NCCT Surgical Practice Exam Test
Questions and Answers.
The surgical technologist observed a patient fall during the transfer from the gurney to the operating
N N N N N N N N N N N N N N N
bed. Which of the following items are required in the incident report? (Select the three (3) correct
N N N N N N N N N N N N N N N N N
answers.)
N
A. patient's name
N N
B. personnel involved
N N
C. type of anesthesia used
N N N N
D. location of the incident
N N N N
E. patient's weight - ANS >> patient's name, personnel involved, location of the incident
N N N N N N N N N N N N N
A patient's dentures are removed in the operating room. Which of the following is the proper
N N N N N N N N N N N N N N N
procedure for the care of the dentures?
N N N N N N N
A. The recovery room nurse maintains possession of the labeled denture cup until post surgery.
N N N N N N N N N N N N N N
B. The circulator places the dentures in a labeled denture cup and keeps them with the patient's
N N N N N N N N N N N N N N N N
chart.
N
C. The anesthesia provider holds the labeled denture cup until the patient is awake.
N N N N N N N N N N N N N
D. The charge nurse holds the labeled denture cup in a secure area until post surgery. - ANS >> The
N N N N N N N N N N N N N N N N N N N
circulator places the dentures in a labeled denture cup and keeps them with the patient's chart.
N N N N N N N N N N N N N N N N
The surgeon begins to close the uterus during a myomectomy. Which of the following actions should
N N N N N N N N N N N N N N N
the surgical technologist take before continuing with the closure of the wound?
N N N N N N N N N N N N
A. Initiate the closing count.
N N N N
B. Initiate the cavity count.
N N N N
C. Obtain sterile wound dressing material.
N N N N N
D. Weigh the myoma. - ANS >> Initiate the cavity count.
N N N N N N N N N N
The surgical technologist prepared a breast lump to send as a frozen section to pathology. The
N N N N N N N N N N N N N N N
surgical technologist should pass off the specimen placed
N N N N N N N N
,A. in normal saline.
N N N
B. on a raytec sponge.
N N N N
C. on a telfa pad.
N N N N
D. in formalin. - ANS >> on a telfa pad.
N N N N N N N N N
Which of the following steps are taken after the surgery has finished and the surgical technologist is
N N N N N N N N N N N N N N N N
breaking scrub?
N N
A. Wipe blood off of gloves and remove them, then remove the gown.
N N N N N N N N N N N N
N B. Using a gloved hand, untie the neck of the gown and pull away from the body, keeping all blood
N N N N N N N N N N N N N N N N N N N
N on the gown.
N N
C. Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball.
N N N N N N N N N N N N N N N N N N
D. Ask the circulator to assist in removing the gown and gloves. - ANS >> Wipe the gloves off, grasp
N N N N N N N N N N N N N N N N N N N
the gown at the shoulders, and roll the gown forward into a ball.
N N N N N N N N N N N N N
The patient coming into surgery is from northern India. After induction the anesthesia provider asks
N N N N N N N N N N N N N N
for hair clippers to trim the patients beard to tape the endotracheal tube in place. Which of the
N N N N N N N N N N N N N N N N N N
following is the appropriate action?
N N N N N
A. Retrieve the clippers as this is medically necessary regardless of religion. B. Inform the anesthesia
N N N N N N N N N N N N N N N
provider of the patient's religion.
N N N N N
C. Consult with the surgeon as this was not on the consent.
N N N N N N N N N N N
D. Provide a razor as a better option than the hair clipper. - ANS >> Inform the anesthesia provider
N N N N N N N N N N N N N N N N N N
of the patient's religion.
N N N N
The surgical technologist is helping the surgeon complete a laparoscopic cholecystectomy and the
N N N N N N N N N N N N
surgeon has placed the dressing on the patient. Which of the following should the surgical
N N N N N N N N N N N N N N N
technologist do next?
N N N
A. Remove the top glove, hold the dressing in place, roll away the drape and discard.
N N N N N N N N N N N N N N N
B. Remove Mayo stand, back table and top glove, hold the dressing in place, tear the drape off the
N N N N N N N N N N N N N N N N N N
patient and discard.
N N N
C. Remove top glove, hold dressing in place, tear the drape off patient and discard.
N N N N N N N N N N N N N N
D. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape
N N N N N N N N N N N N N N N N N N
and discard. - ANS >> Remove the Mayo stand, back table and top glove, hold the dressing in place,
N N N N N N N N N N N N N N N N N N N
roll away the drape and discard.
N N N N N N
, During a small bowel resection the surgeon intends to use a disposable internal stapling device.
N N N N N N N N N N N N N N
When should the device be assembled by the surgical technologist?
N N N N N N N N N N
A. before the case starts
N N N N
B. after the surgeon choses the device
N N N N N N
C. after the case is set up
N N N N N N
D. once the patient is draped - ANS >> after the surgeon choses the device
N N N N N N N N N N N N N N
When breaking down the setup, which of the following steps should be completed first?
N N N N N N N N N N N N N
A. The instruments are put back into the instrument tray and placed in/on the case cart.
N N N N N N N N N N N N N N N
B. All sharps are contained and disposed of in the sharps container. C. Spray down the non-
N N N N N N N N N N N N N N N N
disposable instruments with cleaner. N N N
D. All disposable drapes are discarded into the trash receptacle - ANS >> All sharps are contained
N N N N N N N N N N N N N N N N
and disposed of in the sharps container.
N N N N N N N
A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the groin. The wound is
N N N N N N N N N N N N N N N N N N
an inch in length and the patient has flat lined with a steady flow of blood pumping from the small
N N N N N N N N N N N N N N N N N N N N
wound. Which of the following items should the surgical technologist have ready for the surgeon?
N N N N N N N N N N N N N N N
(Select the three (3) correct answers.)
N N N N N N
A. Yankauer suction
N N
B. lap sponges
N N
C. Raytec sponges
N N
D. Frazier suction
N N
E. knife blade - ANS >> lap sponges, knife blade, Yankauer suction
N N N N N N N N N N N
A tornado warning is in effect and power has been switched to the generator due to downed
N N N N N N N N N N N N N N N N
electrical lines. The hospital's disaster triage protocol has been activated. A surgical procedure is in
N N N N N N N N N N N N N N N
progress. Which of the following is the best course of action to ensure patient safety?
N N N N N N N N N N N N N N N
A. Immediately evacuate the patient to the preoperative holding area.
N N N N N N N N N N
B. Finish the procedure and evacuate the patient.
N N N N N N N
C. Place wet towels under door and finish the procedure.
N N N N N N N N N
D. Cover the back table until the storm passes. - ANS >> Finish the procedure and evacuate the
N N N N N N N N N N N N N N N N N
patient.
N
Questions and Answers.
The surgical technologist observed a patient fall during the transfer from the gurney to the operating
N N N N N N N N N N N N N N N
bed. Which of the following items are required in the incident report? (Select the three (3) correct
N N N N N N N N N N N N N N N N N
answers.)
N
A. patient's name
N N
B. personnel involved
N N
C. type of anesthesia used
N N N N
D. location of the incident
N N N N
E. patient's weight - ANS >> patient's name, personnel involved, location of the incident
N N N N N N N N N N N N N
A patient's dentures are removed in the operating room. Which of the following is the proper
N N N N N N N N N N N N N N N
procedure for the care of the dentures?
N N N N N N N
A. The recovery room nurse maintains possession of the labeled denture cup until post surgery.
N N N N N N N N N N N N N N
B. The circulator places the dentures in a labeled denture cup and keeps them with the patient's
N N N N N N N N N N N N N N N N
chart.
N
C. The anesthesia provider holds the labeled denture cup until the patient is awake.
N N N N N N N N N N N N N
D. The charge nurse holds the labeled denture cup in a secure area until post surgery. - ANS >> The
N N N N N N N N N N N N N N N N N N N
circulator places the dentures in a labeled denture cup and keeps them with the patient's chart.
N N N N N N N N N N N N N N N N
The surgeon begins to close the uterus during a myomectomy. Which of the following actions should
N N N N N N N N N N N N N N N
the surgical technologist take before continuing with the closure of the wound?
N N N N N N N N N N N N
A. Initiate the closing count.
N N N N
B. Initiate the cavity count.
N N N N
C. Obtain sterile wound dressing material.
N N N N N
D. Weigh the myoma. - ANS >> Initiate the cavity count.
N N N N N N N N N N
The surgical technologist prepared a breast lump to send as a frozen section to pathology. The
N N N N N N N N N N N N N N N
surgical technologist should pass off the specimen placed
N N N N N N N N
,A. in normal saline.
N N N
B. on a raytec sponge.
N N N N
C. on a telfa pad.
N N N N
D. in formalin. - ANS >> on a telfa pad.
N N N N N N N N N
Which of the following steps are taken after the surgery has finished and the surgical technologist is
N N N N N N N N N N N N N N N N
breaking scrub?
N N
A. Wipe blood off of gloves and remove them, then remove the gown.
N N N N N N N N N N N N
N B. Using a gloved hand, untie the neck of the gown and pull away from the body, keeping all blood
N N N N N N N N N N N N N N N N N N N
N on the gown.
N N
C. Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball.
N N N N N N N N N N N N N N N N N N
D. Ask the circulator to assist in removing the gown and gloves. - ANS >> Wipe the gloves off, grasp
N N N N N N N N N N N N N N N N N N N
the gown at the shoulders, and roll the gown forward into a ball.
N N N N N N N N N N N N N
The patient coming into surgery is from northern India. After induction the anesthesia provider asks
N N N N N N N N N N N N N N
for hair clippers to trim the patients beard to tape the endotracheal tube in place. Which of the
N N N N N N N N N N N N N N N N N N
following is the appropriate action?
N N N N N
A. Retrieve the clippers as this is medically necessary regardless of religion. B. Inform the anesthesia
N N N N N N N N N N N N N N N
provider of the patient's religion.
N N N N N
C. Consult with the surgeon as this was not on the consent.
N N N N N N N N N N N
D. Provide a razor as a better option than the hair clipper. - ANS >> Inform the anesthesia provider
N N N N N N N N N N N N N N N N N N
of the patient's religion.
N N N N
The surgical technologist is helping the surgeon complete a laparoscopic cholecystectomy and the
N N N N N N N N N N N N
surgeon has placed the dressing on the patient. Which of the following should the surgical
N N N N N N N N N N N N N N N
technologist do next?
N N N
A. Remove the top glove, hold the dressing in place, roll away the drape and discard.
N N N N N N N N N N N N N N N
B. Remove Mayo stand, back table and top glove, hold the dressing in place, tear the drape off the
N N N N N N N N N N N N N N N N N N
patient and discard.
N N N
C. Remove top glove, hold dressing in place, tear the drape off patient and discard.
N N N N N N N N N N N N N N
D. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape
N N N N N N N N N N N N N N N N N N
and discard. - ANS >> Remove the Mayo stand, back table and top glove, hold the dressing in place,
N N N N N N N N N N N N N N N N N N N
roll away the drape and discard.
N N N N N N
, During a small bowel resection the surgeon intends to use a disposable internal stapling device.
N N N N N N N N N N N N N N
When should the device be assembled by the surgical technologist?
N N N N N N N N N N
A. before the case starts
N N N N
B. after the surgeon choses the device
N N N N N N
C. after the case is set up
N N N N N N
D. once the patient is draped - ANS >> after the surgeon choses the device
N N N N N N N N N N N N N N
When breaking down the setup, which of the following steps should be completed first?
N N N N N N N N N N N N N
A. The instruments are put back into the instrument tray and placed in/on the case cart.
N N N N N N N N N N N N N N N
B. All sharps are contained and disposed of in the sharps container. C. Spray down the non-
N N N N N N N N N N N N N N N N
disposable instruments with cleaner. N N N
D. All disposable drapes are discarded into the trash receptacle - ANS >> All sharps are contained
N N N N N N N N N N N N N N N N
and disposed of in the sharps container.
N N N N N N N
A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the groin. The wound is
N N N N N N N N N N N N N N N N N N
an inch in length and the patient has flat lined with a steady flow of blood pumping from the small
N N N N N N N N N N N N N N N N N N N N
wound. Which of the following items should the surgical technologist have ready for the surgeon?
N N N N N N N N N N N N N N N
(Select the three (3) correct answers.)
N N N N N N
A. Yankauer suction
N N
B. lap sponges
N N
C. Raytec sponges
N N
D. Frazier suction
N N
E. knife blade - ANS >> lap sponges, knife blade, Yankauer suction
N N N N N N N N N N N
A tornado warning is in effect and power has been switched to the generator due to downed
N N N N N N N N N N N N N N N N
electrical lines. The hospital's disaster triage protocol has been activated. A surgical procedure is in
N N N N N N N N N N N N N N N
progress. Which of the following is the best course of action to ensure patient safety?
N N N N N N N N N N N N N N N
A. Immediately evacuate the patient to the preoperative holding area.
N N N N N N N N N N
B. Finish the procedure and evacuate the patient.
N N N N N N N
C. Place wet towels under door and finish the procedure.
N N N N N N N N N
D. Cover the back table until the storm passes. - ANS >> Finish the procedure and evacuate the
N N N N N N N N N N N N N N N N N
patient.
N