NCCT tech in surgery practice exam
A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the groin. The
wound is an inch in length and the patient has flat lined with a steady flow of blood pumping
from the small wound. Which of the following items should the surgical technologist have ready
for the surgeon? (Select the three (3) correct answers.)
Yankauer suction
Lap sponges
Raytec sponges
Frazier suction
Knife blade - questions and answers-Lap sponges, Knife blade, Yankauer suction
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? - questions and answers-Prepare
internal defibrillator paddles.
A class II or a clean-contaminated surgical wound enters through where?
Respiratory, GI, genital, or urinary tract
Respiratory, genital, or urinary tract but not GI
GI and genital only
Respiratory only - questions and answers-Respiratory, GI, genital, or urinary tract
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? - questions and answers-Have adequate
padding available in room.
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? - questions and
answers-Poole tip suction and 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? - questions and answers-Monsels solution
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? - questions and answers-Fluid
intake and output
,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
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? - questions and
answers-Chest tube
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
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?
Steri-Strips
Bio-occlusive Opsite
ABD
Bolsters - questions and answers-ABD
A patient's dentures are removed in the operating room. Which of the following is the proper
procedure for the care of the dentures?
The recovery room nurse maintains possession of the labeled denture cup until post-surgery.
The circulator places the dentures in a labeled denture cup and keeps them with the patient's
chart.
The anesthesia provider holds the labeled denture cup until the patient is awake.
The charge nurse holds the labeled denture cup in a secure area until post-surgery. - questions
and answers-The circulator places the dentures in a labeled denture cup and keeps them with
the patient's chart.
A pressure dressing is most likely applied over a
fractured femur EX Fix.
skin graft.
cataract surgery.
TURP. - questions and answers-skin graft
, 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? - questions and
answers-The patient is under isolation precautions.
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
answers.) - questions and answers-Closing suture, 11 knife blade, Extra Raytec
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
answers.) - questions and answers-Closing suture, 11 knife blade, Extra Raytec
A surgical technologist relieves another technologist during a case. After the first surgical
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 surgical technologist should take?
Ask the surgeon to verify the medication and irrigating solution on the field.
Ask the circulator to verify the medication and irrigating solution on the field.
Call the first technologist back to the room to verify the medication and irrigating solution.
Discard the medication and irrigating solution on the field and start over. - questions and
answers-Discard the medication and irrigating solution on the field and start over.
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.
After a surgical procedure, where should all unused surgical materials be returned to? -
questions and answers-Central Supply
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?
Tracheostomy hook and spreader
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