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Microbicidal agents are sterilants.

A) True
B) False

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Which of the following does not affect microbial nucleic acids?


A) Moist heat
B) Ultraviolet light
C) X rays
D) Ethylene dioxide
E) Formaldehyde

F) A) and C)
G) C) and D)

Correct Answer

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All of the following pertain to hypochlorites except ________.


A) release hypochlorous acid in solution
B) cause denaturation of enzymes
C) found in iodophors
D) used to disinfect water,restaurant,and medical equipment
E) found in common household bleach

F) B) and C)
G) B) and D)

Correct Answer

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Scrubbing or immersing the skin in chemicals to reduce the numbers of microbes on the skin is ________.


A) disinfection
B) sterilization
C) antisepsis
D) sanitization
E) ionization

F) A) and C)
G) C) and E)

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Analine dyes,like crystal violet,have antimicrobial activity particularly against gram-positive bacteria and some fungi.

A) True
B) False

Correct Answer

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All of the following are disadvantages to using compounds containing heavy metals,except ________.


A) they can only be taken in pill form,not applied as a lotion or ointment
B) they may cause allergic reactions in susceptible individuals
C) organisms can develop resistance to the compounds
D) they are not effective against endospores
E) they can be toxic

F) C) and E)
G) A) and D)

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A woman who is 38 weeks pregnant is admitted for a scheduled cesarean section. The RN performs an assessment of the patient and prepares her for the surgery. Prior to the procedure, an indwelling urinary catheter is placed. -The RN prepares the patient for the sterile procedure.Which of the following statements made by the patient,best demonstrates understanding of the need for sterile equipment and aseptic procedures?  


A) Sterile equipment and aseptic procedures are utilized so there are no microorganisms introduced that could cause infection.
B) Sterile equipment and aseptic procedures are utilized to reduce trauma to the urinary tract.
C) Sterile equipment and aseptic procedures are utilized to protect the nurse from infection.
D) Sterile equipment and aseptic procedures are utilized so that microorganisms on the skin that could cause infection are destroyed.

E) B) and D)
F) A) and B)

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Sterilization is achieved by ________.


A) flash pasteurization
B) hot water
C) boiling water
D) steam autoclave
E) All of the choices are correct

F) A) and D)
G) None of the above

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Bacteristatic agents kill bacterial cells.

A) True
B) False

Correct Answer

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One disadvantage to using ortho-phthalaldehyde vs.glutaraldehyde as an antimicrobial agent is ________.


A) increased cost
B) decreased efficacy
C) decreased safety
D) increased toxicity

E) B) and D)
F) B) and C)

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Ionizing radiation is more effective than nonionizing radiation in killing microbes.

A) True
B) False

Correct Answer

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Heavy metals such as silver,mercury and copper are effective antimicrobials due to their ability to bind to the regulatory site of enzymes,thus acting as an irreversible non-competitive inhibitor.

A) True
B) False

Correct Answer

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A 13-year-old male is admitted to the pediatric intensive care unit. The patient has a history of mental retardation and cerebral palsy following an anoxic injury as an infant. The patient was admitted two months earlier due to aspiration pneumonia, necessitating a lengthy hospital stay, mechanical ventilation, and intravenous antibiotics. His caregiver reports another aspiration event two days prior. For the past 24 hours, the patient has been lethargic with a frequent cough producing thick sputum. Upon presentation to the hospital, the patient is noted to have a fever, low oxygen saturations, and low blood pressure. Upon arrival to the intensive care unit, the patient is cool, pale, and has poor pulses and capillary refill. Following administration of intravenous fluid boluses, it is determined the patient needs central venous access for fluid and medication administration. The RN prepares for the sterile procedure. -If chlorhexidine is unavailable for the procedure,which of the following chemical agents would also be appropriate as a topical antiseptic?  


A) 2% iodine
B) 10% potassium iodide
C) Formaldehyde
D) Phenol

E) C) and D)
F) B) and C)

Correct Answer

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Of the six methods of controlling growth by physical means; heat,cold,desiccation,radiation,filtration and osmotic pressure,the only method that is capable of complete sterilization is radiation.

A) True
B) False

Correct Answer

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The use of a physical or chemical process to destroy vegetative pathogens is ________.


A) disinfection
B) sterilization
C) antisepsis
D) sanitization
E) degermation

F) All of the above
G) B) and D)

Correct Answer

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A microorganism that is not motile and has stopped metabolizing could be considered dead.

A) True
B) False

Correct Answer

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Which of the following is not a factor that affects germicidal activity?


A) The material being treated
B) The length of exposure
C) The strength of the germicide
D) The microorganism being treated
E) All of these choices are factors.

F) B) and E)
G) B) and D)

Correct Answer

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Aldehyde-based compounds,while effective sterilants,can be unstable and costly to use.

A) True
B) False

Correct Answer

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Which control method would not be a suitable choice for killing Mycobacterium in a capped culture tube?


A) Ultraviolet (germicidal) light
B) Gamma rays
C) 121°C at 15 psi for 15 minutes
D) 160°C for 2 hours
E) All of the choices would kill Mycobacterium in a culture tube.

F) A) and D)
G) B) and D)

Correct Answer

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The process of using a cleansing technique to mechanically remove and reduce microorganisms and debris to safe levels is ________.


A) disinfection
B) sterilization
C) antisepsis
D) sanitization
E) degermation

F) A) and C)
G) D) and E)

Correct Answer

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