St. Mark's Cbspd Certification Training / Chapter 5- Decontamination

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1/92 Questions

Whenever the detergent solution is changed, the sink basin should be cleaned before it is refilled.
- True
- False

About This Quiz

Hello friends!
If you are here, looking at this test you are either very lost or very interested in passing the CBSPD Certification Test. (I hope its the latter)
I designed this test using direct facts and concepts from "The Basics of Sterile Processing" Sixth Edition Sterile Processing University, LLC. Chapter 5- Decontamination
Passing this test does not guarantee that you will See morepass the CBSPD Certification, but will help test your knowledge and understanding of the key concepts and practices within sterile processing.

If you have any questions or concerns pertaining to this test please feel free to email me at spd. Hanson@gmail. Com
I wish you the best of luck on your path to certification!
Kathy Hanson
Sterile Processing Educator
St. Mark's Hospital, SLC UT

St. Marks Cbspd Certification Training / Chapter 5- Decontamination - Quiz

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2.

All instrumentation and devices received from another facility or company or owned and brought in by a surgeon for a case must be considered contaminated and should be completely reprocessed.
- True
- False
Correct Answer

A. True

Explanation

This statement emphasizes the importance of considering all instrumentation and devices received from external sources or brought in by a surgeon as contaminated. It states that these items should undergo complete reprocessing to ensure safety and prevent any potential risks of contamination during surgical procedures. Therefore, the correct answer is True.

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3.

Soiled items should be transported immediately to the decontamination are for processing to prevent blood, body fluids, and other contaminants from drying on the surfaces.
- True
- False
Correct Answer

A. True

Explanation

Items that are soiled with blood, body fluids, and other contaminants should be transported immediately to the decontamination area for processing. This is because allowing these substances to dry on the surfaces can make it more difficult to remove them later on. By transporting the items promptly, the risk of cross-contamination and the spread of infectious agents can be minimized. Therefore, the statement "Soiled items should be transported immediately to the decontamination area for processing to prevent blood, body fluids, and other contaminants from drying on the surfaces" is true.

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2
4.

Written procedures should be developed for the cleaning of instrumentation. They should be consistent with device manufacturers' instructions and should address specific aspects of processing, such as disassembly for cleaning and inspection for cleanliness
- True
- False
Correct Answer

A. True

Explanation

The given statement is true because it emphasizes the importance of developing written procedures for cleaning instrumentation. These procedures should align with the instructions provided by the device manufacturers and should cover various aspects of the cleaning process, such as disassembly and inspection for cleanliness. This ensures that the cleaning is performed correctly and consistently, reducing the risk of contamination or damage to the instruments.

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5.

Wearing jewelry and having long fingernails is acceptable in the decontamination area because you are wearing gloves and therefore poses no risk of contamination
- True
- False
Correct Answer

A. False

Explanation

This statement is false because wearing jewelry and having long fingernails is not acceptable in the decontamination area, even if gloves are worn. Jewelry and long fingernails can harbor bacteria and other contaminants, which can compromise the effectiveness of the decontamination process and increase the risk of contamination. Therefore, it is important to remove jewelry and keep fingernails short and clean in the decontamination area to maintain a safe and sterile environment.

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6.

When transporting contaminated items, what type of label should be used to alert personnel that they contain potentially biohazardous materials?
- Biochemical
- Sharps
- Bioburden
- Biohazard
Correct Answer

A. Biohazard

Explanation

The correct answer is Biohazard. When transporting contaminated items that contain potentially biohazardous materials, a biohazard label should be used to alert personnel. This label is commonly recognized as a symbol consisting of a black biohazard symbol on an orange background. It is important to use this label to ensure the safety of personnel and to communicate the potential risks associated with the materials being transported.

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5
7.

What does the acronym IFU stand for?
- Information For Us
- Instructions For Use
- Indications For Use
- Interface Unit
- It doesn't mean anything. It's a professional way of cursing out your coworkers.
Correct Answer

A. Instructions For Use

Explanation

The acronym IFU stands for Instructions For Use. This term is commonly used in various industries to refer to the set of instructions or guidelines provided with a product or device on how to properly and safely use it. These instructions typically include information on installation, operation, maintenance, and troubleshooting. The purpose of IFUs is to ensure that users have all the necessary information and guidance to use the product effectively and avoid any potential risks or misuse.

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1
8.

Water pH can affect the efficacy of the detergents and disinfectants used in processing
- True
- False
Correct Answer

A. True

Explanation

Water pH can indeed affect the efficacy of detergents and disinfectants used in processing. pH is a measure of the acidity or alkalinity of a solution, and different pH levels can impact the performance of cleaning agents. For example, some detergents are more effective in acidic conditions, while others work better in alkaline conditions. Similarly, the effectiveness of disinfectants can also be influenced by pH. Therefore, it is important to consider the pH of the water used in processing to ensure that the detergents and disinfectants are working optimally.

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9.

Because steam is known to leave residuals that build up over time, it is recommended that rigid containers are cleaned after every use according to manufacture recommendations
- True
- False
Correct Answer

A. True

Explanation

Steam is known to leave residuals that can accumulate over time, which can potentially affect the cleanliness and functionality of rigid containers. Therefore, it is recommended to clean these containers after each use, following the manufacturer's guidelines. This ensures that any residual steam or other substances are removed, maintaining the container's hygiene and preventing any potential issues that may arise from the buildup of residues.

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10.

The process by which ultrasonic cleaners work is called
- Impingement
- Cavitation
- Transduction
- Ultrasonicism
Correct Answer

A. Cavitation

Explanation

Cavitation is the correct answer because it refers to the process by which ultrasonic cleaners work. Ultrasonic cleaners use high-frequency sound waves to create tiny bubbles in a cleaning solution. These bubbles then collapse rapidly, creating a scrubbing action that helps to remove dirt and debris from objects being cleaned. This process is known as cavitation and is the key mechanism behind the effectiveness of ultrasonic cleaners.

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3
11.

How many air exchanges per hour should the decontamination area have?
- 4
- 10
- 14
- 20
Correct Answer

A. 10

Explanation

The decontamination area should have 10 air exchanges per hour. This is important to ensure that the air in the area is constantly refreshed and any contaminants or pollutants are effectively removed. Having a higher number of air exchanges per hour helps to maintain a clean and safe environment for decontamination processes.

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12.

Only the parts of an instrument that come into direct contact with the patient must come into contact with a cleaning agent. Cleaning only the working part of an instrument is an acceptable way to save time during the cleaning process.
- True
- False
Correct Answer

A. False

Explanation

Cleaning only the working part of an instrument is not an acceptable way to save time during the cleaning process. All parts of an instrument that come into direct contact with the patient must be cleaned with a cleaning agent to ensure proper hygiene and prevent the spread of infections. Neglecting to clean any part of the instrument can lead to contamination and pose a risk to the patient's health. Therefore, the statement is false.

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1
13.

The best type of detergent used in mechanical washers should be
- Low cost
- Low foaming/sudsing
- High foaming/sudsing
- Name brand
Correct Answer

A. Low foaming/sudsing

Explanation

Low foaming/sudsing detergents are the best type of detergent used in mechanical washers because they are specifically designed to produce minimal foam or suds. This is important because excessive foam can interfere with the washing process, causing the machine to malfunction or not clean the clothes effectively. Low foaming/sudsing detergents ensure that the washing machine can function properly and that the clothes are thoroughly cleaned. Additionally, low foaming/sudsing detergents are also more efficient and cost-effective as they require less water for rinsing and are less likely to leave residue on the clothes.

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3
14.

The relative acidity or alkalinity of a solution is referred to as its
- Water quality
- Neutral solution
- PH
- Acidity solution
Correct Answer

A. pH

Explanation

The relative acidity or alkalinity of a solution is referred to as its pH. pH is a measure of the concentration of hydrogen ions in a solution, which determines its acidity or alkalinity. A pH value below 7 indicates acidity, while a pH value above 7 indicates alkalinity. The pH scale ranges from 0 to 14, with 7 being considered neutral. Therefore, pH is the correct answer as it accurately represents the concept of measuring the acidity or alkalinity of a solution.

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3
15.

To prevent damage to instruments, these types of instruments should always be placed on top of heavy items when they are being sorted into trays for cleaning
- Delicate
- Sharp
- Disposable
- Multi-part
Correct Answer

A. Delicate

Explanation

Delicate instruments are prone to damage and require extra care. Placing them on top of heavy items in trays for cleaning ensures that they are not crushed or damaged by the weight of other instruments. This arrangement ensures that delicate instruments remain safe during the cleaning process, minimizing the risk of any damage.

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2
16.

Because Washer/Sterilizer units have a sterilization cycle, it is not necessary to thoroughly manually clean instruments prior to use.
- True
- False
Correct Answer

A. False

Explanation

The statement suggests that because Washer/Sterilizer units have a sterilization cycle, there is no need to manually clean instruments before using them. However, this statement is false. While Washer/Sterilizer units can effectively sterilize instruments, it is still important to thoroughly clean them manually before sterilization. Manual cleaning helps remove debris, organic material, and other contaminants that may interfere with the sterilization process. Therefore, manual cleaning is a necessary step to ensure proper sterilization and instrument safety.

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1
17.

The decontamination area should be designed to maintain positive air pressure to help contain contaminants inside the decontamination area.
- True
- False
Correct Answer

A. False

Explanation

The decontamination area should be designed to maintain negative air pressure to help contain contaminants inside the area. Positive air pressure would cause air to flow out of the decontamination area, potentially spreading contaminants to other areas.

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1
18.

Friction is one of the main principles of cleaning and is created by scrubbing an instrument in manual cleaning.
- True
- False
Correct Answer

A. True

Explanation

Friction is indeed one of the main principles of cleaning. When we scrub an instrument manually, the friction between the cleaning tool and the surface helps to remove dirt, stains, and debris effectively. The rubbing action generates heat and kinetic energy, which aids in dislodging particles and breaking down substances. Therefore, the statement "Friction is one of the main principles of cleaning and is created by scrubbing an instrument in manual cleaning" is true.

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1
19.

How often should temperature and humidity be recorded and documented?
- Hourly
- 2x's a day
- Daily
- Weekly
Correct Answer

A. Daily

Explanation

Temperature and humidity should be recorded and documented daily to ensure accurate and up-to-date information. Daily recordings allow for better monitoring of any fluctuations or changes that may occur, which is crucial for maintaining optimal conditions in various settings such as laboratories, storage facilities, or even homes. Regular documentation also provides a reliable record for analysis and comparison over time, aiding in identifying patterns or potential issues that may arise.

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20.

The use of PPE (personal protective equipment) is NOT optional and is regulated by which government agency?
- OSHA / Occupational Safety and Health Administration
- CDC / Center for Disease Control
- APIC / Association for Professionals in Infection Control
- FDA / Food and Drug Administration
- Although PPE is mandatory, it is not regulated by a governing body. Rather, policies and procedures pertaining to PPE are created and enforced by the Hospital's "Standard Operating Procedure."
Correct Answer

A. OSHA / Occupational Safety and Health Administration

Explanation

The correct answer is OSHA / Occupational Safety and Health Administration. OSHA is a government agency that is responsible for regulating and enforcing workplace safety standards, including the use of personal protective equipment (PPE). They establish guidelines and regulations to ensure that workers are protected from hazards and have access to appropriate PPE. The statement provided in the question that PPE is not regulated by a governing body and is instead enforced by a hospital's standard operating procedure is incorrect.

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21.

This is defined as a fever producing agent. Using critical water is recommended for the final rinse of all medical devices to reduce the potential for this to form and re-contaminate instruments
- Fire bacteria
- Pyrogen
- Thermal microorganism
- Saturday Night Fever bacterium
Correct Answer

A. Pyrogen

Explanation

Pyrogen is the correct answer because it is defined as a fever producing agent. The use of critical water for the final rinse of medical devices is recommended to reduce the potential for pyrogen formation and re-contamination of instruments.

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22.

When brushing through a cannulated item, it is recommended to brush through with an appropriate size brush starting from the smallest end going towards the larger end
- True
- False
Correct Answer

A. True

Explanation

When brushing through a cannulated item, it is important to start with an appropriate size brush and begin from the smallest end, moving towards the larger end. This is because starting with a smaller brush ensures that it can pass through the narrower parts of the item without getting stuck. By gradually using larger brushes, the process becomes more efficient and effective in removing any debris or buildup within the cannulated item. Therefore, the statement is true.

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1
23.

Unless otherwise specified by the manufacturer, it is recommended that all components of a mechanical washer should be checked
- Hourly
- 2 times a day
- Daily
- Weekly
Correct Answer

A. Daily

Explanation

It is recommended to check all components of a mechanical washer daily unless otherwise specified by the manufacturer. Regular daily checks ensure that any potential issues or malfunctions can be identified and addressed promptly, preventing further damage or breakdowns. This regular maintenance practice helps to maintain the efficiency and longevity of the mechanical washer.

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5
24.

If an instrument is discovered to be damaged in the decontamination area, it is permissible to skip the complete decontamination process because it will be sent out for repair and not used on a patient.
- True
- False
Correct Answer

A. False

Explanation

It is not permissible to skip the complete decontamination process if an instrument is discovered to be damaged in the decontamination area, even if it will be sent out for repair and not used on a patient. The decontamination process is essential to ensure that all instruments are properly cleaned and sterilized to prevent the spread of infection. Skipping this process could lead to cross-contamination and compromise patient safety.

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25.

The drain basket in a mechanical washer should be cleaned whenever visibly dirty and
- Hourly
- 2 times a day
- Daily
- Weekly
Correct Answer

A. Daily

Explanation

The drain basket in a mechanical washer should be cleaned daily because it is important to maintain cleanliness and prevent any blockages or clogs. Daily cleaning ensures that any dirt, lint, or debris that accumulates in the drain basket is removed regularly, preventing it from building up and causing potential issues with the washer's drainage system. Regular cleaning also helps to maintain the efficiency and longevity of the washer, ensuring that it operates smoothly and effectively.

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1
26.

When a flexible endoscope fails a leak test, the endoscope should be removed from circulation immediately and sent out for repair.
- True
- False
Correct Answer

A. True

Explanation

If a flexible endoscope fails a leak test, it indicates that there is a problem with the endoscope's integrity and it is not safe to use. Therefore, it should be taken out of circulation immediately to prevent any potential harm to patients. Sending it out for repair ensures that the necessary repairs are made by a qualified professional before it can be used again.

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27.

What is the most important part of the disinfection or sterilization process?
- Thermal Disinfection
- Chemical Disinfection
- Pre-cleaning
- Cleaning
Correct Answer

A. Cleaning

Explanation

Cleaning is the most important part of the disinfection or sterilization process because it removes dirt, debris, and organic matter from surfaces. This step is crucial because disinfection or sterilization cannot be effective if the surfaces are not clean. Cleaning helps to reduce the number of microorganisms present and prepares the surface for further disinfection or sterilization methods. Without proper cleaning, the effectiveness of thermal or chemical disinfection methods may be compromised, leading to potential contamination and infection risks.

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28.

What should the humidity range be in the decontamination area?
- 0% - 20%
- 25% - 40%
- 30% - 60%
- 35% - 65%
Correct Answer

A. 30% - 60%

Explanation

The correct answer is 30% - 60%. This range of humidity is suitable for a decontamination area as it helps to prevent the growth of bacteria and other microorganisms. Humidity levels below 30% can cause the area to become too dry, which can lead to discomfort and irritation for individuals working in the area. On the other hand, humidity levels above 60% can create a moist environment that promotes the growth of mold and fungi, which can compromise the cleanliness and safety of the decontamination area. Therefore, maintaining a humidity range of 30% - 60% is essential for effective decontamination procedures.

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6
29.

Silicone mats should be removed prior to BOTH ultrasonic cleaning and automated cleaning
- True
- False
Correct Answer

A. True

Explanation

Silicone mats should be removed prior to both ultrasonic cleaning and automated cleaning because these cleaning methods involve the use of water, detergents, and high-pressure or high-frequency waves. Silicone mats are not designed to withstand these cleaning processes and may get damaged or cause damage to the equipment. Therefore, it is necessary to remove them before cleaning to ensure the effectiveness and safety of the cleaning process.

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30.

Another term for a cannulated item is
- Trocaric
- Lumen
- Endoscopic
- Tunnel
Correct Answer

A. Lumen

Explanation

A cannulated item refers to an item that has a hollow tube or channel running through it. This hollow tube or channel is known as the lumen. Therefore, lumen is another term used to describe a cannulated item.

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31.

Because flexible endoscopes do not become as visibly soiled as other instruments, it is permissible to use the same enzymatic detergent solution and cleaning brushes for multiple scopes.
- True
- False
Correct Answer

A. False

Explanation

Flexible endoscopes should not be cleaned with the same enzymatic detergent solution and cleaning brushes for multiple scopes, even if they do not appear visibly soiled. This is because there is still a risk of cross-contamination and the potential for transmission of infectious agents. Each scope should be cleaned and sterilized separately to ensure proper disinfection and reduce the risk of infection.

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32.

It is not necessary to clean the chamber of an ultrasonic after it is drained.
- True
- False
Correct Answer

A. False

Explanation

Cleaning the chamber of an ultrasonic is necessary even after it is drained. This is because even though the liquid is drained, there can still be residue or contaminants present on the surfaces of the chamber. These residues can accumulate over time and affect the effectiveness and efficiency of the ultrasonic cleaning process. Therefore, it is important to clean the chamber thoroughly to ensure optimal performance and maintain cleanliness.

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33.

If the water pH in decontamination is tested and the result is "4" that means the water is
- Alkaline
- Neutral
- Acidic
- Corrosive
Correct Answer

A. Acidic

Explanation

A pH value of 4 indicates that the water is acidic. The pH scale ranges from 0 to 14, with values below 7 indicating acidity. Therefore, a pH of 4 suggests that the water has a high concentration of hydrogen ions, making it acidic in nature.

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34.

Plastic trays are not recommended for use in an ultrasonic machine due to their natural ability to absorb ultrasonic waves.
- True
- False
Correct Answer

A. True

Explanation

Plastic trays are not recommended for use in an ultrasonic machine because they have the natural ability to absorb ultrasonic waves. This means that the plastic trays would hinder the effectiveness of the ultrasonic machine, as the waves would not be able to penetrate the trays properly. Therefore, it is true that plastic trays are not recommended for use in an ultrasonic machine.

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1
35.

Items with large visible chunks of bioburden can be placed directly into an ultrasonic cleaner because the process of cavitation will remove this soil.
- True
- False
Correct Answer

A. False

Explanation

Large visible chunks of bioburden cannot be placed directly into an ultrasonic cleaner because the process of cavitation, which involves the formation and implosion of tiny bubbles, is not effective in removing such soil. The ultrasonic cleaner is more suitable for removing smaller particles and contaminants. Therefore, the statement is false.

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1
36.

Which cleaning process would this item test?
- Ultrasonic Cleaner
- Washer/Disinfector
- Cart Washer
- Chemical Disinfector
Correct Answer

A. Ultrasonic Cleaner

Explanation

The correct answer is Ultrasonic Cleaner. An Ultrasonic Cleaner is a cleaning process that uses high-frequency sound waves to remove dirt and contaminants from items. It is commonly used in industries such as healthcare, electronics, and jewelry. This process is effective in cleaning delicate or intricate items that may be difficult to clean using traditional methods. It works by creating tiny bubbles in a cleaning solution that implode, generating high-energy waves that remove dirt and grime.

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2
37.

Which cleaning process would this item test?
- Sterilizer
- Washer/Disinfector
- Ultrasonic Cleaner
- Cart Washer
Correct Answer

A. Ultrasonic Cleaner

Explanation

This item would test the Ultrasonic Cleaner cleaning process. Ultrasonic cleaners use high-frequency sound waves to create tiny bubbles in a cleaning solution. These bubbles then implode, creating a scrubbing action that removes dirt, debris, and contaminants from the item being cleaned. This process is particularly effective for cleaning delicate or intricate items that are difficult to clean manually or with other cleaning methods.

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2
38.

Which of the following is NOT a core subject of the CBSPD certification exam?
- Anatomy and Physiology
- Microbiology
- Medical Terminology
- Hospital Administration
Correct Answer

A. Hospital Administration

Explanation

The CBSPD (Certification Board for Sterile Processing and Distribution) exam focuses on the knowledge and skills necessary for sterile processing technicians. The core subjects include Anatomy and Physiology (relevant to surgical instruments and the human body), Microbiology (for understanding sterilization and infection control), and Medical Terminology (to interpret instructions and understand instrument names). Hospital Administration, while important in a healthcare setting, is not a primary focus for sterile processing technicians.

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0
39.

In 2001 OSHA (Occupational Safety and Health Administration) required that ________ be confined and contained in impervious, leak-proof container.
- Enzymatic chemicals
- Sharps
- Acid based cleaning agents
- Discarded cleaning brushes
Correct Answer

A. Sharps

Explanation

In 2001, OSHA (Occupational Safety and Health Administration) implemented a regulation that required sharps to be confined and contained in an impervious, leak-proof container. This regulation was put in place to ensure the safety of workers and prevent injuries or infections that can result from accidental contact with sharps, such as needles or blades. By confining and containing sharps in a proper container, the risk of exposure to bloodborne pathogens and other hazardous materials is minimized.

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40.

Items do not need to be thoroughly rinsed after being ultrasonic cleaned if they are going to be mechanically washed
- True
- False
Correct Answer

A. False

Explanation

Items do need to be thoroughly rinsed after being ultrasonic cleaned, even if they are going to be mechanically washed. Ultrasonic cleaning uses high-frequency sound waves to remove dirt and debris from items, but it does not remove all contaminants. Rinsing is necessary to ensure that any remaining residue or cleaning solution is completely removed before the items are mechanically washed.

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2
41.

Kerrison Rongeurs that can not be opened for cleaning should treated as a single use item and discarded immediately.
- True
- False
Correct Answer

A. False

Explanation

Kerrison Rongeurs that cannot be opened for cleaning should not be treated as a single-use item and discarded immediately. This implies that they can be reused after cleaning.

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1
42.

AORN recommends the endoscopes be stored in what type of cabinet
- Closed
- Open
- Closed/Vented
- Open/Vented
Correct Answer

A. Closed/Vented

Explanation

AORN recommends that endoscopes be stored in closed/vented cabinets. This is because closed cabinets provide protection from dust, debris, and potential contaminants that could compromise the cleanliness and sterility of the endoscopes. However, it is also important for the cabinets to be vented to allow for proper air circulation and prevent the buildup of moisture, which could lead to the growth of bacteria or mold. Therefore, closed/vented cabinets offer the optimal storage environment for maintaining the integrity and cleanliness of endoscopes.

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43.

To ensure that cleaning equipment is in good working order, all equipment used for cleaning should be maintained with a ________ program
- Preventative Maintenance
- Equipment Maintenance
- Scheduled Service
- Equipment Refurbishment
Correct Answer

A. Preventative Maintenance

Explanation

Preventative maintenance is the correct answer because it refers to the regular inspection, cleaning, and repair of equipment to prevent breakdowns and ensure its proper functioning. By implementing a preventative maintenance program, cleaning equipment can be regularly checked and maintained to avoid any potential issues or malfunctions. This helps to extend the lifespan of the equipment, improve its efficiency, and minimize the risk of unexpected breakdowns or failures during cleaning operations.

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44.

What is defined as "groups or collections of microorganisms and extracellular material that adhere to the surface of any object and are protected by a slimy film (polysaccharides)
- Biofilm
- Bioburden
- MRSA (Methicillin-resistant Staphylococcus aureus)
- Gram-Positive Bacteria
Correct Answer

A. Biofilm

Explanation

Biofilm is defined as groups or collections of microorganisms and extracellular material that adhere to the surface of any object and are protected by a slimy film (polysaccharides).

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45.

The pH of cleaning solution should be between
- 4-7
- 5-8
- 7-9
- 9-10
Correct Answer

A. 7-9

Explanation

The pH of a cleaning solution should be between 7-9. This range is considered optimal for cleaning because it allows for effective removal of dirt and stains without causing damage to the surfaces being cleaned. Solutions with a pH below 7 are acidic and may be too harsh, while solutions with a pH above 9 are alkaline and may leave residue or cause discoloration. Therefore, a pH range of 7-9 strikes a balance between effectiveness and safety for most cleaning applications.

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46.

All of the following components should be removed prior to cleaning rigid sterilization containers EXCEPT
- Lid
- Filters
- Filter Retention Plates
- Chemical Indicators, Locks, Load Cards
- Handles
Correct Answer

A. Handles

Explanation

Handles should not be removed prior to cleaning rigid sterilization containers. Handles are an essential component of the container and are necessary for handling and transporting the container safely. Removing the handles would make it difficult to move the container and could potentially cause damage or accidents. Therefore, handles should be left intact during the cleaning process.

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47.

________ is defined as the "removal of contamination from an item to the extent necessary for further processing or for the intended use."

Correct Answer
Cleaning

Explanation
Cleaning is the process of removing contamination from an item to the extent necessary for further processing or for the intended use. This involves the removal of dirt, dust, germs, stains, or any other unwanted substances from the surface or interior of the item. Cleaning is important to maintain hygiene, prevent the spread of diseases, and ensure the item functions properly.

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48.

What is the policy regarding the use of saline on surgical instruments for soaking?
- The use of saline is acceptable as long as instrumentation is removed from the solution and rinsed within 10 minutes.
- The use of saline is acceptable because the sodium will make it easier to remove blood, film, and proteins from the surface of the instrument.
- The use of saline is not acceptable because the sodium will cause blood and tissue to harden on the instruments.
- The use of saline is not acceptable because it can damage the surface of the instrument.
Correct Answer

A. The use of saline is not acceptable because it can damage the surface of the instrument.

Explanation

The correct answer is that the use of saline is not acceptable because it can damage the surface of the instrument. Saline is a solution of sodium chloride, and the sodium can cause corrosion or pitting on the surface of the instrument. This can compromise the integrity of the instrument and make it less effective or even unsafe to use during surgery. It is important to use appropriate cleaning and sterilization methods for surgical instruments to ensure their safety and effectiveness.

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3
49.

What are the two types of water used in processing?
- Utility water
- Acidic water
- Alkaline water
- Critical water
Correct Answer(s)

A. Utility water
A. Critical water

Explanation

The two types of water used in processing are utility water and critical water. Utility water refers to the water that is used for general purposes such as cleaning, heating, and cooling. Critical water, on the other hand, is a specialized type of water that is used in critical processes where high purity is required, such as in pharmaceutical or electronic manufacturing.

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St. Mark's Cbspd Certification Training / Chapter 5- Decontamination

Whenever the detergent solution is changed, the sink basin should be cleaned before it is refilled.

Quiz Preview

All instrumentation and devices received from another facility or company or owned and brought in by a surgeon for a case must be considered contaminated and should be completely reprocessed.

Soiled items should be transported immediately to the decontamination are for processing to prevent blood, body fluids, and other contaminants from drying on the surfaces.

Written procedures should be developed for the cleaning of instrumentation. They should be consistent with device manufacturers' instructions and should address specific aspects of processing, such as disassembly for cleaning and inspection for cleanliness

Wearing jewelry and having long fingernails is acceptable in the decontamination area because you are wearing gloves and therefore poses no risk of contamination

When transporting contaminated items, what type of label should be used to alert personnel that they contain potentially biohazardous materials?

What does the acronym IFU stand for?

Water pH can affect the efficacy of the detergents and disinfectants used in processing

Because steam is known to leave residuals that build up over time, it is recommended that rigid containers are cleaned after every use according to manufacture recommendations

The process by which ultrasonic cleaners work is called

How many air exchanges per hour should the decontamination area have?

Only the parts of an instrument that come into direct contact with the patient must come into contact with a cleaning agent. Cleaning only the working part of an instrument is an acceptable way to save time during the cleaning process.

The best type of detergent used in mechanical washers should be

The relative acidity or alkalinity of a solution is referred to as its

To prevent damage to instruments, these types of instruments should always be placed on top of heavy items when they are being sorted into trays for cleaning

Because Washer/Sterilizer units have a sterilization cycle, it is not necessary to thoroughly manually clean instruments prior to use.

The decontamination area should be designed to maintain positive air pressure to help contain contaminants inside the decontamination area.

Friction is one of the main principles of cleaning and is created by scrubbing an instrument in manual cleaning.

How often should temperature and humidity be recorded and documented?

The use of PPE (personal protective equipment) is NOT optional and is regulated by which government agency?

This is defined as a fever producing agent. Using critical water is recommended for the final rinse of all medical devices to reduce the potential for this to form and re-contaminate instruments

When brushing through a cannulated item, it is recommended to brush through with an appropriate size brush starting from the smallest end going towards the larger end

Unless otherwise specified by the manufacturer, it is recommended that all components of a mechanical washer should be checked

If an instrument is discovered to be damaged in the decontamination area, it is permissible to skip the complete decontamination process because it will be sent out for repair and not used on a patient.

The drain basket in a mechanical washer should be cleaned whenever visibly dirty and

When a flexible endoscope fails a leak test, the endoscope should be removed from circulation immediately and sent out for repair.

What is the most important part of the disinfection or sterilization process?

What should the humidity range be in the decontamination area?

Silicone mats should be removed prior to BOTH ultrasonic cleaning and automated cleaning

Another term for a cannulated item is

Because flexible endoscopes do not become as visibly soiled as other instruments, it is permissible to use the same enzymatic detergent solution and cleaning brushes for multiple scopes.

It is not necessary to clean the chamber of an ultrasonic after it is drained.

If the water pH in decontamination is tested and the result is "4" that means the water is

Plastic trays are not recommended for use in an ultrasonic machine due to their natural ability to absorb ultrasonic waves.

Items with large visible chunks of bioburden can be placed directly into an ultrasonic cleaner because the process of cavitation will remove this soil.

Which cleaning process would this item test?

Which cleaning process would this item test?

Which of the following is NOT a core subject of the CBSPD certification exam?

In 2001 OSHA (Occupational Safety and Health Administration) required that ________ be confined and contained in impervious, leak-proof container.

Items do not need to be thoroughly rinsed after being ultrasonic cleaned if they are going to be mechanically washed

Kerrison Rongeurs that can not be opened for cleaning should treated as a single use item and discarded immediately.

AORN recommends the endoscopes be stored in what type of cabinet

To ensure that cleaning equipment is in good working order, all equipment used for cleaning should be maintained with a ________ program

What is defined as "groups or collections of microorganisms and extracellular material that adhere to the surface of any object and are protected by a slimy film (polysaccharides)

The pH of cleaning solution should be between

All of the following components should be removed prior to cleaning rigid sterilization containers EXCEPT

________ is defined as the "removal of contamination from an item to the extent necessary for further processing or for the intended use."

What is the policy regarding the use of saline on surgical instruments for soaking?

What are the two types of water used in processing?