CER EXAM 2024-2025 WITH ACTUAL CORRECT, Exams of Nursing

Download CER EXAM 2024-2025 WITH ACTUAL CORRECT and more Exams Nursing in PDF only on Docsity! 1 | P a g e CER EXAM 2024-2025 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRANDNEW!!|LATEST UPDATE |GUARANTEED PASS After rinsing, but before disinfection, inner channels should be: A. Flushed with clear water B. Purged with air C. Bried D. All of the above B. Purged with air Water bottles should be cleaned: A. Atleast weekly B. Atleast daily C. Following the manufacturer's IFU D. Using a neutral PH disinfectant C. Following the manufacturer's IFU TRUE/FALSE: Borescopes are used to visually inspect the channels of endoscopes TRUE TRUE/FALSE: Testing for cleaning efficacy of the manual cleaning process should be performed at least weekly, but preferably daily. TRUE Cleaning equipment should be tested for cleaning efficacy: A. Upon installation B. After repair C. On a routine basis D. All of the above 2 | P a g e D. All of the above TRUE/FALSE: Automated cleaning is the most important step in removing microbial bioburden from a flexible endoscope FALSE TRUE/FALSE: Reusable cleaning brushes should be cleaned and disinfected at least once per shift FALSE TRUE/FALSE: Thorough manual cleaning must be performed before placing an endoscope into an automated equipment reprocessor TRUE TRUE/FALSE: Using poor technique or skipping leak testing can cause harm to the patient TRUE TRUE/FALSE: Damage to the endoscope lumens increases the risk that debris maybe left inside the endoscope after cleaning TRUE The use of a ____ during the endoscope inspection process allows the technician to inspect the inner channels of the endoscope: A. Magnifying lenses B. Borescope C. Microscope D. All of the above B. Borescope TRUE/FALSE: Using a venting cap during sterilization will cause the endoscope sheath to rupture FALSE When inspecting an endoscope light cord, broken light fibers can be detected by: A. By using a Borescope B. Small nicks in the sheath C. Black spots on the end of the cord D. Scratches in the lumens C. Black spots on the end of the cord Visual inspection of flexible endoscopes should occur: A. Before the procedure B. During the procedure C. After cleaning D. All of the above 5 | P a g e The HLD solution in an AER should be tested for the minimum effective concentration: A. Daily B. Each shift C. Before each use D. All of the above C. Before each use TRUE/FALSE: Most multi-part flexible endoscopes and their accessories must be disassembled for sterilization TRUE TRUE/FALSE: When the color of chemical indicator tape used to seal flat wrap changes, it indicates that the item is sterile FALSE TRUE/FALSE: Gas plasma sterilizers must be in an area physically separated from all other work area FALSE OSHA requires a method to alert employees to emergency situations for this type of low temperature low sterilizer: A. Ethylene oxide B. Hydrogen peroxide gas plasma C. Vaporized hydrogen peroxide D. All of the above A. Ethylene oxide Items being prepared for ethylene oxide sterilization should be: A. Clean B. Dry C. Compatible with Ethylene oxide D. All of the above D. All of the above TRUE/FALSE: All flexible endoscopes should have a ventilation adaptor or water resistant cap in place when undergoing ethylene oxide sterilization FALSE TRUE/FALSE: An effective way to dry endoscopes before ETO sterilization is to use heated forced air FALSE TRUE/FALSE: Peel pouches are an acceptable packaging material for ETO sterilization TRUE 6 | P a g e TRUE/FALSE: When running an ETO sterilizer, the load should be full unless their is a medical necessity to run a partially filled load TRUE TRUE/FALSE: A biological indicator should be runned in each ETO cycle TRUE When carrying flexible endoscopes, they should always be held at the: A. Distal end B. Proximal end C. Light cable connection area D. Control head D. Control head To prevent cross-contamination when handling a contaminated endoscope, it is important to use: A. Directional workflow B. Personal protective equipment C. Proper signage D. All of the above D. All of the above When valves are placed back on a flexible endoscope for storage: A. They trap moisture and facilitate microbial growth B. It helps ensure the valves are kept with the proper endoscope C. It keeps the valves from becoming lost D. All the above A. They trap moisture and facilitate microbial growth TRUE/FALSE: Flexible endoscope components that have been removed for cleaning should always be kept with the same endoscope because they will be easier to track TRUE TRUE/FALSE: Endoscopes should always be stored vertically FALSE TRUE/FALSE: Filtered air is used to help reduce the risk for contamination during storage TRUE TRUE/FALSE: When storing flexible endoscopes, the terms "expiration date" and "hang time" mean the same thing TRUE 7 | P a g e Flexible endoscopes that have received HLD should be reprocessed after a hang time of: A. 72 hours B. Seven days C. Five days D. Time should be determined by each facility D. Time should be determined by each facility The process of identifying all risks to and from an activity and assigning the potential impact of each risk is called: A. Quality control B. Continuous quality improvement C. Risk assessment D. Recall C. Risk assessment Sterilized flexible endoscopes should be stored: A. In the same manner as high-level disinfected endoscopes B. In closed cabinets C. On solid wire shelving in the sterile storage area D. In the same manner as other sterilized devices D. In the same manner as other sterilized devices Arthroscopes are used for surgeries on: A. Sinus cavities B. Ureters C. Pelvic organs D. Joints D. Joints TRUE/FALSE: The objective lense of a rigid endoscope is the strongest part of the endoscope FALSE Rod lenses of a rigid endoscope are made from: A. Fiber optics B. Reflective metal rods C. Glass D. Prisms C. Glass The ocular lense of a rigid endoscope is: A. At the distal end of the scope B. The closest lense to eye C. The farthest lense from the eye D. Can also be called a spacer 10 | P a g e C.FDA D. AAMI C. FDA The document "Essential Elements of a Reprocessing Program for flexible Endoscopes" was published by the: A.FDA B. EPA C. CDC D. ECRI Institute C. CDC Regulations and standards establish: A. Effective processing guidelines B. Minimum levels of safety and quality C. A method that has consistently that has shown superior results D. All the above B. Minimum levels of safety and quality This action is taken by the FDA when a medical device is defective or poses a health risk: A. Validation B. Citation C. 510(K) D. Recall D. Recall This agency requires manufacturers to provide IFUs with each product: A. OSHA B. AAMI C. FDA D. AORN C. FDA This regulatory department issues registration numbers for disinfectants: A. FDA B. EPA C. APIC D. AAMI B. EPA A method or technique that has consistently shown results superior to other means is a: A. Regulation B. official protocol 11 | P a g e C. Best practice D. Requirement C. Best practice Individual states may have regulations that are more, or less, stringent than federal regulations, however, when federal and state regulations differ, facilities must follow: A. The most stringent regulation B. Whichever regulation the facilities infection preventionist chooses C. The most recent regulation D. Whichever regulation fits with the manufacturers IFU A. The most stringent regulation This agency is responsible for the bloodborne pathogen standard: A. OSHA B. CDC C. DOT D. APIC B. CDC The non-profit organization that writes standards and technical information reports: A. CDC B. AORN C. APIC D. AAMI D. AAMI TEE probes are used for: A. Assessing the hearts function B. Insertion of heart catheter C. Visualizing the pulmonary structures D. All of the above A. Assessing the hearts function Soiled probes should be transported in: A. Closed carts B. Impermeable bags C. Basins with lids D. All of the above D. All of the above Small holes in probes: A. are okay if found on the cord section B. Pose no risk to patients 12 | P a g e C. Can allow fluid invasion D. Means the probe cannot be cleaned C. Can allow fluid invasion Endo-cavity probes should be HLD: A. immersing the handle and head B. No HLD is needed if a sheath was used during procedure C. Immersed in an AER D. Following manufacturers IFU D. Following manufacturers IFU TRUE/FALSE: All AERs can be validated to disinfect ultra-sound probes FALSE Endo-cavity probes can be stored on the console as long as: A. They do not touch other parts of the console B. The console is kept in a secured area C. The probe is covered with a clean storage cover D. All of the above C. The probe is covered with a clean storage cover When manually disinfecting TEE probes: A. The probe should be completely immersed without coiling the probe in a closed container B. Only the cord and control handle should be disinfected C. Only the transducer should be disinfected D. Immersed the transducer and handle in the disinfectant C. Only the transducer should be disinfected Tee probes should be: A. Inspected daily B. Fully submerged in the appropriate HLD C. Inspected with a lighted magnifying device D. All of the above C. Inspected with a lighted magnifying device Probes should be stored: A. In a horizontal position B. In a closed container C. With a sterile protective sheath in a vertical position D. In a vented cabinet D. in a vented cabinet Before cleaning endo-cavity probes: A. Check the connector for damage 15 | P a g e B. Endoscopy C. Fiberoscopy D. Robotoscopy B. Endoscopy This scope examines the upper airway and nasal passages Rhinolaryngoscope This scope examines the lower gastrointestinal tract Colonscope This scope examines the throat, trachea and lower airways Bronchoscope This scope views the inside of the stomach(upper) Gastroscope This scope type views the lower gastrointestinal tract (small bowel) Enteroscope This scope examines the inside of the kidneys and urinary tract organs Cystoscope This scope diagnoses and treats abnormalities of the Duodenum Duodenoscope This scope is used to remove Gallstones Choledochoscope This scope views the airways Flexible intubation scope This scope visualizes the urinary tubes that connect the kidneys to the bladder Ureteroscope This scope examines the uterus Hysteroscope The portion of the flexible endoscope that enters the body is called: A. Control Body B. Monitor cable C. Channel canal D. Insertion tube 16 | P a g e D. Insertion tube When using a flexible endoscope, instruments are introduced into the body through the: A. Air port B. Water port C. Biopsy port D. Injection port C. Biopsy port Along with the benefits to the patient, endoscopic procedures benefit the facility by: A. Reducing procedure time B. Freeing up operating rooms C. Reducing operation costs D. Eliminating the need for surgery A. Reducing procedure time Which of the following statements is true? A. The average turnaround time for a flexible endoscope is 30 minutes B. Flexible endoscopes should be replaced every two months C. More healthcare-associated infections are linked to contaminated endoscopes than any other device D. One million endoscopies are performed each year C. More healthcare-associated infections are linked to contaminated endoscopes than any other device A challenge to flexible endoscope reprocessing is: A. Inadequate training B. Complex design C. Complex reprocessing instructions D. All of the above D. All of the above The insertion tube of a flexible endoscope can contain the : A. Instrument channel B. Control head C. Scope body D. Light guide connector A. Instrument channel The most complex type of endoscope is the: A. Semi-rigid endoscope B. Hysteroscope C. Laparoscope D. Flexible endoscope D. Flexible endoscope 17 | P a g e TRUE/FALSE: Operative (therapeutic) flexible endoscopes are used to identify possible disease False This endoscope is often used to treat kidney stones: A. Duodenoscope B. Hysteroscope C. Ureteroscope D. Cystoscope C. Ureteroscope This endoscope would be used to diagnose inflammatory bowel disease: A. Colonoscope B. Ureteroscope C. Duodenoscope D. Cystoscope A. Colonoscope Which of the following is not a purpose of flexible endoscopes: A. Obtain tissue samples B. Search for causes of specific symptoms C. Remove some forms of cancer D. Implant stents D. Implant stents The endoscope universal cord: A. Contains the hand-held controls B. Enables the physician to perform procedures, such as biopsies C. Connects the light connector to the control body D. Is the part inserted into the patient C. Connects the light connector to the control body TRUE/FALSE: Flexible endoscopes can be used to remove Polyps TRUE The insertion tube of a flexible endoscope: A. Protects the inner components of the endoscope B. House the air, water and instrument channels C. The part of the endoscope that is inserted into the patient D. All of the above D. All of the above TRUE/FALSE: Gastroscopes can be used to perform upper gastrointestinal procedures, including a duodenoscopy 20 | P a g e TRUE/FALSE: Biofilm and fungus can form underneath artificial fingernails TRUE Effective work area design should incorporate: A. An irrigating ultrasonic cleaner B. Multiple automated equipment reprocessors C. Storage for common endoscope replacement parts D. One-way flow D. One-way flow Inadequate workspace in the endoscope work area can be a cause of: A. Poor airflow B. Aerosols entering the clean work area C. Endoscope damage D. All the above C. Endoscope damage TRUE/FALSE: Endoscopes that have been high-level disinfected should be stored on open wire shelving FALSE The recommended temperature for the endoscope clean processing area should be: A. 75 F or less B. 60 F to 65F C. At least 70F D. 60 F to 73 F D. can be found in ASHRAE/ASHE TRUE/FASLE: When airflow is negative it means air flows into that area TRUE TRUE/FALSE: Doors and pass-through windows between the decontamination and disinfection area should remain closed; however, they may remain open between the disinfection and sterilization area FALSE The relative humidity in all endoscope work areas should not exceed ____. A. 20% B. 30% C. 50% D. 60% D. 60% TRUE/FALSE: The automated endoscope reprocessor should be placed in the decontamination area to insure the endoscopes are clean before sending them to the preparation area 21 | P a g e FALSE TRUE/FALSE: When sending endoscopes from the user area to the decontamination area, endoscopes and their accessories, such as forceps and wires, should be transported together in the same closed container FALSE TRUE/FALSE: Physically barriers between soiled and clean areas can prevent aerosols from entering the clean areas TRUE The process of rendering a clinically used device safe and ready for reuse is the definition of: A. Decontamination B. Disinfection C. Reprocessing D. Sterilization C. Reprocessing TRUE/FALSE: Household liquid dishwashing detergents are recommended as the detergent of choice to clean gastrointestinal endoscopes FALSE Medical devices that have been improperly reprocessed may: A. Transmit disease B. Cause device damage C. Cause device failure D. All the above D. All the above TRUE/FALSE: The words cleaning and decontamination mean the same thing FALSE Standard dress code for the reprocessing area includes: A. Facility cleaned uniform or scrub attire B. Hair cover C. Not wearing jewelry or watches D. All the above D. All the above TRUE/FALSE: One cannot sterilizes without cleaning, but one can disinfect without cleaning FALSE The first step in DOFFing your PPE: A. Cap and face cover 22 | P a g e B. Shoe covers C. Gown or apron D. Gloves B. Shoe covers Enzymes target specifics soils. Which type of enzyme product is most helpful when cleaning endoscopes: A. Protease B. Amylase C. Lipases D. Multi-enzyme product D. Multi-enzyme product Personal protective equipment for the endoscope decontamination includes: A. Full face shield or a mask and eye protection B. Lightweight short-sleeved gown or jumpsuit C. Long sleeve warm-up jackets D. All of the above A. Full face shield or a mask and eye protection TRUE/FALSE: Using the wrong sized brushed when cleaning flexible endoscopes can cause damage to the endoscope TRUE Detergents used to clean endoscopes should be: A. Low-foaming B. alkaline C. Non-residue producing D. All of the above A. Low-foaming Critical component of successful cleaning include: A. Following the manufacturers IFU B. Paying attention to detail C. Using good work practices D. All of the above D. All of the above TRUE/FALSE: Solutions that are mixed too strong will not be as effective as solutions mixed to recommended strength TRUE The most important source of information for determining the proper chemicals to use for cleaning an endoscope is the : A. SGNA standards 25 | P a g e TRUE/FALSE: When cleaning the lumens of an endoscope, the brush should be rinsed before pulling it back through the channel TRUE Minimally Invasive Surgery (MIS) uses state of the art technology to access body cavities and reduce the damage to human tissue during procedures. Biofilm A collection of microorganisms that attach to surfaces and each other and form a colony. The colony produces a protective gel that is very difficult to penetrate with detergents and disinfectants. The longer it persists the harder it is to remove. Diagnostic Endoscope the process of attempting to determine or identify a possible disease or disorder. Therapeutic/Operative Endoscope used to perform procedures, tumor ablation, dilation. light guide tube (light connector) Connects to the light source Universal Cord/Light Tube Connects the light connector to the control body Control Body contains hand controls,: angulation control knobs, elevator/lifter, air/water, suction control valves, remote video switches, biopsy port and focus mechanism. internal instrument channel (working channel) Allows insertion of instruments and allows for certain procedures to be performed. (Polyp removal etc.) Insertion Tube The long, narrow portion of the flexible endoscope that is inserted into the body. Bending Section (Distal Tip) articulating end, aids with insertion into curved areas. Deflection the ability of the tip of a flexible endoscope to bend (using control knobs) to increase the area that can be accessed by a physician visually or with an instrument 26 | P a g e ECRI Institute a nonprofit patient safety organization, identified "inadequate cleaning of flexible endoscopes before disinfection" as the number one health technology hazard CRE carbapenem resistant enterobacteriaceae Duodenoscopy inspection of the duodenum with a scope Colonoscope used to examine the lower GI tract. Enteroscope used to examine the small intestine Bronchoscope used to examine the throat, larynx, trachea and lower airways rhinolaryngoscope used to examine the upper airways Choledochoscope used to visualize the interior of the biliary tract Ureteroscope used to examine the ureters that connect the kidney to the urinary bladder cystoscope used to examine the inside of the bladder hysteroscope used to examine the interior of the uterus Microorganism seen only with a microscope; a microbe Bacteria single celled microorganism that multiply by splitting symbiotic bacteria Helpful bacteria 27 | P a g e Infection invasion of the body by a pathogenic organism Pathogen An organism that causes disease Fungi a diverse group of organisms that includes yeasts, molds, and mushrooms Virus one group of infectious agents that can only reproduce using the mechanisms inside a living cell. Cannot make its own biofilm, it can hide within others biofilm. parasite An organism that feeds on a living host aggressive the ability of a microorganism to invade, survive and multiply in tissues virulence ability of a microorganism to overcome a persons immune defenses and cause disease. Antibiotic resistance pathogens are able to resist the effects of anti microbial medications Gram Stain A staining method that distinguishes between two different kinds of bacterial cell walls. Gram Positive purple Gram Negative Red or Pink Acid fast stain identifies mycobacteria and nocardia endospore stain A differential stain used to detect the presence and location of spores in bacterial cells. Anaerobes bacteria that do not require oxygen