NCCT Mock Exam
A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the groin. The
wound is an inch in length and the patient has flat lined with a steady flow of blood pumping
from the small wound. Which of the following items should the surgical technologist have
ready for the surgeon? (Select the three (3) correct answers.) - ANS-Lap sponges, knife
blade, Yankauer suction
A cardiac arrest occurs during a thoracotomy procedure, and the surgeon calls a CODE
BLUE. The surgeon is attempting to resuscitate the patient using CPR. Which of the
following is the responsibility of the surgical technologist in this situation? - ANS-Prepare
internal defibrillator paddles.
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. Add the microscope to the preference card immediately.
B. Ask the circulator to add in the notes section of the preference card to always have a
microscope in the room.
C. Add the microscope to the equipment section of the preference card.
D. Ask the circulator to add in the notes section of the preference card to have a microscope
available for this procedure. - ANS-D. Ask the circulator to add in the notes section of the
preference card to have a microscope available for this procedure
A charge nurse has just notified the surgical technologist to be prepared for a post-operative
emergency for a post salpingo-oophorectomy. Which of the following is the instrumentation
needed? (Select the two (2) correct answers.) - ANS-Bookwalter retractor, major set
A GYN patient is scheduled to have a D&C procedure. To prevent the risk of skin and
neurovascular pressure or injury when the patient is placed in stirrups in the lithotomy
position, which of the following must the surgical team do?
A. Have a backup pair of stirrups available in room.
B. Have adequate padding available in room.
C. Ensure the surgeon is in the room during positioning.
D. Place patient in position before the anesthesia. - ANS-B. Have adequate padding
available in room
A gynecologic oncology surgeon decides to bring her patient into the OR emergently after
seeing her in the office. The patient's abdomen is greatly distended, warm and firm to the
touch. Which of the following should the surgical technologist have available? - ANS-Poole
tip suction and Lap sponges
A laparoscopic cholecystectomy has been converted to an open. Which of the following
drains should the surgical technologist have available?
A. Jackson Pratt
B. Foley
C. TLS
D. T-tube - ANS-D. T-tube
,A patient has a latex allergy and is scheduled for an abdominal hysterectomy. A catheter will
be inserted in the patient's bladder pre-operatively. Which of the following is the proper
catheter to use for this patient?
A. rubber Foley catheter
B. Teflon ureteral catheter
C. polyethylene Malecot catheter
D. silicone retention catheter - ANS-D. Silicone retention catheter
A patient is having a cervical cone biopsy. The surgeon prefers to not use a Bovie. Which of
the following solutions should the surgical technologist have available in the room for control
of bleeding? - ANS-Monsel's solution
A patient is having a hysteroscopy for myomectomy excision. The patient has been under
anesthesia for an hour and is starting to show signs of extreme swelling. Which of the
following is most critical to monitor in order to prevent these symptoms? - ANS-Fluid intake
and output
A patient is having a laparoscopic assisted vaginal hysterectomy. If the surgeon is unable to
extract the uterus vaginally, which of the following equipment should the surgical
technologist have available to retrieve the uterus?
A. harmonic scalpel
B. ligasure
C. morcellator
D. enseal - ANS-C. Morcellator
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. negligence.
B. battery.
C. malice.
D. respondent superior. - ANS-A. Negligence
A patient is undergoing a right partial pneumonectomy. Which of the following drains should
the surgical technologist prepare for placement at the end of the case?
A. Jackson Pratt
B. chest tube
C. Penrose
D. Hemovac - ANS-B. Chest tube
A patient presents to the operating room for a hydrocelectomy. Which of the following
dressings should the surgical technologist anticipate needing? - ANS-Scrotal support
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?
A. Steri-Strips
B. bio-occlusive Opsite
C. ABD
D. bolsters - ANS-C. ABD
A patient's dentures are removed in the operating room. Which of the following is the proper
procedure for the care of the dentures? - ANS-The circulator places the dentures in a
labeled denture cup and keeps them with the patient's chart.
A pressure dressing is most likely applied over a
A. fractured femur EX Fix.
B. skin graft.
, C. cataract surgery.
D. TURP. - ANS-B. Skin graft
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 a time out.
B. Perform an intra-operative count.
C. Perform an instrument, supply and equipment check.
D. Sign off on the count on the patients' peri-operative record. - ANS-B. Perform an
intra-operative count
A surgical technologist is in the process of opening sterile supplies for an abdominal
hysterectomy on a 300 lb. patient. After reviewing the preference card, which of the following
items should the technologist hold in order to watch costs? (Select the three (3) correct
answers.)
A. long Bovie tip
B. closing suture
C. 11 knife blade
D. extra laps
E. extra Raytec - ANS-B. Closing suture, C. 11 knife blade, E. Extra raytec
A surgical technologist relieves another technologist during a case. After the first
technologist leaves, the relieving technologist realizes that the medication on the field is not
labeled. Which of the following is the first action the relieving technologist should take? -
ANS-Discard the medication and irrigating solution on the field and start over.
A surgical technologist working the night shift is preparing implants for the next morning.
After running the autoclave, the cycle fails. Which of the following should the surgical
technologist do?
A. Rerun the wrapped implants with an external chemical monitor taped to the outside of the
sets to ensure proper sterility has been achieved.
B. Ask the night operating room supervisor to postpone the orthopedic surgical procedure
until the oncoming day shift surgical technologists can run a BI test pack on the first load of
the day.
C. Unwrap, decontaminate and re-sterilize implants with a biological test pack and place a
hold on the use of the sets until the BI test results are available.
D. Have the sterilizer scheduled for repair and halt the sterilization of all implants. - ANS-C.
Unwrap, decontaminate and re-sterilize implants with a biological test pack and place a hold
on the use of the sets until the BI test results are available
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? - ANS-Finish the procedure and evacuate the patient.
A vulva biopsy is to be conducted on a patient who is an observant Muslim. Which of the
following should actions should be taken for this case? - ANS-Enlist an all female surgical
team.
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. flexible bronchoscopy
B. laryngoscopy
C. tracheostomy
A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the groin. The
wound is an inch in length and the patient has flat lined with a steady flow of blood pumping
from the small wound. Which of the following items should the surgical technologist have
ready for the surgeon? (Select the three (3) correct answers.) - ANS-Lap sponges, knife
blade, Yankauer suction
A cardiac arrest occurs during a thoracotomy procedure, and the surgeon calls a CODE
BLUE. The surgeon is attempting to resuscitate the patient using CPR. Which of the
following is the responsibility of the surgical technologist in this situation? - ANS-Prepare
internal defibrillator paddles.
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. Add the microscope to the preference card immediately.
B. Ask the circulator to add in the notes section of the preference card to always have a
microscope in the room.
C. Add the microscope to the equipment section of the preference card.
D. Ask the circulator to add in the notes section of the preference card to have a microscope
available for this procedure. - ANS-D. Ask the circulator to add in the notes section of the
preference card to have a microscope available for this procedure
A charge nurse has just notified the surgical technologist to be prepared for a post-operative
emergency for a post salpingo-oophorectomy. Which of the following is the instrumentation
needed? (Select the two (2) correct answers.) - ANS-Bookwalter retractor, major set
A GYN patient is scheduled to have a D&C procedure. To prevent the risk of skin and
neurovascular pressure or injury when the patient is placed in stirrups in the lithotomy
position, which of the following must the surgical team do?
A. Have a backup pair of stirrups available in room.
B. Have adequate padding available in room.
C. Ensure the surgeon is in the room during positioning.
D. Place patient in position before the anesthesia. - ANS-B. Have adequate padding
available in room
A gynecologic oncology surgeon decides to bring her patient into the OR emergently after
seeing her in the office. The patient's abdomen is greatly distended, warm and firm to the
touch. Which of the following should the surgical technologist have available? - ANS-Poole
tip suction and Lap sponges
A laparoscopic cholecystectomy has been converted to an open. Which of the following
drains should the surgical technologist have available?
A. Jackson Pratt
B. Foley
C. TLS
D. T-tube - ANS-D. T-tube
,A patient has a latex allergy and is scheduled for an abdominal hysterectomy. A catheter will
be inserted in the patient's bladder pre-operatively. Which of the following is the proper
catheter to use for this patient?
A. rubber Foley catheter
B. Teflon ureteral catheter
C. polyethylene Malecot catheter
D. silicone retention catheter - ANS-D. Silicone retention catheter
A patient is having a cervical cone biopsy. The surgeon prefers to not use a Bovie. Which of
the following solutions should the surgical technologist have available in the room for control
of bleeding? - ANS-Monsel's solution
A patient is having a hysteroscopy for myomectomy excision. The patient has been under
anesthesia for an hour and is starting to show signs of extreme swelling. Which of the
following is most critical to monitor in order to prevent these symptoms? - ANS-Fluid intake
and output
A patient is having a laparoscopic assisted vaginal hysterectomy. If the surgeon is unable to
extract the uterus vaginally, which of the following equipment should the surgical
technologist have available to retrieve the uterus?
A. harmonic scalpel
B. ligasure
C. morcellator
D. enseal - ANS-C. Morcellator
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. negligence.
B. battery.
C. malice.
D. respondent superior. - ANS-A. Negligence
A patient is undergoing a right partial pneumonectomy. Which of the following drains should
the surgical technologist prepare for placement at the end of the case?
A. Jackson Pratt
B. chest tube
C. Penrose
D. Hemovac - ANS-B. Chest tube
A patient presents to the operating room for a hydrocelectomy. Which of the following
dressings should the surgical technologist anticipate needing? - ANS-Scrotal support
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?
A. Steri-Strips
B. bio-occlusive Opsite
C. ABD
D. bolsters - ANS-C. ABD
A patient's dentures are removed in the operating room. Which of the following is the proper
procedure for the care of the dentures? - ANS-The circulator places the dentures in a
labeled denture cup and keeps them with the patient's chart.
A pressure dressing is most likely applied over a
A. fractured femur EX Fix.
B. skin graft.
, C. cataract surgery.
D. TURP. - ANS-B. Skin graft
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 a time out.
B. Perform an intra-operative count.
C. Perform an instrument, supply and equipment check.
D. Sign off on the count on the patients' peri-operative record. - ANS-B. Perform an
intra-operative count
A surgical technologist is in the process of opening sterile supplies for an abdominal
hysterectomy on a 300 lb. patient. After reviewing the preference card, which of the following
items should the technologist hold in order to watch costs? (Select the three (3) correct
answers.)
A. long Bovie tip
B. closing suture
C. 11 knife blade
D. extra laps
E. extra Raytec - ANS-B. Closing suture, C. 11 knife blade, E. Extra raytec
A surgical technologist relieves another technologist during a case. After the first
technologist leaves, the relieving technologist realizes that the medication on the field is not
labeled. Which of the following is the first action the relieving technologist should take? -
ANS-Discard the medication and irrigating solution on the field and start over.
A surgical technologist working the night shift is preparing implants for the next morning.
After running the autoclave, the cycle fails. Which of the following should the surgical
technologist do?
A. Rerun the wrapped implants with an external chemical monitor taped to the outside of the
sets to ensure proper sterility has been achieved.
B. Ask the night operating room supervisor to postpone the orthopedic surgical procedure
until the oncoming day shift surgical technologists can run a BI test pack on the first load of
the day.
C. Unwrap, decontaminate and re-sterilize implants with a biological test pack and place a
hold on the use of the sets until the BI test results are available.
D. Have the sterilizer scheduled for repair and halt the sterilization of all implants. - ANS-C.
Unwrap, decontaminate and re-sterilize implants with a biological test pack and place a hold
on the use of the sets until the BI test results are available
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? - ANS-Finish the procedure and evacuate the patient.
A vulva biopsy is to be conducted on a patient who is an observant Muslim. Which of the
following should actions should be taken for this case? - ANS-Enlist an all female surgical
team.
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. flexible bronchoscopy
B. laryngoscopy
C. tracheostomy
