NBSTSA Practice Exam B with precise answers ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1. Which of the following is considered the MOST important skill for a surgical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
technologist?
A. management of specimens
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B. management of sponges
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C. maintaining an orderly setup
||\\//|| ||\\//|| ||\\//|| ||\\//||
D. ensuring adequate lighting - correct answer✔✔A. Management of specimens
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2. During the postoperative phase, the personnel primarily responsible for transporting
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
soiled instrumentation to decontamination is the
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A. housekeeping staff.
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B. anesthesia technician.
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C. surgical technologist.
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D. central processing technician. - correct answer✔✔C. Surgical technologist
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3. The surgical incision that allows for the BEST visualization for a Billroth I procedure is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. McBurney's.
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B. Pfannenstiel.
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C. midline.
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D. subcostal. - correct answer✔✔C. Midline
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,4. CSF is formed in the lateral ventricles of a patient and may not properly flow into the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
third ventricle through the foramen of
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A. Magendie into the fourth ventricle.
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B. Monro into the fourth ventricle.
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C. Sylvius into the fourth ventricle.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D. Luschka into the fourth ventricle. - correct answer✔✔C. Sylvius into the fourth ventricle
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
5. During an excisional biopsy of sentinel nodes, the surgical technologist should prepare
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
specimens using which of the following methods? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. Place on a Raytec to be handed off to the circulator.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B. Separate on Telfa and pass to the circulator.
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C. Place in separate containers and identify.
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D. Place in specimen container held by the circulator using a hemostat. - correct
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answer✔✔C. Place in separate containers and identify ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
6. A surgical technologist received the following medications onto the sterile field: 0.9%
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with epinephrine. Which of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
following is the MOST appropriate way to label these medications? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. saline + bacitracin and .25 Marcaine + epinephrine
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B. NACL + 1 gm baci and 0.25 marc w/epi
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C. saline + baci and 0.25% marc with epi
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,7. A thyroidectomy that was done earlier in the day is being brought back for excessive
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
bleeding from the incision. Which of the following items are needed for this case? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. Monocryl suture and harmonic scalpel
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B. laps, silk ties, and hemoclips
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C. Vicryl ties, pledgets, and Alexis
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D. nylon suture, Raytec, and Geralds - correct answer✔✔B. laps, silk ties, and hemoclips
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
8. If there is any question related to handling a specific type of specimen, which of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
following departments should be consulted? ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. histology||\\//||
B. laboratory
||\\//||
C. pathology
||\\//||
D. radiology - correct answer✔✔C. Pathology
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
9. The required number of air exchanges per hour in an OR is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. 5 to 10. ||\\//|| ||\\//|| ||\\//||
B. 15 to 25.
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C. 30 to 35.
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D. 40 to 50. - correct answer✔✔B. 15 to 25
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10. A special-made instrument without a backup falls to the floor during a procedure.
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Which of the following is the BEST reason to hesitate performing immediate-use
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
sterilization?
, A. The sterilizer is used for implantable devices, but not instruments.
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B. The manufacturer's standards for sterilizing the instrument are unknown.
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C. The staff feels uncomfortable transporting the unwrapped instrument to the OR after
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sterilization.
D. There are no wrappers or pouches available for sterilizing the instrument. - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔B. The manufacturer's standards for sterilizing the instrument are unknown. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
11. When transferring a thoracotomy patient to recovery, the chest drainage system should
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
be
A. disconnected.
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B. placed at the patient's side.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C. positioned above the patient's head.
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D. maintained below the patient's chest level. - correct answer✔✔D. Maintained below the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patient's chest level ||\\//|| ||\\//||
12.Which of the following procedures requires an incision in the suprasternal notch?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. mediastinoscopy
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B. bronchoscopy
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C. parotidectomy
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D. pericardectomy - correct answer✔✔A. Mediastionscopy
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13. When preparing surgical specimens, in addition to the surgical technologist, who else is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
responsible for accurately labeling the specimen? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. surgeon and anesthesiologist
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1. Which of the following is considered the MOST important skill for a surgical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
technologist?
A. management of specimens
||\\//|| ||\\//|| ||\\//||
B. management of sponges
||\\//|| ||\\//|| ||\\//||
C. maintaining an orderly setup
||\\//|| ||\\//|| ||\\//|| ||\\//||
D. ensuring adequate lighting - correct answer✔✔A. Management of specimens
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. During the postoperative phase, the personnel primarily responsible for transporting
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
soiled instrumentation to decontamination is the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. housekeeping staff.
||\\//|| ||\\//||
B. anesthesia technician.
||\\//|| ||\\//||
C. surgical technologist.
||\\//|| ||\\//||
D. central processing technician. - correct answer✔✔C. Surgical technologist
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3. The surgical incision that allows for the BEST visualization for a Billroth I procedure is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. McBurney's.
||\\//||
B. Pfannenstiel.
||\\//||
C. midline.
||\\//||
D. subcostal. - correct answer✔✔C. Midline
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,4. CSF is formed in the lateral ventricles of a patient and may not properly flow into the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
third ventricle through the foramen of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. Magendie into the fourth ventricle.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B. Monro into the fourth ventricle.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C. Sylvius into the fourth ventricle.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D. Luschka into the fourth ventricle. - correct answer✔✔C. Sylvius into the fourth ventricle
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
5. During an excisional biopsy of sentinel nodes, the surgical technologist should prepare
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
specimens using which of the following methods? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. Place on a Raytec to be handed off to the circulator.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B. Separate on Telfa and pass to the circulator.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C. Place in separate containers and identify.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D. Place in specimen container held by the circulator using a hemostat. - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔C. Place in separate containers and identify ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
6. A surgical technologist received the following medications onto the sterile field: 0.9%
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with epinephrine. Which of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
following is the MOST appropriate way to label these medications? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. saline + bacitracin and .25 Marcaine + epinephrine
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B. NACL + 1 gm baci and 0.25 marc w/epi
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C. saline + baci and 0.25% marc with epi
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,7. A thyroidectomy that was done earlier in the day is being brought back for excessive
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
bleeding from the incision. Which of the following items are needed for this case? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. Monocryl suture and harmonic scalpel
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B. laps, silk ties, and hemoclips
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C. Vicryl ties, pledgets, and Alexis
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D. nylon suture, Raytec, and Geralds - correct answer✔✔B. laps, silk ties, and hemoclips
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
8. If there is any question related to handling a specific type of specimen, which of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
following departments should be consulted? ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. histology||\\//||
B. laboratory
||\\//||
C. pathology
||\\//||
D. radiology - correct answer✔✔C. Pathology
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
9. The required number of air exchanges per hour in an OR is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. 5 to 10. ||\\//|| ||\\//|| ||\\//||
B. 15 to 25.
||\\//|| ||\\//|| ||\\//||
C. 30 to 35.
||\\//|| ||\\//|| ||\\//||
D. 40 to 50. - correct answer✔✔B. 15 to 25
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
10. A special-made instrument without a backup falls to the floor during a procedure.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which of the following is the BEST reason to hesitate performing immediate-use
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
sterilization?
, A. The sterilizer is used for implantable devices, but not instruments.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B. The manufacturer's standards for sterilizing the instrument are unknown.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C. The staff feels uncomfortable transporting the unwrapped instrument to the OR after
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
sterilization.
D. There are no wrappers or pouches available for sterilizing the instrument. - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔B. The manufacturer's standards for sterilizing the instrument are unknown. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
11. When transferring a thoracotomy patient to recovery, the chest drainage system should
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
be
A. disconnected.
||\\//||
B. placed at the patient's side.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C. positioned above the patient's head.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D. maintained below the patient's chest level. - correct answer✔✔D. Maintained below the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patient's chest level ||\\//|| ||\\//||
12.Which of the following procedures requires an incision in the suprasternal notch?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. mediastinoscopy
||\\//||
B. bronchoscopy
||\\//||
C. parotidectomy
||\\//||
D. pericardectomy - correct answer✔✔A. Mediastionscopy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
13. When preparing surgical specimens, in addition to the surgical technologist, who else is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
responsible for accurately labeling the specimen? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A. surgeon and anesthesiologist
||\\//|| ||\\//|| ||\\//||
