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Surgical Tech Sterile Processing Final Exam
Study Guide with Correct Answers
Recommended practices are: Statements of sound principles of practice that are based on scientific data and the opinions of experts. Standards for sterile processing are developed by the: Association for the Advancement of Medical Instrumentation.
- The use of physical or chemical means to remove, inactivate, or destroy bloodborne pathogens on the surface of an item is known as: Decontamination
- The main reason why jewelry should NOT be worn in the decontamination area is because it: Is not easily cleaned.
- A cleaning solution having a pH of 9 is said to be: Alkaline
- Generally metal-bristled brushes can be used to clean: The tungsten carbide jaws of needle holders
- Which of the following is NOT a recommended method to keep used instruments moist?
Transport in sterile water
- According to Spaulding’s classification of medical devices, a semi-critical item requires which form of disinfection? High-level disinfection
- Iodine is used primarily to reduce microorganisms on which of the following? Skin
- Which of the following statements is TRUE? Packaging materials must: Resist entry of microorganisms inside the pack.
- Dual-ply wrap: Has two wrappers which are bonded together.
- Which of the following should be placed with each package to provide information on critical sterilization parameters? Type 4 or higher chemical indicator
- Prior to packaging, large instrument sets should be placed: In a perforated metal mesh basket.
- Alcohol inactivates microorganisms by: Denaturing the proteins
- The Health Insurance Portability and Accountability Act provides for which ethical issue? Confidentiality
- Which of the following statements about emergency eye wash stations is TRUE? An eyewash station should not be installed on a decontamination sink.
- Which of the following is used to test the effectiveness of sterilization cycles? Spores
- Which of the following pathogens causes tuberculosis? Mycobacteria
- Which of the following diseases is not caused by a virus? CJD (Creutzfeldt-Jakob disease)
- One of the most common portals of exit in the transmission of disease is: the respiratory tract
- When manually cleaning surgical instruments, the final rinse in the cleaning process should be performed using: critical water
- Which of the following pieces of equipment is sometimes used after a total knee replacement to exercise the joint? Continuous passive motion device
- When packaging an item in a paper-plastic peel pouch, approximately how much space should be left between the item and the inside edges of the pouch? 1 inch
- Soiled instruments and other items are received in the ___________ area of the Sterile Processing Department (SPD). Decontamination
- The main theory of standard precautions is: To treat all blood and body fluids as infectious.
- Under the current regulations, who is required to report suspected medical device related deaths to the U.S. Food and Drug Administration? All of the above
- Which of these traffic control/dress code requirements applies to the clean assembly area of the Sterile Processing Department? Semi restricted
- Opened but unused instrument sets should be: Completely reprocessed
- When a soiled instrument is found during the assembly process: The instrument and the tray it was in should be sent to the decontamination area for re-cleaning.
- When placing sterile items on the shelf for storage, check: Package integrity. An expiration date. Seals, locks, and filters to make sure they are intact. All of the above.
- Dark areas on the lens of an endoscope indicate: Damaged light fibers
- Toxic Anterior Segment Syndrome is a concern on which of the following? Ophthalmological instruments
- Which of the following is the appropriate course of action upon finding a wet pack? Send the pack back to decontamination for reprocessing.
- All of the following are considered reservoirs of infection EXCEPT: Gas
- Unless otherwise directed, an item high-level disinfected in glutaraldehyde must be rinsed a minimum of: Two times.
- What color do Gram-positive microorganisms stain? Blue or purple A broken glass suction bottle is returned to Decontamination. Which of the following should the technician do? place it in an appropriate rigid container material safety data sheets (MSDS) provide health and safety hazard and risk information on which of the following electrical which of the following generally describes the correct sequence for the traffic workflow in areas in which medical devices are processed decontamination, assembly, packaging, sterilization, sterile storage
a patient contracts an infection from an improperly sterilized surgical instrument. this is an example of a nosocomial infection coronary artery bypass surgery may be performed on patients with arteriosclerosis all of the following are classified as critical medical devices except: thermometers the function of the gastrointestinal system is to provide the body with nutrients a liver biopsy would be performed to check for which disease hepatitis c virus the growth of pathogenic bacteria in living tissue is called sepsis nosocomial infections can be prevented by all of the following except: increasing the patient length of stay
healthcare workers are most likely to be infected by which of the following agents hepatitis B a staff member brings several contaminated trays to the SPD on a cart and requests that replacement trays be put on the same cart. the technician should clean and dry the transport cart and send it to distribution for the trays all of the following items of personal protective equipment (PPE) should be worn when manually decontaminating flexible fiber optic endoscopes except: a lead apron which of the following BEST describes the manual cleaning process of surgical instruments cleaning/brushing the instrument beneath the water level A technician working in Decontamination notices that the maintenance person working on the washer/sterilizer did not remove the barrier attire when the person left the area to get additional tools. The technician should ask the maintenance person to remove the barrier attire when leaving the area while delivering sterile supplies to multiple nursing units, the SPD technician is asked by a unit secretary to take an opened and used tray of instruments back to the SPD decontamination area. which of the following is the BEST procedure to use return for the used tray after completing all deliveries, using the appropriate collection cart when preparing the instruments from a dissection set for processing in a washer/decontaminator, the instruments should be positioned with the retractors on the bottom of the basket and the hand held instruments on the top
a tray of instruments has been brought to the decontamination area in a saline solution. Which of the following actions should the technician take rinse them with water then clean them in the usual manner an acceptable method of decontaminating an item that has been used on on a patient is to clean with a detergent solution and then use an appropriate disinfection agent When working the decontamination area, transmission of pathogenic organisms from used surgical instruments can BEST be minimized by wearing appropriate personal protective equipment plastic sterilization bags are generally used to package respiratory therapy items when using the sequential wrapping method... apply one wrapper followed by a second one surgical grade instruments, if properly cared for, will last longer than floor grade instruments bc they have a ... passivation layer if the operating room requests instruments for an emergency ruptured aortic aneurysm, the technician should send major vascular instruments
which of the following is the main DISADVANTAGE of using a rigid sterilization container system they must be disassembled, processed, reassembled, and checked before each use containerized packaging systems are most commonly used to protect which of the following during steam sterilization surgical instrument sets simultaneous wrapping means to wrap an instrument set with a single non woven wrapper, double ply, bonded at the edges clamps used for hemostasis are also designed to minimize damage to tissue an instrument tray for a laparotomy procedure must include an abdominal retractor inspection and verification of adequate cleaning is difficult with instruments with... with lumens cotton gauze cannot be used in which sterilization process? low temperature gas plasma
which of the following would be the appropriate sterilization cycle for an autoclave load containing a basin set, a minor surgery set, and twelve towel packs 270 F (132 C) for 4 minutes, 30 psi, and 30 minutes drying time drains in pre-vacuum and gravity displacement sterilizers are placed at the bottom front of the sterilizers because.. because the air tends to concentrate at the bottom of the chamber to kill the remaining microorganisms on metal surgical instruments within SPD, the most cost effective sterilization method is generally considered to be.... steam under pressure when heat is added to steam without increasing moisture content, the steam is called... superheated steam which of the following sterilization methods would be appropriate for petrolatum gauze dressings dry heat when a steam sterilizer load contains a mixture of fabric and metal items, where should the items be placed? with the metal items below the fabric items when a steam sterilizer is loaded with linen packs only, the packs should be placed on their edges
there are two pressure gauges on a steam sterilizer. these gauges measure the pressure in the jacket and the chamber a bowie-dick test should be performed in which of the following types of sterilizers pre vacuum steam lot control numbers are used to enable recall following sterilization failure all of the following agencies are involved with the regulation and control of ethylene oxide when it is used as a sterilant EXCEPT the centers for disease control and prevention (CDC) in which distribution system are requisitions filled and delivered as they are received demand sterility maintenance cover should be placed on sterile items when when the sterilized items cool to room temperature which of the following statements is the primary reason that items are allowed to cool on a sterilizer cart before being placed in storage condensation and contamination may result if items are moved to cooler areas when they are still warm which of the following BEST describes the general environmental conditions of SPD sterile storage
tell him/her that this is not the right thing to do you are taking a used IV pump from a nursing unit to be reprocessed. the nurse tells you not to take it because there is an emergency admission and the patient will need it. which of the following would be ethically correct call your department to have a clean pump brought to the unit right away We have an expert-written solution to this problem! You are in a hurry to leave for a doctor's appointment and you forget to punch your time card. Which of the following actions should be taken? report this to your supervisor the next day You receive a cell phone text message from your friend while you're assembling instrument sets. Which action is BEST to take? ignore the text until you are on break which of the following would be an action to take if you note that a coworker has hair hanging out of his/her surgical cap whole assembling sets let him/her know the hair is visible
