
HSPA Practice Test
Updated for September 2026What changed for the HSPA CRCST exam in 2026
- Exam fee stays $140 in 2026. The 2026 CRCST application (revised January 2026) lists a $140 USD fee that covers one exam attempt; $25 of it is a non-refundable application fee, and every retake requires the full fee again. (source)
- Format confirmed: 150 questions, 3 hours. The Certification Handbook (revised January 2026) states the CRCST exam has 150 multiple-choice questions, 125 scored and 25 unscored pretest items, with three hours to finish plus an optional 15-minute tutorial that does not count against the clock. (source)
- No published passing score. Results are pass/fail only; the cut score is set by the Angoff method (supplemented by the Beuk compromise) and HSPA does not release a percentage or scaled number. Pass/fail shows on screen at the test center and by email within 48 hours. (source)
- In-person only at Prometric. HSPA exams are administered exclusively through Prometric test centers (computer-based, no paper version); no remote-proctored option is listed. Once approved you get a 120-day eligibility window to schedule and sit the exam. (source)
- 400 hands-on hours, earned within the past 5 years. Hours must break down as Decontamination 120, Preparation & Packaging 120, Sterilization & Disinfection 120, Storage & Distribution 24, Quality Assurance 16. Provisional candidates have 6 months after passing to submit them (one-time 2-month extension available if currently working in an SP department) or the certification is revoked. (source)
- Renewal: 12 CE credits + $50 per year. CRCST renews annually by the last day of your anniversary month with 12 technical CE credits and a $50 fee ($60 if you add optional HSPA membership). (source)
- Blueprint unchanged: 7 domains. The current CRCST content outline weights Cleaning/Decontamination 20%, Preparation & Packaging 20%, Documentation 10%, Sterilization 20%, Customer Relations 10%, Sterile Storage & Inventory 10%, Patient Care Equipment 10%. HSPA fully re-reviews each exam every 5 years via job analysis, pilot exam and cut-score study; SME applications for the 2027 workshops are now closed. (source)
- Last verified: September 16, 2026 against HSPA.
Did you know? The HSPA CRCST exam requires you to complete 400 hours of hands-on experience before or within 6 months of passing the test. This practical component ensures every HSPA sterile processing professional is fully prepared for the demands of the job.
If you are searching for a HSPA 150 question practice test or an HSPA free practice test, start with the free questions on this page: every answer comes with an explanation, and the study notes below cover the HSPA exam topics in order.

HSPA Practice Test Questions
Prepare for the HSPA - Healthcare Sterile Processing Association Certification exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
HSPA Assembly and Packaging Materials
HSPA Exam Questions covering Assembly and Packaging Materials. Master HSPA Test concepts for certification prep.
HSPA Decontamination and Cleaning Verifica...
Free HSPA Practice Test featuring Decontamination and Cleaning Verification. Improve your HSPA Exam score with mock test prep.
HSPA Microbiology for Sterile Processing
HSPA Mock Exam on Microbiology for Sterile Processing. HSPA Study Guide questions to pass on your first try.
HSPA Processing of Patient Care Equipment
HSPA Test Prep for Processing of Patient Care Equipment. Practice HSPA Quiz questions and boost your score.
HSPA Sterile Storage, Inventory Management...
HSPA Questions and Answers on Sterile Storage, Inventory Management, and Distribution Systems. Free HSPA practice for exam readiness.
HSPA Workplace Safety and Risk Management ...
HSPA Mock Test covering Workplace Safety and Risk Management in SPD. Online HSPA Test practice with instant feedback.
HSPA Biological and Chemical Indicators
Free HSPA Quiz on Biological and Chemical Indicators. HSPA Exam prep questions with detailed explanations.
HSPA Decontamination and Cleaning Processes
HSPA Practice Questions for Decontamination and Cleaning Processes. Build confidence for your HSPA certification exam.
HSPA Endoscope Reprocessing
HSPA Test Online for Endoscope Reprocessing. Free practice with instant results and feedback.
HSPA - Healthcare Sterile Processing Assoc...
HSPA Study Material on - Healthcare Sterile Processing Association Decontamination and Cleaning Processes. Prepare effectively with real exam-style questions.
HSPA - Healthcare Sterile Processing Assoc...
Free HSPA Test covering - Healthcare Sterile Processing Association Sterilization Methods and Monitoring. Practice and track your HSPA exam readiness.
HSPA Instrument Identification and Mainten...
HSPA Exam Questions covering Instrument Identification and Maintenance. Master HSPA Test concepts for certification prep.
HSPA Point-of-Use Care and Transport
Free HSPA Practice Test featuring Point-of-Use Care and Transport. Improve your HSPA Exam score with mock test prep.
HSPA Regulations and Standards Compliance
HSPA Mock Exam on Regulations and Standards Compliance. HSPA Study Guide questions to pass on your first try.
HSPA Sterile Processing Department Management
HSPA Test Prep for Sterile Processing Department Management. Practice HSPA Quiz questions and boost your score.
HSPA Sterilization and Disinfection
HSPA Questions and Answers on Sterilization and Disinfection. Free HSPA practice for exam readiness.
HSPA Sterilization Methods and Monitoring
HSPA Mock Test covering Sterilization Methods and Monitoring. Online HSPA Test practice with instant feedback.
HSPA Surgical Instrument Tray Assembly
Free HSPA Quiz on Surgical Instrument Tray Assembly. HSPA Exam prep questions with detailed explanations.
HSPA Exam Flashcards
Quick review for the Healthcare Sterile Processing Association exam
🦠What is the primary goal of high-level disinfection?
High-level disinfection kills all vegetative microorganisms, mycobacteria, and viruses but does not necessarily kill all bacterial spores.
START HSPA PRACTICE TEST🌡️What temperature range is typical for steam sterilization?
Steam sterilization typically occurs between 250°F (121°C) and 270°F (132°C), depending on the cycle type (gravity vs prevacuum).
GET HSPA EXAM PREP🔪What is the first step in instrument decontamination?
The first step is point-of-use cleaning to remove gross soil and prevent blood and debris from drying on the instruments.
REVIEW HSPA QUESTIONS📦Why must hinged instruments be sterilized open?
Hinged instruments must remain open to ensure the sterilizing agent contacts all surfaces, including the box lock area.
TRY HSPA MOCK EXAM🔬What is a biological indicator used for?
A biological indicator verifies that sterilization conditions were met by demonstrating the killing of highly resistant bacterial spores.
ACCESS HSPA STUDY GUIDE📋Who regulates disinfectants used on non-critical items?
The Environmental Protection Agency (EPA) regulates disinfectants used on non-critical environmental surfaces.
PRACTICE HSPA TEST NOWHSPA Exam Study Guide
This comprehensive HSPA study guide breaks down essential topics for the certification. Use these HSPA exam insights to focus your preparation on high-yield areas like sterilization methods and regulations.
- Topics: Safety, infection control, medical terminology
- Questions: Approx. 22 questions
HSPA Score Calculator
Total Scored Questions
150
105 out of 150 correct
70%
Required to Pass: ~70% (Estimated)
How to Become HSPA Certified
Wk
1-12Study Complete Course
Wk
12-20Hours400 Hr Experience
Wk
21Exam Pass HSPA Test
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22Certified Earn CRCST
- Enroll in Training - Complete a sterile processing course or self-study with the HSPA 9th edition manual.
- Complete 400 Hours - Gain 400 hours of hands-on experience in a sterile processing department (can be done before or after exam).
- Apply for Exam - Create an account on the HSPA website and submit your exam application with the fee.
- Schedule Test - Book your exam appointment at a local Prometric testing center.
- Pass HSPA Exam - Take and pass the 150-question HSPA test (graded pass/fail; HSPA does not publish the cut score).
- Submit Hours - If you took the exam provisionally, submit proof of your 400 hours within 6 months.
- Maintain Certification - Renew annually by completing 12 CE credits and paying the renewal fee.
HSPA Certification for Sterile Processing Technicians
The HSPA certification (formerly IAHCSMM) offers the Certified Registered Central Service Technician (CRCST) credential, which requires passing a 150-question exam covering decontamination, sterilization, and instrument identification. Candidates must also complete 400 hours of hands-on experience in a sterile processing department within six months of passing the written exam.
CRCST Exam Eligibility and Renewal
HSPA certification must be renewed annually with 12 continuing education (CE) credits submitted to HSPA. The exam fee is $140 for all candidates (including a $25 non-refundable application fee), and the test is administered through Prometric testing centers nationwide.
HSPA Sterile Processing Exam Content Areas
The HSPA sterile processing exam tests seven content domains, including cleaning, decontamination and disinfection (20%), preparation and packaging (20%), sterilization process (20%), and sterile storage and inventory management (10%), plus documentation, customer relations, and patient care equipment (10% each). Test-takers should know AAMI ST79 standards, biological indicators, and Bowie-Dick test protocols for prevacuum steam sterilizers.
Instrument Identification Knowledge
Questions cover recognizing Kelly clamps, Metzenbaum scissors, Kerrison rongeurs, and retractors by name and function. Understanding instrument assembly, lubrication with instrument milk, and proper tray weight limits (25 pounds maximum per AAMI) is required.
HSPA Practice Test Preparation Strategy
An effective HSPA practice exam should mirror the 150-question format with a 3-hour time limit; since HSPA reports only pass/fail, treat 75% or better on practice tests as your target. Quality practice questions cover microbiology basics, Spaulding classification (critical, semi-critical, non-critical items), and ethylene oxide aeration times.
Study Resources Beyond Practice Tests
Pair practice tests with the HSPA Sterile Processing Technical Manual (9th edition, 2023), which is the official reference used to write exam questions. Focus review time on weak domains identified through practice test scoring reports rather than re-reading material already mastered. A short HSPA practice quiz of 20-25 questions per domain is enough to expose a weak area without burning a full 3-hour session.
How an HSPA Certification Practice Test Prepares You for the Real CRCST Exam
The CRCST practice test HSPA candidates need most is one that behaves like the real thing. The live exam has 150 multiple-choice questions, but only 125 are scored; the other 25 are unscored pretest items mixed in at random, so treat every question as if it counts. With 3 hours on the clock, that is about 72 seconds per question, the pace to rehearse on any HSPA exam practice test before you sit at Prometric.
Weight your practice the way HSPA weights the exam. Cleaning and decontamination, preparation and packaging, and the sterilization process each carry roughly 20% of scored items, so about 75 of your 125 scored questions come from those three domains. The other four domains share the remaining 40%. If an HSPA practice exam shows you under 75% in any 20% domain, that is where your next study block belongs.
One thing a practice test cannot simulate: once HSPA approves your application you have a 120-day window to schedule at a Prometric center, so use your HSPA free practice test results to decide when to apply.
If you're preparing for multiple certifications in the sterile processing and healthcare technician space, you may also benefit from reviewing the AAC practice test to strengthen your grasp on related clinical terminology and procedures.
Candidates working toward advanced credentials often pair their HSPA study sessions with the AACC practice test to reinforce laboratory and instrument reprocessing concepts that overlap both exams.
The total HSPA certification cost typically ranges from $250 to $500 for self-study candidates, or up to $3,000 if attending a formal college program. Many employers reimburse these fees.

HSPA Test Day Checklist
- ✓Two forms of valid ID
- ✓Prometric confirmation number
- ✓Arrive 30 minutes early
- ✓Leave personal items in car/locker
- ✓Review HSPA sterilization cycles
- ✓Wear comfortable clothing
- ✓Know route to test center
- ✓Relax and be confident!
Start Your HSPA Certification Journey
Join thousands of sterile processing professionals who passed their exam using our free resources. Take your first HSPA practice test now, or jump straight to an HSPA practice quiz on the domain you find hardest, and get certified!
HSPA Renewal Requirements
Education
12 CE Credits
Fee
$50/Year
Always submit your renewal application and HSPA CE credits before your certification expiration date to avoid late fees or losing your credential. You can track credits through the HSPA login portal.
- +Validates your knowledge and skills objectively
- +Increases job market competitiveness
- +Provides structured learning goals
- +Networking opportunities with other certified professionals
- −Study materials can be expensive
- −Exam anxiety can affect performance
- −Requires dedicated preparation time
- −Retake fees apply if you don't pass
Official Resources
- HSPA: Become Certified - the Healthcare Sterile Processing Association's official CRCST page with the current Certification Handbook, exam content outline, online application, and the 120-day Prometric scheduling window.
- HSPA: Renew Your Certification - official annual renewal rules, the 12 CE credit requirement, deadlines, and the renewal fee for CRCST holders.
- AAMI Standards - the standards body behind ANSI/AAMI ST79 and related sterilization standards that the HSPA exam questions on decontamination, sterilization, and monitoring are written against.
HSPA Questions and Answers
About the Author

Registered Nurse & Healthcare Educator
Johns Hopkins University School of NursingDr. Sarah Mitchell is a board-certified registered nurse with over 15 years of clinical and academic experience. She completed her PhD in Nursing Science at Johns Hopkins University and has taught NCLEX preparation and clinical skills courses for nursing students across the United States. Her research focuses on evidence-based exam preparation strategies for healthcare certification candidates.
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