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NCCT Test For Surgical Tech > Qbank (50 Questions) - A > Flashcards

Qbank (50 Questions) - A Flashcards

1
Q

What is the minimum percentage level of humidity in the OR suite?

a) 10%
b) 20%
c) 26%
d) 30%

A

b) 20%

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2
Q

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

A

b) Date, Medication, Dosage

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3
Q

The surgical technologist notices smoke and flames coming from the drape surrounding the surgical site. Which of the following actions should the surgical technologist take?

a) Move away and protect the sterility of the back table.
b) Smother the drape with a wet sterile towel.
c) Place the flame retardant blanket over the patient.
d) Disconnect the electrical surgical unit.

A

Smother the drape with a wet sterile towel.

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4
Q

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

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5
Q

After packaging of endoscopic instruments for sterilization using the ethylene oxide sterilizer, which of the following monitoring processes should be included in the load to ensure all the parameters of sterilization were met?

a) External tape indicator
b) biological indicator
c) chemical indicator
d) internal strip indicator

A

biological indicator

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6
Q

Which of the following prep solutions is contraindicated for use with a laser?

a) Iodophors
b) Hibiclens
c) Duraprep
d) Triclosan

A

Duraprep

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7
Q

The surgeon will be taking bilateral skin grafts from the patient’s thighs for placement on a left lower leg fasciotomy. For both surgical sites, which of the following dressings should the surgical technologist anticipate the surgeon needing?

a) DuoDERM
b) Iodoform gauze
c) Xeroform
d) Adhesive skin closure strips

A

Xeroform

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8
Q

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

A

Morcellator

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9
Q

A patient’s dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures?

a) The recovery room nurse maintains possession of the labeled denture cup until post-surgery.
b) The circulator places the dentures in a labeled denture cup and keeps them with the patient’s chart.
c) The anesthesia provider holds the labeled denture cup until the patient is awake.
d) The charge nurse holds the labeled denture cup in a secure area until post-surgery.

A

The circulator places the dentures in a labeled denture cup and keeps them with the patient’s chart.

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10
Q

The surgical technologist should place the chest tube water seal drainage system below the level of the thoracic cavity in which of the following locations?

a) On the bed, lying between the patient’s legs
b) On the side rail, parallel to the patient’s shoulders
c) At the foot of the bed, secured to the footboard
d) At the head of the bed, secured on the headboard

A

At the foot of the bed, secured to the footboard

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11
Q

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.

A

surgeon asks the surgical technologist to.

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12
Q

The surgeon is performing an inguinal herniorraphy procedure and has made the incision and dissected down a short way into the underlying tissue. Which of the following retractors should the surgical technologist have ready to pass?

a) Bookwalter
b) Senn
c) Harrington
d) Army-Navy

A

Army-Navy

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13
Q

The surgical technologist is opening for a procedure and notices the wrapped item she just opened has a hole in the outer layer. Which of the following is the proper course of action?

a) Open the inner layer onto the sterile field.
b) Discard the item and retrieve a new one.
c) Check the indicator to ensure the item has been sterilized.
d) Place the package on the small table and open away from sterile field.

A

Discard the item and retrieve a new one.

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14
Q

Which of the following is the best method of terminal sterilization?

a) Flash sterilizer
b) Prevacuum steam sterilizer
c) Washer sterilizer
d) Liquid sterilization

A

Prevacuum steam sterilizer

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15
Q

When a surgical technologist is being relieved at end of shift during a myomectomy, she is required to

a) conduct a soft and sharps count
b) initiate a time out.
c) conduct a complete count.
d) collect the specimen before leaving.

A

conduct a complete count.

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16
Q

If the surgical technologist’s request for an initial count is refused by the circulator due to emergent nature of a procedure, which of the following is the proper course of action?

a) Continue with subsequent counts and follow procedure from that point on in the case.
b) Do not proceed with the case until the initial count is completed.
c) Perform the initial count independently, using the count sheet inside the tray.
d) Ask a different member of the surgical team to assist in the initial count.

A

Continue with subsequent counts and follow procedure from that point on in the case.

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17
Q

In which of the following circumstances is it appropriate for the surgical technologist to perform immediate-use steam sterilization for “just in time” processing?

a) The surgical instrument inventory budget is low.
b) The procedure is emergent.
c) The surgical site infection risk is low.
d) The scheduled procedure is minimally invasive.

A

The procedure is emergent.

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18
Q

The circulator has just poured sterile saline and sterile water onto the sterile field, but the surgical technologist did not verify. When asked, the circulator stated what the fluids were and that they were acceptable to use. Which of the following should the surgical technologist do at this point?

a) Label the fluid at once.
b) Throw out the fluids and ask for replacements.
c) Proceed with the fluids based on the circulator’s confirmation.
d) Break scrub and retrieve the correct fluids

A

Throw out the fluids and ask for replacements.

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19
Q

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.

A

closed and facing away from the surgeon.

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20
Q

The surgical technologist is opening for a procedure and notices the wrapped item she just opened has a hole in the outer layer. Which of the following is the proper course of action?

a) Open the inner layer onto the sterile field.
b) Discard the item and retrieve a new one.
c) Check the indicator to ensure the item has been sterilized.
d) Place the package on a prep stand and open away from the sterile field.

A

Discard the item and retrieve a new one.

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21
Q

During the liquid chemical sterilization, which of the following is the primary chemical sterilization compound used to sterilize endoscopic instrumentation and scopes?

a) Peracetic acid
b) Quaternary ammonium
c) Sodium hypochlorite
d) Phenolic compound

A

Peracetic acid

22
Q

During a laparoscopic cholecystectomy, the surgeon performs a cholangiogram. The circulator delivers 30cc of undiluted contrast medium to the surgical technologist. The surgeon prefers his contrast medium diluted 50/50 with saline. To complete the cholangiogram, the surgeon uses two 20cc syringes of the 50/50 contrast medium, and two 20cc syringes of saline. Which of the following is the total amount of contrast medium used during the procedure?

a) 10cc
b) 40cc
c) 20cc
d) 60cc

A

20cc

23
Q

During surgery, the surgical technologist reaches for a supply item being handed by the circulator. The surgical technologist’s left glove touches the outside of the package. Which of the following steps must be taken to correct the break in sterile technique?

a) The surgical technologist must break, re-scrub, and re-gown and glove.
b) The surgical technologist must remove the contaminated glove and re-glove herself.
c) The circulator removes the contaminated glove and then the technologist re-gloves herself.
d) The circulator removes the contaminated glove and re-gloves the surgical technologist away from field.

A

The circulator removes the contaminated glove and then the technologist re-gloves herself.

24
Q

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, Cautery unit, Pneumatic tourniquet

25
Q

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

26
Q

Which of the following is the minimum number of counts for a Cesarean section case?

a) 2
b) 7
c) 4
d) 3

A

4

27
Q

Which of the following is being tested when doing a Bowie-Dick test on an autoclave?

a) Population of spores left in the autoclave
b) Amount of air removed from the autoclave
c) Correct pressure is attained
d) Correct amount of steam present

A

Amount of air removed from the autoclave

28
Q

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.

A

The patient is under isolation precautions.

29
Q

The patient is scheduled to have a Meniscal repair done on his right knee. Which of the following best represents how the site should be marked in the preoperative holding area to verify correct surgical site?

a) A “yes” written on the right knee, with a small line showing where the incision will be.
b) An “X” marked on the right knee, with a small line showing where the incision will be.
c) An “X” marked on the left knee, showing that this is not the correct surgical site.
d) A “no” written on the left knee, showing that this is not the correct surgical site.

A

A “yes” written on the right knee, with a small line showing where the incision will be.

30
Q

When being relieved for lunch during surgery, which of the following tasks is performed by the outgoing surgical technologist?

a) Removing supplies and equipment from the Mayo stand
b) Counting sharps and sponges
c) Adding gown and gloves to the back table for return to surgery
d) Placing all softs and sharps onto the back table

A

Counting sharps and sponges

31
Q

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.

A

estimate blood loss.

32
Q

After completing an incident report, the surgical technologist should submit it to the

a) surgeon.
b) circulator.
c) human resource department.
d) OR supervisor.

A

OR supervisor.

33
Q

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.

A

Align the stretcher and operating table and lock the wheels.

34
Q

During an abdominoperineal repair, which of the following is the most appropriate stapler to assemble and hand to the surgeon to perform an anastomosis between the proximal and distal ends of the colon?

a) EEA
b) TA
c) LDS
d) GIA

A

EEA

35
Q

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.

A

Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball.

36
Q

The surgical technologist should use which of the following disinfectants when reprocessing an endotracheal tube used during surgery?

a) Alcohol (70-90%)
b) Phenolic
c) Quaternary ammonium
d) Cidex OPA

A

Cidex OPA

37
Q

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 the inner basket from the tray.

A

After the seal is broken by circulator and the lid is removed, lift the inner basket from the tray.

38
Q

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, Personnel involved, Location of the incident

39
Q

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.

A

Have adequate padding available in room.

40
Q

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

A

left lateral position

41
Q

After connecting the water seal drainage system to the chest tube, where should the technologist place the water seal drainage system?

a) Below the level of the thoracic cavity
b) Above the level of the thoracic cavity
c) Level with the thoracic cavity
d) Distal to the thoracic cavity

A

Below the level of the thoracic cavity

42
Q

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.

A

Add the Steven’s scissor to every hand procedure preference card for the surgeon.

43
Q

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

A

Monsel’s solution

44
Q

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

A

Cotton padding, Water, Plaster

45
Q

The surgical technologist is using the Sterrad machine. What does the Sterrad use for this sterilization method?

a) hydrogen peroxide gas plasma
b) steam
c) glutaraldehyde
d) peracetic acid

A

hydrogen peroxide gas plasma

46
Q

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.)

a) Long Bovie tip
b) Closing suture
c) 11 knife blade
d) Extra laps
e) Extra Raytec

A

Closing suture, 11 knife blade, Extra Raytec

47
Q

During an abdominal hysterectomy, the surgeon found a lesion on the ovary. The surgeon excised the lesion and asked that the specimen be sent to the lab for immediate analysis. Which of the following types of specimen is this?

a) Permanent
b) Frozen
c) Partial
d) Fresh

A

Frozen

48
Q

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

A

Amount of x-ray contrast used

49
Q

While preparing the room for a carotid endarterectomy, the surgeon walks in and tells the surgical technologist there is an emergent case scheduled next and the technologist needs to speed up the process of getting the patient prepped and draped. In order to have a safe outcome for the patient the technologist should prep the patient with

a) Duraprep stick and place towels around the expected incision site.
b) Duraprep stick and use a sterile towel to pat the prepped area dry.
c) a chlorhexidine prep kit and place towels around the expected incision site.
d) a chlorhexidine prep kit and use a sterile towel to pat the prepped area dry.

A

Duraprep stick and place towels around the expected incision site.

50
Q

The surgical technologist hears a patient entering the operating room state verbally that he doesn’t want the surgery and fears he will not survive. The surgical technologist must inform the

a) surgeon.
b) anesthesiologist.
c) circulating nurse.
d) charge nurse.

A

circulating nurse.

NCCT Test For Surgical Tech (1 decks)

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