IAHCSMM CRCST Practice Test – Chapter 8 Cleaning

Last Updated on August 5, 2024

HSPA [Formerly IAHCSMM] CRCST Practice Test—Chapter 8 Cleaning This practice test is designed to help candidates prepare for the IAHCSMM (International Association of Healthcare Central Service Materiel Management) certification exam. It focuses on the important concepts and principles related to cleaning, disinfection, and sterilizing medical instruments and devices, as Chapter 8 of the CRCST study guide outlines.

The practice test consists of multiple-choice questions that cover a wide range of topics, including:

The proper use and maintenance of ultrasonic cleaners and mechanical impingement washers.
The importance of degassing solutions in ultrasonic cleaners.
The handling and placement of various types of medical instruments during the cleaning process.
Factors to consider when using washer-disinfectants include appropriate loading and positioning of instruments.
The different steps involved in the washing cycle are the cool pre-rinse, detergent, rinsing, and pure rinse cycle.
Proper inspection and maintenance of washer racks, spray arms, and washer jets to ensure optimal cleaning efficacy.

IAHCSMM CRCST Practice Test – Chapter 8 Cleaning

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CRCST Practice Test - Chapter 8

CRCST Practice Test - Chapter 8
Total Items: 45
Time Limit: N/A
Multiple Choice Quiz

Which of the following mechanical cleaning devices uses cavitation to remove soil from difficult-to-reach areas of instruments?

Cart washers

Automated endoscope reprocessors

Ultrasonic cleaners

Pasteurizers

What is the purpose of decontamination?

To remove all visible debris from the device

To make a device safe for people who are not wearing gloves and to reduce bio burden

To sterilize the device completely

All of the above

In a three-sink arrangement for manual cleaning, what is the purpose of the intermediate rinse sink?

To wash instruments with detergent or enzymatic solution

To remove detergent residues and further assist in removing debris

To perform a final rinse with distilled, deionized, or reverse osmosis water

None of the above

What type of detergent is primarily used to remove mineral deposits such as hard water, urine minerals, and scale?

Neutral detergents

Alkaline detergents

Enzymatic detergents

Acid detergents

Why is thorough cleaning and adherence to IFUs important in the decontamination process?

It puts patients and staff at risk if not followed.

It prevents damage to instruments.

It saves time.

It is not important.

What should be done with instruments that cannot be immersed in water, such as power equipment and cameras?

They don't need to be cleaned at all

They should be cleaned with water anyway

The device manufacturer's instructions for use should be reviewed to ensure proper cleaning methods are used

They should be submerged in a cleaning solution instead of water

How should hinged instruments be placed in the ultrasonic cleaner?

Closed

Open

Only the hinges submerged

Only the tips submerged

What is the primary reason for using detergents during the instrument cleaning process?

To break down soils and debris

To kill microorganisms

To lubricate instruments

To enhance water's cleaning ability

Why should instruments from back up stock be cleaned prior to use?

They have a protective coating that needs to be removed

They are brand new and don't need cleaning

They have been hanging on walls and stored in drawers for some time, and could have been handled multiple times and contain dust and other contaminants

They are already sterile and ready for use

In a three-sink arrangement for manual cleaning, what should be the purpose of the second sink (intermediate rinse)?

To remove debris and detergent residues with plain or softened water

To soak the devices in disinfectant solution

To clean devices with water and detergent or enzymatic solution

To provide a final rinse with distilled, deionized, or reverse osmosis water

When using a washer disinfectant, what should be done with trays with lids or covers?

Keep them closed

Keep them closed and cover with a towel

Place them in the washer without the lid or cover

Open them to expose the contents to the washer spray

What should the temperature range be in the decontamination area?

80-85 degrees Fahrenheit (27-29 degrees Celsius)

50-55 degrees Fahrenheit (10-13 degrees Celsius)

70-75 degrees Fahrenheit (21-24 degrees Celsius)

60-65 degrees Fahrenheit (16-18 degrees Celsius)

Which type of detergent is most commonly used in the U.S. for cleaning surgical instruments?

Alkaline detergents

Neutral detergents

Enzymatic detergents

Acid detergents

Which of the following is NOT a type of cleaning method mentioned in the text?

Pre-cleaning

Mechanical cleaning

Manual cleaning

Ultrasonic cleaning

Why is it important to use distilled, deionized, or reverse osmosis water in the final rinse sink?

To dissolve any remaining detergent or enzymatic solution

To sanitize the devices before sterilization

To remove visible soil from the devices

To prevent the redeposit of minerals, microbes, and prions

Which of the following materials should NOT be placed in an ultrasonic cleaner?

Glass

Stainless steel

Plastic

Rubber

What is the main function of manual cleaning chemicals?

To remove soil from instruments

To lubricate instruments

To sterilize instruments

To remove rust from instruments

Which of the following is a method commonly used to check instruments for cleanliness?

Weighing the instrument to see if it has any debris on it

Comparing the instrument's appearance to a brand new one

Swabbing the item after it has been cleaned and processing the swab to determine if there is residual soil present

Using a strong chemical solution to see if the instrument changes color

What are some factors that should be considered when planning the decontamination area?

Construction materials for floors and walls

Centralization and location of the area

Ventilation system and temperature regulation

All of the above

What is the primary advantage of alkaline detergents in the decontamination process?

They remove a wider range of soil than any other type of detergent

They are safe to use on aluminum products

They neutralize alkaline residues

They require less rinsing than other types of detergents

In which situation is manual cleaning recommended?

When used instruments return from repair or refurbishing.

When the decontamination area has a mechanical method of cleaning.

For all items that require manual cleaning as part of their instructions to use.

For instruments that can be immersed in water.

What is the purpose of brushing instruments under the surface of the water during manual cleaning?

To create more bubbles.

To prevent aerosolization.

To make the process faster.

To avoid damage to the instruments.

What is the primary purpose of an ultrasonic cleaner?

Sterilization

Disinfection

Lubrication

Fine cleaning

What is the purpose of using instrument air in healthcare facilities?

To power medical devices and calibrate medical equipment

To sterilize instruments

To clean surfaces

To humidify the environment

What term refers to the presence of a low number of microorganisms on a surface after proper cleaning and rinsing?

Microbial count

Biofilm

Bioburden

Bioload

Which of the following factors must be considered when planning a decontamination area?

All of the above

Proper transport of contaminated devices

Centralizing the decontamination function

Constructing floors and walls with appropriate materials

What is the primary purpose of enzymatic cleaners in the decontamination process?

To act as a detergent for washing instruments

To kill microorganisms

To break down soils, stains, and other debris on heavily soiled instruments

To remove mineral deposits from instruments

What type of water is produced through the ion exchange process, which removes all minerals?

Reverse osmosis water

Spring water

Distilled water

Deionized water

What should be done after filling the ultrasonic cleaner to ensure proper cleaning?

Run the cleaner with the lid open

Degass the solution

Use detergent with high foaming properties

Fill the cleaner while it is running

What is the optimal temperature for using enzyme-based products during the decontamination process?

100 degrees Celsius

80 degrees Celsius

40 degrees Celsius

60 degrees Celsius or lower

What is the main principle on which mechanical impingement washers work?

Ultrasonic energy

Pressurized spray force action

Cavitation

Sonic wave transmission

What is the primary function of the decontamination area?

To clean instruments and other medical devices

To repair damaged instruments

To store instruments

To sterilize instruments

What is the purpose of pre-cleaning in the decontamination process?

To lubricate instruments

To sterilize instruments

To remove soil and prevent microbial growth on instruments

To remove rust from instruments

Which of the following is NOT a suitable brush type for cleaning surgical instruments?

Abrasive brushes

Brushes impregnated with enzymatic detergents

Nylon bristles

Metal bristles

What should be done with new or repaired instruments received in the central sterile department?

They should be sent directly to the operating room.

They should be cleaned prior to disinfection or sterilization.

They should be used immediately.

They should be inspected and returned to the manufacturer.

Why is it important to use a descaling product when scale is detected in cleaning equipment?

Because scale can interfere with the cleaning ability of the equipment

To increase the lifespan of the equipment

To prevent instrument damage

To make the equipment look better

What is the importance of selecting the proper chemical for each job in the decontamination area?

Each chemical is different and cannot be substituted for another

The choice of chemicals does not affect the cleaning process

Each chemical can be substituted for another

All chemicals have the same function in the decontamination process

What is the definition of toxic anterior segment syndrome (TASS)?

An acute postoperative inflammatory reaction where a non-infectious substance enters the interior segment and induces toxic damage to intraocular tissues.

A severe allergic reaction to anesthesia during eye surgery.

A contagious infection that affects the interior segment of the eye.

A rare form of glaucoma.

Which of the following is NOT a recommendation to reduce the risk of TASS in the decontamination area?

Carefully following all manufacturer's instructions for use in cleaning.

Using only enzymes and detergents recommended by the manufacturer.

Ignoring the formation of biofilm on instruments.

Flushing lumens and copious rinsing with the recommended rinse water.

What is the importance of a successful cleaning process in the sterilization process?

It guarantees the instrument's functionality

It is essential for the aesthetic appearance of the instruments

The success of disinfection and sterilization process depends on a successful cleaning process

It ensures the instruments last longer

Which process involves the removal of impurities in water by forcing it through a semipermeable membrane?

Reverse osmosis

Ion exchange

Distillation

Filtration

What is the importance of using distilled, deionized, or reverse osmosis water for the final rinse in the cleaning process?

To wash instruments with detergent or enzymatic solution

To prevent instrument spotting, rinse off cleaning chemical residues, and prevent redeposit of minerals and microbes

To remove detergent residues and further assist in removing debris

None of the above

Which of the following is NOT a recommended cleaning agent for medical instruments, unless specified by the manufacturer?

Abrasive cleaning compounds

Low foaming manual cleaners

Buffered iodine

Saline

In the context of ultrasonic cleaners, what does "cavitation" refer to?

The coagulation of proteins at high temperatures

The implosion of low-pressure bubbles in a cleaning solution

The agitation of cleaning solution by a mechanical cleaner

The process of generating ultrasonic waves

What is the main purpose of the cool pre-rinse step in a mechanical impingement washer?

To sterilize the instruments

To remove all traces of detergent

To maximize the effectiveness of detergent action

To prevent coagulation of proteins

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