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NCCT SURGICAL TECH EXAM REVIEW questions and answers
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NCCT SURGICAL TECH EXAM REVIEWA 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?
Have a backup pair of stirrups available in room.
Have adequate padding available in room.
Ensure the surgeon is in the room during positioning.
Place patient in position before the anesthesia. - questions and answers-Have adequate
padding available in room.
Rationale: The patient's legs can be put in stirrups after anesthesia has given permission to
move the patient's legs. The surgeon does not have to be in the room to position the patient.
When positioning the legs in the stirrups it is necessary to pad the legs and feet.
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?
Andrews tip suction and Raytec sponges
Poole tip suction and Lap sponges
Poole tip suction and Raytec sponges
Andrews tip suction and Lap sponges - questions and answers-Poole tip suction and Lap
sponges
Rationale: Poole suction can suction much more quickly than an Andrews tip, due to its size.
Lap sponges have the ability to absorb greater quantities of fluid than a raytec does.
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?
Harmonic scalpel
LigaSure
Morcellator
Enseal - questions and answers-Morcellator
Rationale: Morcellation, during gynecological procedures, means cutting the specimen into
smaller pieces for easier removal. This has many benefits to the patient, including smaller
incisions and shorter surgery time. The harmonic scalpel would not be helpful in retrieving the
uterus because it is used to cut and coagulate tissue simultaneously. LigaSure and Enseal are
used to help seal vessels.
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?
,Jackson Pratt
Chest tube
Penrose
Hemovac - questions and answers-Chest tube
Rationale: Any time the chest cavity is entered and the normally present negative intrapleural
pressure is compromised, a chest tube must be placed to reestablish the negative pressure. A
Penrose is a passive drain that is partially placed within the wound allowing fluid to move out of
the tube onto a dressing. The Jackson Pratt drain is commonly used for general and abdominal
procedures for moderate drainage. The Hemovac drainage is commonly used for orthopedics
for moderate drainage.
A patient presents to the operating room for a hydrocelectomy. Which of the following dressings
should the surgical technologist anticipate needing?
Ace bandage
Gauze packing
Scrotal support
Elastoplast - questions and answers-Scrotal support
Rationale: A hydrocelectomy is the accumulation of fluid in the membrane tunica vaginalis which
covers the male testes. The scrotal support would help support the male testes. Elastoplast is
tape and would not be used. Gauze packing is used to pack an incision and not used as a
dressing. An ace bandage is used on an extremity to cover dressings.
A pressure dressing is most likely applied over a
fractured femur EX Fix.
skin graft.
cataract surgery.
TURP. - questions and answers-skin graft.
Rationale: The skin graft requires a pressure dressing—a three-layer dressing for the absorption
of excessive drainage used to promote wound healing. The other surgeries do not require a
pressure dressing.
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?
The patient is under fire hazard precautions.
The patient is under isolation precautions.
The patient is under airborne precautions.
The patient is under droplet precautions. - questions and answers-The patient is under isolation
precautions.
Rationale: Staphylococcus Aureus is the most commonly transmitted pathogen in the OR.
Debridement is occurring due to infected and or necrosed tissue. To safely control transmission
of microorganisms, the patient must be placed under isolation precautions.
, 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?
Rerun the wrapped implants with an external chemical monitor taped to the outside of the sets
to ensure proper sterility has been achieved.
Ask the night operating room supervisor to postpone the orthopedic surgical procedure until the
oncoming day shift surgical technologists can run a BI test pack on the first load of the day.
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.
Have the sterilizer scheduled for repair and halt the sterilization of all implants. - questions and
answers-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.
Rationale: Unwrap, decontaminate and re-sterilize implants with a biological test pack is the first
step in the procedure. Then place a hold on the use of the sets until the BI test results are
available.
After connecting the water seal drainage system to the chest tube, where should the
technologist place the water seal drainage system?
Below the level of the thoracic cavity
Above the level of the thoracic cavity
Level with the thoracic cavity
Distal to the thoracic cavity - questions and answers-Below the level of the thoracic cavity
Rationale: Placing the drainage system below the level of the thoracic cavity facilitates gravity
drainage into the device. It cannot drain if placed higher than the level of the thoracic cavity.
Placing the drainage tube higher may also result in fluid already collected to flow back into the
chest cavity, which could cause an infection.
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.)
Camera
CO2 tank
Trocars
GIA stapler
Light cords - questions and answers-Camera, Trocars, Light cords
Rationale: The CO2 tank should be checked before the procedure is opened up or before the
surgical technologist scrubs. The GIA stapler is used on open procedures. For a laparoscopic
appendectomy, a camera and light cord are necessary to access the peritoneal cavity so the
insufflation can be possible. Trocars are also necessary to for the laparoscopic instruments to
enter the peritoneal cavity.
After skin closure, which of the following sequences for removing and discarding soiled surgical
drapes maintains sterile technique?
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