Practice Test ST
A physician prescribed 50 milligrams of Demerol. The Demerol is supplied in 100mg/mL. How many mL of Demerol should be given?
0.5 mL
A surgical technologist received the following medications onto the sterile field: 0.9% sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with epinephrine. Which of the following is the MOST appropriate way to label these medications?
0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine
The required number of air exchanges per hour in an OR is
15 to 25
During a peripheral vascular procedure, heparinized saline is used to irrigant. The circulating nurse is ready to draw 10,000 units of heparin from a 2-milliliter ampoule to deliver onto the sterile field, but only 5,000 units of heparin is needed. How much heparin , in milliliters, should be delivered to the sterile field?
1mL
During the application of arch bars, the surgeon will MOST likely use which of the following between the teeth and around the bar? A. 0-1 Dexon B. 5-0 to 6-0 Vicryl C. 24- or 26-gauge stainless steel wire D. 35- or 40-gauge stainless steel wire
24- or 26-gauge stainless steel wire
How much 0.25% bupivacaine (Marcaine) should be mixed with 1 mL of 1.0% lidocaine (Xylocaine) to make the solution equal strengths of both medications? A. 2.0 mL B. 4.0 mL C. 5.0 mL D. 10.0 mL
4.0 mL
Which of the following is a normal adult white blood cell count?
5,000 to 10,000
When cleaning instruments, the pH of the water that should be used is
7.0
When inflating a 5-cc balloon on a Foley catheter, which of the following would be the MOST appropriate choice? A. 3-5 mL of sterile water B. 3-5 mL of normal saline C. 8-10 mL of sterile water D. 8-10 mL of normal saline
8-10mL sterile water
Which of the following important considerations should be taken by the surgical technologist when it comes to the suture material for third intention closure?
A low-capillary action suture will not retain moisture
The surgical technologist hands the surgeon the dressing at the end of a procedure. Which of the following is the BEST method to follow in regard to removing the drape?
A sterile team member holds the dressing in place while the drape is removed
An organization that regulates the production of biological sterilization test packs in-house is
AAMI
Which of the following reflexes involves plantar flexion of the foot?
Achilles
Which of the following is applied as a nonadherent dressing?
Adaptic
Which of the following is the name of the MOST common BI used for ethylene oxide sterilization?
Bacillus atrophaeus
Which of the following spore-forming microorganisms are used as biological monitors for checking steam sterilization effectiveness for a load of instruments in a rigid container?
Bacillus stearothermophilus
A type of regional anesthesia in which a tourniquet is applied and local anesthetic is administered intravenously is called a
Bier Block
During application of a Volar splint, the surgical technologist notices that the splint was not completely dried and has caused a pressure point on the patient. Which of the following should be the surgical technologist's NEXT step?
Bring it to the surgeon's attention and assist in putting on a new splint
Which of the following staplers should be used for low anterior intestinal resection?
EEA
During a craniotomy, which of the following types of bone is entered? a. Flat b. round c. long d. irregular
Flat
A surgeon performing an arterial graft placement on a patient confirms that there is an occlusion in a portion of the artery, and that it must be removed. The surgeon requests a 3-way stopcock and a 1 milliliter tuberculin syringe. Which of the following items will the surgical technologist also need to be delivered onto the sterile field for removal of the occlusion?
Fogarty Catheter
Necrotizing fasciitis confined to the perineum and scrotum is known as
Fournier's gangrene
During a abdominoperineal resection, which of the following stapling devices should the surgical technologist have available to form an anal pouch from the ileum?
GIA
Which of the following surrounds the kidney?
Gerota's fascia
Once the spinous process is exposed during a laminectomy, the NEXT instrument needed for the removal of the lamina is a
Kerrison rongeur
Which of the following instruments has teeth?
Kocher
Which of the following staplers is used to divide blood vessels?
LDS
Which of the following is considered the MOST important skill for a surgical technologist?
Management of Specimens
Which of the following is MOST likely to be used during a posterior cervical decompression?
Mayfield clamp
Which of the following is a heavy, curved, tapered needle?
Mayo
During an intraocular procedure, there is an increase in a patient's IOP. Which medication should the surgical tech anticipate being used?
Pilocarpine
During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods? A. Place on a RAY-TEC to be handed off to the circulator. B. Separate on Telfa and pass to the circulator. C. Place in separate containers and identify. D. Place in specimen container held by the circulator using a hemostat.
Place in separate containers and identify
For a splenectomy procedure, which of the following clamps could be used? A. Allen B. Doyen C. Duval D. Satinsky
Satinsky
Which of the following anatomical structures is located just under the diaphragm in the left upper quadrant of the abdomen?
Stomach
A patient is having a hemolytic reaction. Which of the following actions should the surgical team take FIRST?
Stop transfusion
During the postoperative phase, the personnel primarily responsible for transporting soiled instrumentation to decontamination is the
Surgical Technologist
CSF is formed in the lateral ventricles of a patient and may not properly flow into the third ventricle through the foramen of
Sylvius into the fourth ventricle
A special-made instrument without backup fails to the floor during a procedure. Which of the following is the BEST reason to hesitate performing immediate-use sterilization?
The manufacturer's standards for sterilizing the instrument are unknown
In which of the following situations can a DNR order be continued in an unconscoius patient for a surgical procedure?
The patient's durable POA request it be continued
Which of the following is true regarding surgical drapes that have been placed on the patient?
They may not be moved once placed on the patient
If a patient is undergoing a mastectomy immediately followed by reconstruction, how many surgical setups should be obtained?
Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding
Which of the following supplies should the surgical technologist have available for placement of a long arm cast?
Webril
Which of the following surgical procedures may be used to remove a carcinoma from the head of the pancreas?
Whipple
A surgical technologist is preparing a fresh specimen for frozen section to be passed off of the field. How should the specimen be prepared to be passed to the circulator?
Wrap it in a Telfa pad
A major function of the colon is to
absorb water
Once a surgical technologist dons a gown, the cuffs on the gown are considered unsterile because they are A. covered by the cuff of the sterile glove. B. double thickness. C. absorbant and collect moisture. D. stretchable and pliable.
absorbant and collect moisture
Which of the following is reshaped during a total hip arthroplasty ?
acetabulum
While removing peel pack instruments form the sterilizer, a surgical technologist notices several of the packages have ruptured. The MOST likely cause is that the
air was not evaculated
After surgery, the scrub tech takes the instruments used in surgery to the decontamination area. How soon should these instruments be washed?
as soon as they arrive to the decontamination area
While setting up for a surgical procedure, a surgical technologist discovers a puncture in the right surgical glove. If no one is available to assist, the BEST solution for the surgical technologist is to
ask the circulator for a new gown and gloves to regown and reglove
During general anesthesia, which of the following complications of vomiting is considered the MOST dangerous?
aspiration
Which of the following is the MOST important consideration when cutting a suture?
avoiding the knot
Rod-shaped bacteria are called
bacilli
Which of the following instruments is used for placement of cottoniods during a craniotomy?
bayonet forceps
A patient is in the supine position following a lung resection. Which of the following BEST describes the placement of the collection unit once it is connected to the chest tube?
below the level of the thoracic cavity
The only true indicator of item sterility is
biological
Which of the following is the MOST accurate method to check steam autoclave effectiveness?
biological indicator
Which of the following surgical needles is MOST appropriate for use in a liver resection?
blunt
Which of the following connections do ligaments make?
bone to bone
Which of the following is the MOST acceptable technique when placing a patient in the lithotomy position?
both legs places in stirrups simultaneously
Which of the following arteries is commonly used for taking blood pressure reading?
brachial
While opening a back table, the surgical technologist notices a hair in the open sterile pack. The chemical indicators show that the pack has been properly sterilized. The surgical tech should
break down and obtain new equipment
After completion of a procedure, the dispersive electrode is removed and the skin is examined for
burns
A pad-like sac or cavity that prevents friction within a joint is known as a
bursa
The parathyroid gland regulates
calcium
Where is the gastrocnemius muscle located?
calf
After manually removing bioburden from Westcott scissors, the process to continue decontamination is called
cavitation
During a procedure, a surgical technologist touches an unsterile item with a sterile glove. The surgical technologist should
change the glove at once
A T-Tube drain may be used following
choledochotomy
An excised lipoma was filled with non-purulent serosanguineous fluid. Which of the following should be documented as the wound classification for this procedure?
clean-contaminated
Following a hysterectomy, the surgical technologist participates in the debriefing, which includes
completeness and correction of all counts
Which of the following terms refers to the transfer of heat from one substance to another by the natural movement of molecules, setting other molecules in motion?
conduction
When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist places the staples through which two layers?
cuticular and subcuticular
Which of the following structures are ligated and divided during a cholecystectomy?
cystic artery and cystic duct
MANNITOL(OSMITRAL) IS USED IN NEUROSURGICAL PROCEDURES TO
decrease intracranial pressure
Which of the following is the receiving nerve end of all transmission?
dendrite
Which of the following is the fourth stage of the Kubler-Ross Model?
depression
Which of the following terms best describes the formal medical process when death occurs in surgery and the surgeon and anesthesia care provider must verify that death has occurred?
determination of death
Retention sutures are typically advantageous when a patient is
diabetic
A type of passive transport when sale crystals dissolve in water is known as
diffusion
A surgical technologist is explaining the steps of the electrosurgical unit circuit to a student. The surgical technologist should explain that the electric current is channeled back to the generator through the
dispersive electrode
Which of the following is the MOST efficient way to communicate changes to a surgeon's preference card to the surgical technologist staff?
When using the neutral zone technique, a surgical technologist should
ensure communication is established
Which of the following instruments must be readily available for a modified radical mastectomy?
extra #10 blades
Utilization of lasers in the operating room requires the use of
eye protection
Following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following layers will be sutured next? A. fascia B. muscle C. subcutaneous D. subcuticular
fascia
During a knee meniscectomy, the surgeon notices bright spots in the picture. Which of the following is the MOST likely problem?
faulty fiber optic cable
When donning gloves using the open-gloving technique, the ungloved hand will touch the
folded edge of the cuff of the glove
Which of the following instrument sets should be added to the general abdominal set-up when an inguinal hernia is thought to be strangulated?
gastrointesinal
Once a procedure has concluded, the proper order to remove personal protective equipment is
gown, gloves,and then mask
When wrapping individual instruments, what is the MOST important sterilization principle?
having an indicator with the instrument
The oxygen-carrying capacity of red blood cells is a function of
hemoglobin
Which of the following classification is disinfection is used to kill all bacteria, viruses, and fungi?
high-level
When positioning a patient for lithotomy, care should be taken to avoid injury of the peroneal nerve, which can cause injury to the
hip
Which of the following types of laser is typically used for stone fragmentation in the ureter?
holmium: YAG
Which of the following is necessary for ethylene oxide sterilization to occur?
humidity
Heanely clamp are used MOST frequently for which of the following types of surgery?
hysterectomy
Which of the following devices should the surgical technologist have delivered to the sterile field for a low anterior resection?
intraluminal stapler
Which of the following is true regarding Avitene?
it is a collagen powder that may be kept dry
A thyroidectomy that was done earlier in the day is being brought back for excessive bleeding from the incision. Which of the following items are needed for the case?
laps, silk ties, and hemoclips
A surgeon requests a patient to be placed into the lithotomy position for the surgical procedure. Which of the following positioning devices must be obtained?
leg stirrups
In local anesthesia, which of the following drugs provide the shortest duration of numbness?
lidocaine
Which of the following is the name of the avascular strip of tissue at the midline which runs from xiphoid to the pubis?
linea alba
In which of the following procedures should the surgical technologist expect to use cottonoids?
lumbar laminectomy
When transferring a thoracotomy patient to recovery, the chest drainage system should be
maintained below the patient's chest level
A surgical "time out" must be preformed prior to
making the initial incision
Which of the following is a type of emergency that does not require Federal assistance and is MOST likely to occur in a larger city?
mass casualty event
Which of the following instruments is found in a basic laparotomy setup?
mayo scissors
Which of the following procedures requires an incision in the suprasternal notch?
mediastinoscopy
The surgical incision that allows for the BEST visualization for a Billroth 1 procedure is
midline
A wound that has regrowth of damaged blood vessels and sythesizes scar tissue is in which of the following wound healing phases?
migratory
While preparing a sterile field, surgical tech secures the bovie holster to the mayo stand. The surgeon insists on keeping the bovie attached to the drapes within reach for ease of access. Which of the following would be the BEST course of action?
move bovie holster up by head of patient
Which of the following categories of symbiosis applies when both organisms benefit from, and depend upon, one another to a certain extent?
mutualism
After the surgical gown has been removed and disposed of in waste container, how should the surgical gloves be removed?
one later at a time
Which of the following is an example of sesamoid bone?
patella
If there is any questions related to handling a specific type of specimen, which of the following departments should be consulted?
pathology
During a laminectomy, disk material is removed with a
pituitary rongeur
If an x-ray cassette must be placed directly against the operative site, it must be A. sterilized using hydrogen peroxide plasma. B. put in a sterile pillowcase. C. sterilized using peracetic acid. D. placed in a sterile cassette cover.
placed in a sterile cassette cover
A cystectomy with ileal conduit procedure was performed. The surgical technologist anticipates the need for a stoma
pouch to collect body fluid
Which of the following medications is the anesthesia provider responsible for recording the name, amount, and delivery method during a surgical procedure?
propofol
An Esmarch should be applied to an extremilty
proximal to distal
The appendiceal stump, when inverted, is held in place by which of the following types of sutures?
pure-string
Following a surgical procedure, which of the following is the BEST sequence of actions for a surgical technologist to take? A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient. B. Remove gown and gloves, don a pair of unsterile gloves to remove drapes from the patient, and remove instruments and supplies from the back table. C. Remove gown and gloves, don a pair of sterile gloves to remove drapes from patient, and remove gloves and don a pain of unsterile gloves to clean the back table. D. Remove sterile drapes, remove gown and gloves, and don a pair of sterile gloves to clean back table.
remove sterile drapes, remove grown and gloves, and don a pair of unsterile gloves to aid in the care of the patient
Which of the following is done FIRST when performing a myringotomy?
removing cerumen from the ear canal
To help in the calculation of the amount of blood loss, the surgical technologist should
report the amount of irrigation used
Which of the following advantages do hand-held retractors have over self-retaining retractors?
repositioning ability
The surgical tech is alarmed by the slurred speech, smell of alcohol, and disheveled appearance of the surgeon while he dons gown and gloves. The surgical tech should
request a nurse manager to come to the room
At the start of a surgical procedure, two Forester sponge forceps are clamped to the end of a drape sheet so the drape ends can be securely weighted down during C-Arm use. At the end of the surgical case, the two Forester sponge forceps are unclamped by the radiology technician. The surgical technologist should
request that the sponge forceps be placed inside the case cart
A patient has developed a hematoma a the site after the surgeon has left the room. The surgical technologist should
request the surgeon to return
Which of the following can prevent thrombophlebitis in a patient who is considered bariatric?
sequential compression device
Which of the following is the correct skin preparations for a female patient undergoing a right mastectomy with possible axillary dissection?
shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder
Which of the following portions of the colon is used as a "end colostomy" following an abdominal perineal resection
sigmoid
During dilation and curettage, after the Auvard weighted vaginal speculum is placed, which of the following instruments is used to grasp the cervix?
single tooth tenaculum
Preparing instruments sets and packages for sterilization requires a label indicating the
sterilization date, sterilizer ID, load number, and preparer's initials
Which of the following types of hernias require urgent surgical treatment?
strangulated
Which of the following is the name of the incision made in a simple open nephrectomy?
subcostal flank
Which of the following suturing techniques features short lateral stitches that are taken beneath the epithelial layer of skin?
subcuticular
When preparing surgical specimens, in addition to the surgical technologist, who else is responsible for accurately labeling the specimen?
surgeon and circulating nurse
Sponges that have been added to the sterile field after a procedure has begun should be counted by the A. circulator and surgeon. B. surgical technologist in the scrub role and surgical first assistant. C. surgeon and surgical first assistant. D. surgical technologist in the scrub role and the circulator.
surgical technologist and the circulator
IUSS sterilizers are typically located in an area
that is designated as a restricted sub-sterile room
A surgeon asks for warm irrigation after a right hemicolectomy. Which of the following BEST describes the reason for irrigating at this point in the procedure?
to aid visual inspection for leakage
A #12 knife blade on a #7 handle is MOST commonly used for which of the following types of surgery?
tonsillectomy
A resectoscope is used in which of the following prostatic approaches?
transurethral
Which of the following instruments is used to thread a vascular graft from one incision to another?
tunneler
Which of the following machines in the sterile processing department uses cavitation for cleaning instruments?
ultrasonic cleaner
In decontamination, the instruments are sticking and difficult to open. To aid in the process of washing instruments, the surgical technologist should have
used a basin with sterile water on the field to soak and clean instruments intraoperatively
When steam comes into an autoclave from an outside source, the steam is heated in the
vacuum system
Which of the following cranial nerves' nuclei are associated with the medulla?
vagus
Apart from trauma cases, which of the following incisions would be BEST for sigmoid surgery?
vertical paramedian
Which of the following will place a staff member at risk for work-related musculoskeletal disorders?
working in the same posture for prolonged periods