(NIFA)
National Board of Surgical Technology and Surgical Assisting
NBSTSA
Certified Surgical First Assistant (CSFA)
NBSTA Certified Surgical Nurse First Assistants CSFA
Course Title and Number: CSFA Certification Exam
Exam Title: Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
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CSFA Certification Exam Review Certified Surgical First
Assistant (CSFA) Review Questions and Answers | 100% Pass
Guaranteed | Graded A+ |
2025- 2026
CSFA Exam NBSTSA Certification
Certified Surgical First Assistant (CSFA)
National Board of Surgical Technology and Surgical Assisting
NBSTSA
National Institute of First Assist (NIFA)
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
A patient requires breast reconstructive surgery for breast
cancer. When the surgeon places a tissue expander, which of
the following muscles are lifted to allow for the placement of
the expander?
A.pectoralis major, deltoid, and superior rectus sheath
B.pectoralis minor, serratus anterior, and superior rectus
sheath
C.pectoralis major, serratus anterior, and superior rectus
sheath
D.pectoralis minor, serratus anterior, and latissimus dorsi -
=Answer>> C. The pectoralis major, serratus anterior, and
superior rectus sheath are lifted up and the tissue expander is
placed underneath and anchored into place. A biologic mesh
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may be placed over the expander to help the pectoralis cover
the expander.
Which of the following conditions may be induced when
thrombin is used in the management of hemostasis during a
vascular procedure?
A.thalassemia
B.disseminated intravascular clotting
C.thrombocytopenia
D.von Willebrand's disease - =Answer>> B. The entry of
thrombin through larger vessels has a risk of causing
disseminated intravascular clotting (DIC). DIC occurs when
overactive coagulation factors cause clots to form in the blood
and travel throughout the vascular system.
A patient presents with a traumatic soft tissue injury with a
Class III wound. Which of the following is the MOST appropriate
dressing?
A.Dermabond
B.Telfa
C.Tegaderm
D.wound VAC - =Answer>> D. wound VAC
Which of the following is an example of a secondary dressing?
A.ACE bandage
B.4 X 4 sponge
C.wound VAC
D.Telfa - =Answer>> ACE bandage
Which type of drain is generally used for large open
contaminated wounds such as perirectal, perianal fistulas, and
subcutaneous abscess cavities?
A.Penrose
B.Jackson-Pratt
C.Hemovac
D.Blake - =Answer>> A. An open drain is appropriate for an
open cavity.
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Which of the following is a CONTRAINDICATION for the use of
negative-pressure wound therapy?
A.skin grafts
B.pressure ulcers
C.skin flaps
D.untreated osteomyelitis - =Answer>> D. Negative-
pressure wound therapy is contraindicated for untreated
osteomyelitis.
Which of the following splints would be placed on a patient
immediately postoperative for an ORIF Olecranon fracture?
A.long arm
B.short arm
C.long leg
D.short leg - =Answer>> A. Long arm casts are used for
immobilization of elbow fractures.
If operating with multiple sharps on the surgical field, which of
the following is the MOST effective way to reduce potential
injuries?
A.Pass all sharps by hand.
B.Keep all sharps on the mayo stand.
C.Place the count board on the mayo stand.
D.Utilize a neutral zone. - =Answer>> D. Neutral Zone
A patient presented in the OR with a cervical spine fracture.
Which of the following traction devices is MOST appropriate?
A.Gardner-Wells tongs
B.Thomas splint
C.traction splint
D.Buck's traction - =Answer>> A. Gardner-Wells tongs are
used for a cervical spine fracture because they are inserted
directly in the skull.
Which of the following is the PRIMARY reason an elastic
bandage would be utilized on an extremity undergoing a skin
graft?
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