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NCCT Surgical Practice Exam Test Questions and Answers..docx

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NCCT Surgical Practice Exam Test Questions and Answers..docx

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NCCT Surgical Practice Exam Test
Questions and Answers.

The surgical technologist observed a patient fall during the transfer from the gurney to the operating
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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
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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
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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
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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
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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
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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
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surgeon has placed the dressing on the patient. Which of the following should the surgical
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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.
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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?
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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
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