Download Surgical Tech Certification Style Exam Chapters 1,5,7,10,11, & 12 questions with correct a and more Exams Nursing in PDF only on Docsity!
Surgical Tech Certification Style Exam
Chapters 1,5,7,10,11, & 12 questions
with correct answers
An ulnar nerve injury can be prevented by the following? a. Position arm board greater than 90 degrees b. Pad elbows c. Place arms at sides palms facing outward d. Place arms on non-padded arm boars - correct answer -b. Pad elbows In the right lateral position? a. The patients left side is placed on the table with right side exposed b. The patients right side is placed on the table with right side exposed c. The patients left side is placed on the table with left side exposed d. The patients right side is placed on the table with the left side exposed - correct answer -d. The patients right side is placed on the table with the left side exposed While draping a patient during a surgical procedure, the CST in the scrub role knows that once a drape has been placed it? a. Can be moved by surgeon b. Can be adjusted by circulator c. Can Never be moved to avoid contamination d. Shifted 1 inch - correct answer -c. Can Never be moved to avoid contamination The trendelenburg position is used to displace the abdominal contents cephalad to provide better exposure. The CST knows the patient in this position will have his/her head? a. Tilted to the left b. Upward c. Tilted to the right
d. Downward - correct answer -d. Downward The surgical technologist notices the medical resident who is scrubbed in on the case has touch an unsterile IV pole. The CST's best action would be to? a. Ask the resident if he is double gloved b. Inform resident and tell him to back away from sterile field c. Inform the surgeon about his resident d. Tell the circulator to call the head nurse - correct answer -b. Inform resident and tell him to back away from sterile field The supine position gives the surgical team access to all of the following except? a. Chest b. Lumbar spine c. Pelvis d. Abdomen - correct answer -b. Lumbar spine To prevent electrical injuries or burns, the patient's body when positioned should? a. Always be prone b. Always be supine c. Head up as much as possible d. No part of the body may contact the metal surface of the table - correct answer -d. No part of the body may contact the metal surface of the table When placing the patient in the lithotomy position, the legs need to be raised ________ to prevent changes in blood pressure. a. Simultaneously b. Left first c. Right first d. One at a time - correct answer -a. Simultaneously
The CST in the scrub role knows when passing drapes for draping the patient, they should be passed in the? a. Open position b. Lengthwise c. Folded position d. Fanned out position - correct answer -c. Folded position For skin preparation of a closure of a colostomy, the CST is aware that the stoma is considered dirty. In prepping the patient for the procedure the CST in the circulating role should? a. Use two separate prep kits incision first /Stoma second b. Prep stoma first / incision second c. Prep incision only d. Prep incision & stoma together - correct answer -a. Use two separate prep kits incision first /Stoma second Most OB/GYN procedures require the patient to be positioned in the lithotomy position. This will require extra equipment for this positioning, what is the piece of equipment applicable to this position? a. Foot board b. Arm board c. Candy cane stirrups d. Wilson frame - correct answer -c. Candy cane stirrups While performing the excision of a sacral decubitis, the surgeon tells john the CST, "I want this wound to heal by granulation ". John knows this would be healing by? a. 1st intention b. 2nd intention c. 3rd intention d. 4th intention - correct answer -b. 2nd intention The surgeon is working on a patient with severe hand laceration, he requests a fine Neurolon suture to repair the nerve. The CST knows the gauge of the suture should be?
a. 2- b. 0 c. # d. 6-0 - correct answer -d. 6- The surgical procedure is booked as I&D of a leg abscess, this procedure would have a wound classification of? a. Class 2 b. Class 1 c. Class 3 d. Class 4 - correct answer -d. Class 4 Juan the CST on call has just completed a gastrostomy feeding tube insertion. During the procedure the stomach was entered without any spillage of contents, the wound classification assigned would be? a. class 2 b. class 3 c. Class 1 d. Class 4 - correct answer -a. class 2 During an open appendectomy a purse string suturing technique is used to invert the stump of the appendix. During a laparoscopic appendectomy a__________ is used to cut and staple the base of the appendix. a. EEA b. TA c. Ligating clip d. Endoscopic GIA - correct answer -d. Endoscopic GIA On a closure of an infected wound the surgeon request a monofilament non absorbable suture. The best choice for the CST would be? a. Silk
d. Interrupted sutures - correct answer -a. Retention sutures The CST in the scrubbed role cleans surgical instruments during the procedure by wiping them with? a. Sponge soaked in sterile water b. Lap pads c. Saline soaked sponge d. Dressing sponges - correct answer -a. Sponge soaked in sterile water Doug the CST in room 5 is setting up for a laparotomy, he knows he needs a fenestrated drape for the procedure. All of the following are fenestrated drapes except? a. Extremity drape b. Lapaorotomy sheet c. Split sheet d. Transverse laparotomy sheet - correct answer -c. Split sheet At the end of the procedure the surgeon wants to put in an active drain ,all of the following are examples of an active drain except? a. Jackson Pratt b. Penrose c. Stryker d. Hemovac - correct answer -b. Penrose All of the following are true about pressure dressing except? a. Create dead space b. Reduce edema c. Absorption of excessive drainage d. Support - correct answer -a. Create dead space Jackie is using a Tourniquet in room 3 for her case. The surgeon asks her for an esmarch bandage. The purpose of an esmarch bandage is to?
a. Exsanguinate the extremity b. Reduce blood loss c. Protect the skin d. Reduce blood flow - correct answer -a. Exsanguinate the extremity Before the OB/GYN surgical procedure begins the surgeon elects to place a self retaining catheter into the bladder. The best choice from below would be? a. Foley b. Red Robinson c. Penrose d. Fogarty catheter - correct answer -a. Foley The circulating CST in room 9 applies Sequential compression devices to the patient's legs. The purpose of this application is to? a. Prevent DVT b. Decrease circulation c. Reduce blood loss d. Massage patient - correct answer -a. Prevent DVT In vascular procedures , this catheter would be used to remove an obstructive embolus? a. Foley catheter b. Red Robinson c. Angiocath d. Fogarty catheter - correct answer -d. Fogarty catheter The surgeon asks Pablo for peanuts on the field for his inguinal hernia operation. Pablo knows that peanuts are counted and come in sets of ______________and are used for _________. a. Ten, packing b. Five, heavy blood loss c. Five, blunt dissection
Decontamination takes place within the sterile field, when the CST? a. Places used instruments in basin of saline b. Wipes down bloody instruments with a saline soaked gauze c. Periodically wipes down instruments with gauze soaked in sterile water d. Allows bioburden to build up in instruments with a lumen - correct answer -c. Periodically wipes down instruments with gauze soaked in sterile water Powered surgical instruments, drills, reamers, and saws should never be? a. Disinfected b. Steam sterilized c. Gas sterilized d. Immersed - correct answer -d. Immersed A washer sterilizer renders surgical instrumentation? a. Safe to use on patients b. Ready for transport to OR c. Safe for reprocessing by CSPD personal d. Sterile - correct answer -c. Safe for reprocessing by CSPD personal In dealing with needle stick prevention and sharps precautions, the CST must never? a. Use a neutral zone b. Recap needles c. Communicate with surgical team d. Use hands free technique - correct answer -b. Recap needles The two most common types of folds for wrapping surgical instrument sets for sterilization are? a. Rectangle & diamond b. Diamond & square
c. Triangle & envelope d. Square & envelope - correct answer -d. Square & envelope Glutaraldehyde is a high level disinfectant that can also be used as a sterilant. An item will need to be immersed in CIDEX for ________ to be considered sterile and for _________ to be considered high level disinfected. a. 14 days/10 minutes b. 28 days/20 minutes c. 10 hours/20 minutes d. 24 hours/10 minutes - correct answer -c. 10 hours/20 minutes John, a CST who is setting up for colon resection in room 5, is in the midst of counting with the circulator when the resident comes in the room to inform them that the Surgeon wants to perform a colonoscopy as well as the resection. John knows that the colonoscope is a __________? a. a critical care item b. a semi-critical item that is not sterile c. a non-critical item d. a sterile piece of equipment - correct answer -b. a semi-critical item that is not sterile The pathogen transmitted through airborne droplets and requires a healthcare worker to wear an N 95 respirator as prevention is? a. Streptococcus b. C. difficile c. Mycobacterium Tuberculosis d. Gas gangrene - correct answer -c. Mycobacterium Tuberculosis Ethylene Oxide or gas sterilization is one of the most expensive methods used to sterilize items. When using this process a ________ is necessary and ______ is required prior to instrument use. a. Consent/warning b. Bowie dick/time c. Biological/aeration
a. Staphylococcus b. Salmonella c. C. difficile d. Gas gangrene - correct answer -d. Gas gangrene All of the following are risk factors that increase the chance of post-operative surgical site infections except? a. Age b. Early ambulation c. Preexisting illness d. Obesity - correct answer -b. Early ambulation The STERRAD sterilization machine uses _____ for sterilization? a. Steam b. Hydrogen peroxide c. Parcetic acid d. Cidex - correct answer -c. Parcetic acid The Bowie Dick test or the DART tests are used in steam sterilizers to? a. Guarantee sterility b. Test steam quality c. Test chemical indicators d. Air removal and entrapment - correct answer -d. Air removal and entrapment The bacterial pathogen commonly associated with post operative wound infections is? a. Streptococcus b. Meningitides c. Salmonella d. Staphylococcus - correct answer -d. Staphylococcus
One of the primary roles of the surgical technologist is to maintain sterile technique to prevent? a. Blood stream infections b. Pneumonia c. Streptococcus d. SSI's - correct answer -d. SSI's The pathogen associate with symptoms of diarrhea and is life threatening in children is? a. Clostridium Difficile b. Streptococcus c. Staphylococcus d. Clostridium perfringens - correct answer -a. Clostridium Difficile Lisa is being oriented at a new surgical center. The director states that all of the sterile instrument baskets are not dated for expiration. Lisa assumes that the facility policy in regards to sterile items is? a. Julian date b. A pilot program c. Event related sterility policy d. Wrong and needs to be revised - correct answer -c. Event related sterility policy The patient's family would like to speak with the Surgeon before the patient enters the operating room. This conversation will likely take place in the ______ Area? a. Hall way b. Unrestricted c. Restricted d. Semirestricted - correct answer -b. Unrestricted The CST in preparing for a surgical procedure in which laser is involved, should take the following safety measures except? a. Use alcohol based prepping solutions
c. Race track d. Triangle - correct answer -c. Race track All operating rooms should have a unidirectional positive pressure flow of air that captures microbes to be filtered. This type of air system is called? a. Sterile b. Unidirectional c. Laminar d. Particulate - correct answer -c. Laminar Cavitation is associated with which of the following decontamination pieces of equipment? a. Sterilizer b. Ultrasonic washer c. Washer decontaminator d. Washer sterilizer - correct answer -b. Ultrasonic washer Tia is preparing for a procedure in which the surgeon will be using the laser. She knows that if a fire was to start because of the laser she would need to use a __________ fire extinguisher to put it out. a. Class f b. Class b c. Class d d. Halon - correct answer -d. Halon In setting up a room for a surgical procedure, the CST knows that the sterile field is established on the? a. Operating table b. Mayo stand c. Back table d. Ring stand - correct answer -c. Back table
Operating room tables are translucent to allow for_______ during the procedure. a. Viewing b. Radiographs c. Exposure d. Drainage - correct answer -b. Radiographs Paul the CST in room 1 is setting up for a cholecystectomy with cholangiography, he knows that the x ray tech will be using the ________ machine and that he will need a ______ and ______ to protect himself from Ionizing radiation. a. C arm, lead apron, & eyewear b. Portable, sterile gown, & gloves c. C arm, lead apron, & thyroid shield d. Portable, sterile gown, & thyroid shield - correct answer -c. C arm, lead apron, & thyroid shield The Surgical Technologist gowns and gloves off of the following piece of equipment? a. Ring stand b. Mayo stand c. Scrub sink d. Back table - correct answer -b. Mayo stand Jose the CST in room 4 is told by the anesthesiologist to get an oxygen tank in the room for backup. Jose knows the color of this tank will be? a. Green b. Yellow c. Blue d. Black - correct answer -a. Green Luna the CST functioning in the circulating role on a procedure places the _______ in an area where prepping fluids will not come in contact with it to prevent a burn. a. Monopolar circuit
The CST in the STSR role is working on a laparoscopic procedure. The ST must take fire prevention precautions within the sterile field by? a. Turning down the oxygen in the room b. Ensuring the light source is on standby when the scope is not in use c. Asking the surgeon not to use the laser d. Ensuring there is a fire extinguisher available - correct answer -b. Ensuring the light source is on standby when the scope is not in use The CST must employ effective listening skills when communicating with patients. All of the following are components of communication except? a. Message b. Sensitive c. Feedback d. Receiver - correct answer -b. Sensitive Juan (CST) is the STSR on the ORIF of a fracture ankle; the surgeon has requested he establish a neutral zone. Juan is working in the ___________ phase of case management. a. Preoperative b. Postoperative c. Cooperative d. Intraoperative - correct answer -d. Intraoperative Juan (CST) id preparing for an ORIF of a fractured ankle; he begins by selecting the surgeon's preference card and gathering supplies. At this moment he is in the _________ phase of case management. a. Preoperative b. Intraoperative c. Postoperative d. All of these choices - correct answer -a. Preoperative
Which of the following job titles below would include "anticipating the needs of the Surgeon" in the job description? a. CRNA b. X-Ray Technician c. CST d. Anesthesia Technologist - correct answer -c. CST The organization dedicated to the improvement of patient care within the operating room by elevating the educational standards and practices for the surgical nurse is? a. AST b. AAMI c. ACS d. AORN - correct answer -d. AORN
