Surgical Technology Certification Exam: Verified Answers (2024/2025), Exams of Nursing

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The surgeon asks that mul0ple suture and hernia mesh that were not on the preference card be opened during the repair of a large umbilical hernia. The surgical technologist should recognize that: a. Items on the preference card are only to be changed by the surgeon or the unit clerk b. Sterile supply associates who stock the hernia mesh are responsible for adding hernia mesh to the preference card c. Preference card changes are unnecessary; both hernia mesh and suture are case dependent. D. Suture may be case dependent, but the hernia mesh is integral to the procedure and should be added to the preference card Answer: d Which of the following precau0ons should be taken by the surgical team when working with polymethyl methacrylate as a bone cement? A. Wear latex free gloves, as polymethyl methacrylate interacts nega0vely with latex b. Remove contact lenses as polymethyl methacrylate can melt contact lenses and cause corneal burns c. Make sure the pa0ent does not have a latex allergy because polymethyl

SURGICAL TECHNOLOGY

CERTIFICATION EXAM

QUESTIONS AND VERIFIED

ANSWERS 2024/2025 UPDATE

(RATED A+)

methacrylate and latex have the same chemical proper0es d. Limit the # of sponges on the field as polymethyl methacrylate can nega0vely interact with the coLon fibers in the sponges. Answer: b Which of the following daily tests must be performed on the pre-vacuum sterilizer before using it? A. Gravity b. Biological indicator c. Bowie-dick d. Chemical indicator Answer: c What is the minimum exposure 0me in a flash sterilizer for unwrapped instruments? A. 1 minute b. 3 minutes c. 5 minutes d. 7 minutes Answer: b [pre-vac] no lumen - 3 minutes ; lumen - 4 minutes Which of the following is the correct temperature for the flash sterilizer opera0on? A. 132 c (270 f) b. 126 c (260 f) c. 135 c (275 f) d. 129 c (265 f) Answer: a

Which of the following is the proper temperature and 0me that the chamber of a steam sterilizer must reach in order to ensure that all spores have been eliminated? A. 270f for 4 minutes b. 350f for 4 minutes c. 240f for 10 minutes d. 350f for 10 mintues Answer: a [pre-vac] temp: 270*f ; 0me: 3-4 minutes ; pressure: 27 psi The sterrad steriliza0on system most commonly uses which of the following chemical solu0ons? A. Hydrogen peroxide b. Gluteraldehyde c. Alcohol d. Perace0c acid Answer: a [sterrad] make sure its plugged in - needs electricity Which of the following is used to achieve high level disinfec0on with a minimum exposure 0me of 20-45 minutes? A. Chlorine bleach compounds b. Gluteraldehyde c. Hydrogen peroxide d. Iodine and iodophors Answer: b During decontamina0on of a flexible endoscope, which of the following tests should be given to inspect the proper func0on of the endoscope and to ensure that it can be properly sterilized?

A. Leak test b. Electrical component test c. Bacteria swab test d. Fiber op0c light test Answer: a Which of the following is the fastest method of steriliza0on? A. Gas b. Steam c. Steris d. Dry heat Answer: b Which of the following is the correct temperature for pre-vacuum steriliza0on? A. 212f b. 170f c. 300f d. 270f Answer: d Which of the following tests is specifically meant to test and monitor the efficiency of the high - vacuum steam sterilizer? A. Biological indicator test b. Dart test c. Chemical indicator test d. Eto test Answer: b dart test = bowie dick test The surgical team must verify each package is properly labeled with a. Date of processing and method of steriliza0on

b. Date of processing and indicator c. Method of steriliza0on and expira0on date d. Indicator and expira0on date Answer: b How many 0mes a day should a dart test be preformed? A. With every load b. Every shid change c. Once every 24 hours d. Weekly Answer: c How oden must a biological control test be run? A. Every day b. Every cycle c. Once a week d. Once a month Answer: a [pg. 163] The bowie-dick test for pre-vacuum sterilizers checks for which of the following condi0ons? A. That the appropriate steam level was reached b. Air leaks in the sterilizer chamber c. Broken sterilizer jacket d. That the sterilizer is ready to process instruments Answer: b Lot control numbers should be placed on each package sterilized and on the... A. Sterilizer maintenance record b. Steriliza0on load record

c. Nursing documenta0on d. Cover of the pa0ent's chart Answer: b How long is a 3m aLest 1292 steam biological indicator incubated before the reading is recorded? A. 12 hours b. 36 hours c. 24 hours d. 48 hours Answer: c 12 hours - rapid ; 24 hours - not rapid During a vascular procedure a vessel is ligated. The surgeon states that she will repair the vessel ader bleeding is controlled. Which needle type would she most likely require to complete this task? A. Control release needle b. French eyed needle c. Tapered needle d. Cukng needle Answer: c When steam sterilizing biological indicators, how long are they incubated before the reading is recorded? A. 48 hours b. 24 hours c. 12 hours d. 72 hours Answer: b

An ob-gyn surgeon has posted a laparoscopic par0al hysterectomy and has informed the surgical team that the ovaries are remaining. However, the fallopian tubes will require liga0on involoving the tubes being clipped and cauterized. Which of the following instruments should the surgical technologist open a. A flishie and hemoclip applier b. A flishie and kleppinger c. A kleppinger and harmonic scalpel d. A harmonic scalpel and hemoclip applier Answer: d Which of the following instruments can be decontaminated in the washer- sterilizer? A. Colonoscope b. Power drill c. Laser coated instrument set d. Phaco instrument set Answer: c The pa0ent has undergone cardiac bypass surgery. Protamine has been administered and the surgeon is preparing to close the sternotomy. Bleeding is a postopera0ve concern. Which of the following systems should the surgical technologist an0cipate the surgeon will use? A. Hemovac b. Jackson praL c. Pleur-evac d. Penrose Answer: c

A pa0ent presents to the opera0ng room for irriga0on and debridement of a wound caused by penetra0ng trauma. The surgeon states that the wound will heal by secondary inten0on. Which of the following dressing types should the surgical technologist ask the circulator for? A. Abd b. Bolsters c. Bio-occlusive strips d. Steri-strips Answer: a 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? A. Ta b. Gia c. Eea d. Lds Answer: c A pressure dressing is most likely applied over a a. Turp b. Skin grad c. Fractured femur ex fix d. Cataract surgery Answer: b During an open laparotomy the surgeon drops a poole suc0on 0p before irriga0ng. It is the only suc0on 0p available and it has to be re-sterilized to be used later in the procedure. Which of the following types of steriliza0on should the surgical technologist use?

A. Ethylene oxide b. Gravity displacement c. Pre vac d. Cobalt 60 radia0on Answer: c When disinfec0ng a flexible endoscope used on a pa0ent with tb, which of the following steriliza0on methods should be employed? A. Steris b. Steam c. Enzyma0c d. Bleach Answer: a Which of the following is the correct means of sterilizing a non-flexible fiber op0c endoscope? A. Phenol b. Steam c. Perace0c acid d. Alochol Answer: c perace0c acid = steris Ader a surgical procedure, where should all unused surgical materials be returned to? A. Case cart b. Central supply c. Instrumental processing d. Decontamina0on area

Answer: d "materials" = instruments Which of the following is being tested when doing a bowie-dick test on an autoclave? A. Correct amount of steam present b. Amount of air removed from the autoclave c. Correct pressure is aLained d. Popula0on of spores led in the autoclave Answer: b When closing fascia ader a laparotomy, which of the following is the suture of choice? A. Goretex b. Pds c. Plain d. Nurolon Answer: b The surgical technologist is assis0ng the surgical team in posi0oning the pa0ent for a total hip arthroplasty. How can the technologist plan for placing the pa0ent in this posi0on? A. Recognize that the pa0ent will be reposi0oned intra-opera0vely for x-ray confirma0on of implant fit b. Ensure that the wilson frame is properly placed on the surgical table and allows c-arm access to surgical site c. Place the surgical safety strap across the pa0ent mid-thigh and ensure that it is out of the way of the surgical site d. Posi0on the beanbag or pegboard on the surgical table Answer: d

In prepara0on for a caro0d endarterectomy the surgical technologist should an0cipate using which of the following sutures? A. 7-0 ethibond b. 7-0 prolene c. 7-0 chromic d. 7-0 silk Answer: b A pa0ent is having a lavh. 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. Enseal c. Morcellator d. Ligature Answer: c During the liquid chemical steriliza0on, which of the following is the primary chemical steriliza0on compound used to sterilize endoscopic instrumenta0on and scopes? A. Phenolic compound b. Perace0c acid c. Sodium hypochlorite d. Quaternary ammonium Answer: b What 3 things are required for a laser procedure? Sterile water or saline on the back table wet towels coated instruments

What are the 3 factors needed to achieve steam steriliza0on? Exposure 0me temperature moisture The decontamina0on, cleaning and steriliza0on of endoscopes includes what guidelines? Do not rinse with 70% alcohol use glutaraldehyde use enzyma0c detergent What 3 things are used to clean instruments at the end of a procedure? Enzyma0c solu0on detergent solu0on sterile water What 3 things should the surgical technologist do with the instruments following a cystoscopy? Disassemble the instruments open all the channels of the cystoscope loosely coil cords What 3 things should every package intended for steriliza0on include? Load-control number date of steriliza0on cycle or load number What 3 things is the surgical technologist checking for when performing a bowie-dick test? Piping leaks insufficient air removal quality of steam

What 3 pieces of informa0on should be contained in the steriliza0on cycle records? Contents date of steriliza0on operator ini0als What 3 indicators must be inspected when a surgical technologist retrieves non-implantable instrumenta0on from the autoclave? Steam indicator turned desired temperature met require 0me of exposure met What 3 items are needed for immediate use steriliza0on documenta0on? Item sterilized sterilizing parameters pa0ent id number What 3 items should the surgical technologist have in the room for an orif of an ankle case? Small fragment tray extremity pack When sterilizing an unwrapped, non-porous item with no lumen in an immediate use steriliza0on unit, which 2 parameters must be met for steriliza0on? 3 - 4 minutes exposure 0me 270*f Through which of the following do the common bile duct and the pancrea0c duct empty? A. Ampulla of vater b. Duct of santorini

c. Wirsung's duct d. Sphincter of oddi Answer: a Which of the following is an examina0on of the cervix using a binocular microscope? A. Colposcopy b. Laparoscopy c. Urtheroscopy d. Hysteroscopy Answer: a note: hysteroscopy is both the cervix and uterus The apron-like structure aLached to the greater curvature of the stomach is the: a. Omentum b. Mesentery c. Liagmentum d. Peritoneum Answer: a What organs are excised if an ovarian tumor is malignant? A. Bilateral ovaries only b. Bilateral fallopian tubes and ovaries, uterus c. Unilateral involved ovary and fallopian tube d. Unilateral involved ovary and fallopian tube, uterus Answer: b Which term refers to an abnormal thoracic curve of the spine referred to as "hunchback"? A. Lordosis

b. Scoliosis c. Kyphosis d. Alkalosis Answer: c What is the medical term for bunion? A. Talipes valgus b. Hallux valgus c. Hallux varus d. Talipes varus Answer: b The small intes0ne aLaches to the posterior abdominal wall by the: a. Mesentery b. Peritoneum c. Falciform ligament d. Lesser omentum Answer: a A topical steroid used to reduce inflamma0on ader eye surgery is a. Depo-medrol b. Miochol c. Healon d. Wydase Answer: a Which of the following rou0ne preopera0ve laboratory studies would be ordered for premenopausal women with no history of hysterectomy? A. Hcg b. Hbv

c. Hiv d. Hdl Answer: a What is the surgical posi0on commonly used for thyroid and gallbladder surgery? A. Supine b. Fowler's c. Reverse trendelenburg d. Lateral kidney Answer: c A congenital defect in which the fetal blood vessel between the pulmonary artery and aorta does not close is: a. Coarcta0on of the aorta b. Pa0ent ductus arteriosus c. Tetralogy of fallot d. Ventricular septal defect Answer: d Which of the following is a nonadherent dressing? A. Kling b. Adap0c c. Collodion d. Elastoplast Answer: b Which of the following terms describes a hernia that occurs within hesselbach's triangle? A. Direct b. Indirect

c. Femoral d. Hiatal Answer: a hesselbach's triangle consists of: rectus abdominus ligament hypogastric vessels Which of the following incisions is oblique? A. Epigastric b. Kocher c. Paramedian d. Pfannens0el Answer: b Which of the following dilators are used in the common duct? A. PraL b. Van burren c. Bakes d. Hegar Answer: c Which of the following is a mechanical method of hemostasis? A. Laser b. Ligature c. Thrombin d. Electrosurgery Answer: b The organ that is connected by a duct to the duodenum is the: a. Pancreas b. Gallbladder

c. Stomach d. Liver Answer: a A brain tumor causing altera0on of muscle tone, voluntary muscle coordina0on, gait and balance would likely be located in the: a. Diencephalon b. Cerebellum c. Medulla d. Pons Answer: b What type of anesthesia is a combina0on of inhala0on and intravenous drugs? A. Spinal b. Seda0on c. Regional d. Balanced Answer: d What posi0on is most commonly used for neurosurgical procedures? A. Supine b. Semi-fowler's c. Trendelenburg d. Lithotomy Answer: a Which of the following solu0ons should be used to prep the donor site for split- thickness skin grad? A. Iodophor b. Avagard

c. Chlorhexidine d. Merthiolate Answer: c What type of drape would be used for a flank procedure? A. Transverse b. Extremity c. Aperature d. Perineal Answer: a Which surgical procedure is performed to correct an abnormality in which the urethral meatus is situated on the superior aspect of the penis? A. Hypospadias repair b. Epispadias repair c. Meatotomy d. Uteroneocystostomy Answer: b Most common cause of re0nal detachment is a. Aging b. Trauma c. Glaucoma d. Inflamma0on Answer: b What type of acquired immunity is a vaccina0on? A. Ar0ficial passive b. Ar0ficial ac0ve c. Natural passive d. Natural ac0ve

Answer: b When would the anesthesia provider request cricoid pressure? A. Bier block b. Epidural injec0on c. Endotracheal intuba0on d. Endotracheal extuba0on Answer: c Which instrument would be used during a keratoplasty to remove the cornea? A. Trephine b. WestcoL c. Oculotome d. Phacoemulsifier Answer: a The highly vascular layer of the eye that absorbs light rays and nourishes the re0na is the: a. Sclera b. Iris c. Choroid d. Macula Answer: c Which aneurysm usually develops between the renal and iliac arteries? A. Ascending thoracic b. Aor0c arch c. Descending thoracic d. Abdominal aor0c Answer: d

What type of skin grad includes the epidermis and all of the dermis? A. Composite b. Split-thickness c. Pedicle d. Full-thickness Answer: d Which of the following terms refers to the absence of the external ear? A. Micro0a b. Anophathalmia c. Cheiloschisis d. Extrosyndactyly Answer: a Which ossicle of the middle ear covers the oval window? A. Malleus b. Incus c. Stapes d. Utricle Answer: c What type of sponge is 0ghtly rolled coLon tape used by surgeons for blunt dissec0on? A. Raytec b. Kitner c. Weck-cel d. CoLonoid Answer: b Which of these instruments would be used during a keratoplasty? A. Kilner hook

b. Bowman probe c. Kerrison rongeur d. Cokngham punch Answer: d A par0ally dislocated joint is called: a. Subluxa0on b. Malrota0on c. Avulsion d. Malunion Answer: a When using the warm cycle of the eto sterilizer, what is the minimum steriliza0on temperature in fahrenheit? A. 55 b. 65 c. 75 d. 85 Answer: d Which legal principle applies when the pa0ent is given the wrong dose of the local anesthe0c? A. Res ipsa loquitor b. Respondeat superior c. Bona fide d. Assault Answer: a "the thing speaks for itself" The space between the vocal cords is called the: a. Epigloks

b. Gloks c. Vocal fold d. Cricoid car0lage Answer: a Which of the following retractors is used for spinal nerve roots? A. Taylor b. Love c. Cushing d. Meyerding Answer: b Which of the following tumors is typically benign, encapsulated, and arises from 0ssue covering the central nervous system structures? A. Meningioma b. Astrocytoma c. Schwannoma d. Oligodendroglioma Answer: a The fibrous white layer that gives the eye its shape is the: a. Iris b. Cornea c. Sclera d. Choroid Answer: c How many hours must an item be submersed in glutaraldehyde to sterilze? A. 7 b. 8

c. 9 d. 10 Answer: d "cidex" - takes 20 mins to disinfect; 10 hours to sterilize Use of an intraluminal (circular) stapler (eea) would be indicated for which of the following surgical procedures? A. Pancreatectomy b. Cholecystectomy c. Polypectomy d. Sigmoidectomy Answer: d Sa0nsky, herrick, and mayo clamps may be specifically used on which of the following structures? A. Kidney pedicle b. Seminal vesicle c. Bladder neck d. Prostate gland Answer: a Which type of hematoma is a result of torn bridging meningeal veins? A. Subdural b. Epidural c. Intracerebral d. Intraventricular Answer: a What is the name of the condi0on in which a loop of bowel herniates into the douglas's cul-de-sac? A. Cystocele

b. Rectocele c. Enterocele d. Omphalocele Answer: c "entero"- bowel Which of these condi0on is characterized by a fleshy encroachment of conjunc0va onto the cornea? A. Chalazion b. Pterygium c. Strabismus d. Ecchymosis Answer: b Which procedure would be listed in the or schedule for a pa0ent undergoing surgical treatment of uterine fibroids? A. Pelvic exentera0on b. Cerval cerclage c. Colporrhaphy d. Myomomectomy Answer: d Where is a baker's cyst located? A. Olecranon process b. Greater tubercle c. Popliteal fossa d. Carpal tunnel Answer: c Which of the following is a method of high-level disinfec0on? A. Perace0c acid for 30 minutes