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NCCT Surgical Tech Practice questions
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The surgical technologist is preparing for a laparoscopic assisted vaginal hysterectomy. Which of the following equipment is needed for the procedure? A. endoscopic retrieval bag B. harmonic scalpel C. endoscopic GIA D. Alexis retractor - correct answer -B. harmonic scalpel Which of the following positioning equipment is needed when preparing to do a posterior spinal fusion of the T3-L2 range? Which of the following positioning equipment is needed when preparing to do a posterior spinal fusion of the T3-L2 range? A. Wilson frame B. Mayfield head frame C. bean bag D. fracture table - correct answer -A. Wilson frame
- When preparing the room for a total knee arthroplasty which of the following items is necessary to occlude blood flow during the surgical procedure? A. Coban B. stockinette C. tourniquet D. Esmark - correct answer -C. tourniquet The surgeon is starting an exploratory laparotomy on an elderly female patient with a very large rotund abdomen. Which of the following supplies should the surgical technologist have available in the room? A. Laparoscopic instruments and a Bookwalter retractor. B. Bowel instrumentation and a Bookwalter retractor.
C. Laparoscopic instruments and a Balfour retractor. D. Bowel instrumentation and a Balfour retractor. - correct answer -B. Bowel instrumentation and a Bookwalter retractor. Which of the following equipment is essential for a VATS procedure? (Select the three (3) correct answers.) A. Wilson frame B. bean bag C. video tower D. Jackson table E. pillows - correct answer -B. bean bag C. video tower E. pillows The surgical team is in the midst of the Time Out Protocol with the OR charge nurse present to audit their briefing. After stating the procedure, site of procedure, antibiotics administered, patient history, patient name and everyone in the room agreeing to the briefing, the charge nurse declared it a failed briefing. Which of the following elements of a Time Out did the surgical team exclude? A. verification of the floor the patient will return to B. verification of blood type C. verification that the proper implants are in the room D. verification of the surgical consent form - correct answer -C. verification that the proper implants are in the room Which of the following are verified in the Time Out process? (Select the three (3) correct answers.) A. patient's identity B. patient's blood type C. correct site D. procedure to be performed E. patient's date of birth - correct answer -A. patient's identity C. correct site
The patient is scheduled for a laparoscopic assisted vaginal hysterectomy. When opening supplies for the case the surgical technologist should open A. three prep trays: one for the vaginal prep, one for catheter placement, and one for the abdomen. B. one prep tray for abdomen, catheter placement, and vaginal prep. C. two prep trays: one for abdomen and one for vaginal prep and catheter placement. D. one prep tray and separate sponges for vaginal prep, abdomen, and catheter placement. - correct answer -C. two prep trays: one for abdomen and one for vaginal prep and catheter placement. When performing a laparoscopic cholecystectomy with a cholangiogram, the surgical technologist will need to have A. indigo carmine. B. benzoine tincture. C. methelyne blue. D. contrast medium. - correct answer -D. contrast medium. Which of the following irrigation will the surgeon need during an AV graft anastomosis? A. antibiotic saline B. heparin saline C. sterile water D. normal saline - correct answer -B. heparin saline The surgical technologist is told to inspect the minor procedure rooms to ensure all of the basic furniture is present. How many suction systems are required in each room? A. one B. two C. three D. none - correct answer -B. two
Which of the following retractors should the surgical technologist have available for an emergent open laparotomy? A. Mayfield B. Balfour C. Cloward D. Army-Navy - correct answer -B. Balfour The facility is out of Mastisol. Which of the following should the surgical technologist pull as an alternative? A. Dermabond B. Tisseel C. Benzoin D. Hydrogel - correct answer -C. Benzoin
- Which of the following items should the surgical technologist expect to pull for a carpal tunnel release? (Select the three (3) correct answers.) A. extremity drape B. Alm retractor C. Volkmann rake D. tenotomy scissors E. Army-Navy retractor - correct answer -A. extremity drape B. Alm retractor D. tenotomy scissors When opening sterile supplies onto the back table, which of the following are two things to look for? (Select the two (2) correct answers.) A. expiration date B. when it was sterilized C. holes in the packaging D. who sterilized the package
D. sequential compression device - correct answer -D. sequential compression device The surgical technologist is preparing the room to perform a total hip arthroplasty. Which of the following specialized pieces of equipment will the technologist need? (Select the two (2) correct answers.) A. pneumatic tourniquet B. sequential compression device C. thermal ablation unit D. electrosurgical generator E. yellow fins - correct answer -B. sequential compression device D. electrosurgical generator The surgeon plans to use the pneumatic tourniquet on a total knee. Which of the following should the surgical technologist have available on the sterile field to exsanguinate the leg? A. Coban B. Webril C. Stockinette D. Esmarch - correct answer -D. Esmarch Which of the following equipment should the surgical technologist have available for an ORIF case? (Select the three (3) correct answers.) A. Bovie B. harmonic scalpel C. pneumatic tourniquet D. light source E. X-rayable operating bed - correct answer -Bovie, pneumatic tourniquet, X-rayable operating bed Which of the following are commonly reported complications of using a pneumatic tourniquet? (Select the three (3) correct answers.) A. latex reaction to cuff
B. skin bruising C. nerve paralysis D. deep vein thrombosis E. break through bleeding - correct answer -skin bruising, nerve paralysis, deep vein thrombosis The surgical technologist is preparing for a total hip arthroplasty. Which of the following surgical equipment is needed for this case? (Select the three (3) correct answers.) A. ESU B. lateral positioning devices C. pneumatic tourniquet D. power drill E. stirrup leg positioners - correct answer -ESU, lateral positioning devices, power drill Which of the following positioning devices should the technologist obtain for a total knee arthroplasty? (Select the two (2) correct answers.) A. leg positioner B. arm boards C. peg board D. abduction pillow E. bean bag - correct answer -leg positioner, arm boards The surgical technologist is preparing for a total hip arthroplasty. Which of the following surgical equipment is needed for this case? (Select the three (3) correct answers.) A. ESU B. lateral positioning devices C. pneumatic tourniquet D. power drill E. stirrup leg positioners - correct answer -ESU, lateral positioning devices, power drill
C. peg board D. bean bag - correct answer -bean bag Which of the following should the surgical technologist do to prepare for a suction D&C? (Select the two (2) correct answers.) A. Retrieve stirrups. B. Test the suction machine. C. Have a video tower in the OR. D. Have a fluid manager available. E. Open a long vaginal instrument tray. - correct answer -Retrieve stirrups., Test the suction machine. Which of the following is the proper way for the surgical technologist to enter a surgical room with a manually opened door after completing the surgical hand scrub? A. Front first with arms forward and up. B. Left side first with arms oriented towards the right and up. C. Right side first with arm oriented to the left and up. D. Back first with arms up. - correct answer -Back first with arms up. An orthopedic surgeon has posted an I&D of a forearm using the pulse lavage system. Which of the following PPE is necessary to assist in this surgery? (Select the three (3) correct answers.) A. lead apron B. face shield C. shoe covers D. N95 respirator E. gown - correct answer -face shield, shoe covers, gown Which of the following portions of the sterile gown remain sterile after donning? (Select the two (2) correct answers.) A. front of the gown from the chest down B. both arms of the gown
C. mid chest to waist of the gown D. elbows to cuffs E. shoulders to cuffs - correct answer -mid chest to waist of the gown, elbows to cuffs Which of the following PPE is a surgical technologist working in decontamination required to wear? (Select the three (3) correct answers.) A. water proof apron B. surgical gown C. surgical gloves D. face shield E. shoe covers - correct answer -water proof apron, face shield, shoe covers The surgical technologist is preparing for an emergent laparoscopic appendectomy on a patient diagnosed with Hepatitis C. Which of the following measures should the technologist take to minimize risk of exposure? A. Triple glove and use a mask with an eye shield. B. Re-gown and glove after the appendix is removed, prior to closure. C. Use standard precautions when dealing with this patient. D. Perform a post-procedural surgical scrub to prevent potential infection. - correct answer -Use standard precautions when dealing with this patient. How many inches should the sterile back table be from the wall? A. 3 inches B. 6 inches C. 8 inches D. 12 inches - correct answer -12 inches When opening a sterile envelope wrapped package, which of the following is the first step? A. Pull the top flap up and away from you. B. Pull the nearest flap to you toward you.
A. neck level to waist in front and back, and full sleeves. B. shoulder to sterile field level in front and back and full sleeves. C. neck to thighs in front, and sleeves from elbow to cuffs. D. chest to sterile field level in front, and sleeves from elbow to cuffs. - correct answer -chest to sterile field level in front, and sleeves from elbow to cuffs. Which of the following is the best place to don gloves for minor procedures? A. back table B. ring stand C. prep table D. Mayo stand - correct answer -Mayo stand Which of the following describes the area on the surgical technologist that should be sterile? A. hips to the neckline of the gown, and from the shoulder to the hands B. waist to the axillary line, and from the hands to the elbows C. thigh to the axillary line, and from the hands to the elbows D. waist to the axillary line, and from the shoulder to the hands - correct answer -waist to the axillary line, and from the hands to the elbows When gowning and gloving, which of the following is always considered unsterile? A. chest B. elbow to hand C. cuffs D. gloves - correct answer -cuffs Place the options below in the order they should be handed to the surgeon when assisting with gowning and gloving. (Click and drag the options in the left column to their correct position in the right column.) sterile towel gown surgical drape
gloves square off towels - correct answer -sterile towel, gown, gloves, square off towels, surgical drape The surgical technologist notices that her gown is saturated with blood and requests a change of gown. Which of the following is the correct procedure? A. Remove gloves, then remove the gown by turning it inside out. B. Remove the gown by turning it inside out, then remove gloves. C. Place a second gown on the surgical technologist to prevent blood contamination. D. Remove the gown by turning it inside out, without changing gloves. - correct answer -Remove the gown by turning it inside out, then remove gloves. Which of the following instrument loads should have a biological indicator during the sterilization process? A. neuro dissecting instrument tray B. implantable instrumentation tray C. vascular instrument tray D. retractor instrument tray - correct answer -implantable instrumentation tray The surgical technologist notices there is water in the bottom of a pan after lifting the instrument basket out. Which of the following actions should the surgical technologist take? A. Change gloves and notify the circulating nurse and Sterile Processing. B. Break down the entire setup, change gown and gloves, and notify the circulating nurse. C. Notify the surgeon, break down the entire setup, and notify the charge nurse. D. Change gown and gloves, file an incident report, and notify the charge nurse. - correct answer - Change gloves and notify the circulating nurse and Sterile Processing Which of the following must the surgical technologist check before opening a sterile wrapped package? (Select the two (2) correct answers.) A. integrity of the package B. external chemical indicator C. sterilization date
D. Open a new package and continue the count. - correct answer -Discard the package and open a new one. The surgical technologist and the circulator are doing an initial count and are short one Raytec sponge. Which of the following should the technologist and circulator do? A. Make a note after the first count and continue with the case. B. Remove the sponges from the room and open a new pack. C. Call the OR supervisor for a count waiver on the sponge pack. D. Tell the surgeon about the count, document it in the chart, and proceed with the case. - correct answer -Remove the sponges from the room and open a new pack. Which of the following can be omitted from counts of a laparoscopic case? (Select the three (3) correct answers.) A. laparoscopic instruments B. trocars C. Raytec sponges D. suture needles E. Veress needle - correct answer -laparoscopic instruments, trocars, Veress needle A patient with C-spine precautions comes to surgery. Which of the following should be used to transfer this patient from a gurney to the operating room table? A. draw sheet B. roller board C. gait belt D. Hoyer lift - correct answer -roller board A conscious alert patient is transported on a stretcher to the O.R. for a minor procedure. Which of the following actions should the surgical team perform to safely transfer the patient to the O.R. table? (Select the three (3) correct answers.) A. Carefully place a roller or transfer board under the patient and pull from one side to another. B. Ask the patient to slide slowly onto the operating table, taking the top sheet along.
C. Align the head of the stretcher with the head of locked operating table, then lock the stretcher. D. Verify that the operating table remains unlocked to allow for the surgeon's bed location preference. E. Free up IV lines and other tubing first, then transfer patient. - correct answer -Ask the patient to slide slowly onto the operating table, taking the top sheet along., Align the head of the stretcher with the head of locked operating table, then lock the stretcher., Free up IV lines and other tubing first, then transfer patient. Using gel pads during a surgical procedure helps to prevent A. pressure ulcers. B. excess bleeding. C. gastric decompression. D. the need for a lift sheet under the patient. - correct answer -pressure ulcers. The surgical technologist ensures foam padding is effectively applied to all bony prominences before the surgical procedure begins. The purpose of this action is to A. prevent neurovascular damage. B. promote minimal blood loss. C. gain surgical access. D. provide traction. - correct answer -prevent neurovascular damage. Which of the following is the proper placement for the safety belt in the supine position? A. two inches distal to the knees B. two inches proximal to the knees C. around the abdomen D. across the knees - correct answer -two inches proximal to the knees If a patient is in prone position, which of the following areas need to be padded for pressure points? (Select the three (3) correct answers.) A. neck B. feet
B. Continue assisting the surgeon, having the resident wait until the technologist can gown and glove him. C. Have the resident gown and glove himself using open technique. D. Leave the surgical field to gown and glove the resident. - correct answer -Leave the surgical field to gown and glove the resident. A preference card indicates the surgeon prefers an extra-large gown and size 8.5 gloves and the assistant prefers a small gown and size 6 gloves. The assistant usually scrubs first and uses an alcohol based scrub. Place the surgical attire below in the order it should be stacked from top to bottom. (Click and drag the options in the left column to their correct position in the right column.) size 6 gloves size 8.5 gloves towel for surgeon small gown extra-large gown - correct answer -small gown, size 6 gloves, towel for surgeon, extra-large gown, size 8.5 gloves Which of the following describes a fenestrated drape? A. A split drape that has two tails. B. A drape used to cover the back table. C. A drape with an opening for the operative site. D. An incision drape that is self-adhering. - correct answer -A drape with an opening for the operative site. Which of the following is most appropriate for securing drapes? A. perforating towel clips B. non-perforating towel clips C. hemostats D. Babcocks - correct answer -non-perforating towel clips Where should the surgical technologist stand when handing four towels to square off the incision site?
A. across the operating table from the surgeon B. at the back table C. at the Mayo stand D. same side of the operating table as the surgeon - correct answer -same side of the operating table as the surgeon A laparotomy drape has been placed on the patient and un-prepped skin around the operative site is exposed. Which of the following is the next step the surgical technologists should take? A. Apply drapes over the un-prepped skin. B. Reposition the drapes to cover the un-prepped skin. C. Remove the drapes and re-prep. D. Cover the area with a sterile adhesive drape. - correct answer -Remove the drapes and re-prep. The surgeon tells the surgical technologist to drape the patient. Place the steps for draping the patient in the correct order. (Click and drag the options in the left column to their correct position in the right column.) Drape the periphery and incisional areas. Wait for the circulator to prep. Secure the tubing and electrocautery. Place sterile towels around the incisional area. - correct answer -Wait for the circulator to prep., Place sterile towels around the incisional area., Drape the periphery and incisional areas., Secure the tubing and electrocautery. Which of the following are used to drape an abdominal procedure? (Select the three (3) correct answers.) A. four towels B. U drape C. three quarter sheet D. towel clips E. stockinette - correct answer -four towels, three quarter sheet, towel clips
