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Sterile Processing Technician Exam

Equipment Operation Practice Questions

20 practice questions with detailed explanations — aligned to the Sterile Processing Technician Exam.

Master Equipment Operation to boost your score on the Sterile Processing Technician Exam. Each question below mirrors the style and difficulty of real exam questions, complete with detailed explanations so you understand the why behind every answer. Work through all 20 questions, review any that trip you up, and use the related topics below to round out your preparation.

  1. Q1.The drain screen in a steam sterilizer must be cleaned:

    A.Weekly
    B.Monthly
    C.Daily (at least)
    D.Every load
    CDaily (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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  2. Q2.A 'heat sealer' temperature check should be performed:

    A.Annually
    B.Whenever the machine is turned on or daily
    C.Never
    D.Only if pouches open
    BWhenever the machine is turned on or daily

    Explanation: Routine verification ensures the sealer is reaching the temperature required to create a valid seal.

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  3. Q3.If a cart washer is not cleaning carts effectively, the first thing to check is:

    A.The electricity
    B.The spray arms/nozzles for blockages
    C.The brand of soap
    D.The wheels of the cart
    BThe spray arms/nozzles for blockages

    Explanation: Clogged spray nozzles prevent the high-velocity water impingement required for cleaning.

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  4. Q4.The gasket on the sterilizer door should be inspected daily for:

    A.Color
    B.Cracks, tears, or wear
    C.Smell
    D.Price
    BCracks, tears, or wear

    Explanation: A damaged gasket prevents the chamber from sealing, causing pressure leaks and cycle failures.

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  5. Q5.Biological Incubators must be monitored for:

    A.Temperature constancy
    B.Water level
    C.Noise
    D.Vibration
    ATemperature constancy

    Explanation: 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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  6. Q6.Ultrasonic cleaners must be 'degassed' whenever:

    A.The water is changed
    B.Instruments are added
    C.The lid is opened
    D.It is turned off
    AThe water is changed

    Explanation: Fresh water contains dissolved gases that inhibit cavitation. Running a degassing cycle (running empty) releases these gases.

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  7. Q7.The chamber drain line is the:

    A.Hottest spot in the sterilizer
    B.Coldest spot in the sterilizer
    C.Cleanest spot
    D.Highest spot
    BColdest spot in the sterilizer

    Explanation: 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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  8. Q8.Dosing of detergent in automated washers is usually:

    A.Done manually by the user
    B.Controlled automatically by a peristaltic pump
    C.Estimated
    D.Skipped
    BControlled automatically by a peristaltic pump

    Explanation: Automated washers use pumps to deliver precise amounts of chemicals based on the cycle selected.

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  9. Q9.Preventive Maintenance (PM) on equipment is performed by:

    A.The CS technician
    B.The OR nurse
    C.Biomedical Engineering or the Manufacturer's Service Technician
    D.The cleaning crew
    CBiomedical Engineering or the Manufacturer's Service Technician

    Explanation: While daily cleaning is done by CS, complex maintenance and calibration (PM) is done by trained professionals (Biomed).

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  10. Q10.If a sterilizer's recording chart/printer runs out of paper during a cycle:

    A.The cycle is valid if the gauges looked ok
    B.The cycle is suspect because there is no permanent record of parameters; the load usually must be reprocessed
    C.Draw the graph manually
    D.Ask the supervisor to sign off
    BThe cycle is suspect because there is no permanent record of parameters; the load usually must be reprocessed

    Explanation: Documentation is a requirement for sterility assurance. Without the printout, you cannot prove parameters were met.

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  11. Q11.The jacket of a steam sterilizer functions to:

    A.Cool the chamber
    B.Preheat the chamber walls and keep them hot to prevent condensation
    C.Hold the water
    D.Filter the air
    BPreheat the chamber walls and keep them hot to prevent condensation

    Explanation: Steam circulates in the jacket (the space between the outer shell and inner chamber) to keep the chamber walls hot.

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  12. Q12.Checking the spray arms in a washer-disinfector ensures:

    A.They rotate freely and holes are not clogged
    B.They are hot
    C.They are shiny
    D.They are removed
    AThey rotate freely and holes are not clogged

    Explanation: If spray arms are stuck or clogged (e.g., by tape or debris), water cannot reach the instruments.

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  13. Q13.An 'Aerator' is used with which type of sterilization equipment?

    A.Steam
    B.Ethylene Oxide (EtO)
    C.Plasma
    D.Dry Heat
    BEthylene 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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  14. Q14.Calibration of sterilization equipment is required to:

    A.Clean the machine
    B.Ensure the sensors (temperature, pressure) are reading accurately
    C.Make it run faster
    D.Use less water
    BEnsure the sensors (temperature, pressure) are reading accurately

    Explanation: Over time, sensors drift. Calibration adjusts them back to a known standard accuracy.

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  15. Q15.A 'loading car' or 'transfer carriage' is used to:

    A.Drive to the hospital
    B.Move the sterilization rack into and out of the chamber safely
    C.Wash the floor
    D.Store chemicals
    BMove the sterilization rack into and out of the chamber safely

    Explanation: Ergonomic equipment handling prevents injury and allows heavy loads to be moved into hot chambers.

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  16. Q16.Automated Endoscope Reprocessors (AERs) require hookups to:

    A.The exterior of the scope only
    B.All channels (lumens) of the endoscope to ensure fluid flow
    C.The light source
    D.The eyepiece
    BAll channels (lumens) of the endoscope to ensure fluid flow

    Explanation: 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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  17. Q17.If a sterilizer door is hard to close, the technician should:

    A.Force it shut
    B.Apply grease to the gasket
    C.Inspect the gasket and chamber alignment; call for service if needed
    D.Leave it open
    CInspect the gasket and chamber alignment; call for service if needed

    Explanation: Forcing the door can damage the locking mechanism. Grease is generally prohibited unless specified by IFU.

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  18. Q18.The frequency of changing the solution in a manual cleaning sonic or soak basin depends on:

    A.Cost
    B.Manufacturer IFU and visible soiling (typically after each use or shift)
    C.Weekly schedule
    D.When it smells
    BManufacturer 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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  19. Q19.A 'dynamic air removal' test (Bowie-Dick) fails. The technician repeats the test and it passes. What should be done?

    A.Use the sterilizer
    B.Call for service; inconsistent results indicate an intermittent problem
    C.Assume the first test was a bad pack
    D.Run a biological
    BCall for service; inconsistent results indicate an intermittent problem

    Explanation: 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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  20. Q20.Proper loading of a sterilizer involves:

    A.Packing items tightly to fit more in
    B.Allowing space between packs for sterilant circulation and avoiding contact with chamber walls
    C.Stacking rigid containers 5 high
    D.Mixing peel pouches and heavy trays in the same pile
    BAllowing space between packs for sterilant circulation and avoiding contact with chamber walls

    Explanation: Circulation is critical. Packs touching walls can burn or become wet. Tight packing prevents steam contact.

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