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NCCT SURGICAL TECH PRACTICE
EXAM
Bookwalter---ans-✔✔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? the-buttocks---ans-✔✔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 state-the-name-of-each-item-as-you-begin-to-count-it,-circulator-records-the-items-counted,- count-laps,-Raytecs,-needles,-and-blades---ans-✔✔Which-of-the-following-are-done- during-the-initial-count-for-a-tubal-ligation-case?-(Select-the-three-(3)-correct-answers.) Don-new-gown-and-gloves.---ans-✔✔The-surgical-technologist-has-just-completed- scrubbing-for-a-repair-of-an-abdominal-aneurysm.-The-aneurysm-repair-ruptures-during- transport-from-the-operating-room-bed-to-the-stretcher.-Which-of-the-following-actions- should-the-surgical-technologist-take-next? raney-clips---ans-✔✔Which-of-the-following-is-used-to-help-maintain-hemostasis- intraoperatively-in-neurosurgery? electrosurgical-pen,-sponge,-suction-device---ans-✔✔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.) 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.---ans-✔✔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? steris---ans-✔✔When-disinfecting-a-flexible-endoscope-used-on-a-patient-with-TB,-which- of-the-following-sterilization-methods-should-be-employed? Place-the-instruments-in-a-basin-of-sterile-water.---ans-✔✔During-a-total-hip-replacement,- how-can-a-surgical-technologist-prevent-blood-from-drying-on-instruments?
Duraprep---ans-✔✔Which-of-the-following-prep-solutions-is-contraindicated-for-use-with-a- laser? daily.---ans-✔✔In-the-Sterile-Processing-Department,-a-DART-test-for-autoclave-steam- sterilizers-should-be-run Remove-the-sterilized-instrument-tray-from-the-sterile-field.---ans-✔✔Upon-opening-a- sterilized-instrument-tray,-the-surgical-technologist-finds-bioburden-inside-the-lumen-of-a- metal-suction.-Which-of-the-following-actions-should-the-surgical-technologist-take? Nylon---ans-✔✔The-surgeon-requests-a-non-absorbable-suture-for-skin-closure.-Which-of- the-following-sutures-is-non-absorbable? estimate-blood-loss.---ans-✔✔The-anesthesia-provider-would-typically-ask-the-surgical- technologist-how-much-fluid-has-been-used-in-order-to place-arm-pads.---ans-✔✔Postoperatively-a-hernia-repair-patient-complains-of-ulnar-pain,- numbness-and-tingling-bilaterally.-The-most-likely-cause-of-the-patient's-discomfort-is-that- the-surgical-technologist-forgot-to hospital-MSDS-log---ans-✔✔The-surgical-technologist-must-discard-a-malfunctioning- sterilant-and-replace-with-a-new-one.-Where-should-the-technologist-look-to-find-the- proper-disposal-protocol-for-this-product? 24 - hours---ans-✔✔When-steam-sterilizing-biological-indicators,-how-long-are-they- incubated-before-the-reading-is-recorded? Wait-until-the-washer-stops-and-run-a-new-cycle-with-the-instruments.---ans-✔✔Ten- minutes-into-an-automatic-chemical-washer-cycle-for-an-instrument-string,-the-surgical- technologist-notices-she-has-missed-a-few-critical-instruments.-Which-of-the-following- should-the-technologist-do? Moisten-sponges-and-place-around-the-field-prior-to-start-of-procedure-to-minimize- leakage-and-reduce-heat-buildup.---ans-✔✔During-an-otorhinolaryngologic-procedure,- which-of-the-following-precautions-should-the-surgical-technologist-take-if-the-anesthesia- provider-is-using-an-uncuffed-endotracheal-tube? Squeeze-the-bulb-to-apply-manual-suction.---ans-✔✔Which-of-the-following-should-the- surgical-technologist-do-immediately-before-connecting-the-Jackson-Pratt-drain-to-the- drainage-tubing? The-battery-has-not-been-adequately-charged.---ans-✔✔Prior-to-a-case-the-surgical- technologist-determines-the-power-saw-is-not-functioning.-Which-of-the-following-is-the- most-likely-cause?
a-Steven's-scissor-for-every-hand-case-he-does-from-this-day-forward.-After-the-case,- which-of-the-following-is-the-most-efficient-way-to-make-sure-he-has-his-Steven's-scissor- moving-forward? iodophor-paint---ans-✔✔Patient-skin-preparation-for-LAVH-and-abdominal-to-perineal- procedures-should-be-performed-using-which-of-the-following-solutions? steri-strips.---ans-✔✔Following-an-eyelid-laceration-repair,-the-surgeon-begins-to-close- the-skin.-Anticipating-the-surgeon's-needs-the-surgical-technologist-should-hand-the- surgeon is-maintained-at- 75 - degrees-F-(23-C).---ans-✔✔The-surgical-team-prepares-the-room-for- a-trauma-case.-The-nurse-is-notified-by-the-ER-that-the-patient-is-a-3-year-old-female-with- a-gunshot-wound.-In-preparing-the-room-for-the-patient's-arrival,-the-surgical-technologist- should-ensure-that-the-room-is 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.---ans-✔✔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? straight-Iris-scissors---ans-✔✔When-cutting-7-0-nylon-suture,-which-of-the-following-is-the- best-instrument-to-use? Enlist-an-all-female-surgical-team.---ans-✔✔A-vulva-biopsy-is-to-be-conducted-on-a- patient-who-is-an-observant-Muslim.-Which-of-the-following-should-actions-should-be- taken-for-this-case? leak---ans-✔✔Which-of-the-following-tests-is-essential-to-ensure-patient-safety-when- processing-a-flexible-endoscope? skin-graft.---ans-✔✔A-pressure-dressing-is-most-likely-applied-over-a Cover-the-wound-and-remove-the-Mayo-and-back-table.---ans-✔✔During-an-I&D-of-a- back-wound-with-the-patient-in-the-prone-position-the-anesthesiologist-announces-that- the-patient-is-turning-blue-and-calls-a-code.-Which-of-the-following-actions-should-the- surgical-technologist-take-to-assist? abbreviated-medication-name,-quantity-and-strength---ans-✔✔Which-of-the-following- information-must-every-drug-container-be-labeled-with-as-soon-as-it-is-received-by-the- surgical-technologist? The-circulator-removes-the-contaminated-glove-and-then-the-technologist-re-gloves- herself.---ans-✔✔During-surgery,-the-surgical-technologist-reaches-for-a-supply-item-
being-handed-by-the-circulator.-The-surgical-technologist's-left-glove-touches-the-outside- of-the-package.-Which-of-the-following-steps-must-be-taken-to-correct-the-break-in-sterile- technique? Place-all-sharps-in-the-needle-counter-and-dispose-of-them-in-the-sharps-container.---ans- ✔✔The-surgical-technologist-has-started-breaking-down-the-back-table-and-is-disposing- of-all-sharps.-Which-of-the-following-is-correct-practice-for-disposing-sharps? 68 - -- 73 - degrees---ans-✔✔Which-of-the-following-is-the-standard-recommended- temperature-range-in-an-operating-room-for-surgery-on-an-adult-patient-being-operated- on-for-a-hernia-repair? circulating-nurse.---ans-✔✔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 laser-coated-instrument-set---ans-✔✔Which-of-the-following-instruments-can-be- decontaminated-in-a-washer-sterilizer? date.,-medication.,-dosage.---ans-✔✔Before-medications-or-solutions-are-poured-onto- the-sterile-field,-the-surgical-technologist-should-verify-right-(Select-the-three-(3)-correct- answers.) prepare-for-a-tracheostomy.---ans-✔✔The-anesthesia-care-provider-(ACP)-is-performing- an-induction-on-a-known-asthmatic-patient.-The-patient-experiences-a-laryngospasm- during-intubation.-The-patient's-oxygen-saturation-is-65%.-The-scrubbed-surgical- technologist-should Pleur-Evac---ans-✔✔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? wet-sponge,-dry-sponge,-ABD-pad---ans-✔✔The-surgeon-is-closing-skin-with-the-final- stitch-and-all-counts-are-complete.-Which-of-the-following-should-the-surgical-technologist- have-ready-for-next-step?-(Select-the-three-(3)-correct-answers.) Weitlaner---ans-✔✔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? counting-sharps-and-sponges---ans-✔✔When-being-relieved-for-lunch-during-surgery,- which-of-the-following-tasks-is-performed-by-the-outgoing-surgical-technologist?
secondary-intention.-Which-of-the-following-dressing-types-should-the-surgical- technologist-ask-the-circulator-for? contrast-medium---ans-✔✔The-surgical-technologist-is-preparing-for-a-myelography- procedure.-Which-of-the-following-items-would-definitely-be-on-the-preference-card-for-this- case? laparotomy---ans-✔✔Which-of-the-following-procedures-requires-a-surgical-site-dressing? laparotomy-sponges.---ans-✔✔During-a-total-abdominal-hysterectomy,-the-surgeon-has- begun-placing-the-Balfour-retractor.-In-anticipation-of-bowel-packing,-the-surgical- technologist-should-moisten Xeroform---ans-✔✔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? peracetic-acid---ans-✔✔During-the-liquid-chemical-sterilization,-which-of-the-following-is- the-primary-chemical-sterilization-compound-used-to-sterilize-endoscopic-instrumentation- and-scopes? saw,-cautery-unit,-pneumatic-tourniquet---ans-✔✔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.) normal-saline---ans-✔✔Which-of-the-following-solutions-is-contraindicated-on-the-sterile- field-for-an-endoscopic-case-using-electrosurgical-instruments? anesthesia-provider---ans-✔✔Which-member-of-the-surgical-team-is-in-charge-of-the- transfer-of-an-immobile-or-unconscious-patient-from-the-OR-table-to-the-stretcher? Wipe-the-gloves-off,-grasp-the-gown-at-the-shoulders,-and-roll-the-gown-forward-into-a- ball.---ans-✔✔Which-of-the-following-steps-are-taken-after-the-surgery-has-finished-and- the-surgical-technologist-is-breaking-scrub? Rongeur-and-Ray-Tec-sponges---ans-✔✔During-a-lumbar-laminectomy,-the-surgeon- informs-the-surgical-technologist-that-he-will-soon-begin-to-remove-the-spinous-process.- Which-of-the-following-should-the-surgical-technologist-have-ready? Remove-the-Mayo-stand,-back-table-and-top-glove,-hold-the-dressing-in-place,-roll-away- the-drape-and-discard.---ans-✔✔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?
Continue-with-subsequent-counts-and-follow-procedure-from-that-point-on-in-the-case.--- ans-✔✔f-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? amount-of-x-ray-contrast-used---ans-✔✔Which-of-the-following-information-is-the-surgical- technologist-responsible-for-reporting-to-the-circulating-R.N.-to-document-in-the-OR- record? Ask-the-surgeon-to-return.---ans-✔✔The-surgical-technologist-is-preparing-the-incision- site-for-placement-of-a-dressing-following-a-mastectomy.-The-surgical-technologist- noticed-that-the-patient-has-developed-a-hematoma-at-the-incision-site.-The-surgeon-has- left-the-operating-room.-Which-of-the-following-actions-should-the-surgical-technologist- take? Remove-the-package-and-the-sponges-from-room.---ans-✔✔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? lap-sponges---ans-✔✔During-a-laparoscopic-procedure-the-surgeon-decides-to-convert-to- open.-Which-of-the-following-additional-supplies-and-equipment-need-to-be-opened? open-gown-and-gloves-onto-a-small-table-away-from-where-sterile-items-have-been- distributed.---ans-✔✔When-opening-sterile-supplies-aseptically-for-surgery-the-surgical- technologist-should clamps-in-the-open-position.---ans-✔✔When-assembling-instruments-for-sterilization,-the- surgical-technologist-should-place-instruments-on-the-stringer-with away-from-the-body.---ans-✔✔When-opening-a-sterile-package-at-the-back-table,-the- package-should-be-held label-the-package.---ans-✔✔When-preparing-peel-pack-instruments-for-steam- sterilization-the-surgical-technologist-should-inspect-the-instrument,-place-an-indicator-in- the-package,-and on-a-telfa-pad.---ans-✔✔The-surgical-technologist-prepared-a-breast-lump-to-send-as-a- frozen-section-to-pathology.-The-surgical-technologist-should-pass-off-the-specimen- placed 20cc---ans-✔✔During-a-laparoscopic-cholecystectomy,-the-surgeon-performs-a- cholangiogram.-The-circulator-delivers-30cc-of-undiluted-contrast-medium-to-the-surgical- technologist.-The-surgeon-prefers-his-contrast-medium-diluted-50/50-with-saline.-To- complete-the-cholangiogram,-the-surgeon-uses-two-20cc-syringes-of-the-50/50-contrast-
Place-sterile-towels-over-the-site,-remove-the-drapes,-remove-top-gloves,-place-dressings- on-the-site.---ans-✔✔After-skin-closure,-which-of-the-following-sequences-for-removing- and-discarding-soiled-surgical-drapes-maintains-sterile-technique? sinus-tract,-mucous-membrane,-stomas---ans-✔✔Which-of-the-following-sites-require-the- surgical-technologist-to-prep-the-surrounding-area-first-and-then-the-dirty-area?-(Select- the-three-(3)-correct-answers.) cotton-padding,-water,-plaster---ans-✔✔When-applying-a-cast,-which-of-the-following- items-are-essential?-(Select-the-three-(3)-correct-answers.) Step-away-from-the-field-and-re-glove.---ans-✔✔While-assisting-the-surgeon-in-draping-a- patient-the-surgical-technologist-is-told-that-she-has-contaminated-her-gloves.-Which-of- the-following-actions-should-the-technologist-take? surgeon-asks-the-surgical-technologist-to.---ans-✔✔While-assisting-the-surgeon,-the- correct-time-for-the-surgical-technologist-to-cauterize-tissue-is-when-the Monsel's---ans-✔✔Which-of-the-following-chemicals-used-in-the-Peri-Operative- Department-is-non-carcinogenic? frozen---ans-✔✔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? chest-tube---ans-✔✔A-patient-is-undergoing-a-right-partial-pneumonectomy.-Which-of-the- following-drains-should-the-surgical-technologist-prepare-for-placement-at-the-end-of-the- case? insufflation-tubing---ans-✔✔During-a-laparoscopic-procedure,-the-screen-on-the-monitor- becomes-darker-and-visualization-is-impaired.-The-surgeon-discovers-that-carbon-dioxide- is-escaping.-Which-of-the-following-should-the-surgical-technologist-check-first? at-the-foot-of-the-bed,-secured-to-the-footboard---ans-✔✔The-surgical-technologist-should- place-the-chest-tube-water-seal-drainage-system-below-the-level-of-the-thoracic-cavity-in- which-of-the-following-locations? amount-of-air-removed-from-the-autoclave---ans-✔✔Which-of-the-following-is-being-tested- when-doing-a-Bowie-Dick-test-on-an-autoclave? Read-aloud-the-medication-label-on-the-syringe.---ans-✔✔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?
2-year-old-undergoing-excisional-debridement-for-full-thickness-burns---ans-✔✔Which-of- the-following-patients-is-at-the-greatest-risk-for-intraoperative-hypothermia? The-circulator-places-the-dentures-in-a-labeled-denture-cup-and-keeps-them-with-the- patient's-chart.---ans-✔✔A-patient's-dentures-are-removed-in-the-operating-room.-Which- of-the-following-is-the-proper-procedure-for-the-care-of-the-dentures? tapered-needle---ans-✔✔During-a-vascular-procedure-a-vessel-is-ligated.-The-surgeon- states-that-she-will-repair-the-vessel-after-bleeding-is-controlled.-Which-needle-type-would- she-most-likely-require-to-complete-this-task? explain-the-process-of-moving-from-stretcher-to-bed-then-guide-the-patient's-hand-to-aid- him-while-he-moves.---ans-✔✔In-anticipation-of-a-visually-impaired-patient's-surgical- procedure,-the-best-practice-in-facilitating-movement-would-be-for-the-surgical-tech-to Prepare-internal-defibrillator-paddles.---ans-✔✔A-cardiac-arrest-occurs-during-a- thoracotomy-procedure,-and-the-surgeon-calls-a-CODE-BLUE.-The-surgeon-is-attempting- to-resuscitate-the-patient-using-CPR.-Which-of-the-following-is-the-responsibility-of-the- surgical-technologist-in-this-situation? sterile-indicator,-name-of-item,-date-of-sterilization---ans-✔✔Which-of-the-following-key- information-should-be-on-the-outside-of-a-peel-package-of-a-sterilized-instrument?-(Select- the-three-(3)-correct-answers.) isopropyl-alcohol---ans-✔✔Which-of-the-following-substances-used-in-the-surgical- environment-is-flammable? Align-the-beds-together,-lock-the-wheels,-and-ask-the-patient-to-move-himself.---ans- ✔✔An-alert,-oriented,-and-mobile- 300 - lb.-patient-is-brought-into-the-OR-on-a-transport- cart.-Which-of-the-following-is-the-best-method-of-slowly-transferring-this-patient-to-the-OR- bed? straight-Mayo-scissors---ans-✔✔The-surgical-technologist-has-just-handed-the-surgeon-a- 2-0-Silk-suture.-Which-of-the-following-scissors-should-the-surgical-technologist-have- ready? Ensure-all-bony-prominences-are-sufficiently-padded.---ans-✔✔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? Penrose---ans-✔✔Which-of-the-following-is-a-passive-drain? Army-Navy---ans-✔✔The-surgeon-is-performing-an-inguinal-herniorraphy-procedure-and- has-made-the-incision-and-dissected-down-a-short-way-into-the-underlying-tissue.-Which- of-the-following-retractors-should-the-surgical-technologist-have-ready-to-pass?
Position-the-beanbag-or-pegboard-on-the-surgical-table.---ans-✔✔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-position? surgical-technologist-and-circulating-nurse---ans-✔✔When-implanting-orthopedic-screws- and-plates,-who-is-responsible-for-verifying-number-used,-manufacturer,-serial-number,- and-size? biomedical-engineering-sticker.---ans-✔✔Before-use-of-the-ESU-generator-the-surgical- technologist-should-check-for-the moist-Penrose---ans-✔✔During-an-open-hernia-procedure-on-adult-male-patient-the- surgeon-requests-assistance-with-retracting-the-spermatic-cord.-Which-of-the-following- should-the-surgical-technologist-provide? suction,-sponges,-irrigation---ans-✔✔During-a-total-knee-arthroplasty-the-tourniquet-is- deflated-after-the-implants-are-in-place.-Which-of-the-following-is-needed-when-the- tourniquet-is-deflated?-(Select-the-three-(3)-correct-answers.) Take-unopened-supplies-to-Room-1,-build-a-new-set-up,-and-break-down-Room-5.---ans- ✔✔Instruments-and-supplies-have-been-opened-by-the-surgical-technologist-for-a-case-in- Room-5.-Soon-after-the-surgical-technologist-was-informed-that-the-case-has-been- moved-to-Room-1,-but-there-is-a-similar-case-scheduled-for-Room- 5 - later-that-morning.- Which-of-the-following-is-the-best-course-of-action? The-circulator-can-reach-under-the-sterile-drape-and-apply-the-safety-strap.---ans- ✔✔During-a-vaginal-hysterectomy-the-surgical-team-noticed-that-the-safety-belt-was-left- off-the-patient-before-the-drape-was-applied-and-discovered-after-draping.-How-can-the- patient-be-secured-to-the-OR-bed-without-interrupting-the-sterile-field-or-procedure? 77-year-old-undergoing-a-coronary-artery-bypass-graft---ans-✔✔Which-of-the-following- patients-is-at-the-greatest-risk-for-OR-acquired-pressure-ulcer-development? cutting---ans-✔✔The-surgeon-requests-suture-to-close-the-skin-incision.-Which-of-the- following-types-of-needles-should-be-used? Poole-tip-suction-and-Lap-sponges---ans-✔✔A-gynecologic-oncology-surgeon-decides-to- bring-her-patient-into-the-OR-emergently-after-seeing-her-in-the-office.-The-patient's- abdomen-is-greatly-distended,-warm-and-firm-to-the-touch.-Which-of-the-following-should- the-surgical-technologist-have-available? Discard-the-tray-and-retrieve-a-new-sterilized-instrument-tray.---ans-✔✔While-preparing-to- open-an-instrument-tray-the-surgical-technologist-notices-that-one-of-the-indicators-is-not- the-proper-color.-Which-of-the-following-should-the-technologist-do?
camera,-trocars,-light-cords---ans-✔✔After-scrubbing-in-and-draping-the-patient,-which-of- following-does-the-surgical-technologist-need-to-check-when-preparing-for-a-laparoscopic- appendectomy-procedure?-(Select-the-three-(3)-correct-answers.) Potts-Smith---ans-✔✔Which-of-the-following-instruments-is-used-to-extend-the- arteriotomy-during-a-carotid-endartectomy? Monsel's-solution---ans-✔✔A-patient-is-having-a-cervical-cone-biopsy.-The-surgeon- prefers-to-not-use-a-Bovie.-Which-of-the-following-solutions-should-the-surgical- technologist-have-available-in-the-room-for-control-of-bleeding? 5 - minutes.---ans-✔✔When-returning-from-lunch-in-the-cafeteria-and-re-entering-the- surgical-suite,-the-minimum-amount-of-time-for-a-surgical-hand-scrub-should-be scrotal-support---ans-✔✔A-patient-presents-to-the-operating-room-for-a-hydrocelectomy.- Which-of-the-following-dressings-should-the-surgical-technologist-anticipate-needing? manufacturer-representative---ans-✔✔The-patient-is-scheduled-for-insertion-of-a- permanent-pacemaker-at-0800.-In-addition-to-key-surgical-team-members,-the-absence-of- which-of-the-following-individuals-would-cause-the-case-to-be-delayed? Soak-in-enzymatic-solution-within- 20 - minutes.---ans-✔✔Which-of-the-following-actions-by- the-surgical-technologist-reduces-the-risk-of-bioburden-accumulation-on-serrated- hemostatic-forceps-postoperatively? The-procedure-is-emergent.---ans-✔✔In-which-of-the-following-circumstances-is-it- appropriate-for-the-surgical-technologist-to-perform-immediate-use-steam-sterilization- for-"just-in-time"-processing? A-"yes"-written-on-the-right-knee,-with-a-small-line-showing-where-the-incision-will-be.--- ans-✔✔The-patient-is-scheduled-to-have-a-Meniscal-repair-done-on-his-right-knee.-Which- of-the-following-best-represents-how-the-site-should-be-marked-in-the-preoperative- holding-area-to-verify-correct-surgical-site? Ask-the-surgeon-to-identify-the-specimen.---ans-✔✔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? decontamination-area---ans-✔✔During-a-colon-resection,-an-endo-GIA-misfired.-Where- should-the-surgical-technologist-bring-the-endo-GIA-after-surgery? confirm-that-the-package-was-exposed-to-sterilization.---ans-✔✔In-a-sterilized-package,-a- chemical-indicator-is-used-to
below-the-level-of-the-thoracic-cavity---ans-✔✔After-connecting-the-water-seal-drainage- system-to-the-chest-tube,-where-should-the-technologist-place-the-water-seal-drainage- system? Prepare-to-scrub,-re-gown,-and-re-glove.---ans-✔✔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? package-integrity-and-expiration-date---ans-✔✔Which-of-the-following-factors-determine-if- a-disposable-sterile-supply-item-is-acceptable-to-use? transfer-medical-equipment-first-and-then-move-the-patient.---ans-✔✔When-transferring-a- patient-to-the-operation-room-table,-the-surgical-technologist-should Penrose---ans-✔✔For-which-of-the-following-drains-is-a-sterile-safety-pin-used? 3-4-minute-exposure-time,-270o-F---ans-✔✔When-sterilizing-an-unwrapped,-non-porous- item-with-no-lumen-in-an-immediate-use-sterilization-unit,-which-of-the-following- parameters-must-be-met-for-sterilization-with-gravity-displacement-steam?-(Select-the-two- (2)-correct-answers.) steam---ans-✔✔Which-of-the-following-is-the-correct-means-of-sterilizing-a-non-flexible- fiber-optic-endoscope? fluid-intake-and-output---ans-✔✔A-patient-is-having-a-hysteroscopy-for-myomectomy- excision.-The-patient-has-been-under-anesthesia-for-an-hour-and-is-starting-to-show-signs- of-extreme-swelling.-Which-of-the-following-is-most-critical-to-monitor-in-order-to-prevent- these-symptoms? The-light-source-was-left-on-and-the-drape-is-igniting.---ans-✔✔The-surgical-technologist- has-just-completed-scrubbing-for-a-right-knee-arthroscopy.-As-the-surgeon-takes-down- the-tourniquet,-and-the-surgical-technologist-begins-to-breakdown-the-back-table,-a-plume- of-smoke-is-seen-coming-from-the-sterile-field.-Which-of-the-following-is-the-most-likely- source-of-this-smoke? closed-and-facing-away-from-the-surgeon.---ans-✔✔When-using-an-internal-stapling- device-during-an-endoscopic-case-the-surgical-technologist-should-hand-the-stapler-to- the-surgeon-with-the-mouth-of-the-stapler morcellator---ans-✔✔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?
After-the-seal-is-broken-by-circulator-and-the-lid-is-removed,-lift-inner-the-basket-from-the- tray.---ans-✔✔Which-of-the-following-is-correct-technique-for-opening-a-sterilized- instrument-tray-as-a-scrubbed-surgical-technologist-using-aseptic-technique? Smother-the-drape-with-a-wet-sterile-towel.---ans-✔✔The-surgical-technologist-notices- smoke-and-flames-coming-from-the-drape-surrounding-the-surgical-site.-Which-of-the- following-actions-should-the-surgical-technologist-take? before-initial-pericostal-incision-is-closed---ans-✔✔When-is-the-water-seal-drainage- system-placed-during-the-thoracotomy-procedure? pre-vac---ans-✔✔During-an-open-laparotomy-the-surgeon-drops-a-Poole-suction-tip- before-irrigating.-It-is-the-only-suction-tip-available-and-it-has-to-be-re-sterilized-to-be-used- later-in-the-procedure.-Which-of-the-following-types-of-sterilization-should-the-surgical- technologist-use? Mayfield---ans-✔✔Which-of-the-following-retractors-has-sharp-disposable-inserts-that- must-be-disposed-of-in-an-appropriate-sharps-container-following-the-end-of-the-surgical- case? after-the-surgeon-choses-the-device---ans-✔✔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? Vicryl---ans-✔✔The-scheduled-case-is-a-prostatectomy.-The-surgeon-has-requested- chromic-gut-suture-for-reanastomosis.-If-Chromic-gut-is-unavailable,-which-of-the- following-sutures-is-a-viable-substitute? call-for-moving-help.---ans-✔✔The-surgical-team-is-in-the-process-of-moving-a- 79 - lb- patient-from-the-OR-table-to-the-stretcher.-The-circulator-has-been-called-out-of-the-room.- The-anesthesiologist-tells-the-surgical-technologist-that-between-the-two-of-them-they-can- move-a-patient-of-this-size.-The-surgical-technologist-should away-from-operator,-side-flaps-opened,-proximal-flap-opened-last.---ans-✔✔When- opening-a-wrapped-item-using-aseptic-technique,-the-proper-sequence-is-to-open-the-top- flap pleur-Evac---ans-✔✔what-drain-is-widely-used-in-the-chest-and-has-three-chambers-with- two-tubes? Penrose-drain---ans-✔✔Soft-rubber-tube-place-in-a-wound-area-to-prevent-fluid-build-up.- drains-to-the-dressing-instead-of-a-device.-Passive-drain.
peroneal-nerve---ans-✔✔When-in-Lithotomy-position-we-worry-about-which-nerve-when- hips-are-externally-rotated? GIA---ans-✔✔what-stapler-do-you-pass-in-two-pieces T-tube---ans-✔✔common-drain-for-gall-bladder rescue,-alarm,-confine,-extinguish---ans-✔✔What-does-RACE-mean? Pull,-Aim,-Squeeze,-Sweep---ans-✔✔What-does-PASS-stand-for? 7-0-prolene---ans-✔✔in-preparation-for-a-carotid-endarterectomy-the-surgical- technologist-should-anticipate-using-which-of-the-following-sutures? lap-sponges,-knife-blade,-Yankauer-suction---ans-✔✔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.) Step-away-from-the-field-and-re-glove.---ans-✔✔While-assisting-the-surgeon-in-draping-a- patient-the-surgical-technologist-is-told-that-she-has-contaminated-her-gloves.-Which-of- the-following-actions-should-the-technologist-take? After-the-seal-is-broken-by-circulator-and-the-lid-is-removed,-lift-inner-the-basket-from-the- tray.---ans-✔✔Which-of-the-following-is-correct-technique-for-opening-a-sterilized- instrument-tray-as-a-scrubbed-surgical-technologist-using-aseptic-technique? steam---ans-✔✔Which-of-the-following-is-the-correct-means-of-sterilizing-a-non-flexible- fiber-optic-endoscope? expiration-date,-name-of-component,-size---ans-✔✔Which-of-the-following-must-the- surgical-technologist-verify-before-implants-are-opened-during-a-total-knee-replacement?- (Select-the-three-(3)-correct-answers.) sinus-tract,-mucous-membrane,-stomas---ans-✔✔Which-of-the-following-sites-require-the- surgical-technologist-to-prep-the-surrounding-area-first-and-then-the-dirty-area?-(Select- the-three-(3)-correct-answers.) chest-tube---ans-✔✔A-patient-is-undergoing-a-right-partial-pneumonectomy.-Which-of-the- following-drains-should-the-surgical-technologist-prepare-for-placement-at-the-end-of-the- case? patient's-name,-personnel-involved,-location-of-the-incident---ans-✔✔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.) 2-year-old-undergoing-excisional-debridement-for-full-thickness-burns---ans-✔✔Which-of- the-following-patients-is-at-the-greatest-risk-for-intraoperative-hypothermia? abbreviated-medication-name,-quantity-and-strength---ans-✔✔Which-of-the-following- information-must-every-drug-container-be-labeled-with-as-soon-as-it-is-received-by-the- surgical-technologist? extremity-pack,-small-fragment-tray---ans-✔✔Which-of-the-following-items-should-the- surgical-technologist-have-in-the-room-for-an-ORIF-of-an-ankle-case?-(Select-the-two-(2)- correct-answers.) electrosurgical-pen,-sponge,-suction-device---ans-✔✔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.) camera,-trocars,-light-cords---ans-✔✔After-scrubbing-in-and-draping-the-patient,-which-of- following-does-the-surgical-technologist-need-to-check-when-preparing-for-a-laparoscopic- appendectomy-procedure?-(Select-the-three-(3)-correct-answers.) tracheostomy-hook-and-spreader---ans-✔✔After-a-tracheostomy-procedure-the-surgical- technologist-should-keep-which-of-the-following-items-sterile-on-the-back-table-until-the- patient-leaves-the-room? patient-ID-number,-item-sterilized,-sterilizing-parameters---ans-✔✔Which-of-the-following- items-are-needed-for-immediate-use-sterilization-documentation?-(Select-the-three-(3)- correct-answers.) Bookwalter-retractor,-major-set---ans-✔✔A-charge-nurse-has-just-notified-the-surgical- technologist-to-be-prepared-for-a-post-operative-emergency-for-a-post-salpingo- oophorectomy.-Which-of-the-following-is-the-instrumentation-needed?-(Select-the-two-(2)- correct-answers.) Penrose---ans-✔✔For-which-of-the-following-drains-is-a-sterile-safety-pin-used? circulating-nurse.---ans-✔✔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 closing-suture,- 11 - knife-blade,-extra-Raytec---ans-✔✔A-surgical-technologist-is-in-the- process-of-opening-sterile-supplies-for-an-abdominal-hysterectomy-on-a- 300 - lb.-patient.- After-reviewing-the-preference-card,-which-of-the-following-items-should-the-technologist- hold-in-order-to-watch-costs?-(Select-the-three-(3)-correct-answers.)
