Deck 10: Decontamination, Sterilization, and Disinfection

Question 1

Which class includes indicators that respond to only one critical parameter with an exact value?

A) 2
B) 5
C) 1
D) 3

Answer 1

D

Question 2

There are three distinct phases in all types of steam sterilizers. __________ is when air is removed from the chamber and replaced with steam.

A) Conditioning
B) Exposure
C) Parameter
D) Indication

Answer 2

A

Question 3

The ultrasonic cleaner removes debris from instruments by a process called __________.

A) cavitation
B) agitation
C) osculation
D) both A and B

Answer 3

A

Question 4

Which class includes indicators that are the most exacting and accurate of all indicators and that react to all critical values over a specified range in the sterilization process?

A) 5
B) 4
C) 3
D) 2

Question 5

A _________________ is a paper strip or specially treated tape that changes color when exposed to a specific temperature.

A) wrapping paper
B) litmus paper
C) paper monitor
D) chemical indicator

Question 6

The temperature of the gas directly affects the penetration of items in the chamber. Operating temperatures range from ____________ for a "cold" cycle and ________ for a "warm" cycle.

A) 85° to 100° F and 130° to 145° F
B) 75° to 79° F and 130° to 145° F
C) 85° to 100° F and 100° to 125° F
D) 85° to 95° F and 100° to 115° F

Question 7

Power-driven surgical instruments (e.g., drills and saws) should be disassembled before ________________.

A) using them
B) semicritical cleaning
C) noncritical cleaning
D) steam sterilization

Question 8

___________________ is used to sterilize objects that cannot tolerate the heat, moisture, and pressure of steam sterilization.

A) Glutaraldehyde solution
B) Peracetic acid
C) Gas plasma
D) Ethylene oxide

Question 9

The recommended practice to damp dust the surgical lights, furniture, and fixed equipment in the operating suite is ___________.

A) at the end of the day
B) before the beginning of each shift
C) before each case of the day
D) before the first case of the day

Question 10

The phrase flash sterilization has been replaced by _____________ sterilization, in which unwrapped surgical equipment is sterilized by a high-vacuum steam sterilization method just before use.

A) just-in-time
B) quick
C) right on time
D) immediate-use steam sterilization-IUSS

Question 11

Because paper products are difficult or impossible to decontaminate, patient's charts, x-rays, and laboratory documentation should be ________.

A) left outside of the surgical suite
B) kept free from contamination
C) flash sterilized
D) immediately placed in plastic bags

Question 12

Class ____ indicators measure parameters. Examples include the Bowie-Dick and daily air-removal tests for the presence of pure air (no steam) in the sterilization chamber.

A) 4
B) 2
C) G
D) L

Question 13

Sterile instruments and supplies are loaded onto the ___________ before surgery and transported to the surgical suite.

A) case cart
B) elevator
C) personnel
D) conveyor

Question 14

Class _______ indicators are used for internal pack control of each cycle run, not for the overall performance of the sterilizer for all cycles.

A) 2
B) 6
C) 4
D) 5

Question 15

The ______________ sterilizer operates on the principle that air is heavier than steam.

A) dynamic
B) gravity displacement
C) unconditioned
D) preconditioned

Question 16

______________ items must be sterile. These items enter sterile tissue or the vascular system.

A) Semicritical
B) Noncritical
C) Critical
D) Low critical

Question 17

The Spaulding classification of reprocessing instruments and patient materials assigns three risk levels based on the specific region of the body where the device will be used. These levels are critical, semicritical, and ________.

A) noncritical
B) uncritical
C) ultra-critical
D) low-critical

Question 18

Two types of steam sterilizers are used in the clinical setting: __________.

A) gravity displacement and Sterrad
B) gravity displacement and dynamic
C) dynamic and internal
D) preconditioned and unconditioned

Question 19

The purpose of wrapping an item before sterilization is to protect it from _____________ after the sterilization process.

A) light
B) damage
C) infection
D) contamination

Question 20

Class ________ is represented by multivariable indicators that react to two or more parameters. An example is internal chemical indicators printed on a paper strip.

A) 4
B) 2
C) L
D) G

Question 21

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Decontamination
b.Disinfection
c.Sterilization
Used for anesthesia equipment, gastrointestinal endoscopes, bronchoscopes

Question 22

___________ is a skilled, certified profession that requires expertise in the science and practice of materials management, decontamination, and sterilization.

A) Certified Surgical Technologists
B) Sterile Processing Technicians
C) Enzymatic cleaner
D) High vacuum sterilizer

Question 23

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Must be sterile

Question 24

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Laryngoscopes, bronchoscopes, and endotracheal tubes

Question 25

The important factor to remember about ___________ is that they do not indicate sterility, only that certain conditions for sterility have been met.

A) indicators
B) Bowie-Dick tests
C) detergents
D) case cart systems

Question 26

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Include vascular and urinary catheters

Question 27

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Can include bed linens, crutches, tables

Question 28

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Come into contact with mucous membranes or nonintact skin

Question 29

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Decontamination
b.Disinfection
c.Sterilization
Used for surgical instruments, implants, and needles

Question 30

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Decontamination
b.Disinfection
c.Sterilization
Used for noncritical items

Question 31

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Decontamination
b.Disinfection
c.Sterilization
Process by which all microorganisms, including spores, are destroyed

Question 32

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Decontamination
b.Disinfection
c.Sterilization
Monitored by chemical and biological methods to ensure patient safety

Question 33

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Must be sterilized before use on a patient

Question 34

The ______________sterilizer pulls air from the chamber with vacuum force and replaces it with steam. As air is pumped into the chamber, steam enters in pulsed phases. Air is completely removed with positive and negative pressure pulses. As the pressure increases, so does the temperature of the steam inside the sterilizer.

A) dynamic air-removal (prevacuum)
B) gravity displacement
C) unconditioned
D) preconditioned

Question 35

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Not required to be sterile because they do not penetrate intact tissues

Question 36

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Decontamination
b.Disinfection
c.Sterilization
Uses steam, ethylene oxide, peracetic acid, or cobalt-60

Question 37

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Decontamination
b.Disinfection
c.Sterilization
Uses isopropyl alcohol 70% to 90%, glutaraldehyde, and iodophor solution

Question 38

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Objects that enter sterile tissue or the vascular system

Question 39

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Exposed to the skin but not mucous membranes

Question 40

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Critical items
b.Semicritical items
c.Noncritical items
Stethoscopes, blood pressure, and tourniquet cuffs