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Supervisor Certification Examination Study Guide

46 Questions
Sterile Processing Quizzes & Trivia

CERTIFICATION BOARD FOR STERILE PROCESSING AND DISTRIBUTION

Questions and Answers
  • 1. 
    In order to develop a budget for replacement instruments on procedural trays, the SPD Supervisor must gather information on the item specifications including.
    • A. 

      Quality, price and usage rates.

    • B. 

      Finish, type of metal and history of usage.

    • C. 

      Quality, pricing history and usage rate.

    • D. 

      Loss rate, usage rate, manufacturer's discount.

  • 2. 
    The hydrochlorofluorocarbon (HCFC) component in an Ethylene Oxide (EtO) sterilant mixture is used to
    • A. 

      Increase the sterilization efficiency

    • B. 

      Reduce the environmental impact potential

    • C. 

      Increase the exposure time and humidity

    • D. 

      Reduce the flammability and explosive potential

  • 3. 
    Staphylococcal infections, typhoid fever, streptococcal infections, tuberculosis and syphilis are examples of diseases caused by
    • A. 

      Pathogenic organisms

    • B. 

      Anaerobic vector

    • C. 

      Inorganic fomites

    • D. 

      Aerobic cephalopods

  • 4. 
    Which sterilization method would be most appropriate for petrolatum gauze dressings
    • A. 

      Steam

    • B. 

      Ethylene Oxide

    • C. 

      Dry heat

    • D. 

      Peracetic acid

  • 5. 
    Muslin that is used as a surgical wrap should have a minimum thread count of
    • A. 

      110 threads per square inch

    • B. 

      140 threads per square inch

    • C. 

      165 threads per square inch

    • D. 

      180 threads per square inch

  • 6. 
    Which of the following is NOT recommended for use in wrapping materials for EtO sterilization?
    • A. 

      Regunerated cellulose

    • B. 

      Cotton

    • C. 

      Polyvinylchloride (PVC)

    • D. 

      Polyester

  • 7. 
    The room temperature range in a sterile storage area should fall between?
    • A. 

      55-65 F.

    • B. 

      60-72 F.

    • C. 

      65-75 F.

    • D. 

      68-75 F.

  • 8. 
    The FIRST action to take if a fire occurs in the SPD is to?
    • A. 

      Throw water on the fire.

    • B. 

      Remove the burning object.

    • C. 

      Immediately leave the area.

    • D. 

      Activate the alarm

  • 9. 
    The PRIMARY goal of a good supply distribution system for patient care areas is that supplies and equipment are?
    • A. 

      Charged to the unit prior to delivery.

    • B. 

      Grouped according to thier use at each unit.

    • C. 

      Transported, with minimum handling, to the requesting unit.

    • D. 

      Delivered directly from the facility warehouse to the requesting unit.

  • 10. 
    Positive pressure is required in a sterile storage area to ensure that.
    • A. 

      Air flow from a clean area to other less clean areas.

    • B. 

      The ventilation system is dedicated to that storage area only.

    • C. 

      There is a separating ventilation barrier for that storage area only.

    • D. 

      Close shelving is used in that storage area, preventing the need for positive air flow.

  • 11. 
    A reusable medical device is
    • A. 

      A device that has been investigated and cleared by facility's Risk Management Department for reuse

    • B. 

      A device that has been biologically monitored and quarantined according to the manufacturer's reccommendations.

    • C. 

      A device that is manufactured with the intent of multiple patient use.

    • D. 

      A single use device that will not come in contact with a patient.

  • 12. 
    According to the Americans with Disabilities Act (ADA), heathcare facilities must strive to provide employment for the disabled by providing.
    • A. 

      Medically related pre-employment physicals.

    • B. 

      Reasonable accommodations within a specific work place.

    • C. 

      Priority for hiring in specific work areas.

    • D. 

      Position and job tasks to accommodate the disabled.

  • 13. 
    Distilled or Deionized water is used in the decontamination  process as a final rinse for surgical instruments because it?
    • A. 

      Contains no mineral or additives.

    • B. 

      Provides lubrication.

    • C. 

      Adds a protective coating.

    • D. 

      Kills the remaining bioburden.

  • 14. 
    Ethylene Oxide (Eto) is considered hazardous in the workplace for all of the following reasons EXCEPT that it is?
    • A. 

      A carcinogen

    • B. 

      Colorless at room temperature and cannot be smelled until the concentration reaches 700 ppm.

    • C. 

      Heavier than air and therefore difficult to ventilate.

    • D. 

      Often mixed with hydrochlorofluorocarbons (HCFCS).

  • 15. 
    After four hours of work in one area of SPD, the Supervisor asks the technician to move to another work area. Which one of the following movements would require a removal of personal protective equipment?
    • A. 

      Sterilization to Sterile Storage.

    • B. 

      Instrument Assembly to Decontamination.

    • C. 

      Sterile Storage to Instrument Assembly.

    • D. 

      Decontamination to Sterilization.

  • 16. 
    The organism used as biological indicator to test both steam and EtO sterilizers belongs to which family of bacteria?
    • A. 

      Clostridium

    • B. 

      Streptococcus

    • C. 

      Staphylococcus

    • D. 

      Bacillus

  • 17. 
    Which of the following precautions is universally applicable to the prevention of transmission of human immunodeficiency virus (HIV) to healthcare workers?
    • A. 

      All healthcare workers should take precautions to prevent needle-sticks by recapping needles prior to thier disposal.

    • B. 

      Only pregnant healthcare workers should adhere to all precautions that minimize risk of HIV transmission.

    • C. 

      Healthcare workers with exudative lesions or weeping dermatitis do not have to wear gloves when giving direct patient care.

    • D. 

      All healthcare workers should routinely wear gloves for handling items or surfaces soiled with blood products or body fluids.

  • 18. 
    The PRIMARY purpose of the decontamination process is to?
    • A. 

      Reduce the bioburden and make items safe to handle.

    • B. 

      Reduce the bioburden and repair damaged instruments.

    • C. 

      Remove broken equipment from service, and help in inventory control.

    • D. 

      Repair damaged instruments, and help in inventory control.

  • 19. 
    What processes are used to prepare patient care equipment in the decontamination area?
    • A. 

      Cleaning and reassembly

    • B. 

      Cleaning and disinfection

    • C. 

      Cleaning, disinfection, and reassembly

    • D. 

      Cleaning, disinfection, inspection, and reassembly

  • 20. 
    Absorbent materials are placed between nested basins during packaging in order to?
    • A. 

      Prevent the basin from sticking together

    • B. 

      Serve as a drape when the basin is opened

    • C. 

      Aid in steam penetration

    • D. 

      Protect the basin

  • 21. 
    Inspection and verification of adequate cleaning is difficult with instruments?
    • A. 

      With Lumens

    • B. 

      Without Lumens

    • C. 

      With Locks

    • D. 

      With Blades

  • 22. 
    Which of the following is ALWAYS a sterilization parameter regardless of the method of sterilization?
    • A. 

      Moisture

    • B. 

      Pressure

    • C. 

      Time

    • D. 

      Concentration

  • 23. 
    Why should linen processing be carried out in an enclosed or segregated area?
    • A. 

      The humidity in the area can be better monitored

    • B. 

      The work can be carried out more quickly

    • C. 

      Pilferage can be more easily controlled

    • D. 

      Lint and dust can be more easily contained and controlled

  • 24. 
    What is the minimum distance sterile items should be stored from the floor?
    • A. 

      2 inches

    • B. 

      8 inches

    • C. 

      12 inches

    • D. 

      18 inches

  • 25. 
    All clean transport carts should
    • A. 

      Have solid bottom shelves.

    • B. 

      Be made of plastic.

    • C. 

      Have small wheels.

    • D. 

      Be cleaned monthly.

  • 26. 
    When interviewing a candidate, the SPD Supervisor should set up the interview?
    • A. 

      In the Material Manager's office.

    • B. 

      In the facility's cafeteria.

    • C. 

      In the SPD Supervisor's office.

    • D. 

      In the department lounge.

  • 27. 
    Mary needs a day off due to a medical emergency at home. This is the third such request from Mary in four months. The SPD Supervisor should:
    • A. 

      Give Mary the day off

    • B. 

      Give Mary the day off and require documentation of the medical emergency.

    • C. 

      Refer Mary to Human Resources

    • D. 

      Deny the request.

  • 28. 
    A new low temperature gas plasma sterilizer has been purchased for SPD. The Supervisor should make sure what type of packaging materials are available for use with this system?
    • A. 

      Muslin,nylon and Tyvek pouches.

    • B. 

      Tyvek pouches, paper/plastic pouches and polyolefin wrap.

    • C. 

      Polyolefin wrap, Tyvek pouches, plastic trays.

    • D. 

      Polyolefin wrap, paper wraps and Tyvek pouches.

  • 29. 
    An employee gets burned removing items from a steam sterilizer. What should the SPD Supervisor do FIRST?
    • A. 

      Render first aid.

    • B. 

      Send the employee to Health Services.

    • C. 

      Complete an Incident Report.

    • D. 

      Discipline the employee.

  • 30. 
    The largest organ of the body is the?
    • A. 

      Brain

    • B. 

      Skin

    • C. 

      Heart

    • D. 

      Stomach

  • 31. 
    The SPD Supervisor notes the temperature in the Decontamination Area is 62*F. What action, if any, should the supervisor take?
    • A. 

      None, continue with work.

    • B. 

      Turn up the thermostat.

    • C. 

      Contact Engineering to increase the temperature.

    • D. 

      Notify Infection Control.

  • 32. 
    The best way to contain forceps inside a rigid container for steam sterilization is to;
    • A. 

      Place them in Tyvek pouches.

    • B. 

      Place them in paper/plastic pouches.

    • C. 

      Place them in two ply paper wrap.

    • D. 

      Place them in a surgical towel.

  • 33. 
    A load containing implants was sterilized with a BI test pack. As the results were being read, the supervisor notices the BI vial has a lot # of 2031 NP and the control vial has a lot # of 2013NP. What action, if any, should the supervisor take?
    • A. 

      None.

    • B. 

      Get a new control vial.

    • C. 

      Repeat the BI test.

    • D. 

      Release the implants.

  • 34. 
    Which writing implement is best to write on autoclave tape?
    • A. 

      Lead pencil

    • B. 

      China marker

    • C. 

      Ballpoint pen

    • D. 

      Non-toxic marker

  • 35. 
    A new device has been received for processing. What should be done FIRST?
    • A. 

      Clean the device.

    • B. 

      Sterilize the device.

    • C. 

      Obtain manufacturer's written instructions for processing.

    • D. 

      Obtain verbal instructions for processing from the sales representative.

  • 36. 
    • A. 

      Specialty carts

    • B. 

      Processing changes

    • C. 

      Service types

    • D. 

      New services

  • 37. 
    If the facility unexpectedly changes from single-use procedure trays or surgical textiles to reusable ones, the cost of the additional equipment and labor needed for processing will adversely affect the budget. Conversely, if single -use trays or surgical textiles are projected for use, there will be significant savings in labor costs but an increase in supply costs. Which budget monitoring is this?
    • A. 

      New services

    • B. 

      New physicians

    • C. 

      Service types

    • D. 

      Processing changes

  • 38. 
    One of the most important aspects of inventory management of surgical case carts is Continuous Review and?
    • A. 

      Surgical case carts

    • B. 

      Updating of surgeons' preference cards

    • C. 

      Traction equipment

    • D. 

      Medical/surgical supplies

  • 39. 
    The supplies used for surgical case carts are dispensed by CS/SPD and thus must be included in the department budget. Increases in the case load of the OR and the labor and delivery department should be monitored. The number and types of carts should be tracked, and the contents of the carts should be reviewd annually to eliminate any excesses.
    • A. 

      Equipment,Instrument, and Supply volume

    • B. 

      Traction Equipment

    • C. 

      Surgical case carts

    • D. 

      Specialty carts

  • 40. 
    The CS/SPD department may be responsible for ensuring that all or some of the patient care items are appropriately charge to the patient. The arguments for capturing patient charges in a managed care enviroment are as varied as the systems available for this process. The principal argument for is?
    • A. 

      Capturing patient charges yields actual costs per procedure or diagnosis and thus assists the finance department in the negotiation of managed care contracts. Proponents also argue that capturing patient charges allows close monitoring of costs.

    • B. 

      Oppenents argue that patient charges have no direct impact on the reimbursement received by the healthcare facility and that there is no positive impact on the CS/SPD budget. In fact, some patient charge systems are labor -intensive.

    • C. 

      Many systems for patient charging are available. The two most common systems are (A) stickers and charge cards and (B) computerized charging.

    • D. 

      The decision to create or maintain a mechanism for patient charging should be made with the approval of the finance department and facility administrating.

  • 41. 
    Oppenents argue that patient charge have no direct impact on the reimbursement recieved by the healthcare facility and that there is no positive impact on the CS/SPD budget. In fact , some patient charge systems are labor-intensive. Which principal arguments is this?
    • A. 

      The principal arguments against capturing patient charges.

    • B. 

      The principal arguments for capturing patient charge.

    • C. 

      Documenting work volume and supply

    • D. 

      Careful monitoring of personnel and supply budgets on monthly basis.

  • 42. 
    Many systems for patient charging are available. The two most common systems are?
    • A. 

      Dollar and department operational costs

    • B. 

      Stickers and charge cards and computerized charging

    • C. 

      Inventory dollar and patient-chargeable supplies

    • D. 

      Daily charges and Floor charges

  • 43. 
    All supplies, whether patient-chargeable or nonchargeable, are distributed to a department or nursing unit. Only supplies not chargeable to patients are distributed to a department or nursing unit. How are these charges categorized?
    • A. 

      Daily charges and capital budgets

    • B. 

      New services and products

    • C. 

      Department or Floor charges

    • D. 

      Master and Visa cards

  • 44. 
    If CS/SPD is asked to add another par level restock unit to the current inventory, the approximate time necessary to count the inventory, select the supplies, travel to and from the unit, and deliver the supplies must be determined, as well as the frequency with which these tasks must be performed.
    • A. 

      Surgical case carts

    • B. 

      Medical/surgical supplies

    • C. 

      The personnel and patient chargeable

    • D. 

      New services and products

  • 45. 
    Inventory management and control of supplies is essential to good budgeting. Inventory levels must be sufficient to meet the needs of various departments without excess. This budget depends largely on the types of services that CS/SPD providdes to the healthcare facility.
    • A. 

      The personnel budget

    • B. 

      Medical/Surgical Supply budget

    • C. 

      Capital budgets

    • D. 

      The statistical budget

  • 46. 
    A budget that is prepared by the finance department on the basis of past history,current information, and some projections for future costs?
    • A. 

      The statiscal budget

    • B. 

      The personnel budget

    • C. 

      Medical/surgical supply budget

    • D. 

      Capital budgets

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