Certified Surgical Technologist (CST) Practice Exam 2023- 2024 175 Correctly Answered Ques, Exams of Nursing

Download Certified Surgical Technologist (CST) Practice Exam 2023- 2024 175 Correctly Answered Ques and more Exams Nursing in PDF only on Docsity! NBSTSA FALL-SPRING SEMESTER Certified Surgical Technologist (CST) Practice Exam 2023- 2024 175 Correctly Answered Questions |GRADED A+ CST Practice Exam 11,500 out of 21,000 Question 1 100 / 100 pts A Surgical Technologist is scheduled to assist a new surgeon on a scheduled cholecystectomy tomorrow. The information needed regarding the positioning the patient, the instruments the surgeon will need for the case, and the details of the procedure can be found. In the policies and procedures manual of the healthcare facility On the MSDS sheets In the computerized health record of the patient Correct! On the surgeon’s preference card Question 2 0 / 100 pts A pre-operative surgical site is being prepared by the surgical technician. After appropriately draping the nonoperative sites, a final drape is applied that contains a specific opening to accommodate the surgical incision. What type of drape is this? You Answered Fenestrated drape Non-fenestrated drape Adhesive drape Correct Answer Plastic adhesive drape Question 3 100 / 100 pts When preparing the operating room lights for a specific surgery, care should be taken to: change the light bulbs prior to each surgery angle both surgical lights toward the ceiling so the surgeon can move them into the correct position Correct! NBSTSA FALL-SPRING SEMESTER apply sterile handle covers to the lights NBSTSA FALL-SPRING SEMESTER Which of the following identifies the elements to be included in the surgical time out? Surgery to be performed, site of the surgery, and surgeon’s name Correct! patient name, surgery to be performed, and identification of the correct site/side for the surgery patient’s date of birth, surgery to be performed, and names of everyone in the operating room patient’s age, surgery to be performed, and location of the surgical site Question 11 100 / 100 pts Which of the following diagnostic procedures is used to determine abnormalities, tumors, disc herniation, or other problems associated with the spinal structures? MRI Fluoroscopy Correct! Myelography Angiography Question 12 100 / 100 pts What is used to help prevent the patient from moving during surgery? Limb immobilization braces High doses of opiates Correct! safety straps staff oversight Question 13 100 / 100 pts Which of the following patient positions is preferred for cardiac and thyroid procedures? Correct! NBSTSA FALL-SPRING SEMESTER supine position lateral position prone position Trendelenburg position Question 14 100 / 100 pts The triad of the fundamental principles of radiation protection for the Certified Surgical Technologist in the perioperative area includes: shielding, protecting, and minimizing Correct! time, distance, and shielding stop, drop, and roll distance, strength, and shielding Question 15 100 / 100 pts Which of the following refers to the flow of air from inside the operating room outward? Negative pressure Direct pressure Correct! Laminar air flow Reverse air flow Question 16 100 / 100 pts Which of the following patients would require special precautions be taken during surgery? a patient with a history of well-controlled diabetes mellitus Correct! a patient with a latex allergy NBSTSA FALL-SPRING SEMESTER a patient with a history of nausea and vomiting following general anesthesia a patient with a penicillin allergy Question 17 100 / 100 pts Which of the following is an example of universal precautions? sterilization of equipment adequate draping of surgical field adequate skin preparation of the surgical site Correct! proper handling of sharps Question 18 100 / 100 pts In what position should the C-arm be set before applying sterile drapes? lowest possible setting to the floor highest possible setting Correct! horizontal at waist height or a little higher vertical at shoulder height Question 19 100 / 100 pts Which of the following is the LEAST effective method for monitoring the patient’s core body temperature? oral thermometer rectal thermometer Correct! head monitoring strip Esophageal temperature probe NBSTSA FALL-SPRING SEMESTER Which of the following chemical cauterization substances is frequently used to control cervical or nasal bleeding? Absorbable gelatin Collagen Epinephrine Correct! Silver Nitrate Question 27 100 / 100 pts A microscope may be used for all of the following surgeries EXCEPT: lens replacement surgery of the eye Correct! appendectomy vein anastomosis some plastic surgeries Question 28 100 / 100 pts Which of the following is NOT a common type of suture material? Absorbable Nonabsorbable Metallic Correct! Nonmetallic Question 29 100 / 100 pts One way the Certified Surgical Technologist can prevent a medication error is to: ask the Circulating Nurse to remember which syringe contains which medication NBSTSA FALL-SPRING SEMESTER keep a written note nearby that identifies which syringe contains which medication Correct! label syringes with the drug information so they are clearly identifiable ask the surgeon to draw up any medications as they are needed Question 30 100 / 100 pts Which of the following is the most commonly used substance in cryotherapy? Liquid hydrogen Liquid Iodine Correct! Liquid Nitrogen Water Question 31 100 / 100 pts When estimating blood loss based on a visual assessment of saturated gauze, how much blood is estimated to be lost with each saturated piece of 4x4 gauze? Correct! 12 mL 20 mL 25 mL 32 mL Question 32 100 / 100 pts Which of the following is a characteristic specific to the laparoscopic technique? The addition of extreme cold to destroy abnormal tissue The use of x-rays to visualize the internal structures Correct! NBSTSA FALL-SPRING SEMESTER The use video assistance to visualize internal structures A direct incision to access and visualize the internal structure Question 33 100 / 100 pts The type of suturing needle that should never be used for closing skin is: a cutting needle a reversed cutting needle Correct! a tapered, or smooth, needle a straight needle Question 34 100 / 100 pts Which of the following surgical methods uses the combination of irrigation and aspiration simultaneously? cryosurgery laparoscopic surgery fluoroscopy Correct! phacoemulsification Question 35 100 / 100 pts In the event of a Code Blue (cardiac arrest) of a patient during surgery, the main responsibility of the Certified Surgical Technologist is to: activate the healthcare facility’s Code Blue response team Correct! maintain sterility of the back table, Mayo stand, and surgical site intubate the patient if this is not already done draw up and IV push medications via ACLS protocol NBSTSA FALL-SPRING SEMESTER Which of the following is a surgical procedure in which therapeutic agents are surgically implanted into the body? Correct! Brachytherapy Cryotherapy Radiation therapy Phacoemulsification Question 43 100 / 100 pts A Surgical Technologist is seen throwing a disposable towel that is soaked with blood into the regular trash. The best response is to: do nothing, as this is the proper way to dispose of this item wait until they are not looking and remove it to be placed with items that will be sterilized Correct! politely let them know that this item should be placed in a red bag remove it and place it in the dirty laundry bin Question 44 100 / 100 pts What is the purpose of a vascular implant? To cauterize the diseased or obstructed portion of a blood vessel for it to then be removed To apply direct thrombolytic therapy in order to break down a blood vessel obstruction Correct! To re-route blood flow around a diseased or obstructed blood vessel To temporarily block blood flow to a distal location during surgery in order to minimize bleeding Question 45 100 / 100 pts The Surgical Technologist has supplied the surgeon with several 10 cc syringes filled with lidocaine 1% without epinephrine. How should the total quantity be recorded accurately? NBSTSA FALL-SPRING SEMESTER The surgeon will make a mental note of how much is given The anesthesiologist will record this It is not necessary to document the exact amount of local anesthetic given Correct! The Surgical Technologist should write down the quantity given to keep track Question 46 100 / 100 pts Which of the following surgical instruments should be prepared for the surgeon who is about to perform a colonoscopy procedure? Laparoscope Fluroscope Sigmoidoscope Correct! Endoscope Question 47 100 / 100 pts While preparing the necessary equipment and supplies for a particular case, the surgeon tells the Surgical Technologist that he would like to have additional sutures than the ones listed on his preference card for this particular procedure. The most appropriate action to take is to open the sutures that are already available along with the additional ones to be ready for whichever ones the surgeon decides to use return the sutures already available and replace them with the additional ones Correct! clarify with the surgeon if he would like to have the preference card for this procedure updated to reflect these sutures instead of the ones listed go ahead and update the preference card so only these sutures are available each time Question 48 100 / 100 pts NBSTSA FALL-SPRING SEMESTER Which of the following refers to an intensely hot, precisely focused beam of light designed to alter or destroy target tissue? Correct! laser thermal ablation cryosurgery phacoemulsification Question 49 100 / 100 pts During a mass casualty drill, the coordination of different resources and personnel comes from: the paramedic staff the firefighters the temporary morgue Correct! the command center Question 50 100 / 100 pts Which type of biopsy requires the entire lesion to be removed to test for clean tissue margins after removal? Fine needle aspiration Incision biopsy Correct! Excision biopsy Sentinel node biopsy Question 51 100 / 100 pts What are the 3 elements that must be present for a fire to occur in the operating room? Gasoline, spark, and oxygen NBSTSA FALL-SPRING SEMESTER Sensorimotor, preoperational, concrete operational, and formal operational Question 58 100 / 100 pts Which of the following should be performed if an instrument used during a surgical procedure cannot be verified and reconciled? Re-open the incision and look for it Replace the instrument Correct! Obtain an x-ray of the surgical site Thorough check of all waste containers used during the surgical procedure Question 59 100 / 100 pts The difference between a preceptor and a mentor is: a mentor is performing job evaluations and identifying training needs while a preceptor carries out the training needs Correct! a preceptor provides hands-on training or orienting in a new position while a mentor provides encouragement and feedback when a problem is encountered a mentor is a general co-worker, and a preceptor is a supervising Surgical Technologist responsible for disciplinary action on the job a preceptor provides guidance when requested and a mentor is in charge of peer review proceedings Question 60 100 / 100 pts Which of the following refers to the act of making the patient aware of the procedure, the risks and benefits of the procedure, and the possible outcomes of the surgical procedure? Surgical work up Correct! Surgical consent Surgical summary NBSTSA FALL-SPRING SEMESTER Surgical time-out Question 61 100 / 100 pts A 64-year-old female has been told that her husband has terminal, metastatic cancer and life expectancy is most likely less than 6 months. She is feeling very anxious, depressed, and moody since he received this diagnosis. These emotions are part of: major depression bipolar II disorder Correct! anticipatory grief suicidal ideation Question 62 100 / 100 pts Which of the following refers to the 1998 legislation that outlines the eight major aspects of health care to which all consumers are entitled? Patient Entitlement Act of 1998 Health Insurance Portability and Accountability Act Correct! Patient Bill of Rights Affordable Care Act Question 63 100 / 100 pts What is the role of the Surgical Technologist in the organ and tissue procurement process? Correct! Facilitate coordinating procurement of the organ or tissue and provide preservation and packaging of the organ Speaking with patients and family members regarding their options for being organ donors Deliver the organ or tissue to the facility where the organ transplant will occur Perform the organ procurement surgery to harvest viable organs and tissues NBSTSA FALL-SPRING SEMESTER Question 64 100 / 100 pts Which of the following refers to the level of moral accountability that a surgical technologist must have when dealing with the health and welfare of another individual? Code of Ethics Correct! Surgical conscience Surgical consent Moral threshold Question 65 0 / 100 pts With an isolated system in the OR to prevent electrical shock, what are the AC power wires at the power outlets connected to? You Answered the ground Correct Answer they are floating and not touching anything the main circuit breaker the electrical devices within the OR Question 66 0 / 100 pts Which of the following refers to the destruction of all microorganisms on inanimate surfaces? You Answered Decontamination Surgical scrubbing Correct Answer Sterilization Sterile technique NBSTSA FALL-SPRING SEMESTER Correct! sterilizer log OSHA safety sheet Joint Commission sterilization documentation biological indicator Question 74 100 / 100 pts Which of the following refers to the procedure designed to check for air entrapment within the chamber of a sterilizer? Correct! Bowie-Dick test Air puff test Sterility validation test Air pressure test Question 75 100 / 100 pts The correct order in which blood flows into the heart and then to the lungs is: inferior vena cava, superior vena cava, right ventricle, mitral valve, right atrium, pulmonary artery, lungs superior vena cava, right atrium, right ventricle, tricuspid valve, pulmonary artery, lungs Correct! superior and inferior vena cava, right atrium, tricuspid valve, right ventricle, pulmonic valve, pulmonary artery, lungs aorta, right atrium, mitral valve, right ventricle, pulmonary artery, lungs Question 76 100 / 100 pts Which of the following is NOT a performance standard that must be met by packaging material? packaging material must keep the instrument sterile until time of use NBSTSA FALL-SPRING SEMESTER packaging material must be constructed so the instrument can be removed without risk of contamination Correct! packaging material must be water, steam, and heat resistant packaging material must allow the sterilizing agent to penetrate its fabric and reach all surface areas Question 77 100 / 100 pts The primary function of the gallbladder is to: breakdown fat to glucose Correct! store bile digest proteins store pancreatic enzymes Question 78 0 / 100 pts Which of the following is the medical term used to describe the action of the intestinal smooth muscle layers? You Answered contraction digestion Correct Answer peristalsis constriction Question 79 0 / 100 pts What structure should be avoided during a thyroidectomy to prevent damage to the vocal cords? Correct Answer the recurrent laryngeal nerve NBSTSA FALL-SPRING SEMESTER You Answered the phrenic nerve the superior tracheal artery the inferior tracheal artery Question 80 100 / 100 pts Which of the following is the suffix that refers to inflammation? -osis Correct! -itis -ology -oma Question 81 100 / 100 pts Once lymph fluid is filtered through the lymph nodes, where does it travel? through the superior and inferior vena cavas to the right atrium of the heart through the aorta to be circulated throughout the body Correct! toward the neck to drain into the left and right subclavian veins through the digestive system to be eliminated with solid waste Question 82 100 / 100 pts Which of the following congenital anomalies does the acronym VSD refer to? Venous surgical disorder Ventricular shunt defect Venous shunting disorder Correct! NBSTSA FALL-SPRING SEMESTER How many lobes are found in each lung? Two lobes in the right, one in the left Two lobes in the right and two in the left Correct! Three lobes in the right and two in the left Three lobes in the right and three in the left Question 90 100 / 100 pts Which of the following refers to the method of tissue handling that minimizes cell destruction? Whittaker’s Five-Kingdom System Dr. Carl Woese Domains Stealth Surgical Navigation Correct! Halsted’s Principles of Surgery Question 91 100 / 100 pts The three small bones within the ear are the: pylorus, antrum, and fundus upper, middle, and lower parotid, sublingual, and submandibular Correct! malleus, incus, and stapes Question 92 100 / 100 pts In which of the following procedures would IV regional anesthesia MOST likely be utilized? below the knee amputation tissue biopsy of an abnormal mole NBSTSA FALL-SPRING SEMESTER Correct! carpal tunnel release Colonoscopy Question 93 100 / 100 pts The cells responsible for formation of bone are: red blood cells platelets osteoclasts Correct! osteoblasts Question 94 100 / 100 pts Which of the following is an isotonic solution used to achieve states of altered consciousness ranging from mild sedation to deep anesthesia? Correct! Propofol Fentanyl Morphine Hydrocodone/Acetaminophen Question 95 0 / 100 pts All of the following are functions of the kidneys EXCEPT: filter and excrete waste You Answered regulate blood pressure Correct Answer NBSTSA FALL-SPRING SEMESTER aids in digesting fats metabolize vitamins D and calcium Question 96 100 / 100 pts Which of the following refers to an agent that can cause illness or disease to the host? Carcinogen Virus Toxin Correct! Pathogen Question 97 100 / 100 pts Which of the following bones is the most fragile? Correct! the lacrimal bone the frontal portion of the skull the maxilla the mandible Question 98 0 / 100 pts What are the two main types of bacterial toxins that are critical in the toxigenesis process? Correct Answer Lipopolysaccharides and proteins Proteins and exotoxins You Answered Endotoxins and enterotoxins Neurotoxins and lipopolysaccharides NBSTSA FALL-SPRING SEMESTER Of the following, which is considered the most important item to be documented in a patient’s chart during the preoperative phase? Correct! allergies social security number person to contact in case of an emergency inventory list of personal belongings with the patient Question 106 100 / 100 pts What is the benefit of using chlorhexidine for the purpose of skin preparation? Chlorhexidine removes microorganisms more rapidly than alcohol Chlorhexidine removes a greater quantity of microorganisms than alcohol Chlorhexidine removes microorganisms more rapidly than iodine Correct! Chlorhexidine has a residual effect of 5 to 6 hours Question 107 100 / 100 pts A 48-year-old male is scheduled to undergo a Whipple procedure that will last at least 7 hours. In order to decrease the risk for DVT, which of the following will be used during the surgery? Blood thinners, usually Heparin TED hose on the lower extremities Deep tissue massage of the lower extremities Correct! Sequential compression devices Question 108 100 / 100 pts Which of the following describes the process in which the surgical technologist rids his/her skin of microorganisms prior to a surgical procedure? NBSTSA FALL-SPRING SEMESTER Skin preparation Aseptic technique Correct! Surgical scrub process Hand hygiene Question 109 0 / 100 pts When using an alcohol-based hand rub to perform a waterless surgical scrub, the first step after dispensing the solution in the hand is: nothing because using an alcohol-based hand rub is not approved for use as a surgical scrub You Answered to vigorously rub both hands together until the solution is absorbed and the hands dry Correct Answer to dip the fingertips of the opposite hand in the solution for 5 seconds to clean under the nails to vigorously rub the solution over all surfaces of the forearms until it is absorbed Question 110 100 / 100 pts Which of the following is the normal value for red blood cells? Correct! 4.3-5.9 x 106 cells/mm3 5.2-7.8 x 106 cells/mm3 8.1-9.8 x 106 cells/mm3 9.0-10.7 x 106 cells/mm3 Question 111 100 / 100 pts What can be done to help prevent the patient from slipping between the stretcher and the operating table during transfer? Correct! NBSTSA FALL-SPRING SEMESTER Place a slider board halfway under the patient over the gap between the two surfaces Recruit extra staff to help with lifting the patient from one surface to the other Have the patient assist in the transfer to prevent a fall Use a Hoyer lift to transfer the patient from one surface to the other Question 112 100 / 100 pts A patient is scheduled for an angiography. Which of the following conditions is this diagnostic procedure most likely investigating? A possible tumor in the brain The possibility of degeneration of the knee joint Post-operative status of the spine Correct! A possible blood clot in the coronary artery Question 113 0 / 100 pts The Certified Surgical Technologist is responsible for ensuring that protective padding and positioners are available to protect and position the patient during surgery. One of the indications for providing padding over bony prominences to preserve skin integrity is to pad these areas for an surgeries lasting longer than: Correct Answer 3 hours 2 hours You Answered 1 hour 30 minutes Question 114 100 / 100 pts A patient is positioned laterally in preparation for surgery. What surgery is this patient most likely receiving? NBSTSA FALL-SPRING SEMESTER Allow the graft to thaw and keep in a safe area where it can remain sterile Correct Answer Soak the graf t 3 separate times in a solution of saline with bacitracin and polymyxin B over a 30 minute time period Question 121 100 / 100 pts A surgeon requests a hemostat instrument during a procedure. What will this instrument likely be used for? Cutting tissue to access the surgical site Cauterizing tissue to prevent excess bleeding Correct! Clamping blood vessels to prevent hemorrhage Expanding a space for enhanced viewing Question 122 0 / 100 pts What is one of the disadvantages of using a traditional synthetic bone graf t in surgery? You Answered There is an increased risk of infection There is an increased risk of loss of sensation in the area in which the repair occurs Correct Answer It cannot be perfectly shaped to fit the area that requires repair There is an increased risk of bone borne cancers using a synthetic bone graft Question 123 100 / 100 pts Which of the following type of instrument is useful for exploring structures such as fistulas, ducts, and vessels? Correct! Probing instrument NBSTSA FALL-SPRING SEMESTER Viewing instrument Clamping instrument Grasping instrument Question 124 0 / 100 pts The solution used to irrigate an operative site is up to the surgeon’s preference. Currently, the World Health Organization recommends irrigation with which solution? Correct Answer An iodine solution Hydrogen Peroxide Normal saline You Answered An antibiotic solution Question 125 100 / 100 pts Which of the following methods of hemostasis involves the use of instruments to control bleeding? Correct! Mechanical hemostasis Thermal hemostasis Laser hemostasis Chemical hemostasis Question 126 100 / 100 pts An advantage to using an absorbent sponge rather than a suction device to remove pooled blood or body fluids from the surgical site is: decreased risk of post op infection no risk of equipment failure Correct! NBSTSA FALL-SPRING SEMESTER decreased risk of tissue damage caused by suction it works faster to remove fluids Question 127 100 / 100 pts What action of epinephrine, when combined with a local anesthetic, allows it to act as a chemical cauterization substance? The chemical interaction between epinephrine and the local anesthetic creates heat, which seals the vessels and controls bleeding The chemical interaction between epinephrine and the local anesthetic creates a gelatin that physically seals the vessels Correct! Epinephrine is a potent vasoconstrictor, which limits blood flow to the location where it is applied, while the local anesthetic provides pain relief The chemical interaction between epinephrine and the local anesthetic creates intense cold, which limits blood flow to the location to minimize bleeding. Question 128 100 / 100 pts What would you expect to find in a fracture set? Casting materials to stabilize a fracture Copies of x-ray films of a patient with a fracture The order form and contact information of the surgical representative who supplies the facility with fixator materials Correct! Screws, plates, rods, or other fixators necessary to surgically repair a fracture Question 129 100 / 100 pts In which of the following conditions/procedures would cryotherapy be LEAST likely to be indicated? Joint pain from arthritis Correct! NBSTSA FALL-SPRING SEMESTER Fluoroscope UnansweredQuestion 136 0 / 100 pts The primary role of the Certified Surgical Technologist once the surgeon has placed an active drain in the surgical wound is to: Correct Answer attach the end of the drain tubing to the reservoir and activate the suction device educate the patient in how to empty the drain and record the amount of fluid remove the drain when the surgeon says it is appropriate to do so position the patient so that the drain is dependent to promote drainage UnansweredQuestion 137 0 / 100 pts The purpose of the patient using a post-op back brace following a lumbar laminectomy is to: decrease muscle pain and spasm support the back when they are doing heavy lifting exercises Correct Answer immobilize the spine and maintain proper alignment post-op back braces are not routinely used following a lumbar laminectomy UnansweredQuestion 138 0 / 100 pts Which of the following is NOT a function of the three layers in a three-layer dressing? absorbing moisture from the wound bed preventing the dressing from adhering to the wound Correct Answer preventing circulation of air to the wound preventing moisture from leaking onto the outer layer NBSTSA FALL-SPRING SEMESTER UnansweredQuestion 139 0 / 100 pts A 42-year-old female undergoes a left breast lumpectomy. She notices some swelling at the surgical wound margins, erythema, and a small amount of blood seeping at the suture line. This is more likely due to: Correct Answer a postoperative hematoma a surgical wound infection a recurrence of a breast mass nothing, it is a normal symptom in the postoperative period UnansweredQuestion 140 0 / 100 pts Which of the following is a type of surgical implant that is used to reduce and stabilize fractures of long bones? Screws Plates Pins Correct Answer Rods UnansweredQuestion 141 0 / 100 pts What special equipment is used to transfer a patient from the operating table to a stretcher postoperatively? A Hoyer lift Correct Answer A roller board Safety Straps Several strong OR staff members UnansweredQuestion 142 NBSTSA FALL-SPRING SEMESTER 0 / 100 pts Which of the following is a type of surgical implant that is obtained from the patient, an animal, or a cadaver? Seed implant Correct Answer Biologic implant Natural implant Penile implant UnansweredQuestion 143 0 / 100 pts The proper procedure for disposing of sharps following surgery is to: place them in the regular trash can as the surgical instruments are being sorted place them in a red bag with soiled waste leave them on the instrument tray to be disposed of properly by the department in charge of sterilization of instruments Correct Answer collect all of the sharps used during surgery, including any glass vials and scalpel blades, and place them in a red sharps container UnansweredQuestion 144 0 / 100 pts Which of the following is a bariatric surgical procedure that involves a circular band implanted around the upper portion of a patient’s stomach? Gastric bypass Correct Answer Lap-Band procedure Liposuction Stomach stapling UnansweredQuestion 145 0 / 100 pts NBSTSA FALL-SPRING SEMESTER Formaldehyde Betadine UnansweredQuestion 152 0 / 100 pts Which of the following surgical instruments consists of several robotic arms that are directed by a surgeon? Correct Answer da Vinci Surgical System Mako Robotics Stealth Surgical Navigation Laparoscope UnansweredQuestion 153 0 / 100 pts The smoke generated by the ablation of 1 g of tissue is equivalent to the smoke from: 1 cigarette Correct Answer 6 cigarettes 10 cigarettes nothing, it does not pose any health concerns UnansweredQuestion 154 0 / 100 pts What is the most common injury incurred due to faulty laparoscopic cautery? Insufficient cauterization Insufficient incision Correct Answer Tissue and vessel damage Uncontrolled bleeding NBSTSA FALL-SPRING SEMESTER UnansweredQuestion 155 0 / 100 pts The Surgical Technologist in on a case with a surgeon he has worked with frequently in the past. The surgeon seems very frustrated and is short-tempered during the surgery. What would be the best approach to take in this situation? Nothing because most doctors are moody anyway Correct Answer Once the case is completed, ask the surgeon in private if everything is alright and if there was anything pertaining to that particular surgery that had upset him During the surgery, ask the surgeon what is bothering him so it can be addressed immediately Attempt to alleviate the surgeon’s frustrations using jokes or redirection UnansweredQuestion 156 0 / 100 pts Which of the following is Not an appropriate time to perform an instrument count? Prior to the surgical procedure Correct Answer During the surgical procedure Prior to closing the incision Conclusion of the procedure UnansweredQuestion 157 0 / 100 pts A Surgical Technologist is assisting on a Cesarean delivery. The parents are American Southwest Navajo Indian and have strict cultural beliefs and traditions. What are their beliefs regarding pregnancy and delivery? None they have the same traditions as others in this country They do not believe in using antibiotics, so those will not be given during this case The father must be the first one to hold the baby immediately upon delivery Correct Answer The placenta should be buried in the Four Corners region of the United States NBSTSA FALL-SPRING SEMESTER UnansweredQuestion 158 0 / 100 pts Which of the following two individuals are responsible for the surgical count? Correct Answer Surgical technologist and circulator Surgical technologist and surgeon Circulator and surgeon Surgical technologist and anesthesiologist UnansweredQuestion 159 0 / 100 pts The grief theory that identifies that grief is not a linear process, but rather, a more fluid and ever- changing process was outlined in: Freud’s Model of Bereavement Correct Answer Kubler-Ross Model of Grief Bowlby’s Attachment Theory Parkes’ Four Phases and Four Tasks of Grief UnansweredQuestion 160 0 / 100 pts Which of the following refers to the commission or omission of an act that result in a negative outcome? Correct Answer Negligence Libel Battery Malpractice UnansweredQuestion 161 NBSTSA FALL-SPRING SEMESTER dietary trays Correct Answer orthopedic sets transport carts UnansweredQuestion 168 0 / 100 pts Which of the following is the most common reason for sterilization failures? sterilization mechanism failure surgical staff negligence improper handling of surgical instruments Correct Answer lack of contact between steam and surface of surgical items UnansweredQuestion 169 0 / 100 pts Which of the following are recorded on a Sterrad Record? Correct Answer Biological indicator results, cycle load contents, and number of items A detailed description of each instrument in a cycle Appearance of the instruments before and after a cycle is completed Medical record number of the patient on whom the instruments were used UnansweredQuestion 170 0 / 100 pts What information should be documented in the laser log? The type of laser used and the names of those present in the OR while the laser is used Correct Answer The type of laser used, the length of time it was used, and any safety precautions taken The type of tissue on which the laser was used, the patient name, and the surgeon name NBSTSA FALL-SPRING SEMESTER It is not necessary to document information in a laser log UnansweredQuestion 171 0 / 100 pts Which of the following is the biological indicator for ethylene oxide sterilizers? Pseudomonas aeruginosa Correct Answer Bacillus subtilis Streptococcus pyogenes Enterococcus faecalis UnansweredQuestion 172 0 / 100 pts An 18-year-old male has suffered multisystem trauma in a motorcycle accident and requires emergency surgery. Some of the instruments the surgeon will need for the case are not sterilized. The best procedure to follow in this situation would be to: explain to the surgeon that the instruments will not be available for the surgery explain to the surgeon that the instruments will require approximately 30-60 minutes before they will be available Correct Answer follow the facility’s protocol for short cycle sterilization process for the instruments run the instruments through an ultrasonic cleaner to get them clean, though not sterile UnansweredQuestion 173 0 / 100 pts According to the Federal Food, Drug, and Cosmetic Act, which of the following is the primary purpose and function of packaging material? To ensure proper transport of instruments to the operating room To ensure all required instruments are packaged together To allow easier handling of the instruments Correct Answer To ensure sterility until the instrument is used NBSTSA FALL-SPRING SEMESTER UnansweredQuestion 174 0 / 100 pts What are the two main arteries that branch and supply the heart muscle with blood? Left and right circumflex arteries Left and right widow maker arteries Left and right anterior descending arteries Correct Answer Left and right coronary arteries UnansweredQuestion 175 0 / 100 pts Which of the following refers to the membrane that is attached to and covers the lungs? Parietal pleural membrane Correct Answer Visceral pleural membrane Pleural cavity Pericardium UnansweredQuestion 176 0 / 100 pts What are the 3 main parts of the large intestine? duodenum, jejunum, and mesentery ascending, transverse, and descending abdominal, biliary, and retroperitoneal Correct Answer cecum, colon, and rectum UnansweredQuestion 177 0 / 100 pts NBSTSA FALL-SPRING SEMESTER q.d. UnansweredQuestion 184 0 / 100 pts Which vein is preferred to use as the graft for a fem-pop bypass? Correct Answer The greater saphenous vein on the same side The greater saphenous vein on the opposite side The mammary artery on either side The radial vein on either side UnansweredQuestion 185 0 / 100 pts Which of the following is a type of fracture in which the bone penetrates the soft tissue, muscle, and skin? Compression fracture Greenstick fracture Correct Answer Compound fracture Pathologic fracture UnansweredQuestion 186 0 / 100 pts All of the following are indications for undergoing an orchiectomy EXCEPT: testicular cancer Correct Answer bladder cancer testicular torsion cryptorchidism NBSTSA FALL-SPRING SEMESTER UnansweredQuestion 187 0 / 100 pts Which of the following surgical wounds carries a 10% to 15% infection rate? Class I surgical wound Class II surgical wound Correct Answer Class III surgical wound Class IV surgical wound UnansweredQuestion 188 0 / 100 pts Where in the lungs does gas exchange occur? In the main bronchus Correct Answer in the alveoli in the pulmonary artery in the pulmonary vein UnansweredQuestion 189 0 / 100 pts Which of the following is the result of an ineffective surgical wound closure? Correct Answer dead space staph infection wound evisceration class III wound UnansweredQuestion 190 0 / 100 pts Which type of tonsils are removed in a tonsillectomy? NBSTSA FALL-SPRING SEMESTER Correct Answer Palatine Tubal Lingual Pharyngeal UnansweredQuestion 191 0 / 100 pts Which of the following refers to the process of alternating anesthetic injections and aspirating spinal fluid? Spinal anesthetic Correct Answer Barbotage IV regional anesthetic Epidural anesthetic UnansweredQuestion 192 0 / 100 pts The labrum is a type of: bone Correct Answer cartilage blood cell organ in the gastrointestinal system UnansweredQuestion 193 0 / 100 pts In which scenario would midazolam hydrochloride MOST likely be utilized? Intra-operatively, as the primary anesthetic agent during open surgery Correct Answer NBSTSA FALL-SPRING SEMESTER 153. Which of the following types of anesthetic is injected during a Bier block? A. bupivacaine (Marcaine) B. lidocaine (Xylocaine) with epinephrine C. bupivacaine (Marcaine) with epinephrine D. lidocaine (Xylocaine) ANS: D 154. What advantage do hand-held retractors have over mechanical self-retaining retractors? A. less exposure B. operator dependency C. lesser fatigue factor D. dynamic adjustability ANS: D 155. Which of the following anticoagulants should be given during a vascular procedure to prevent normal blood clotting? A. heparin sodium B. protamine sulfate C. atropine D. epinephrine ANS: A 156. During a tympanoplasty, which of the following is the best choice for graft material? A. temporal bone B. temporalis fascia C. vestibular membrane D. a Teflon graft ANS: B 157. Which of the following may be used to provide direct exposure of a cerebral aneurysm? A. dura hook NBSTSA FALL-SPRING SEMESTER B. nerve hook C. brain spatula D. rake retractor ANS: C 158. Instruments that come in contact with the appendiceal stump during an appendectomy should be A. placed in a separate basin. B. wiped with a saline sponge. C. returned to the Mayo stand. D. wiped with an alcohol sponge. ANS: A 159. Which of the following retractors is used during a femoral embolectomy? A. Army-Navy B. skin hook C. Harrington D. Balfour ANS: A 160. The most common method for decontaminating operating room floors at the end of each case is A. damp mop or wet vacuum with a viricidal solution. B. wet vacuum with a viricidal solution. C. damp mop or wet vacuum with a detergent-disinfectant solution. D. dry vacuum, then damp mop with a detergent-disinfectant solution. ANS: C 161. The primary reason padding is used in positioning a patient is to A. ensure the patient's comfort. B. facilitate the surgeon's approach. C. prevent injury to pressure points. D. maintain the position during surgery. ANS: C 162. Which of the following classifications of disinfection is used to kill all bacteria, viruses, and fungi? A. low-level NBSTSA FALL-SPRING SEMESTER B. intermediate-level C. high-level D. antiseptic ANS: C 163. Which of the following methods of sterilization does not corrode metal and passes through woven materials like steam? A. ionizing radiation B. Steris C. glutaraldehyde D. ethylene oxide ANS: D 164. For a patient recovering from general anesthesia, which of the following complications of vomiting is considered the MOST dangerous? A. dehiscence B. aspiration C. dehydration D. evisceration ANS: B 165. A patient is scheduled for a lumbar laminectomy and is positioned in the prone position without padding under the thorax. Which of the following physiological hazards should the surgical technologist be most concerned about? A. pressure on the vena cava and abdominal aorta B. venous stasis in the lower extremities C. hyperextension of the head and neck D. pressure injury to the peroneal nerve ANS: A 166. The purpose of intravenous lidocaine (Xylocaine) is to A. manage ventricular arrhythmias. B. raise the blood pressure. NBSTSA FALL-SPRING SEMESTER B. vascular C. common duct D. gastrointestinal ANS: D UnansweredQuestion 200 0 / 100 pts Once the spinous process is exposed during a laminectomy, the next instrument needed for the removal of the lamina is a Correct Answer Kerrison rongeur. pituitary rongeur. Penfield dissector. periosteal elevator. UnansweredQuestion 201 0 / 100 pts Which of the following operations is performed to correct hearing loss due to defects of the eardrum? otoplasty myringotomy mastoidectomy Correct Answer tympanoplasty UnansweredQuestion 202 0 / 100 pts Which of the following items should be used to transport a patient in traction? Correct Answer bed stretcher NBSTSA FALL-SPRING SEMESTER wheelchair fracture table UnansweredQuestion 203 0 / 100 pts Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy? pre-peritoneal fat linea alba Correct Answer oblique muscles rectus abdominis muscle UnansweredQuestion 204 0 / 100 pts A patient being prepped for surgery is hypokalemic. Which of the following must be done before a general anesthetic is given? Correct Answer Add potassium to the IV solution. Add sodium to the IV solution. Complete a type and crossmatch. Place a urinary catheter. UnansweredQuestion 205 0 / 100 pts The surgical technologist in the scrub role MUST keep track of blood loss as well as weigh the blood soaked sponges. measure the amount of collected fluid. administer blood replacement. Correct Answer track amount of irrigation used. NBSTSA FALL-SPRING SEMESTER UnansweredQuestion 206 0 / 100 pts The primary purpose of a local anesthetic is to lower skin temperature. reduce fear and anxiety. Correct Answer block peripheral nerve receptors. decrease bleeding. UnansweredQuestion 207 0 / 100 pts Which surgical needle is MOST appropriately used in a liver resection? cutting taper Correct Answer blunt trocar UnansweredQuestion 208 0 / 100 pts Care of a surgical specimen includes placing it in a biohazard trash bag. Correct Answer in a bag or container with formalin. on a RAY-TEC sponge and sent to pathology. in a trash bag. 139. The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures? A. laparoscopic cholecystectomy NBSTSA FALL-SPRING SEMESTER B. Continue with case set up. C. Report the refusal to the charge nurse immediately. D. Perform a count with another surgical technologist. ANS: C 149. A nasogastric (NG) tube is used to A. dilate the lower esophageal sphincter. B. monitor the pH of stomach contents. C. drain the stomach. D. promote vomiting ANS: C 150. A circumferential bandage should be applied to an extremity A. proximal to distal. B. distal to proximal. C. ventral to dorsal. D. dorsal to ventral. ANS: B 151. Utilization of lasers in the operating room requires the use of A. a HEPA filter mask. B. a lead apron. C. double gloves. D. eye protection. ANS: D 152. A Marshall-Marchetti-Krantz (MMK) requires which of the following skin preparations? 1. abdominal 2. vaginal 3. rectal 4. extremity NBSTSA FALL-SPRING SEMESTER A. 1 and 2 only B. 1 and 3 only C. 2 and 4 only D. 3 and 4 only ANS: A 153. Which of the following types of anesthetic is injected during a Bier block? A. bupivacaine (Marcaine) B. lidocaine (Xylocaine) with epinephrine C. bupivacaine (Marcaine) with epinephrine D. lidocaine (Xylocaine) ANS: D 154. What advantage do hand-held retractors have over mechanical self-retaining retractors? A. less exposure B. operator dependency C. lesser fatigue factor D. dynamic adjustability ANS: D 155. Which of the following anticoagulants should be given during a vascular procedure to prevent normal blood clotting? A. heparin sodium B. protamine sulfate C. atropine D. epinephrine ANS: A NBSTSA FALL-SPRING SEMESTER 156. During a tympanoplasty, which of the following is the best choice for graft material? A. temporal bone B. temporalis fascia C. vestibular membrane D. a Teflon graft ANS: B 157. Which of the following may be used to provide direct exposure of a cerebral aneurysm? A. dura hook B. nerve hook C. brain spatula D. rake retractor ANS: C 158. Instruments that come in contact with the appendiceal stump during an appendectomy should be A. placed in a separate basin. B. wiped with a saline sponge. C. returned to the Mayo stand. D. wiped with an alcohol sponge. ANS: A 159. Which of the following retractors is used during a femoral embolectomy? A. Army-Navy B. skin hook C. Harrington D. Balfour ANS: A NBSTSA FALL-SPRING SEMESTER C. ankle D. thigh ANS: B 169. If unexpected heavy blood loss occurs during a surgical procedure, the surgical technologist should request additional A. suction tubing. B. Babcocks. C. Kitners. D. cottonoids. ANS: A 170. Which of the following should be included on an orthopedic set-up? A. Smith perforator B. Potts-Smith scissors C. Key periosteal elevator D. Heaney needle holder ANS: C 171. Surgery to repair a Colles' fracture is performed on which of the following types of bone? A. long B. short C. flat D. irregular ANS: A 172. A tourniquet is used in which of the following procedures? A. patellectomy B. ORIF hip C. shoulder arthroscopy D. Bankart repair NBSTSA FALL-SPRING SEMESTER ANS: A 173. Which of the following instruments is found in a basic laparotomy setup? A. Castroviejo needle holder B. Mayo scissors C. Dandy clamp D. Raney clip applier ANS: B 174. While being transferred from the stretcher to the operating room bed, the patient expresses fear of not awakening from anesthesia. The surgical technologist should A. proceed with the transfer and disregard patient comments. B. explain the action of the anesthetic agent. C. reassure the patient that the anesthetic is safe. D. have the anesthesia care provider address the patient's concerns. ANS: B 175. When a hernia is strangulated, which of the following instrument sets is added to the general abdominal set-up? A. rectal B. vascular C. common duct D. gastrointestinal ANS: D UnansweredQuestion 209 0 / 100 pts Which of the following skin preparation products provide a rapid decrease in the level of microorganisms? Correct Answer alcohol and iodine alcohol and chlorhexidine NBSTSA FALL-SPRING SEMESTER iodine and chlorhexidine chlorhexidine and peroxide UnansweredQuestion 210 0 / 100 pts Which of the following is a tool to assess the level of oxygen saturation of the hemoglobin in the blood and arterial system? Sphygmomanometer Pulse oximeter Correct Answer Arterial blood gas Electrocardiogram