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CRCST PRACTICE TEST QUESTIONS & ANSWERS
100% CORRECT
1. What states that All patient information is highly confidential and should
NEVER be discussed with anyone at any time unless it is required for the direct care of the patient? ANS HIPPA
2. This process is defined by AAMI as the removal of contamination from an
item to the extent necessary for further processing or for the intended use. ANS cleaning
3. What type of stainless steel is used to manufacture scissors, forceps,
osteotomes, and chisels? ANS 400 series
4. What type of material is used the most in the manufacturing of surgical
instrumentation? ANS stainless steel
5. What is the proper order of how work progresses through the CSPD?
ANS De- contam, Prep and pack, sterilizer, sterile storage
6. What is defined as microorganisms on a contaminated item?
ANS Bioburden
7. What type of stainless steel is used to manufacture basins, bowls, and
malleable retractors? ANS 300 series
8. The two steps in the process of decontamination?
ANS manual cleaning and thermal process
9. As defined by OSHA what is defined as "the use of physical or chemical means
to remove, inactivate or destroy blood borne pathogens on a surface or item to the point where they are no longer capable of transmitting infec- tious particles and the surface of ANS decontamination
10. A Sales Rep brings in a new Stryker Drill for Dr Bridwell to try during a total
hip procedure. What is the first step that should be taken? ANS Ask for written instructions.
11. The temperature in the decontamination department
ANS
60°-65° F
12. Sharps in the decontamination department should be confined and con-
tained in what type of leak proof container? ANS impervious
13. After thoroughly cleaning a contaminated item the most important step in
the decontamination process is to the item. ANS rinsed
14. Humidity level in a CS department should be kept at what percent?
ANS -
ANS acidic
25. Items that have been presoaked or treated must be thor-
oughly before further cleaning, because the presoaking or treatment agent may not be compatible with the detergents used for cleaning. ANS rinsed
26. A pH level above 7 is considered?
ANS alkaline
27. Biofilms adhere to all surfaces, but they form more slowly on smooth surfaces
than on rough surfaces. In healthcare settings, the items most af- fected by biofilms are those with? ANS lumens, serrated surfaces, difficult-to-reach surfaces
28. What kind of detergents contain organic substances that assist in the
breakdown of protein soils and blood? ANS Enzymatic detergents
29. When using enzymatic detergents higher water temperatures are not to
be used because it will break down, or destroy, the enzymes, making them? ANS less efficient
30. Temperatures below all have adverse affects, making
enzymes sluggish and reducing their effectiveness. ANS 109° F
31. Water temperatures of are best for enzyme based
products ANS 140°F
32. Enzymes can be used individually or in combination in the formulation of
enzymatic detergents. Which enzymatic detergent breaks down blood, mucus, feces, and albumin? ANS protease
33. Enzymes can be used individually or in combination in the formulation of
enzymatic detergents. Which enzymatic detergent breaks lipase which breaks down fat (eg., bone marrow and adipose tissue)? ANS lipase
34. Enzymes can be used individually or in combination in the formulation of
enzymatic detergents. Which enzymatic detergent catalyzes starches and breaks down carbohydrates? ANS amylase
35. What kind of detergents can be used to remove severe stains on stainless
steel instruments? ANS organic acid
36. What kind of cleaning agents are available for removing stubborn soils and
stains; however, these are specially formulated agents that can be difficult to remove and must be thoroughly rinsed away? ANS non-abrasive
37. What are organic compounds, i.e. they are made from products found in
nature? By themselves they are poor cleaners and can be difficult to rinse off. ANS soaps
38. There must be some type of action that enhances the cleaning process, such
as on the surfaces. This is created by scrubbing in manual cleaning, by the
44. Detergent solutions must be changed frequently to reduce the bioburden
(contamination) and to prevention of what to cleaned items and the environ- ment? ANS recontamination
45. Just as cleaning is the most important step in the decontamination process,
what is the most important step in the cleaning process because it removes loosened soils and debris? ANS rinsing
46. For either manual or mechanical cleaning, the final rinse should be
performed with what type of water to prevent mineral deposits? ANS treated
47. What kind of bristle brushes are not generally recommended because they
can damage the protective layer of the surgical instruments? But these brushes can, however be used on tungsten carbide jaws of needle holders, which are difficult to clean because of ANS metal
48. To maintain accreditation and receive payments from insurance compa- nies,
a healthcare facility must pass the. ANS jc inspection
49. What kind of pads should not be used because they will scratch device
surfaces, providing places for bacteria and debris to collect and promoting corrosion? ANS abrasive
50. What are not acceptable for use, because they harbor bacteria, cannot be
easily cleaned or disinfected, and break apart during use, leaving small particles in the serrations of instruments? ANS sponges
51. To prevent the formations of all cleaning imple-
ments should be regularly cleaned and disinfected or sterilized (at minimum at the end of each shift). ANS biofilms
52. This is an automated cleaning equipment, that transmits sound waves
through a cleaning solution. ANS ultrasonic
53. This mechanical action is called it is very effective
in cleaning hard-to-reach areas such as box locks, serrations, ratchets, and the teeth on instruments. ANS cavitation
54. This type of detergent has a pH level higher than 11. These detergents are
the most effective in removing heavy organic soils, but may accelerate the corrosion of surgical instruments and may leave scale deposits on equipment ANS highly alkaline
ANS manufacturer
63. Where is the first area to accept responsibilities into the healthcare
facility? ANS recieving
64. Loaner sets are often multi-level; if so each level should be cleaned how?
ANS seprately
65. When instruments are "opened but not used" and returned to the CS/SPD
from user departments, they are considered? ANS contaminated
66. To prevent damage, powered equipment should never be immersed in a
solution, or come in contact with what type of solution? ANS saline
67. Instruments should never be placed on top of fiberoptic cables because of the
inside could be damaged. ANS glass rods
68. What type of endoscopes are extremely difficult to clean because of their
numerous small channels (lumens) and size (some of these devices are more then 6 feet long)? ANS flexible
69. Flexible endoscopes must always be before any
manual precleaning is performed. ANS leak-tested
70. The scope should be flushed with isoprpyl alcohol to
facilitate drying. ANS 70%
71. Toxic anterior segment syndrome (TASS) is defined as an acute inflam-
mation of the anterior chamber (segment) of the eye after what type of surgery? ANS cataract
72. A simple test for ultrasonic cleaners is to place a piece of what in the unit?
ANS aluminum foil
73. According to this organization the efficacy of cleaning processes should be
verified on a regular basis to demonstrate consistency and efficiency. ANS JC
74. What process kills most microorganisms but not necessarily bacterial
spores? ANS disinfection
75. What method of destruction is required to destroy prions?
ANS extended sterilization
76. What method of destruction is required for bacterial spores?
ANS sterilization
77. What method of destruction is required for mycobacteria (tuberculosis)?-
ANS high level disinfection
78. What level of disinfection is required for nonlipid, small viruses?
ANS inter- mediate level disinfection
85. What halogen is generally used as a skin antiseptic to reduce the mi-
croorganisms on the skin ANS iodine
86. What solution is used to prepare skin before surgery when it is mixed with
detergents? It is also used to scrub or clean the skin and wounds. ANS idophors
87. What formulations are staining and, if allowed to pool on the skin, can
cause burns? ANS iodine
88. This is a carbolic-acid-based product and it is effective against vegetative
bacteria, fungi, and the micobaterium that cause TB ANS ANS phenolocs
89. This disinfectant should not be used for surgical instrumentation. If items are
disinfected with a this product and are allowed to remain in contact with the skin for a prolonged period of time, they can irritate the skin or mucous membranes and depigment ANS phenolics
90. The product is effective antiseptics and sanitizers capable of killing a
variety of bacteria, mycobacteria, and fungi. ANS gluteraldehyde
91. This high-level disinfectant is used on immersible items such as flexible and
rigid endoscopes. ANS gluteraldehyde
92. Although compliance with AAMI standards are not legally required, AAMI
standards for sterilization is recognized as what type of practice? ANS good practice
93. What is an established norm determined by opinion, authority, research,
and/or theory? ANS standard
94. This type of flow is how people move through the department.
ANS people flow
95. A instrument salesmen enters the CSPD area without the proper attire ie.
hair covering, shoe covers, and/or scrubs/jumpsuit. What should you do? ANS Explain to the sales rep the policy and show him where the proper attire is located.
96. HIPPA states that all patient information is confidential. Who has the right to
confidential patient information? ANS The people responsible for providing direct patient care of the patient.
97. This type of control limits access to the CS/SPD department.
ANS traffic control
98. These statements are based on sound principles of practice that are based
upon scientific data and opinions of experts. ANS recommended practice
99. American National Standards developed by the Association for the Ad-
vancement of Medical Instrumentation (AAMI) is an example of a? ANS standard
108. Who regulates occupational exposure to airborne contaminants, blood
borne pathogens, and communication of workplace hazards? ANS OSHA
109. Emergency eye wash stations should have should provide at least how many
gallons of water per minute continuously for 15 minutes? ANS 0.
110. What requires facilities to obtain and make available to employees a
Material Safety Data Sheet (MSDS) for each chemical used in the workplace?- ANS Hazardous Communications Standard
111. These devices only touch skin and only come into contact with persons
indirectly. ANS non-critical
112. Emergency Eye Wash Stations should permit
operation, stay-open feature, have the ability to flush both eyes at the same time, be connected to warm not hot water to prevent burns to both eyes. ANS - hands free
113. All emergency eye wash stations should be located within how many
seconds of travel time of all chemicals used in CS/SPD? ANS 10 seconds
114. Colonoscope, is an example of what type of device?
ANS semi-critical
115. What type of fire extinguisher is used on paper or wood fires?
ANS A-Type
116. These type of devices touch intact mucous membranes during use and they
may be either sterilized or high level disinfected. ANS semi-critical
117. A hospital is only accredited for how many years?
ANS 3 years
118. What defines what one must do?
ANS a policy
119. These devices can either be cleaned and then disinfected with an inter-
mediate-level disinfectant, sanitized with a low level disinfectant or simply cleaned with soap and water. ANS non-critical
120. This type of fire extinguisher contains water.
ANS A-type
121. These devices should be sterilized when used and thus require steril-
ization between uses. ANS critical
122. What kind of injuries is the most common injury for CS/SPD workers?-
ANS back
123. When pouring out blood or body fluids to prevent splashes and splatter- ing
of the fluids it is mandatory for CS/SPD workers to utilize what? ANS PPE's
134. The agency does not recommend the wearing of artificial nails because of
the danger of fungal contamination under the nail, which can contaminate packs. ANS CDC
135. The floors in the CS/SPD should be damp mopped when how often when the
department is in operation? ANS nightly
136. Who are the customers of the "CSPD"?
ANS patients and their family, doctors, nurses, and hospital staff
137. Finger nails should be trimmed to how long?
ANS 1/4"
138. Which fire extinguishers contains carbon dioxide?
ANS B-type
139. What is not recommended to be worn in the CS/SPD because it can bring
contaminants into and out of CS/SPD and can be a safety issue? ANS jewlery
140. Collection of data and identification of issues are part of what type of
program? ANS quality assurance program
141. Which agency requires annual competency?
ANS JC
142. Which type of training ensures that all CSPD staff are learning the same
information in the same manner? ANS standardized training
143. Quality issues can be identified by?
ANS random audits
144. This is a principle, rule, or law designed to control or govern behavior.
Compliance with is mandatory or required by law ANS regulation
145. What devices are exposed to normally sterile areas of the body?
ANS critical devices
146. This system consists of bones and the ligaments and cartilages that bind
bones together at their joints. ANS skeletal system
147. What makes up about 1/2 of the body's bulk
ANS muscles
148. What allows for food, nutrients, and wastes to be passed into and out of the
cell? ANS cell membrane
149. What is the fundamental unit of life?
ANS cell
150. Another word for this layer of skin is subcutaneous layer.
ANS hypodermis
151. What receives food and mixes it with gastric juices, begins the digestion of
proteins, moves chime into the duodenum, and prevents back flow of chime? Limited absorption takes place here. ANS stomach
152. Which system protects against injury and the introduction of foreign
microorganisms or toxins into the body? ANS circulatory system
