Sterile Processing Technician Exam
Equipment Operation Practice Questions
20 practice questions with detailed explanations — aligned to the Sterile Processing Technician Exam.
Q1.The drain screen in a steam sterilizer must be cleaned:
A.WeeklyB.MonthlyC.Daily (at least)D.Every loadC. Daily (at least)Explanation: The drain screen traps debris (lint, tape). If clogged, air cannot escape, and sterilization fails. It must be cleaned daily.
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Q2.A 'heat sealer' temperature check should be performed:
A.AnnuallyB.Whenever the machine is turned on or dailyC.NeverD.Only if pouches openB. Whenever the machine is turned on or dailyExplanation: Routine verification ensures the sealer is reaching the temperature required to create a valid seal.
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Q3.If a cart washer is not cleaning carts effectively, the first thing to check is:
A.The electricityB.The spray arms/nozzles for blockagesC.The brand of soapD.The wheels of the cartB. The spray arms/nozzles for blockagesExplanation: Clogged spray nozzles prevent the high-velocity water impingement required for cleaning.
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Q4.The gasket on the sterilizer door should be inspected daily for:
A.ColorB.Cracks, tears, or wearC.SmellD.PriceB. Cracks, tears, or wearExplanation: A damaged gasket prevents the chamber from sealing, causing pressure leaks and cycle failures.
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Q5.Biological Incubators must be monitored for:
A.Temperature constancyB.Water levelC.NoiseD.VibrationA. Temperature constancyExplanation: Incubators must maintain a specific temperature (e.g., 55-60°C for steam BIs) to promote spore growth. Temperature should be logged daily.
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Q6.Ultrasonic cleaners must be 'degassed' whenever:
A.The water is changedB.Instruments are addedC.The lid is openedD.It is turned offA. The water is changedExplanation: Fresh water contains dissolved gases that inhibit cavitation. Running a degassing cycle (running empty) releases these gases.
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Q7.The chamber drain line is the:
A.Hottest spot in the sterilizerB.Coldest spot in the sterilizerC.Cleanest spotD.Highest spotB. Coldest spot in the sterilizerExplanation: The thermometer is located at the drain because it is the coldest point. If the drain reaches temperature, the rest of the chamber is assumed to be at temperature.
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Q8.Dosing of detergent in automated washers is usually:
A.Done manually by the userB.Controlled automatically by a peristaltic pumpC.EstimatedD.SkippedB. Controlled automatically by a peristaltic pumpExplanation: Automated washers use pumps to deliver precise amounts of chemicals based on the cycle selected.
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Q9.Preventive Maintenance (PM) on equipment is performed by:
A.The CS technicianB.The OR nurseC.Biomedical Engineering or the Manufacturer's Service TechnicianD.The cleaning crewC. Biomedical Engineering or the Manufacturer's Service TechnicianExplanation: While daily cleaning is done by CS, complex maintenance and calibration (PM) is done by trained professionals (Biomed).
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Q10.If a sterilizer's recording chart/printer runs out of paper during a cycle:
A.The cycle is valid if the gauges looked okB.The cycle is suspect because there is no permanent record of parameters; the load usually must be reprocessedC.Draw the graph manuallyD.Ask the supervisor to sign offB. The cycle is suspect because there is no permanent record of parameters; the load usually must be reprocessedExplanation: Documentation is a requirement for sterility assurance. Without the printout, you cannot prove parameters were met.
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Q11.The jacket of a steam sterilizer functions to:
A.Cool the chamberB.Preheat the chamber walls and keep them hot to prevent condensationC.Hold the waterD.Filter the airB. Preheat the chamber walls and keep them hot to prevent condensationExplanation: Steam circulates in the jacket (the space between the outer shell and inner chamber) to keep the chamber walls hot.
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Q12.Checking the spray arms in a washer-disinfector ensures:
A.They rotate freely and holes are not cloggedB.They are hotC.They are shinyD.They are removedA. They rotate freely and holes are not cloggedExplanation: If spray arms are stuck or clogged (e.g., by tape or debris), water cannot reach the instruments.
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Q13.An 'Aerator' is used with which type of sterilization equipment?
A.SteamB.Ethylene Oxide (EtO)C.PlasmaD.Dry HeatB. Ethylene Oxide (EtO)Explanation: EtO requires aeration to remove toxic gas residuals. This can be a separate machine or a cycle within the sterilizer.
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Q14.Calibration of sterilization equipment is required to:
A.Clean the machineB.Ensure the sensors (temperature, pressure) are reading accuratelyC.Make it run fasterD.Use less waterB. Ensure the sensors (temperature, pressure) are reading accuratelyExplanation: Over time, sensors drift. Calibration adjusts them back to a known standard accuracy.
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Q15.A 'loading car' or 'transfer carriage' is used to:
A.Drive to the hospitalB.Move the sterilization rack into and out of the chamber safelyC.Wash the floorD.Store chemicalsB. Move the sterilization rack into and out of the chamber safelyExplanation: Ergonomic equipment handling prevents injury and allows heavy loads to be moved into hot chambers.
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Q16.Automated Endoscope Reprocessors (AERs) require hookups to:
A.The exterior of the scope onlyB.All channels (lumens) of the endoscope to ensure fluid flowC.The light sourceD.The eyepieceB. All channels (lumens) of the endoscope to ensure fluid flowExplanation: AERs pump fluid through the channels. If the specific connectors are not hooked up, the inside of the scope is not treated.
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Q17.If a sterilizer door is hard to close, the technician should:
A.Force it shutB.Apply grease to the gasketC.Inspect the gasket and chamber alignment; call for service if neededD.Leave it openC. Inspect the gasket and chamber alignment; call for service if neededExplanation: Forcing the door can damage the locking mechanism. Grease is generally prohibited unless specified by IFU.
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Q18.The frequency of changing the solution in a manual cleaning sonic or soak basin depends on:
A.CostB.Manufacturer IFU and visible soiling (typically after each use or shift)C.Weekly scheduleD.When it smellsB. Manufacturer IFU and visible soiling (typically after each use or shift)Explanation: Solutions become bioburden-laden and ineffective. They must be changed frequently (often after every batch or when cloudy).
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Q19.A 'dynamic air removal' test (Bowie-Dick) fails. The technician repeats the test and it passes. What should be done?
A.Use the sterilizerB.Call for service; inconsistent results indicate an intermittent problemC.Assume the first test was a bad packD.Run a biologicalB. Call for service; inconsistent results indicate an intermittent problemExplanation: A failure indicates a problem. A subsequent pass does not fix the underlying intermittent issue (like a sticky valve). Service is required.
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Q20.Proper loading of a sterilizer involves:
A.Packing items tightly to fit more inB.Allowing space between packs for sterilant circulation and avoiding contact with chamber wallsC.Stacking rigid containers 5 highD.Mixing peel pouches and heavy trays in the same pileB. Allowing space between packs for sterilant circulation and avoiding contact with chamber wallsExplanation: Circulation is critical. Packs touching walls can burn or become wet. Tight packing prevents steam contact.
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