Crcst certification review (9th ED.)

Handwashing in the decontamination area should be in: a. The same sink that is used to clean instruments b. A sink dedicated to hand hygiene in the decontamination area (page 109) c. A sink dedicated to hand hygiene in the preparation and packaging area d. Any sink in the decontamination area as long as it is not in use

b. A sink dedicated to hand hygiene in the decontamination area

Rinsing instruments in the decontamination area should be done in: a. A soak sink b. A sink dedicated to rinsing c. A sink dedicated to hand hygiene d. Any sink that is not in use

b. A sink dedicated to rinsing

Aseptic technique is knowing the: a. Chain of infection b. Activities that prevent infection c. Bloodborne Pathogen Standard d. All the above

b. Activities that prevent infection

The prefix word element comes: a. Immediately before the suffix b. Before the root c. Before the suffix and describes the word meaning d. After the suffix

b. Before the root

The surgical procedure where an opening is made into the skull is called a/an: a. Burr hole b. Craniotomy c. Craniectomy d. Open reduction

b. Craniotomy

The U.S. Food and Drug Administration (FDA) is responsible for: a. Maintaining all manufacturer records b. Ensuring items can be properly cleaned and sterilized c. Monitoring the high-level disinfection (HLD) process d. Ensuring cleaning chemicals are safe for use

b. Ensuring items can be properly cleaned and sterilized

The procedure to remove the stomach is called: a. Gastritis b. Gastrectomy c. Gastric bypass d. Gastric sleeve

b. Gastrectomy

When putting on PPE, which item should go on first? a. Mask b. Gown c. Gloves d. Face shield

b. Gown

This surgical procedure removes the uterus: a. Hysteroscopy b. Hysterectomy c. Dilation and curettage d. Bilateral salpingo-oophorectomy

b. Hysterectomy

Microbiology is the study of: a. Life b. Microorganisms c. The human immune system d. All the above

b. Microorganisms

What color stain will appear for a gram-positive bacteria? a. Pink b. Purple c. Red d. Blue

b. Purple

A major portion of work performed in the sterile storage area is: a. Instrument cooling b. Receipt of supplies c. Sterilizer unloading d. All the above

b. Receipt of supplies

A herniorrhaphy is a surgical procedure that: a. Repairs a shoulder muscle b. Repairs a muscle layer that is allowing all or part of an organ to project through an opening c. Removes a sample of diseased or infected muscle d. Repairs fibrous membranes that cover a muscle

b. Repairs a muscle layer that is allowing all or part of an organ to project through an opening

Which of the following tells the primary meaning of a word? a. Prefix word element b. Root word element c. Suffix word element d. Combining vowel

b. Root word element

Transesophageal echocardiography (TEE) probes are classified as: a. Critical because they enter sterile tissue b. Semi-critical because they come in contact with intact mucous membranes c. Non-critical because they touch intact skin d. They are not classified

b. Semi-critical because they come in contact with intact mucous membranes

This organ contains glands that, through the process of perspiration, produce and excrete sweat. a. Liver b. Skin c. Kidneys d. Pancreas

b. Skin

The suffix -ectomy means: a. To repair b. Surgical removal c. Inflammation d. None of the above

b. Surgical removal

Instrument sets and other required instrumentation needed for all scheduled procedures for an entire day are usually pulled (collected): a. Two days before it will be used b. The day or evening before it will be used c. The morning of the planned surgery d. Early morning (for morning procedures) and early afternoon (for afternoon procedures) on the day of surgery

b. The day or evening before it will be used

The body's control center is the: a. Meninges b. Central nervous system c. Brain stem d. Cerebrum

b. central nervous system

The measure of alkalinity or acidity refers to: a. Temperature b. pH c. Moisture d. Humidity

b. pH

Decontamination of instruments and equipment starts: a. During the manual cleaning process b. As soon as the instruments are received in the decontamination area c. At the point of use d. When the instruments are placed back in their trays following a medical procedure

c. At the point of use

Subcutaneous means: a. Low blood sugar b. Displacement of the pelvic joint c. Beneath the skin d. Without infection; sterile

c. Beneath the skin

Soiled instruments and other items are received in which area of the SPD? a. Preparation b. Packaging c. Decontamination d. Sterilization

c. Decontamination

The purpose of learning medical terminology is to: a. Give SP technicians an understanding of Latin and French words b. Enable SP technicians to read instrument count sheets c. Enable SP technicians to provide the OR and medical staff with the goods and services they need d. List critical terms used in the healthcare setting

c. Enable SP technicians to provide the OR and medical staff with the goods and services they need

In SP, the concept of "one-way flow of materials" refers to the movement of products: a. From the SPD to surgical areas b. From surgical areas to the SPD c. From soiled processing areas to clean processing areas within the SPD d. From clean processing areas to soiled processing areas within the SPD

c. From soiled processing areas to clean processing areas within the SPD

Maintaining confidentiality is part of: a. Ethics b. Employability c. Legal responsibilities d. Resource management

c. Legal responsibilities

Hypoglycemia means: a. A malignant tumor b. Tissue death of an artery c. Low blood sugar d. Enlargement of the heart

c. Low blood sugar

Which of the following surgical abbreviations might be used relating to a fractured bone? a. CABG b. BSO c. ORIF d. TAH

c. ORIF (open reduction and internal fixation)

Bacteria that cause disease are called: a. Gram positive b. Gram negative c. Pathogens d. Potentially infectious

c. Pathogens

A goal of point-of-use treatment and transport is to: a. Speed up the decontamination process b. Ensure all instruments are returned to the SPD c. Prevent cross-contamination d. All the above

c. Prevent cross-contamination

Which of these traffic control/dress code requirements applies to the clean assembly area of the SPD? a. Biohazard b. Unrestricted c. Semi-restricted d. Restricted

c. Semi-restricted

The abbreviation BKA refers to a surgical procedure involving: a. Treatment of a fractured bone without a surgical incision b. Surgical removal of both the fallopian tubes and ovaries c. Surgical removal of the leg below the knee d. A type of hip joint reconstruction

c. Surgical removal of the leg below the knee

If soiled instruments are to be transported to an offsite facility for processing, they should be: a. Assembled prior to transport b. Placed in mesh baskets for safe transport c. Transported following federal and state Department of Transportation (DOT) guidelines d. Transported following APIC safe transportation guidelines

c. Transported following federal and state Department of Transportation (DOT) guidelines

Knowing and understanding anatomy helps SP technicians: a. Determine what is needed for each procedure b. Understand manufacturers' instructions for use (IFU) c. Understand the parts of the body where instruments are used d. Become proficient in Latin and French word elements

c. Understand the parts of the body where instruments are used

Knowing and understanding medical terminology helps technicians: a. Reduce the productivity of the Operating Room (OR) b. Understand manufacturers' instructions for use (IFU) c. Understand what is asked when a request is made d. Become proficient in Latin and French word elements

c. Understand what is asked when a request is made

The Association of periOperative Registered Nurses (AORN) is: a. A regulatory agency that writes standards for the OR b. Responsible for writing infection prevention guidelines c. A voluntary agency that oversees professional standards d. A professional organization that writes guidelines for the OR

d. A professional organization that writes guidelines for the OR

Microbes: a. Can be found on hair and skin b. Are useful to break down sewage c. Can produce toxins d. All the above

d. All the above

SP technicians must be able to identify how key systems affect the services they perform and the quality of care they provide. This can be accomplished through: a. Helping prevent unnecessary waste b. Participating in training and quality improvement activities c. Seeking out resources and consulting with other staff members d. All the above

d. All the above

The muscular system: a. Assists with movement b. Produces heat for the body c. Pumps blood throughout the body d. All the above

d. All the above

Working in the decontamination area requires: a. Knowledge of microbiology b. Knowledge of cleaning and disinfecting processes c. Instrument identification d. All the above

d. All the above

The pupil is the: a. Middle layer of the eye b. Colored portion of the eye c. White portion of the eye d. Circular opening that controls the amount of light entering the eye

d. Circular opening that controls the amount of light entering the eye

Proper handling of instrumentation is the responsibility of: a. The surgeon b. The scrub technician c. The Sterile Processing (SP) technician d. Everyone who comes in contact with the instrumentation

d. Everyone who comes in contact with the instrumentation

A case cart pull sheet (pick list) contains information that: a. Assists the surgeon during the procedure b. Is used to assemble surgical instrument sets c. Assists the Sterile Processing (SP) technician in selecting the correct supplies for the sterile storage area d. Identifies the supplies, utensils and instruments needed for a specific physician and procedure

d. Identifies the supplies, utensils and instruments needed for a specific physician and procedure

A periosteal elevator is used for: a. Surgical removal of tissue near the thyroid b. Surgical removal of a large portion of the stomach c. Cutting skin d. Lifting a thin layer of tissue to expose the bone

d. Lifting a thin layer of tissue to expose the bone

Detergents used in mechanical cleaners should be: a. Low alkaline b. Low acid c. Low temperature d. Low foaming

d. Low foaming

The federal program designed for the voluntary reporting of device-related problems is called: a. The Safe Medical Device Act b. The Medical Device Recall Act c. FDA reporting requirements d. MedWatch

d. MedWatch

The Centers for Disease Control and Prevention (CDC): a. Is a regulatory association b. Writes guidelines for Operating Room (OR) nurses c. Is operated through Med Watch d. Responds to health emergencies

d. Responds to health emergencies

Pseudomonas aeruginosa is identified by which common bacterial shape? a. Spherical b. Spiral c. Cylindrical d. Rod

d. Rod

When removing personal protective equipment (PPE), first remove: a. Gloves b. Gown c. Mask d. Shoe covers

d. Shoe covers

Which organization conducts onsite surveys of healthcare facilities? a. The Society of Gastroenterology Nurses and Associates (SGNA) b. The Association for Professionals in Infection Control and Epidemiology (APIC) c. The American National Standards Institute (ANSI) d. The Joint Commission (TJC)

d. The Joint Commission (TJC)

Which of the following has no means to move on its own? a. Cocci b. Bacillus c. Aerobic bacteria d. Viruses

d. Viruses

What is the appropriate air pressure relationship between the clean and dirty areas in the Central Service department? A. Positive air pressure in the clean area and negative air pressure in the dirty area. B. Negative air pressure in the clean area and positive air pressure in the dirty area. C. Equal air pressure in both the clean and dirty areas. D. Air pressure relationship is not specified for the clean and dirty areas.

A. Positive air pressure in the clean area and negative air pressure in the dirty area.

What is the purpose of using an enzymatic cleaner in the decontamination process? A. To remove organic debris from instruments B. To kill microorganisms on the surfaces of instruments C. To neutralize acidic substances on instruments D. To lubricate moving parts of instruments

A. To remove organic debris from instruments

What is the process called when microorganisms attach to surfaces and form a colony? A.Biofilm B. Gross soil C. Colony D. Microbial adhesion

A.Biofilm

What is the recommended Humidity level in the decontamination area of CSSD A. 10 % TO 30 % B. 30% TO 60% C. 60% TO 80 % D. 80% TO 90 %

B. 30% TO 60%

_________ is a toxic gas classified by OSHA as a carcinogen and reproductive hazard. A. Hydrogen Peroxide Gas B. Ethylene Oxide Gas C. Hydrochloric Gas D. Carbon dioxide Gas

B. Ethylene Oxide Gas

Which agency regulates high-level disinfectants and Liquid Chemical Sterilants (LCS) used to process medical devices and surgical instruments? A. AAMI B. FDA C. OSHA D. HSPA

B. FDA

________ is tissue, body fat, blood, and other bodily substances. A. Contaminated waste. B. Gross soil. C. Mucous tissue. D. Biofilm.

B. Gross soil.

In the event of a sterilization cycle failure, what is the appropriate action regarding documentation? A. Remove and destroy all records related to the failed cycle B. Mark the records as failed and retain them for futurc reference C. Rewrite the records to indicate a successful cycle D. No action is required regarding documentation for a failed cycle

B. Mark the records as failed and retain them for future reference

Which of the following communication methods is the most suitable for conveying urgent and critical information in real-time? A. Email B. Phone call C. Memorandum D. Bulletin board

B. Phone call

Which of the following is the proper order for assembling an instrument set? A. Place heavy instruments at the top of the tray B. Place sharp instruments at the top of the tray C. Place light instruments at the top of the tray D. Place delicate instruments at the top of the tray

C. Place light instruments at the top of the tray

When transporting sterilized items within the healthcare facility, it is important to: A. Use non-sterile carts or containers. B. Mix sterile and non-sterile items in the same container. C. Securely seal and label the containers or carts. D. Transport the items without any protective coverings.

C. Securely seal and label the containers or carts.

What is the purpose of a Bowie-Dick test in sterilizer testing? A. To measure the temperature inside the sterilizer B. To measure the pressure inside the sterilizer C. To confirm that air has been removed from the sterilizer D. To confirm that sterilization has occurred

C. To confirm that air has been removed from the sterilizer

What information is typically recorded when tracking items distributed by CSSD? A. Item description and quantity B. Lot number and expiration date C. Issuing department or individual D. All of the above

D. All of the above

Which of the following factors can compromise post sterilization package integrity? A. Excessive handling of packages B. Exposure to moisture or humidity C. Improper sealing of packages D. All of the above

D. All of the above

Which of the following information must be included when documenting the contents of a sterilization A. Date and time of sterilization B. Sterilization cycle parameters C. Type of load (e.g. wrapped, unwrapped, liquid) D. All of the above

D. All of the above

Which of the following is a characteristic of a high-level disinfectant? A. Kills all microbial life B. Destroys bacteria spores C. Has a short contact time D. Can be used to sterilize heat-sensitive instruments

D. Can be used to sterilize heat-sensitive instruments

Which member of the halogen family is used for the treatment of water and sewage? It is often recommended for biohazard clean-up procedures. A. Hydrogen Chloride B. Alcohol C. Halogens D. Chlorine

D. Chlorine

Which of the following is an example of an appropriate documentation practice? A. Using abbreviations and acronyms extensively to save space B. Using only black ink when documenting records C. Erasing any errors or mistakes made during documentation D. Including complete and accurate information for each entry

D. Including complete and accurate information for each entry

Inventories are reusable equipment and consumable items that are used in providing healthcare services for patients. True or false

True

Which communication method should be used when documenting incidents, accidents, or near misses in the workplace? A. Email B. Phone call C. Incident report form D. Verbal conversation

C. Incident report form

When transferring sterilized items to storage, it is important to: A. Use bare hands for better grip B. Stack the items loosely to maximize storage space. C. Inspect the packaging for any damage or compromise. D. Store the items in a humid environment to maintain sterility.

C. Inspect the packaging for any damage or compromise

Which regulatory agency is responsible for accrediting healthcare organizations and ensuring quality and safety standards? A. Centers for Disease Control and Prevention (CDC) B. Food and Drug Administration (FDA) C. Joint Commission (TJC) D. Occupational Safety and Health Administration (OSHA)

C. Joint Commission (TJC)

When loading a sterilizer, it is important to: A. Overload the sterilizer to maximize the number of items sterilized at once B. Place items randomly in the sterilizer to ensure maximum exposure to sterilizing agents C. Follow manufacturer's instructions for proper loading to ensure effective sterilization D. Use the same loading pattern for all types of items to save time

C. Follow manufacturer's instructions for proper loading to ensure effective sterilization

What is the microorganism of choice for biological monitoring in Ethylene Oxide (EtO) sterilization? A. Bacillus atrophaeus spore B. Escherichia coli C. Staphylococcus aureus D. Pseudomonas aeruginosa

A. Bacillus atrophaeus spore

The prefix "infra-" in medical terminology refers to: A. Below or beneath B. Above or over C. Within or inside D. Between or among

A. Below or beneath

What is the term for the removal of all visibie and non-visible soil and other foreign material from a medical device being reprocessed? A. Cleaning B. Decontamination C. Sterilization D. Disinfection

A. Cleaning

What should be done if a soiled item is found to be damaged or missing parts during transportation? A. Document the issue and report it to the supervisor. B. Dispose of the item immediately to avoid any safety risks. C. Attempt to repair the item before continuing transportation. D. Ignore the issue and continue transporting the item.

A. Document the issue and report it to the supervisor.

Which of the following is the most effective method for sterilizing heat-sensitive medical devices? A. Ethylene oxide gas B. Steam sterilization C. Dry heat sterilization D. Hydrogen peroxide vapor

A. Ethylene oxide gas

When labeling a package containing multiple items, how should the contents be listed? A. By weight of the items B. In alphabetical order C. In the order they were placed in the package D. By item code numbers

C. In the order they were placed in the package

You notice that the eye wash station is obstructed by storage boxes and is not easily accessible. What should you do in this situation? A. Leave the eye wash station as it is, since the boxes are temporary and will be removed later. B. Relocate the storage boxes to ensure clear access to the eye wash station. C. Inform the supervisor about the obstruction and wait for their instructions. D. Use a sign to indicate an alternative eye wash station location to employees until the obstruction is cle

B. Relocate the storage boxes to ensure clear access to the eye wash station.

What is the maximum amount of time a sterile package may be stored before reprocessing? A. 1 month B. The maximum amount of time varies and may be shortened based on the event-related sterility principle. C. A sterile package remains sterile until it is moved without gloves. D. 12 months

B. The maximum amount of time varies and may be shortened based on the event-related sterility principle.

What is the purpose of appropriate air exchanges in Central Service work areas? A. To control temperature and humidity levels B. To ensure proper air filtration and ventilation C. To reduce noise levels for staff comfort D. To minimize the risk of electrical hazards

B. To ensure proper air filtration and ventilation

When should personal protective equipment (PPF) be worn during the handling of sterilization chemicals? A. Only when handling concentrated forms of the chemical. B. When working with any quantity of the chemical. C. Only when transferring the chemical from one container to another. D. When disposing of empty containers of the chemical.

B. When working with any quantity of the chemical.

What should be considered when evaluating the risks and benefits of different options? A. Only the potential benefits. B. Only the potential risks. C. Both the potential risks and benefits. D. Neither the risks nor the benefits

C. Both the potential risks and benefits.

What is the proper order for cleaning and decontaminating in a sterile processing department? A Clean, disinfect, rinse B. Rinse, disinfect, clean C. Clean, rinse, disinfect D. Rinse, clean, disinfect

C. Clean, rinse, disinfect

Which levei of Spaulding Classification requires the highest level of disinfection or sterilization? A. Non-critical B. Semi-critical C. Critical D. Disposable

C. Critical

A surgical instrument has been dropped on the floor and is now contaminated. What should the Central Service technician do? A. Clean the instrument with soap and water. B. Discard the instrument and replace it with a new one. C. Decontaminate the instrument using an appropriate disinfectant. D. Place the instrument in the instrument tray and sterilize it as usual.

C. Decontaminate the instrument using an appropriate disinfectant.

When should the floor in the Central Service Department be cleaned? A. Twice a day. B. Floors should be cleaned once every day. C. Floors should be wet-mopped daily. D. Each time the floor is physically dirty.

C. Floors should be wet-mopped daily.

What type of pressure requered in the decontamination area in relation to other areas adjacent to the decontamination area? A. positive pressure B. Atmosphearic pressure C. Same pressure like the the adjacent area D. Negative pressure

D. Negative pressure

Which of the following is NOT an example of patient care equipment? A. Wheelchairs B. Patient beds C. IV pumps D. Sterilizers

D. Sterilizers

A body system is: a. A group of organs that work together to carry out a specific activity b. Two or more different types of tissue c. A group of living cells that join together d. All the above

a. A group of organs that work together to carry out a specific activity

Prions are: a. Abnormal, pathogenic proteins b. Gram-positive bacteria c. A type of virus d. Acid-fast microorganisms

a. Abnormal, pathogenic proteins

The basic unit of a living organism is a: a. Cell b. Cytoplasm c. Nucleus d. Organ

a. Cell

To prevent aerosolization: a. Items should be brushed below the surface of the water b. Items should be brushed above the surface of the water c. Items must be presoaked in a mild acetic solution prior to brushing d. None of the above

a. Items should be brushed below the surface of the water

The decontamination area of the Sterile Processing department (SPD) should have: a. Negative airflow b. Positive airflow c. Filtered airflow d. No air exchanges because it is a biohazardous area

a. Negative airflow

To minimize their exposure to bloodborne pathogens and other contaminants, SP technicians must wear special attire referred to as: a. Personal protective equipment b. Personal protection garments c. Professional protective equipment d. Personal safety attire

a. Personal protective equipment

These microorganisms are capable of forming a thick wall around themselves, enabling them to survive in adverse conditions: a. Spores b. Ribosomes c. Nuclei d. Cell membranes

a. Spores

Which is NOT a goal of point-of-use treatment: a. Transport within two hours of the end of a procedure b. Removal of gross soil c. Prevent cross-contamination d. Prevent damage during transport

a. Transport within two hours of the end of a procedure

The abbreviation CR relates to a surgical procedure for: a. Treating a fractured bone without a surgical incision b. Creating a new blood supply to an area of the heart c. Surgical removal of the uterus d. Surgical removal of part of the prostate gland

a. Treating a fractured bone without a surgical incision