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NBSTSA Practice Exam B 2024/25: Questions and Answers for Surgical Technologists, Exams of Nursing

A comprehensive set of practice questions and answers for the nbstsa (national board of surgical technology and surgical assisting) exam b. It covers a wide range of topics relevant to surgical technologists, including surgical procedures, instrumentation, sterilization, and patient care. The questions are designed to test knowledge and understanding of essential concepts and skills required for successful practice in the surgical setting.

Typology: Exams

2023/2024

Available from 12/27/2024

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NBSTSA Practice Exam B 2024/25 Questions and Answers
1. 1. Which of the following is considered the MOST important skill for a
surgical technologist?
A. management of specimens
B. management of sponges
C. maintaining an orderly setup
D. ensuring adequate lighting>>>>A. Management of specimens
2. 2. During the postoperative phase, the personnel primarily responsible for
transporting soiled instrumentation to decontamination is the
A. housekeeping staff.
B. anesthesia technician.
C. surgical technologist.
D. central processing technician.>>>>C. Surgical technologist
3. 3. The surgical incision that allows for the BEST visualization for a Billroth
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NBSTSA Practice Exam B 2024/25 Questions and Answers

    1. Which of the following is considered the MOST important skill for a surgical technologist? A. management of specimens B. management of sponges C. maintaining an orderly setup D. ensuring adequate lighting>>>>A. Management of specimens
    1. During the postoperative phase, the personnel primarily responsible for transporting soiled instrumentation to decontamination is the A. housekeeping staff. B. anesthesia technician. C. surgical technologist. D. central processing technician.>>>>C. Surgical technologist
    1. The surgical incision that allows for the BEST visualization for a Billroth

I procedure is A. McBurney's. B. Pfannenstiel. C. midline. D. subcostal.>>>>C. Midline

    1. CSF is formed in the lateral ventricles of a patient and may not properly flow into the third ventricle through the foramen of A. Magendie into the fourth ventricle. B. Monro into the fourth ventricle. C. Sylvius into the fourth ventricle. D. Luschka into the fourth ventricle.>>>>C. Sylvius into the fourth ventricle
    1. During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods? A. Place on a Raytec to be handed off to the circulator. B. Separate on Telfa and pass to the circulator. C. Place in separate containers and identify.
    1. A surgical technologist received the following medications onto the sterile field>>>>0.9% sodium chloride, bacitracin 1 gm, and 0.25% Marcaine withepinephrine. Which of the following is the MOST appropriate way to label these medications? A. saline + bacitracin and .25 Marcaine + epinephrine B. NACL + 1 gm baci and 0.25 marc w/epi C. saline + baci and 0.25% marc with epi D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine>>>>D.0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine
    1. 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 this case? A. Monocryl suture and harmonic scalpel B. laps, silk ties, and hemoclips C. Vicryl ties, pledgets, and Alexis D. nylon suture, Raytec, and Geralds>>>>B. laps, silk ties, and hemoclips
    1. If there is any question related to handling a specific type of specimen, which of the following departments should be consulted? A. histology B. laboratory C. pathology D. radiology>>>>C. Pathology
    1. The required number of air exchanges per hour in an OR is A. 5 to 10. B. 15 to 25. C. 30 to 35. D. 40 to 50.>>>>B. 15 to 25
    1. A special-made instrument without a backup falls to the floor during a procedure. Which of the following is the BEST reason to hesitate performing immediate-use sterilization? A. The sterilizer is used for implantable devices, but not instruments. B. The manufacturer's standards for sterilizing the instrument are unknown.

the OR after sterilization. D. There are no wrappers or pouches available for sterilizing the instrument.-

B. The manufacturer's standards for sterilizing the instrument are unknown.

    1. When transferring a thoracotomy patient to recovery, the chest drainage system should be A. disconnected. B. placed at the patient's side. C. positioned above the patient's head. D. maintained below the patient's chest level.>>>>D. Maintained below the patient'schest level
  1. 12.Which of the following procedures requires an incision in the suprasternal notch? A. mediastinoscopy B. bronchoscopy C. parotidectomy D. pericardectomy>>>>A. Mediastionscopy
    1. When preparing surgical specimens, in addition to the surgical tech- nologist, who else is responsible for accurately labeling the specimen? A. surgeon and anesthesiologist B. circulating nurse and first assistant C. anesthesiologist and first assistant D. surgeon and circulating nurse>>>>D. Surgeon and circulating nurse
    1. A T-tube drain may be used following A. a splenectomy. B. a choledochotomy. C. an appendectomy. D. a herniorrhaphy.>>>>B. a choledochotomy
    1. When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist places the staples through which two layers? A. cuticular and subcuticular B. subicular and subcutaneous

A. 0.5 mL B. 1.0 mL C. 1.5 mL D. 2.0 mL>>>>A. 0.5 mL

    1. Which of the following is MOST likely to be used during a posterior cervical decompression? A. Kirschner wire B. Hoffman device C. Steinmann pins D. Mayfield clamp>>>>D. Mayfield clamp
    1. Which of the following is the MOST acceptable technique when plac- ing a patient in the lithotomy position? A. arms placed on arm boards placed at 110 degrees B. legs placed in stirrups one at a time C. both legs placed in stirrups simultaneously D. hips placed above the lower break of the table>>>>C. both legs placed in stirrupssimultaneously
    1. Which of the following supplies should the surgical technologist have available for placement of a long arm cast? A. Xeroform B. Webril C. Telfa D. Kerlix>>>>B. Webril
    1. How much 0.25% bupivacaine should be mixed with 1 mL of 1.0% lidocaine 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>>>>B. 4.0 mL
    1. The appendiceal stump, when inverted, is held in place by which of the following types of sutures? A. Mattress B. traction

A. fibula B. acetabulum C. iliac crest D. tibia>>>>B. acetabulum

    1. An organization that regulates the production of biological steriliza- tion test packs in-house is A. CDC. B. ANSI. C. AAMI. D. SDS.>>>>C. AAMI
    1. Rod-shaped bacteria are called A. bacilli. B. cocci. C. vibrio. D. spirals.>>>>A. bacilli
    1. A type of passive transport when salt crystals dissolve in water is

known as A. phagocytosis. B. endocytosis. C. osmosis. D. diffusion.>>>>D. diffusion

    1. Utilization of lasers in the operating room requires the use of A. a HEPA filter mask. B. a lead apron. C. double gloves. D. eye protection.>>>>D. eye protection
    1. 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? A. Allow the splint to remain as-is and allow more time to dry. B. Notify the nurse and let the nurse handle it.

D. Apply a new splint and notify the surgeon when finished.>>>>C. Bring it to thesurgeon's attention and assist in putting on a new splint.

    1. 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 and surgical first assistant. C. surgeon and surgical first assistant. D. surgical technologist and the circulator.>>>>D. surgical technologist and thecirculator
    1. 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? A. Bacillus stearothermophilus B. Bacillus atrophaeus C. Mycobacterium tuberculosis D. Streptococcus pyogenes>>>>A. Bacillus stearothermophilus
    1. After surgery, the scrub tech takes the instruments used in surgery to the decontamination area. How soon should these instruments be washed? A. within 20 minutes B. within 10 minutes C. as soon as they arrive to the decontamination area D. any time the technologist is available>>>>A. within 20 minutes
  1. 35.Which of the following types of laser is typically used for stone frag- mentation in the ureter? A. argon B. krypton C. carbon dioxide D. holmium>>>>YAG>>>>D. holmium>>>>YAG
    1. If a patient is undergoing a mastectomy immediately followed by reconstruction, how many surgical setups should be obtained? A. One; the reconstruction will immediately follow the mastectomy, so the same instruments can be used without additional interventions.

same instruments can be used after they are cleaned with sterile water. C. Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding. D. Two; the reconstruction will immediately follow the mastectomy, but it will be done in a different OR so two sets are needed.>>>>C. Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should beused to prevent seeding.

    1. Which of the following instruments is used to thread a vascular graft from one incision to another? A. hemostat B. tunneler C. DeBakey vascular forceps D. Randall Stone forceps>>>>B. tunneler
    1. A patient has developed a hematoma at the incision site after the surgeon has left the room. The surgical technologist should A. place a pressure dressing on the site. B. cover the site with Dermabond.

C. use a Steri-Strip for the incision site. D. request the surgeon to return.>>>>D. request the surgeon to return

    1. 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. The circulator applies the tape before the removal of the drape. B. The circulator assists the surgeon with cleaning the patient before remov- ing the drape. C. A sterile team member holds the dressing in place while the drape is removed. D. A sterile team member applies the tape after the drape has been removed.-

C. A sterile team member holds the dressing in place while the drape is removed.

    1. Following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following layers will be sutured NEXT? A. fascia B. muscle