Iahcsmm Practice Test

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

A.

preparation

B.

decontamination

C.

sterilization

Q.2) All medical terms consist of each of the following word elements: prefix, root and suffix.

A.

True

B.

False

Q.3) The purpose of a prefix is to alter or modify the meaning of the root element.

A.

True

B.

False

Q.4) There are two parts to the ear: the outer ear and the inner ear.

A.

True

B.

False

Q.5) A function of the digestive system is to convert food into energy for the body.

A.

True

B.

False

Q.6) The gastrointestinal tract is one portal of entry used by an infectious agent to enter a susceptible host.

A.

True

B.

False

Q.7) Which of the following is not an example of surgical aesepsis?

A.

sterilization of instruments

B.

asset management

C.

operating room techniques to prevent contamination of sterile instruments

Q.8) Given the word, “hemigastrectomy”, which element of that word is the root?

A.

hemi

B.

gastro

C.

ectomy

Q.9) Which of the following glands is located at the base of the brain and is considered the “master gland”?

A.

pituitary

B.

thyroid

C.

adrenal

Q.10) Which of the following is the circular opening of the eye which controls the amount of light which enters the eye?

A.

iris

B.

pupil

C.

cornea

Q.11) Cells are the basic units of all living organisms and are the smallest element that can live, grow and reproduce.

A.

True

B.

False

Q.12) A virus can move by means of its flagella.

A.

True

B.

False

Q.13) What type of bacteria develops spores?

A.

gram-positive

B.

gram-negative

C.

both of the above

Q.14) Bacteria that cause diseases are called

A.

aerobic

B.

thermophillic

C.

pathogenic

Q.15) What percentage of microorganisms are harmful to humans because they can grow at approximately human body temperature?

A.

1%

B.

2%

C.

3%

Q.16) What type of hepatitis vaccine is strongly recommended for most healthcare workers?

A.

hepatitis A

B.

hepatitis B

C.

hepatitis D

Q.17) Eliminating the infectious agent will interrupt the transmission of an infectious disease.

A.

True

B.

False

Q.18) In Central Service, the term, “customers” includes anyone who utilizes the departments services.

A.

True

B.

False

Q.19) The part of the cell that controls cell function is the:

A.

nucleus

B.

cytoplasm

C.

capsule

Q.20) Healthy people carry bacteria.

A.

True

B.

False

Q.21) Involuntary muscles

A.

work without consciousness

B.

work only when commanded

C.

are not necessary

Q.22) Rod-Shaped bacteria are classified as

A.

coccus

B.

bacillus

C.

anhydrous

Q.23) Air pressure in the decontamination area should be negative in relation to surrounding areas.

A.

True

B.

False

Q.24) In medical terminology, the purpose of a combining vowel is to:

A.

tell the primary meaning of a word

B.

enhance pronounciation

C.

make easier to spell

Q.25) Chemical indicators are FDA _____ devices.

A.

class I

B.

class II

C.

class III

Q.26) Watches and other jewelery should not be worn in the Central Service department work areas because:

A.

they harbor bacteria

B.

they are expensive

C.

they may be stolen

Q.27) Which of the following is a system used to treat the final rinse water used for cleaning?

A.

water conductivity

B.

reverse osmosis

C.

deionization

Q.28) Medical Device reporting is regulated by the:

A.

NFPA

B.

FDA

C.

EPA

Q.29) Microorganisms reproduce by a process called:

A.

repopulation

B.

binary fission

C.

bilateral reproduction

Q.30) Purified water should have a ph of _____.

A.

4.5-5.5

B.

5.5-6.5

C.

6.5-7.5

Q.31) Manufacturers of new Class I devices must obtain pre-market approval (PMA) from the FDA by submitting PMA applications with extensive test data to demonstrate the safety/effectiveness of their products.

A.

True

B.

False

Q.32) Which of the following can be removed from water when a reverse osmosis process is used?

A.

bacteria

B.

pyrogens

C.

endotoxins

D.

all the above

Q.33) Failure to perform soiled pickup round as scheduled can lead to equipment shortages.

A.

True

B.

False

Q.34) A mode of bacterial transmission that would take place when an infectious agent was transmitted through an intem such as food or water is called:

A.

contact

B.

common vehicle

C.

vector-borne

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

A.

OSHA

B.

AAORN

C.

FDA

Q.36) The main theory of Standard Precautions is that:

A.

Patients in high risk categories may be infectious

B.

Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not

C.

Patients diagnosed with a specific disease may be infectious

Q.37) When it is necessary to transport soiled items between facilities using a truck or van, facilities must consult U.S. Department of Transportation, as well as state and local laws for transporting biohazard items.

A.

True

B.

False

Q.38) Floors in the Central Service department should be:

A.

wet-mopped daily

B.

wet-mopped weekly

C.

swept daily

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

A.

infection protection

B.

infection control

C.

aesepsis

Q.40) Standards and regulations help set levels of ______ in Central Service departments

A.

quality

B.

safety

C.

effeciency

D.

all the above

Q.41) Healthcare Regulations and Standards provide consistency of departmental activities by outlining:

A.

minimal performance standards

B.

equal pay practices

C.

productivity time lines

D.

all the above

Q.42) Water softeners are used to remove ____ in the water.

A.

iron an pyrogens

B.

calcium and magnesium

C.

chloride and iron

Q.43) To impede the growth of bacteria, soil on used instruments should be allowed to dry.

A.

True

B.

False

Q.44)

It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves.

A.

True

B.

False

Q.45) The human resources tool that identifies major tasks performed by persons in specific positions is called a:

A.

job duty list

B.

job specification

C.

job description

Q.46) Bacteria that are often pathogenic to humans because they grow well at body temperature are called:

A.

mesophiles

B.

thermophiles

C.

anaerobic

Q.47) The largest customer of Central Service is:

A.

the ER

B.

the OR

C.

Material Management

Q.48) Which of the following is true about microorganisms?

A.

all microorganisms are harmful to humans

B.

microorganisms are necessary for life

C.

healthy humans do not carry microorganisms

Q.49) The organization that sets recommended practices and standards for sterilization is:

A.

AAMI

B.

FDA

C.

SGNA

Q.50) Detergents and disinfectants are virtually the same thing.

A.

True

B.

False

Q.51) Intermediate-level disinfectants can kill all bacterial spores.

A.

True

B.

False

Q.52) To achieve a reasonable level of disinfection, alocohol used as an intermediate-level disinfectant must remain in wet contact with the surface of the object being disinfected for a minimum of _______ minutes.

A.

2

B.

5

C.

8

Q.53) When using the pH scale, which of the following numbers would suggest the most alkaline?

A.

14

B.

1

C.

7

Q.54) 400 series stainless steel is also called Martensitic.

A.

True

B.

False

Q.55) All disinfectants can make something sterile.

A.

True

B.

False

Q.56) Items must be decontaminated before they are sterilized; they need to not be decontaminated before they are disinfected.

A.

True

B.

False

Q.57) When liquid chemical sterilants are labeled for use as both sterilant and high-level disinfectants, their use for sterilization requires a longer contact time.

A.

True

B.

False

Q.58) Instrument marking tape should be wrapped approximately _______ times around the device.

A.

1 to 1 1/2

B.

2 1/2 to 3

C.

1 1/2 to 2

Q.59) Which of the following statements is correct about powered surgical instruments?

A.

During processing, it is important that fluid does NOT enter the cable or handpiece

B.

Cables should be disconnected from the handpiece during processing

C.

Hoses that attach to pneumatic-powered instrument should not be sterilized

Q.60) The decision to sterilize or high-level disinfect a scope is based upon its use according to the Spaulding Classification System.

A.

True

B.

False

Q.61) These are used to break down fatty tissue on instrument:

A.

Protease enzymes

B.

Lipase enzymes

C.

Neutral pH cleansers

Q.62) Round-shaped bacteria are classified as

A.

coccus

B.

bacillus

C.

anhydrous

Q.63) Most endoscopes can be sterilized by high temperature.

A.

True

B.

False

Q.64) Gluteraldehyde and ortho-phthalaldehyde (OPA) solutions are both approved for the disinfection of endoscopes.

A.

True

B.

False

Q.65) Ortho-Phthalaldehyde (OPA) is classified as

A.

a low level disinfectant

B.

a high level disinfectant

C.

an enzyme

Q.66) Hospital equipment, such as IV pumps and feeding pumps should be decontaminated after each use

A.

true

B.

false

Q.67) When marking instruments, engraving is the method of choice.

A.

True

B.

False

Q.68) Which of the following is an example of regulated medical waste?

A.

discarded sterilization wraps

B.

blood soaked sponges

C.

general trash from surgery departments

Q.69) Which of the following statements about the use of mechanical washers is NOT true?

A.

multi-level trays should be separated

B.

all items should be washed on the same cycle

C.

instruments should be disassembled and opened

Q.70) Loaner instruments should:

A.

be decontaminated before use

B.

should not be used

C.

be sterilized using a low temperature process

Q.71) Which of the following statements about endoscopes is true?

A.

Not all endoscopes can be processed in an AER

B.

all endoscopes should be steam sterilized

C.

flexible endoscopes are not easily damaged

Q.72) All flexible endoscopes have internal channels.

A.

True

B.

False

Q.73) The biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning.

A.

True

B.

False

Q.74) Stainless steel jaw needle holders last longer than Tungsten Carbide jaw needle holders.

A.

True

B.

False

Q.75) Which type of fire extinguisher should be used on flammable liquids?

A.

Type A

B.

Type B

C.

Type D

Q.76) Which of the following is the most important factor necessary for teamwork?

A.

attitude

B.

promptness

C.

loyalty

Q.77) 100% ethylene oxide gas canisters should be stored:

A.

in a chemical storage cabinet

B.

outside the building

C.

in a refrigerator

Q.78) Which of the following surgical abbreviations might be used relating to a fractured bone?

A.

BSO

B.

CABG

C.

ORIF

Q.79) Single-use items and their packaging reduce the level of combustible loading in storage areas within a Central Service department.

A.

True

B.

False

Q.80) The average concentration of a chemical in the air to which a worker can be exposed over a particular period of time (usually eight hours) if referred to as a

A.

PEL

B.

TWA

C.

OSHA

Q.81) Since the types of surgeries performed are smaller, PPE is not required when cleaning instruments used in ambulatory surgery centers.

A.

True

B.

False

Q.82) Which of the following disinfectants is also known as a “wetting agent”?

A.

quarternary ammonium compunds (quats)

B.

phenolics

C.

alcohol

Q.83) A step in communication that occurs when a listener asks a question is called:

A.

stereotyping

B.

feedback

C.

interpretation

Q.84) Sterilization load recalls should only be made if patients develop infections.

A.

True

B.

False

Q.85) Low temperature sterilization processes are not used in ambulatory surgery centers.

A.

True

B.

False

Q.86) The relevant measurable characteristics of water are: hardness, purity, temperature and ________.

A.

contamination

B.

pH

C.

porousity

Q.87) Which of the following scissors is designed to have the sharpest cutting edge>

A.

black handled

B.

gold handled

C.

silver handled

Q.88) Which of the following is the most important priority?

A.

saving money

B.

helping patients

C.

completing assignments on time

Q.89) The unity of measure used to describe the amount of EtO in the air is called:

A.

TWA

B.

PPM

C.

PEL

Q.90) The safest way to transport a gas cylinder is to roll it across the floor.

A.

True

B.

False

Q.91) Legal behavior is defined as behavior relating to what is right or wrong.

A.

True

B.

False

Q.92) Which of the following information is NOT included on an MSDS sheet?

A.

special precautions

B.

required inventory levels

C.

product identification

Q.93) Positive reinforcement used to encourage employees to follow paper work practices and negative reinforcement to discourage inappropriate work practices is called:

A.

communications

B.

human relations

C.

coaching

Q.94) Implantable devices:

A.

should be flash sterilized in extended cycles

B.

should be discarded if not used

C.

should not be flash sterilized

Q.95) Customer complaints are best handled through which of the following approaches?

A.

empowerment

B.

service recovery

C.

uniform implementation of policies

Q.96) During instrument manufacture, the process of milking helps build a protective chromium oxide layer on each instruments surface.

A.

True

B.

False

Q.97) Repetitive motions are:

A.

ergonomic stressors

B.

WMSD injuries

C.

not a part of Central Service duties

Q.98) Risk management involves assessing and identifying risks and developing a program to reduce losses from exposure to those risks.

A.

True

B.

False

Q.99) Human relations and communication skills are only necessary for employees who deal with customers.

A.

True

B.

False

Q.100) Official inventory is generally included on the balance sheet as a current asset.

A.

True

B.

False

Q.101) The ________ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness, and/or death to the manufacturer and the FDA.

A.

OSHA patient safety act

B.

Safe medical devices act

C.

FDA equipment notification act

Q.102) The largest operating channel of an endoscope is the _____ channel.

A.

instrument (biopsy)

B.

suction (aspiration)

C.

air

Q.103) The inventory control method in which the supplier owns the inventory and does not charge the healthcare facility for it until it is used or lost is referred to as the __________ method.

A.

consignment

B.

safety stock

C.

stockless

Q.104) Which of the following tracking methods provides real time information?

A.

RFID

B.

standard bar code

C.

laser-etched bar codes

Q.105) Which of the following statements is correct?

A.

Patient care equipment tracking requires a computer

B.

Patient care equipment must only be tracked if its usage will be charged to patients

C.

Tracking patient care equipment can prevent equipment shortages

Q.106) 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.

A.

exchange cart

B.

requisition

C.

case cart

Q.107) Thermal disinfection is accomplished using:

A.

heated chemicals

B.

heated water

C.

heated Glutaraldehyde

Q.108) A failure mode and effects analysis looks backward at an event to help prevent its reoccurrence.

A.

True

B.

False

Q.109) When marking instruments, engraving is the method of choice.

A.

True

B.

False

Q.110) The joint commission uses routine and unannounced inspections to monitor standards in healthcare facilities.

A.

True

B.

False

Q.111) Which of the following requires preventive maintanence standards be established for medical equipment?

A.

OSHA

B.

Joint Commussion

C.

AORN

Q.112) Computerized tracking systems are fast, but manual tracking systems are more effective for tracking data.

A.

True

B.

False

Q.113) Which of the following would be the best choice for high level disinfection of instruments?

A.

phenolics

B.

chlorine

C.

OPA

Q.114) Having a low inventory service level would increase customer satisfaction.

A.

True

B.

False

Q.115) Which of the following systems provides supplies and instruments for individual surgical procedures?

A.

exchange cart

B.

case cart

C.

par-level

Q.116) Of the 3 major low temperature sterilants, ozone has the longest instrument turnaround time.

A.

True

B.

False

Q.117) The number of times per year that inventory is purchased, consumed, and replaced is called the inventory turnover rate.

A.

True

B.

False

Q.118) Wicking materials are used to:

A.

dry instruments before sterilization

B.

allow air removal, steam penetration and facilitate drying

C.

hold water away from the bottom of the tray

Q.119) Which of the following means “beside or near”?

A.

para

B.

peri

C.

parta

Q.120) This unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower body temperature.