CST_Practice_Exam_B_Answers.docx
1 A./surgical./technologist./is./preparing./the./incision./site./for./the./dressing./follo
wing./a./TAH../The./patient./has./developed./a./hematoma./at./the./incision./site../The
./surgeon./has./left./the./room../Which./of./the./following./actions./should./the./surg
ical./technologist./take?
A.. / Place./a./pressure./dressing.
B.. / Cover./with./Dermabond.
C../Steri-Strip./the./incision../
. / D../Have./the./surgeon./return.
EXPLANATIONS:(u)./A../Although./placing./a./pressure./dressing./may./help./the
hematoma./from./getting./bigger,./this./will./not./correct./the./problem.(u)./B../Der
mabond./is./a./fibrin./glue./used./to./join./skin./edges./without./using./sutures.(u)
C../Steri-
Strips./are./used./to./reinforce./skin./closure./and./would./not./help./in./eliminating./
a./hematoma.(c)./D../The./surgeon./would./need./to./see./the./incision./site./and./eval
uate./the./extent./of./the./hematoma../Some./hematomas./require./evacuation./to./
prevent./infection;./others./reabsorb./and./require./no./further./action../REFEREN
CE:
Surgical./Technology:./Principles./and./Practice,./2009,./5th./Ed.,./Joanna./Kotcher./
Fuller,./pg../374
2 Which./of./the./following./is./a./sign./of./cardiac./arrest?
A.. / edema
B.. / convulsion
C.. / cyanosis
D.. / hypertension
EXPLANATIONS:(u)./A../Edema./is./not./a./sign./of./cardiac./arrest../(u)./B../Convulsi
ons./are./not./a./sign./of./cardiac./arrest.(c)./C../With./lack./of./circulation./(which./pro
vides./oxygen./to./tissues)./in./cardiac./arrest,./the./patient./will./look./blue./(cyanotic
).(u)./D../Lack./of./circulation./related./to./cardiac./arrest./causes./a./decrease./in./blo
od./pressure.REFERENCE:
American./Heart./Association./-./CPR./Guidelines:./www.heart.org
3 The./number./of./Staphylococcus./aureus./micro-
organisms./carried./by./the./surgical./technologist./can./be./drastically./reduced./
by
A.. / wearing./a./surgical./cap.
B.. / wearing./hospital./scrubs.
C../keeping./the./OR./doors./closed../
D../a./thorough./surgical./hand./scrub.
./
EXPLANATIONS:(u)./A../The./surgical./cap./will./keep./hair./from./the./surgical./area;
staph./is./found./predominantly./on./the./skin.(u)./B../The./hospital./scrubs./are./ther
e./to./keep./the./employees./from./bringing./micro-
organisms./from./outside./the./OR./into./the./surgical./environment.(u)./C../Keepin
g./OR./doors./closed./helps./to./keep./micro-
,organisms./outside./the./room./from./entering;./however,./staph./is./found./predom
inantly./on./the./skin.(c)./D../A./thorough./surgical./hand./scrub./(followed./by./sterile./
gloves)./removes./many./staph./micro-organisms./from./these./skin
, surfaces,./where./they./are./commonly./carried.REFERENCES:
Surgical./Technology:./Principles./and./Practice,./2009,./5th./Ed.,./Joanna./Kotcher
./Fuller,./pg../156Surgical./Technology./for./the./Surgical./Technologist:./A./Positiv
e./Care./Approach,./2008,./3rd./Ed.,./Kevin./Frey,./pg../317
4 List./in./order./the./sequence./of./induction./for./general./anesthesia:
1. leads./placed./on./the./patient
2. induction./agent./is./given./through./an./IV
3. patient./is./prompted./to./breathe./100%./oxygen
4. patient./is./intubated
5. anesthetic./gas./agent./is./selected./and./applied
A.. / 1,./3,./5,./4,./and./2
B.. / 5,./2,./3,./1,./and./4
C.. / 1,./3,./2,./4,./and./5
D.. / 4,./2,./3,./1,./and./5
EXPLANATIONS:(u)./A../Anesthetic./gas./is./not./selected./or./applied./until./the./air
way./is./secured./and./the./induction./agent./is./given.(u)./B../The./airway./must./be./
maintained./in./order./to./deliver./anesthetic./gas../(c)./C../1../Leads./are./placed./in./o
rder./to./monitor./all./cardiac./activity./during./the./induction./of./anesthesia../3../The./
patient's./blood./oxygen./saturation./is./raised./as./high./as./possible./to./sustain./th
em./during./intubation../2../The./induction./agent./causes./a./loss./of./consciousnes
s./and./is./associated./with./depressed./reflexes,./respiratory./depression,./and./an./
inadequate./airway../4../The./patient./is./secured./and./maintained./after./being./dep
ressed../5../Anesthetic./gas./is./selected./and./applied.
(u)./D../The./patient./cannot./be./intubated./until./the./other./steps./are./completed.R
EFERENCE:
Surgical./Technology:./Principles./and./Practice,./2009,./5th./Ed.,./Joanna./Kotcher./
Fuller,./pg../239-241
5 Place./the./following./phases./of./wound./healing./by./first./intention./in./correct./or
der./from./first./to./last
I. proliferation
II. remodeling
III. inflammatory
A.. / I,./II,./III
B.. / II,./I,./III
C.. / III,./I,./II
D.. / III,./II,./I
EXPLANATIONS:(u)./A../The./proliferation./phase./of./wound./healing./does./not./o
ccur./until./the./third./day./following./tissue./trauma.(u)./B../Remodeling./of./the./wo
und./is./the./final./phase./of./wound./healing../Scar./(cicatrix)./formation./occurs./dur
ing./this./phase.(c)./C../The./inflammatory./phase./begins./within./minutes./of./a./tiss
ue./trauma../The./proliferation./phase./begins./on./the./third./day./following./tissue./t
rauma../The./remodeling./phase./begins./14./days./following./tissue./trauma.
(u)./D../Remodeling./is./the./final./phase./of./healing./and./begins./after./the
, proliferation./phase.REFERENCE:
Surgical./Technology./for./the./Surgical./Technologist:./A./Positive./Care./Approac
h,./2008,./3rd./Ed.,./Kevin./Frey,./pg../281-282
6 A./surgical./technologist./has./selected./the./sutures./for./a./procedure./based./on./
the./surgeon’s./preference./card../The./surgeon./states./he./would./like./additional./
sutures./and./his./preference./card./is./outdated../Which./of./the./following./is./the./
surgical./technologist’s./BEST./course./of./action?
A../Open./all./of./the./sutures./that./were./collected./and./place./them./
on./the./back./table./just./in./case./the./surgeon./needs./them.
B../Return./the./sutures./that./are./not./needed./to./sterile./supply./and./pr
oceed./with./the./case.
C../Ask./the./surgeon./if./he./would./like./to./have./his./preference./card./u
pdated./and./proceed./accordingly.
D../Update./the./surgeon's./preference./card./to./reflect./the./sutures./that./hav
e./been./requested./for./this./case.
EXPLANATIONS:(u)./A../The./surgical./technologist./should./only./open./as./many./
suture./packets./as./are./necessary./because./leftover./sutures./cannot./be./resterili
zed.(u)./B../The./surgical./technologist./should./return./the./sutures./that./are./not./ne
eded../Since./the./surgeon./has./mentioned./that./his./preference./card./is./outdated
,./the./surgical./technologist./should./inquire./as./to./whether./or./not./the./surgeon./
would./like./to./update./it./so./that./it./will./be./accurate./for./future./cases.(c)
C../Since./the./surgeon./has./mentioned./that./his./preference./card./is./outdated,./th
e./surgical./technologist./should./inquire./as./to./whether./or./not./the./surgeon./wo
uld./like./to./update./it./so./that./it./will./be./accurate./for./future./cases../If./the./surgeo
n./indicates./that./he./would./like./to./have./his./preference./card./updated,./the./surgi
cal./technologist./should./proceed./accordingly.(u)./D../The./surgical./technologist./
can./update./the./surgeon's./preference./card,./but./would./need./to./obtain./the./sur
geon's./new./preferences./and./approval./prior./to./updating./the./preference./card..
/REFERENCE:
Surgical./Technology./for./the./Surgical./Technologist:./A./Positive./Care./Approac
h,./2008,./3rd./Ed.,./Kevin./Frey,./pg../110./and./291
7 While./being./transferred./from./the./stretcher./to./the./operating./room./bed,./the./p
atient./expresses./fear./of./not./awakening./from./anesthesia../The./surgical./tech
nologist./should
A.. / proceed./with./the./transfer./and./disregard./patient./comments.
B.. / explain./the./action./of./the./anesthetic./agent.
C.. / reassure./the./patient./that./the./anesthetic./is./safe.
./D../have./the./anesthesia./care./provider./address./the./patient's./concerns../EXPL
ANATIONS:(u)./A../The./surgical./technologist./is./sterile./and./will./not./be./able./to./a
ssist./with./patient./transfer,./and./ignoring./the./patient's./comments./is
inappropriate.(u)./B../The./surgical./technologist./is./not./trained./in./anesthetic./te
chniques./and./should./refer./questions./to./the./anesthesia./care./provider.(u)./C../
The./surgical./technologist./should./not./make./reassurances./regarding
1 A./surgical./technologist./is./preparing./the./incision./site./for./the./dressing./follo
wing./a./TAH../The./patient./has./developed./a./hematoma./at./the./incision./site../The
./surgeon./has./left./the./room../Which./of./the./following./actions./should./the./surg
ical./technologist./take?
A.. / Place./a./pressure./dressing.
B.. / Cover./with./Dermabond.
C../Steri-Strip./the./incision../
. / D../Have./the./surgeon./return.
EXPLANATIONS:(u)./A../Although./placing./a./pressure./dressing./may./help./the
hematoma./from./getting./bigger,./this./will./not./correct./the./problem.(u)./B../Der
mabond./is./a./fibrin./glue./used./to./join./skin./edges./without./using./sutures.(u)
C../Steri-
Strips./are./used./to./reinforce./skin./closure./and./would./not./help./in./eliminating./
a./hematoma.(c)./D../The./surgeon./would./need./to./see./the./incision./site./and./eval
uate./the./extent./of./the./hematoma../Some./hematomas./require./evacuation./to./
prevent./infection;./others./reabsorb./and./require./no./further./action../REFEREN
CE:
Surgical./Technology:./Principles./and./Practice,./2009,./5th./Ed.,./Joanna./Kotcher./
Fuller,./pg../374
2 Which./of./the./following./is./a./sign./of./cardiac./arrest?
A.. / edema
B.. / convulsion
C.. / cyanosis
D.. / hypertension
EXPLANATIONS:(u)./A../Edema./is./not./a./sign./of./cardiac./arrest../(u)./B../Convulsi
ons./are./not./a./sign./of./cardiac./arrest.(c)./C../With./lack./of./circulation./(which./pro
vides./oxygen./to./tissues)./in./cardiac./arrest,./the./patient./will./look./blue./(cyanotic
).(u)./D../Lack./of./circulation./related./to./cardiac./arrest./causes./a./decrease./in./blo
od./pressure.REFERENCE:
American./Heart./Association./-./CPR./Guidelines:./www.heart.org
3 The./number./of./Staphylococcus./aureus./micro-
organisms./carried./by./the./surgical./technologist./can./be./drastically./reduced./
by
A.. / wearing./a./surgical./cap.
B.. / wearing./hospital./scrubs.
C../keeping./the./OR./doors./closed../
D../a./thorough./surgical./hand./scrub.
./
EXPLANATIONS:(u)./A../The./surgical./cap./will./keep./hair./from./the./surgical./area;
staph./is./found./predominantly./on./the./skin.(u)./B../The./hospital./scrubs./are./ther
e./to./keep./the./employees./from./bringing./micro-
organisms./from./outside./the./OR./into./the./surgical./environment.(u)./C../Keepin
g./OR./doors./closed./helps./to./keep./micro-
,organisms./outside./the./room./from./entering;./however,./staph./is./found./predom
inantly./on./the./skin.(c)./D../A./thorough./surgical./hand./scrub./(followed./by./sterile./
gloves)./removes./many./staph./micro-organisms./from./these./skin
, surfaces,./where./they./are./commonly./carried.REFERENCES:
Surgical./Technology:./Principles./and./Practice,./2009,./5th./Ed.,./Joanna./Kotcher
./Fuller,./pg../156Surgical./Technology./for./the./Surgical./Technologist:./A./Positiv
e./Care./Approach,./2008,./3rd./Ed.,./Kevin./Frey,./pg../317
4 List./in./order./the./sequence./of./induction./for./general./anesthesia:
1. leads./placed./on./the./patient
2. induction./agent./is./given./through./an./IV
3. patient./is./prompted./to./breathe./100%./oxygen
4. patient./is./intubated
5. anesthetic./gas./agent./is./selected./and./applied
A.. / 1,./3,./5,./4,./and./2
B.. / 5,./2,./3,./1,./and./4
C.. / 1,./3,./2,./4,./and./5
D.. / 4,./2,./3,./1,./and./5
EXPLANATIONS:(u)./A../Anesthetic./gas./is./not./selected./or./applied./until./the./air
way./is./secured./and./the./induction./agent./is./given.(u)./B../The./airway./must./be./
maintained./in./order./to./deliver./anesthetic./gas../(c)./C../1../Leads./are./placed./in./o
rder./to./monitor./all./cardiac./activity./during./the./induction./of./anesthesia../3../The./
patient's./blood./oxygen./saturation./is./raised./as./high./as./possible./to./sustain./th
em./during./intubation../2../The./induction./agent./causes./a./loss./of./consciousnes
s./and./is./associated./with./depressed./reflexes,./respiratory./depression,./and./an./
inadequate./airway../4../The./patient./is./secured./and./maintained./after./being./dep
ressed../5../Anesthetic./gas./is./selected./and./applied.
(u)./D../The./patient./cannot./be./intubated./until./the./other./steps./are./completed.R
EFERENCE:
Surgical./Technology:./Principles./and./Practice,./2009,./5th./Ed.,./Joanna./Kotcher./
Fuller,./pg../239-241
5 Place./the./following./phases./of./wound./healing./by./first./intention./in./correct./or
der./from./first./to./last
I. proliferation
II. remodeling
III. inflammatory
A.. / I,./II,./III
B.. / II,./I,./III
C.. / III,./I,./II
D.. / III,./II,./I
EXPLANATIONS:(u)./A../The./proliferation./phase./of./wound./healing./does./not./o
ccur./until./the./third./day./following./tissue./trauma.(u)./B../Remodeling./of./the./wo
und./is./the./final./phase./of./wound./healing../Scar./(cicatrix)./formation./occurs./dur
ing./this./phase.(c)./C../The./inflammatory./phase./begins./within./minutes./of./a./tiss
ue./trauma../The./proliferation./phase./begins./on./the./third./day./following./tissue./t
rauma../The./remodeling./phase./begins./14./days./following./tissue./trauma.
(u)./D../Remodeling./is./the./final./phase./of./healing./and./begins./after./the
, proliferation./phase.REFERENCE:
Surgical./Technology./for./the./Surgical./Technologist:./A./Positive./Care./Approac
h,./2008,./3rd./Ed.,./Kevin./Frey,./pg../281-282
6 A./surgical./technologist./has./selected./the./sutures./for./a./procedure./based./on./
the./surgeon’s./preference./card../The./surgeon./states./he./would./like./additional./
sutures./and./his./preference./card./is./outdated../Which./of./the./following./is./the./
surgical./technologist’s./BEST./course./of./action?
A../Open./all./of./the./sutures./that./were./collected./and./place./them./
on./the./back./table./just./in./case./the./surgeon./needs./them.
B../Return./the./sutures./that./are./not./needed./to./sterile./supply./and./pr
oceed./with./the./case.
C../Ask./the./surgeon./if./he./would./like./to./have./his./preference./card./u
pdated./and./proceed./accordingly.
D../Update./the./surgeon's./preference./card./to./reflect./the./sutures./that./hav
e./been./requested./for./this./case.
EXPLANATIONS:(u)./A../The./surgical./technologist./should./only./open./as./many./
suture./packets./as./are./necessary./because./leftover./sutures./cannot./be./resterili
zed.(u)./B../The./surgical./technologist./should./return./the./sutures./that./are./not./ne
eded../Since./the./surgeon./has./mentioned./that./his./preference./card./is./outdated
,./the./surgical./technologist./should./inquire./as./to./whether./or./not./the./surgeon./
would./like./to./update./it./so./that./it./will./be./accurate./for./future./cases.(c)
C../Since./the./surgeon./has./mentioned./that./his./preference./card./is./outdated,./th
e./surgical./technologist./should./inquire./as./to./whether./or./not./the./surgeon./wo
uld./like./to./update./it./so./that./it./will./be./accurate./for./future./cases../If./the./surgeo
n./indicates./that./he./would./like./to./have./his./preference./card./updated,./the./surgi
cal./technologist./should./proceed./accordingly.(u)./D../The./surgical./technologist./
can./update./the./surgeon's./preference./card,./but./would./need./to./obtain./the./sur
geon's./new./preferences./and./approval./prior./to./updating./the./preference./card..
/REFERENCE:
Surgical./Technology./for./the./Surgical./Technologist:./A./Positive./Care./Approac
h,./2008,./3rd./Ed.,./Kevin./Frey,./pg../110./and./291
7 While./being./transferred./from./the./stretcher./to./the./operating./room./bed,./the./p
atient./expresses./fear./of./not./awakening./from./anesthesia../The./surgical./tech
nologist./should
A.. / proceed./with./the./transfer./and./disregard./patient./comments.
B.. / explain./the./action./of./the./anesthetic./agent.
C.. / reassure./the./patient./that./the./anesthetic./is./safe.
./D../have./the./anesthesia./care./provider./address./the./patient's./concerns../EXPL
ANATIONS:(u)./A../The./surgical./technologist./is./sterile./and./will./not./be./able./to./a
ssist./with./patient./transfer,./and./ignoring./the./patient's./comments./is
inappropriate.(u)./B../The./surgical./technologist./is./not./trained./in./anesthetic./te
chniques./and./should./refer./questions./to./the./anesthesia./care./provider.(u)./C../
The./surgical./technologist./should./not./make./reassurances./regarding
