CER ACTUAL 2026 EXAM QUESTIONS AND SOLUTIONS
GRADED A+
✔✔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 - ✔✔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
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
B. Facilities policies and procedures
C. Endoscope manufacturers IFU
D. All of the above - ✔✔C. Endoscope manufacturers IFU
✔✔The most common PH recommended for endoscope cleaning chemicals:
, A. Low PH
B. High PH
C. Medium PH
D. Neutral PH - ✔✔D. Neutral PH
✔✔TRUE/FALSE: Precleaning at the point of use reduces the likelihood of biofilm
formation - ✔✔TRUE
✔✔TRUE/FALSE: Precleaning at the point of use should occur before the endoscope is
disconnected from the power source - ✔✔TRUE
✔✔After removing the flexible endoscope from the patient, the first step in point of use
precleaning is to:
A. Flush the insertion tube
B. Pre-rinse the inner channels
C. Remove the gross soil
D. Attach the video cap - ✔✔C. Remove the gross soil
✔✔TRUE/FALSE: When placing the pre-cleaned endoscope in the container for
transport to the decontamination area, all accessories used on the procedure should be
placed in the container with the endoscope. - ✔✔FALSE
✔✔Leak testing should be performed:
A. After point of use pre-cleaning
B. Before manual cleaning
C. After every procedure
D. All of the above - ✔✔D. All of the above
✔✔The goal of leak testing is to:
A. Ensure the cleaning solution will not leak out of the endoscope
B. Ensure all the inner channels are full of cleaning solution
C. Detect damage to the exterior and interior of the endoscope
D. All of the above - ✔✔C. Detect damage to the exterior and interior of the endoscope
✔✔TRUE/FALSE: When performing a leak test, the water-resistant cap should be
removed - ✔✔FALSE
✔✔TRUE/FALSE: when cleaning and endoscope that has failed a leak test, it is
important to disconnect the leak tester - ✔✔FALSE
✔✔TRUE/FALSE: endoscopes with major leaks cannot be cleaned before being sent
out for repair - ✔✔FALSE
GRADED A+
✔✔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 - ✔✔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
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
B. Facilities policies and procedures
C. Endoscope manufacturers IFU
D. All of the above - ✔✔C. Endoscope manufacturers IFU
✔✔The most common PH recommended for endoscope cleaning chemicals:
, A. Low PH
B. High PH
C. Medium PH
D. Neutral PH - ✔✔D. Neutral PH
✔✔TRUE/FALSE: Precleaning at the point of use reduces the likelihood of biofilm
formation - ✔✔TRUE
✔✔TRUE/FALSE: Precleaning at the point of use should occur before the endoscope is
disconnected from the power source - ✔✔TRUE
✔✔After removing the flexible endoscope from the patient, the first step in point of use
precleaning is to:
A. Flush the insertion tube
B. Pre-rinse the inner channels
C. Remove the gross soil
D. Attach the video cap - ✔✔C. Remove the gross soil
✔✔TRUE/FALSE: When placing the pre-cleaned endoscope in the container for
transport to the decontamination area, all accessories used on the procedure should be
placed in the container with the endoscope. - ✔✔FALSE
✔✔Leak testing should be performed:
A. After point of use pre-cleaning
B. Before manual cleaning
C. After every procedure
D. All of the above - ✔✔D. All of the above
✔✔The goal of leak testing is to:
A. Ensure the cleaning solution will not leak out of the endoscope
B. Ensure all the inner channels are full of cleaning solution
C. Detect damage to the exterior and interior of the endoscope
D. All of the above - ✔✔C. Detect damage to the exterior and interior of the endoscope
✔✔TRUE/FALSE: When performing a leak test, the water-resistant cap should be
removed - ✔✔FALSE
✔✔TRUE/FALSE: when cleaning and endoscope that has failed a leak test, it is
important to disconnect the leak tester - ✔✔FALSE
✔✔TRUE/FALSE: endoscopes with major leaks cannot be cleaned before being sent
out for repair - ✔✔FALSE
