CRCST Chapters 1-16 Study Guide from IAHCSMM by Bethany (Test 3) with correct answers

CRCST Chapters 1-16 Study Guide from IAHCSMM by Bethany (Test 3) Job Description - correct answer The Human Resources tool that identifies major tasks performed by persons in specific positions is called a:-otomy - correct answer The suffix that means "incision into an organ" is: Endocrine System - correct answer The body system that controls growth and maintains body functions and chemical messengers is called the: A. Endocrine System B. Digestive System C. Nervous System D. Circulatory System C. Parenteral - correct answer Which of the following is NOT a portal of exit in the Infection Chain? A. Blood B. Genitourinary Tract C. Parenteral D. Transplacental B. APIC - correct answer This voluntary international organization is dedicated to the prevention and control of infection: A. AORN B. APIC C. IAHCSMM D. JC C. Regulatory Standard - correct answer A comparison benchmark that is mandated by a governing agency and if not complied with, may cause a facility to be in violation and liable for a legal penalty is a: A. Regulation B. Statute C. Regulatory Standard D. Voluntary Standard A. AAMI - correct answer The recommended practices in sterile processing that can assure the best possible products for CS customers are provided by: A. AAMI B. CDC C. FDA D. OSHA A. 10% - correct answer The appropriate number of patients that develop a healthcare facility-associated infection (Nosocomial) is: A. 10% B. 1 out of 20 C. 90,000 D. all the above B. Distill - correct answer The water purifying process involving evaporation followed by condensation is called: A. deionize B. Distill C. reverse osmosis D. condenser A. A charcoal filter - correct answer The first step in deionization and reverse osmosis systems is: A. a charcoal filter B. to remove the calcium and magnesium C. to remove the iron D. a water softener C. have a cover or containers for soiled items - correct answer Transport carts should: A. be large as possible so that more items can be picked up per run. B. have swivel two inch wheels for easy handling C. have a cover or containers for soiled items D. have solid shelves of stainless steel D. Plastic Instruments - correct answer Which of the following should not be processed in an ultrasonic cleaner? A. rasps and files B. lumened instruments C. stainless steel instruments D. plastic instruments A. Low Level Disinfectants - correct answer QUATS are classified as: A. Low Level disinfectants B. intermediate level disinfectants C. high level disinfectants D. sterilant C. Glutaraldehydes - correct answer Which of the following kills spores? A. Carbolic Acid B. Ortho-Phthalaldehyde C. Glutaraldehydes D. All the above D. All the Above - correct answer Glutaraldehydes will: A. cause burning and sloughing of tissue B. Kill Spores C. Irritate the respiratory tracts D. All the Above B. Phenols - correct answer A disinfectant group that leaves a residual bacteriostatic film and should NOT be used where there will be direct patient contact is: A. alcohols B. Phenols C. Halogens D. None of the Above A. Used to Slow down the "kill" time - correct answer A buffered iodine is: A. used to slow down the "kill" time B. A phenol C. non-water soluble D. all of the above C. Water soluble to enhance sterilization - correct answer Instrument lubrication should be: A. silicone-based to protect the instrument finish B. oil-based to lubricate box locks C. water soluble to enhance sterilization D. applied before disinfection A. Austentitic (300 Series) - correct answer The series of stainless steel that will corrode less is: A. Austentitic (300 Series) B. hemostatic C. Martensitic (400 Series) D. Passivated C. Distal Tips - correct answer To begin the quality assurance and inspection plan for needle holders the first to be inspected is: A. box lock B. shanks C. Distal tips D. finger rings D. Urethra and bladder - correct answer Flexible cycstoscopes provide visualization of the: A. Digestive Tract B. tracheobronchial tree C. Lower part of the large intestine D. Urethra and bladder B. instrument channel - correct answer The largest operating channel of an endoscope is the: A. Air channel B. Instrument channel C. suction channel D. water channel A. be decontaminated before use - correct answer Loaner instruments should: A. be decontaminated before use B. be taken directly to the point-of-use C. be delivered in rigid containers to prevent damage D. not be used C. Used in automatic endoscopic reprocessor - correct answer Peracetic acid is: A. a high temperature sterilization process B. required to have a biological test in every load C. Used in automatic endoscopic reprocessor D. used at a 70% concentration A. they are all powered by a battery - correct answer All of the following statements about Power Surgical Instruments (PSI) are true except: A. they are all powered by a battery B. they must be manually cleaned C. they are susceptible to fluid invasion D. they are very expensive C. assist in air removal and facilitate drying - correct answer Wicking materials are used to: A. dry instruments before sterilization B. protect instruments from damage C. assist in air removal and facilitate drying D. hold water away from the bottom of trays B. 8 inches - correct answer From the floor, sterile packages should be stored no lower than: A. 6 inches B. 8 inches C. 10 inches D. 1 foot C. 12'' x 12" x 20" and weighs 12 pounds - correct answer A linen pack done properly is not to exceed: A. 12x12x12 and weighs 20 pounds B. 20x20x12 and weighs 12 pounds C. 12x12x20 and weighs 12 pounds D. 20x20x20 and weighs 12 pounds A. 7.2 pounds per cubic food of pack - correct answer The maximum density recommended for a linen pack is: A. 7.2 pounds per cubic foot of pack B. 12 pounds per cubic foot of pack C. 14.7 pounds per cubic foot of pack D. 20 pounds per cubic foot of pack B. Spunbond-polyolefin combination pouches - correct answer Which of the following packaging materials is NOT acceptable for use in steam sterilization? A. rigid containers B. Spunbond-polyolefin combination pouches C. paper/plastic combination D. non-woven SMS flat wrap D. polyethylene - correct answer A packaging material NOT to be used in dry heat sterilization is: (PAGE 314) A. Aluminum foil B. muslin C. nylon D. polyethylene D. warm and moist - correct answer If a storeroom temperature is 85°F and the humidity is 80%, the storeroom conditions are too: A. cool and dry B. cool and moist C. warm and dry D. warm and moist C. Peracetic acid - correct answer This liquid oxidizing agent is effective at LOW TEMPERATURES and often use to process ENDOSCOPES at the point of use. A. Ethylene oxide (deadly) B. Hydrogen peroxide (Large Machine) C. Peracetic Acid D. Glutaraldehyde (Unable to use without vent) D. 30 Days - correct answer The FDA defines implants as a device that is placed in a body cavity for at least: A. 24 hours B. 1 week C. 2 weeks D. 30 days B. 3 minutes at 270°F - correct answer Gravity flash sterilization cycle of a single metal instrument with no lumen would be: A. 2 minutes at 270°F B. 3 minutes at 270°F C. 10 minutes at 270°F D. 12 minutes at 270°F D. Geobacillus Stearothermophilus - correct answer The spore used as a biological monitor for PERACETIC ACID sterilizers is: A. Bacillus atrophaeus B. Bacillus subtilis C. Geobacillus atrophaeus D. Geobacillus Stearothermophilus D. 97% - correct answer The amount of relative humidity in saturated steam should not be less than... A. 3% B. 6% C. 10% D. 97% A. thorough Cleaning - correct answer The very first step in the sterilization process is: A. thorough Cleaning B. carefully loading the sterilizer C. checking the temperature in the sterilizer D. checking the biological test results C. mechanical - correct answer The most EFFECTIVE type of DRY HEAT sterilizer is the: A. dynamic B. gravity C. mechanical D. 1000 model D. 90% Kill - correct answer D-Value means: A. daily B. depreciation value C. dry heat uses D. 90% Kill B. Sterilization Log - correct answer IN the event of a load recall, information about specific load contents can be obtained from the: A. Infection Control Dept. B. Sterilization Log C. Procedure Manual D. Central Service Supervisor A. 14.7 - correct answer Atmospheric pressure at sea level is: A. 14.7 B. 9.6 C. 7.2 D. 2.3 D. Denaturing of Protein - correct answer STEAM STERILIZATION kills microorganisms by: A. cavitation B. oxidation C. alkylation D. Denaturing of Protein B. oxidation - correct answer DRY HEAT STERILIZATION kills microorganisms by: A. cavitation B. oxidation C. alkylation D. Denaturing of Protein A. 320°F - correct answer A Dry Heat sterilizer load ran for 2 hours would be exposed at a temperature of: A. 320°F B. 325°F C. 340°F D. 356°F C. Horizontal on the bottom shelf over the drain - correct answer The placement of the Bowie-Dick test pack in the sterilizer is: A. on it side on the bottom shelf B. near the drain on the bottom shelf C. Horizontal on the bottom shelf over the drain D. bottom shelf over the drain in a full load A. Air removal - correct answer The Bowie-Dick type test is used to determine: A. Air Removal B. Steam Pressure C. temperature D. jacket temperature A. Bacillus Atrophaeus - correct answer The spore used as a biological monitor in dry heat sterilizers is: A. Bacillus atrophaeus B. Bacillus subtilis C. Geobacillus atrophaeus D. Geobacillus stearothermophilus D. Geobacillus Stearothermophilus - correct answer The spore used as a biological monitor in STEAM STERILIZERS is: A. Bacillus Atrophaeus B. Bacillus Subtilis C. Geobacillus Atrophaeus D. Geobacillus Stearothermophilus A. provide even temperature - correct answer The purpose of the jacket on a steam sterilizer is to: A. provide even temperature B. cause condensation C. strengthen chamber walls D. make sterilizer easier to clean B. only in dynamic steam sterilizers - correct answer The Bowie-Dick test must be ran in: (PAGE 273) A. every steam sterilizer B. only in dynamic steam sterilizers C. every high temperature sterilizers D. only in dry heat sterilizers B. 15 lbs. - correct answer The gauge pressure required to heat an autoclave to 250°F at sea level: A. 10 lbs. B. 15 lbs. C. 31 lbs. D. 55 lbs. C. All living organisms including spores - correct answer Sterilization is defined as a process that kills: A. living organisms B. most living organisms C. all living organisms including spores D. pathogenic organisms B. chamber drain line - correct answer The thermostatic valve (steam trap) is located in the: A. jacket drain line B. chamber drain line C. control panel D. safety valve C. Contact - correct answer The most frequent reason for steam sterilization failure is inadequate: A. moisture B. pressure C. Contact D. Time C. standing on edge - correct answer For sterilization all "peel-packages" (clear plastic/white paper) must be placed: A. paper side up B. plastic side up C. standing on edge D. rubber band together B. By-product of bacterial growth - correct answer Pyrogens are: (PAGE 117) A. only found in standing water B. by-product of bacterial growth C. gram positive D. what causes CJD C. borosilicate glass - correct answer Solution containers are to be made from: A. Soft Glass B. Soft Plastic C. borosilicate glass D. borosilicate plastic B. 3 minutes - correct answer In steam sterilization a wrapped load of good ran at 275°F the sterilization time must be at least: A. 2 minutes B. 3 minutes C. 12 minutes D. 20 minutes B. Open - correct answer All instrument must be steam sterilized: A. wrapped or sealed in peel-package B. Open C. standing on edge D. all the above D. Gravity - correct answer Which term means the steam sterilizer is NOT using a pump or ejector: A. dynamic B. hi-vac C. pre-vac D. Gravity C. 31 lbs - correct answer The amount of gauge pressure in steam sterilization in order to reach 275°F at sea level is: A. 8 lbs B. 15 lbs C. 31 lbs D. 75 lbs D. clogged chamber drain - correct answer A common cause of wet packs is: A. superheated steam B. pressure too high C. load aborted then re-started D. clogged chamber drain C. relative humidity - correct answer The amount of water vapor in the atmosphere expressed in a percentage is: A. ambient pressure B. atmospheric pressure C. relative humidity D saturated vapor B. 325°F - correct answer The highest temperature to be used in dry heat sterilization of metal instruments is: A. 275°F B. 325°F C. 350°F D. 375°F B. Steam gravity displacement - correct answer Liquids are sterilized in a: A. Dry heat sterilizer B. Steam Gravity displacement C. steam dynamic air removal D. only by a manufacturer A. Intravenously - correct answer Parenteral solutions are administered: A. Intravenously B. Topically C. by Mouth D. by Inhalation C. Load Control Number - correct answer Information on each package that identifies the date of sterilization, and the sterilizer cycle run is contained in the: A. Julian Date (# of days that has passed since Jan. 1) B. Catalog Number C. Load Control Number D. Expiration Date B. 250°F AND 270°F-275°F - correct answer The two most common temperatures used in steam sterilization are: A. 100°F and 130°F-135°F B. 250°F AND 270°F-275°F C. 120°F and 140°F D. 320°F and 325°F C. once it is read it can be thrown away in General Trash - correct answer If a sterilizer has successfully killed all the bacterial spores in a biological indicator: A. it is a called a positive test B. the indicator will not change color C. once it is read it can be thrown away in General Trash D. once it is read it can be thrown away in Infectious Trash B. Dry Heat - correct answer Impregnated gauze strips may be sterilized using: A. steam B. Dry Heat C. Flash D. Express A. Verification - correct answer This procedure is performed by healthcare facilities to confirm that the sterilization validation undertaken by the equipment manufacturer is applicable to the specific setting. (PAGE 321) A. Verification B. value analysis C. validation D. quality control analysis B. paper to plastic - correct answer When arranging paper/plastic pouches in the sterilizer, the pouches should be arranged: A. paper to paper B. paper to plastic C. laying flat paper side up D. laying flat plastic side up C. Dry Steam - correct answer The term "superheated steam" means: A. steam used for high temperature sterilization B. chemicals have been added to increase it's effectiveness C. Dry Steam D. Steam is too moist D. Mechanical Charts/Printouts - correct answer Which of the following sterilization quality assurance measurements is a written legal record of sterilizer cycle activity? A. Chemical Integrator B. Biological Indicator C. Bowie-Dick Test D. Mechanical Charts/Printouts B. weekly and in every load with an implant - correct answer The minimum recommendation for the frequency of biological testing in steam sterilizer is: A. daily and in every load with an implant B. weekly and in every load with an implant C. in every load D. daily with Bowie-Dick test and with an implant C. Ethylene Oxide - correct answer Which of the low temperature sterilants has the LONGEST instrument TURNOVER TIME: A. Peracetic Acid B. Ozone C. Ethylene Oxide D. Polyolefin B. Metal - correct answer What type of carts/baskets should be in an ETO sterilizer? A. Plastic B. Metal C. Ceramic D. Polyolefin A. MSDS (SDS) - correct answer OSHA safety requirement(s) for hydrogen peroxide gas plasma sterilization is (are): A. MSDS (SDS) B. PPE C. Change the Vaporizer Plate D. All the Above C. alkylation - correct answer ETHYLENE OXIDE sterilization kills microorganisms by: A. Cavitation B. Oxidation C. Alkylation D. Denaturing of protein B. Flammable - correct answer Ethylene Oxide is : (QUESTION ON STATE TEST!!) A. Corrosive B. Flammable C. Light blue in a liquid form (Ozone) D. All the Above B. 500 PPM - correct answer The average person cannot smell ethylene oxide until approximately how many PPM? A. 55 PPM B. 500 PPM C. 700 PPM D. 1000 PPM D. Cycle Time - correct answer Hydrogen Peroxide gas plasma (Kills by Oxidation) AND Ozone (Kills by Oxidation) have all of the following in common except: (PAGE 341) A. No woven fabrics B. Biological monitors C. How they kill microorganisms D. Cycle Time D. Nylon - correct answer Wrapping material NOT to be used in Ethylene Oxide sterilization: A. Polypropylene B. Polyethylene C. Muslin d. Nylon D. Are based on eight hour time weighted averages - correct answer What do Ethylene Oxide exposure levels TWA and PEL have in common: A. Have 5 PPM exposure limit B. Are short term exposure weighted averages C. Are exposure limits set by Joint Commission D. Are based on eight hour time weighted averages D. Pull the cart of supplies - correct answer When moving Ethylene Oxide sterilized items to the aerator to help prevent exposure you should: A. Wear latex gloves for protection B. Push the cart of supplies slowly to avoid dropping any C. Wear Contact Lenses D. Pull the cart of supplies B. Polyethylene - correct answer The BEST wrapping material to use in Ethylene Oxide sterilization is: A. Polypropylene B. Polyethylene C. Muslin D. Nylon B. Oxidation - correct answer HYDROGEN PEROXIDE GAS PLASMA sterilization kills microorganisms by: A. Cavitation B. Oxidation C. Alkylation D. Denaturing of Protein B. 8 hours - correct answer Minimum recommendations for Ethylene Oxide Aeration time for 140°F is: A. 7 days B. 8 hours C. 12 hours D. 24 hours B. Leather - correct answer Ethylene Oxide can NOT be removed from: A. Polyethylene B. Leather C. Glass D. All of the Above C. Aeration - correct answer Residual Ethylene Oxide is removed from sterilized items by a process called: A. Impingement B. Cavitation C. Aeration D. Air Monitoring D. All of the above - correct answer Hydrogen peroxide sterilization is NOT compatible with: A. Cellulose B. Powders C. Liquids D. All of the Above D. Is used in Automatic Endoscope Reprocessors - correct answer Peracetic acid sterilization A. Requires a biological test in every load B. Uses a 70% Concentration C. Is used because it requires no PPE D. Is used in automatic endoscope reprocessors A. Kept for 30 Friggin' years after employee has left facility - correct answer ETO spill records involving an employee must be: A. Kept for 30 Friggin' years after employee has left facility B. Filed and sealed C. Reported to Joint Commission D. All the above D. Geobacillus Stearthermophilus - correct answer The spore used a biological monitor in PERACETIC ACID sterilizers is: A. Bacillus Atrophaeus B. Bacillus Clostridium C. Geobacillus Atrophaeus D. Geobacillus Stearthermophilus A. Bacillus Atrophaeus - correct answer The spore used as a biological monitor in ETHYLENE OXIDE sterilizers is: A. Bacillus Atrophaeus B. Bacillus Clostridium C. Geobacillus Atrophaeus D. Geobacillus Stearthermophilus D. Geobacillus Stearthermophilus - correct answer The spore used as a biological monitor in HYDROGEN PEROXIDE sterilizers is: A. Bacillus Atrophaeus B. Bacillus Clostridium C. Geobacillus Atrophaeus D. Geobacillus Stearthermophilus D. Geobacillus Stearthermophilus - correct answer The spore used as a biological monitor in OZONE sterilizers is: A. Bacillus Atrophaeus B. Bacillus Clostridium C. Geobacillus Atrophaeus D. Geobacillus Stearthermophilus B. Oxidation - correct answer OZONE sterilization kills microorganisms by: A. Cavitation B. Oxidation C. Alkylation D. Denaturing of Protein B. Bonding with the DNA (Mutanogenic) - correct answer ETHYLENE OXIDE destroys the cell's ability to reproduce by: A. Change the cell membrane B. Bonding with the DNA (Mutanogenic) C. Oxidizing the microorganisms D. All the above