CER Review Questions With All Correct Answers.

Leak Testing should be performed: - Answer--After point-of-use cleaning -Before manual cleaning -After every procedure Early detection of endoscope damage can protect the patient and: - Answer-Reduce repair costs Inadequate work space in the endoscope work area can be a cause of: - Answer-Endoscope damage When should the high-level disinfectant solution in an automated equipment reprocessor (AER) be tested for the minimum effective concentration (MEC): - Answer-Before each use All flexible endoscopes should have a ventilation adaptor or water-resistant cap in place when undergoing ethylene oxide sterilization. T/F - Answer-False Biological indicator monitoring is required for each cycle run in: - Answer-Ethylene Oxide When using a rigid endoscope, a dark image may be caused by damaged: - Answer--Illumination fibers -Coupler -Camera This endoscope is often used to treat kidney stones - Answer-Ureteroscope Biofilm and fungus can form underneath fingernails. T/F - Answer-True Endoscopes that have been high-level disinfected should be stored on open wire shelving. T/F - AnswerFalse. A dedicated cabinet should be used to store flexible endoscopes . Low humidity in the work area can: - Answer-Cause absorbent materials to become excessively dry.The process of rendering a clinically-used devise safe and ready for reuse is the definition of: - AnswerReprocessing When performing a leak test, the water-resistant cap should be removed: T/F - Answer-False. Always ensure that the cap is fully "on" and "locked" The four primary stains used for bacterial identification: - Answer-Gram (+-), Acid Fast, Endospore Stain, Capsule Stain Decontamination Area controls: - Answer--Temp: 60-65F -Humidity: 20-60% -Airflow: 10 negative air flows Preparation / Disinfection Area controls: - Answer--Temp: 60-73F -Humidity: 20-60% -Airflow: 10 positive air flows Storage Area controls: - Answer--Temp: 60-75F -Humidity: Above 20% -Airflow: 4 positive air flows Inadequate work space in the endoscope work area can be a cause of: - Answer-Endoscope damage The AER should be placed in the decontamination area to ensure the endoscopes are clean before sending them to the preparation area. T/F - Answer-False. They should be located in a prep/disinfection area to reduce risks of cross decontamination . Detergents used to clean endoscopes should be: - Answer-Non foaming and free rinsing.Enzymes will become ineffective in temperatures that exceed: - Answer-140F The most important source of information for determining the proper chemicals to use for cleaning an endoscope is the: - Answer-Chemical Manufacturer's IFU The seven steps/outline for manual cleaning flexible endoscopes: - Answer-1. Submerge scope in enzymatic solution 2. Manually clean/brush internal/external surfaces 3. Attach adaptors 4. Flush each channel with enzymatic solution 5. Soak as per detergent IFU 6. Rinse and submerge in clean water 7. Remove from water and flush channel with air