NCCT Preliminary Exam (JM)
The surgical technologist has just completed scrubbing for a repair of an abdominal
aneurysm. The aneurysm repair ruptures during transport from the operating room bed to
the stretcher. Which of the following actions should the surgical technologist take next?
- Begin chest compressions.
- Prepare the crash cart.
- Don new gown and gloves.
- Retrieve a chest retractor from the back table.
Don new gown and gloves.
Which of the following instruments can be decontaminated in a washer-sterilizer?
- Power drill
- Laser coated instrument set
- Phaco instrument set
- Colonoscope
Laser coated instrument set
The surgical technologist is using the Sterrad machine. What does the Sterrad use for this
sterilization method?
- hydrogen peroxide gas plasma
- steam
- glutaraldehyde
- peracetic acid
hydrogen peroxide gas plasma
We have an expert-written solution to this problem!
In which of the following circumstances is it appropriate for the surgical technologist to
perform immediate-use steam sterilization for "just in time" processing?
- The surgical instrument inventory budget is low.
- The procedure is emergent.
- The surgical site infection risk is low.
- The scheduled procedure is minimally invasive.
The procedure is emergent.
,The surgical team has just completed a radical mastectomy and the surgeon has left the
room. While cleaning up the back table the surgical technologist notices the Jackson Pratt
placed during this surgery is full with bright red fluid. Which of the following should the
surgical technologist do next?
- Ask the anesthesiologist to remove the bulb.
- Inform the circulator that the drain is full and there is the potential for active bleeding in the
surgical site.
- Immediately apply pressure over the site where the drain is inserted.
- Ask the circulator for a new bulb to replace the full one prior to the patient being sent to
PACU.
Inform the circulator that the drain is full and there is the potential for active bleeding in the
surgical site.
The surgical technologist is scrubbed in on a scheduled breast biopsy with a frozen section.
After removing the specimen, the surgeon tags the specimen with suture at 6 o'clock and
passes it to the technologist. Which of the following should the technologist do first?
- Label the specimen.
- Pass off the specimen to the nurse immediately.
- Ask the surgeon to identify the specimen.
- Place the specimen on a Raytec sponge.
Ask the surgeon to identify the specimen.
The surgeon is closing skin with the final stitch and all counts are complete. Which of the
following should the surgical technologist have ready for next step? (Select the three (3)
correct answers.)
- Wet sponge
- Dry sponge
- ABD pad
- Duraprep
- Cottonoids
Wet sponge, Dry sponge, ABD pad
A patient presents to the operating room for irrigation and debridement of a wound caused
by penetrating trauma. The surgeon states that the wound will heal by secondary intention.
Which of the following dressing types should the surgical technologist ask the circulator for?
,- Steri-Strips
- Bio-occlusive Opsite
- ABD
- Bolsters
ABD
At the end of each case the surgical technologist should:
- soak the instruments in normal saline.
- rinse blood from the instruments with sterile water.
- wipe the instruments off with a wet towel.
- have the circulator inspect the instruments.
rinse blood from the instruments with sterile water
An 85-year-old patient is currently in the operating room under general anesthesia for a right
hip arthroplasty. Which of the following will best help to prevent perioperative positioning
injuries?
- Ensure all bony prominences are sufficiently padded.
- Make sure that the implant is appropriately sized for the patient.
- Be attentive to intraoperative signs of discomfort or distress.
- Use a body warming blanket during the pre-operative phase.
Ensure all bony prominences are sufficiently padded.
The scheduled case is a prostatectomy. The surgeon has requested chromic gut suture for
reanastomosis. If Chromic gut is unavailable, which of the following sutures is a viable
substitute?
- Polyester/Dacron
- Silk
- Nylon
- Vicryl
Vicryl
The surgeon is performing an inguinal herniorraphy procedure and has made the incision
and dissected down a short way into the underlying tissue. Which of the following retractors
should the surgical technologist have ready to pass?
- Bookwalter
- Senn
, - Harrington
- Army-Navy
Army-Navy
The surgeon has removed a specimen for a fresh section and is sending it to the lab
immediately for a diagnosis. How should the technologist prepare the specimen for retrieval?
- Remove all sutures attached to the specimen and place in a specimen container.
- Place the specimen in a dry specimen container.
- Place the specimen in a container with saline to maintain moisture during transport.
- Remove all sutures attached and place the specimen on Telfa in a dry specimen container.
Place the specimen in a dry specimen container.
The surgical technologist is preparing for a myelography procedure. Which of the following
items would definitely be on the preference card for this case?
- Periosteal elevator
- Prolene mesh
- Williams retractor
- Contrast medium
Contrast medium
Which of the following are duties the surgeon may delegate to the surgical technologist?
(Select the three (3) correct answers.)
- Dissect tissue
- Cut suture
- Tie off suture
- Remove clamps
- Retract tissue
Cut suture, Remove clamps, Retract tissue
Which of the following is correct technique for opening a sterilized instrument tray as a
scrubbed surgical technologist using aseptic technique?
- Break the seal on the outer tray handles and lift the outer tray.
- Break the seal on the inner basket handles and lift the inner basket from the tray.
- After the seal is broken by circulator and the lid is removed, lift the outer tray.
- After the seal is broken by circulator and the lid is removed, lift the inner basket from the
tray.
The surgical technologist has just completed scrubbing for a repair of an abdominal
aneurysm. The aneurysm repair ruptures during transport from the operating room bed to
the stretcher. Which of the following actions should the surgical technologist take next?
- Begin chest compressions.
- Prepare the crash cart.
- Don new gown and gloves.
- Retrieve a chest retractor from the back table.
Don new gown and gloves.
Which of the following instruments can be decontaminated in a washer-sterilizer?
- Power drill
- Laser coated instrument set
- Phaco instrument set
- Colonoscope
Laser coated instrument set
The surgical technologist is using the Sterrad machine. What does the Sterrad use for this
sterilization method?
- hydrogen peroxide gas plasma
- steam
- glutaraldehyde
- peracetic acid
hydrogen peroxide gas plasma
We have an expert-written solution to this problem!
In which of the following circumstances is it appropriate for the surgical technologist to
perform immediate-use steam sterilization for "just in time" processing?
- The surgical instrument inventory budget is low.
- The procedure is emergent.
- The surgical site infection risk is low.
- The scheduled procedure is minimally invasive.
The procedure is emergent.
,The surgical team has just completed a radical mastectomy and the surgeon has left the
room. While cleaning up the back table the surgical technologist notices the Jackson Pratt
placed during this surgery is full with bright red fluid. Which of the following should the
surgical technologist do next?
- Ask the anesthesiologist to remove the bulb.
- Inform the circulator that the drain is full and there is the potential for active bleeding in the
surgical site.
- Immediately apply pressure over the site where the drain is inserted.
- Ask the circulator for a new bulb to replace the full one prior to the patient being sent to
PACU.
Inform the circulator that the drain is full and there is the potential for active bleeding in the
surgical site.
The surgical technologist is scrubbed in on a scheduled breast biopsy with a frozen section.
After removing the specimen, the surgeon tags the specimen with suture at 6 o'clock and
passes it to the technologist. Which of the following should the technologist do first?
- Label the specimen.
- Pass off the specimen to the nurse immediately.
- Ask the surgeon to identify the specimen.
- Place the specimen on a Raytec sponge.
Ask the surgeon to identify the specimen.
The surgeon is closing skin with the final stitch and all counts are complete. Which of the
following should the surgical technologist have ready for next step? (Select the three (3)
correct answers.)
- Wet sponge
- Dry sponge
- ABD pad
- Duraprep
- Cottonoids
Wet sponge, Dry sponge, ABD pad
A patient presents to the operating room for irrigation and debridement of a wound caused
by penetrating trauma. The surgeon states that the wound will heal by secondary intention.
Which of the following dressing types should the surgical technologist ask the circulator for?
,- Steri-Strips
- Bio-occlusive Opsite
- ABD
- Bolsters
ABD
At the end of each case the surgical technologist should:
- soak the instruments in normal saline.
- rinse blood from the instruments with sterile water.
- wipe the instruments off with a wet towel.
- have the circulator inspect the instruments.
rinse blood from the instruments with sterile water
An 85-year-old patient is currently in the operating room under general anesthesia for a right
hip arthroplasty. Which of the following will best help to prevent perioperative positioning
injuries?
- Ensure all bony prominences are sufficiently padded.
- Make sure that the implant is appropriately sized for the patient.
- Be attentive to intraoperative signs of discomfort or distress.
- Use a body warming blanket during the pre-operative phase.
Ensure all bony prominences are sufficiently padded.
The scheduled case is a prostatectomy. The surgeon has requested chromic gut suture for
reanastomosis. If Chromic gut is unavailable, which of the following sutures is a viable
substitute?
- Polyester/Dacron
- Silk
- Nylon
- Vicryl
Vicryl
The surgeon is performing an inguinal herniorraphy procedure and has made the incision
and dissected down a short way into the underlying tissue. Which of the following retractors
should the surgical technologist have ready to pass?
- Bookwalter
- Senn
, - Harrington
- Army-Navy
Army-Navy
The surgeon has removed a specimen for a fresh section and is sending it to the lab
immediately for a diagnosis. How should the technologist prepare the specimen for retrieval?
- Remove all sutures attached to the specimen and place in a specimen container.
- Place the specimen in a dry specimen container.
- Place the specimen in a container with saline to maintain moisture during transport.
- Remove all sutures attached and place the specimen on Telfa in a dry specimen container.
Place the specimen in a dry specimen container.
The surgical technologist is preparing for a myelography procedure. Which of the following
items would definitely be on the preference card for this case?
- Periosteal elevator
- Prolene mesh
- Williams retractor
- Contrast medium
Contrast medium
Which of the following are duties the surgeon may delegate to the surgical technologist?
(Select the three (3) correct answers.)
- Dissect tissue
- Cut suture
- Tie off suture
- Remove clamps
- Retract tissue
Cut suture, Remove clamps, Retract tissue
Which of the following is correct technique for opening a sterilized instrument tray as a
scrubbed surgical technologist using aseptic technique?
- Break the seal on the outer tray handles and lift the outer tray.
- Break the seal on the inner basket handles and lift the inner basket from the tray.
- After the seal is broken by circulator and the lid is removed, lift the outer tray.
- After the seal is broken by circulator and the lid is removed, lift the inner basket from the
tray.
