CST Chapter 9 Quiz

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  • 1/25 Questions

    What is the preferred ph for detergents used for most cleaning processes

    • Low ph
    • High ph
    • Neutral ph
    • It depends on the water temp and exposure time
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CST Quizzes & Trivia
About This Quiz

The CST Chapter 9 quiz assesses knowledge on instrument care in surgical settings, focusing on cleaning processes, handling of medical waste, and proper use of equipment. It is designed for those preparing for professional certification in surgical technology.

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  • 2. 

    Which of the following is an example of regulated medical waste

    • Discarded sterilization wraps

    • Blood soaked sponges

    • Used copier toner cartridges

    • General trash from the the surgery department

    Correct Answer
    A. Blood soaked sponges
    Explanation
    Blood soaked sponges are an example of regulated medical waste because they are contaminated with blood and other potentially infectious materials. Regulated medical waste refers to any waste generated in healthcare facilities that may pose a risk of infection or injury to healthcare workers, patients, or the general public. Blood soaked sponges fall under this category as they can potentially transmit bloodborne pathogens and require special handling, storage, and disposal procedures to ensure the safety of everyone involved.

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  • 3. 

    Which of the following statements about the use of mechanical washers is not true

    • Multi level trays should be separated

    • Trays with lids should be opened

    • Instruments should be disassembled and opened

    • All items should be washed on the same cycle

    Correct Answer
    A. All items should be washed on the same cycle
    Explanation
    It is not true that all items should be washed on the same cycle. Different items may have different cleaning requirements, and washing them together on the same cycle may not effectively clean all items. It is important to separate multi-level trays, open trays with lids, and disassemble and open instruments to ensure thorough cleaning.

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  • 4. 

    Water must be degassed each time the ultrasonic cleaner's tank is changed because

    • Excess bubbles from filling reduce the energy of the cavitation process

    • Excess bubbles reduce the effectiveness of the detergent

    • Excess bubbles decrease the temp of the tank

    • Excess bubbles make it difficult to see items being cleaned

    Correct Answer
    A. Excess bubbles from filling reduce the energy of the cavitation process
    Explanation
    When the ultrasonic cleaner's tank is changed, it is necessary to degas the water because excess bubbles from filling the tank can reduce the energy of the cavitation process. Cavitation is the formation and collapse of tiny bubbles in the water due to the ultrasonic waves. These collapsing bubbles create shockwaves that help in the cleaning process. However, if there are excess bubbles present, they can interfere with the formation and collapse of new bubbles, reducing the overall energy and effectiveness of the cavitation process.

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  • 5. 

    Specialized clothing or equipment worn by an employee for protection against a hazard is called

    • Restricted apparel

    • Safety apparel

    • Hazard equipment

    • Personel protective equipment

    Correct Answer
    A. Personel protective equipment
    Explanation
    The correct answer is "personel protective equipment". This term refers to specialized clothing or equipment that is worn by employees to protect them from potential hazards in the workplace. This can include items such as helmets, goggles, gloves, and safety shoes. The purpose of personal protective equipment is to minimize the risk of injury or illness to the employee while performing their job duties.

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  • 6. 

    Written cleaning instructions for surgical instruments should be provided by

    • The mechanical washer manufacturer

    • The instrument manufacturer

    • The detergent manufacturer

    • The healthcare facility

    Correct Answer
    A. The instrument manufacturer
    Explanation
    The instrument manufacturer should provide the written cleaning instructions for surgical instruments because they are the ones who have the most knowledge and expertise about the specific instruments they produce. They understand the materials used, the design, and any special considerations that need to be taken into account during the cleaning process. Therefore, they are in the best position to provide accurate and comprehensive instructions to ensure proper cleaning and maintenance of the instruments, which is crucial for their longevity and optimal performance.

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  • 7. 

    Pyrogens

    • Are fever producing substances

    • Are microorganisms that have survived sterilization

    • Cause CJD

    • Are soil particles

    Correct Answer
    A. Are fever producing substances
    Explanation
    Pyrogens are substances that can induce fever in the body. They can be either produced by microorganisms or released by the body's own immune system in response to infection or inflammation. Pyrogens work by stimulating the hypothalamus, which regulates body temperature, to increase the body's temperature set point. This leads to a rise in body temperature, resulting in fever. Pyrogens can be endogenous (produced by the body) or exogenous (produced by microorganisms or other foreign substances). Therefore, the correct answer is that pyrogens are fever producing substances.

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  • 8. 

    Softened water

    • Increases the likihood of mineral scale deposits

    • Decreases the likelihood of mineral scale deposits

    • Is not compatible with detergents

    • Can cause rusting of metal instruments

    Correct Answer
    A. Decreases the likelihood of mineral scale deposits
    Explanation
    Softened water is water that has had its mineral content, such as calcium and magnesium, removed. These minerals are responsible for the formation of mineral scale deposits, which can clog pipes, appliances, and other water-using devices. Therefore, when water is softened, it decreases the likelihood of mineral scale deposits forming.

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  • 9. 

    The desired solution for cleaning instruments is

    • Soap

    • Steam

    • A disinfectant

    • A detergent

    Correct Answer
    A. A detergent
    Explanation
    A detergent is the desired solution for cleaning instruments because it is specifically designed to remove dirt, grease, and stains from surfaces. Detergents contain surfactants that help to break down and remove organic and inorganic contaminants effectively. They are also capable of emulsifying oils and suspending particles, making them an ideal choice for cleaning instruments. Soap, steam, and disinfectants may have their own cleaning properties, but a detergent is specifically formulated for thorough and effective cleaning of instruments.

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  • 10. 

    These are used to breakdown fatty tissue on instruments

    • Protease enzymes

    • Lipase enzymes

    • Amylase enzymes

    • Neutral ph cleaners

    Correct Answer
    A. Lipase enzymes
    Explanation
    Lipase enzymes are used to breakdown fatty tissue on instruments. Lipase is an enzyme that specifically targets and breaks down lipids or fats. This enzyme is effective in removing fatty residues from instruments, ensuring their cleanliness and proper functioning. Other enzymes like protease and amylase are not specifically designed to break down fats, and neutral pH cleaners may not be as effective in removing fatty tissue as lipase enzymes. Therefore, lipase enzymes are the most suitable option for this purpose.

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  • 11. 

    Instrument lubrication is preformed

    • Immediately before use

    • After sterilization

    • After cleaning

    • Before cleaning

    Correct Answer
    A. After cleaning
    Explanation
    Instrument lubrication is performed after cleaning to ensure that the instrument is properly cleaned and free from any debris or residue. Lubrication helps to maintain the functionality and smooth operation of the instrument by reducing friction between moving parts. Performing lubrication after cleaning also helps to prevent any contamination or buildup of dirt or bacteria on the instrument, ensuring its effectiveness and longevity. Sterilization is typically done after cleaning and lubrication to further ensure the instrument's cleanliness and safety for use.

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  • 12. 

    To prevent coagulatin of proteins water temp should be

    • Below 110

    • Above 110

    • Below 212

    • Below 75

    Correct Answer
    A. Below 110
    Explanation
    Coagulation of proteins refers to the denaturation or solidification of proteins, which can occur at high temperatures. To prevent coagulation, the water temperature should be kept below a certain threshold. The correct answer, "below 110," suggests that a temperature below 110 degrees Fahrenheit (or 43 degrees Celsius) is necessary to prevent protein coagulation.

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  • 13. 

    Detergents used in mechanical cleaners should be

    • Low alkaline

    • Low acid

    • Low temp

    • Low foaming

    Correct Answer
    A. Low foaming
    Explanation
    Mechanical cleaners, such as washing machines or dishwashers, often require detergents that do not produce excessive foam. This is because excessive foam can interfere with the mechanical cleaning process and may cause the machine to malfunction. Therefore, detergents used in mechanical cleaners should be low foaming to ensure effective cleaning without causing any operational issues.

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  • 14. 

    Aluminum items should be cleaned

    • Using circular motion

    • Using to and fro motion with the grain

    • Using a stiff metal brush

    • Using a water spray

    Correct Answer
    A. Using to and fro motion with the grain
    Explanation
    To clean aluminum items effectively, it is recommended to use a to and fro motion with the grain. This means moving the cleaning tool back and forth in the direction of the grain or texture of the aluminum surface. This technique helps to remove dirt and grime more efficiently while minimizing the risk of scratching or damaging the metal. Using circular motion or a stiff metal brush may cause scratches or marks on the aluminum surface, while using a water spray alone may not be sufficient to remove stubborn stains or debris.

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  • 15. 

    Powered surgical insrtuments

    • Can not be immersed

    • Can be immersed

    • Should be cleaned at the point of use

    • Should be cleaned using a mechanical washer

    Correct Answer
    A. Can not be immersed
    Explanation
    Powered surgical instruments cannot be immersed because they contain electrical components that can be damaged by water. Immersing these instruments in water can lead to malfunction or electrical hazards. Therefore, it is important to avoid immersing powered surgical instruments in order to maintain their functionality and safety.

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  • 16. 

    Instruments with lumens should be soaked in horizontal position

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement is false because instruments with lumens should be soaked in a vertical position, not a horizontal one. This is because soaking them horizontally can lead to the pooling of fluid in the lumens, making it difficult to effectively clean and disinfect them. Soaking the instruments vertically allows for proper drainage and ensures thorough cleaning and disinfection of the lumens.

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  • 17. 

    The mehcanical process by which an ultrasonic cleaner works in called cavitation

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The explanation for the correct answer is that cavitation is indeed the mechanical process by which an ultrasonic cleaner works. Cavitation refers to the formation and implosion of tiny bubbles in a liquid due to the rapid changes in pressure caused by the ultrasonic waves. These collapsing bubbles create intense shockwaves that help to dislodge dirt and contaminants from the surfaces being cleaned. Therefore, it is true that cavitation is the mechanism behind the functioning of an ultrasonic cleaner.

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  • 18. 

    To prevent aerosols items should be brushed below the surface of the water

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Brushing items below the surface of the water helps to prevent aerosols. When items are brushed below the water's surface, any potential aerosols or particles that may be present are less likely to become airborne. This reduces the risk of inhaling these particles, which can potentially contain harmful substances or pathogens. By keeping items submerged, the chances of aerosol transmission are minimized, making it an effective preventive measure.

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  • 19. 

    Automatic washers clean using a spray force action called impingement

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Automatic washers clean using a spray force action called impingement. This means that the water is sprayed with high pressure onto the clothes, creating a forceful impact that helps to remove dirt and stains. This process is effective in cleaning clothes thoroughly and is a common feature in most modern washing machines.

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  • 20. 

    Instruments received from surgery and tagged for repair do not need to be cleaned until they come back from repair

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement is false because instruments received from surgery and tagged for repair should be cleaned before sending them for repair. Cleaning the instruments is an essential step to remove any biological or organic material that may be present, preventing the spread of infection or contamination. Failure to clean the instruments before repair could lead to ineffective repairs or the spread of pathogens. Therefore, it is necessary to clean the instruments before they are sent for repair.

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  • 21. 

    Powered surgical instruments should be cleaned using a mechanical cleaning process

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement is false because powered surgical instruments should not be cleaned using a mechanical cleaning process. Instead, they should be manually cleaned using a combination of detergent, water, and a brush to remove any debris or organic material. Mechanical cleaning processes can potentially damage the instruments and may not effectively remove all contaminants. Therefore, it is important to follow the recommended manual cleaning process for powered surgical instruments.

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  • 22. 

    There are currently no methods available to verify cleaning process outcomes

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement is false because there are methods available to verify cleaning process outcomes. These methods may include visual inspection, testing the cleanliness of surfaces using swab or ATP testing, or using specialized equipment to measure the effectiveness of cleaning agents. By using these methods, one can determine whether the cleaning process has been successful in removing dirt, germs, or other contaminants.

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  • 23. 

    Infectious medical waste is regulated by the EPA

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Infectious medical waste refers to waste that is capable of causing an infectious disease. The Environmental Protection Agency (EPA) is responsible for regulating the management and disposal of such waste to ensure that it is handled safely and does not pose a risk to public health or the environment. Therefore, the statement that infectious medical waste is regulated by the EPA is true.

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  • 24. 

    Horizontal work surfaces in the decontamination area should be cleaned nd disinfected once per day

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The correct answer is False. The statement suggests that horizontal work surfaces in the decontamination area should be cleaned and disinfected once per day. However, this is not accurate. In reality, horizontal work surfaces in the decontamination area should be cleaned and disinfected more frequently, ideally after each use or at least multiple times throughout the day. This is crucial to maintain a clean and safe environment in the decontamination area and prevent the spread of contaminants.

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  • 25. 

    PPE should be changed immediately if it becomes soaked with blood or other infectious material

    • True

    • False

    Correct Answer
    A. True
    Explanation
    PPE (personal protective equipment) should be changed immediately if it becomes soaked with blood or other infectious material to prevent the spread of infection. Soaking of PPE indicates that it has been compromised and may no longer provide adequate protection. Changing the PPE promptly ensures the safety of the wearer and helps to minimize the risk of contamination.

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Mar 15, 2012
    Quiz Created by
    SamanthaBuechler

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