NCCT PRACTICE EXAM SURGICAL TECH., Study notes of Biology

NCCT PRACTICE EXAM SURGICAL TECH.

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NCCT PRACTICE EXAM SURGICAL
TECH
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---ans-✔✔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.---
ans-✔✔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.---ans-✔✔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.---ans-✔✔on-a-telfa-pad.
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NCCT PRACTICE EXAM SURGICAL

TECH

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---ans-✔✔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.--- ans-✔✔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.---ans-✔✔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.---ans-✔✔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.---ans-✔✔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.---ans-✔✔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.---ans-✔✔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---ans-✔✔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---ans-✔✔All-sharps-are- contained-and-disposed-of-in-the-sharps-container.

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---ans-✔✔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---ans-✔✔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.---ans- ✔✔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---ans-✔✔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---ans-✔✔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.---ans-✔✔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---ans-✔✔Xeroform Which-of-the-following-is-the-correct-means-of-sterilizing-a-non-flexible-fiber-optic- endoscope? alcohol peracetic-acid steam phenol---ans-✔✔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.---ans-✔✔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---ans- ✔✔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.

pull-the-sleeves-past-the-fingers. keep-the-inside-of-the-gown-toward-the-body---ans-✔✔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---ans-✔✔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---ans-✔✔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.---ans-✔✔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---ans-✔✔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.---ans- ✔✔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---ans-✔✔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---ans-✔✔Bookwalter Which-of-the-following-procedures-requires-a-surgical-site-dressing? A.-myringotomy B.-hysteroscopy C.-ureteroscopy D.-laparotomy---ans-✔✔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---ans-✔✔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.---ans-✔✔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.

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?---ans-✔✔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.--- ans-✔✔Prepare-to-scrub,-re-gown,-and-re-glove. Which-of-the-following-instruments-is-used-to-extend-the-arteriotomy-during-a-carotid- endartectomy?---ans-✔✔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.---ans-✔✔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---ans-✔✔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.--- ans-✔✔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.---ans-✔✔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.---ans-✔✔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.---ans-✔✔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.---ans-✔✔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.

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.---ans-✔✔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---ans-✔✔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---ans-✔✔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.---ans-✔✔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---ans-✔✔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---ans-✔✔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---ans-✔✔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---ans-✔✔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---ans-✔✔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---ans-✔✔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.

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.--- ans-✔✔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---ans-✔✔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---ans-✔✔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.---ans-✔✔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---ans-✔✔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---ans-✔✔Bookwalter

Which-of-the-following-procedures-requires-a-surgical-site-dressing? A.-myringotomy B.-hysteroscopy C.-ureteroscopy D.-laparotomy---ans-✔✔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---ans-✔✔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.---ans-✔✔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.---ans-✔✔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---ans-✔✔ 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

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.--- ans-✔✔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---ans-✔✔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.---ans-✔✔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---ans-✔✔Pleur-Evac

  • --ans-✔✔