
black handed
The unity of measure used to describe the amount of EtO in the air is called:
PPM(parts per million)
Which of the following information is NOT included on an MSDS sheet?
Required inventory levels
Positive reinforcement used to encourage employees to follow paper work practices and negative reinforcement to discourage inappropriate work practices is called:
Coaching
Customer complaints are best handled through which of the following approaches?
service recovery
During instrument manufacture, the process of milking helps build a protective chromium oxide layer on each instruments surface.
false
The __ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness, and/or death to the manufacturer and the FDA.
Safe medical devices act
A failure mode and effects analysis looks backward at an event to help prevent its reoccurrence.
false
How frequently should a sterilizer’s drain strainer be removed and thoroughly cleaned?
daily
Sterile packages should be stored no lower than
8-10 inches from the floor