Download NCCT SURGICAL TECH PRACTICE EXAM and more Exams Health sciences in PDF only on Docsity!
NCCT SURGICAL TECH PRACTICE
EXAM
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? - verified correct answer s Bookwalter 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 - verified correct answer s the buttocks Which of the following are done during the initial count for a tubal ligation case? (Select the three (3) correct answer s.) - verified correct answer s state the name of each item as you begin to count it, circulator records the items counted, count laps, Raytecs, needles, and blades 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? - verified correct answer s Don new gown and gloves. Which of the following is used to help maintain hemostasis intraoperatively in neurosurgery? - verified correct answer s raney clips 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 answer s.) - verified correct answer s electrosurgical pen, sponge, suction device 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? - verified correct answer s 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. When disinfecting a flexible endoscope used on a patient with TB, which of the following sterilization methods should be employed? - verified correct answer s steris
During a total hip replacement, how can a surgical technologist prevent blood from drying on instruments? - verified correct answer s Place the instruments in a basin of sterile water. Which of the following prep solutions is contraindicated for use with a laser? - verified correct answer s Duraprep In the Sterile Processing Department, a DART test for autoclave steam sterilizers should be run - verified correct answer s daily. 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? - verified correct answer s Remove the sterilized instrument tray from the sterile field. The surgeon requests a non-absorbable suture for skin closure. Which of the following sutures is non- absorbable? - verified correct answer s Nylon The anesthesia provider would typically ask the surgical technologist how much fluid has been used in order to - verified correct answer s estimate blood loss. 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 - verified correct answer s place arm pads. 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? - verified correct answer s hospital MSDS log When steam sterilizing biological indicators, how long are they incubated before the reading is recorded? - verified correct answer s 24 hours 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? - verified correct answer s Wait until the washer stops and run a new cycle with the instruments.
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? - verified correct answer s Close the jaws. When a surgical technologist is being relieved at end of shift during a myomectomy, she is required to - verified correct answer s conduct a complete count. While preparing the room for a surgical procedure using the laser, which of the following policies ensure the laser is being used correctly? (Select the three (3) correct answer s.) - verified correct answer s Post warning signs outside the room., Do not use alcohol based preps., Wear safety goggles. When donning a sterile gown the surgical technologist should - verified correct answer s keep the inside of the gown toward the body. 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? - verified correct answer s tracheostomy hook and spreader At the beginning of a carpal tunnel procedure the surgeon announces that he will use 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? - verified correct answer s Add the Steven's scissor to every hand procedure preference card for the surgeon. Patient skin preparation for LAVH and abdominal to perineal procedures should be performed using which of the following solutions? - verified correct answer s iodophor paint Following an eyelid laceration repair, the surgeon begins to close the skin. Anticipating the surgeon's needs the surgical technologist should hand the surgeon - verified correct answer s steri strips. 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 - verified correct answer s is maintained at 75 degrees F ( C).
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? - verified correct answer s 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. When cutting 7-0 nylon suture, which of the following is the best instrument to use? - verified correct answer s straight Iris scissors 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? - verified correct answer s Enlist an all female surgical team. Which of the following tests is essential to ensure patient safety when processing a flexible endoscope?
- verified correct answer s leak A pressure dressing is most likely applied over a - verified correct answer s skin graft. 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? - verified correct answer s Cover the wound and remove the Mayo and back table. Which of the following information must every drug container be labeled with as soon as it is received by the surgical technologist? - verified correct answer s abbreviated medication name, quantity and strength 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? - verified correct answer s The circulator removes the contaminated glove and then the technologist re-gloves herself. 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? - verified correct answer s Place all sharps in the needle counter and dispose of them in the sharps container.
When reviewing the autoclave log, the surgical technologist should confirm that which of the following items have been documented before using the instrumentation? - verified correct answer s exposure temperature A surgical technologist relieves another technologist during a case. After the first technologist leaves, the relieving technologist realizes that the medication on the field is not labeled. Which of the following is the first action the relieving technologist should take? - verified correct answer s Discard the medication and irrigating solution on the field and start over. After completing an incident report, the surgical technologist should submit it to the - verified correct answer s OR supervisor 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 answer s.) - verified correct answer s Bookwalter retractor, major set 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? - verified correct answer s shell fish he surgeon has removed a specimen for a fresh section and is sending it to the lab immediately for a diagnosis. How should the technologist prepare the specimen for retrieval? - verified correct answer s Place the specimen in a dry specimen container. After a surgical procedure, where should all unused surgical materials be returned to? - verified correct answer s Central Supply Which of the following is the minimum amount of time an unwrapped Kelly clamp needs to be flash sterilized for? - verified correct answer s 3 minutes A GYN patient is scheduled to have a D&C procedure. To prevent the risk of skin and neurovascular pressure or injury when the patient is placed in stirrups in the lithotomy position, which of the following must the surgical team do? - verified correct answer s Have adequate padding available in room.
The surgeon is using staples to close the skin on an abdominal incision after performing an exploratory laparotomy. Which of the following pickups should the surgical technologist use for this step? - verified correct answer s Adson A patient presents to the operating room for irrigation and debridement of a wound caused by penetrating trauma. The surgeon states that the wound will heal by secondary intention. Which of the following dressing types should the surgical technologist ask the circulator for? - verified correct answer s ABD The surgical technologist is preparing for a myelography procedure. Which of the following items would definitely be on the preference card for this case? - verified correct answer s contrast medium Which of the following procedures requires a surgical site dressing? - verified correct answer s laparotomy During a total abdominal hysterectomy, the surgeon has begun placing the Balfour retractor. In anticipation of bowel packing, the surgical technologist should moisten - verified correct answer s laparotomy sponges. 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? - verified correct answer s Xeroform During the liquid chemical sterilization, which of the following is the primary chemical sterilization compound used to sterilize endoscopic instrumentation and scopes? - verified correct answer s peracetic acid 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 answer s.) - verified correct answer s saw, cautery unit, pneumatic tourniquet Which of the following solutions is contraindicated on the sterile field for an endoscopic case using electrosurgical instruments? - verified correct answer s normal saline
When opening sterile supplies aseptically for surgery the surgical technologist should - verified correct answer s open gown and gloves onto a small table away from where sterile items have been distributed. When assembling instruments for sterilization, the surgical technologist should place instruments on the stringer with - verified correct answer s clamps in the open position. When opening a sterile package at the back table, the package should be held - verified correct answer s away from the body. When preparing peel pack instruments for steam sterilization the surgical technologist should inspect the instrument, place an indicator in the package, and - verified correct answer s label the package. The surgical technologist prepared a breast lump to send as a frozen section to pathology. The surgical technologist should pass off the specimen placed - verified correct answer s on a telfa pad. 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 medium, and two 20cc syringes of saline. Which of the following is the total amount of contrast medium used during the procedure? - verified correct answer s 20cc The OR needs to be set up for a spinal laminectomy, where the surgeon has asked for a spinal positioner to arch the back in a prone position. Which of the following positioners should be chosen? - verified correct answer s Wilson frame The surgical technologist should use which of the following disinfectants when reprocessing an endotracheal tube used during surgery? - verified correct answer s cidex OPA The surgical technologist reviews the schedule for the following day and notices that an orthopedic surgeon has scheduled an ACL reconstruction with donor graft. Which of the following tissue implants is the correct term describing this graft? - verified correct answer s allograft Which of the following hemostatic agents is most likely to be used during a laminectomy to achieve hemostasis of the vertebrae? - verified correct answer s bone wax
An OB-GYN surgeon has posted a laparoscopic partial hysterectomy and has informed the surgical team that the ovaries are remaining. However, the fallopian tubes will require ligation involving the tubes being clipped and cauterized. Which of the following instruments should the surgical technologist open?
- verified correct answer s a Filshie and a Kleppinger Which of the following areas of the surgical gown is considered sterile? - verified correct answer s the front of gown from the chest to the waist During an abdominoperineal repair, which of the following is the most appropriate stapler to assemble and hand to the surgeon to perform an anastomosis between the proximal and distal ends of the colon?
- verified correct answer s EEA 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? - verified correct answer s Throw out the fluids and ask for replacements. 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 answer s.) - verified correct answer s patient's name, personnel involved, location of the incident 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? - verified correct answer s flash sterilization After skin closure, which of the following sequences for removing and discarding soiled surgical drapes maintains sterile technique? - verified correct answer s Place sterile towels over the site, remove the drapes, remove top gloves, place dressings on the site. 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 answer s.) - verified correct answer s sinus tract, mucous membrane, stomas
take next before passing the local? - verified correct answer s Read aloud the medication label on the syringe. Which of the following patients is at the greatest risk for intraoperative hypothermia? - verified correct answer s 2-year-old undergoing excisional debridement for full-thickness burns A patient's dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures? - verified correct answer s The circulator places the dentures in a labeled denture cup and keeps them with the patient's chart. 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? - verified correct answer s tapered needle In anticipation of a visually impaired patient's surgical procedure, the best practice in facilitating movement would be for the surgical tech to - verified correct answer s explain the process of moving from stretcher to bed then guide the patient's hand to aid him while he moves. 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? - verified correct answer s Prepare internal defibrillator paddles. Which of the following key information should be on the outside of a peel package of a sterilized instrument? (Select the three (3) correct answer s.) - verified correct answer s sterile indicator, name of item, date of sterilization Which of the following substances used in the surgical environment is flammable? - verified correct answer s isopropyl alcohol 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? - verified correct answer s Align the beds together, lock the wheels, and ask the patient to move himself.
The surgical technologist has just handed the surgeon a 2-0 Silk suture. Which of the following scissors should the surgical technologist have ready? - verified correct answer s straight Mayo scissors 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? - verified correct answer s Ensure all bony prominences are sufficiently padded. Which of the following is a passive drain? - verified correct answer s Penrose 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? - verified correct answer s Army-Navy The circulating nurse notices that the patient is actively bleeding from one of the operative sites and the surgeon has left the room. Which of the following actions should the surgical technologist take? - verified correct answer s Remain in gown and gloves and apply pressure. 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? - verified correct answer s Finish the procedure and evacuate the patient. A patient has a latex allergy and is scheduled for an abdominal hysterectomy. A catheter will be inserted in the patient's bladder pre-operatively. Which of the following is the proper catheter to use for this patient? - verified correct answer s silicone retention catheter 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? - verified correct answer s Place rolled towel padding beneath abducted down-side arm. 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 answer s.) - verified correct answer s closing suture, 11 knife blade, extra Raytec
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? - verified correct answer s moist Penrose 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 answer s.) - verified correct answer s suction, sponges, irrigation 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? - verified correct answer s Take unopened supplies to Room 1, build a new set-up, and break down Room
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? - verified correct answer s The circulator can reach under the sterile drape and apply the safety strap. Which of the following patients is at the greatest risk for OR-acquired pressure ulcer development? - verified correct answer s 77-year-old undergoing a coronary artery bypass graft The surgeon requests suture to close the skin incision. Which of the following types of needles should be used? - verified correct answer s cutting 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? - verified correct answer s Poole tip suction and Lap sponges 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? - verified correct answer s Discard the tray and retrieve a new sterilized instrument tray.
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 answer s.) - verified correct answer s camera, trocars, light cords Which of the following instruments is used to extend the arteriotomy during a carotid endartectomy? - verified correct answer s Potts-Smith 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? - verified correct answer s Monsel's solution 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 - verified correct answer s 5 minutes. A patient presents to the operating room for a hydrocelectomy. Which of the following dressings should the surgical technologist anticipate needing? - verified correct answer s scrotal support 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? - verified correct answer s manufacturer representative Which of the following actions by the surgical technologist reduces the risk of bioburden accumulation on serrated hemostatic forceps postoperatively? - verified correct answer s Soak in enzymatic solution within 20 minutes. In which of the following circumstances is it appropriate for the surgical technologist to perform immediate-use steam sterilization for "just in time" processing? - verified correct answer s The procedure is emergent. 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? - verified correct answer s A "yes" written on the right knee, with a small line showing where the incision will be.
While cleaning the back table after a cystoscopy case, the tray of instruments accidentally falls on the floor. After retrieving all instruments, which of the following should the surgical technologist do before returning instruments to decontamination? - verified correct answer s Visually inspect the instruments. 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? - verified correct answer s Inform the anesthesia provider of the patient's religion. The surgeon performed a RT right breast biopsy and informed the surgical technologist that it is a frozen specimen ready to send to the lab. How should the surgical technologist give the specimen to the circulator? - verified correct answer s in a sterile container When moving a conscious patient from a stretcher to the operating table, which of the following should the surgical technologist do first? - verified correct answer s Align the stretcher and operating table and lock the wheels. After connecting the water seal drainage system to the chest tube, where should the technologist place the water seal drainage system? - verified correct answer s below the level of the thoracic cavity 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? - verified correct answer s Prepare to scrub, re-gown, and re-glove. Which of the following factors determine if a disposable sterile supply item is acceptable to use? - verified correct answer s package integrity and expiration date When transferring a patient to the operation room table, the surgical technologist should - verified correct answer s transfer medical equipment first and then move the patient. For which of the following drains is a sterile safety pin used? - verified correct answer s Penrose
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 answer s.) - verified correct answer s 3-4 minute exposure time, 270o F Which of the following is the correct means of sterilizing a non-flexible fiber optic endoscope? - verified correct answer s steam 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? - verified correct answer s fluid intake and output 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? - verified correct answer s The light source was left on and the drape is igniting. 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 - verified correct answer s closed and facing away from the surgeon. 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? - verified correct answer s morcellator Which of the following is correct technique for opening a sterilized instrument tray as a scrubbed surgical technologist using aseptic technique? - verified correct answer s After the seal is broken by circulator and the lid is removed, lift inner the basket from the tray. 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? - verified correct answer s Smother the drape with a wet sterile towel. When is the water-seal drainage system placed during the thoracotomy procedure? - verified correct answer s before initial pericostal incision is closed
