NCCT Prep #2
A cardiovascular surgeon is performing an arteriovenous fistula and informs the team that he
will need the microscope because of the patient's anatomy. Which of the following is the
correct way for the surgical technologist to handle the preference card?
A. Ask the circulator to add in the notes section of the preference card to have a microscope
available for this procedure.
B. Add the microscope to the equipment section of the preference card.
C. Ask the circulator to add in the notes section of the preference card to always have a
microscope in the room.
D. Add the microscope to the preference card immediately. - ANS-A. Ask the circulator to
add in the notes section of the preference card to have a microscope available for this
procedure.
A laparoscopic cholecystectomy has been converted to an open. Which of the following
drains should the surgical technologist have available?
A. Foley
B. TLS
C. T-tube
D. Jackson Pratt - ANS-C. T-tube
A patient is not positioned with a safety strap for a procedure. The nurse steps away and the
patient falls off the operating room table. This would be categorized as
A. battery.
B. negligence.
C. respondent superior.
D. malice. - ANS-B. negligence.
A surgical technologist is called in to relieve another surgical technologist for a lunch break.
Which of the following is the next step that the relieving surgical technologist must take?
A. Perform an instrument, supply and equipment check.
B. Perform a time out.
C. Perform an intra-operative count.
D. Sign off on the count on the patients' peri-operative record. - ANS-C. Perform an
intra-operative count.
After a procedure the patient is waking up and begins to aspirate. The anesthesia provider is
having trouble reintubating. Which of the following procedures should the surgical
technologist be prepared for?
A. nasal intubation
B. laryngoscopy
C. flexible bronchoscopy
D. tracheostomy - ANS-D. tracheostomy
After placing a dressing on the patient, the surgical technologist moved the Mayo away from
the operating bed, removed the sterile drapes, and proceeded to clean the patient. While
cleaning the patient, the technologist noticed the dressing was soaked with blood. The
technologist removed the dressing and noticed there was blood gushing out of the wound.
Which of the following should the technologist do? (Select the three (3) correct answers.)
, A. Drape the patient and pull the Mayo up to the field.
B. Gown and glove again.
C. Call the doctor.
D. Apply suction to the wound.
E. Prepare another back table. - ANS-A. Drape the patient and pull the Mayo up to the field.
B. Gown and glove again.
C. Call the doctor.
During a case set up the circulator opened the surgeon's instrument tray and noticed that the
inner chemical indicator was missing. The outer tamper-proof seal did turn color. Which of
the following should the surgical technologist do?
A. Proceed with the case because the outer tamper-proof seal indicates the tray was
properly sterilized.
B. Ask the surgeon if he is willing to proceed with the case based on the outer indicator
alone.
C. Remove the tray and open a new one.
D. Double glove, reach into the instrument pan, and attempt to locate the missing indicator. -
ANS-C. Remove the tray and open a new one.
During a diagnostic laparoscopy the surgical technologist notices the surgeon about to cut
the fallopian tube to remove the ovary. The technologist knows this is not part of the consent
the patient signed. Which of the following actions should the technologist take?
A. Keep moving forward as the surgeon is ultimately responsible.
B. Distract the surgeon long enough for the nurse to see what he is doing and question him
about his intentions.
C. Ask the surgeon to stop to discuss why he is removing the ovary, and verify if the consent
allows for this procedure.
D. Take the instrument from the surgeon to protect the patient. - ANS-C. Ask the surgeon to
stop to discuss why he is removing the ovary, and verify if the consent allows for this
procedure.
During a laparoscopic cholecystectomy, the resident accidently knicks the small bowel with
the laparoscopic shears. The primary physician decides to open the abdomen. Which of the
following instrumentation is the best choice for this scenario?
A. major instrument set and Mayfield retractor
B. major vascular set and Mayfield retractor
C. major vascular set and Bookwalter retractor
D. major instrument set and Bookwalter retractor - ANS-D. major instrument set and
Bookwalter retractor
For a total knee arthroplasty, the recommended dressing is
A. a wet to dry dressing.
B. Tegaderm.
C. a compression dressing.
D. plaster casting. - ANS-C. a compression dressing.
How often should a DART test be performed in a sterile processing department?
A. quarterly
B. monthly
C. daily
D. weekly - ANS-C. daily
If initial preoperative sponge counts are incorrect, which of the following should the surgical
technologist do?
A cardiovascular surgeon is performing an arteriovenous fistula and informs the team that he
will need the microscope because of the patient's anatomy. Which of the following is the
correct way for the surgical technologist to handle the preference card?
A. Ask the circulator to add in the notes section of the preference card to have a microscope
available for this procedure.
B. Add the microscope to the equipment section of the preference card.
C. Ask the circulator to add in the notes section of the preference card to always have a
microscope in the room.
D. Add the microscope to the preference card immediately. - ANS-A. Ask the circulator to
add in the notes section of the preference card to have a microscope available for this
procedure.
A laparoscopic cholecystectomy has been converted to an open. Which of the following
drains should the surgical technologist have available?
A. Foley
B. TLS
C. T-tube
D. Jackson Pratt - ANS-C. T-tube
A patient is not positioned with a safety strap for a procedure. The nurse steps away and the
patient falls off the operating room table. This would be categorized as
A. battery.
B. negligence.
C. respondent superior.
D. malice. - ANS-B. negligence.
A surgical technologist is called in to relieve another surgical technologist for a lunch break.
Which of the following is the next step that the relieving surgical technologist must take?
A. Perform an instrument, supply and equipment check.
B. Perform a time out.
C. Perform an intra-operative count.
D. Sign off on the count on the patients' peri-operative record. - ANS-C. Perform an
intra-operative count.
After a procedure the patient is waking up and begins to aspirate. The anesthesia provider is
having trouble reintubating. Which of the following procedures should the surgical
technologist be prepared for?
A. nasal intubation
B. laryngoscopy
C. flexible bronchoscopy
D. tracheostomy - ANS-D. tracheostomy
After placing a dressing on the patient, the surgical technologist moved the Mayo away from
the operating bed, removed the sterile drapes, and proceeded to clean the patient. While
cleaning the patient, the technologist noticed the dressing was soaked with blood. The
technologist removed the dressing and noticed there was blood gushing out of the wound.
Which of the following should the technologist do? (Select the three (3) correct answers.)
, A. Drape the patient and pull the Mayo up to the field.
B. Gown and glove again.
C. Call the doctor.
D. Apply suction to the wound.
E. Prepare another back table. - ANS-A. Drape the patient and pull the Mayo up to the field.
B. Gown and glove again.
C. Call the doctor.
During a case set up the circulator opened the surgeon's instrument tray and noticed that the
inner chemical indicator was missing. The outer tamper-proof seal did turn color. Which of
the following should the surgical technologist do?
A. Proceed with the case because the outer tamper-proof seal indicates the tray was
properly sterilized.
B. Ask the surgeon if he is willing to proceed with the case based on the outer indicator
alone.
C. Remove the tray and open a new one.
D. Double glove, reach into the instrument pan, and attempt to locate the missing indicator. -
ANS-C. Remove the tray and open a new one.
During a diagnostic laparoscopy the surgical technologist notices the surgeon about to cut
the fallopian tube to remove the ovary. The technologist knows this is not part of the consent
the patient signed. Which of the following actions should the technologist take?
A. Keep moving forward as the surgeon is ultimately responsible.
B. Distract the surgeon long enough for the nurse to see what he is doing and question him
about his intentions.
C. Ask the surgeon to stop to discuss why he is removing the ovary, and verify if the consent
allows for this procedure.
D. Take the instrument from the surgeon to protect the patient. - ANS-C. Ask the surgeon to
stop to discuss why he is removing the ovary, and verify if the consent allows for this
procedure.
During a laparoscopic cholecystectomy, the resident accidently knicks the small bowel with
the laparoscopic shears. The primary physician decides to open the abdomen. Which of the
following instrumentation is the best choice for this scenario?
A. major instrument set and Mayfield retractor
B. major vascular set and Mayfield retractor
C. major vascular set and Bookwalter retractor
D. major instrument set and Bookwalter retractor - ANS-D. major instrument set and
Bookwalter retractor
For a total knee arthroplasty, the recommended dressing is
A. a wet to dry dressing.
B. Tegaderm.
C. a compression dressing.
D. plaster casting. - ANS-C. a compression dressing.
How often should a DART test be performed in a sterile processing department?
A. quarterly
B. monthly
C. daily
D. weekly - ANS-C. daily
If initial preoperative sponge counts are incorrect, which of the following should the surgical
technologist do?
