IAHCSMM CRCST Exam with correct answers

IAHCSMM CRCST Exam The physical method by which an ultrasonic units clean is called - correct answer Cavitation Equipment should be inspected for obvious hazards such as cracked or frayed electrical cords: - correct answer whenever the equipment is cleaned Impregnated Gauze Strips may be sterilized using: - correct answer dry heat sterilization Powered surgical instruments should be cleaned using a mechanical cleaning process. - correct answer False. They should all be cleaned manually. Agency responsible for the MedWatch program - correct answer FDA food and drug administration Phenolics are classified as - correct answer intermediate to low level disinfectants To prevent coagulation of proteins, water temperature should be - correct answer Below 43 C (110 F) Secondary containers of chemicals - correct answer must be labeled with a copy of the original manufacturer's label or a generic label that identifies hazard warnings and directions These carry blood away from the heart - correct answer arteries The percentage of hospital patients that develop a healthcare facility-associated infection. - correct answer Approximately 10% Spiral shaped bacteria are classified as - correct answer spirillum The two most common techniques of flat wrap packaging are - correct answer Square-fold and envelope-fold Third party reprocessors are regulated by the FDA - correct answer True In central service, the concept of "one-way flow of materials" refers to the movement of products - correct answer From soiled areas to clean processing areas within central service Horizontal work surfaces in the decontamination area should be cleaned and disinfected - correct answer At the beginning and end of each shift. A material that removes electrons from another substance is Called - correct answer an oxidizing agent Pre-Vacuum Steam Sterilizer & Steam Flush Pressure-Pulse (SFPP) - correct answer Use an active air removal system These chemicals are used on animate (living tissue) to slow the growth of microorganisms: - correct answer antiseptics Agency responsible for regulating EO - correct answer OSHA and EPA Scissors with tungsten carbide cutting edges are usually identified by - correct answer gold handles 7.2 pounds per cubic foot - correct answer Maximum density for linen packs Package condensation will occur when - correct answer Placing hot or warm packages in cold surfaces The decontamination area of the central service department should have - correct answer 10 air exchanges per hour ISO 9000 - correct answer an international standard used by participating organizations to help assure that they consistently deliver quality services and products Air exchanges in EtO sterilizer room - correct answer 10 per hour Water purification usually involves the use of a - correct answer pre and post filter Which of the following is not an acceptable form of instrument marking? - correct answer Electric etching (engraving) Aluminum items should be cleaned: - correct answer using a to and fro motion with the grain Wicking materials are used to : - correct answer allow air removal, steam penetration and facilitate drying Exchange cart system - correct answer The inventory system that uses two identical carts to facilitate Supply replenishment is called the. The largest operating channel of an endoscope is the ___ channel? - correct answer Instrument Solution used to remove the white, hard-to-remove substance that sometimes appears on sinks and equipment - correct answer descaler Pexy is - correct answer Surgical fixation Bacillus is - correct answer rod shaped bacteria A molecular reaction that creates an uncontrolled release of energy is called: - correct answer polymerization A succession of progressively more responsible professional positions that serves as the foundation of a professional development plan - correct answer career ladder A unit of measure that measures the amount of resistance to an electrical current. - correct answer Ohm A voluntary international organization dedicated to the prevention and control of infections and related outcomes. - correct answer APIC Allows for visual inspection of the upper digestive tract. - correct answer gastroscope An iodophor is a(n) - correct answer Bufferd Iodine Autoclave sterilizer is a ____ class of device - correct answer Class | Automatic washers clean using a spray-force action called impingement. - correct answer True Behavior relating to what is right and wrong relative to the standards of conduct for your profession are called - correct answer ethical behavior _______ are often pathogenic to humans because they grow best at body temperature - correct answer mesophiles Blue stain on a scope, what is the reason? - correct answer improper cleaning Bluish or rainbow type stains are caused by _______ in water. - correct answer iron and silicates Body balance is regulated by fluid in the: - correct answer inner ear Bowie dick tests should be run in - correct answer Dynamic air removal steam sterilizers Cellulosic materials (paper, cotton and linen) cannot be processed in a/an: - correct answer hydrogen peroxide gas plasma sterilizer Central service technicians must be able to identify approximately 100s of instruments - correct answer True Creates and revises standards for processing water for irrigation. - correct answer USP-NF (the United States Pharmacopoeia-national formulary) Creation of a new blood supply to an area of the heart with a clotted/blocked artery - correct answer CABG (coronary artery bypass graft) Deionized water is used for: - correct answer Sterile irrigation develops recommended standards, practices and guidelines for care and processing of devices - correct answer AAMI Disadvantages to a case cart distribution system - correct answer A lag time between usage and replenishment During instruments manufacture the process of passivation helps build a protective chromium oxide layer on each instruments surface - correct answer True Each year, approximately____ patients develop a healthcare associated infection - correct answer 2 million Typically 1 min of drying time programmed into flash cycles removes steam from chamber but doesn't dry device completely - correct answer Drying phase of steam sterilization What would be the recommended exposure time for a dry heat sterilization load that was run at an exposure temperature of 320 degrees •F - correct answer 2 hours The term "super heated steam" means - correct answer Dry steam Some plastics including formulations of spun bonded polyolefin are intended for use solely in these sterilization processes: - correct answer low temperature The part of the digestive system where the greatest absorption of nutrients into body cells takes place - correct answer small intestines Water that is turbid is : - correct answer cloudy Softened water - correct answer decreases the likelihood of mineral scale deposits A liquid oxidizing agent that is an effective biocide at low temperatures. It is a used in a sterilizaiton system that processes immersible instruments for immediate use - correct answer Paracetic Acid (PA) Award given by the American nurses credentialing center to hospitals that satisfy factors that measure the strength and quality of nursing care viewed as one of the highest achievement a hospital can obtain - correct answer Magnet status Modern powered surgical instruments are immersive. True or False - correct answer False The term "excise" means - correct answer To cut out Which of the following tracking methods provides real time information? - correct answer RFID The spore used in the testing of steam sterilization is - correct answer Geobacillus stearothermophilus In a sterilization load containing 2 small basins, the chemicals indicators will be positioned. - correct answer On the top of the basins This unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower the body temperature - correct answer hypothermia unit Which of the following is the most popular title for the central service department head - correct answer director Implantable devices - correct answer should not be flash sterilized Heat sensitive items - correct answer The nurse is aware that the use of ethylene oxide gas is reserved for the sterilization of: Two most common temperatures used in steam sterilization are - correct answer 250 and 270-275 Test which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called - correct answer In order to elevate the temperature in a steam sterilizer, you must - correct answer Increase the steam pressure The system used to categorize patient care items based on the degree of risk of infection. - correct answer Spaulding Classification System Dark areas on the lens of an endoscope are? - correct answer Damaged light fibers Pasteurizers disinfect using - correct answer heated water minimum recommendations for EtO aeration - correct answer 8 hours at 140 F or 12 hours at 122 F The desired solution for cleaning instruments is - correct answer detergent What is the preferred pH for detergents used for most cleaning processes? - correct answer neutral pH Which of the following is an example of regulated medical waste? - correct answer blood soaked sponges The moisture content of saturated steam should posses a relative humidity of: - correct answer Information regarding cleaning processes for endoscopes should be provided by - correct answer the instrument manufacturer The FDA classifies sterilization packaging as a - correct answer Class ll Medical Device Tests which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called: - correct answer Biological test The amount of time it takes to kill 90% of the microorganisms present on an object is called - correct answer D-value Impregnated Gauze Strips may be sterilized using: - correct answer dry heat sterilization The most efficient type of dry heat sterilizer is - correct answer the mechanical convection sterilizer When loading a steam sterilizer, items with solid bottoms should be: - correct answer placed on edge Paper/plastic sterilization pouches: - correct answer should not be placed inside of wrapped sets or containers Instruments washers sterilizers provide - correct answer official inventory - correct answer can be counted as an asset on the facility's balance sheet The inventory system that stocks supplies by established levels is called - correct answer In this system items are owned by the vendor, but stored at the healthcare facility - correct answer consignment If an equipment malfunction causes harm to patients, it should be - correct answer returned immediately to the biomedical department The____ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury and/or death to the manufacturer and the FDA. - correct answer Which of the following is NOT a reason for tracking supplies, equipment and instruments. - correct answer meet CDC and OSHA requirements Which of the following tracking methods provides real time information? - correct answer radio frequency identification tags (RFID) Point of use computing: - correct answer moves computers into central service department work areas Which of the following is not a feature of an instrument tracking system - correct answer product updates and recall information Which of the following is NOT required for sharps safety? - correct answer Wash all disposable sharps before discarding them What is burning in a class C fire? - correct answer energized electrical equipment Hands should be finished rinsed in what position? - correct answer up The pathway that food takes through the digestive system - correct answer alimentary canal These cell components are comprised of DNA and pass on traits of parent cells to new cells. - correct answer chromosomes This gland stimulates body growth - correct answer pituitary gland Most bacteria are approximately _____ microns in size - correct answer 1/2 Sunlight is lethal to the _________ stage of pathogens - correct answer vegetative Which of the following is a system used to treat the final rinse water used for cleaning? - correct answer Deionization Purified water should have a ph of - correct answer 6.5-7.5 Endotracheal tubes and anesthesia breathing circuits are examples of: - correct answer Semi-critical devices. if a sterilizer has successfully killed all bacterial spores in a biological test - correct answer it is called a negative test How frequently should a sterilizers strainer be removed and cleaned - correct answer daily The transport of flash sterilized items is difficult because: - correct answer they have no protective wrapping When processing flexible endoscopes in a liquid chemical sterile processing systems should - correct answer The inventory system that stocks supplies by stablished stock levels is called - correct answer International standards to reduce the burden of fire and other hazards - correct answer NFPA (national fire protection association) furthers international cooperation in improving health conditions - correct answer who Enhances the global competitiveness and quality of life by promoting standards and ensuring their integrity - correct answer ANSI Proposed standards are submitted from members such as AAMI - correct answer agency responsible for regulating EO - correct answer Recommendations regarding sterilization practices are provided by AAMI ? - correct answer "Following Standard Precautions protocols is required by: - correct answer OSHA A process by which all forms of microbial life are destroyed. - correct answer sterilization The moisture content of saturated steam should posses a relative humidity of: - correct answer Information regarding cleaning processes for endoscopes should be provided by: - correct answer the instrument manufacturer "The 4 R's" : run, read, record, retain - correct answer When liquid chemicals are labeled as both a high level disinfectant and a sterilant, the time required to achieve sterilization is longer than the time required to achieve high level disinfection - correct answer Mechanical washers and washer-decontaminators are regulated by the CDC - correct answer The FDA classifies sterilization packaging as a - correct answer The inventory system that stocks supplies by established levels is called: - correct answer What type of the fire extinguisher should be used on flammable liquids? - correct answer Which of the following information is NOT included in the MSDS? - correct answer Which of the following basic listening tactics is most useful ? - correct answer None of the above tactics is a useful listening tactic;(try to listen only for specific facts)(ignore any non verbal communication "sent" by the speaker)(focus on the delivery of the message rather than its content) Which of the following questions is open- ended? - correct answer What problems do you most frequently encounter on the job? What is the condensation on a antiseptic liquid used in healthcare facilities? - correct answer A herniorrhaphy is a surgical procedure which - correct answer repairs a muscle layer that is allowing all or part of an organ to project through an opening. Centers for disease control guidelines are considered regulatory guidelines - correct answer False Laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched - correct answer False The prefix hemi - correct answer means half robotic instruments (all of the above) - correct answer Do not come apart for cleaning, have mechanical/electrical components in the proximal end of the instrument, and are heavier than standard laparoscopic instruments Healthcare regulations and standards provide consistency of departmental activities by outlining - correct answer minimal levels of quality and safety All sonic cleaners have a decontamination cycle (T/F) - correct answer False Rigid container filter retention plates should be - correct answer removed from the container and lid and cleaned separately The amount of time an item must remain wet with a disinfectant to achieve disinfection is called - correct answer Wet contact time Contaminated items may be returned to central service (all of the above) - correct answer During scheduled soiled pick up rounds, by staff from user departments, and in case carts Cleaning brushes - correct answer should be decontaminated at least daily steam sterilization is the most commonly used method of sterilization used in healthcare because - correct answer Cycles are fast and inexpensive When placing sterile items on the shelf, check - correct answer Package integrity, an expiration date and deals and filters to be sure they are intact (all of above). One common cause of a clogged drain screen is - correct answer Tape The first sink bay in the decontamination area should be filled with a neutral detergent or enzyme. - correct answer True due to the difficulty of cleaning items contaminated with prions (all of the above) - correct answer disposable instruments should be used during the case. Heat-sensitive items should not be used as they will probably be destroyed during cleaning. And if reusable items are used guidelines suggest disposing of the items contaminated with high-risk tissue. When loading a steam sterilizer - correct answer Basin sets should be placed on edge/tilted, sold containers should be placed so air can get out, there should be visible space between packs (do all of the above) What exposure monitoring is required for all personnel using hydrogen peroxide sterilizer? - correct answer No monitoring is required To properly test the sharpness of scissors four inches or less use - correct answer yellow test material When placing instruments in a peel pack, the tips should always face the paper side of the pack. (A) True (B) False - correct answer False Using the wrong container filter or poor filter placement can be a cause of a wet pack (T/F) - correct answer True Heavy items should be placed - correct answer On the middle shelves The purpose of the insulation covering laparoscopy instrument is to - correct answer Protect the patient from electrical current The guidelines of sterile storage are the same for both items sterilized in house and for items purchased sterile. - correct answer True Information about a devices compatibility with a specific sterilization process should be - correct answer Temperature in the preparation and packaging area should be - correct answer Between 68 and 73 degrees Fahrenheit In an automated washer the key source of disinfection is - correct answer water temperature When assembling instrument trays - correct answer Heavier instruments should be placed on the bottom of the tray The steam sterilization process can be affected by the design of the medical device being sterilized. - correct answer True Ethylene oxide, hydrogen peroxide and ozone sterilization process must all be monitored using chemical, physical and biological monitors. - correct answer True Agency responsible for regulating EO - correct answer Tissue, body fat, blood, and other body substances are all examples of _______ soil. - correct answer Gross. Pg 125 When liquid chemicals are labeled as both a high level disinfectant and a sterilant, the time required to achieve sterilization is longer than the time required to achieve high level disinfection - correct answer Mechanical washers and washer-decontaminators are regulated by the CDC - correct answer Cebatome - correct answer Used to remove cement Sigmoidoscopy - correct answer