NCCT SURGICAL TECH PRACTICE
EXAM
Bookwalter---ans-✔✔While-preparing-to-do-an-abdominal-hysterectomy-on-a-500-pound-
female-the-surgical-technologist-begins-to-retrieve-supplies-and-instrumentation.-Which-
of-the-following-retractor-systems-should-the-technologist-retrieve-for-this-case?
the-buttocks---ans-✔✔An-emaciated-patient-is-scheduled-for-an-abdominal-hysterectomy-
with-removal-of-excessive-skin-on-bilateral-thighs.-The-circulator-has-opted-to-place-the-
ESU-grounding-pad-on-the-patient's-forearm.-The-surgical-technologist-should-suggest-
that-the-ESU-pad-be-removed-and-placed-on
state-the-name-of-each-item-as-you-begin-to-count-it,-circulator-records-the-items-counted,-
count-laps,-Raytecs,-needles,-and-blades---ans-✔✔Which-of-the-following-are-done-
during-the-initial-count-for-a-tubal-ligation-case?-(Select-the-three-(3)-correct-answers.)
Don-new-gown-and-gloves.---ans-✔✔The-surgical-technologist-has-just-completed-
scrubbing-for-a-repair-of-an-abdominal-aneurysm.-The-aneurysm-repair-ruptures-during-
transport-from-the-operating-room-bed-to-the-stretcher.-Which-of-the-following-actions-
should-the-surgical-technologist-take-next?
raney-clips---ans-✔✔Which-of-the-following-is-used-to-help-maintain-hemostasis-
intraoperatively-in-neurosurgery?
electrosurgical-pen,-sponge,-suction-device---ans-✔✔Which-of-the-following-instruments-
should-be-passed-to-the-surgeon-to-achieve-hemostasis-at-the-beginning-of-an-operative-
procedure?-(Select-the-three-(3)-correct-answers.)
Begin-at-shoulder-to-finger-tips,-including-flank-and-chest,-prepping-the-axilla-last,-using-
as-many-sponges-as-needed,-keeping-the-arm-away-from-the-bed.---ans-✔✔The-patient-
will-need-surgical-skin-prep-for-a-right-arm-disarticulation-at-the-shoulder.-Which-of-the-
following-is-the-correct-method-for-completing-this-prep?
steris---ans-✔✔When-disinfecting-a-flexible-endoscope-used-on-a-patient-with-TB,-which-
of-the-following-sterilization-methods-should-be-employed?
Place-the-instruments-in-a-basin-of-sterile-water.---ans-✔✔During-a-total-hip-replacement,-
how-can-a-surgical-technologist-prevent-blood-from-drying-on-instruments?
,Duraprep---ans-✔✔Which-of-the-following-prep-solutions-is-contraindicated-for-use-with-a-
laser?
daily.---ans-✔✔In-the-Sterile-Processing-Department,-a-DART-test-for-autoclave-steam-
sterilizers-should-be-run
Remove-the-sterilized-instrument-tray-from-the-sterile-field.---ans-✔✔Upon-opening-a-
sterilized-instrument-tray,-the-surgical-technologist-finds-bioburden-inside-the-lumen-of-a-
metal-suction.-Which-of-the-following-actions-should-the-surgical-technologist-take?
Nylon---ans-✔✔The-surgeon-requests-a-non-absorbable-suture-for-skin-closure.-Which-of-
the-following-sutures-is-non-absorbable?
estimate-blood-loss.---ans-✔✔The-anesthesia-provider-would-typically-ask-the-surgical-
technologist-how-much-fluid-has-been-used-in-order-to
place-arm-pads.---ans-✔✔Postoperatively-a-hernia-repair-patient-complains-of-ulnar-pain,-
numbness-and-tingling-bilaterally.-The-most-likely-cause-of-the-patient's-discomfort-is-that-
the-surgical-technologist-forgot-to
hospital-MSDS-log---ans-✔✔The-surgical-technologist-must-discard-a-malfunctioning-
sterilant-and-replace-with-a-new-one.-Where-should-the-technologist-look-to-find-the-
proper-disposal-protocol-for-this-product?
24-hours---ans-✔✔When-steam-sterilizing-biological-indicators,-how-long-are-they-
incubated-before-the-reading-is-recorded?
Wait-until-the-washer-stops-and-run-a-new-cycle-with-the-instruments.---ans-✔✔Ten-
minutes-into-an-automatic-chemical-washer-cycle-for-an-instrument-string,-the-surgical-
technologist-notices-she-has-missed-a-few-critical-instruments.-Which-of-the-following-
should-the-technologist-do?
Moisten-sponges-and-place-around-the-field-prior-to-start-of-procedure-to-minimize-
leakage-and-reduce-heat-buildup.---ans-✔✔During-an-otorhinolaryngologic-procedure,-
which-of-the-following-precautions-should-the-surgical-technologist-take-if-the-anesthesia-
provider-is-using-an-uncuffed-endotracheal-tube?
Squeeze-the-bulb-to-apply-manual-suction.---ans-✔✔Which-of-the-following-should-the-
surgical-technologist-do-immediately-before-connecting-the-Jackson-Pratt-drain-to-the-
drainage-tubing?
The-battery-has-not-been-adequately-charged.---ans-✔✔Prior-to-a-case-the-surgical-
technologist-determines-the-power-saw-is-not-functioning.-Which-of-the-following-is-the-
most-likely-cause?
, 2-inches-above-the-knees---ans-✔✔The-surgical-technologist-places-the-patient-in-Fowler-
position-with-head-secured-by-craniotomy-headrest.-Which-of-the-following-locations-
indicates-correct-application-of-the-safety-strap?
four---ans-✔✔Which-of-the-following-is-the-minimum-number-of-counts-for-a-Cesarean-
section-case?
rinse-blood-from-the-instruments-with-sterile-water.---ans-✔✔At-the-end-of-each-case-the-
surgical-technologist-should
All-sharps-are-contained-and-disposed-of-in-the-sharps-container.---ans-✔✔When-
breaking-down-the-setup,-which-of-the-following-steps-should-be-completed-first?
bookwalter---ans-✔✔Which-of-the-following-retractors-will-the-surgical-technologist-need-
for-an-emergent-bring-back-case-on-a-450-lb-abdominal-hysterectomy-patient?
Inform-the-circulator-that-the-drain-is-full-and-there-is-the-potential-for-active-bleeding-in-
the-surgical-site.---ans-✔✔The-surgical-team-has-just-completed-a-radical-mastectomy-
and-the-surgeon-has-left-the-room.-While-cleaning-up-the-back-table-the-surgical-
technologist-notices-the-Jackson-Pratt-placed-during-this-surgery-is-full-with-bright-red-
fluid.-Which-of-the-following-should-the-surgical-technologist-do-next?
Close-the-jaws.---ans-✔✔The-surgeon-is-doing-a-laparoscopic-procedure-using-an-endo-
GIA-stapler.-He-passes-the-stapler-to-the-surgical-technologist-and-asks-him-to-reload.-
Which-of-the-following-should-the-technologist-do-to-the-stapler-before-passing-back-to-
the-surgeon?
conduct-a-complete-count.---ans-✔✔When-a-surgical-technologist-is-being-relieved-at-
end-of-shift-during-a-myomectomy,-she-is-required-to
Post-warning-signs-outside-the-room.,-Do-not-use-alcohol-based-preps.,-Wear-safety-
goggles.---ans-✔✔While-preparing-the-room-for-a-surgical-procedure-using-the-laser,-
which-of-the-following-policies-ensure-the-laser-is-being-used-correctly?-(Select-the-three-
(3)-correct-answers.)
keep-the-inside-of-the-gown-toward-the-body.---ans-✔✔When-donning-a-sterile-gown-the-
surgical-technologist-should
tracheostomy-hook-and-spreader---ans-✔✔After-a-tracheostomy-procedure-the-surgical-
technologist-should-keep-which-of-the-following-items-sterile-on-the-back-table-until-the-
patient-leaves-the-room?
Add-the-Steven's-scissor-to-every-hand-procedure-preference-card-for-the-surgeon.---ans-
✔✔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,-
EXAM
Bookwalter---ans-✔✔While-preparing-to-do-an-abdominal-hysterectomy-on-a-500-pound-
female-the-surgical-technologist-begins-to-retrieve-supplies-and-instrumentation.-Which-
of-the-following-retractor-systems-should-the-technologist-retrieve-for-this-case?
the-buttocks---ans-✔✔An-emaciated-patient-is-scheduled-for-an-abdominal-hysterectomy-
with-removal-of-excessive-skin-on-bilateral-thighs.-The-circulator-has-opted-to-place-the-
ESU-grounding-pad-on-the-patient's-forearm.-The-surgical-technologist-should-suggest-
that-the-ESU-pad-be-removed-and-placed-on
state-the-name-of-each-item-as-you-begin-to-count-it,-circulator-records-the-items-counted,-
count-laps,-Raytecs,-needles,-and-blades---ans-✔✔Which-of-the-following-are-done-
during-the-initial-count-for-a-tubal-ligation-case?-(Select-the-three-(3)-correct-answers.)
Don-new-gown-and-gloves.---ans-✔✔The-surgical-technologist-has-just-completed-
scrubbing-for-a-repair-of-an-abdominal-aneurysm.-The-aneurysm-repair-ruptures-during-
transport-from-the-operating-room-bed-to-the-stretcher.-Which-of-the-following-actions-
should-the-surgical-technologist-take-next?
raney-clips---ans-✔✔Which-of-the-following-is-used-to-help-maintain-hemostasis-
intraoperatively-in-neurosurgery?
electrosurgical-pen,-sponge,-suction-device---ans-✔✔Which-of-the-following-instruments-
should-be-passed-to-the-surgeon-to-achieve-hemostasis-at-the-beginning-of-an-operative-
procedure?-(Select-the-three-(3)-correct-answers.)
Begin-at-shoulder-to-finger-tips,-including-flank-and-chest,-prepping-the-axilla-last,-using-
as-many-sponges-as-needed,-keeping-the-arm-away-from-the-bed.---ans-✔✔The-patient-
will-need-surgical-skin-prep-for-a-right-arm-disarticulation-at-the-shoulder.-Which-of-the-
following-is-the-correct-method-for-completing-this-prep?
steris---ans-✔✔When-disinfecting-a-flexible-endoscope-used-on-a-patient-with-TB,-which-
of-the-following-sterilization-methods-should-be-employed?
Place-the-instruments-in-a-basin-of-sterile-water.---ans-✔✔During-a-total-hip-replacement,-
how-can-a-surgical-technologist-prevent-blood-from-drying-on-instruments?
,Duraprep---ans-✔✔Which-of-the-following-prep-solutions-is-contraindicated-for-use-with-a-
laser?
daily.---ans-✔✔In-the-Sterile-Processing-Department,-a-DART-test-for-autoclave-steam-
sterilizers-should-be-run
Remove-the-sterilized-instrument-tray-from-the-sterile-field.---ans-✔✔Upon-opening-a-
sterilized-instrument-tray,-the-surgical-technologist-finds-bioburden-inside-the-lumen-of-a-
metal-suction.-Which-of-the-following-actions-should-the-surgical-technologist-take?
Nylon---ans-✔✔The-surgeon-requests-a-non-absorbable-suture-for-skin-closure.-Which-of-
the-following-sutures-is-non-absorbable?
estimate-blood-loss.---ans-✔✔The-anesthesia-provider-would-typically-ask-the-surgical-
technologist-how-much-fluid-has-been-used-in-order-to
place-arm-pads.---ans-✔✔Postoperatively-a-hernia-repair-patient-complains-of-ulnar-pain,-
numbness-and-tingling-bilaterally.-The-most-likely-cause-of-the-patient's-discomfort-is-that-
the-surgical-technologist-forgot-to
hospital-MSDS-log---ans-✔✔The-surgical-technologist-must-discard-a-malfunctioning-
sterilant-and-replace-with-a-new-one.-Where-should-the-technologist-look-to-find-the-
proper-disposal-protocol-for-this-product?
24-hours---ans-✔✔When-steam-sterilizing-biological-indicators,-how-long-are-they-
incubated-before-the-reading-is-recorded?
Wait-until-the-washer-stops-and-run-a-new-cycle-with-the-instruments.---ans-✔✔Ten-
minutes-into-an-automatic-chemical-washer-cycle-for-an-instrument-string,-the-surgical-
technologist-notices-she-has-missed-a-few-critical-instruments.-Which-of-the-following-
should-the-technologist-do?
Moisten-sponges-and-place-around-the-field-prior-to-start-of-procedure-to-minimize-
leakage-and-reduce-heat-buildup.---ans-✔✔During-an-otorhinolaryngologic-procedure,-
which-of-the-following-precautions-should-the-surgical-technologist-take-if-the-anesthesia-
provider-is-using-an-uncuffed-endotracheal-tube?
Squeeze-the-bulb-to-apply-manual-suction.---ans-✔✔Which-of-the-following-should-the-
surgical-technologist-do-immediately-before-connecting-the-Jackson-Pratt-drain-to-the-
drainage-tubing?
The-battery-has-not-been-adequately-charged.---ans-✔✔Prior-to-a-case-the-surgical-
technologist-determines-the-power-saw-is-not-functioning.-Which-of-the-following-is-the-
most-likely-cause?
, 2-inches-above-the-knees---ans-✔✔The-surgical-technologist-places-the-patient-in-Fowler-
position-with-head-secured-by-craniotomy-headrest.-Which-of-the-following-locations-
indicates-correct-application-of-the-safety-strap?
four---ans-✔✔Which-of-the-following-is-the-minimum-number-of-counts-for-a-Cesarean-
section-case?
rinse-blood-from-the-instruments-with-sterile-water.---ans-✔✔At-the-end-of-each-case-the-
surgical-technologist-should
All-sharps-are-contained-and-disposed-of-in-the-sharps-container.---ans-✔✔When-
breaking-down-the-setup,-which-of-the-following-steps-should-be-completed-first?
bookwalter---ans-✔✔Which-of-the-following-retractors-will-the-surgical-technologist-need-
for-an-emergent-bring-back-case-on-a-450-lb-abdominal-hysterectomy-patient?
Inform-the-circulator-that-the-drain-is-full-and-there-is-the-potential-for-active-bleeding-in-
the-surgical-site.---ans-✔✔The-surgical-team-has-just-completed-a-radical-mastectomy-
and-the-surgeon-has-left-the-room.-While-cleaning-up-the-back-table-the-surgical-
technologist-notices-the-Jackson-Pratt-placed-during-this-surgery-is-full-with-bright-red-
fluid.-Which-of-the-following-should-the-surgical-technologist-do-next?
Close-the-jaws.---ans-✔✔The-surgeon-is-doing-a-laparoscopic-procedure-using-an-endo-
GIA-stapler.-He-passes-the-stapler-to-the-surgical-technologist-and-asks-him-to-reload.-
Which-of-the-following-should-the-technologist-do-to-the-stapler-before-passing-back-to-
the-surgeon?
conduct-a-complete-count.---ans-✔✔When-a-surgical-technologist-is-being-relieved-at-
end-of-shift-during-a-myomectomy,-she-is-required-to
Post-warning-signs-outside-the-room.,-Do-not-use-alcohol-based-preps.,-Wear-safety-
goggles.---ans-✔✔While-preparing-the-room-for-a-surgical-procedure-using-the-laser,-
which-of-the-following-policies-ensure-the-laser-is-being-used-correctly?-(Select-the-three-
(3)-correct-answers.)
keep-the-inside-of-the-gown-toward-the-body.---ans-✔✔When-donning-a-sterile-gown-the-
surgical-technologist-should
tracheostomy-hook-and-spreader---ans-✔✔After-a-tracheostomy-procedure-the-surgical-
technologist-should-keep-which-of-the-following-items-sterile-on-the-back-table-until-the-
patient-leaves-the-room?
Add-the-Steven's-scissor-to-every-hand-procedure-preference-card-for-the-surgeon.---ans-
✔✔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,-
