Intra Operative Care NCCT Practice
Exam
The surgical technologist is preparing the room for a left total hip arthroplasty. The surgical
technologist should stand at the
A. lower right side of the patient.
B. head of the patient.
C. mid-right side of the patient.
D. left side of the patient
A. lower right side of the patient
To help reduce post-operative hypothermia, ambient temperature of the OR should be
maintained at
A. 70 degrees F - 73 degrees F.
B. 68 degrees F - 75 degrees F.
C. 70 degrees F - 72 degrees F.
D. 68 degrees F - 73 degrees F.
D. 68 degrees F - 73 degrees F.
When establishing the sterile field for a surgery, where should the back table, Mayo, and ring
stand be placed?
A. by the surgical technologist who is standing across from the surgeon and close to the
door
B. far away from the door and beside the surgeon for easy access to the back table
C. close to the door, close to the OR bed, and across from the surgeon
D. close to the surgical technologist, close to the sterile field, and far away from the door
D. close to the surgical technologist, close to the sterile field, and far away from the door
The recommended temperature of an operating room is
A. 75-80 degrees F.
,B. 56-62 degrees F.
C. 68-73 degrees F.
D. 60-65 degrees F.
C. 68-73 degrees F.
The surgical technologist arrives in the surgical suite and notes the temperature is 66° and
the humidity is 32%. Which of the following should the technologist do?
A. decrease temperature and increase humidity
B. increase temperature and leave humidity
C. increase temperature and increase humidity
D. decrease temperature and leave humidity
B. increase temperature and leave humidity
Which of the following must the surgical technologist verify when labeling medication on the
sterile field? (Select the three (3) correct answers.)
A. expiration date
B. amount in the bottle
C. date of manufacture
D. name of the medication
E. strength of dose
A. expiration date,
D. name of the medication,
E. strength of dose
During a hernia repair, a surgeon informs the surgical technologist that he would like 25cc's
of a 50/50 strength mixture of 1% Lidocaine and 0.25% Marcaine. How many cc's of each
solution should the surgical technologist place in the syringe?
A. 15 cc Lidocaine & 10 cc of Marcaine
B. 20 cc of Lidocaine & 5 cc of Marcaine
C. 12.5 cc of Lidocaine & 12.5 cc Marcaine
D. 5 cc of Lidocaine & 20 cc of Marcaine
D. 5 cc of Lidocaine & 20 cc of Marcaine
Rationale
,The surgeon requested 25 cc's of 50/50 of the medications. It would take 4 times of the .25%
Marcaine to make one of the 1% Lidocaine. In order to get a 50/50 solution you would need
5 cc of the Lidocaine and 20cc of the Marcaine.
Which of the following should the surgical technologist label on the basin and syringe if the
surgeon decides that he wants 1% Lidocaine for the end of the case? (Select the three (3)
correct answers.)
A. expiration date
B. drug name
C. strength
D. dosage
A. expiration date,
B. drug name,
C. strength
Which of the following information should be listed when labeling medications on the sterile
field? (Select the three (3) correct answers.)
A. name of the medication
B. lot number
C. expiration date
D. strength
E. delivery method
A. name of the medication
C. expiration date
D. strength
Which of the following information should be listed when labeling medications on the sterile
field? (Select the three (3) correct answers.)
A. manufacturer
B. strength
C. name
D. expiration date
E. acceptable abbreviations
B. strength
C. name
D. expiration date
The physician has asked to inject local for a circumcision on a 16-year-old male. Which of
the following will the medication label look like for this procedure?
A. 0.5% Bupivicaine with Epinephrine 10mL Exp Mar 2020
, B. 2.0% Lidocaine 10mL Exp Jan 2021
C. 1.0% Lidocaine with Epinephrine 5mL Exp Jan .5% Marcaine 5mL Exp Mar 2020
Mixed 1:1
D. 0.5% Marcaine 10mL Exp Mar 2020
D. 0.5% Marcaine 10mL Exp Mar 2020
Bupivicaine is the generic name for Marcaine. They are longer-lasting local anesthetics.
Marcaine without epinephrine is the best choice because epinephrine causes
vasoconstriction. If it were to be injected into the penis, it would constrict the blood supply to
the area and risks harming the tissue. The expiration date should always be placed on the
medication label. Lidocaine would not be used because it does not provide as long of an
anesthetic effect.
Which of the following information should the surgical technologist clearly state as an
antibiotic solution is being passed to the surgeon for intraoperative irrigation?
A. expiration date and strength of solution
B. name and strength of solution
C. name and method of delivery
D. method of delivery and expiration date
B. name and strength of solution
When preparing for an arthroscopy, which of the following should a scrubbed surgical
technologist do to optimize visual clarity during the procedure?
A. Check the light cord for broken fibers.
B. White balance the scope appropriately.
C. Position the screen properly.
D. Plug the camera in.
B. White balance the scope appropriately.
Rationale
The surgical technologist should white balance the scope so that the surgeon has optimal
visualization. The light cord should be inspection prior to attaching it to the scope. The
screen is positioned prior to setting up the sterile field. The circulator plugs the camera in
after the drapes and equipment are in order.
Exam
The surgical technologist is preparing the room for a left total hip arthroplasty. The surgical
technologist should stand at the
A. lower right side of the patient.
B. head of the patient.
C. mid-right side of the patient.
D. left side of the patient
A. lower right side of the patient
To help reduce post-operative hypothermia, ambient temperature of the OR should be
maintained at
A. 70 degrees F - 73 degrees F.
B. 68 degrees F - 75 degrees F.
C. 70 degrees F - 72 degrees F.
D. 68 degrees F - 73 degrees F.
D. 68 degrees F - 73 degrees F.
When establishing the sterile field for a surgery, where should the back table, Mayo, and ring
stand be placed?
A. by the surgical technologist who is standing across from the surgeon and close to the
door
B. far away from the door and beside the surgeon for easy access to the back table
C. close to the door, close to the OR bed, and across from the surgeon
D. close to the surgical technologist, close to the sterile field, and far away from the door
D. close to the surgical technologist, close to the sterile field, and far away from the door
The recommended temperature of an operating room is
A. 75-80 degrees F.
,B. 56-62 degrees F.
C. 68-73 degrees F.
D. 60-65 degrees F.
C. 68-73 degrees F.
The surgical technologist arrives in the surgical suite and notes the temperature is 66° and
the humidity is 32%. Which of the following should the technologist do?
A. decrease temperature and increase humidity
B. increase temperature and leave humidity
C. increase temperature and increase humidity
D. decrease temperature and leave humidity
B. increase temperature and leave humidity
Which of the following must the surgical technologist verify when labeling medication on the
sterile field? (Select the three (3) correct answers.)
A. expiration date
B. amount in the bottle
C. date of manufacture
D. name of the medication
E. strength of dose
A. expiration date,
D. name of the medication,
E. strength of dose
During a hernia repair, a surgeon informs the surgical technologist that he would like 25cc's
of a 50/50 strength mixture of 1% Lidocaine and 0.25% Marcaine. How many cc's of each
solution should the surgical technologist place in the syringe?
A. 15 cc Lidocaine & 10 cc of Marcaine
B. 20 cc of Lidocaine & 5 cc of Marcaine
C. 12.5 cc of Lidocaine & 12.5 cc Marcaine
D. 5 cc of Lidocaine & 20 cc of Marcaine
D. 5 cc of Lidocaine & 20 cc of Marcaine
Rationale
,The surgeon requested 25 cc's of 50/50 of the medications. It would take 4 times of the .25%
Marcaine to make one of the 1% Lidocaine. In order to get a 50/50 solution you would need
5 cc of the Lidocaine and 20cc of the Marcaine.
Which of the following should the surgical technologist label on the basin and syringe if the
surgeon decides that he wants 1% Lidocaine for the end of the case? (Select the three (3)
correct answers.)
A. expiration date
B. drug name
C. strength
D. dosage
A. expiration date,
B. drug name,
C. strength
Which of the following information should be listed when labeling medications on the sterile
field? (Select the three (3) correct answers.)
A. name of the medication
B. lot number
C. expiration date
D. strength
E. delivery method
A. name of the medication
C. expiration date
D. strength
Which of the following information should be listed when labeling medications on the sterile
field? (Select the three (3) correct answers.)
A. manufacturer
B. strength
C. name
D. expiration date
E. acceptable abbreviations
B. strength
C. name
D. expiration date
The physician has asked to inject local for a circumcision on a 16-year-old male. Which of
the following will the medication label look like for this procedure?
A. 0.5% Bupivicaine with Epinephrine 10mL Exp Mar 2020
, B. 2.0% Lidocaine 10mL Exp Jan 2021
C. 1.0% Lidocaine with Epinephrine 5mL Exp Jan .5% Marcaine 5mL Exp Mar 2020
Mixed 1:1
D. 0.5% Marcaine 10mL Exp Mar 2020
D. 0.5% Marcaine 10mL Exp Mar 2020
Bupivicaine is the generic name for Marcaine. They are longer-lasting local anesthetics.
Marcaine without epinephrine is the best choice because epinephrine causes
vasoconstriction. If it were to be injected into the penis, it would constrict the blood supply to
the area and risks harming the tissue. The expiration date should always be placed on the
medication label. Lidocaine would not be used because it does not provide as long of an
anesthetic effect.
Which of the following information should the surgical technologist clearly state as an
antibiotic solution is being passed to the surgeon for intraoperative irrigation?
A. expiration date and strength of solution
B. name and strength of solution
C. name and method of delivery
D. method of delivery and expiration date
B. name and strength of solution
When preparing for an arthroscopy, which of the following should a scrubbed surgical
technologist do to optimize visual clarity during the procedure?
A. Check the light cord for broken fibers.
B. White balance the scope appropriately.
C. Position the screen properly.
D. Plug the camera in.
B. White balance the scope appropriately.
Rationale
The surgical technologist should white balance the scope so that the surgeon has optimal
visualization. The light cord should be inspection prior to attaching it to the scope. The
screen is positioned prior to setting up the sterile field. The circulator plugs the camera in
after the drapes and equipment are in order.
