TEST BANK RATIONALE: SURGICAL
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TECHNOLOGY CERTIFICATION EXAM TEST = = = =
BANK (500+ QS & AS) = = = = =
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Section 1: Perioperative Care — Preoperative Preparation
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1. A patient scheduled for a laparoscopic cholecystectomy has a
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history of claustrophobia and reports anxiety about the
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operating room environment. Which preoperative intervention
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is most appropriate to address this concern while maintaining
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safety? =
• A. Administer midazolam 2 mg IV immediately upon entering
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the OR
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• B. Provide detailed verbal explanation of the sequence of
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events during the intraoperative period
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• C. Allow the patient to wear personal headphones with music
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during induction = =
• D. Request a preoperative consultation with anesthesia for
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anxiolytic management = =
,Answer: D = =
Rationale: Addressing significant anxiety preoperatively should
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involve anesthesia consultation to determine the safest anxiolytic
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regimen . Unmonitored sedation (A) or distractions can compromise
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safety. Midazolam administration without assessment may cause
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respiratory depression; verbal explanation alone is insufficient .
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The anesthesia provider should evaluate the patient's medical
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status and determine the most appropriate anxiolytic regimen.
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Cognitive Level: Application | Exam Domain: Perioperative
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Care — Preoperative Preparation | Reference: NCCT Scrub
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Tech Practice Exam 2026
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2. A patient with a history of type 2 diabetes mellitus is schedule
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d for a laparoscopic colectomy. The preoperative blood glucose
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level is 320 mg/dL. Which of the following is the most
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appropriate perioperative management strategy?
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• A. Administer 10 units of regular insulin subcutaneously and
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proceed with surgery
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• B. Reschedule the surgery until glycemic control is optimized
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• C. Start an insulin infusion protocol to achieve blood glucose
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, 140-180 mg/dL before incision = = = =
• = D. Proceed with surgery as planned and monitor glucose
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= intraoperatively =
Answer: C = =
Rationale: For elective surgery, hyperglycemia above 250 mg/dL s
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hould be corrected preoperatively using an insulin infusion protocol
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to target 140-
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180 mg/dL, reducing risk of infection and metabolic complications .
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Subcutaneous insulin (A) is less predictable than IV infusion in the
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perioperative period. Rescheduling surgery (B) may be = = = = = = =
appropriate but only after glycemic control is optimized; insulin
= = = = = = = =
infusion allows the case to proceed safely. Proceeding without
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correction (D) places the patient at increased risk for infection and
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other complications. = =
Cognitive Level: Application | Exam Domain: Perioperative
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Care — Preoperative Preparation | Reference: NCCT Scrub
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Tech Practice Exam 2026
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=
, 3. During the preoperative verification process, the surgical tech
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nologist notes that the consent form lists "left" but the patient ha
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s a mark on the "right" side. What is the appropriate action?
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• A. Proceed with the procedure as the surgeon knows the correc
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t site
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• B. Notify the surgeon and hold the procedure until the discrep
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ancy is resolved = = =
• C. Correct the consent form
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• D. Ask the patient which side is correct
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Answer: B = =
Rationale: A discrepancy between the consent form and the patient'
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s marking must be resolved before the procedure proceeds . The sur
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geon must be notified immediately. This is a critical safety issue; pro
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ceeding without resolution (A) could result in wrong-
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site surgery. Correcting the consent form (C) without proper authoriz
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ation and documentation is inappropriate. Asking the patient (D) do
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es not replace the formal verification process and informed consent.
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The Universal Protocol requires that the correct site be verified throu
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gh the patient's medical record, consent, and marking before the pr
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ocedure begins. = =
= = = =
TECHNOLOGY CERTIFICATION EXAM TEST = = = =
BANK (500+ QS & AS) = = = = =
=
Section 1: Perioperative Care — Preoperative Preparation
= = = = = = =
1. A patient scheduled for a laparoscopic cholecystectomy has a
= = = = = = = = =
history of claustrophobia and reports anxiety about the
= = = = = = = = =
operating room environment. Which preoperative intervention
= = = = = =
is most appropriate to address this concern while maintaining
= = = = = = = = =
safety? =
• A. Administer midazolam 2 mg IV immediately upon entering
= = = = = = = =
the OR
= = =
• B. Provide detailed verbal explanation of the sequence of
= = = = = = = = =
events during the intraoperative period
= = = = =
• C. Allow the patient to wear personal headphones with music
= = = = = = = = = =
during induction = =
• D. Request a preoperative consultation with anesthesia for
= = = = = = = =
anxiolytic management = =
,Answer: D = =
Rationale: Addressing significant anxiety preoperatively should
= = = = = =
involve anesthesia consultation to determine the safest anxiolytic
= = = = = = = =
regimen . Unmonitored sedation (A) or distractions can compromise
= = = = = = = = =
safety. Midazolam administration without assessment may cause
= = = = = =
respiratory depression; verbal explanation alone is insufficient .
= = = = = = = =
The anesthesia provider should evaluate the patient's medical
= = = = = = = = =
status and determine the most appropriate anxiolytic regimen.
= = = = = = = =
Cognitive Level: Application | Exam Domain: Perioperative
= = = = = = =
Care — Preoperative Preparation | Reference: NCCT Scrub
= = = = = = = =
Tech Practice Exam 2026
= = = =
=
2. A patient with a history of type 2 diabetes mellitus is schedule
= = = = = = = = = = = =
d for a laparoscopic colectomy. The preoperative blood glucose
= = = = = = = = =
level is 320 mg/dL. Which of the following is the most
= = = = = = = = = =
appropriate perioperative management strategy?
= = = = =
• A. Administer 10 units of regular insulin subcutaneously and
= = = = = = = =
proceed with surgery
= = = =
• B. Reschedule the surgery until glycemic control is optimized
= = = = = = = = =
• C. Start an insulin infusion protocol to achieve blood glucose
= = = = = = = = = =
, 140-180 mg/dL before incision = = = =
• = D. Proceed with surgery as planned and monitor glucose
= = = = = = = =
= intraoperatively =
Answer: C = =
Rationale: For elective surgery, hyperglycemia above 250 mg/dL s
= = = = = = = =
hould be corrected preoperatively using an insulin infusion protocol
= = = = = = = = =
to target 140-
= =
180 mg/dL, reducing risk of infection and metabolic complications .
= = = = = = = = = =
Subcutaneous insulin (A) is less predictable than IV infusion in the
= = = = = = = = = = =
perioperative period. Rescheduling surgery (B) may be = = = = = = =
appropriate but only after glycemic control is optimized; insulin
= = = = = = = =
infusion allows the case to proceed safely. Proceeding without
= = = = = = = = = =
correction (D) places the patient at increased risk for infection and
= = = = = = = = = = =
other complications. = =
Cognitive Level: Application | Exam Domain: Perioperative
= = = = = = =
Care — Preoperative Preparation | Reference: NCCT Scrub
= = = = = = = =
Tech Practice Exam 2026
= = = =
=
, 3. During the preoperative verification process, the surgical tech
= = = = = = = =
nologist notes that the consent form lists "left" but the patient ha
= = = = = = = = = = =
s a mark on the "right" side. What is the appropriate action?
= = = = = = = = = = = =
• A. Proceed with the procedure as the surgeon knows the correc
= = = = = = = = = =
t site
= =
• B. Notify the surgeon and hold the procedure until the discrep
= = = = = = = = = =
ancy is resolved = = =
• C. Correct the consent form
= = = = =
• D. Ask the patient which side is correct
= = = = = = = =
Answer: B = =
Rationale: A discrepancy between the consent form and the patient'
= = = = = = = = =
s marking must be resolved before the procedure proceeds . The sur
= = = = = = = = = = =
geon must be notified immediately. This is a critical safety issue; pro
= = = = = = = = = = =
ceeding without resolution (A) could result in wrong-
= = = = = = =
site surgery. Correcting the consent form (C) without proper authoriz
= = = = = = = = =
ation and documentation is inappropriate. Asking the patient (D) do
= = = = = = = = =
es not replace the formal verification process and informed consent.
= = = = = = = = = =
The Universal Protocol requires that the correct site be verified throu
= = = = = = = = = =
gh the patient's medical record, consent, and marking before the pr
= = = = = = = = = =
ocedure begins. = =
