The Certified Registered Central Service Technician (CRCST) test from HSPA (Healthcare Sterile Processing Association) is part of the CRCST certification program designed to measure and recognize entry-level technicians to certify that they are capable of providing competent services as a central service/sterile processing technician.

### Common names for the CRCST Test

While the test is commonly referred to as the CRCST, you may also see the test referred to by these alternate names:

• CRCST Test
• CRCST Certification Test
• Certified Registered Central Service Technician test
• IAHCSMM CRCST Test
• IAHCSMM Test
• HSPA CRCST Test

### Test Eligibility Period

After submitting your application to HSPA (formerly IAHCSMM), you will receive a letter authorizing you to take the CRCST test within 90 days. That 90-day period is your test eligibility period. You can schedule a test at the Prometric Testing Center of your choice. Tests are given based on availability, and it’s recommended that you schedule your CRCST test within the first 45 days of eligibility to ensure you can reserve a seat.

If you fail the CRCST test, you can retake it as often as you want until you pass. You must apply using the retake application that comes with your examination report, wait 6 weeks between attempts, and pay $125 for each attempt. ### Hands-On Requirements As mentioned, in addition to passing the test you must have 400 hours of experience to receive your certification. Those hours are broken down as follows: • Decontamination – 120 hours • Preparing & Packaging Instruments – 120 hours • Sterilization and Disinfection – 96 hours • Storage & Distribution – 24 hours • Quality assurance processes – 24 hours • Equipment – 16 hours ## Results Scale and Interpretations There are 150 questions on the HSPA CRCST test. Of those questions, 125 count toward your score, and the other 25 are unscored. The unscored questions are randomly placed throughout the test, so you need to answer all 150 questions. Each correct answer is worth 1 point, and you need to get a 70% score to pass. There is no penalty for wrong answers, so if you don’t know an answer, your best bet is to eliminate options and make an educated guess. Your CRCST test results are given at the testing center. Results appear on the screen following your completion of a survey, and a notification is emailed to you as well. When you pass the test, you receive a certification package within two weeks of completing the exam. If you don’t pass the test, you will receive a report and information for retesting within one week. The report goes through each topic covered by the exam, and lets you know how you performed in each section. This chart shows the Pass/Fail scores of CRCST test takers from 2015-2019. In 2019 the test had its highest pass rate, with 77% of test-takers passing. In contrast, the pass rate in 2016 was just 53%. Preparing for the test with as many CRCST practice tests as possible is bound to help you pass the test. ### iPrep: Concise. Focused. What you need. Sign Up Immediate access Practice Online self-paced Pass Ace that Test! ## CRCST FAQs Can I take the CRCST test before completing 400 hours of hands-on practice? Yes, you can take the CRCST before you complete your 400 hours. However, if you have not completed your hours, you will only receive a provisional certification after passing the test. How many questions are on the CRCST exam? There are 150 questions on the test. 125 questions count toward your score, and 25 questions are unscored. Do I need to take a formal course before taking the CRCST? No, you don’t need to take any type of course. However, taking a course with practice tests will help you prepare for test day and give you a better chance at passing on your first attempt. Which agencies recognize the CRCST certification? CRCST Certification is awarded by HSPA (formerly IAHCSMM) and is recognized by the American National Standards Institute (ANSI) and the National Commission for Certifying Agencies (NCCA). What are the requirements for taking the CRCST exam? For full certification, you must provide a supervisor’s documentation that you have completed 400 hours of hands-on training when you apply for the test. For provisional certification, you can take the test without any documentation, but you must provide documentation for 400 hours of hands-on training within 6 months of taking the test. If you do not do so, you will need to take the test again. What is a passing score on the CRCST test? You will need a 70% to pass the test. If I fail the CRCST, can I take it again? Yes, you can retake the CRCST as often as you need until you pass. However, you need to wait 6 weeks between each test and pay$125 for each test.

How can I prepare for the CRCST test?

Hands-on practice is the best way to prepare. You can supplement that with IAHCSMM practice tests and online courses, such as those offered by iPrep.

What topics are included in the CRCST test?

There are seven main areas where you will be tested on. They are:
– Cleaning, Decontamination & Disinfection
– Preparation & Packaging
– Sterilization Process
– Patient Care Equipment
– Sterile Storage & Inventory Management
– Documentation and Record Maintenance
– Customer Relations

Can I bring anything with me to the CRCST Testing Room?

Before taking the test you will be required to pass through a metal detector. The only items you are allowed to have with you are your picture ID and a key to the locker that is available to you at the Prometric Testing Center.

Can I skip questions and come back to them later on?

Yes, the navigation within the CRCST test allows you to come back to questions that you skipped.

How quickly will I find out if I passed the test?

Upon completing the CRCST test, you will be asked to answer a survey. Your results will be on the screen once the survey is complete.

## CCAT Test Tips

1. Carefully read each question – Read every question carefully. Scan the information for the relevant data and use it to find the right answer. Read through the question and your answer a second time before clicking the Next button.
2. Pace yourself – Remember, you have 72 seconds for each question. However, if something is taking too long, move on to the next question.
3. Take educated guesses – If you don’t know an answer, try to eliminate wrong answers to give yourself a better chance at guessing right. You don’t lose points for wrong answers.
4. Answer as many questions correctly as you can – But don’t stress over scoring a perfect 100%. You only need 70% correct. There’s no penalty for wrong answers, so even a guess is better than no answer at all.
5. Plan and practice – Create a study plan and take as many CRCST practice tests as possible. The more familiar you get with the test, the fewer surprises you’ll find on test day.

• Test Location: CRCST tests are given at Prometric Testing Centers
• Test Schedule: Once you apply and are approved to take the CRCST, you can schedule it at your convenience during your 90-day eligibility period.
• Test Format: Multiple-choice taken on a computer.
• Test Materials: Taken on a computer. You may not use any additional materials.
• Cost: The test costs $125 • Retake Policy: You can take the CRCST test as many times as required. However, each test costs$125, and you must wait 6 weeks between attempts.

Free CRCST Practice

## Test Provider

The CRCST test was developed by the International Association of Healthcare Central Service Material Management (IAHCSMM) group, which was renamed in 2022 as HSPA (Healthcare Sterile Processing Association). It is one of several certifications offered by the organization. Other certifications are CIS, CEER, CHL, and CCSVP.

Disclaimer – All the information and prep materials on iPrep are genuine and were created for tutoring purposes. iPrep is not affiliated with HSPA (IAHCSMM), Prometric Testing Centers, or any other company mentioned.

Get to know what the IAHCSMM CRCST test will be like by practicing with these sample questions:

#### Question 1 of 29

Topic: Cleaning, Decontamination, and Disinfection

Which of the following is the agent used for sterilization for antibiotics and heat-labile liquid substances in clinical laboratories?

1. Dry heat
3. Filtration
4. Formaldehyde

Filtration is the only cleaning agent used in laboratories to separate rather than kill for sterilization. Dry heat and radiation are methods of sterilization while formaldehyde is used as a disinfectant in hospitals.

#### Question 2 of 29

Topic: Cleaning, Decontamination, and Disinfection

Which one of the following is used in the manufacturing of bleach (decontamination product)?

1. Ethyl alcohol
2. Sodium hydroxide
3. Sodium chloride
4. Sodium hypochlorite

Sodium hypochlorite is also known as bleach. Ethyl alcohol is used as a disinfectant while sodium hydroxide is used in the manufacturing of soaps. Sodium chloride is used in the treatment of patients who take fluids.

#### Question 3 of 29

Topic: Cleaning, Decontamination, and Disinfection

What is the required temperature range for pasteurization?

1. 75°C – 80°C
2. 121°C – 127°C
3. 62°C – 72°C
4. 60°C – 63°C

62°C-70°C (143°F-162°F) is the required temperature range for pasteurization. The temperature range is set to be adequate to kill spore-forming, microorganisms that cause diseases.

#### Question 4 of 29

Topic: Cleaning, Decontamination, and Disinfection

Which one of the following only shows cleaning agents?

1. Detergents, degreaser
2. Grease, detergents
3. Abrasives, oil
4. Acids

They have surfactants and solvent chemicals as an ingredient.

#### Question 5 of 29

Topic: Cleaning, Decontamination, and Disinfection

Which one of the following is not a disinfection method?

1. Chlorination
3. Ozone
4. Ultraviolet

Ionizing radiation is a sterilization method. Chlorination, ozone, and ultraviolet are all used in the disinfection process.

#### Question 6 of 29

Topic: Cleaning, Decontamination, and Disinfection

You are cleaning your living room with a vacuum cleaner. Which statement below describes the correct order so that the rooms become clean?

1. Vacuuming the floor and then dusting.
2. Dusting the room and then vacuuming.
3. Only vacuum as dust is eliminated
4. Dust today and then vacuum tomorrow.

Dust the room first and then vacuum to eliminate any dust that may have settled on other surfaces.

#### Question 7 of 29

Topic: Preparation & Packaging

How often should the warehouse be disinfected?

1. Weekly
2. Monthly
3. Daily
4. Annually

You should disinfect annually as long as your warehouse is kept clean.

#### Question 8 of 29

Topic: Preparation & Packaging

You are packing heavy and light instruments in a truck. Which ones should go in first?

1. The light items should go in first followed by the heavy items.
2. The heavy items should be placed on both ends of the truck.
3. The heavy items should be on the bottom while the light items should be on top.
4. Place the heavy items on the driver’s side and the light items on the passenger’s side.

The heavier items should be on the bottom side while the light items should be on top. If you select option A and place the light objects first, they are at risk of being crushed by the heavier objects. If you select option B and the heavier items are placed on both ends, they can easily crush the light objects in between. If you select D and the heavy items are placed on the driver’s side, during a curve, the heavy objects will move towards the lighter objects and crush them.

We place heavier items first to lower the center of gravity.

#### Question 9 of 29

Topic: Preparation & Packaging

What is the preferred exchange rate of air in the preparation and packaging room?

1. 10%
2. 1%
3. 6%
4. 8%

A preparation and packaging room should have a rate of 10% per hour of positive air pressure.

#### Question 10 of 29

Topic: Preparation & Packaging

What is the best temperature for flowers in the preparation and packaging room?

1. 35°F-50°F
2. 25°F-30°F
3. 33°F-37°F
4. 40°F-42°F

33°F-37°F. Most flowers require a temperature between 33°F to 37°F to survive. However, tropical flowers and blossoms require temperatures above 50°F. Thus, the only option that falls between 33°F to 37°F is C as there is no option for above 50°F.

#### Question 11 of 29

Topic: Preparation & Packaging

What is the oldest packaging material in the world?

1. Metal
2. Plastic
3. Tin
4. Glass

Glass is the oldest packaging material. It was invented over 5,000 years ago.

#### Question 12 of 29

Topic: Preparation & Packaging

What type of pressure is used to package food and beverage products?

1. High pressure
2. Low pressure
3. High temperature
4. Low temperature

The use of high pressure eliminates harmful microbes from packaged food and beverages.

#### Question 13 of 29

Topic: Sterilization Process

Which of the following shows the processes of sterilization?

1. Sanitization, heat, chemicals
4. High pressure, sanitization, heat

Sterilization involves the elimination of biological agents through chemicals, irradiation, and heat.

#### Question 14 of 29

Topic: Sterilization Process

Which of the following options is used to mechanically sterilize medical equipment?

2. Ultrasonic waves
3. Chemicals
4. Acids

Sterilization uses high-frequency sound waves transmitted through the liquid.

#### Question 15 of 29

Topic: Sterilization Process

Microorganisms are destroyed using a steam reaction known as?

1. Third-order
2. First-order
3. Second-order
4. None of the above

First-order sterilization is a process of destroying microorganisms by steam.

#### Question 16 of 29

Topic: Sterilization Process

Which of the following processes only shows sterilization methods?

2. Pasteurization, high pressure, heat
3. Ultrasonic, heat, pasteurization
4. All of the above

Heat, radiation, and chemical agents are sterilization processes. Pasteurization is a disinfection method so options B and C are incorrect.

#### Question 17 of 29

Topic: Sterilization Process

I want to use batch sterilization for medical tools. What is the best temperature and then state a reason for your answer?

1. 100°C
2. 102°C
3. 112°C
4. 121°C

The high temperature has high pressure which is used to kill microorganisms.

#### Question 18 of 29

Topic: Sterilization Process

Sterilization deactivates different spores of organisms. Which one is referred to as control?

1. Asexual spores Endospores
2. Exospores
3. None of the above

Endospores have high resistance to heat. It is also one of the hardiest microbial contaminants.

#### Question 19 of 29

Topic: Patient Care Equipment

Which item of clinical equipment can you use to stop a person’s bleeding?

1. Air bellow
2. MRI
3. Penlight
4. Hemostat clamp

It is a surgical tool that compresses blood vessels to stop bleeding.

#### Question 20 of 29

Topic: Patient Care Equipment

A patient is brought to a hospital with a high fever. Which tool will you use to measure their temperature?

1. Barometer
2. Clinical thermometer
3. Tonometer
4. MRI

A thermometer is an instrument that measures temperature. A tonometer measures the pressure inside your eyes. An MRI produces images of the brain and spine. A barometer measures air pressure.

Question 21 of 29

Topic: Patient Care Equipment

Tom just told the doctor he is having difficulty reading from the blackboard. Which tool will the doctor first use to examine Tom’s pupil dilation?

1. Penlight
2. Draw sheet
3. Retinoscope
4. VT 1 vision screener

A penlight is a small flashlight with an LED bulb that doctors use to examine the condition of the pupil.

#### Question 22 of 29

Topic: Sterile Storage and Inventory Management

Which statement describes the minimum required SPD sterile storage conditions?

1. High humidity but a controlled temperature
2. Controlled humidity and temperature
3. Controlled humidity and high temperature
4. Controlled temperature and humidity but not traffic limit

A controlled humidity of 30%-60% and a temperature of 18°C-23°C (64°C-74°C) is the minimum required temperature range. For option D, traffic needs to be limited. For option A, high humidity is not required and for option C, high temperature is not required.

#### Question 23 of 29

Topic: Sterile Storage and Inventory Management

What is the substance inside the ABC extinguisher?

1. Ammonium phosphate
2. Carbon dioxide
3. Water
4. Ammonium nitrate

Ammonium phosphate is a flame retardant.

#### Question 24 of 29

Topic: Sterile Storage and Inventory Management

In inventory management, where are delivery and requisitions recorded?

1. Demand
2. Receivables
3. Case chart
4. Sales

Demand is used to record delivery and requests for products.

#### Question 25 of 29

Topic: Documentation and Record Maintenance

Which statement best describes the correct order of naming a file for easy accessibility by all parties?

1. Name, quantity, date
2. Department, quantity, name
3. Department, date, serial number
4. Serial number, name, quantity

Department and then the date of execution locates the serial number.

#### Question 26 of 29

Topic: Documentation and Record Maintenance

Which of documentation is not useful to a company’s staff?

1. Goal-oriented documents
2. Information-oriented documents
3. Products’ how-to guides
4. Reference documents

How-to guides are useful to clients. Goal-oriented documents remind the staff of the company’s goals. Information-oriented documents share different information about the products and staff use it to confirm items. Reference documents are used by staff to refer to a certain clause.

#### Question 27 of 29

Topic: Customer Relations

A customer calls the tax office about the deadline for the tax waiver and account number for a specific region. While on the call, you do not know what the correct answer is. What is the fastest way to help the client?

1. Tell the customer to search your website.
2. Ask the customer to call back after a while.
3. Tell the customer to give you a few minutes.
4. Ask the customer for their email address or a phone number that you can relay the details to.

This allows you to share the specific details they are looking for.

#### Question 28 of 29

Topic: Customer Relations

A person comes into the office shouting about being overcharged for their subscriptions. What is the best way to handle the issue as you are registering a new client?

1. Take the person to your supervisor.
2. Say that the overcharged amount will be deducted from next month’s subscription.
3. Inform the person you cannot cancel the receipt.
4. Ask for their receipt and confirm their claim.

Before giving any definite answer, ask for the receipt and confirm that their claim is true.

#### Question 29 of 29

Topic: Customer Relations

A person just called your department erroneously and wants to get help from you. What should you do?

1. Write down their number.
2. Transfer them to the correct department.
3. Try to give them an answer.
4. Refer them to the company’s FAQs.

Determine which department the person should be transferred to. Writing down their number will not help since you are from a different department. Trying to give them an answer is not recommended since you are not sure of the answer. Referring the person to FAQs may not be helpful enough.

### Well done! You have completed the Sample Questions section.

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