NBSTSA Practice exam A (2022) with COMPLETE SOLUTION
1.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. Correct Answer: A
2.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 practice, 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. Correct Answer:
C
3.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 Correct Answer: C
4.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 Correct Answer: D
5.
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 Correct Answer: C
6.
How many lobes do the right and left lungs have, respectively?
A.three, two
,B.two, three
C.three, three
D.two, two Correct Answer: A
7.
When a break in aseptic technique occurs, the surgical technologist should FIRST notify the
A.circulating nurse.
B.contaminating team member.
C.OR supervisor.
D.anesthesia provider. Correct Answer: B
8.
Which of the following pathological conditions may be caused by an excessive production of
cerebrospinal fluid in the brain?
A.hydrocephalus
B.encephalocele
C.cranial bifida
D.craniosynostosis Correct Answer: A
9.
If unexpected heavy blood loss occurs during an abdominal procedure, a surgical technologist should
request additional
A.lap sponges.
B.Raytec sponges.
C.Kitners.
D.cottonoids. Correct Answer: A
10.
Growth in the length of a long bone occurs at the
A.diaphysis.
B.medullary canal.
C.epiphyseal plate.
D.articular cartilage. Correct Answer: C
11.
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. Correct Answer: A
12.
, 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 Correct Answer: D
13.
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. Correct Answer: B
14.
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 Correct Answer: C
15.
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. Correct Answer: B
√
16.
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
1.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. Correct Answer: A
2.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 practice, 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. Correct Answer:
C
3.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 Correct Answer: C
4.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 Correct Answer: D
5.
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 Correct Answer: C
6.
How many lobes do the right and left lungs have, respectively?
A.three, two
,B.two, three
C.three, three
D.two, two Correct Answer: A
7.
When a break in aseptic technique occurs, the surgical technologist should FIRST notify the
A.circulating nurse.
B.contaminating team member.
C.OR supervisor.
D.anesthesia provider. Correct Answer: B
8.
Which of the following pathological conditions may be caused by an excessive production of
cerebrospinal fluid in the brain?
A.hydrocephalus
B.encephalocele
C.cranial bifida
D.craniosynostosis Correct Answer: A
9.
If unexpected heavy blood loss occurs during an abdominal procedure, a surgical technologist should
request additional
A.lap sponges.
B.Raytec sponges.
C.Kitners.
D.cottonoids. Correct Answer: A
10.
Growth in the length of a long bone occurs at the
A.diaphysis.
B.medullary canal.
C.epiphyseal plate.
D.articular cartilage. Correct Answer: C
11.
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. Correct Answer: A
12.
, 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 Correct Answer: D
13.
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. Correct Answer: B
14.
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 Correct Answer: C
15.
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. Correct Answer: B
√
16.
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
