A

Question 1

During a laparoscopic appendectomy, the appendix is perforated, and contents begin spilling into the abdomen. Which of the following should the surgical technologist anticipate as the NEXT step?
Suction the fluid from the abdomen
continue removing the appendix as planned
Place a Kelly clamp over the perforation
Close the wound and terminate the procedure

Answer 1

Suction the fluid from the abdomen

Question 2

A carotid endarderectomy has just been finished and the dressing is on. The surgical technologist begins removing all sharps and non-disposables from the drapes before pushing everything back. According to best practice, which of the following should be the NEXT step?
Push the back table, mayo and basin back and tear it down
pull the drapes off and put them on the back table in case they are needed again
push the back table, mayo and basin back and keep sterile until the patient is transported to PACU
Leave the back table, mayo and basin close to patient in case they are needed again

Answer 2

Push the back table, mayo and basin back and keep sterile until the patient is transported to PACU

Question 3

Which of the following should be prepared for a mastoid dressing?
Several squared gauze sponges
rolled gauze and an abdominal pad
Several fluffed sponges and rolled gauze
Gauze sponges and Velcro strap

Answer 3

Several fluffed sponges and rolled gauze

Question 4

Which of the following is the FIRST step in applying the pneumatic tourniquet?
Wrapping the limb sequentially with Esmarch bandage from distal to proximal
Prepping the limb with ChloraPrep, including the determined location of the tourniquet
Padding the limb where the tourniquet is to be wrapped with Webril

Answer 4

Padding the limb where the tourniquet is to be wrapped with Webril

Question 5

When performing a dilation and curettage, which of the following instruments is used to grasp the cervix?
Sims
Auvard
Schroeder
Bozeman

Answer 5

Schroeder

Question 6

How many lobes do the right and left lungs have respectively?
three, two
two, three
three, three
two, two

Answer 6

Three, two

Question 7

When a break in aseptic technique occurs, the surgical technologist should FIRST notify the:
Circulating nurse
Contaminating team member
OR Supervisor
Anesthesia Provider

Answer 7

Contaminating team member

Question 8

Which of the following pathological conditions may be caused by an excessive production of cerebrospinal fluid in the brain?
Hydrocephalus
Encephalocele
Cranial Bifida
Craniosynostosis

Answer 8

Hydrocephalus

Question 9

If unexpected heavy blood loss occurs during an abdominal procedure, a surgical technologist should request additional:
Lap sponges
Raytec
Kitners
Cottonoids

Answer 9

Lap sponges

Question 10

Growth in the length of a long bone occurs at the:
Diaphysis
Medullary canal
Epiphyseal plate
Articular cartilage

Answer 10

Epiphyseal plate

Question 11

In which of the following situations can a DNR order be continued in an unconscious patient for a surgical procedure?
The patients durable POA requests it be continued\
The patient’s family requests it be continued
the surgeon requests it be continued
the CRNA requests it be continued

Answer 11

The patients durable POA requests it be continued

Question 12

A surgeon asks for warm irrigation right after a hemicolectomy. Which of the following BEST describes the reason for irrigating at this point in the procedure?
To clean out the area of any loose tissue
To maintain the core body temperature
To eliminate any infection-causing microbes
To aid visual inspection for leakage

Answer 12

To aid visual inspection for leakage

Question 13

The rate per hour in air exchanges in a standard OR suite is:
5-10
15-25
30-35
40-50

Answer 13

15-25

Question 14

If there is any question related to handling a specific type of specimen, which of the following departments should be consulted?
Histology
Laboratory
Pathology
Radiology

Answer 14

Pathology

Question 15

A patient’s dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures?
Return them to the patient’s unit and leave them at the nurses’ station
Place them in a labelled cup and keep them with the patient’s chart
Wrap them in a paper towel and give them to the anesthesiologist
ask the circulator to return them to the patient’s room

Answer 15

Place them in a labelled cup and keep them with the patient’s chart

Question 16

A patient is scheduled for laser removal of condyloma acuminata. As a safety precaution, the surgical technologist should have which of the following special equipment open and available?

Smoke evacuator
suction tip
Pulse lavage
Endo-catch bag

Answer 16

Smoke evacuator

Question 17

Apart from trauma cases, which of the following incisions would be best for sigmoid surgery?

Vertical midline
Vertical paramedian
oblique
Subcostal

Answer 17

Vertical paramedian

Question 18

The kidneys help regulate the blood levels of several ions, including:
Bicarbonate, water, and protein
Protein, sodium and bicarbonate
Potassium, protein, and sodium
Sodium, potassium, and calcium

Answer 18

Sodium, potassium, and calcium

Question 19

Which of the following is the most effective mechanical method of controlling bleeding occurring from needle holes in vessel anastomoses?
Pledglet
Suction
Ligature
Clamp

Answer 19

Pledgelet

Question 20

Which of the following tags indicates the least critical of patients in a triage situation?
Yellow
Black
Red
Green

Answer 20

Green

Question 21

During a craniotomy, removal of the bone flap is followed by:
Incision of the dura mater
Opening the galea aponeurotica
Application of the Raney clips
Repairing the dura mater

Answer 21

Incision of the dura mater

Question 22

After gowning and gloving, a surgeon activates the DuraPrep applicator and performs the initial skin prep for surgery. Which of the following is the BEST action to take at this time?
Assist the surgeon in draping the patient
Regown and reglove the surgeon
Pass off Bovie and suction
Inform the supervisor

Answer 22

Regown and reglove the surgeon

Question 23

A specimen is obtained for frozen section is generally removed from the sterile field intraoperatively because it:
Needs to be labeled by the circulator
Is sent to pathology immediately
Will contaminate the sterile field
Needs to be placed in formalin

Answer 23

Is sent to pathology immediately

Question 24

A surgeon is preparing to close the abdomen. Which of the following closing supplies should the surgical technologist have ready for closing the fascial layer?
O suture and tooth tissue forcepts
7-0 Vicryl and toothed tissue forceps
Retention sutures and toothed tissue forceps
Staples and Adson with teeth

Answer 24

O suture and toothed tissue forceps

Question 25

During a procedure, a hole is noticed in the surgical technologist’s glove. What should the surgical technologist do NEXT?
Continue the case
Change the glove using the open-gloving technique
Change the glove using the closed-gloving technique
Break scrub, rescrub, gown and glove

Answer 25

Change the glove using the open gloving technique

Question 26

Which of the following instruments should be included in a transurethral resection of the prostate (TURP) setup?
Lithotrite
Urethrotome
Resectoscope
Randall Stone

Answer 26

Resectoscope