NCCT Full Exam 2023 with complete solutions

A) Stainless steel - Answer- Surgical instruments are made of what type of substance? A) Stainless steel B) Copper C) Silver D) Aluminum C) Sleeve - Answer- Which is not part of a typical surgical instrument? A) Tip B) Jaws C) Sleeve D) Finger rings A) Context - Answer- It is efficient to learn the names of instruments as they are in ________. A) Context B) The sterilizer C) Storage D) Pictures B) Type - Answer- During surgery, many surgeons identify instruments by __________. A) Full name B) Type C) Size D) Code B) Jaws - Answer- Which part of a clamp hold the tissue securely? A) Shank B) Jaws C) Hinge D) Blade C) Hemostats - Answer- The most common types of clamps are called _______. A) Scalpel B) Forceps C) Hemostats D) Holders A) Holding tissue to the side away from the wound - Answer- Retractors are used for _________. A) Holding tissue to the side away from the wound B) Closing vessels C) Incision D) Sutures A) Scalpel handle B) Scalpel blade C) Scissors D) Thumb forceps E) Retractor F) Hemostatic clamp - Answer- (Figure 1) Name each of the above instruments with it's generic name, proceeding from left to right. A) B) C) D) E) F) A) Needle holder B) Suction tip C) Obstetric forceps D) Cardiovascular scissors E) Bone cutter - Answer- (Figure 2) Examine the photograph above and identify the instruments from left to right. A) B) C) D) E) E) Heavy needle drivers - Answer- Heavy suturing: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers C) Hemostats - Answer- Delicate vessels: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers B) Towel holders - Answer- Holding drapes: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers D) Wire cutters - Answer- Wire sutures: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers A) Fine needle drivers - Answer- Delicate needles: A) Fine needle drivers B) Towel holders C) Hemostats D) Wire cutters E) Heavy needle drivers C) A and B - Answer- Which is not a proper way to handle tools during surgery? A) Throw instruments into basins B) Soak in saline solution C) A and B D) Keep sharp instruments away from other instruments B) Stone forceps - Answer- Which type of forceps would be used for grasping kidney stones or gallstones? A) Tenaculum B) Stone forceps C) Toothed forceps D) Babcock C) Include defective instruments - Answer- Which of the following is not a typical way to arrange surgical instruments? A) Arrange tips and finger loops in the same direction B) Avoid metal to metal contact C) Include defective instruments D) Arrange instruments by classification B) Designated processing area - Answer- After surgery, the instruments used and unused are cleaned in the _________. A) O.R. B) Designated processing area C) Corridor D) Surgical suite D) A and B - Answer- Microsurgical and ophthalmic instruments are __________. A) Cleaned by hand B) Dried by hand C) Sterilized in the washer-sterilizer D) A and B C) Boiling water - Answer- All of the following are methods of sterilization except _________. A) Steam under pressure B) Cobalt 60 C) Boiling water D) Ethylene oxide B) Carbon dioxide and Frenon - Answer- Ethylene oxide is highly flammable, but when mixed with _________ and ________, it is rendered non-flammable. A) Freon and carbon monoxide B) Carbon dioxide and Frenon C) Nitrous and Carbon dioxide D) Frenon and CFC's D) Oils and powders - Answer- Which of the following is dry heat sterilization used for? A) Cotton B) Metal instruments, power drills C) Lense instruments D) Oils and powders C) Glutaraldehyde - Answer- Which disinfectant agent is not recommended for O.R. housekeeping? A) Iodine B) Alcohol (70%-90% isopropyl) C) Glutaraldehyde D) Chlorine compound solution A) 12lbs - Answer- Which of the following is the correct maximum weight for a linen pack to autoclave? A) 12lbs B) 74lbs C) 72lbs D) 24lbs C) Type of sterilant - Answer- All of the following are factors that affect the steam sterilization process except __________. A) Exposure B) Temperature C) Type of sterilant D) Pressure C) Cost - Answer- The Material Safety Date Sheet on each chemical would typically include all but which of the following? A) Protective measures B) Exposure limits C) Cost D) Chemical name and common names C) A and B - Answer- OSHA regulates standards for the prevention of _______. A) HIV B) Hepatitis B virus C) A and B D) Sterilization B) Toxic substances - Answer- OSHA enforces the level of _________ permissible in the work environment. A) Sexual harassment B) Toxic substances C) Work day length D) Smoking B) Exposure limits - Answer- OSHA controls the ________ for Isopropyl alcohol, Phenol, and Sodium hypochlorite. A) Cost B) Exposure limits C) Disposal methods D) Shelf life A) Food may not be stored int he same refrigerator with blood or specimens - Answer- Which of the following is standard for the control of biohazards? A) Food may not be stored in the same refrigerator with blood or specimens B) Hospital break rooms may not be to near a dumpster C) Smoking is not allowed in hospital facilities D) Biohazard labeling must be in a certain type of font C) A and B - Answer- OSHA limits the percentage of ethlyne oxide gas because ___________. A) EO gas can cause burns to the skin B) Of irritation to the mucous membranes C) A and B D) It damages equipment C) Fuel, heat, oxygen - Answer- The components of a fire include _________. A) Heat and oxygen B) Fuel, and oxygen C) Fuel, heat, and oxygen D) Oxygen, fuel, and CO2 C) Extinguished - Answer- With the removal of any one component, a fire will be _______. A) Fueled B) Diminished C) Extinguished D) Started B) Disconnect the equipment - Answer- When performing maintenance tasks on electrical equipment, first _________. A) Read the manual B) Disconnect the equipment C) Check for frayed cords and plugs D) Clean the floor C) Class B & C - Answer- Dry chemicals are used on ________ fires. A) Class A B) Class B C) Class B & C D) Class A & C A) Fleshy area of skin - Answer- A patient grounding pad is placed on a(n) ________. A) Fleshy area of skin B) Bony prominence C) Area of thin skin D) Farthest away from the operative site D) Orange - Answer- Cylopropane is always stored in a(n) ________ cylinder. A) Green B) Black C) Brown D) Orange D) Black - Answer- Nitrogen is always stored in a ________ cylinder. A) Green B) Blue C) Brown D) Black D) 5' - Answer- If the O.R. does not have explosion-proof electrical outlets, the outlets must be ________ off the floor. A) 2' B) 3' C) 4' D) 5' B) Cotton - Answer- Blankets in the operating room should be made of _________. A) Wool B) Cotton C) Nylon D) Polyester D) Immediately stop using it - Answer- If a piece of equipment becomes damages, you should __________. A) Announce it to the nurse B) Announce it to the doctor C) Put an "out of order" sign on it D) Immediately stop using it B) 2" - Answer- The most explosive area in the O.R. is that within a ________ radius around the patient's face mast. A) 12" B) 2" C) 2 1/2" D) 3" A) Unlabeled bottle or container may be used if you recognize the fluid - Answer- All but one of the following precautions should be followed when working with disinfectants except __________. A) An unlabeled bottle or container may be used if you recognize the fluid B) Never mix two disinfectants together C) Wear personal protective equipment D) Store in well ventilated rooms B) Frequently - Answer- Head covers, masks, and shoes, should be changed __________. A) Once a day B) Frequently C) Once a week D) Twice a day B) Throw your mask away and get a new one - Answer- After a case is over, you should __________. A) Keep your mask around your neck B) Throw your mask away and get a new one C) Keep your mask on until all cases are finished D) Put the mask in your pocket until all cases are finished A) Grounding - Answer- Making an electrical connection with the earth is called __________. A) Grounding B) Insulating C) Conducting D) Electrocution B) Class B - Answer- To which category to gasoline fires belong? A) Class A B) Class B C) Class B & C D) Class C B) Electric shock - Answer- Sudden stimulation of nerves and convulsive contraction of the muscles caused by the discharge or electricity through the body is ________. A) Insulator B) Electric shock C) Electrocution D) Conductor C) Conductor - Answer- A medium that allows for the transmission of electricity is a(n) ___________. A) Electrocution B) Static electricity C) Conductor D) Grounding B) Anticoagulant - Answer- A drug that prolongs blood clotting time is called ___________. A) Coagulant B) Anticoagulant C) Diuretic D) Contrast medium B) Corticosteroids - Answer- A group of drugs that are used in surgery to reduce inflammation are __________. A) antibiotic B) Corticosteroids C) Diuretic D) Oxytocin B) Postoperative - Answer- Analgesics are normally used in the __________ period. A) Preoperative B) Postoperative C) Convalescent D) Outpatient B) Dye solutions - Answer- Which of the following would not be on a crash cart? A) Cardiac stimulant B) Dye solutions