Ncct Cst Practice Exam 2024 With 100% Guaranteed Correct Answers

The circulating nurse notices that the patient is actively bleeding from one of the operative sites and the surgeon has left the room. Which of the following actions should the surgical technologist take? A. Break scrub and inform the surgeon. B. Remain in gown and gloves and apply pressure. C. Break scrub and monitor the sterile field. D. Open a new sterile field for the patient. - correct answer B. Remain in gown and gloves and apply pressure. Rationale: The surgical technologist should remain sterile until the patient is out of the operating room and in PACU. If the surgical technologist has not broken scrub she can apply pressure until the surgeon is called back into the room. Since the field remains sterile it is not necessary to open a new sterile field. The surgical technologist is helping the surgeon complete a laparoscopic cholecystectomy and the surgeon has placed the dressing on the patient. Which of the following should the surgical technologist do next? A. Remove the top glove, hold the dressing in place, roll away the drape and discard. B. Remove Mayo stand, back table and top glove, hold the dressing in place, tear the drape off the patient and discard. C. Remove top glove, hold dressing in place, tear the drape off patient and discard. D. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape and discard. - correct answer D. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape and discard. Rationale: The Mayo stand and back table need to remain sterile until the patient is out of the room. The top gloves need replaced to prohibit any debris from getting the dressing dirty. By holding the dressing on with the clean gloves the drape can be removed so any biohazardous materials are contained within the drapes and discarded. A tornado warning is in effect and power has been switched to the generator due to downed electrical lines. The hospital's disaster triage protocol has been activated. A surgical procedure is in progress. Which of the following is the best course of action to ensure patient safety? A. Immediately evacuate the patient to the preoperative holding area. B. Finish the procedure and evacuate the patient. C. Place wet towels under door and finish the procedure. D. Cover the back table until the storm passes. - correct answer B. Finish the procedure and evacuate the patient. Rationale: Follow hospital's disaster plan for tornado preparedness and response. Under Joint Commissions standard codes, this would be categorized as a Code Brown, which is a weather related emergency. The best option in this instance is to complete the case, and then transfer the patient to a safe location for post-operative care. 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? A. Isolate the sterilized suction, then flush the bioburden with sterile water. B. Remove the sterilized suction from the sterile field. C. Isolate the sterilized suction on the sterile field with a sterile towel. D. Remove the sterilized instrument tray from the sterile field. - correct answer D. Remove the sterilized instrument tray from the sterile field. Rationale: The surgical technologist should check and inspect instruments. If bioburden is found, the whole tray should be discarded and handed off. (When in doubt throw it out.) The tray should not be left on the sterile field at all, or cleaned on the sterile field, because it would make the field contaminated. 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.) A. Have laparotomy sponges available. B. Post warning signs outside the room C. Place the foot control next to the circulator. D. Do not use alcohol based preps. E. Wear safety goggles. - correct answer B. Post warning signs outside the room. D. Do not use alcohol based preps. E. Wear safety goggles. Rationale: Posting warning signs will prevent surgery doors from opening and causing unnecessary harm to co-workers outside the room. Not using alcohol based preps will decrease the risk of surgical fires. Safety goggles approved for that specific laser will prevent injury to the eye. Laparotomy sponges should be wet if available. The doctor should be in control of the foot control pedal to the laser. During a vaginal hysterectomy the surgical team noticed that the safety belt was left off the patient before the drape was applied and discovered after draping. How can the patient be secured to the OR bed without interrupting the sterile field or procedure? A. The surgical tech