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WorksheetsBv equipment & sterilization
Total questions: 122
Worksheet time: 1hrs 1mins
Which is true regarding care of instruments after a procedure?
Instruments should remain assembled until they have been cleaned.
Instruments should be kept moist with a towel, spray, or foam.
Instruments should be transported in the soaking mixture to keep them moist.
Once the instruments have been transported and PPE has been removed, the enzymatic mixture is discarded by a certified surgical technologist.
Crile, Kelly, Serot, Tonsil and Right Angles are what type of instruments?
Occluding (hemostatic) instruments (clamps)
Tissue forceps
Needle holders
Grasping instrument
What ophthalmic instrument is used to grasp the eyelid for the purpose of exposing a chalazion?
DesMarres
Jameson
Knapp
Serrefine
The following monitoring methods to verify air removal from a vacuum system sterilizer is?
Administrative testing
Biological testing
Bowie-Dick testing
Chemical testing
During a dilation and curettage (D&C), the surgeon uses which instrument to measure the location of the fundus of the uterus?
Hager dilator
Tenaculum
Uterine sound
Graves speculum
A patient undergoes a carpal tunnel release. The surgeon requests that a tourniquet is used. If the tourniquet time exceeds the recommended inflation time, how long should the tourniquet be let down prior to reinflation?
5 minutes
10 minutes
60 minutes
120 minutes
Which of the following instruments is also called a mastoid retractor?
Jansen
Jamison
Jorgenson
Joseph
How many suction outlets must an operating room suite have?
1
2
3
4
Lasers are identified by the media it uses to create a laser light. Media include gasses and solids. Which of the following uses a solid medium and is most often used in urological surgeries because it can fire through clear fluids?
Argon
CO2
Krypton
Nd: YAG
Which forceps is used to facilitate endotracheal intubation and sometimes to extract foreign bodies?
Allis
Magill
Macintosh
Miller
What is the minimum exposure time for sterilization in a gravity displacement steam sterilizer set at 121°C (250°F) for sterilization of wrapped instruments?
3 minutes
4 minutes
30 minutes
60 minutes
Which of the following is a catalyst that can facilitate the breakdown of organic materials such as blood?
Antiseptic
Germicide
Enzyme
Detergent
Which of the following statements about surgical contamination is true?
Keeping the packing materials moist will help prevent contamination if they are dropped.
Multiple team members handling a package will contribute to quality assurance.
Tears do not always pose a threat of contamination to a dropped object.
Damage to the seal can lead to airborne contamination.
Which of the following statements incorrectly describes how an instrument tray should be handled?
In sterile storage areas, light instrument trays should be stored on higher shelves.
In sterile storage areas, heavy instrument trays should be stored where they can be easily reached on middle shelves.
When removing heavy instrument trays, drag them across the shelf to get a good grasp on the handles.
Instrument tray shelving should not be under exposed plumbing.
When removing items from an autoclave chamber, the unsterile team member is required to:
Don a sterile gown and gloves before removing the item
Don sterile gloves incorporating the open glove technique and use transfer handles or oven mitts
Don sterile gloves while using a sterile towel to grasp the tray
Don disposable gloves while using a sterile towel and grasp the tray
Which of the following clamps is used on bowel tissue such as the colon?
Allen
Cooley
Heaney
Vorse-Webster
Which element in the alloy stainless steel allows instrumentation to resist corrosion?
Calcium
Carbon
Chromium
Potassium
Which of the following statements regarding surgeons skull caps is true?
In semi-restricted areas, equipment team members are not required to wear hair covers, skull caps, jackets, and shoes. Head covers are only required in restricted areas.
Surgeons/skull caps that do not sufficiently cover hair are not recommended due to the possibility of contributing to surgical site infections.
Surgical team members with facial hair are not required to wear any special equipment as long as they keep their hair groomed and tied back.
If a reusable cloth head cover is utilized, it should be put through the laundry service after every procedure.
The instrument used when the gynecologists examines the cervix is referred to as:
Cottle
Graves
Barraquer
Finocchietto
Which statement about soaking used instruments is correct?
Instruments can be soaked immediately following the procedure.
Instruments are soaked in saline.
Instruments are soaked in a 50/50 mixture of sterile water and saline.
Instruments are always soaked in a 50/50 mixture of sterile water with an enzymatic detergent.
Which of the following instruments would be most appropriate to use when placing a catheter inside of a cylindrical structure like a vessel?
Tubing forceps
Hemostat forceps
Sponge forceps
Needle holder
Which specialized instrument uses ultrasonic energy to cut and coagulate?
Resectoscope
Bipolar cautery
Harmonic scalpel
Endoshear
How should nested basins be prepared before sterilization?
The basins should simply be nested and wrapped.
Basins should not be nested prior to wrapping; they should be separated and sterilized individually.
Prior to nesting, an absorbent towel should be placed between the basins.
Prior to nesting, sponges should be placed between the basins.
What type of instrument finish is designed to prevent laser beam deflection?
Black or ebonized
Dull or satin
Polished or shiny
Tungsten carbide
Which of the following is true of muslin wrappers?
Two thicknesses of muslin must be used for each package.
Small holes and defects should be sewn.
The maximum storage life in a closed cabinet for an item wrapped in double thickness muslin is 21 days.
Only nonsequential wrapping should be used.
Which of the following disinfectant factors can corrode instruments?
High concentration of the disinfectant
Amount of bioburden
Disinfectant contact time
Disinfectant exposure time
Which of the following best describes exposure of a bacterial sample to the sterilization process to assess the lethality of the sterilization process?
Chemical indicator
Ethylene Oxide
Biological indicator with a process challenge device
Bacteriostatic
Which knife handle is akin to an X-Acto® knife, rounded, and designed to accommodate a variety of specialty blades?
Beaver
#3
#5
#7
Which piece of equipment is designed to break kidney stones or gallstones?
Echocardiography
Extracorporeal shock wave lithotripsy
Kidney, ureter, and bladder X-ray
Ultrasound
Which of the following is an advantage of gas sterilization over steam sterilization?
It is less time consuming.
It is safer than steam.
It is more effective.
It causes less damage to the items being sterilized.
Within the sterile processing department, cleaning is key. What statement is true regarding this cleaning process?
Instruments should be immersed at a temperature between 37° C and 44° C.
A temperature over 110° F may hyper activate the detergents.
Rinsing after soaking in cleanser is important because failing to do so will may ultimately lead to harm to patients.
Water temperatures that are too cold may cause coagulation, which makes it difficult to remove protein materials.
Which statement is true regarding double gloving?
There is a reduced number of tears to the innermost glove when a steel weave is used.
Using glove liner when double gloving significantly reduces the number of tears to the outer gloves.
When the gloves of the inner layer are colored, it is easier to detect perforations to both the inner and outer gloves.
The number of perforations to the inner glove is significantly less when a person double gloves.
Which of the following describes arch bars that are used to correct malocclusion of either the mandible or the maxilla?
Thick, rigid bars with hooks facing up for the mandible and down for the maxilla
Thin, malleable bars with hooks facing up for the mandible and down for the maxilla
Thin, malleable bars with hooks facing up for the maxilla and down for the mandible
Thick, rigid bars with hooks facing up for the maxilla and down for the mandible
The following instrument is designed for deep retraction, such as on the liver for an open cholecystectomy.
Army Navy
Green
Deaver
Harrington
Which anesthesia machine component absorbs carbon dioxide for the purpose of preventing the patient from rebreathing?
Bispectral index (BIS) monitor
Soda-lime canister
Vaporizer
Ventilator
What are the steps taken to ensure that the cycle of a flash sterilizer has met the recommended parameters of time and temperature?
Survey the employees to find out if there had been problems with the cycles earlier in the day
Verify and clarify through documentation that the cycle’s parameters were achieved
Since the sterilizer stopped on time, trust that parameters were accomplished
Review previous cycle printouts of the same sterilizer to use as a comparison
What pressure is required for flash sterilization of an unwrapped instrument at 132°C for 3-4 minutes?
15 lbs (psi)
20 lbs (psi)
27 lbs (psi)
35 lbs (psi)
Which of the following statements is true regarding wet packs?
Wet packs that have not been touched are considered sterile and safe to use.
Wet packs should be left to dry prior to use.
Wet packs are contaminated and must be repackaged prior to reprocessing.
Wet packs are contaminated but can be reprocessed without repackaging.
What is a disadvantage of steam sterilization?
Steam sterilization cannot be used on all items from surgery.
Steam sterilization can be used on all items used in surgery.
Steam sterilization is inexpensive.
Steam sterilization is safe, comparatively speaking.
In which method of skin grafting is an oscillating knife or oscillating handheld dermatome used?
Full-thickness skin graft
Split-thickness skin graft
Pedicle flaps
Heterografts
Which of the following elevators might be used to remove delicate septal tissue?
Cobb
Freer
Key
Lambotte
Which of the following uses a process referred to as cavitation?
Gravity displacement sterilizer
Moist heat sterilizer
Ultrasonic cleaner
Ethylene oxide sterilization
A high-level disinfectant that is used as a bactericide, viricide and sporicidal, often used in endoscopy units is:
Phenol
Alcohol
Glutaraldehyde
Ammonium compounds
Which of the following cannot be used as a sterilization wrap for ETO?
Muslin
Paper
Polyvinylchloride
Tyvek combination peel packs
Which of the following probing and dilating instruments is used to dilate the urethra?
Heaney
Hegar
Pratt
Van Buren
What type of agent in detergents can prevent spotting on instrumentation by combatting surface deposits?
Chelation agents
Emulsifiers
Enzymes
Surfactants
Which of the following is used to remove soil and small particles of organic material from instruments that are difficult to clean manually?
Wire brush
Gas sterilizer
Ultrasonic washer
Flash sterilization
Bioburden is physically removed from an item by what process?
Asepsis
Cleaning
Disinfection
Sterilization
Which statement is true regarding the process pertaining to decontamination of equipment?
Instruments that have a lumen should be suctioned out with a syringe.
Instruments are wiped clean with a saline moistened gauze.
Cleaning prior to sterilization is essential as presence of organic materials may block disinfecting chemicals.
As long as they were wiped with sterile water and sponges, all materials may be used again during the procedure.
When the surgical technologist has to move heavy equipment such as an operating table, they must employ proper body mechanics to avoid injury. Which of the following describes proper body mechanics in this scenario?
After unlocking the wheels of the table, pull the bed into its desired location.
After unlocking the wheels of the table, push the bed into its desired location.
After unlocking the wheels of the table, place the feet as far apart as possible to pull the bed into its desired location.
After unlocking the wheels of the table, spin the bed head to foot until the desired location is reached.
Which of the following is not a cause of steam sterilization failure?
Items have not been adequately cleaned.
Wrapped packages are placed tightly together on the autoclave tray.
Wraps have been applied to items tightly.
The autoclave strainer drain is clean and completely free of debris.
The blade of the harmonic scalpel attaches to the handpiece of a portable generator. This generator converts electrical energy into ultrasonic motion, allowing the blade to cut and coagulate. What is an advantage of the harmonic scalpel?
Needs a grounding pad
Damages tissues extensively
Creates charring but minimal plume
Produces deep coagulation
Which of the following processes is NOT used to evaluate whether air has been removed from a sterilizing unit such as a pre-vacuum steam sterilizer?
Bowie-Dick test
Dynamic air removal test (DART)
Class II chemical indicators
Process challenge device (PCD)
Considering the Spaulding classification system, hardware such as that used in spinal fusions, is classified:
Critical
Semi-critical
Noncritical
The Spaulding classification system is no longer used
Which of the following is commonly used to sterilize prepackaged single use equipment outside the hospital setting?
Steam sterilization
Plasma gas sterilization
Cobalt-60 radiation
Ozone sterilization
Which retractor is used to facilitate exposure during an AV fistula?
Gelpi
Beckman
Weitlaner
Olm
Which of the following statements describes the proper care of camera cords and fiberoptic cables?
Place camera cords and light cables flush on the bottom of instrument trays with the remaining instruments on top to keep them the cords flat.
Coil cords and cables tightly.
Secure camera cords and light cables on the back table with the instrument basket.
When removing cords and cables from source boxes, grasp them by their plugs, not their cable or cords.
Which of the following is used to expand the size of a procured skin graft?
Arch bars
Derma-carrier
Dermatome
Mesh grafter
Which catheter has a four-winged tip?
Robinson
Malecot
Foley
Fogarty
When monitoring the sterilization process, which of the following methods verify that an item or items have been exposed to a sterilant?
Administrative
Biological
Chemical
Mechanical
Which suture property would be helpful in a surgery that has a high risk of infection?
Low capillary action
High bioactivity
Low tensile strength
Smaller suture size
Which of the following should be done when using steam to sterilize rubber tubing?
Place a rubber band around the tubing to prevent unwinding
Leave a residual amount of distilled water inside the lumen of the tubing
Dry the lumen thoroughly before sterilization
Fold the tubing before wrapping
Moisture on a sterilized package causes contamination. What is the term for this contamination?
Refurbished
Compromised
Saturation
Strike-through
Which of the following is a standard of practice for packaging material and preparing items for steam sterilization?
All instruments with multiple parts should be reassembled before sterilization.
Instruments should be placed in a mesh-bottom or wire mesh basket lined with a nonwoven disposable wrapper.
A small amount of water should be left inside the instruments with a lumen when using steam or ETO sterilization.
The maximum recommended weight of a wrapped basin set is 7 pounds.
By which method are all microorganisms removed from surgical instruments?
Disinfection
Sanitization
Sterilization
Surgical brushing
Which of the following is a single-use 30-minute sterilization system for endoscopes?
ETO
STERIS
Ozone gas sterilization
Gravity displacement
Subsequent to decontamination, the process of instrument preparation begins. This occurs in the following sequence:
A. Inspection, reassembly, preparation
B. Preparation, reassembly, inspection
C. Reassembly, inspection, preparation
D. Inspection, preparation, reassembly
Which of the following pieces of equipment uses cavitation to loosen and remove tiny pieces of residual debris from instrumentation?
Washer disinfector
Washer decontaminator
Ultrasonic cleaner
Washer sterilizer
What is the Kerrison rongeur used to do?
Perform osteotomies
Apply staples
Hold obscuring tissue out of the line of sight
Cauterize vessels
Which nasogastric tube can be used to decompress the stomach prior to endotracheal intubation or for a drug overdose?
Gastrostomy tube
Nasointestinal tube
Salem sump
T-tube
Prevacuum flashing metal items with no lumen should have a temperature and time of:
270 degrees for 4 minutes
270 degrees for 3 minutes
270 degrees for 10 minutes
270 degrees for 15-20 minutes
Your patient is having a carotid endarterectomy. What device will be needed to measure electrical brain activity intra-operatively?
ECG
EKG
EEG
EMG
Which piece of equipment can assist surgeons in determining the precise location of tumors?
Computed axial tomography
Fluoroscopy
Image guidance system
Magnetic resonance imaging
Which of the following needle holders is used with sternal wires?
Berry
Crile-Wood
Heaney
Mayo-Hegar
With manual cleaning of instrumentation, which of the following is most appropriate for rinsing?
Cold tap water
Hot tap water
Distilled water
Normal saline
For glutaraldehyde to be used as a sterilant, items must be completely submerged for:
20 minutes
10 hours
14 days
28 days
The following is a spore-forming microorganism used as a biological monitor/indicator to demonstrate that the sterilizers being used are effective with instruments contained in a sealed container system:
Clostridium perfringens
Staphylococcus aureus
Bacillus stearothermophilus
Streptococcus pyogenes
Which of the following drains is used to treat hydrocephalus?
Carotid shunt
Coronary shunt
Javid shunt
Ventricular shunt
An ultrasound is used for diagnostics or as part of sterile instrumentation. Additionally, there is an ultrasonic washer sterilizer in the sterile processing department. Which solution is used to assist in the decontamination process?
Enzymatic cleaner
Normal saline
Betadine
Chlorhexidine
What statement regarding instrument testing devices is correct?
Scissor sharpness testers sharpen dull scissors.
Demagnetizers are used to magnetize needle-holders, so that sutures easily stay in the jaws better.
Magnifying lamps are designed for older people to use when inspecting instrumentation.
Insulation testers are used to test laparoscopic electrosurgical compatible instrumentation insulation.
The only steam sterilizer that can reach a high temperature in the least amount of time is:
Gravity sterilizer
Ultrasonic cleaner
Flash sterilizer
Washer sterilizer
Which of the following statements is true?
A. A package that is permeable is not considered contaminated when dropped if it does not tear.
B. When a package that is impermeable is dropped, it never leads to contamination.
C. A package that is permeable is always considered contaminated when dropped.
D. All facilities have protocols for disciplining a team member who drops an object on the floor.
Which part determines the length of an instrument?
Box lock
Finger rings
Ratchet
Shank
The Julian date signifies which of the following?
Date of sterilization
The sterilizer used
The load number
The cycle number
Which of the following incorrectly addresses immediate-use steam sterilization (IUSS)?
IUSS is considered acceptable if a facility does not have enough of a particular instrument or instrument tray.
Items that have undergone IUSS must be used immediately after processing.
IUSS sterilizers should be tested at least once a week with biological monitors.
IUSS should be used when an item is needed urgently.
Which of the following thoracic instruments is considered a biopsy forceps?
Finochietto
Tuffier
Jackson
Sarot
Identify the phase not shared by steam sterilizers.
Air removal
Conditioning
Exposure
Exhaust
Which of the following microorganisms is the biological indicator (BI) used to monitor steam sterilization?
Bacillus atrophaeus
Bacillus subtilus
Geobacillus atrophaeus
Geobacillus stearothermophilus
Which suture material is the most pliable, easy to tie, and easy to handle?
Silk
Polypropylene
Natural collagen (chromic gut)
Biopolymer
What is the term for manufactured cylindrical tubes that actively facilitate the drainage of fluids from within an organ?
Active catheters
Jackson-Pratt drains
Hemovacs
Passive catheters
Which of the following is a desired characteristic for a cleaning agent?
Foams well
Inexpensive
Abrasive enough to remove organic materials
Works against every kind of organic soil
Which of the following is true regarding reusable woven fabric gowns?
There is no limit to the number of times a gown can be reprocessed and reused as long as it is made from reusable woven fabric.
The sterilization process decreases the effectiveness of a barrier.
Small holes or thin stretched areas in gowns must not be patched.
Woven fabrics with a high-thread count are not considered an effective barrier after about 25 reprocessings.
Which statement is true regarding items that are wrapped when they fall to the floor?
The enclosed objects become contaminated only if a tear in the wrapping material occurs.
The enclosed objects are no longer valid for future use and should be properly discarded.
The enclosed objects become contaminated due to solid and liquid contaminants, but are not contaminated by air.
Enclosed objects can be removed from the package and undergo sterilization.
For which of the following is a loop electrode commonly used?
Lysis of adhesions
Episiotomy
Colectomy
Cervical excisions
Which statement accurately describes the dynamic air removal steam sterilization time/temperature relationship?
With gravity displacement steam sterilization, instruments should be sterilized for either 3 minutes at 270°F or 3 minutes at 275°F.
With gravity displacement steam sterilization, instruments should be sterilized for either 4 minutes at 270°F or 3 minutes at 275°F.
With dynamic air removal steam sterilization, instruments should be sterilized for either 4 minutes at 270°F or 3 minutes at 275°F.
With dynamic air removal steam sterilization, instruments should be sterilized for 10 minutes at 250°F, 15 minutes at 270°F, or 10 minutes at 275°F.
What is the minimum length of time required to kill spores by immersion in a 2% aqueous solution of glutaraldehyde?
10 minutes
20 minutes
10 hours
24 hours
Identify the speculum used to provide visualization of the nasal septum.
Auvard
Barraquer
Cottle
Graves
Which of the following is a patient-specific risk factor for a urinary tract infection?
Catheterization method
Male gender
Length of time of catheterization
Obesity
Which scissor has a pronounced curvature and is used in gynecological surgeries?
Littler
Jorgenson
Metzenbaum
Tenotomy
as the surgeon prepares to ligate a vessel, the surgical tech provides him/her with a right angle. what would be given to the surgical team next?
an additional clamping instrument
electrocautery pencil
a hemoclip and a suture scissor
a tie and suture scissor
which of the following handheld retractors would be on a breast tissue during a mastectomy procedure?
balfour
berens
gelpi
greenburg
as the frontline of defense in decontamination process, all instruments are rendered as free from debris and bioburden as possible by the surgical technologist. how should items such as suction tips be contaminated?
flushed with saline
flushed with sterile water
flushed with distilled water
stored in plastic peel packs
which of the following terms best describes the side to side movement of a robotic arm?
pitch
axis
yaw
roll
which of the following is the appropriate way to thread an eyed needle for a surgeon?
pass the suture from the inside of the needle curve to the outside with the short end of the thread extending 2 inches (5cm)
pass the suture from the outside of the curved needle to the inside with the short end of the thread extending 2 inches (5cm)
pass the suture from the inside of the curved needle to the outside with the short end of the thread extending 4 inches (10cm)
pass the suture from the outside of the curved needle to the inside with the short end of thread extending 4 inches (10cm)
which of the following should the surgical tech do to prevent the accumulation of condensate in nested basins?
seperate basins with a plastic sheet
separate basins with a towel
place basins upside down
do not nest basins
what is the ultrasonic washer an example of?
physical decontamination
bioburden
mechanical decontamination unit
washer sterilizer
what weight should instrument sets not exceed?
7 lbs
12 lbs
25 lbs
no weight limit
which of the following retractors is used to retract muscle and tissue through the cervical and lumbar approach to the spine?
scoville
cushing forcep
pituitary rongeur
richardson
according to the AST standards, which of the following statements is true?
all patients who are infected with bloodborne pathogens can be identified prior to any procedure
friction injuries may cause superficial breaks in the skin but do not pose a risk for infection
skin rashes do not pose a risk to skin integrity
gowns and gloves are also worn to prevent the infection of team members by the patient
the sterilization method that uses steam heated to 121-134 C under pressure for approximately 30 minutes is performed in which of the following devices?
steam bath
microwave
prevacuum sterilizer
autoclave
the surgical tech provides the first step in the cycle of decontamination. what should the surgical technologists do with any instrument that was not used in the case?
open the instruments, dissassemble them, ad place them in a tray that does not require an ultrasonic washer
place them with all the other instruments, regardless of their lack of contact with the patient
open the instruments, disassemble them, and place them with the dirty instruments
no special care is necessary for unused instruments.
what is the minimum air exchange rate in a decontamination area?
5 times per hour
10 times per hour
15 times per hour
20-25 times per hour
which forceps are commonly used during vascular and cardiac surgery?
debakey forceps
adson forceps
cushing forceps
brown forceps
which of the following is a low level disinfectant used on environmental surfaces?
glutareldehyde
phenol detergent
formalin
stabilized hydrogen peroxide
which of the following distinguishes sterilization?
bacteria population is reduced
bacteria population is unable to reproduce
bacteria reproduce at a slower rate
all bacterial forms are eliminated
the hulka pictured below is for what surgical procedure?
spine
pelvic laparoscopic
open appendectomy
orthopedic
patients at risk of life-threatening arrhythmias might undergo which of the following procedures?
intra-aortic balloon pump
internal cardio-defribrillator
pacemaker
ventricular assist device
what is the correct temperature and duration for steam sterilization?
100C (212F) for a minimum of 40 minutes
149C(300F) for a minimum of 10 minutes
37C (98.6F) for a minimum of 60 minutes
121 C (250F) for a minimum of 20 minutes
which of the following is recommended when using a high level disinfectant?
addition of hot diluent to the activated agent
rinsing items with saline before use
rinsing items with sterile distilled water before use
if probe covers have been used, the period of exposure to disinfectant can be reduced
what is small self retaining instrument commonly used in hand surgery?
bailey-gibbon
finochietto
heiss
parsonnet
which of the following statements is true?
an object wrapped in impermeable material is always considered contaminated
it is possible for an object wrapped in impermeable material to maintain sterility
if an impermeable package drops to the floor, the contents may be used if the floor where it was dropped is wet
if an impermeable package drops to the floor, it may be returned to storage for future utilization
of all these statements which one accurately describes the minimum time/temperature relationship for steam sterilization?
using dynamic air removal steam sterilization, wrapped instruments should be sterilized for 30 minutes at 250F
using gravity displacement steam sterilization, wrapped instruments should be sterilized a minimum of 15 minutes at 270 degrees and dried for 20-30 minutes
using gravity air displacement steam sterilization, wrapped instruments should be sterilized for 4 minutes at 270F
using gravity air displacement steam sterilization, wrapped instruments should be sterilized for 3 minutes at 275F
