IAHCSMM Practice Test | Sterile Processing Certification Quiz

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1. All soiled instruments and materials are received from the user units into Central Service ____________________ area.

Explanation

All soiled instruments and materials are received from the user units into Central Service decontamination area. This area is specifically designed and equipped to remove or destroy any microorganisms or contaminants present on the instruments and materials. Decontamination is an essential step in the sterilization process, ensuring that the instruments are safe for further use.

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About This Quiz
IAHCSMM Practice Test | Sterile Processing Certification Quiz - Quiz

Are you preparing for your IAHCSMM or CRCST certification exam? Test your knowledge and boost your confidence with our comprehensive IAHCSMM practice test! This challenging quiz covers key... see moreconcepts and industry standards essential for success in the Central Service field. If you are preparing for the IAHCSMM exam it is important to gain some experience with the CRCST practice test. These questions simulate the real exam experience, helping you identify areas where you excel and areas that need further review.

We cover a wide range of topics, including decontamination, sterilization, and disinfection; infection prevention and control; instrument identification and care; storage and distribution; and quality assurance and safety. This practice test provides a valuable opportunity to assess your readiness and enhance your understanding of Central Service best practices. Start practicing today and increase your chances of exam success!
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2. Watches and other jewelry should not be worn in the Central Service Department work area because:

Explanation

Watches and other jewelry should not be worn in the Central Service Department work area because they harbor bacteria. This is because jewelry can accumulate dirt, sweat, and other substances that can provide a breeding ground for bacteria. In a work area where cleanliness and hygiene are important, wearing jewelry can increase the risk of spreading bacteria and causing contamination. Therefore, it is advisable to avoid wearing jewelry in such areas to maintain a clean and safe working environment.

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3. What type of hepatitis vaccine is strongly recommended for most healthcare workers?

Explanation

The correct answer is hepatitis B. Healthcare workers are at a higher risk of exposure to hepatitis B due to their occupation. Hepatitis B is a viral infection that affects the liver and can be transmitted through contact with infected blood or body fluids. Therefore, it is strongly recommended for healthcare workers to receive the hepatitis B vaccine to protect themselves and prevent the spread of the virus to patients. Hepatitis A, D, and E vaccines may also be recommended in certain situations, but hepatitis B is the most important for healthcare workers.

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4. A function of the digestive system is to convert food into energy for the body.

Explanation

The digestive system plays a crucial role in converting food into energy for the body. It breaks down the food we consume into smaller molecules that can be absorbed and used by our cells. These molecules, such as glucose, are then transported to the cells where they undergo a series of chemical reactions to produce energy in the form of ATP. Therefore, it is correct to say that a function of the digestive system is to convert food into energy for the body.

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5. Healthy people carry bacteria.

Explanation

It is true that healthy people carry bacteria. Our bodies are home to trillions of bacteria, known as the human microbiota, which play important roles in maintaining our overall health. These bacteria live on our skin, in our mouth, and in our digestive system, among other places. While some bacteria can cause illness, many are harmless or even beneficial. The presence of bacteria is a normal and natural part of being a healthy individual.

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6. The safest way to transport a gas cylinder is to roll it across the floor.

Explanation

Rolling a gas cylinder across the floor is not the safest way to transport it. Gas cylinders should be transported in an upright position to prevent any potential leaks or accidents. Rolling a gas cylinder can cause it to become unstable and potentially fall, leading to damage or injury. It is important to use proper equipment, such as a dolly or cart, to safely transport gas cylinders.

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7. Air pressure in the decontamination area should be negative in relation to surrounding areas.

Explanation

In a decontamination area, it is important to maintain negative air pressure in relation to surrounding areas. This helps to prevent the spread of contaminants and ensures that any airborne particles or gases are drawn into the decontamination area and not released into other areas. Negative air pressure creates a pressure gradient that keeps the contaminated air contained within the decontamination area, minimizing the risk of contamination to other spaces. Therefore, the statement is true.

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8. Failure to perform soiled pickup rounds as scheduled can lead to equipment shortages.

Explanation

Failure to perform soiled pickup rounds as scheduled can lead to equipment shortages. This is because if the pickup rounds are not done on time, the soiled items will keep piling up, leading to a greater demand for equipment. If the equipment is not available in sufficient quantities, it can result in shortages and delays in the cleaning process. Therefore, it is important to perform the pickup rounds as scheduled to avoid equipment shortages.

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9. The largest customer of Central Service is:

Explanation

The operating room is the largest customer of Central Service because it requires a wide range of supplies and equipment for surgical procedures. This department relies heavily on Central Service to provide sterile instruments, surgical trays, and other necessary items. The operating room also generates a significant amount of revenue for the hospital through surgeries, making it a priority customer for Central Service.

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10. Floors in the Central Service Department should be:

Explanation

The correct answer is wet-mopped daily because the floors in the Central Service Department needs to be cleaned thoroughly on a daily basis. Wet-mopping helps remove dirt, dust, and stains effectively, ensuring a clean and hygienic environment. Since the Central Service Department likely experiences high foot traffic and potential spills or dirt accumulation, a daily wet-mopping routine is necessary to maintain cleanliness and prevent any hazards or hygiene issues.

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11. When arranging plastic-paper pouches in the sterilizer, the pouches should arranged:

Explanation

The correct answer is "paper to plastic" because when arranging plastic-paper pouches in the sterilizer, it is important to place the paper side against the plastic side. This is because the paper side is usually the side that is labeled or printed with important information, and placing it against the plastic side helps to protect the information from being damaged or smudged during the sterilization process. Additionally, placing the paper side against the plastic side also helps to prevent the plastic from sticking to the paper, making it easier to open the pouches after sterilization.

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12. Ethylene oxide is a toxic gas.

Explanation

Ethylene oxide is a toxic gas that can be harmful to human health. It is commonly used in the production of chemicals, plastics, and sterilization of medical equipment. Exposure to ethylene oxide can cause various health issues, including respiratory irritation, nausea, headache, and even cancer. Therefore, it is important to handle and store ethylene oxide with caution to prevent any potential harm.

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13. The Joint Commission uses routine and unannounced inspections to monitor standards in healthcare facilities.

Explanation

The Joint Commission, an independent organization that accredits healthcare facilities, utilizes routine and unannounced inspections to ensure that healthcare facilities are meeting their standards. These inspections help to monitor and assess the quality of care provided to patients, as well as identify any potential areas of improvement. By conducting both routine and unannounced inspections, The Joint Commission aims to maintain a high level of accountability and ensure that healthcare facilities are consistently meeting the required standards.

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14. The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called:

Explanation

Flash sterilization is the correct answer because it refers to the process of quickly sterilizing unwrapped instruments for immediate use in emergency situations. This method involves exposing the instruments to high-pressure steam for a short period of time, typically around 3-10 minutes, to rapidly kill any bacteria or pathogens present. Flash sterilization is commonly used in situations where there is an urgent need for sterilized instruments and there is not enough time for the standard sterilization process.

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15. The number of times per year that inventory is purchased, consumed, and replaced is called the Inventory Turnover Rate.

Explanation

The statement is true. The inventory turnover rate refers to the frequency at which inventory is bought, used, and replenished within a year. It is a crucial metric for businesses to assess their inventory management efficiency. A higher turnover rate indicates that inventory is being sold quickly, reducing the risk of obsolescence and tying up less capital. Conversely, a lower turnover rate suggests slow sales or excess inventory, which can lead to financial losses. Therefore, monitoring and optimizing the inventory turnover rate is essential for businesses to maintain profitability.

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16. Loaner instruments should:

Explanation

Loaner instruments should be decontaminated before use to ensure that they are free from any potential contaminants or pathogens. This is important for the safety of both the patient and the healthcare provider. Decontamination helps to reduce the risk of infection and cross-contamination. By thoroughly cleaning and disinfecting the loaner instruments before use, any potential sources of contamination can be eliminated, ensuring a safe and sterile environment for medical procedures.

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17. The ideal place to store 100% Ethylene Oxide Gas canisters is _____________.  

Explanation

Ethylene Oxide (EtO) gas is flammable and needs careful storage. The best place is a chemical storage cabinet. It offers a secure, controlled environment with ventilation to prevent gas buildup. EtO can react dangerously with heat, so the cabinet helps keep it at a safe temperature. Plus, it keeps the canisters secure and prevents accidents. Never store EtO outside, in a fridge, or a heated area, as these can be dangerous.

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18. When Central Service Technicians have internet access at work:

Explanation

The correct answer is "It should be used for work-related purposes only." This means that when Central Service Technicians have internet access at work, they should only use it for tasks and activities that are related to their job responsibilities. They should not use it for personal purposes or anything that does not contribute to their work. This ensures that they remain focused and productive during work hours.

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19. Which of the following surgical abbreviations might be used relating to a fractured bone?

Explanation

ORIF stands for Open Reduction Internal Fixation, which is a surgical procedure used to treat fractures. During this procedure, the fractured bone is surgically opened and realigned (reduced) before being internally fixed with the help of screws, plates, or rods. This procedure is commonly used to stabilize and promote healing in complex fractures. Therefore, ORIF is the correct abbreviation that might be used relating to a fracture bone.

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20. Cells are the basic units of all living organisms and are the smallest element that can live, grow and reproduce.

Explanation

Cells are indeed the basic units of all living organisms. They are the smallest structural and functional units of life, capable of carrying out all the necessary processes for survival, growth, and reproduction. Cells are responsible for performing various specialized functions within an organism and are the building blocks of tissues, organs, and ultimately, the entire organism. Therefore, the statement "Cells are the basic units of all living organisms and are the smallest element that can live, grow, and reproduce" is true.

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21. Risk management involves assessing and identifying risks and developing a program to reduce losses from exposure to those risks.

Explanation

Risk management is the process of evaluating and recognizing potential risks and creating strategies to minimize or mitigate the impact of those risks. It involves identifying potential hazards, analyzing their likelihood and potential consequences, and implementing measures to reduce losses or negative outcomes. By implementing a risk management program, organizations can proactively address risks and protect themselves from financial, operational, or reputational damage. Therefore, the statement that risk management involves assessing and identifying risks and developing a program to reduce losses from exposure to those risks is true.

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22. Standards and regulations help set levels of __________________ in Central Service Department.

Explanation

Standards and regulations play a crucial role in maintaining and improving the levels of quality, safety, and efficiency in the Central Service Department. These guidelines ensure that the department follows specific protocols and procedures to deliver high-quality services, prioritize the safety of employees and patients, and optimize operational efficiency. By adhering to these standards and regulations, the department can consistently provide reliable and effective services while meeting industry requirements and best practices.

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23. The higher the bioburden on an object:

Explanation

The higher the bioburden on an object, the more difficult it will be to sterilize. Bioburden refers to the number of microorganisms present on an object, and a higher bioburden indicates a higher level of contamination. When sterilizing an object with a high bioburden, it requires more time, higher temperatures, or stronger sterilization methods to effectively kill or remove all the microorganisms. Therefore, the higher the bioburden, the more challenging it becomes to achieve complete sterilization.

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24. Hospital equipment, such as IV pumps and feeding pumps should be decontaminated after each use.

Explanation

Hospital equipment, such as IV pumps and feeding pumps, should be decontaminated after each use to prevent the spread of infections. These devices come into contact with patients' bodily fluids and can harbor harmful bacteria or viruses. Failure to properly decontaminate the equipment can lead to cross-contamination and increase the risk of healthcare-associated infections. Regular decontamination is crucial to maintain a safe and sterile healthcare environment.

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25. Because shelf-life is event-related, stock rotation is no longer necessary.

Explanation

The statement suggests that because shelf-life is event-related, stock rotation is no longer necessary. However, this is not true. Stock rotation is still necessary to ensure that older products are sold before newer ones, reducing the risk of expired or spoiled items being sold. Shelf-life may be event-related, but proper stock rotation is still important for maintaining product quality and customer satisfaction. Therefore, the correct answer is False.

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26. Which of the following statements about endoscopes is true:

Explanation

The operating room is the largest customer of Central Service because it requires a wide range of supplies and equipment for surgical procedures. This department relies heavily on Central Service to provide sterile instruments, surgical trays, and other necessary items. The operating room also generates a significant amount of revenue for the hospital through surgeries, making it a priority customer for Central Service.

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27. All disinfectants can make something sterile.

Explanation

Disinfectants are chemical substances used to kill or inhibit the growth of microorganisms on surfaces. While disinfectants are effective in reducing the number of microorganisms, they do not guarantee complete sterility. Sterility refers to the complete absence of any viable microorganisms. Therefore, not all disinfectants can make something sterile, making the statement false.

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28. Which of the following glands is located at the base of the brain and is considered the "master gland" ?

Explanation

The pituitary gland is located at the base of the brain and is considered the "master gland" because it controls the secretion of hormones from other glands in the body. It produces and releases a variety of hormones that regulate growth, metabolism, reproduction, and other important bodily functions. The pituitary gland is also responsible for controlling the release of hormones from the thyroid, adrenal glands, and other endocrine organs, making it a crucial regulator of the body's overall hormonal balance.

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29. The relevant measurable characteristics of water are, hardness, purity, temperature and:

Explanation

The relevant measurable characteristic of water that is mentioned along with hardness, purity, and temperature is pH. pH is a measure of the acidity or alkalinity of a solution and is an important parameter to determine the quality of water. It indicates the concentration of hydrogen ions in water and can affect its taste, corrosiveness, and ability to support aquatic life.

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30. This surgery is commonly performed to treat morbid obesity.

Explanation

Gastric Bypass surgery is commonly performed to treat morbid obesity. This procedure involves creating a small pouch in the stomach and connecting it directly to the small intestine, bypassing a large portion of the stomach. By reducing the size of the stomach and altering the digestive process, gastric bypass helps individuals lose weight and improve their overall health. This surgery is considered an effective long-term solution for weight loss in individuals who have not been successful with other methods.

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31. Involuntary muscles

Explanation

Involuntary muscles refer to the muscles that work without conscious control. These muscles are responsible for various automatic bodily functions such as digestion, breathing, and heartbeats. Unlike voluntary muscles that require conscious effort to move, involuntary muscles work automatically and do not require conscious commands to function. Therefore, the correct answer is "work without consciousness."

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32. Microorganisms reproduce by a process called:

Explanation

Binary fission is the correct answer because it is the process by which microorganisms, such as bacteria, reproduce. During binary fission, a single cell divides into two identical daughter cells, each with its own genetic material. This process allows microorganisms to rapidly increase their population and is a common method of reproduction in single-celled organisms.

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33. Stock locator systems should be both manual and electronic.

Explanation

Stock locator systems should be both manual and electronic because having both methods allows for a more efficient and accurate tracking of inventory. Manual systems, such as paper-based logs or spreadsheets, provide a physical record that can be easily accessed and updated by employees. On the other hand, electronic systems, such as barcode scanners or RFID technology, automate the process and provide real-time data, reducing the chances of human error and allowing for faster retrieval of stock information. By combining both methods, businesses can benefit from the advantages of both manual and electronic systems, ensuring better inventory management.

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34. Which of the following statements about the use of mechanical washer is not true.

Explanation

The statement "All items should be washed on the same cycle" is not true. Different items may have different cleaning requirements, and washing them all on the same cycle may not effectively clean each item. It is important to consider the specific needs of each item and wash them accordingly to ensure proper cleaning and maintenance.

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35. Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation.

Explanation

OSHA, or the Occupational Safety and Health Administration, is the agency that may intervene in a matter of worker protection even if there are no specific regulations covering the situation. OSHA is responsible for ensuring safe and healthy working conditions for employees by enforcing standards and regulations. They have the authority to investigate complaints, conduct inspections, and take necessary actions to protect workers' rights and well-being. Therefore, OSHA is the most appropriate agency to intervene in situations where worker protection is at stake, regardless of specific regulations.

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36. Official inventory is generally included on the balance sheet as a current asset.

Explanation

The correct answer is true because official inventory refers to the goods or products that a company owns and intends to sell in the ordinary course of business. Since inventory is considered a current asset, it is typically included on the balance sheet. This allows the company to track the value of its inventory and assess its ability to generate sales and profits.

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37. The main theory of Standard Precaution is that:

Explanation

The main theory of Standard Precaution is that patients may pose a risk of being infectious whether they have been diagnosed with an infectious disease or not. This means that healthcare providers should take precautions and assume that all patients have the potential to spread infections, regardless of their diagnosis. This approach is important in preventing the transmission of infections in healthcare settings and ensures the safety of both patients and healthcare workers. By following Standard Precautions, healthcare providers can minimize the risk of spreading infections and maintain a safe environment for everyone involved.

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38. A step in communication that occurs when a listener asks a question is called:

Explanation

Feedback is the correct answer because it refers to the step in communication where a listener asks a question. Feedback is an essential part of effective communication as it allows the listener to clarify their understanding, seek further information, or provide input. By asking questions, the listener actively engages in the communication process and ensures that they have correctly interpreted the message. This step promotes a two-way exchange of information and helps to eliminate misunderstandings or misinterpretations.

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39. The absence of microorganisms that cause disease is called:

Explanation

Asepsis refers to the absence of microorganisms that cause disease. It involves practices and techniques that prevent the introduction or spread of harmful pathogens, ensuring a sterile and clean environment. This includes measures such as hand hygiene, sterilization of equipment, and proper disposal of waste. Infection prevention and infection control are related concepts, but they focus more on reducing the risk and spread of infections rather than completely eliminating microorganisms. HIA-control is not a recognized term in the context of this question.

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40. The biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning.

Explanation

Battery-powered surgical instruments cannot be immersed for cleaning. They contain sensitive electronic components that can be damaged by water. Therefore, they need to be cleaned using other methods, such as wiping them down with disinfectant wipes or using specialized cleaning solutions.

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41. Sterilizer recording charts and printouts should be checked:

Explanation

Sterilizer recording charts and printouts should be checked during and at the end of each cycle to ensure that the sterilization process is effective and meets the required standards. Checking the charts and printouts during each cycle allows for immediate identification of any deviations or issues that may affect the sterilization process. Additionally, checking at the end of each cycle provides a comprehensive review of the sterilization process and ensures that all cycles have been completed successfully. This regular monitoring and verification of the sterilizer recording charts and printouts helps maintain the quality and safety of sterilization procedures.

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42. The two most common temperatures used in steam sterilization are:

Explanation

The correct answer is 250 F AND 270 F TO 275 F. These temperatures are commonly used in steam sterilization processes. Steam sterilization is a widely used method to kill microorganisms and achieve sterilization in medical and laboratory settings. The temperature range of 250 F and 270 F to 275 F ensures that the steam is hot enough to effectively kill the microorganisms and achieve sterilization.

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43. In Central Service, the term "customers" includes anyone who utilizes the department's services.

Explanation

The statement is true because in Central Service, the term "customers" refers to anyone who uses the department's services. This means that anyone who utilizes the services provided by the Central Service department, regardless of their role or position, is considered a customer.

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44. The part of the cell that controls cell function is the:

Explanation

The nucleus is the part of the cell that controls cell function. It contains the cell's genetic material, including DNA, which carries the instructions for cell growth, reproduction, and other important functions. The nucleus also regulates the synthesis of proteins and coordinates various cellular activities. It acts as the "command center" of the cell, making it the correct answer in this case.

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45. All costs incurred to purchase a specific supply item from its purchase through its disposal are referred to as Total Acquisition Cost.

Explanation

The statement is true because Total Acquisition Cost refers to all the costs associated with purchasing a specific supply item, from the initial purchase to its disposal. This includes not only the cost of the item itself, but also any additional expenses such as shipping, taxes, storage, and maintenance. By considering all these costs, organizations can have a more accurate understanding of the total investment required for a particular supply item.

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46. Quality management is patient-focused.

Explanation

Quality management in any organization, including healthcare, should always be patient-focused. This means that the primary goal of quality management is to ensure that the needs and expectations of patients are met, and that their safety, satisfaction, and overall experience are prioritized. By focusing on the patient, organizations can improve the quality of care, reduce errors, and enhance patient outcomes. Therefore, it is important for quality management to be patient-focused, making the statement "Quality management is patient focused" true.

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47. The human resources tool that identifies major tasks performed by persons in specific positions is called a:

Explanation

A job description is a human resources tool that identifies major tasks performed by persons in specific positions. It provides a detailed overview of the responsibilities, duties, and requirements of a particular job. It outlines the essential functions, skills, qualifications, and expectations for the position. This document is used for recruitment, selection, performance evaluation, and employee development purposes. It helps both the employer and employees to have a clear understanding of the role and responsibilities associated with a specific job.

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48. Bowie-Dick test should run in:

Explanation

The Bowie-Dick test is a type of test used to evaluate the effectiveness of air removal in a steam sterilizer. It is performed by placing a test pack with a specific pattern of air removal indicators inside the sterilizer. The sterilizer should be able to remove air effectively to create a vacuum-like environment for sterilization. Dynamic-air-removal steam sterilizers are designed to remove air efficiently, making them the appropriate choice for running the Bowie-Dick test. Downward displacement sterilizers, ethylene oxide sterilizers, and washer/sterilizers may not provide the same level of air removal capability.

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49. If the sterilizer has successfully killed all the bacterial spores in a biological test: 

Explanation

If the sterilizer has successfully killed all the bacterial spores in a biological test, it is called a negative test. This means that the sterilizer has effectively eliminated the bacterial spores and is functioning properly. A negative test result indicates that the sterilizer is capable of providing the necessary level of sterilization and can be used for sterilizing other items.

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50. To impede the growth of bacteria, soil on used instruments should be allowed to dry. 

Explanation

Allowing soil on used instruments to dry will not impede the growth of bacteria. Bacteria can survive and multiply even in dry conditions. It is important to properly clean and sterilize instruments to effectively kill bacteria and prevent their growth.

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51. Which of the following systems provide supplies and instruments for individual surgical procedures?

Explanation

A case cart is a system that provides supplies and instruments for individual surgical procedures. It is a cart or container that is prepared and stocked with all the necessary items needed for a specific surgery. This includes instruments, surgical tools, and other supplies required for the procedure. The case cart system helps to ensure that all the necessary items are readily available and organized for each surgical case, making the process more efficient and reducing the risk of missing or misplaced items during the procedure.

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52. What are used to break down fatty tissue on instruments?

Explanation

Lipase enzymes are specifically designed to break down fatty tissue. Lipase enzymes work by breaking down the ester bonds in lipids, which are the main components of fatty tissue. This enzymatic action helps to remove and dissolve any fatty residue on instruments, making them clean and free from any lipid-based contaminants.

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53. The gastrointestinal tract is one portal of entry used by an infectious agent to enter a susceptible host.

Explanation

The gastrointestinal (GI) tract is definitely a portal of entry for infectious agents. Think about it: we eat and drink, and sometimes those things can be contaminated! Harmful bacteria, viruses, or parasites can hitch a ride in our food or water and enter our bodies through the GI tract. This can lead to various illnesses, from an upset stomach to more serious infections. So, yes, the GI tract is a major pathway for germs to invade and cause trouble.

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54. Which of the following tracking methods provide real time information?

Explanation

Radio Frequency Identification (RFID) is the correct answer because it is a tracking method that uses radio waves to identify and track objects in real time. RFID tags can be attached to objects and emit radio signals that can be picked up by RFID readers, providing instant information about the location and status of the tagged items. In contrast, laser-etched bar codes, standard bar codes, and dot matrix applications do not provide real-time information as they require manual scanning or printing processes to retrieve data.

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55. Human relations and communications skills are only necessary for employees who deal with customers.

Explanation

This statement is false. Human relations and communication skills are not only necessary for employees who deal with customers, but they are also important for all employees in any organization. Effective communication and good interpersonal skills are essential for building strong relationships and teamwork within the workplace. These skills help in resolving conflicts, collaborating on projects, and fostering a positive work environment. Regardless of their role, all employees need to possess these skills to be successful in their jobs.

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56. 400 series stainless steel is also called Martensitic.

Explanation

Martensitic stainless steel is a type of stainless steel that is known for its high strength, hardness, and wear resistance. It belongs to the 400 series of stainless steels, which are magnetic and have a higher carbon content compared to other stainless steel grades. Therefore, it is correct to say that 400 series stainless steel is also called Martensitic.

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57. Test which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality is called:

Explanation

A biological test is used to assess the effectiveness of the sterilization process by using live bacterial spores. This test directly measures the lethality of the process by challenging the spores and observing their survival or destruction. Chemical indicator tests and chemical integrator tests, on the other hand, are used to monitor the sterilization conditions but do not involve live organisms. Ampulization test is not a commonly known test in the context of sterilization. Therefore, the most appropriate answer is Biological Test.

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58. Most states require that ethylene oxide be vented into an emission control device to prevent the gas from entering the atmosphere.

Explanation

Most states require that ethylene oxide be vented into an emission control device to prevent the gas from entering the atmosphere. This is because ethylene oxide is a hazardous gas that can have harmful effects on human health and the environment. Venting it into an emission control device helps to capture and treat the gas before it is released into the atmosphere, reducing the potential for pollution and negative impacts. Therefore, the statement is true.

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59. Chemical indicators:

Explanation

Chemical indicators are designed to react to specific conditions within a sterilization cycle (like temperature, pressure, or sterilant concentration). They change color or form to show that the item has been exposed to the sterilization process. Think of the indicator tape on sterile packages – the stripes change color if the package has been through the sterilizer.

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60. Having a low inventory service level would increase customer satisfaction.

Explanation

Having a low inventory service level means that there is a limited amount of stock available to fulfill customer orders. This would result in longer wait times for customers and potentially unfulfilled orders, leading to a decrease in customer satisfaction. Therefore, the statement that having a low inventory service level would increase customer satisfaction is false.

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61. Given the word " hemigastrectomy ", which element of that word is the root?

Explanation

The root of the word "hemigastrectomy" is "gastro". This can be determined by breaking down the word into its constituent parts. "Hemi" means half or partial, "gastro" refers to the stomach, and "ectomy" means surgical removal. In this case, "gastro" is the root as it is the main component that gives the word its meaning related to the surgical removal of a part of the stomach.

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62. Low temperature sterilization processes are not used in ambulatory surgery centers.

Explanation

Low temperature sterilization processes, such as ethylene oxide or hydrogen peroxide plasma, are commonly used in ambulatory surgery centers to sterilize heat-sensitive medical equipment and instruments. These processes are essential for ensuring the safety and effectiveness of surgical procedures in these facilities. Therefore, the statement that low temperature sterilization processes are not used in ambulatory surgery centers is false.

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63. When marking instruments, engraving is the method of choice.

Explanation

Engraving is not the method of choice when marking instruments. There are other methods like laser marking or etching that are commonly used for marking instruments. Engraving may not be suitable for all types of materials or may not provide the desired level of precision required for marking instruments. Therefore, the statement is false.

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64. When marking instruments, engraving is the method of choice.

Explanation

Engraving is not the method of choice when marking instruments. There are other methods such as etching, laser marking, or stamping that may be more suitable depending on the material and desired outcome. Engraving involves cutting or carving into the surface, which may not be ideal for all types of instruments.

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65. In order to elevate the temperature in a steam sterilizer, you should:

Explanation

To elevate the temperature in a steam sterilizer, increasing the steam pressure is necessary. This is because the temperature of steam is directly proportional to its pressure. By increasing the pressure, the steam becomes hotter, thus raising the temperature inside the sterilizer. Decreasing the steam pressure would have the opposite effect, resulting in a lower temperature. Achieving ambient pressure would not generate enough heat for sterilization. Injecting boiled amines is not a recommended method for elevating the temperature in a steam sterilizer.

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66. The number of ambulatory surgery facilities is decreasing nationwide.

Explanation

Ambulatory surgery centers (ASCs) are actually on the rise, not declining. Think of them as mini-hospitals just for surgery! They are becoming more popular because they offer many benefits: less invasive procedures, quicker recovery, and lower costs. People like the convenience, and technology allows for more types of surgeries to be done safely outside a hospital. So, ASCs are growing, not shrinking!

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67. Instrument marking tape should be wrapped approximately _______________ times around the device.

Explanation

When marking surgical instruments, wrap the tape around them 1 1/2 to 2 times. This keeps the tape secure and the writing visible without being too bulky. Too much tape can block sterilization or make it hard to check the instrument. Too little tape, and it might fall off. Proper taping helps identify instruments, ensures they get sterilized properly, and prevents the tape from getting in the way during surgery.

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68. Intermediate-level disinfectants can kill all bacterial spores.

Explanation

Intermediate-level disinfectants cannot kill all bacterial spores. Bacterial spores are highly resistant structures formed by some bacteria as a means of survival under unfavorable conditions. They have a tough outer coating that protects them from disinfectants and other harsh conditions. Only high-level disinfectants, such as those that contain strong oxidizing agents or high concentrations of alcohol, are capable of killing bacterial spores. Intermediate-level disinfectants are effective against vegetative bacteria, fungi, and some viruses, but not against bacterial spores.

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69. The 2 stain tests used to identify bacterial are Gram Stain and Ziehl-Neilson Stain.

Explanation

Gram Stain and Ziehl-Neelsen Stain are indeed two stain tests commonly used to identify bacteria. Gram Stain is a differential staining technique that categorizes bacteria into Gram-positive and Gram-negative based on their cell wall composition. Ziehl-Neelsen Stain, on the other hand, is a special stain used to detect acid-fast bacteria, such as Mycobacterium tuberculosis, which do not easily take up standard stains. Therefore, the statement that these two stain tests are used to identify bacteria is true.

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70. Eliminating the infectious agent will interrupt the transmission of an infectious disease.

Explanation

Eliminating the infectious agent refers to getting rid of the microorganism or pathogen that causes the disease. By doing so, there will be no source of infection, and therefore, the transmission of the infectious disease will be interrupted. This can be achieved through various means such as vaccination, proper hygiene practices, and effective treatment of infected individuals. Therefore, the statement is true.

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71. When arranging instruments in an instruments tray, you should:

Explanation

The correct answer is to position the instruments in a manner that will facilitate sterilization. This means that the instruments should be arranged in a way that allows for effective sterilization, such as ensuring that there is proper spacing between each instrument to allow for sterilizing agents to reach all surfaces. Arranging the instruments in alphabetical order or in the order of their use may not necessarily result in optimal sterilization conditions.

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72. Which of the following can be removed from water when a reverse osmosis process is used?

Explanation

Reverse osmosis is a water purification process that uses a semi-permeable membrane to remove impurities and contaminants from water. It is capable of removing bacteria, pyrogens, and endotoxins, making the statement "all of the above" correct. Reverse osmosis effectively filters out these substances, ensuring that the water is free from harmful microorganisms and toxins.

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73. The department responsible for researching, ordering, receiving and managing supply is Surgery.

Explanation

The department responsible for researching, ordering, receiving, and managing supply is Material Management, not Surgery. While Surgery utilizes supplies, Material Management handles the logistics of acquiring and managing them for the entire healthcare facility. This includes researching product options, negotiating with vendors, purchasing supplies, receiving shipments, and ensuring proper inventory levels. Surgery focuses on patient care and surgical procedures, relying on Material Management to provide the necessary supplies and equipment.

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74. This unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower body temperatures.

Explanation

A hypothermia unit is a device that pumps heated or cooled water through a coiled pad to therapeutically raise or lower body temperatures. This unit is commonly used in medical settings to induce hypothermia or hyperthermia for therapeutic purposes. It helps regulate body temperature and can be used in various medical procedures or conditions where temperature control is crucial for patient care.

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75. The spores used in the testing of steam sterilization is:

Explanation

Geobacillus stearothermophilus is the correct answer for the spores used in the testing of steam sterilization. This bacterium is commonly used as a biological indicator because it is highly resistant to heat and can survive the sterilization process. By using Geobacillus stearothermophilus spores, the effectiveness of the steam sterilization process can be assessed, as the spores should be killed if the sterilization is successful.

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76. To achieve a reasonable level of disinfection, alcohol used as an intermediate-level disinfectant must remain in wet contact with the surface of the object being disinfected for a minimum of ____ minutes.

Explanation

Alcohol used as an intermediate-level disinfectant needs to remain in wet contact with the surface for a minimum of 5 minutes to achieve a reasonable level of disinfection. This is because alcohol requires sufficient contact time to effectively kill or inactivate microorganisms on the surface being disinfected. A shorter contact time may not be enough to fully eliminate the pathogens present, hence the need for a minimum of 5 minutes.

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77. Bacteria that cause diseases are called.

Explanation

The correct answer is "pathogenic" because bacteria that cause diseases are commonly referred to as pathogenic bacteria. These bacteria have the ability to invade and harm the host organism, leading to the development of various diseases and infections.

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78. The relative humidity of the sterile storage area should be:

Explanation

The sterile storage area must be restricted access, maintaining controlled temperature levels (up to 75°F) and relative humidity levels (ranging from 30-60% in all operational areas except sterile storage, where relative humidity must not exceed 70%).

Submit
79. Upon opening paper-plastic pouch seals must destruct and be incapable of resealing.

Explanation

The statement is true because paper-plastic pouch seals are designed to be tamper-evident. Once opened, the seals are meant to destruct or tear, making it obvious that the pouch has been opened. This ensures the integrity of the contents inside the pouch and prevents any possibility of resealing, thereby maintaining the security and safety of the product.

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80. Purified water should have a pH of ________.

Explanation

Purified water should have a pH of 6.5 - 7.5. This pH range is considered neutral or slightly acidic. Water with a pH below 6.5 may indicate the presence of contaminants or acidity, while a pH above 7.5 may indicate alkalinity. Maintaining a pH within the 6.5 - 7.5 range ensures that the water is safe for consumption and does not cause any adverse effects on the body.

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81. Implantable devices:

Explanation

Flash sterilization is a method of sterilizing medical devices quickly, but it is not suitable for implantable devices. Implantable devices are typically made of materials that are sensitive to high temperatures and moisture, which can be present during the flash sterilization process. Therefore, implantable devices should not be flash sterilized to avoid potential damage or degradation of the device. Instead, other sterilization methods that are more compatible with implantable devices should be used to ensure their safety and effectiveness.

Submit
82. Ortho-phthalaldehyde (OPA) is classified as:

Explanation

"Ortho-phthalaldehyde(OPA) is classified as a high-level disinfectant. High-level disinfectants are capable of killing vegetative bacteria, mycobacteria, fungi, and viruses, including enveloped viruses. OPA is commonly used in healthcare settings to disinfect medical instruments and equipment that cannot be sterilized by heat. It is effective against a wide range of microorganisms and has a rapid action, making it suitable for high-level disinfection. OPA is considered safer and more user-friendly compared to other high-level disinfectants like glutaraldehyde.

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83. Repetitive motions are:

Explanation

Ergonomic stressors are physical factors within a work environment that can cause discomfort, fatigue, or injury over time. Repetitive motions are a prime example of an ergonomic stressor, as they can lead to muscle strain, tendonitis, and other musculoskeletal disorders.

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84. Which of the following means "beside or near" ?

Explanation

In medical terminology, the prefix "para-" means "beside," "near," or "alongside." Think of "paramedic," a medical professional who works alongside a physician. Other prefixes have different meanings: "peri-" means "around" (like the pericardium around the heart), and "pana-" means "all" (like a pandemic affecting everyone). "Parta-" isn't a common medical prefix. So, when you see "para-" in a medical term, it indicates a close relationship or proximity to something else.

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85. A method of bacterial transmission that would take place when an infectious agent was transmitted through an item such as food or water is called:

Explanation

Common vehicle transmission occurs when a single contaminated source (the vehicle) transmits infection to multiple hosts. In this case, the vehicle is an inanimate object like food or water, which carries the infectious agent to those who consume it. Examples include food poisoning outbreaks or waterborne diseases like cholera.

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86. Which of the following would be the best choice for high-level disinfection of instruments?

Explanation

OPA stands for ortho-phthalaldehyde, which is a high-level disinfectant commonly used for medical instruments. It is considered the best choice for high-level disinfection due to its broad-spectrum antimicrobial activity, fast action, and compatibility with a wide range of materials. OPA is effective against bacteria, viruses, fungi, and mycobacteria, making it suitable for disinfecting a variety of instruments. It is also less toxic and has a lower odor compared to other disinfectants like phenolics, chlorine, and iodophors, making it a preferred option in healthcare settings.

Submit
87. Body balance is regulated by fluid in the:

Explanation

The inner ear is responsible for regulating body balance through a structure called the vestibular system. This system contains fluid-filled canals and chambers that detect changes in head position and movement. When the head moves, the fluid in the inner ear moves as well, stimulating specialized hair cells that send signals to the brain about the body's position in space. This information is crucial for maintaining balance and coordinating movements. Therefore, the inner ear plays a key role in regulating body balance.

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88. Glutaraldehyde is a high-level disinfectant that can be used for sterilizing heat-sensitive instruments.

Explanation

While glutaraldehyde is a high-level disinfectant (HLD), it is not a sterilant. HLDs kill most microorganisms, including bacteria, fungi, and viruses, but they may not eliminate all bacterial spores. Sterilization, on the other hand, is the complete elimination of all forms of microbial life, including spores. Glutaraldehyde is commonly used to disinfect heat-sensitive medical devices that cannot withstand steam sterilization, but it cannot guarantee sterility.

Submit
89. Which of the following statements is correct?  

Explanation

Tracking patient care equipment can prevent equipment shortages. This statement suggests that by implementing a tracking system for patient care equipment, healthcare facilities can ensure that they have an adequate supply of equipment available at all times. This can help prevent situations where there is a shortage of necessary equipment, which could negatively impact patient care. By tracking the equipment, healthcare providers can identify any potential shortages or issues with equipment availability and take appropriate measures to address them in a timely manner.

Submit
90. Medical device reporting is regulated by the:

Explanation

Medical device reporting is regulated by the FDA. The FDA, or the Food and Drug Administration, is responsible for ensuring the safety and effectiveness of medical devices in the United States. They require manufacturers, importers, and distributors of medical devices to report any adverse events or malfunctions associated with their products. This reporting is crucial in identifying potential risks and taking appropriate actions to protect public health. The FDA also uses this information to monitor the safety and performance of medical devices on the market.

Submit
91. Wicking materials are used to:

Explanation

Wicking materials are used to allow air removal, steam penetration, and facilitate drying. These materials have the ability to absorb and transfer moisture, which helps in removing air pockets and ensuring proper steam penetration during sterilization. Additionally, they aid in the drying process by promoting the evaporation of moisture, preventing the growth of bacteria or mold. Overall, wicking materials play a crucial role in ensuring effective sterilization of instruments by creating an optimal environment for steam to reach all surfaces and facilitating the drying process.

Submit
92. In medical terminology, the purpose of a combining vowel is to:

Explanation

The purpose of a combining vowel in medical terminology is to make the word easier to pronounce. Combining vowels are often used to connect word roots, prefixes, and suffixes, and they help to create a smooth flow between the different components of a medical term. By adding a vowel between word parts, the pronunciation becomes clearer and more easily understood. This is particularly important in medical terminology, where precise pronunciation is crucial for effective communication among healthcare professionals.

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93. Chemical indicators are FDA ______________ devices

Explanation

Chemical indicators are classified as Class II devices by the FDA. This classification indicates that these devices are considered to have a moderate to high risk to the patient and require special controls to ensure their safety and effectiveness. Class II devices are subject to specific regulations and must undergo premarket notification, or 510(k) clearance, before they can be marketed. This classification helps to ensure that chemical indicators meet the necessary standards for their intended use in healthcare settings.

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94. Stainless steel jaw needleholders last longer than Tungsten Carbide jaw needleholders.

Explanation

Stainless steel jaw needleholders do not last longer than Tungsten Carbide jaw needleholders. Tungsten Carbide is a much harder and more durable material compared to stainless steel, making it more resistant to wear and tear. Therefore, Tungsten Carbide jaw needleholders have a longer lifespan and are preferred in surgical settings where longevity is important.

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95. The distribution system which involves replacing a freshly loaded supply cart for an identical cart that has been depleted on a patient unit is called the __________________________ system.

Explanation

The distribution system which involves replacing a freshly loaded supply cart for an identical cart that has been depleted on a patient unit is called the exchange cart system. This system ensures that there is a continuous supply of necessary items on the patient unit by exchanging depleted carts with fully stocked ones. It allows for efficient and timely replenishment of supplies, reducing the risk of shortages and ensuring that the patient unit has all the necessary resources readily available.

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96. Some plastics including formulations of spun-bonded polyolefin are intended for use in _____ temperature sterilization processes.

Explanation

Some plastics, such as spun-bonded polyolefin, are designed to withstand low temperature sterilization processes. This means that these plastics can be safely used in sterilization methods that involve lower temperatures.

Submit
97. Which of the following statements is correct about powered surgical instruments.

Explanation

During processing of powered surgical instruments, it is crucial to ensure that fluid does not enter the cable or handpiece. This is because the presence of fluid in these components can lead to damage or malfunctioning of the instrument. Therefore, it is important to take necessary precautions to prevent fluid from entering the cable or handpiece during the processing of powered surgical instruments.

Submit
98. Paper-plastic pouches should not be labeled on the ______ side of the pouch.

Explanation

Paper-plastic pouches should not be labeled on the paper side of the pouch because the paper side is more susceptible to damage from moisture, oils, and other external factors. Labeling on the plastic side ensures that the label remains intact and legible throughout the lifespan of the pouch.

Submit
99. The purpose of the prefix is to alter or modify the meaning of the root element.

Explanation

The purpose of a prefix is indeed to alter or modify the meaning of the root element. A prefix is a word part that is added to the beginning of a word and changes its meaning. It provides additional information or context to the root word, allowing for a more specific or nuanced understanding of the overall word. This alteration or modification of meaning is the primary function of a prefix, making the statement "True" correct.

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100. Temperatures in the sterile storage area should be between 64 F to 75 F.  

Explanation

The statement is true because temperatures in the sterile storage area should be maintained between 64 F to 75 F. This range is considered optimal for preserving the sterility and integrity of medical supplies and equipment. Temperatures outside this range can potentially compromise the quality and safety of the stored items. Therefore, it is important to ensure that the temperature in the sterile storage area falls within the specified range.

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All soiled instruments and materials are received from the user units...
Watches and other jewelry should not be worn in the Central Service...
What type of hepatitis vaccine is strongly recommended for most...
A function of the digestive system is to convert food into energy for...
Healthy people carry bacteria.
The safest way to transport a gas cylinder is to roll it across the...
Air pressure in the decontamination area should be negative in...
Failure to perform soiled pickup rounds as scheduled can lead to...
The largest customer of Central Service is:
Floors in the Central Service Department should be:
When arranging plastic-paper pouches in the sterilizer, the pouches...
Ethylene oxide is a toxic gas.
The Joint Commission uses routine and unannounced inspections to...
The process by which unwrapped instruments are steam sterilized for...
The number of times per year that inventory is purchased, consumed,...
Loaner instruments should:
The ideal place to store 100% Ethylene Oxide Gas canisters is...
When Central Service Technicians have internet access at work:
Which of the following surgical abbreviations might be used relating...
Cells are the basic units of all living organisms and are the smallest...
Risk management involves assessing and identifying risks and...
Standards and regulations help set levels of __________________ in...
The higher the bioburden on an object:
Hospital equipment, such as IV pumps and feeding pumps should be...
Because shelf-life is event-related, stock rotation is no longer...
Which of the following statements about endoscopes is true:
All disinfectants can make something sterile.
Which of the following glands is located at the base of the brain and...
The relevant measurable characteristics of water are, hardness,...
This surgery is commonly performed to treat morbid obesity.
Involuntary muscles
Microorganisms reproduce by a process called:
Stock locator systems should be both manual and electronic.
Which of the following statements about the use of mechanical washer...
Agency which may intervene in a matter of worker protection even if...
Official inventory is generally included on the balance sheet as a...
The main theory of Standard Precaution is that:
A step in communication that occurs when a listener asks a question is...
The absence of microorganisms that cause disease is called:
The biggest advantage to battery-powered surgical instruments is that...
Sterilizer recording charts and printouts should be checked:
The two most common temperatures used in steam sterilization are:
In Central Service, the term "customers" includes anyone who...
The part of the cell that controls cell function is the:
All costs incurred to purchase a specific supply item from its...
Quality management is patient-focused.
The human resources tool that identifies major tasks performed by...
Bowie-Dick test should run in:
If the sterilizer has successfully killed all the bacterial spores in...
To impede the growth of bacteria, soil on used instruments should be...
Which of the following systems provide supplies and instruments for...
What are used to break down fatty tissue on instruments?
The gastrointestinal tract is one portal of entry used by an...
Which of the following tracking methods provide real time information?
Human relations and communications skills are only necessary for...
400 series stainless steel is also called Martensitic.
Test which use live bacterial spores to challenge the efficacy of the...
Most states require that ethylene oxide be vented into an emission...
Chemical indicators:
Having a low inventory service level would increase customer...
Given the word " hemigastrectomy ", which element of that...
Low temperature sterilization processes are not used in ambulatory...
When marking instruments, engraving is the method of choice.
When marking instruments, engraving is the method of choice.
In order to elevate the temperature in a steam sterilizer, you should:
The number of ambulatory surgery facilities is decreasing nationwide.
Instrument marking tape should be wrapped approximately...
Intermediate-level disinfectants can kill all bacterial spores.
The 2 stain tests used to identify bacterial are Gram Stain...
Eliminating the infectious agent will interrupt the transmission of an...
When arranging instruments in an instruments tray, you should:
Which of the following can be removed from water when a reverse...
The department responsible for researching, ordering, receiving and...
This unit pumps heated or cooled water through a coiled pad to...
The spores used in the testing of steam sterilization is:
To achieve a reasonable level of disinfection, alcohol used as an...
Bacteria that cause diseases are called.
The relative humidity of the sterile storage area should be:
Upon opening paper-plastic pouch seals must destruct and be incapable...
Purified water should have a pH of ________.
Implantable devices:
Ortho-phthalaldehyde (OPA) is classified as:
Repetitive motions are:
Which of the following means "beside or near" ?
A method of bacterial transmission that would take place when an...
Which of the following would be the best choice for high-level...
Body balance is regulated by fluid in the:
Glutaraldehyde is a high-level disinfectant that can be used for...
Which of the following statements is correct?  
Medical device reporting is regulated by the:
Wicking materials are used to:
In medical terminology, the purpose of a combining vowel is to:
Chemical indicators are FDA ______________ devices
Stainless steel jaw needleholders last longer than Tungsten Carbide...
The distribution system which involves replacing a freshly loaded...
Some plastics including formulations of spun-bonded polyolefin are...
Which of the following statements is correct about powered surgical...
Paper-plastic pouches should not be labeled on the ______ side of the...
The purpose of the prefix is to alter or modify the meaning of the...
Temperatures in the sterile storage area should be between 64 F to 75...
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