NBSTSA CST Exam B- Correct Answers

A SURGICAL TECHNOLOGIST IS PREPARING THE INCISION SITE FOR THE DRESSING FOLLWING 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 SURGICAL TECH TAKE? A. PLACE A PRESSURE DRESSING B. COVER WITH DERMABOND C. STERI-STRIP THE INCISION D. HAVE THE SURGEION RETURN - Answer- D. HAVE THE SURGEON RETURN WHICH OF THE FOLLOWING IS A SIGN OF CARDIAC ARREST? A. EDEMA B. CONVULSION C. CYANOSIS D. HYPERTENSION - Answer- C. CYANOSIS 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. - Answer- D. a thorough surgical hand scrub. 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 - Answer- C. 1, 3, 2, 4, and 5 Place the following phases of wound healing by first intention in correct order 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 - Answer- C. III, I, II 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 The surgeon states he would like additional sutures and his preference card is outdated.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 proceed with the case. C. Ask the surgeon if he would like to have his preference card updated and proceed accordingly. D. Update the surgeon's preference card to reflect the sutures that have been requested for this case. - Answer- C. Ask the surgeon if he would like to have his preference card updated and proceed accordingly. While being transferred from the stretcher to the operating room bed, the patient expresses fear of not awakening from anesthesia. The surgical technologist 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. - Answer- D. have the anesthesia care provider address the patient's concerns. When preparing endoscopic cameras for ethylene oxide sterilization, which of the following monitoring processes would be utilized to ensure all parameters of sterilization were met? A. external tape B. biological indicator C. dynamic air removal D. internal strip - Answer- B. biological indicator Which of the following rongeurs is used to expand the antrostomy in a Caldwell-Luc procedure? A. Cushing B. Bethune C. Kerrison D. Stille-Luer - Answer- C. Kerrison The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures? A. laparoscopic cholecystectomy B. carotid endarterectomy C. total hip arthroplasty D. tympanoplasty - Answer- B. carotid endarterectomy After gowning and gloving, a surgeon activates the DuraPrep applicator and proceeds to prep the patient for surgery. Which of the following is the BEST action to take at this time? A. Assist the surgeon in draping the patient. B. Regown and reglove the surgeon. C. Remove drapes and start over. D. Inform the supervisor. - Answer- B. Regown and reglove the surgeon. Local anesthetics containing epinephrine should NEVER be used in which of the following areas? A. arms and legs B. epidural spaces C. wrists and ankles D. digits and penis - Answer- D. digits and penis To prevent contamination at the end of a surgical procedure, which of the following should be removed LAST by the surgical technologist in the scrub role? A. patient's drapes B. surgical gloves C. surgical gown D. Mayo stand drape - Answer- B. surgical gloves During a procedure, a surgical technologist notices a hole in his glove. Which of the following should be done next? A. Continue the case. B. Change the glove using the open-gloving technique. C. Change the glove using the closed-gloving technique. D. Break scrub, rescrub, gown and glove. - Answer- B. Change the glove using the open-gloving technique. Which of the following is an unexpected occurrence that involves physiologic or psychologic injury or death? A. unintentional tort B. sentinel event C. negligence D. malpractice - Answer- B. sentinel event Which of the following is a benign fluid-filled sac that develops in the anterior testis? A. rectocele B. cystocele C. enterocele D. hydrocele - Answer- D. hydrocele When a cholecystectomy is performed, which of the following anatomical structures must be preserved? A. cystic duct B. cystic vein C. common duct D. cystic artery - Answer- C. common duct Which of the following procedures treats a congenital obstructed lesion found at the distal end of an infant's stomach? A. gastrostomy B. Nissen fundoplication C. Heller myotomy D. pyloromyotomy - Answer- D. pyloromyotomy The safest method for placing a blade on a knife handle is with a A. Mixter. B. gloved hand. C. needle holder. D. tissue forceps. - Answer- C. needle holder When inflating a 5-cc balloon on a Foley catheter, which of the following would be the MOST appropriate choice? A. 3-5 mL of sterile water B. 3-5 mL of normal saline C. 8-10 mL of sterile water D. 8-10 mL of normal saline - Answer- C. 8-10 mL of sterile water