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NBSTSA PSI CST EXAM REVIEW/
QUESTIONS AND ANSWERS (A+)
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? a. Suction the fluid from the abdomen b. Continue removing the appendix as planned C. Place a Kelly clamp over the perforation D. Close the wound and terminate the procedure - √Answer :A. Suction the fluid from the abdomen Quiz :A carotid endarterectomy 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 practices, which of the following should be the NEXT step? A. Push the back table, mayo, and basin back and tear it down B. Pull the drapes off and put them on the back table in case they are needed again. C. Push the back table, mayo, and basin back and keep sterile until the patient is transported to PACU. D. Leave the back table, mayo, and basin close to patient in case they are needed again. - √Answer :C. Push the back table, mayo, and basin back and keep sterile until the patient is transported to PACU.
Quiz :Which of the following should be prepared for a mastoid dressing? A. several squared gauze sponges B. Rolled gauze and an abdominal pad C. several fluffed sponges and rolled gauze D. gauze sponges and a Velcro strap - √Answer :C. Several fluffed sponges and rolled gauze Quiz :Which of the following is the FIRST step in applying the pneumatic tourniquet? A. wrapping the limb sequentially with an Esmarch bandage from distal to proximal B. applying the pneumatic tourniquet to the limb and immediately inflating it C. prepping the limb with ChloraPrep, including the determined location of the tourniquet D. padding the limb where the tourniquet is to be wrapped with Webril - √Answer :D. Padding the limb where the tourniquet is to be wrapped with Webril Quiz :When performing a dilation and curettage, which of the following instruments is used to grasp the cervix? A. Sims B. Auvard C. Schroeder D. Bozeman - √Answer :C. Schroeder Quiz :How many lobes do the right and left lungs have, respectively?
A. diaphysis. B. medullary canal. C. epiphyseal plate. D. articular cartilage. - √Answer :C. Epiphyseal plate Quiz :In which of the following situations can a DNR order be continued in an unconscious patient for a surgical procedure? A. The patient's durable POA requests it be continued. B. The patient's family requests it be continued. C. The surgeon requests its be continued. D. The CRNA requests it be continued. - √Answer :A. The patient's durable POA requests it be continued. Quiz :A surgeon asks for warm irrigation after a right hemicolectomy. Which of the following BEST describes the reason for irrigating at this point in the procedure? A. to clean out the area of any loose tissue B. to maintain the core body temperature C. to eliminate any infection causing microbes D. to aid visual inspection for leakage - √Answer :D. to aid visual inspection for leakage Quiz :The rate per hour in air exchanges in a standard OR suite is A. 5-10. B. 15-25. C. 30-35. D. 40-50. - √Answer :B. 15 - 25
Quiz :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 - √Answer :C. pathology Quiz :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. Return them to the patient's unit and leave them at the nurses' station. B. Place them in a labeled cup and keep them with the patient's chart. C. Wrap them in a paper towel and give them to the anesthesiologist. D. Ask the circulator to return them to the patient's room.
- √Answer :B. Place them in a labeled cup and keep them with the patient's chart Quiz :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? A. smoke evacuator B. suction tip C. pulse lavage D. endocatch bag - √Answer :A. Smoke evacuator
D. green - √Answer :D. green Quiz :During a craniotomy, removal of the bone flap is followed by A. incision of the dura mater. B. opening the galea aponeurotica. C. application of the Raney clips. D. repairing the dura mater. - √Answer :A. incision of the dura mater Quiz :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? A. Assist the surgeon in draping the patient. B. Regown and reglove the surgeon. C. Pass off Bovie and suction. D. Inform the supervisor. - √Answer :B. Regown and reglove the surgeon Quiz :A specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it A. needs to be labeled by the circulator. B. is sent to pathology immediately. C. will contaminate the sterile field. D. needs to be placed in formalin solution. - √Answer :B. is sent to pathology immediately
Quiz :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? A. 0 suture and toothed tissue forceps B. 7-0 Vicryl and toothed tissue forceps C. retention sutures and toothed tissue forceps D. staples and Adson with teeth - √Answer :A. 0 suture and toothed tissue forceps Quiz :During a procedure, a hole is noticed in the surgical technologist's glove. What should the surgical technologist do NEXT? A. Continue the case. B. Change the glove using the open-gloving technique. C. Change the glove using the closed-gloving technique. D. Break scrub, rescrub, gown, and glove. - √Answer :B. change the glove using the open-gloving technique Quiz :Which of the following instruments should be included in a transurethral resection of the prostate (TURP) setup? A. lithotrite B. urethrotome C. resectoscope D. Randall Stone - √Answer :C. resectoscope Quiz :Which of the following terms describes airway assessment by listening with a stethoscope?
Quiz :An organization that regulates the production of biological sterilization test packs inhouse is A. CDC. B. ANSI. C. AAMI. D. SDS. - √Answer :C. AAMI Quiz :For an open hemicolectomy, a surgical technologist is preparing a second mayo stand for the placement of dirty surgical instruments. Which of the following instruments is MOST likely to be placed on the second mayo stand? A. Penrose drain B. Bakes dilator C. Allis forceps D. Richardson retractor - √Answer :C. A llis forceps Quiz :When loading items in a gravity displaced steam sterilizer, heavy packs should be placed A. at the periphery of the load. B. on their sides. C. on the top rack. D. centered on the middle rack. - √Answer :A. at the periphery of the load Quiz :A liver laceration is identified during an emergency exploratory laparotomy. A surgical technologist should prepare a suture attached to which of the following types of needles?
A. tapered B. reverse cutting C. blunt D. conventional cutting - √Answer :C. blunt Quiz :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 - √Answer :B. Tunneler Quiz :Which of the following combination of medications are commonly used during a MAC? A. nerve conduction blockades with supplemental analgesics, sedatives, or amnesics B. induction agents, anticholinergics, and antiemetics C. hemostatics, ringer's solution, analgesics, amnesics or sedatives D. tranquilizers, gastric acid management, or lubricants - √Answer :A. nerve conduction blockades with supplemental analgesics, sedatives, or amnesics Quiz :Which of the following items must the surgical technologist have available after a thyroidectomy? A. lap sponges, hemostatic clamps, and electrocautery. B. endotracheal tube, hemostatic clamps, and scalpel. C. knife handle, scalpel blade, and nasogastric tube.
Quiz :Which of the following supplies should be pulled by the surgical technologist for a thoracic procedure? A. water-sealed drainage system B. passive drainage system C. Jackson-Pratt drainage system D. Andrews-Pynchon suction - √Answer :A. water - sealed drainage system Quiz :The FIRST sign of malignant hyperthermia is A. muscle twitching. B. change in blood pressure. C. unexplained tachycardia. D. hemorrhage. - √Answer :C. unexplained tachycardia Quiz :Prior to the closure of an arteriotomy, which of the following solutions should the surgical technologist have ready for irrigation of the operative site? A. lactated Ringer's B. protamine sulfate C. sterile water D. heparinized saline - √Answer :D. heparinized saline Quiz :Herniation of the rectum through a weakened posterior vaginal wall is known as A. a rectocele. B. a cystocele. C. a varicocele. D. an enterocele. - √Answer :A. rectocele
Quiz :If a surgeon requests Gelfoam soaked with thrombin, the method to maintain hemostasis is A. thermal. B. mechanical. C. chemical. D. electrical. - √Answer :C. Chemical Quiz :Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the patient in the OR? A. cystoscopy B. culdoscopy C. proctoscopy D. laparoscopy - √Answer :C. proctoscopy Quiz :During which of the following phases of infection do pathogens actively replicate, but the host shows no symptoms? A. convalescence B. prodromal phase C. acute phase D. incubation - √Answer :D. incubation Quiz :Which of the following conditions should be treated FIRST? A. obstructed airway B. closed cerebral injury C. shock due to hemorrhage D. sucking chest wound - √Answer :A. obstructed a irway
technologist give to the ACP to assist in displacing the blood? A. pneumatic tourniquet B. stockinette C. Esmarch bandage D. Coban - √Answer :C. esmarch bandage Quiz :Which of the following hormones regulates urine concentration based on reabsorption? A. ADH B. PTH C. ANP D. GFR - √Answer :A. ADH Quiz :A surgeon has just completed an incisional biopsy and would like to have an immediate diagnosis. The MOST appropriate NEXT step is to send the specimen to pathology in a A. dry specimen container so that a frozen section can be completed. B. container containing normal saline so that a frozen section can be completed. C. dry specimen container so that a permanent section can be completed. D. specimen container containing normal saline so that a permanent section can be completed. - √Answer :A. dry specimen container so that a frozen section can be completed
Quiz :In the break room, a precepting surgical technologist is overheard discussing a student's lack of instrument knowledge. The precepting surgical technologist just committed A. tort. B. libel. C. malpractice. D. slander. - √Answer :D. slander Quiz :Which of the following must be done before sterilizing an instrument with a lumen? A. Allow the instrument to dry completely. B. Ensure the stylet is still within the lumen. C. Inject a small amount of distilled water into the lumen. D. Wrap the instrument separately in a peel pack pouch and place in the tray. - √Answer :C. Inject a small amount of distilled water into the lumen Quiz :Which of the following should occur after a Veress needle is inserted? A. Place a trocar in the umbilical area. B. Provide the camera to the surgeon. C. Verify the white balance of the camera. D. Connect the insufflation tubing. - √Answer :D. connect the insufflation tubing Quiz :Prions are unique from other infectious agents because they lack which of the following? A. cytoplasm
C.placing the grounding pad. D.intubating the patient. - √Answer :B. making the initial incision Quiz :The opening in the occipital bone which the spinal cord passes through is the foramen A.of Monro. B.magnum. C.rotundum. D.of Bochdalek. - √Answer :B. magnum Quiz :When preparing cannulated instruments for steam sterilization, the instrument lumen should be A.dry for dynamic air removal and wet for gravity displacement. B.wet for dynamic air removal and dry for gravity displacement. C.dry for both dynamic air removal and for gravity displacement. D.wet for both dynamic air removal and for gravity displacement. - √Answer :A. dry for dynamic air removal and wet for gravity displacement Quiz :When steam comes into an autoclave from an outside source, the steam is heated in the A.vacuum system. B.chamber. C.thermostatic trap. D.jacket. - √Answer :D. Jacket
Quiz :Which of the following structures form major parts of the brain? A.pituitary gland, thalamus, cerebrum, cerebellum B.brain stem, cerebellum, diencephalon, cerebrum C.cerebrum, cerebellum, pons, medulla oblongata D.brain stem, midbrain, hypothalamus, thalamus - √Answer :B. brain stem, cerebellum, diencephalon, cerebrum Quiz :Which of the following wound classes is assigned to a surgery in which the bowel was accidently perforated during the procedure? A.I B.II C.III D.IV - √Answer :C. III Quiz :A Javid shunt is used for which of the following procedures? A.carotid endarterectomy B.femoral-popliteal bypass C.abdominal aneurysmectomy D.saphenous vein ligation - √Answer :A. carotid endarterectomy Quiz :During a laparoscopic appendectomy, which of the following types of staplers should the surgical technologist have ready on the back table for removing the appendix and ensuring no spillage of bowel content?
