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IAHCSMM Ch 13 -16

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1.  A method of stock rotation that ensures that older items are used first.
A.
B.
C.
D.
2.  Minimum amount of time that packaging materials should be held at room temperature and at 35% - 70% relative humidity before sterilization.
A.
B.
C.
D.
3.  Flat wrapping technique that applies one wrap on top of another to create a package within a package.
A.
B.
C.
D.
4.  Government agency that regulates sterilization packaging materials.
A.
B.
C.
D.
5.  This type of packaging contains no cellulosic materials and would be used to package small items for low temperature sterilization.
A.
B.
C.
D.
6.  This Type of packaging can be used in dry heat sterilization but is not recommended for other types of sterilization.
A.
B.
C.
D.
7.  When using paper/plastic pouches, package content information should be written on this side of the pouch.
A.
B.
C.
D.
8.  This is NOT an acceptable method of package closure.
A.
B.
C.
9.  Muslin is an example of this type of packaging material.
A.
B.
C.
10.  Maximum density recommended per cubic foot of a linen pack.
A.
B.
C.
D.
11.  This type of packaging contains no cellulosic materials and would be used to package small items for low temperature sterilization.
A.
B.
C.
12.  An approved absorbent material that allows for air removal, steam penetration, and facilitates drying.
A.
B.
C.
13.  The point of use process by which unwrapped instruments are sterilized for immediate use when an emergency situation arises.
A.
B.
C.
14.  A liquid oxidizing agent that is an effective biocide at low temperatures.  It is used in a sterilization system that processes immersible instruments for immediate use.
A.
B.
C.
15.  The FDA classifies sterilization packaging as a _________________.
A.
B.
C.
D.
16.  Which of the following is NOT an acceptable sterilization packaging material?
A.
B.
C.
D.
17.  Wicking materials are used to:
A.
B.
C.
D.
18.  When arranging plastic-paper pouches in the sterilizer, the pouches should be arranged:
A.
B.
C.
D.
19.  The relative humidity of the Central Service department should be:
A.
B.
C.
D.
20.  Some plastics including formulations of spun-bonded polyolefin are intended for use solely in these sterilization processes:
A.
B.
C.
D.
21.  When placing ring-handled instruments in an instrument tray, you should:
A.
B.
C.
D.
22.  Gauze squares are the wicking material of choice for instrument sets.
A.
B.
23.  Temperatures in a sterile storage area should be 55 - 60 degrees F.
A.
B.
24.  Sterile packages should be stored no lower than 8 - 10 inches from the floor.
A.
B.
25.  All rigid steriliation containers have tamper evident seals. 
A.
B.
26.  Cellulose materials cannot be processed within a gas plasma sterilizer.
A.
B.
27.  Reusable textile packaging requires less labor than disposable packaging.
A.
B.
28.  Aluminum foil is an acceptable packaging material for dry heat sterilization.
A.
B.
29.  Because shelf-life is event-related, stock rotation is no longer necessary.
A.
B.
30.  Sterilization documentation is not required for items that are flash sterilized.
A.
B.
31.  Flash sterilization is rarely performed in hospitals.
A.
B.
32.  Peracetic acid is a liquid oxidizing agent that effectively kills bacteria at low temperatures.
A.
B.
33.  Currently there are no process monitors available for peracetic acid sterilization processes.
A.
B.
34.  A diagnostic cycle on the peracetic acid system should be run every day.
A.
B.
35.  Hydrogen peroxide is an example of an oxidative chemistry.
A.
B.
36.  Liquid peracetic acid is difficult to rinse from items.
A.
B.
37.  Ethylene Oxide is not used for point of use processing because of its long cycle times.
A.
B.
38.  High level disinfection is appropriate for semi-critical devices.
A.
B.
39.  The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called:
A.
B.
C.
D.
40.  Endotracheal tubes and anesthesia breathing circuits are examples of:
A.
B.
C.
D.
41.  A material that removes electrons from another substance is called:
A.
B.
C.
D.
42.  Before an item can be placed in a liquid chemical sterile processing system they must be:
A.
B.
C.
D.
43.  Which of the following statements about flash sterilization is true?
A.
B.
C.
D.
44.  Both AORN and the Joint Commission recommend that:
A.
B.
C.
D.
45.  Implantable devices:
A.
B.
C.
D.
46.  The transport of flash sterilized items is difficult because:
A.
B.
C.
D.
47.  Heat sensitive items:
A.
B.
C.
D.
48.  When processing flexible endoscopes in a liquid chemical sterile processing system, you should:
A.
B.
C.
D.
49.  The most commonly used method of sterilization used in healthcare facilities.
A.
B.
C.
50.  This type of steam sterilizer is used for sterilizing liquids.
A.
B.
C.
51.  The process of sterilizing an item that is packaged.
A.
B.
C.
52.  Steam Sterilizers that use an active air removal system:
A.
B.
C.
53.  Name the two most comonly used temperatures for steam sterilization.
A.
B.
C.
54.  Procedures used by equipment manufacturers to obtain, record and interpret test results required to extablish that a process consistently produces a sterile product is:
A.
B.
C.
D.
55.  Procedures used by healthcare facilities to confirm that the validation undertaken by the equipment manufacturer is applicable to the specific setting.
A.
B.
C.
56.  Test used to evaluate the efficacy of the air removal in a dynamic-air-removal steam sterilizer
A.
B.
C.
57.  The amount of time required to kill 90% of the microorganisms present on an object.
A.
B.
C.
58.  Prion disease that requires that instruments be processed differently than standard protocols.
A.
B.
C.
59.  Sterilizer recording charts and/or printouts should be checked: 
A.
B.
C.
D.
60.  In the event of a load recall, information about specific load contents can be obtained from:
A.
B.
C.
D.
61.  If a sterilizer has successfully killed all the bacterial spores in a biological test:
A.
B.
C.
D.
62.  The two most common temperatures used in steam sterilization are:
A.
B.
C.
D.
63.  Tests which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called:
A.
B.
C.
D.
64.  In order to elevate the temperature in a steam sterilizer, you must:
A.
B.
C.
D.
65.  Bowie Dick Tests should be run in:
A.
B.
C.
D.
66.  Chemical indicators:
A.
B.
C.
D.
67.  What would be the recommended exposure time for a Dry Heat sterilization load that was run at an exposure temperature of 320 degrees F (160 deg C)?
A.
B.
C.
D.
68.  Which of the following sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity?
A.
B.
C.
D.
69.  The spore used in the testing of steam sterilization is:
A.
B.
C.
D.
70.  The term "superheated steam" means:
A.
B.
C.
D.
71.  The amount of time that it takes to kill 90% of the microorganisms present on an object is called:
A.
B.
C.
D.
72.  Impregnated gauze strips may be sterilized using:
A.
B.
C.
D.
73.  The most efficient type of dry heat sterilizer is:
A.
B.
C.
D.
74.  How frequently should a sterilizer's strainer be removed and cleaned?
A.
B.
C.
D.
75.  When loading a steam sterilizer, items with solid bottoms should be:
A.
B.
C.
D.
76.  Paper/plastic sterilization pouches:
A.
B.
C.
D.
77.  The higher the bioburden on an object, __________.
A.
B.
C.
D.
78.  Instrument washer sterilizers provide:
A.
B.
C.
D.
79.  The procedure used by healthcare facilities to confirm that sterilization recommendations from the manufacturer can be successfully undertaken in the hospital setting is called:
A.
B.
C.
D.
80.  The test used to evaluate the efficacy of a steam sterilizer's air removal system is called a:
A.
B.
C.
D.
81.  A dating system that records the date as the number of days that have elapsed since January 1st is called the:
A.
B.
C.
D.
82.  The ____________ is the portion fo the steam sterilizer that measures steam temperature and automatically controls the flow of air and condensate from the sterilizer chamber.
A.
B.
C.
D.
83.  Central Service Technicians should never use __________ to hold instruments together for sterilization.
A.
B.
C.
D.
84.  Steam Sterilization heats items within the load using a heat transfer process called:
A.
B.
C.
D.
85.  __________ steam sterilization can be used to sterilize liquids.
A.
B.
C.
D.
86.  The weight of wrapped basin sets shoud not exceed:
A.
B.
C.
D.
87.  The bacterial spore used for testing dry heat sterilization is:
A.
B.
C.
D.
88.  Dry heat sterilization heats items within the load using a heat transfer process called:
A.
B.
C.
D.
89.  How often should the screen strainer in a steam sterilizer be removed, checked and cleaned?
A.
B.
C.
D.
90.  Which type of Dry Heat Sterilizer is more efficient?
A.
B.
C.
D.
91.  The process by which a device is actively subjected to moving air to facilitate the removal of ethylene oxide gas is:
A.
B.
C.
D.
92.  What is the name of the spore used to test  H2O2 sterilizers?
A.
B.
C.
93.  Of the 3 major low temperature sterilants, ethylene oxide has the longest instrument turnaround time.
A.
B.
94.  Ethylene oxide kills microorganisms by a process called oxidation.
A.
B.
95.  Ethylene oxide, hydrogen peroxide gas plasma, and ozone sterilization process must all be monitored using chemical, physical, and biological monitors.
A.
B.
96.  Ethylene oxide, hydrogen peroxide gas plasma, and ozone sterilization can all use the same packaging materials.
A.
B.
97.  Ethylene oxide has better pentration capabilites than ozone and hydrogen peroxide gas plasma.
A.
B.
98.  Ethylene oxide is a toxic gas.
A.
B.
99.  Cellulose-containing packaging materials are not compatible with hydrogen peroxide gas plasma sterilization.
A.
B.
100.  Information about a device's compatibility with a specific sterilization process should be obtained from the device's manufacturer.
A.
B.
101.  Aeration is required for items sterilized in ozone sterilzation processes.
A.
B.
102.  Relative humidity is a required cycle parameter for ozone and ethylene oxide sterilization.
A.
B.
103.  The "newest" low temperature sterilization process.
A.
B.
C.
104.  This method of low temperature sterilization has been in use since the 1960s.
A.
B.
C.
105.  Cycle time for items sterilized using hydrogen peroxide gas plasma.
A.
B.
C.
D.
106.  Bacterial spore used to test ethylene oxide sterilization cycles:
A.
B.
C.
107.  Cycle time for items sterilized using ozone sterilization:
A.
B.
C.
D.
108.  140 F aeration time recommended for items sterilized with ethylene oxide:
A.
B.
C.
D.
109.  Bacterial spore used to test hydrogen peroxide gas plasma sterilization cycles:
A.
B.
C.
D.
110.  Cycle time for items sterilized using ethylene oxide sterilization:
A.
B.
C.
D.
111.  Sets exposure standards for chemical sterilants:
A.
B.
C.
D.
112.  Requires that sterilants be rigorously tested before being marketed:
A.
B.
C.
D.
113.  Instruments must be cleaned before flash sterilization.
A.
B.
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