NCCT Preliminary Exam
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.
B. confirm that the package was exposed to sterilization
In the Sterile Processing Department, a DART test for autoclave steam sterilizers should be run A. before every autoclave load. B. daily. C. weekly. D. monthly.
B. daily.
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.
B. estimate blood loss.
When preparing for a right total nephrectomy, the operating room team should position the patient using which of the following positioning options? A.right lateral position B. left lateral position C.supine position D.prone position
B. left lateral position
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 A. ventilated to force positive airflow from unrestricted to restricted areas. B. maintained at 75 degrees F (23 C). C. humidity controlled to prevent growth of bacteria. D. maintained at 68 degrees F (20 C).
B. maintained at 75 degrees F (23 C).
At the end of each case the surgical technologist should A. soak the instruments in normal saline. B. rinse blood from the instruments with sterile water. C. wipe the instruments off with a wet towel. D. have the circulator inspect the instruments.
B. rinse blood from the instruments with sterile water.
A pressure dressing is most likely applied over a A. fractured femur EX Fix. B. skin graft. C. cataract surgery. D. TURP.
B. skin graft.
The surgical technologist has just finished an incision and drainage (I&D) of a patient with MRSA. The surgical technologist should, A. change their scrubs, and return to the room to setup for the next case B. terminally clean the room, change their scrubs, perform another hand/arm scrub, then set up for the next case. C. change their scrubs, perform another hand/arm scrub, then set up for the next case D. change their scrubs, terminally clean the room, perform another hand/arm scrub, then set up for the next case
B. terminally clean the room, change their scrubs, perform another hand/arm scrub, then set up for the next case.
The preferred liquid to use when wiping gross debris from instrumentation is A. Betadine. B. water. C. saline. D. Hibiclens.
B. water.
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
C. Scrotal support
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.) A. Type of case the instrument is used in B. Length of sterilization C. Sterile indicator D. Name of item E. Date of sterilization
C. Sterile indicator D. Name of item E. Date of sterilization
Which of the following areas of the surgical gown is considered sterile? A. The front of the gown from the neckline to the waist B. The cuffs and sleeves of both arms up to the shoulders C. The front of gown from the mid-chest to the waist D. The back of the gown
C. The front of gown from the mid-chest to the waist
While working on an open bowel procedure and the surgical technologist notices the small bowel is starting to dry out. Which of the following should the technologist do? A. Ask the circulator to increase room humidity. B. Use sterile water to moisten the bowel. C. Use saline soaked laparotomy sponges to moisten the bowel. D. Monitor the situation and report any changes in condition.
C. Use saline soaked laparotomy sponges to moisten the bowel.
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.
C. Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball.
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 A. move the patient with the anesthesiologist. B. allow the patient to move. C. call for moving help. D. look for the circulator.
C. call for moving help.
According to guidelines for radiology exposure, which of the following does not reduce the total dose of radiation received? A. distance B. shielding C. dosimeter badge D. time
C. dosimeter badge
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.
C. on a telfa pad.
While assisting the surgeon, the correct time for the surgical technologist to cauterize tissue is when the A. surgeon has located the source of the bleeding. B. surgeon hands the surgical technologist the cautery pencil. C. surgeon asks the surgical technologist to. D. tissue starts bleeding.
C. surgeon asks the surgical technologist to.
Which of the following is correct technique for opening a sterilized instrument tray as a scrubbed surgical technologist using aseptic technique? A. Break the seal on the outer tray handles and lift the outer tray. B. Break the seal on the inner basket handles and lift the inner basket from the tray. C. After the seal is broken by circulator and the lid is removed, lift the outer tray. D. After the seal is broken by circulator and the lid is removed, lift inner the basket from the tray.
D. After the seal is broken by circulator and the lid is removed, lift inner the basket from the tray.
Which of the following information is the surgical technologist responsible for reporting to the circulating R.N. to document in the OR record? A. Amount of diprivan (Propofol) used B. Amount of actavis (Fentanyl) used C. Amount of prep solution used D. Amount of x-ray contrast used
D. Amount of x-ray contrast used
When is the water-seal drainage system placed during the thoracotomy procedure? A. After the initial pericostal incision is made B. After the patient is prepped and draped C. After the pleural space is closed D. Before initial pericostal incision is closed
D. Before initial pericostal incision is closed
The surgeon has finished dissecting through all of the layers of the abdomen during an abdominal hysterectomy. What retractor should the surgical technologist be prepared to pass to the surgeon? A. Richardson-Eastman B. Alexander Farabeuf C. Burford-Finochietto D. O'Sullivan O'Connor
D. O'Sullivan O'Connor
After completing an incident report, the surgical technologist should submit it to the A. surgeon. B. circulator. C. human resource department. D. OR supervisor.
D. OR supervisor.
During an abdominal surgery, the anesthetist states that they believe an MH crisis is presenting itself in the surgical patient. The surgical tech should A. immediately run and get ice to cool the patient B. Ask for epinephrine to quickly give to the surgeon C. Ask the circulating nurse for 3000l of warm saline D. Prepare to close quickly and maintain the sterile field
D. Prepare to close quickly and maintain the sterile field
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.
D. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape and discard.
When implanting orthopedic screws and plates, who is responsible for verifying number used, manufacturer, serial number, and size? A. Circulating nurse and sales representative B. Surgeon and sales representative C. Surgical technologist and surgeon D. Surgical technologist and circulating nurse
D. Surgical technologist and circulating nurse
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? A. Cover the back table with a sterile drape and leave it in Room 5. B. Leave the set-up in Room 5 to be used on the later case for no longer than one hour. C. Leave the case in Room 5 in order to save costs and alert the charge nurse about the move to Room 1. D. Take unopened supplies to Room 1, build a new set-up, and break down Room 5.
D. Take unopened supplies to Room 1, build a new set-up, and break down Room 5.
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? A. French eyed needle B. Control release needle C. Cutting needle D. Tapered needle
D. Tapered needle
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? A.Polyester/Dacron B. Silk C. Nylon D. Vicryl
D. Vicryl
Which retractor is self-retaining? A. Deaver B. Senn C. Army/Navy D. Weitlander
D. Weitlander
What is an example of a break in sterility? A. When a non-sterile worker ties up a sterile gown. B. When sterile team members move past each other with their backs against each other. C. When two sterile surgical workers gloves touch. D. When a sterile team member's hand goes below their abdomen.
D. When a sterile team member's hand goes below their abdomen.
When opening a wrapped item using aseptic technique, the proper sequence is to open the top flap A. away from operator, proximal flap opened, side flap opened last. B. toward operator, side flaps opened, distal flap opened last. C. toward operator, side flaps opened, proximal flap opened last. D. away from operator, side flaps opened, proximal flap opened last.
D. away from operator, side flaps opened, proximal flap opened last.
When assembling instruments for sterilization, the tech should place instruments on the stringer complying with which detail? A. smaller instruments grouped together. B. Babcock's in the locked position. C. larger instruments grouped together. D. clamps in the open position.
D. clamps in the open position.
If a Frazier suction tip falls on the floor during a procedure the proper protocol for flash autoclaving the item in a gravity displacement sterilizer is to A. properly place it in the autoclave for 4 minutes at 270 degrees F. B. properly place it in the autoclave for 10 minutes at 270 degrees F. C. flush the lumen and autoclave for 4 minutes at 270 degrees F. D. flush the lumen and autoclave for 10 minutes at 270 degrees F.
D. flush the lumen and autoclave for 10 minutes at 270 degrees
In knee arthroscopy, the surgeon requests a new shaver be opened. The circulator opens the new shaver, and hands it to the surgical technologist, but as they grab it, their glove touches the outer packaging of the shaver. The surgical technologist should, A. place the shaver on the field, then replace their outer gloves. B. request a new shaver, place the shaver on the field, have the nurse remove their gloves, then replace their outer gloves. C. have the nurse remove their outer gloves, reglove, then place the shaver onto the field. D. have the nurse remove their outer gloves and the contaminated shaver, reglove, request a new shaver, then open and place the new shaver onto the field.
D. have the nurse remove their outer gloves and the contaminated shaver, reglove, request a new shaver, then open and place the new shaver onto the field.
An emaciated patient is scheduled for an abdominal hysterectomy with removal of excessive skin on bilateral thighs. The circulator has opted to place the ESU grounding pad on the patient's forearm. The surgical technologist should suggest that the ESU pad be removed and placed on A. either thigh. B. either ankle. C. the clavicle. D. the buttocks.
D. the buttocks.
During the initial pre-operative count, the surgical technologist and circulator noticed that there were 11 Raytecs in a package instead of 10. Which of the following should they do about the extra sponge? A. Include the extra sponge in the count. C. Throw out one sponge to make it 10. D. Discard the entire package into a kick bucket and remove it from count. E. Remove the package and the sponges from room.
E. Remove the package and the sponges from room.
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.) A. 3-4 minute exposure time B. 270 degrees F C. 10 minute exposure time D. 132 degrees F E. 4 minute drying time
A. 3-4 minute exposure time B. 270 degrees F
What two sutures could the surgical technologist have ready for a running baseball stitch on an ulnar nerve decompression? A. 4-0 Prolene B. 4-0 Monocryl C. 4-0 Vicryl D. 4-0 Nylon
A. 4-0 Prolene, D. 4-0 Nylon
Which of the following items must be prepared for a routine lap cholecystectomy? [Select 3] A. A #11 blade B. Laparotomy (Lap) sponges C. A Laparoscopic grasper D. Suction tubing with Poole and Yankaur tips E. A new camera and light cord
A. A #11 blade C. A Laparoscopic grasper E. A new camera and light cord
What instrument would the surgical technologist use to assist the surgeon while they staple the skin closed? A. Adson forcep B. Debakey forcep C. Iris forcep D. Russian forcep
A. Adson forcep
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.) A. Bookwalter retractor B. C-section set C. Dilation and curettage set D. Major set E. Mayfield retractor
A. Bookwalter retractor D. Major set
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.) A. Camera B. CO2 tank C. Trocars D. GIA stapler E. Light cords
A. Camera C. Trocars E. Light cords
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? A. Ensure all bony prominences are sufficiently padded. B. Make sure that the implant is appropriately sized for the patient. C. Be attentive to intraoperative signs of discomfort or distress. D. Use a body warming blanket during the pre-operative phase.
A. Ensure all bony prominences are sufficiently padded.
When your case is over, you are responsible for preparing the instruments for decontamination & sterilization. What should the surgical technologist use to pre-soak instruments to help remove any bioburden and bodily fluids? A. Enzymatic spray B. Sterile water C. Bleach D. Disinfecting wipes
A. Enzymatic spray
Which of the following must the surgical technologist verify before implants are opened during a total knee replacement? Select the three (3) correct answers. A. Expiration date B. Name of component C. Lot number D. Size E. Manufacturer name
A. Expiration date B. Name of component D. Size
A rhytidectomy is what kind of procedure? A. Face lift B. Thigh lift C. Eye lid lift D. Breast lift
A. Face lift
During a total abdominal hysterectomy, the surgeon is using a Balfour retractor. Which type of nerve injury is possible if this retractor is placed incorrectly inside the patient? A. Femoral B. Vagus C. Sciatic D. Pudendal
A. Femoral
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? A. Filshie and Kleppinger B. Harmonic scalpel and hemoclip applier C. Filshie and hemoclip applier D. Kleppinger and harmonic scalpel
A. Filshie and Kleppinger
Which of the following is critical during laser surgery? A. Fire safety B. Completely dark room C. Safety lead D. Backup sterile supplies
A. Fire safety
What are two identifying factors the surgical technologist should always communicate to the circulator when handing off a specimen? A. Identity and origin location of the specimen B. Color and size of the specimen C. Time removed from the body and identity of the specimen D. Temperature and texture of the specimen
A. Identity and origin location of the specimen
Which of the following are OSHA standards on transporting instruments contaminated by bloodborne pathogens? A. Must be transported to sterile processing in a closed container. B. Closed container must be sealed with a fitted lid. C. Closed container must be marked with biohazard symbol. D. Instruments within the closed container must be pre-scrubbed before transport to sterile processing.
A. Must be transported to sterile processing in a closed container. B. Closed container must be sealed with a fitted lid. C. Closed container must be marked with biohazard symbol.
Which of the following factors determine if a disposable sterile supply item is acceptable to use? A. Package integrity and expiration date B. On the preference card and expiration date C. Package integrity and on the case cart D. On the case cart and on the preference card
A. Package integrity and expiration date
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
A. Patient's name B. Personnel involved D. Location of the incident
Which of the following is a passive drain? A. Penrose B. Hemovac C. Jackson-Pratt D. Pleur-Evac
A. Penrose
Which of the following instruments is used to extend the arteriotomy during a carotid endarterectomy? A. Potts-Smith B. Jorgenson C. Stevens tenotomy D. Straight Mayo
A. Potts-Smith
Which of the following criteria should be taken into consideration when putting on surgical gowns and gloves? (Select the three (3) correct answers.) A. Proximity to unsterile items B. Orientation of surgical gown C. Cuff placement in gloves D. Size of the surgeon's gown
A. Proximity to unsterile items B. Orientation of surgical gown C. Cuff placement in gloves
While setting up for a cystoscopy with a TURP, which instrument should the surgical technologist have available on the back table? A. Resectoscope B. Stone basket C. Herrick clamp D. Goodell dilator
A. Resectoscope
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
A. Saw, C. Cautery unit E. Pneumatic tourniquet
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? A. Tracheostomy hook and spreader B. Tracheostomy obturator C. Tracheostomy inner cannula D. Endotracheal tube
A. Tracheostomy hook and spreader
What type of lighting is used to fight HAIs (hospital acquired infections) during terminal cleaning? A. Ultraviolet light B. Halogen light C. Fluorescent light D. Incandescent light
A. Ultraviolet light
After a final count is performed following an abdominal aortic aneurysm, which of the following should the surgical technologist do immediately after dressing the wound? A. Wait to break down the set up until the patient has been transported to the ICU. B. Dispose of sharps in an approved container. C. Place a wet towel over all instruments with box locks open, place in a leak-proof container and transport to decontamination. D. Gather unused supplies to be returned in the supply room.
A. Wait to break down the set up until the patient has been transported to the ICU.
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. A. Wet sponge B. Dry sponge C. ABD pad D. Duraprep E. Cottonoids
A. Wet sponge B. Dry sponge C. ABD pad
Which of the following steps signals the end of the intraoperative phase of surgery? A. When the dressings are applied. B. Closing of the incision. C. When the final count is complete. D. When the patient exits the operating room.
A. When the dressings are applied.
Which of the following is considered to be part of the "terminal cleaning" process? A. Wipe door handles and push plates. B. Anesthesia machine knobs, dials and valves. C. Patient monitors including cables. D. Overhead procedure lights.
A. Wipe door handles and push plates.
Universal Protocol or "Timeout" is the surgical method used to prevent which of the following? (Select the three (3) correct answers.) A. Wrong surgical site B. Wrong surgical count C. Wrong surgery D. Wrong patient E. Wrong doctor
A. Wrong surgical site C. Wrong surgery D. Wrong patient
To prevent hypothermia on a gun shot wound to the abdomen, the trauma operating room temperature should be set A. between 80 and 82 degrees Fahrenheit. B. between 72 and 74 degrees Fahrenheit. C. between 68 and 70 degrees Fahrenheit. D. between 64 and 66 degrees Fahrenheit.
A. between 80 and 82 degrees Fahrenheit.
During the procedure, the ESU malfunctioned causing injury to the patient. Which of the following documentation needs completed following the case? A. incident report B. advanced directive C. informed consent D. formal complaint
A. incident report
Which type of suture should be pulled to remove memory? A. nylon B. polyglactin C. silk D. polyethylene terephthalate
A. nylon
Which is an appropriate retractor for an abdominal hysterectomy? A. o'sullivan-o'conner retractor B. spring retractor C. green retractor D. senn retractor
A. o'sullivan-o'conner retractor
While the circulator was opening supplies onto the back table, the surgical technologist noticed that the circulator's jacket contaminated the sterile field, but the surgical technologist was unsure of the size of the contaminated area. The surgical technologist should A. tear down the setup and start over B. cover the area the jacket touched with a piece of ioban C. cover the area the jacket touched with a tegaderm D. cover the area the jacket touched with a sterile 3/4 sheet
A. tear down the setup and start over
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? A. Remove the contaminated drape, place a new drape, and re-glove. B. Step away from the field and re-glove. C. Place a new drape over the contaminated drape, and re-glove. D. Break from field, scrub and re-glove.
B. Step away from the field and re-glove.
A surgical technologist (ST) is notified of a burn patient coming into the OR for a debridement. The ST volunteers to assist in transporting the patient from the patient's room to the OR with other non-direct health care providers. Before entering the patient's room, the ST dons a gown, gloves, and mask to retrieve the patient. Why is this the proper protocol? A. The patient is under fire hazard precautions. B. The patient is under isolation precautions. C. The patient is under airborne precautions. D. The patient is under droplet precautions.
B. The patient is under isolation precautions.
When draping the mayo stand, which feature of the mayo stand cover is provided to protect the gloved hands? A. Nonwoven fabric sheet B. Wide cuff C. Impervious plastic tray D. Fenestrated sheet
B. Wide cuff
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 A. open and facing away from the surgeon. B. closed and facing away from the surgeon. C. closed and facing the surgeon. D. open and facing the surgeon.
B. closed and facing away from the surgeon.
What is the minimum percentage level of humidity in the OR suite? A. 10% B. 20% C. 26% D. 30%
B. 20%
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? A. Speak to the Sterile Processing manager, and ask that a Steven's scissor be added to every hand tray in the department. B. Add the Steven's scissor to every hand procedure preference card for the surgeon. C. Post a note in the supply room announcing the surgeon's request. D. Speak to the Materials Management department and ask they order additional Steven's scissors since the surgeon is going to use them more frequently.
B. Add the Steven's scissor to every hand procedure preference card for the surgeon.
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? A. Align the beds together, lock the wheels, and use a roller board. B. Align the beds together, lock the wheels, and ask the patient to move himself. C. Use a mechanical lift to assist in moving the patient. D. Call for more lifting help to assist in moving the patient.
B. Align the beds together, lock the wheels, and ask the patient to move himself.
Where should the ST place the back table when setting up a case? A. On the side of the OR table where the surgeon will stand. B. As far from the OR doors as possible. C. Angled to the foot of the OR table for tower placement. D. Placed where the floor plan for that suite has designated it.
B. As far from the OR doors as possible.
During a case a surgical technologist's relief comes into the OR just as the surgeon announces a bleeding problem with the patient. Which of the following should the surgical technologist do? A. Give a full count of sharps, sponges, and needles with circulator, then leave. B. Ask the relief to wait until the surgeon gives permission, and then do a count of sharps, sponges, needles. C. Remain sterile and ask the circulator to inform the charge nurse at the front desk to make the decision. D. Break scrub and observe as the relief and the circulator perform the count.
B. Ask the relief to wait until the surgeon gives permission, and then do a count of sharps, sponges, needles.
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? A. Jackson Pratt B. Chest tube C. Penrose D. Hemovac
B. Chest tube
Which of these sutures are absorbable? A.Nylon B. Chromic Gut C. Stainless Steel D. Prolene
B. Chromic Gut
When applying a cast, which of the following items are essential? Select the three (3) correct answers. A. Coban B. Cotton padding C. Water D. Plaster E. Saline
B. Cotton padding C. Water D. Plaster
Before medications or solutions are poured onto the sterile field, the surgical technologist should verify which of the following? (Select the three (3) correct answers.) A. Patient B. Date C. Medication D. Dosage E. Procedure
B. Date C. Medication D. Dosage
A tornado warning is in effect and power has been switched to the generator due to downed electrical lines. The hospital's disaster triage protocol has been activated. A surgical procedure is in progress. Which of the following is the best course of action to ensure patient safety? A. Immediately evacuate the patient to the preoperative holding area. B. Finish the procedure and evacuate the patient. C. Place wet towels under door and finish the procedure. D. Cover the back table until the storm passes.
B. Finish the procedure and evacuate the patient.
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? A. Have a backup pair of stirrups available in room. B. Have adequate padding available in room. C. Ensure the surgeon is in the room during positioning. D. Place patient in position before the anesthesia.
B. Have adequate padding available in room.
When tying off a vessel, the surgeon will first ask for two clamps to stop the blood supply. What comes next in the sequence of tying off a vessel? A. Two suture ties to tie off the vessel B. Scissors to cut the vessel exposing the ends C. Cautery to cut through the vessel D. Scalpel to cut the vessel
B. Scissors to cut the vessel exposing the ends
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 answers.) A. Have laparotomy sponges available. B. Post warning signs outside the room. C. Place the foot control next to the circulator. D. Do not use alcohol based preps. E. Wear safety goggles.
B. Post warning signs outside the room. D. Do not use alcohol based preps. E. Wear safety goggles.
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? A. Break scrub and inform the surgeon. B. Remain in gown and gloves and apply pressure. C. Break scrub and monitor the sterile field. D. Open a new sterile field for the patient.
B. Remain in gown and gloves and apply pressure.
How many pieces are required to assemble a non-disposable poole suction? A. 1 B. 2 C. 3 D. 4
B. 2
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 A. 10 minutes. B. 3 minutes. C. 5 minutes. D. 6 minutes.
C. 5 minutes.
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? A. 60 - 68 degrees B. 63 - 78 degrees C. 68 - 73 degrees D. 71 - 78 degrees
C. 68 - 73 degrees
When moving a conscious patient from a stretcher to the operating table, which of the following should the surgical technologist do first? A. Ask the patient to move over to the operating table. B. Ensure that all IV lines and catheters are free. C. Align the stretcher and operating table and lock the wheels. D. Ensure patient is untied in the back.
C. Align the stretcher and operating table and lock the wheels.
The patient will need surgical skin prep for a right arm disarticulation at the shoulder. Which of the following is the correct method for completing this prep? A. Begin fingertip to shoulder, including flank and chest, prepping the axilla first, being sure to cover the area twice with the sponge, keeping the arm on the bed. B. Begin fingertip to shoulder, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm away from the bed. C. Begin at shoulder to finger tips, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm away from the bed. D. Begin at shoulder to finger tips, including flank and chest, prepping the axilla first, being sure to cover the area twice with the sponge, keeping the arm on the bed.
C. Begin at shoulder to finger tips, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm away from the bed.
Which of the following retractors will the surgical technologist need for an emergent bring back case on a 450lb abdominal hysterectomy patient? A. Greenberg B. O'Connor O'Sullivan C. Bookwalter D. Nathanson
C. Bookwalter
After a surgical procedure, where should all unused surgical materials be returned to? A. Decontamination area B. Instrument Processing C. Central Supply D. Case cart
C. Central Supply
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? A. Begin chest compressions. B. Prepare the crash cart. C. Don new gown and gloves. D. Retrieve a chest retractor from the back table.
C. Don new gown and gloves
During a laparoscopic procedure the surgeon decides to convert to open. Which of the following additional supplies and equipment need to be opened? A. Insufflation tubing B. Endo-pouch C. Lap sponges D. Veress needle
C. Lap sponges
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? A. Lugol's solution B. Acetic acid C. Monsel's solution D. Collodian
C. Monsel's solution
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
C. Morcellator
