Question 1

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

Accepted Answer

A) True 
 B)False  True

Question 2

Which one is an action completed in an OR's processing department to ensure that instruments are safe to handle?

Accepted Answer

A)  Storing 
B)  Ionizing 
C)  Distilling 
D)  Rinsing 
A)  Storing 
B)  Ionizing 
C)  Distilling 
D)  Rinsing D

Question 3

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

Accepted Answer

A) True 
 B)False  False

Question 4

Disinfection is the same as sterilization.

Accepted Answer

A) True 
 B)False

Question 5

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 6

Which is an example of bioburden?

Accepted Answer

A)  Pollen 
B)  Human tissue 
C)  Chemical sanitizers 
D)  Ethyl alcohol 
A)  Pollen 
B)  Human tissue 
C)  Chemical sanitizers 
D)  Ethyl alcohol

Question 7

Name a method of surgical instrument disinfection.

Accepted Answer

A)  Manual wiping with a chemical-impregnated cloth or sponge 
B)  Soaking by total immersion in betadine solution 
C)  Soaking tips of used instruments in saline solution 
D)  Rinsing in tap water 
A)  Manual wiping with a chemical-impregnated cloth or sponge 
B)  Soaking by total immersion in betadine solution 
C)  Soaking tips of used instruments in saline solution 
D)  Rinsing in tap water

Question 8

Personal protective equipment must be worn when cleaning instruments to prevent contact with accidental spray from contaminated body fluids and chemical cleaning solutions.

Accepted Answer

A) True 
 B)False

Question 9

It is acceptable to use a hemostat rather than a needle holder to place or remove a blade from its scalpel handle.

Accepted Answer

A) True 
 B)False

Question 10

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 11

Which is a property of ethyl or isopropyl alcohol?

Accepted Answer

A)  Nonstaining 
B)  Effectiveness increases when it evaporates 
C)  Can be used on lensed instruments with cement mountings 
D)  Is sporicidal 
A)  Nonstaining 
B)  Effectiveness increases when it evaporates 
C)  Can be used on lensed instruments with cement mountings 
D)  Is sporicidal

Question 12

Which is one proper way to mark an instrument for identification before being put into service?

Accepted Answer

A)  Identification codes or numbers are etched into the instrument handle. 
B)  Names or numbers are engraved in the handles or teeth. 
C)  Numbers or codes are lasered onto an instrument. 
D)  Names or numbers are carved into an instrument handle. 
A)  Identification codes or numbers are etched into the instrument handle. 
B)  Names or numbers are engraved in the handles or teeth. 
C)  Numbers or codes are lasered onto an instrument. 
D)  Names or numbers are carved into an instrument handle.

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

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

Accepted Answer

A) True 
 B)False

Question 15

Which is a disadvantage of using ultraviolet (UV)irradiation as a means of disinfection?

Accepted Answer

A)  The rays can kill selective vegetative bacteria,fungi,and lipoprotein viruses. 
B)  UV rays may cause skin burns. 
C)  UV rays produce nonionizing radiant energy. 
D)  Pathogens have effective contact with the UV rays for destruction. 
A)  The rays can kill selective vegetative bacteria,fungi,and lipoprotein viruses. 
B)  UV rays may cause skin burns. 
C)  UV rays produce nonionizing radiant energy. 
D)  Pathogens have effective contact with the UV rays for destruction.

Question 16

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

Accepted Answer

A) True 
 B)False

Question 17

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 18

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 19

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

Question 20

Which is a semicritical item used in the OR?

Accepted Answer

A)  Blood pressure cuff 
B)  Needle holder 
C)  Bronchoscope 
D)  Breast implant 
A)  Blood pressure cuff 
B)  Needle holder 
C)  Bronchoscope 
D)  Breast implant

Exam 17: Decontamination and Disinfection

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

Which one is an action completed in an OR's processing department to ensure that instruments are safe to handle?

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

Disinfection is the same as sterilization.

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

Which is an example of bioburden?

Name a method of surgical instrument disinfection.

Personal protective equipment must be worn when cleaning instruments to prevent contact with accidental spray from contaminated body fluids and chemical cleaning solutions.

It is acceptable to use a hemostat rather than a needle holder to place or remove a blade from its scalpel handle.

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

Which is a property of ethyl or isopropyl alcohol?

Which is one proper way to mark an instrument for identification before being put into service?

The washer-decontaminator goes through which of these phases?

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

Which is a disadvantage of using ultraviolet (UV)irradiation as a means of disinfection?

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.

What are the levels of disinfection?

Instruments may be immersed in which of the following solutions?

Which is a semicritical item used in the OR?

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

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

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Vascular Surgery

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