Question 1

Pasteurization is a commonly used method to sterilize critical and surgical instrumentation.

Accepted Answer

A) True 
 B)False  False

Question 2

The surgical services central processing department (CPD or SPD)is usually located close to the main OR to minimize the potential for cross-contamination of soiled and clean instruments and supplies.

Accepted Answer

A) True 
 B)False  True

Question 3

Instruments may be immersed in which of the following solutions?

Accepted Answer

A) Ethyl alcohol 
B) Distilled water 
C) Saline solution 
D) Chlorhexidine 
A) Ethyl alcohol 
B) Distilled water 
C) Saline solution 
D) Chlorhexidine B

Question 4

For a chemical disinfectant to be labeled for use in a hospital,it should be effective against which organisms?

Accepted Answer

A) Viruses 
B) Pseudomonas 
C) Pseudomonas, Staphylococcus aureus, and salmonella 
D) Gram negative bacteria only 
A) Viruses 
B) Pseudomonas 
C) Pseudomonas, Staphylococcus aureus, and salmonella 
D) Gram negative bacteria only

Question 5

Disinfection is the same as sterilization.

Accepted Answer

A) True 
 B)False

Question 6

High-level disinfection is not effective against Creutzfeldt-Jakob disease (CJD).

Accepted Answer

A) True 
 B)False

Question 7

When instruments need repairing,OR personnel may sharpen or repair surgical instruments as needed.

Accepted Answer

A) True 
 B)False

Question 8

All instruments with moving parts should just be opened and closed to see if they still work after cleaning.

Accepted Answer

A) True 
 B)False

Question 9

What is glutaraldehyde used for?

Accepted Answer

A) Disinfectant for endoscopes and lensed instruments 
B) Housekeeping 
C) Low-level disinfectant 
D) Used on wet instruments for cleaning 
A) Disinfectant for endoscopes and lensed instruments 
B) Housekeeping 
C) Low-level disinfectant 
D) Used on wet instruments for cleaning

Question 10

Which disinfectant is safe to use for housekeeping purposes?

Accepted Answer

A) Formaldehyde 
B) Alcohol and chlorine compounds 
C) Glutaraldehyde 
D) Ethylene oxide 
A) Formaldehyde 
B) Alcohol and chlorine compounds 
C) Glutaraldehyde 
D) Ethylene oxide

Question 11

Which is an advantage of using disposable products in the OR?

Accepted Answer

A) Disposable products are used once with an assurance of safety and effectiveness. 
B) Disposable products decrease the amount of biodegradable waste produced by the OR. 
C) Cross-contamination is inevitable. 
D) A defect in one may mean the entire lot is defective. 
A) Disposable products are used once with an assurance of safety and effectiveness. 
B) Disposable products decrease the amount of biodegradable waste produced by the OR. 
C) Cross-contamination is inevitable. 
D) A defect in one may mean the entire lot is defective.

Question 12

Which disinfectant contains detergent properties and causes the gradual alteration of cell membranes to produce leakage of protoplasm of some microorganisms?

Accepted Answer

A) Iodophors 
B) Phenolic compounds 
C) Quaternary ammonium compounds 
D) Enzymatic detergent 
A) Iodophors 
B) Phenolic compounds 
C) Quaternary ammonium compounds 
D) Enzymatic detergent

Question 13

The washer-decontaminator goes through which of these phases?

Accepted Answer

A) Sterilization 
B) Distillation 
C) Neutral rinsing 
D) Inspection 
A) Sterilization 
B) Distillation 
C) Neutral rinsing 
D) Inspection

Question 14

Critical disposable items should not be reprocessed for use in a surgical procedure.

Accepted Answer

A) True 
 B)False

Question 15

What are the levels of disinfection?

Accepted Answer

A) High level, medium level, end level 
B) High level, intermediate level, low level 
C) High level, semi-high, low level 
D) High level, medium level, low level 
A) High level, medium level, end level 
B) High level, intermediate level, low level 
C) High level, semi-high, low level 
D) High level, medium level, low level

Question 16

What is the purpose of prerinsing or presoaking instruments after use?

Accepted Answer

A) To prevent blood and debris from drying on instruments 
B) To prevent the instruments from rusting 
C) To soften and remove dried blood and debris 
D) To eliminate the need for cleaning them before sterilization 
A) To prevent blood and debris from drying on instruments 
B) To prevent the instruments from rusting 
C) To soften and remove dried blood and debris 
D) To eliminate the need for cleaning them before sterilization

Question 17

Boiling water is an effective physical disinfectant used to kill spores.

Accepted Answer

A) True 
 B)False

Question 18

An ultrasonic cleaner sterilizes the instruments placed in it similar to a washer-sterilizer.

Accepted Answer

A) True 
 B)False

Question 19

When cleaning instrument surfaces,it is acceptable to use wire brushes or scouring pads in order to thoroughly clean the debris from the instrument.

Accepted Answer

A) True 
 B)False

Question 20

At what temperature does the washer-sterilizer reach to ensure safe handling for employees?

Accepted Answer

A) 110° F (43.3° 
C)  
B) 250° F to 280° F (121° C to 138° 
C)  
C) 140° F (60° 
C)  
D) 180° F (82° 
C)  
A) 110° F (43.3° 
C)  
B) 250° F to 280° F (121° C to 138° 
C)  
C) 140° F (60° 
C)  
D) 180° F (82° 
C)

Exam 17: Decontamination and Disinfection

Pasteurization is a commonly used method to sterilize critical and surgical instrumentation.

The surgical services central processing department (CPD or SPD)is usually located close to the main OR to minimize the potential for cross-contamination of soiled and clean instruments and supplies.

Instruments may be immersed in which of the following solutions?

For a chemical disinfectant to be labeled for use in a hospital,it should be effective against which organisms?

Disinfection is the same as sterilization.

High-level disinfection is not effective against Creutzfeldt-Jakob disease (CJD).

When instruments need repairing,OR personnel may sharpen or repair surgical instruments as needed.

All instruments with moving parts should just be opened and closed to see if they still work after cleaning.

What is glutaraldehyde used for?

Which disinfectant is safe to use for housekeeping purposes?

Which is an advantage of using disposable products in the OR?

Which disinfectant contains detergent properties and causes the gradual alteration of cell membranes to produce leakage of protoplasm of some microorganisms?

The washer-decontaminator goes through which of these phases?

Critical disposable items should not be reprocessed for use in a surgical procedure.

What are the levels of disinfection?

What is the purpose of prerinsing or presoaking instruments after use?

Boiling water is an effective physical disinfectant used to kill spores.

An ultrasonic cleaner sterilizes the instruments placed in it similar to a washer-sterilizer.

When cleaning instrument surfaces,it is acceptable to use wire brushes or scouring pads in order to thoroughly clean the debris from the instrument.

At what temperature does the washer-sterilizer reach to ensure safe handling for employees?

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions implants and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

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Urologic Surgery

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