CBSPD FINAL EXAM QUESTIONS

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CBSPD FINAL EXAM QUESTIONS & ANSWERS ALREADY PASSED Why is it Important to evenly distribute large instruments in a set? - Correct ✓✓ Extra condensation will make the set more difficult to dry. Which of the following best describes the overall role of the CS/SPD? - Correct ✓✓ To provide dependable service to enhance patient care. Which of the following government agencies regulates environmental disinfectants? - Correct ✓✓ EPA The function of a ratchet can be checked by? - Correct ✓✓ 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? - Correct ✓✓ Class A Anatomy is the science that deals with the ? Of the body parts? - Correct ✓✓ Structure Which of the following transports molecules within the cell? - Correct ✓✓ cytoplasm

Which of the following sets are considered high-risk for special prion processing? - Correct ✓✓ Craniotomy Set The metacarpals are located in the? - Correct ✓✓ Hands Microorganisms are measured in? - Correct ✓✓ Microns With respect to rigid sterilization container testing, which term defines the sterilizes ability to sterilize under actual use conditions? - Correct ✓✓ Maximum- load testing What is the ideal human body temperature? - Correct ✓✓ 98.6 degrees F What may be the cause of a blue stain Ima scope in Orthophthaldehyde? - Correct ✓✓ Improper cleaning Which of the following is true of a capsule? - Correct ✓✓ It is resistant to heat and chemicals. Pulmonary capillaries are found in which system? - Correct ✓✓ Respiratory Ethics is the practice of: - Correct ✓✓ Doing the right thing. A microorganism that is resting and has a hard, shell like outer covering is called a ? - Correct ✓✓ Spore Spongiform encephalopathy is caused by which of the following? - Correct ✓✓ Prions?

Nails, tissues, and money are examples of ? - Correct ✓✓ Fomites The Zika virus is transmitted by ? - Correct ✓✓ Vectors In the final step of hand washing, the fingers should be rinsed with the fingertips facing ? - Correct ✓✓ Up. Waterless hand antiseptics contain what percentage concentration f alcohol to make them nose effective? - Correct ✓✓ 65%-95% All of the following play a role in how bones support other body systems except? - Correct ✓✓ Distribution of hormones OSHA requires that containers of potentially infectious materials be ? - Correct ✓✓ Leakproof Flagella helps bacteria to ? - Correct ✓✓ Propel through liquid medium The removal of contamination from an item to the extent necessary for further processing is called? - Correct ✓✓ Cleaning Ventilation in the decontamination area should be ? - Correct ✓✓ Negative pressure with 10 air exchanges per hour. Which of the following should be cleaned daily? - Correct ✓✓ Floors and work surfaces.

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Which of the following is a TRUE statement regarding the use of PPE in the decontamination area? - Correct ✓✓ Failure to wear PPE can result in a disciplinary action. Before a medical device is cleaned and processed? - Correct ✓✓ 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 ? - Correct ✓✓ Neutralizing Acid Which of the following types of organisms is able to survive adverse environment conditions by forming spores? - Correct ✓✓ Clostrudium The relative acidity or alkalinity of a solution is referred to as ? - Correct ✓✓ pH Barrier precautions, hand washing and sharps precautions come under the umbrella of ? - Correct ✓✓ Standard precautions A solution with a pH level of 3 is considered ? - Correct ✓✓ Acidic A solution having a pH of 13 is ? - Correct ✓✓ Alkaline Which of the following are major non living reservoirs of infectious diseases? - Correct ✓✓ Soil and water Alkaline detergents are best for mechanical washers because of ? - Correct ✓✓ A lack of friction in washing

Which of the following is used to remove severe stains on stainless steel instruments? - Correct ✓✓ Organic acid detergent One method of preventing biofilm formation on instruments is to ? - Correct ✓✓ Rinse the instruments with distilled water and dry them well. Open but unused instrument sets should be ? - Correct ✓✓ Completely reprocessed. Unless otherwise directed, an item high-level disinfected in glutaraldehyde MUST be rinsed a minimum of ? - Correct ✓✓ Two times Generally the distal end of a rigid endoscope should be cleaned with a ? - Correct ✓✓ Soft bristle brush. If too many microorganisms remain on an item after the cleaning process, the what? - Correct ✓✓ Disinfection process may not be effective. Which of the following are bacteriostatic and used for inanimate environmental surfaces and floors? - Correct ✓✓ Quaternary ammonium compounds Which of the following is true of steam sterilization? - Correct ✓✓ Higher temps these require higher pressure. Which of the following pieces of equipment is used to regulate body temperature? - Correct ✓✓ Hypo/Hyperthermia machine

Which of the following pieces of equipment is used to prevent the formation of blood clots? - Correct ✓✓ Sequential compression device Which series of stainless steel is used to manufacture osteotomes? - Correct ✓✓ 400 Instruments should be placed in the lubricant solution and then ? - Correct ✓✓ Allowed to air-dry. Which of the following should be cut with dissecting scissors? - Correct ✓✓ tissue What is the purpose of a tungsten carbide insert on a needle holder? - Correct ✓✓ to hold suture needle better When should laparoscopic instruments be reassembled for sterilization? - Correct ✓✓ When recommended by the manufacturer Which of the following types of instruments is used to view internal organs through very small openings? - Correct ✓✓ Endoscopic Instruments must never be ? - Correct ✓✓ engraved Which of the following is an example of a flexible endoscope? - Correct ✓✓ 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? - Correct ✓✓ Continue with routine activities

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Anyone entering the preparation are must? - Correct ✓✓ Wear proper attire. Where should the chemical indicator be placed when sterilizing two large basins with smaller basins in one set? - Correct ✓✓ 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? - Correct ✓✓ 6 inches When can loaner instrument sets be placed inside rigid sterilization containers? - Correct ✓✓ With instructions from the loaner instrument company The three basic shapes of microbes are round, spiral and ? - Correct ✓✓ Rod-like in non table top steam sterilizers steam is generating in - Correct ✓✓ boiler Autoclave tape is considered which class of indicator ? - Correct ✓✓ Class 1 Which part of the steam sterilizer produces heat inside the chamber to prevent condensation from forming on the chamber walls? - Correct ✓✓ The jacket The need for frequent reprocessing can be minimized by - Correct ✓✓ Proper stock rotation What is the coldest part of the sterilizer? - Correct ✓✓ Drain line Gradual heating of the packs occur during which phase of the steam sterilization cycle? - Correct ✓✓ Conditioning

All of the following apply to eye wash expect ? - Correct ✓✓ They must flush one eye at a time. What is the most important thing to remember when double peel pouching? - Correct ✓✓ 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 ? - Correct ✓✓ 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 ? - Correct ✓✓ Clean the instrument according to the manufactures instructions. Incoming saturated steam should be witching which of the following ranges of dryness ? - Correct ✓✓ 97%-100% Failure to remove all air from a package within the steam sterilizer will result in ? - Correct ✓✓ Poor steam penetration Damage to medical/surgical supplies stored in the receiving area can be avoided by ? - Correct ✓✓ avoiding temperature and humidity extremes In a NON tabletop sterilizer, Steam is exhausted from the sterilizer through the ? - Correct ✓✓ Chamber drain line

Why must textile packs be placed on their sides for sterilization? - Correct ✓✓ To facilitate air removal and steam penetration. The most unique feature of a chemical integrator is its ability to ? - Correct ✓✓ Perform in parallel to a biological indicator. EO kills microorganisms by a process called ? - Correct ✓✓ Alkylation The nominal concentration of hydrogen peroxide in a low temperature gas plasma sterilizer is ? - Correct ✓✓ 59% Rigid sterilization containers should be biologically tested before ? - Correct ✓✓ Purchasing In the sterile storage area, the ventilation system must be under ? - Correct ✓✓ Positive pressure The hourly air exchange rate in the sterile storage area should be at least ? - Correct ✓✓ 4 Which of the following is NOT a factor affecting the dry time in a steam sterilizer ? - Correct ✓✓ Selected sterilization time. The optimum amount of a supply to order is called the ? - Correct ✓✓ Economical order quantity The cochlea is part of the ? - Correct ✓✓ Inner ear

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CS/SPD should be capable of planning for approximately what percentage of the total needs of a unit ? - Correct ✓✓ 90% Which of the following must be made available to distribution personnel ? - Correct ✓✓ Policies and procedures for correct handling of sterile supplies. According to Spaulding classifications, a critical device requires ? - Correct ✓✓ Sterilization between uses Another name for par-level inventory is? - Correct ✓✓ Fixed inventory level Which of the following is considered a disadvantage of an exchange cart system? - Correct ✓✓ inventory is duplicated Which distribution system is designed to reduce storeroom inventory ? - Correct ✓✓ just in time A biological indicator should contain how many spores ? - Correct ✓✓ 10-6 How often should the drain line basket in a steam sterilizer be cleaned ? - Correct ✓✓ Daily Effective sterilization begins with ? - Correct ✓✓ thorough cleaning Generally, incident reports should be filed - Correct ✓✓ Within 24 hours of the incident.

An exhaust hood over the EO sterilizer is an example of an ? - Correct ✓✓ Engineering control Which of the following is the correct incubation temperature range for biological indicators used in steam sterilization? - Correct ✓✓ 55 deg C-60 deg C Which is the largest part of the brain? - Correct ✓✓ Cerebrum A chemical indicator responding to two or more critical parameters belongs to which class ? - Correct ✓✓ Type 4

CBSPD FINAL EXAM QUESTIONS

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