Download Hazmat Operations Practice Test questions and answers.docx and more Exams Nursing in PDF only on Docsity! NCCT Surgical Tech Practice Lastest Review 2023 The surgical technologist is preparing for a laparoscopic assisted vaginal hysterectomy. Which of the following equipment is needed for the procedure? A. endoscopic retrieval bag. B. harmonic scalpel C. endoscopic GIA D. Alexis retractor - correct answer B. harmonic scalpel Which of the following positioning equipment is needed when preparing to do a posterior spinal fusion of the T3-L2 range? Which of the following positioning equipment is needed when preparing to do a posterior spinal fusion of the T3-L2 range? A. Wilson frame B. Mayfield head frame C. bean bag D. fracture table - correct answer A. Wilson frame 3. When preparing the room for a total knee arthroplasty which of the following items is necessary to occlude blood flow during the surgical procedure? A. Coban B. stockinette C. tourniquet D. Esmark - correct answer C. tourniquet The surgeon is starting an exploratory laparotomy on an elderly female patient with a very large rotund abdomen. Which of the following supplies should the surgical technologist have available in the room? A. Laparoscopic instruments and a Bookwalter retractor. B. Bowel instrumentation and a Bookwalter retractor. C. Laparoscopic instruments and a Balfour retractor. NCCT Surgical Tech Practice Lastest Review 2023 D. Bowel instrumentation and a Balfour retractor. - correct answer B. Bowel instrumentation and a Bookwalter retractor. Which of the following equipment is essential for a VATS procedure? (Select the three (3) correct answer s.) A. Wilson frame B. bean bag C. video tower D. Jackson table E. pillows - correct answer B. bean bag C. video tower E. pillows The surgical team is in the midst of the Time Out Protocol with the OR charge nurse present to audit their briefing. After stating the procedure, site of procedure, antibiotics administered, patient history, patient name and everyone in the room agreeing to the briefing, the charge nurse declared it a failed briefing. Which of the following elements of a Time Out did the surgical team exclude? A. verification of the floor the patient will return to B. verification of blood type C. verification that the proper implants are in the room D. verification of the surgical consent form - correct answer C. verification that the proper implants are in the room Which of the following are verified in the Time Out process? (Select the three (3) correct answer s.) A. patient's identity B. patient's blood type C. correct site D. procedure to be performed NCCT Surgical Tech Practice Lastest Review 2023 A. one B. two C. three D. none - correct answer B. two Which of the following retractors should the surgical technologist have available for an emergent open laparotomy? A. Mayfield B. Balfour C. Cloward D. Army-Navy - correct answer B. Balfour The facility is out of Mastisol. Which of the following should the surgical technologist pull as an alternative? A. Dermabond B. Tisseel C. Benzoin D. Hydrogel - correct answer C. Benzoin 18. Which of the following items should the surgical technologist expect to pull for a carpal tunnel release? (Select the three (3) correct answer s.) A. extremity drape B. Alm retractor C. Volkmann rake D. tenotomy scissors E. Army-Navy retractor - correct answer A. extremity drape B. Alm retractor NCCT Surgical Tech Practice Lastest Review 2023 D. tenotomy scissors When opening sterile supplies onto the back table, which of the following are two things to look for? (Select the two (2) correct answer s.) A. expiration date B. when it was sterilized C. holes in the packaging D. who sterilized the package E. biological indicator - correct answer A. expiration date C. holes in the packaging Upon inspecting the integrity of a package of heat-sealed peel packed rubber tubing, the surgical technologist notices a small pin hole. Which of the following steps should the surgical technologist take? A. Ask the circulator to verify the pin hole before discarding the item. B. Refrain from using the damaged item and open another that is free of holes. C. Check the expiration date and open the item onto the sterile back table. D. Process the contents utilizing the Steris sterilizer. - correct answer B. Refrain from using the damaged item and open another that is free of holes. The patient is scheduled for an ORIF of the distal radius. Which of the following specialized equipment should the surgical technologist have available to achieve exsanguination? A. blood pressure cuff B. pneumatic tourniquet C. sequential compression hose D. stockinette - correct answer B. pneumatic tourniquet Sequential compression devices are placed on the patient preoperatively to prevent which of the following during surgery? NCCT Surgical Tech Practice Lastest Review 2023 A. hypertension B. pulmonary embolism C. pressure ulcers D. aneurysm - correct answer B. pulmonary embolism A 35-year-old, 160 pound female patient undergoing a C-section has a history of DVT. Which of the following equipment should the surgical technologist have in the room? A. TPS B. laparoscopic tower C. nitrogen tubing D. sequential compression device - correct answer D. sequential compression device The surgical technologist is preparing the room to perform a total hip arthroplasty. Which of the following specialized pieces of equipment will the technologist need? (Select the two (2) correct answer s.) A. pneumatic tourniquet B. sequential compression device C. thermal ablation unit D. electrosurgical generator E. yellow fins - correct answer B. sequential compression device D. electrosurgical generator The surgeon plans to use the pneumatic tourniquet on a total knee. Which of the following should the surgical technologist have available on the sterile field to exsanguinate the leg? A. Coban B. Webril C. Stockinette D. Esmarch - correct answer D. Esmarch NCCT Surgical Tech Practice Lastest Review 2023 Which of the following retractors should the surgical technologist prepare for a cleft-palate repair procedure? A. Greenfield B. Jennings C. Lonestar D. Mayfield - correct answer Jennings The patient is in lithotomy position with Allen stirrups. Which of the following procedures is the patient most likely undergoing? A. mastectomy B. colon resection C. laparoscopic cholecystectomy D. LAVH - correct answer LAVH Which patient positioning item should be tested prior to the patient arriving in the OR? A. candy cane B. yellow fin C. peg board D. bean bag - correct answer bean bag Which of the following should the surgical technologist do to prepare for a suction D&C? (Select the two (2) correct answer s.) A. Retrieve stirrups. B. Test the suction machine. C. Have a video tower in the OR. D. Have a fluid manager available. E. Open a long vaginal instrument tray. - correct answer Retrieve stirrups., Test the suction machine. NCCT Surgical Tech Practice Lastest Review 2023 Which of the following is the proper way for the surgical technologist to enter a surgical room with a manually opened door after completing the surgical hand scrub? A. Front first with arms forward and up. B. Left side first with arms oriented towards the right and up. C. Right side first with arm oriented to the left and up. D. Back first with arms up. - correct answer Back first with arms up. An orthopedic surgeon has posted an I&D of a forearm using the pulse lavage system. Which of the following PPE is necessary to assist in this surgery? (Select the three (3) correct answer s.) A. lead apron B. face shield C. shoe covers D. N95 respirator E. gown - correct answer face shield, shoe covers, gown Which of the following portions of the sterile gown remain sterile after donning? (Select the two (2) correct answer s.) A. front of the gown from the chest down B. both arms of the gown C. mid chest to waist of the gown D. elbows to cuffs E. shoulders to cuffs - correct answer mid chest to waist of the gown, elbows to cuffs Which of the following PPE is a surgical technologist working in decontamination required to wear? (Select the three (3) correct answer s.) A. water proof apron B. surgical gown NCCT Surgical Tech Practice Lastest Review 2023 C. surgical gloves D. face shield E. shoe covers - correct answer water proof apron, face shield, shoe covers The surgical technologist is preparing for an emergent laparoscopic appendectomy on a patient diagnosed with Hepatitis C. Which of the following measures should the technologist take to minimize risk of exposure? A. Triple glove and use a mask with an eye shield. B. Re-gown and glove after the appendix is removed, prior to closure. C. Use standard precautions when dealing with this patient. D. Perform a post-procedural surgical scrub to prevent potential infection. - correct answer Use standard precautions when dealing with this patient. How many inches should the sterile back table be from the wall? A. 3 inches B. 6 inches C. 8 inches D. 12 inches - correct answer 12 inches When opening a sterile envelope wrapped package, which of the following is the first step? A. Pull the top flap up and away from you. B. Pull the nearest flap to you toward you. C. Pull the right flap to the right. D. Pull the left flap to the left. - correct answer Pull the top flap up and away from you. Rationale Which of the following techniques is recommended for entering the operating room after preforming the surgical hand scrub? NCCT Surgical Tech Practice Lastest Review 2023 square off towels - correct answer sterile towel, gown, gloves, square off towels, surgical drape The surgical technologist notices that her gown is saturated with blood and requests a change of gown. Which of the following is the correct procedure? A. Remove gloves, then remove the gown by turning it inside out. B. Remove the gown by turning it inside out, then remove gloves. C. Place a second gown on the surgical technologist to prevent blood contamination. D. Remove the gown by turning it inside out, without changing gloves. - correct answer Remove the gown by turning it inside out, then remove gloves. Which of the following instrument loads should have a biological indicator during the sterilization process? A. neuro dissecting instrument tray B. implantable instrumentation tray C. vascular instrument tray D. retractor instrument tray - correct answer implantable instrumentation tray The surgical technologist notices there is water in the bottom of a pan after lifting the instrument basket out. Which of the following actions should the surgical technologist take? A. Change gloves and notify the circulating nurse and Sterile Processing. B. Break down the entire setup, change gown and gloves, and notify the circulating nurse. C. Notify the surgeon, break down the entire setup, and notify the charge nurse. D. Change gown and gloves, file an incident report, and notify the charge nurse. - correct answer Change gloves and notify the circulating nurse and Sterile Processing Which of the following must the surgical technologist check before opening a sterile wrapped package? (Select the two (2) correct answer s.) A. integrity of the package B. external chemical indicator NCCT Surgical Tech Practice Lastest Review 2023 C. sterilization date D. internal chemical indicator E. load number - correct answer integrity of the package, external chemical indicator When removing the instrument tray from the casket the surgical technologist finds no indicator. Which of the following should the technologist do next? A. Put it back in the casket. B. Put it on the back table. C. Hand off and change gloves. D. Hand off and resterilize the tray. - correct answer Hand off and change gloves. The surgical technologist is opening for an inguinal hernia repair and notices one of the caskets containing instruments was partially opened. Which of the following actions should the technologist take? A. Continue to open since the caskets have been sterilized. B. Consider the casket contaminated and ask for a new casket. C. Remove all of the caskets because they have been contaminated by the open casket. D. Take only the instruments needed from the casket and discard the rest. - correct answer Consider the casket contaminated and ask for a new casket. Which of the following is the minimum number of times a surgical instrument count should be performed for an open appendectomy case? A. two B. three C. four D. five - correct answer three During a preoperative count the number of sponges in a package is incorrect. Which of the following actions should the surgical technologist and circulating nurse take? NCCT Surgical Tech Practice Lastest Review 2023 A. Discard the package and open a new one. B. Document the shortage and continue the count. C. Inform the surgeon immediately. D. Open a new package and continue the count. - correct answer Discard the package and open a new one. The surgical technologist and the circulator are doing an initial count and are short one Raytec sponge. Which of the following should the technologist and circulator do? A. Make a note after the first count and continue with the case. B. Remove the sponges from the room and open a new pack. C. Call the OR supervisor for a count waiver on the sponge pack. D. Tell the surgeon about the count, document it in the chart, and proceed with the case. - correct answer Remove the sponges from the room and open a new pack. Which of the following can be omitted from counts of a laparoscopic case? (Select the three (3) correct answer s.) A. laparoscopic instruments B. trocars C. Raytec sponges D. suture needles E. Veress needle - correct answer laparoscopic instruments, trocars, Veress needle A patient with C-spine precautions comes to surgery. Which of the following should be used to transfer this patient from a gurney to the operating room table? A. draw sheet B. roller board C. gait belt D. Hoyer lift - correct answer roller board NCCT Surgical Tech Practice Lastest Review 2023 A. draped back table B. OR Table C. ring stand D. prep table E. undraped Mayo - correct answer prep table, undraped Mayo The surgical technologist and the surgeon have just finished draping for a hypospadias repair on an 8- month-old male. The resident doctor arrives to assist, places his gown and gloves on the back table, and returns to the room after his hand scrub. Which of the following is surgical technologist's appropriate action? A. Have the resident gown and glove himself using closed technique. B. Continue assisting the surgeon, having the resident wait until the technologist can gown and glove him. C. Have the resident gown and glove himself using open technique. D. Leave the surgical field to gown and glove the resident. - correct answer Leave the surgical field to gown and glove the resident. A preference card indicates the surgeon prefers an extra-large gown and size 8.5 gloves and the assistant prefers a small gown and size 6 gloves. The assistant usually scrubs first and uses an alcohol based scrub. Place the surgical attire below in the order it should be stacked from top to bottom. (Click and drag the options in the left column to their correct position in the right column.) size 6 gloves size 8.5 gloves towel for surgeon small gown extra-large gown - correct answer small gown, size 6 gloves, towel for surgeon, extra-large gown, size 8.5 gloves Which of the following describes a fenestrated drape? A. A split drape that has two tails. NCCT Surgical Tech Practice Lastest Review 2023 B. A drape used to cover the back table. C. A drape with an opening for the operative site. D. An incision drape that is self-adhering. - correct answer A drape with an opening for the operative site. Which of the following is most appropriate for securing drapes? A. perforating towel clips B. non-perforating towel clips C. hemostats D. Babcocks - correct answer non-perforating towel clips Where should the surgical technologist stand when handing four towels to square off the incision site? A. across the operating table from the surgeon B. at the back table C. at the Mayo stand D. same side of the operating table as the surgeon - correct answer same side of the operating table as the surgeon A laparotomy drape has been placed on the patient and un-prepped skin around the operative site is exposed. Which of the following is the next step the surgical technologists should take? A. Apply drapes over the un-prepped skin. B. Reposition the drapes to cover the un-prepped skin. C. Remove the drapes and re-prep. D. Cover the area with a sterile adhesive drape. - correct answer Remove the drapes and re-prep. The surgeon tells the surgical technologist to drape the patient. Place the steps for draping the patient in the correct order. (Click and drag the options in the left column to their correct position in the right column.) NCCT Surgical Tech Practice Lastest Review 2023 Drape the periphery and incisional areas. Wait for the circulator to prep. Secure the tubing and electrocautery. Place sterile towels around the incisional area. - correct answer Wait for the circulator to prep., Place sterile towels around the incisional area., Drape the periphery and incisional areas., Secure the tubing and electrocautery. Which of the following are used to drape an abdominal procedure? (Select the three (3) correct answer s.) A. four towels B. U drape C. three quarter sheet D. towel clips E. stockinette - correct answer four towels, three quarter sheet, towel clips Which of the following should be included when labeling medication on the sterile field? (Select the three (3) correct answer s.) A. medication amount given B. medication name C. medication expiration date D. medication strength E. medication manufacturer - correct answer medication name, medication expiration date, medication strength Which of the following items must the surgical technologist visually verify with the circulating nurse before receiving medication? (Select the three (3) correct answer s.) A. amount of medication the surgeon will administer B. name of medication