CRCST PRACTICE EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

CRCST PRACTICE EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ 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? - ANSWER 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. - ANSWER cleaning 3. What type of stainless steel is used to manufacture scissors, forceps, osteotomes, and chisels? - ANSWER 400 series 4. What type of material is used the most in the manufacturing of surgical instrumentation? - ANSWER stainless steel 5. What is the proper order of how work progresses through the CSPD? - ANSWER Decontam, Prep and pack, sterilizer, sterile storage 6. What is defined as microorganisms on a contaminated item? - ANSWER Bioburden 7. What type of stainless steel is used to manufacture basins, bowls, and malleable retractors? - ANSWER 300 series 8. The two steps in the process of decontamination? - ANSWER manual cleaning and thermal process 9. What level of destruction is required for lipid, medium-sized viruses? - ANSWER low level disinfection 10. In order for the disinfectant to enter the cell, there must be a balance between the inside of the cell and the solution outside of the cell that allows for the process of? - ANSWER osmosis 11. This type of disinfectant is a low-level, environmental disinfectant that is effective against gram-positive bacteria. - ANSWER Quaternary ammonium compounds 12. This solution is severely corrosive and should never be used on surgical instruments. - ANSWER bleach 13. What halogen is generally used as a skin antiseptic to reduce the microorganisms on the skin - ANSWER iodine 14. 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. - ANSWER idophors 15. What formulations are staining and, if allowed to pool on the skin, can cause burns? - ANSWER iodine 16. This is a carbolic-acid-based product and it is effective against vegetative bacteria, fungi, and the micobaterium that cause TB: - ANSWER phenolocs 17. 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 - ANSWER phenolics 18. The product is effective antiseptics and sanitizers capable of killing a variety of bacteria, mycobacteria, and fungi. - ANSWER gluteraldehyde 19. This high-level disinfectant is used on immersible items such as flexible and rigid endoscopes. - ANSWER gluteraldehyde 20. Although compliance with AAMI standards are not legally required, AAMI standards for sterilization is recognized as what type of practice? - ANSWER good practice 21. What is an established norm determined by opinion, authority, research, and/or theory? - ANSWER standard 22. This type of flow is how people move through the department. - ANSWER people flow 23. A instrument salesmen enters the CSPD area without the proper attire ie. hair covering, shoe covers, and/or scrubs/jumpsuit. What should you do? - ANSWER Explain to the sales rep the policy and show him where the proper attire is located. 24. HIPPA states that all patient information is confidential. Who has the right to confidential patient information? - ANSWER The people responsible for providing direct patient care of the patient. 25. This type of control limits access to the CS/SPD department. - ANSWER traffic control 26. These statements are based on sound principles of practice that are based upon scientific data and opinions of experts. - ANSWER recommended practice 27. 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 infectious particles and the surface of - ANSWER decontamination 28. 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? - ANSWER Ask for written instructions. 29. The temperature in the decontamination department: - ANSWER 60°-65° F 30. Sharps in the decontamination department should be confined and contained in what type of leak proof container? - ANSWER impervious 31. After thoroughly cleaning a contaminated item the most important step in the decontamination process is to _____________ the item. - ANSWER rinsed 32. Humidity level in a CS department should be kept at what percent? - ANSWER 30-60% 33. Instruments in the OR that are just opened but not used still have to go through the decontam process, only when? - ANSWER every time and always considered contaminated 34. What is the groups or collections of microorganisms that adhere to the surface of any object that comes into contact with nonsterile water? - ANSWER biofilms 35. What when used in small amounts is extremely corrosive to surgical instruments, and it's use in the decontamination process is prohibited? - ANSWER bleach 36. A pH level of 7 is considered? - ANSWER neutral 37. Instruments should never be stored _________________, and all instruments should be sterilized as soon as possible after cleaning. - ANSWER wet 38. The air pressure in the decontamination department should be what? - ANSWER negative 39. How many air exchanges per hour is the decontamination department suppose to have? - ANSWER 10 40. How often is the temperature and humidity levels suppose to be documented? - ANSWER daily 41. What forms a protective slimy film on top of water and on instruments during the decontamination process? - ANSWER biofilms 42. A pH level of below 7 is considered? - ANSWER acidic 43. Items that have been presoaked or treated must be ____________ thoroughly before further cleaning, because the presoaking or treatment agent may not be compatible with the detergents used for cleaning. - ANSWER rinsed 44. A pH level above 7 is considered? - ANSWER alkaline 45. Biofilms adhere to all surfaces, but they form more slowly on smooth surfaces than on rough surfaces. In healthcare settings, the items most affected by biofilms are those with? - ANSWER lumens, serrated surfaces, difficult-to-reach surfaces 46. What kind of detergents contain organic substances that assist in the breakdown of protein soils and blood? - ANSWER Enzymatic detergents 47. When using enzymatic detergents higher water temperatures are not to be used because it will break down, or destroy, the enzymes, making them? - ANSWER less efficient 48. Temperatures below ______________ all have adverse affects, making enzymes sluggish and reducing their effectiveness. - ANSWER 109° F 49. Water temperatures of _________________ are best for enzyme based products - ANSWER 140°F 50. Enzymes can be used individually or in combination in the formulation of enzymatic detergents. Which enzymatic detergent breaks down blood, mucus, feces, and albumin? - ANSWER protease 51. 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)? - ANSWER lipase 52. Enzymes can be used individually or in combination in the formulation of enzymatic detergents. Which enzymatic detergent catalyzes starches and breaks down carbohydrates? - ANSWER amylase 53. What kind of detergents can be used to remove severe stains on stainless steel instruments? - ANSWER organic acid 54. 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? - ANSWER non-abrasive 55. 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. - ANSWER soaps 56. 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 continuous spraying of cleaning solutions against the device surfaces in a mechanical washe - ANSWER friction 57. What type of items must be opened during the cleaning process? - ANSWER hinged 58. What type of equipment cannot be immersed? - ANSWER powered 59. Manual cleaning may be the only effective method for certain instrumentation such as devices with? - ANSWER lumens 60. Detergents that are meant to bind with soils and keep them suspended in the solution so they can be removed during the rinsing process are use for what type of cleaning? - ANSWER manual 61. Using more detergent than called for does not improve the cleaning action; in fact, it can impede the process by leaving residuals behind that do not rinse off and that will build up over time, causing instruments to? - ANSWER bind and/or corrode 62. Detergent solutions must be changed frequently to reduce the bioburden (contamination) and to prevention of what to cleaned items and the environment? - ANSWER recontamination 63. 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? - ANSWER rinsing 64. Spun-bonded high-density polyethylene (HDPE) combinations, sometimes referred to as Tyvek pouches, are intended for use in these sterilization processes. - ANSWER Hydrogen peroxide (H2O2) 65. The amount of time an item must remain wet with a disinfectant to achieve disinfection is called: - ANSWER Wet contact time 66. A case cart pull sheet (pick list) contains information that: - ANSWER Identifies the supplies, utensils and instruments needed for a specific physician and procedure 67. When returning loaned items to the vendor: - ANSWER All items should be cleaned and decontaminated 68. When double pouching using plastic peel pouches: - ANSWER Seal a pouch, place it inside another slightly larger outer pouch and seal the outer pouch 69. Which of the following would be the best choice for high-level disinfection of instruments? - ANSWER Ortho-phthalaldehyde (OPA) 70. Following steam sterilization, which of the following is NOT a factor of cooling time, the: - ANSWER Time it is needed for a procedure 71. The end of a body part that is farthest away from the point of origin or the end of an instrument that is farthest away from the operator is called the ___________ end. - ANSWER Distal 72. The ______________ writes standards relating to the processing of flexible endoscopes. - ANSWER Society of Gastroenterology Nurses and Associates (SGNA) 73. Which of these traffic control/dress code requirements applies to the clean assembly area of the SPD? - ANSWER Semi-restricted 74. The Centers for Medicare and Medicaid Services (CMS) states that IUSS should not be performed on: - ANSWER Implants unless there is a documented emergency 75. An osteotome is: - ANSWER Used to cut or shave bone