NCCT Practice Exam Surgical Tech -with 100%. Verified solutions-2024-2025 .docx, Exams of Advanced Education

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NCCT Practice Exam Surgical Tech -with

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Verified solutions-2024-

The surgical technologist observed a patient fall during the transfer from the gurney to the operating bed. Which of the following items are required in the incident report? (Select the three (3) correct answers.) A. patient's name B. personnel involved C. type of anesthesia used D. location of the incident E. patient's weight patient's name, personnel involved, location of the incident A patient's dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures? A. The recovery room nurse maintains possession of the labeled denture cup until post surgery. B. The circulator places the dentures in a labeled denture cup and keeps them with the patient's chart. C. The anesthesia provider holds the labeled denture cup until the patient is awake. D. The charge nurse holds the labeled denture cup in a secure area until post surgery. The circulator places the dentures in a labeled denture cup and keeps them with the patient's chart. The surgeon begins to close the uterus during a myomectomy. Which of the following actions should the surgical technologist take before continuing with the closure of the wound? A. Initiate the closing count. B. Initiate the cavity count. C. Obtain sterile wound dressing material. D. Weigh the myoma. Initiate the cavity count. The surgical technologist prepared a breast lump to send as a frozen section to pathology. The surgical technologist should pass off the specimen placed A. in normal saline. B. on a raytec sponge. C. on a telfa pad. D. in formalin. on a telfa pad.

Which of the following steps are taken after the surgery has finished and the surgical technologist is breaking scrub? A. Wipe blood off of gloves and remove them, then remove the gown. B. Using a gloved hand, untie the neck of the gown and pull away from the body, keeping all blood on the gown. C. Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball. D. Ask the circulator to assist in removing the gown and gloves. Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball. The patient coming into surgery is from northern India. After induction the anesthesia provider asks for hair clippers to trim the patients beard to tape the endotracheal tube in place. Which of the following is the appropriate action? A. Retrieve the clippers as this is medically necessary regardless of religion. B. Inform the anesthesia provider of the patient's religion. C. Consult with the surgeon as this was not on the consent. D. Provide a razor as a better option than the hair clipper. Inform the anesthesia provider of the patient's religion. The surgical technologist is helping the surgeon complete a laparoscopic cholecystectomy and the surgeon has placed the dressing on the patient. Which of the following should the surgical technologist do next? A. Remove the top glove, hold the dressing in place, roll away the drape and discard. B. Remove Mayo stand, back table and top glove, hold the dressing in place, tear the drape off the patient and discard. C. Remove top glove, hold dressing in place, tear the drape off patient and discard. D. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape and discard. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape and discard. During a small bowel resection the surgeon intends to use a disposable internal stapling device. When should the device be assembled by the surgical technologist? A. before the case starts B. after the surgeon choses the device C. after the case is set up D. once the patient is draped after the surgeon choses the device When breaking down the setup, which of the following steps should be completed first? A. The instruments are put back into the instrument tray and placed in/on the case cart. B. All sharps are contained and disposed of in the sharps container. C. Spray down the non- disposable instruments with cleaner.

D. All disposable drapes are discarded into the trash receptacle All sharps are contained and disposed of in the sharps container. A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the groin. The wound is an inch in length and the patient has flat lined with a steady flow of blood pumping from the small wound. Which of the following items should the surgical technologist have ready for the surgeon? (Select the three (3) correct answers.) A. Yankauer suction B. lap sponges C. Raytec sponges D. Frazier suction E. knife blade lap sponges, knife blade, Yankauer suction A tornado warning is in effect and power has been switched to the generator due to downed electrical lines. The hospital's disaster triage protocol has been activated. A surgical procedure is in progress. Which of the following is the best course of action to ensure patient safety? A. Immediately evacuate the patient to the preoperative holding area. B. Finish the procedure and evacuate the patient. C. Place wet towels under door and finish the procedure. D. Cover the back table until the storm passes. Finish the procedure and evacuate the patient. During an otorhinolaryngologic procedure, which of the following precautions should the surgical technologist take if the anesthesia provider is using an uncuffed endotracheal tube? A. Fill the endotracheal tube with sterile water and saline to reduce leakage of oxygen. B. Fill the endotracheal tube with sterile saline and methylene blue to check for leakage of oxygen. C. Moisten the head drape around the field prior to start of procedure to minimize leakage and reduce heat buildup. D. Moisten sponges and place around the field prior to start of procedure to minimize leakage and reduce heat buildup. Moisten sponges and place around the field prior to start of procedure to minimize leakage and reduce heat buildup. In preparation for a carotid endarterectomy the surgical technologist should anticipate using which of the following sutures? A. 7-0 prolene B. 7-0 chromic C. 7-0 ethibond D. 7-0 silk 7-0 prolene

When reviewing the autoclave log, the surgical technologist should confirm that which of the following items have been documented before using the instrumentation? A. expiration date B. Sterrad indicator C. exposure temperature D. gas volume exposure temperature When transferring a patient to the operation room table, the surgical technologist should A. power off any medical equipment during the transfer. B. ensure that the O.R table remains unlocked in order to position the table to the surgeon's preference. C. allow 5-6 fingerbreadths between the safety strap and the transfer medical equipment first and then move the patient. The patient has undergone cardiac bypass surgery. Protamine has been administered and the surgeon is preparing to close the sternotomy. Bleeding is a postoperative concern. Which of the following systems should the surgical technologist anticipate the surgeon will use? Jackson Pratt Hemovac Pleur-Evac Penrose Pleur-Evac While preparing the room for a carotid endarectomy, the surgeon walks in and tells the surgical technologist there is an emergent case scheduled next and the technologist needs to speed up the process of getting the patient prepped and draped. In order to have a safe outcome for the patient the technologist should prep the patient with A. Duraprep stick and place towels around the expected incision site. B. Duraprep stick and use a sterile towel to pat the prepped area dry. C. a chlorahexadine prep kit and place towels around the expected incision site. D. a chlorahexadine prep kit and use a sterile towel to pat the prepped area dry. Duraprep stick and place towels around the expected incision site Which of the following hemostatic agents is most likely to be used during a laminectomy to achieve hemostasis of the vertebrae? Monsel's solution silver nitrate epinephrine bone wax bone wax

Which of the following instruments should be passed to the surgeon to achieve hemostasis at the beginning of an operative procedure? (Select the three (3) correct answers.) electrosurgical pen sponge scalpel suction device sponge forceps electrosurgical pen, sponge, suction device An 85-year-old patient is currently in the operating room under general anesthesia for a right hip arthroplasty. Which of the following will best help to prevent perioperative positioning injuries? Ensure all bony prominences are sufficiently padded. Make sure that the implant is appropriately sized for the patient. Be attentive to intraoperative signs of discomfort or distress. Use a body warming blanket during the pre-operative phase. Ensure all bony prominences are sufficiently padded. The surgeon will be taking bilateral skin grafts from the patient's thighs for placement on a left lower leg fasciotomy. For both surgical sites, which of the following dressings should the surgical technologist anticipate the surgeon needing? Duoderm iodoform gauze Xeroform adhesive skin closure strips Xeroform Which of the following is the correct means of sterilizing a non-flexible fiber optic endoscope? alcohol peracetic acid steam phenol steam The surgical technologist hears a patient entering the operating room state verbally that he doesn't want the surgery and fears he will not survive. The surgical technologist must inform the surgeon. anesthesiologist. circulating nurse. charge nurse.

circulating nurse. A surgical technologist working the night shift is preparing implants for the next morning. After running the autoclave, the cycle fails. Which of the following should the surgical technologist do? Rerun the wrapped implants with an external chemical monitor taped to the outside of the sets to ensure proper sterility has been achieved. Ask the night operating room supervisor to postpone the orthopedic surgical procedure until the oncoming day shift surgical technologists can run a BI test pack on the first load of the day. Unwrap, decontaminate and re-sterilize implants with a biological test pack and place a hold on the use of the sets until the BI test results are available. Have the sterilizer scheduled for repair and halt the sterilization of all implants Unwrap, decontaminate and re-sterilize implants with a biological test pack and place a hold on the use of the sets until the BI test results are available. During a case a surgical technologist's relief comes into the OR just as the surgeon announces a bleeding problem with the patient. Which of the following should the surgical technologist do? Give a full count of sharps, sponges, and needles with circulator, then leave. Ask the relief to wait until the surgeon gives permission, and then do a count of sharps, sponges, needles. Remain sterile and ask the circulator to inform the charge nurse at the front desk to make the decision. Break scrub and observe as the relief and the circulator perform the count. Ask the relief to wait until the surgeon gives permission, and then do a count of sharps, sponges, needles. Which of the following should the surgical technologist do immediately before connecting the Jackson-Pratt drain to the drainage tubing? Soak the drainage tubing in sodium chloride to maintain patency. Connect the drainage tubing to a Frazier tip suction device to eliminate dead space. Squeeze the bulb to apply manual suction. Clean the incision to keep the tubing clear. Squeeze the bulb to apply manual suction Which of the following must the surgical technologist verify before implants are opened during a total knee replacement? (Select the three (3) correct answers.) expiration date name of component lot number size manufacturer name

expiration date, name of component, size In preparation for a carotid endarterectomy the surgical technologist should anticipate using which of the following sutures? 7-0 prolene 7-0 chromic 7-0 ethibond 7-0 silk 7-0 prolene Which of the following information is the surgical technologist responsible for reporting to the circulating R.N. to document in the OR record? amount of diprivan (Propofol) used amount of actavis (Fentanyl) used amount of prep solution used amount of x-ray contrast used amount of x-ray contrast used When donning a sterile gown the surgical technologist should stand close to sterile field. slip one arm through at a time. pull the sleeves past the fingers. keep the inside of the gown toward the body keep the inside of the gown toward the body. A patient is having a laparoscopic assisted vaginal hysterectomy. If the surgeon is unable to extract the uterus vaginally, which of the following equipment should the surgical technologist have available to retrieve the uterus? harmonic scalpel ligasure morcellator enseal morcellator When reviewing the autoclave log, the surgical technologist should confirm that which of the following items have been documented before using the instrumentation? expiration date Sterrad indicator exposure temperature gas volume exposure temperature

The surgeon is doing a laparoscopic procedure using an endo GIA stapler. He passes the stapler to the surgical technologist and asks him to reload. Which of the following should the technologist do to the stapler before passing back to the surgeon? Open the jaws. Pre-fire the jaws. Lubricate the jaws. Close the jaws. Close the jaws. An OB/GYN surgeon has posted an emergent laparoscopic case and the surgical technologist notices that his reusable metal trocar has not been processed from the day before. Which of the following sterilization methods is the best choice for this scenario? ethylene oxide sterilization gas sterilization Steris flash sterilization flash sterilization If the surgical technologist's request for an initial count is refused by the circulator due to emergent nature of a procedure, which of the following is the proper course of action? Continue with subsequent counts and follow procedure from that point on in the case. Do not proceed with the case until the initial count is completed. Perform the initial count independently, using the count sheet inside the tray. Ask a different member of the surgical team to assist in the initial count. Continue with subsequent counts and follow procedure from that point on in the case. Which of the following is used to help maintain hemostasis intraoperatively in neurosurgery? A. skin stapler B. Indermil glue C. Dermabond glue D. Raney clips Raney clips Which of the following retractors will the surgical technologist need for an emergent bring back case on a 450 lb abdominal hysterectomy patient? A. Greenberg B. O'Connor O'Sullivan C. Bookwalter D. Nathanson Bookwalter

Which of the following procedures requires a surgical site dressing? A. myringotomy B. hysteroscopy C. ureteroscopy D. laparotomy laparotomy Which of the following patients is at the greatest risk for OR-acquired pressure ulcer development? A. 77-year-old undergoing a coronary artery bypass graft B. 35-year-old undergoing a transverse colectomy C. 2-year-old undergoing hypospadias repair D. 82-year-old undergoing cochlear implantation 77-year-old undergoing a coronary artery bypass graft The surgical team is setting up for an exploratory laparotomy. The circulator opens the casket housing the laparotomy instruments and verifies its sterility. The surgical technologist lifts the tray out of the casket and is holding it. At this time it is discovered that the bottom filter is missing. The surgical technologist should give the tray back and A. tear down the entire set up. B. change gloves. C. change mask, gown and gloves. D. tear down the back table. change gloves. The anesthesia provider would typically ask the surgical technologist how much fluid has been used in order to A. assess for anaphylaxis. B. estimate blood loss. C. evaluate for drug toxicity. D. prevent malignant hyperthermia. estimate blood loss. Which of the following is the minimum amount of time an unwrapped Kelly clamp needs to be flash sterilized for? A. 6 minutes B. 3 minutes C. 7 minutes D. 12 minutes

3 minutes During an abdominal hysterectomy, the surgeon found a lesion on the ovary. The surgeon excised the lesion and asked that the specimen be sent to the lab for immediate analysis. Which of the following types of specimen is this? A. permanent B. frozen C. partial D. fresh frozen While assisting the surgeon, the correct time for the surgical technologist to cauterize tissue is when the A. surgeon has located the source of the bleeding. B. surgeon hands the surgical technologist the cautery pencil. C. surgeon asks the surgical technologist to. D. tissue starts bleeding. surgeon asks the surgical technologist to. An emaciated patient is scheduled for an abdominal hysterectomy with removal of excessive skin on bilateral thighs. The circulator has opted to place the ESU grounding pad on the patient's forearm. The surgical technologist should suggest that the ESU pad be removed and placed on A. either thigh. B. either ankle. C. the clavicle. D. the buttocks. the buttocks. The patient will need surgical skin prep for a right arm disarticulation at the shoulder. Which of the following is the correct method for completing this prep? A. Begin fingertip to shoulder, including flank and chest, prepping the axilla first, being sure to cover the area twice with the sponge, keeping the arm on the bed. B. Begin fingertip to shoulder, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm away from the bed. C. Begin at shoulder to finger tips, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm away from the bed. D. Begin at shoulder to finger tips, including flank and chest, prepping the axilla first, being sure to cover the area twice with the sponge, keeping the arm on the bed. Begin at shoulder to finger tips, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm away from the bed.

The circulator has just poured sterile saline and sterile water onto the sterile field, but the surgical technologist did not verify. When asked, the circulator stated what the fluids were and that they were acceptable to use. Which of the following should the surgical technologist do at this point? Throw out the fluids and ask for replacements. Following placement of dressings on the back of a patient after a Posterolateral Instrumented Lumbar Fusion (PLIF), the circulator notices bleeding at the surgical site and notifies the surgeon. The surgical technologist has broken sterility to help move the patient. Which of the following actions should the surgical technologist take? A. Apply sterile gloves, then remove and replace the dressing. B. Prepare to scrub, re-gown, and re-glove. C. Apply pressure to the wound until the bleeding stops. D. Transport the patient to PACU with instructions to change dressings immediately. Prepare to scrub, re-gown, and re glove. Which of the following instruments is used to extend the arteriotomy during a carotid endartectomy? Potts-Smith In a sterilized package, a chemical indicator is used to A. verify elimination of living flora on the package. B. confirm that the package was exposed to sterilization. C. show that no moisture entered the package. D. ensure that the package is sterile. confirm that the package was exposed to sterilization. The surgical technologist observed a patient fall during the transfer from the gurney to the operating bed. Which of the following items are required in the incident report? (Select the three (3) correct answers.) A. patient's name B. personnel involved C. type of anesthesia used D. location of the incident E. patient's weight patient's name, personnel involved, location of the incident A patient's dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures?

A. The recovery room nurse maintains possession of the labeled denture cup until post surgery. B. The circulator places the dentures in a labeled denture cup and keeps them with the patient's chart. C. The anesthesia provider holds the labeled denture cup until the patient is awake. D. The charge nurse holds the labeled denture cup in a secure area until post surgery. The circulator places the dentures in a labeled denture cup and keeps them with the patient's chart. The surgeon begins to close the uterus during a myomectomy. Which of the following actions should the surgical technologist take before continuing with the closure of the wound? A. Initiate the closing count. B. Initiate the cavity count. C. Obtain sterile wound dressing material. D. Weigh the myoma. Initiate the cavity count. The surgical technologist prepared a breast lump to send as a frozen section to pathology. The surgical technologist should pass off the specimen placed A. in normal saline. B. on a raytec sponge. C. on a telfa pad. D. in formalin. on a telfa pad. Which of the following steps are taken after the surgery has finished and the surgical technologist is breaking scrub? A. Wipe blood off of gloves and remove them, then remove the gown. B. Using a gloved hand, untie the neck of the gown and pull away from the body, keeping all blood on the gown. C. Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball. D. Ask the circulator to assist in removing the gown and gloves. Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball. The patient coming into surgery is from northern India. After induction the anesthesia provider asks for hair clippers to trim the patients beard to tape the endotracheal tube in place. Which of the following is the appropriate action? A. Retrieve the clippers as this is medically necessary regardless of religion. B. Inform the anesthesia provider of the patient's religion. C. Consult with the surgeon as this was not on the consent.

D. Provide a razor as a better option than the hair clipper. Inform the anesthesia provider of the patient's religion. The surgical technologist is helping the surgeon complete a laparoscopic cholecystectomy and the surgeon has placed the dressing on the patient. Which of the following should the surgical technologist do next? A. Remove the top glove, hold the dressing in place, roll away the drape and discard. B. Remove Mayo stand, back table and top glove, hold the dressing in place, tear the drape off the patient and discard. C. Remove top glove, hold dressing in place, tear the drape off patient and discard. D. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape and discard. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape and discard. During a small bowel resection the surgeon intends to use a disposable internal stapling device. When should the device be assembled by the surgical technologist? A. before the case starts B. after the surgeon choses the device C. after the case is set up D. once the patient is draped after the surgeon choses the device When breaking down the setup, which of the following steps should be completed first? A. The instruments are put back into the instrument tray and placed in/on the case cart. B. All sharps are contained and disposed of in the sharps container. C. Spray down the non- disposable instruments with cleaner. D. All disposable drapes are discarded into the trash receptacle. All sharps are contained and disposed of in the sharps container. A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the groin. The wound is an inch in length and the patient has flat lined with a steady flow of blood pumping from the small wound. Which of the following items should the surgical technologist have ready for the surgeon? (Select the three (3) correct answers.) A. Yankauer suction B. lap sponges C. Raytec sponges D. Frazier suction E. knife blade lap sponges, knife blade, Yankauer suction

A tornado warning is in effect and power has been switched to the generator due to downed electrical lines. The hospital's disaster triage protocol has been activated. A surgical procedure is in progress. Which of the following is the best course of action to ensure patient safety? A. Immediately evacuate the patient to the preoperative holding area. B. Finish the procedure and evacuate the patient. C. Place wet towels under door and finish the procedure. D. Cover the back table until the storm passes. Finish the procedure and evacuate the patient. During an otorhinolaryngologic procedure, which of the following precautions should the surgical technologist take if the anesthesia provider is using an uncuffed endotracheal tube? A. Fill the endotracheal tube with sterile water and saline to reduce leakage of oxygen. B. Fill the endotracheal tube with sterile saline and methylene blue to check for leakage of oxygen. C. Moisten the head drape around the field prior to start of procedure to minimize leakage and reduce heat buildup. D. Moisten sponges and place around the field prior to start of procedure to minimize leakage and reduce heat buildup. Moisten sponges and place around the field prior to start of procedure to minimize leakage and reduce heat buildup. In preparation for a carotid endarterectomy the surgical technologist should anticipate using which of the following sutures? A. 7-0 prolene B. 7-0 chromic C. 7-0 ethibond D. 7-0 silk 7-0 prolene When reviewing the autoclave log, the surgical technologist should confirm that which of the following items have been documented before using the instrumentation? A. expiration date B. Sterrad indicator C. exposure temperature D. gas volume exposure temperature When transferring a patient to the operation room table, the surgical technologist should A. power off any medical equipment during the transfer.

B. ensure that the O.R table remains unlocked in order to position the table to the surgeon's preference. C. allow 5-6 fingerbreadths between the safety strap and the patient. D. transfer medical equipment first and then move the patient. transfer medical equipment first and then move the patient. When preparing the OR suite for a BKA, which of the following instrumentation and equipment should the surgical technologist retrieve prior to procedure? (Select the three (3) correct answers.) A. saw B. pneumatic Kerrison C. cautery unit D. vascular set E. pneumatic tourniquet saw, cautery unit, pneumatic tourniquet A patient is having a laparoscopic assisted vaginal hysterectomy. If the surgeon is unable to extract the uterus vaginally, which of the following equipment should the surgical technologist have available to retrieve the uterus? A. harmonic scalpel B. ligasure C. morcellator D. enseal morcellator The patient is to be draped for a laparoscopic cholecystectomy. After placement of towels, and prior to placement of the laparoscopic drape, the surgeon asks for a treated Ioban. For which of the following patient allergies would this drape be contraindicated? A. penicillin B. tropical fruit C. latex D. shell fish shell fish While preparing to do an abdominal hysterectomy on a 500 pound female the surgical technologist begins to retrieve supplies and instrumentation. Which of the following retractor systems should the technologist retrieve for this case? A. Chaux B. Bookwalter C. O'Connor-O'Sullivan

D. Greenberg Bookwalter The surgeon will be taking bilateral skin grafts from the patient's thighs for placement on a left lower leg fasciotomy. For both surgical sites, which of the following dressings should the surgical technologist anticipate the surgeon needing? A. Duoderm B. iodoform gauze C. Xeroform D. adhesive skin closure strips Xeroform The surgical technologist is preparing the back table for an open inguinal hernia repair. Which of the following retractors is essential to this patient's surgery? A. Weitlaner B. Bookwalter C. Balfour D. Gelpi Weitlaner The surgical technologist is assisting the surgical team in positioning the patient for a total hip arthroplasty. How can the technologist plan for placing the patient in this A. Place the surgical safety strap across the patient mid-thigh and ensure that it is out of the way of the surgical site. B. Position the beanbag or pegboard on the surgical table. C. Ensure that the Wilson frame is properly placed on the surgical table and allows C- arm access to surgical site. D. Recognize that the patient will be repositioned intra-operatively for x-ray confirmation of implant fit. Position the beanbag or pegboard on the surgical table. During a case a surgical technologist's relief comes into the OR just as the surgeon announces a bleeding problem with the patient. Which of the following should the surgical technologist do? A. Give a full count of sharps, sponges, and needles with circulator, then leave. B. Ask the relief to wait until the surgeon gives permission, and then do a count of sharps, sponges, needles. C. Remain sterile and ask the circulator to inform the charge nurse at the front desk to make the decision. D. Break scrub and observe as the relief and the circulator perform the count.

Ask the relief to wait until the surgeon gives permission, and then do a count of sharps, sponges, needles. During the initial pre-operative count, the surgical technologist and circulator noticed that there were 11 Raytecs in a package instead of 10. Which of the following should they do about the extra sponge? A. Include the extra sponge in the count. B. Throw out one sponge to make it 10. C. Discard the entire package into a kick bucket and remove it from count. D. Remove the package and the sponges from room. Remove the package and the sponges from room. When opening a wrapped item using aseptic technique, the proper sequence is to open the top flap A. away from operator, proximal flap opened, side flap opened last. B. toward operator, side flaps opened, distal flap opened last. C. toward operator, side flaps opened, proximal flap opened last. D. away from operator, side flaps opened, proximal flap opened last. away from operator, side flaps opened, proximal flap opened last. The surgical technologist is scrubbed in on a scheduled breast biopsy with a frozen section. After removing the specimen the surgeon tags the specimen with suture at 6 o'clock and passes it to the technologist. Which of the following should the technologist do first? A. Label the specimen. B. Pass off the specimen to the nurse immediately. C. Ask the surgeon to identify the specimen. D. Place the specimen on a Raytec sponge. Ask the surgeon to identify the specimen. The patient is undergoing cardiothoracic surgery, and placed in the Sims position. Which of the following actions prevents the likelihood of an intraoperative positioning injury to the brachial plexus? A. Apply flank padding and a head stabilizer. B. Place rolled towel padding beneath abducted down-side arm. C. Place lower leg stirrup sling directly over Achilles tendon. D. Apply pillows directly under the knee joint. Place rolled towel padding beneath abducted down-side arm. The surgical technologist has just handed the surgeon a 2-0 Silk suture. Which of the following scissors should the surgical technologist have ready? A. curved Mayo scissors B. Metzenbaum scissors C. tenotomy scissors

D. straight Mayo scissors straight Mayo scissors A patient presents to the operating room for a hydrocelectomy. Which of the following dressings should the surgical technologist anticipate needing? A. Ace bandage B. gauze packing C. scrotal support D. Elastoplast scrotal support The surgical team is at the surgical field and has just completed the time-out. The surgeon turns to the surgical technologist and asks for local. Which of the following actions should the surgical technologist take next before passing the local? A. Read aloud the medication label on the syringe. B. Pass the correctly labeled medication syringe. C. Confirm with the circulator the medication label on the syringe. D. Confirm with the anesthesiologist the medication on the syringe. Read aloud the medication label on the syringe. Which of the following is used to help maintain hemostasis intraoperatively in neurosurgery? A. skin stapler B. Indermil glue C. Dermabond glue D. Raney clips Raney clips Which of the following retractors will the surgical technologist need for an emergent bring back case on a 450 lb abdominal hysterectomy patient? A. Greenberg B. O'Connor O'Sullivan C. Bookwalter D. Nathanson Bookwalter Which of the following procedures requires a surgical site dressing? A. myringotomy B. hysteroscopy C. ureteroscopy D. laparotomy laparotomy

Which of the following patients is at the greatest risk for OR-acquired pressure ulcer development? A. 77-year-old undergoing a coronary artery bypass graft B. 35-year-old undergoing a transverse colectomy C. 2-year-old undergoing hypospadias repair D. 82-year-old undergoing cochlear implantation 77-year-old undergoing a coronary artery bypass graft The surgical team is setting up for an exploratory laparotomy. The circulator opens the casket housing the laparotomy instruments and verifies its sterility. The surgical technologist lifts the tray out of the casket and is holding it. At this time it is discovered that the bottom filter is missing. The surgical technologist should give the tray back and A. tear down the entire set up. B. change gloves. C. change mask, gown and gloves. D. tear down the back table. change gloves. The anesthesia provider would typically ask the surgical technologist how much fluid has been used in order to A. assess for anaphylaxis. B. estimate blood loss. C. evaluate for drug toxicity. D. prevent malignant hyperthermia. estimate blood loss. Which of the following is the minimum amount of time an unwrapped Kelly clamp needs to be flash sterilized for? A. 6 minutes B. 3 minutes C. 7 minutes D. 12 minutes 3 minutes During an abdominal hysterectomy, the surgeon found a lesion on the ovary. The surgeon excised the lesion and asked that the specimen be sent to the lab for immediate analysis. Which of the following types of specimen is this? A. permanent B. frozen C. partial

D. fresh frozen While assisting the surgeon, the correct time for the surgical technologist to cauterize tissue is when the A. surgeon has located the source of the bleeding. B. surgeon hands the surgical technologist the cautery pencil. C. surgeon asks the surgical technologist to. D. tissue starts bleeding. surgeon asks the surgical technologist to. An emaciated patient is scheduled for an abdominal hysterectomy with removal of excessive skin on bilateral thighs. The circulator has opted to place the ESU grounding pad on the patient's forearm. The surgical technologist should suggest that the ESU pad be removed and placed on A. either thigh. B. either ankle. C. the clavicle. D. the buttocks. the buttocks. The patient will need surgical skin prep for a right arm disarticulation at the shoulder. Which of the following is the correct method for completing this prep? A. Begin fingertip to shoulder, including flank and chest, prepping the axilla first, being sure to cover the area twice with the sponge, keeping the arm on the bed. B. Begin fingertip to shoulder, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm away from the bed. C. Begin at shoulder to finger tips, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm away from the bed. D. Begin at shoulder to finger tips, including flank and chest, prepping the axilla first, being sure to cover the area twice with the sponge, keeping the arm on the bed. away from the bed. Begin at shoulder to finger tips, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm The circulator has just poured sterile saline and sterile water onto the sterile field, but the surgical technologist did not verify. When asked, the circulator stated what the fluids were and that they were acceptable to use. Which of the following should the surgical technologist do at this point? A. Label the fluid at once. B. Throw out the fluids and ask for replacements. C. Proceed with the fluids based on the circulator's confirmation. D. Break scrub and retrieve the correct fluids. Throw out the fluids and ask for replacements.

Following placement of dressings on the back of a patient after a Posterolateral Instrumented Lumbar Fusion (PLIF), the circulator notices bleeding at the surgical site and notifies the surgeon. The surgical technologist has broken sterility to help move the patient. Which of the following actions should the surgical technologist take? A. Apply sterile gloves, then remove and replace the dressing. B. Prepare to scrub, re-gown, and re-glove. C. Apply pressure to the wound until the bleeding stops. D. Transport the patient to PACU with instructions to change dressings immediately. Prepare to scrub, re-gown, and re glove. Which of the following instruments is used to extend the arteriotomy during a carotid endartectomy? A. Potts-Smith B. Jorgenson C. Stevens tenotomy D. straight Mayo Potts-Smith In a sterilized package, a chemical indicator is used to A. verify elimination of living flora on the package. B. confirm that the package was exposed to sterilization. C. show that no moisture entered the package. D. ensure that the package is sterile. confirm that the package was exposed to sterilization. ... ... The patient has undergone cardiac bypass surgery. Protamine has been administered and the surgeon is preparing to close the sternotomy. Bleeding is a postoperative concern. Which of the following systems should the surgical technologist anticipate the surgeon will use? Jackson Pratt Hemovac Pleur-Evac Penrose Pleur-Evac