Practice Test Surg Tech Questions| Answers | Rationale|
With Complete Solutions
A 21-year-old patient is rushed to the OR with a self-inflicted
stab wound to the groin. The wound is an inch in length and the
patient has flat lined with a steady flow of blood pumping from
the small wound. Which of the following items should the
surgical technologist have ready for the surgeon? (Select the
three (3) correct answers.)
Yankauer suction
Lap sponges
Raytec sponges
Frazier suction
Knife blade Correct Answers Lap sponges, Knife blade,
Yankauer suction
Rationale: Laparotomy sponges are needed because of the
steady flow of blood that is being lost. The Yankauer suction is
the appropriate suction to use because it can keep the incision
clear and absorb more fluid. A knife blade would be needed to
extend the incision to find out where the bleeding is coming
from so it can be stopped. Raytec sponges cannot absorb
substantial amounts of blood. A Frazier suction is not needed
because it is used for smaller, precise suctioning.
A cardiac arrest occurs during a thoracotomy procedure, and the
surgeon calls a CODE BLUE. The surgeon is attempting to
resuscitate the patient using CPR. Which of the following is the
responsibility of the surgical technologist in this situation?
A. Hand the surgeon a loaded needle holder and forceps for
closing.
B. Break scrub and retrieve the code cart.
,C. Prepare internal defibrillator paddles.
D. Prepare external defibrillator paddles. Correct Answers
Prepare internal defibrillator paddles.
Rationale: The surgery is already in progress when the Code
Blue is called the surgical technologist may be required to
prepare the internal defibrillator paddles. The surgical
technologist does not break scrub to get the crash cart the
circulator will get any necessary equipment needed.
A charge nurse has just notified the surgical technologist to be
prepared for a post-operative emergency for a post salpingo-
oophorectomy. Which of the following is the instrumentation
needed? (Select the two (2) correct answers.)
Bookwalter retractor
C-section set
Dilation and curettage set
Major set
Mayfield retractor Correct Answers Bookwalter retractor,
Major set
Rationale: The incision for this emergent procedure will most
likely be a midline vertical incision, which would require a
larger self-retaining retractor such as a Bookwalter. A Major
instrument set will also be needed because it will have all the
basic instruments for incision, dissection and hemostasis. A C-
section set does have several basic instrumentations, but a Major
instrument tray will have more instruments to use. A dilation
and curettage set only has vaginal instruments in it. A Mayfield
retractor is used during craniotomy procedures to hold the head
in place.
,A class II or a clean-contaminated surgical wound enters
through?
Respiratory, GI, genital, or urinary tract
Respiratory, genital, or urinary tract
GI and genital only
Respiratory only Correct Answers Respiratory, GI, genital, or
urinary tract
Rationale: Class II: Clean Contaminated involves minor break in
sterile technique. Controlled entry to aerodigestive (including
biliary tract) or genitourinary tract.
A GYN patient is scheduled to have a D&C procedure. To
prevent the risk of skin and neurovascular pressure or injury
when the patient is placed in stirrups in the lithotomy position,
which of the following must the surgical team do?
A. Have a backup pair of stirrups available in room.
B. Have adequate padding available in room.
C. Ensure the surgeon is in the room during positioning.
D. Place patient in position before the anesthesia. Correct
Answers Have adequate padding available in room.
Rationale: The patient's legs can be put in stirrups after
anesthesia has given permission to move the patient's legs. The
surgeon does not have to be in the room to position the patient.
When positioning the legs in the stirrups it is necessary to pad
the legs and feet.
A gynecologic oncology surgeon decides to bring her patient
into the OR emergently after seeing her in the office. The
patient's abdomen is greatly distended, warm and firm to the
touch. Which of the following should the surgical technologist
have available?
, A. Andrews tip suction and Raytec sponges
B. Poole tip suction and Lap sponges
C. Poole tip suction and Raytec sponges
D. Andrews tip suction and Lap sponges Correct Answers
Poole tip suction and Lap sponges
Rationale: Poole suction can suction much more quickly than an
Andrews tip, due to its size. Lap sponges have the ability to
absorb greater quantities of fluid than a raytec does.
A patient is having a cervical cone biopsy. The surgeon prefers
to not use a Bovie. Which of the following solutions should the
surgical technologist have available in the room for control of
bleeding?
Lugol's solution
Acetic acid
Monsel's solution
Collodian Correct Answers Monsel's solution
Rationale: Monsel's solution is a chemical hemostatic agent, and
Collodian is a skin adhesive. Acetic acid is also known as
vinegar which is used to identify areas of abnormal tissue, not
for hemostasis. Lugol's solution is an iodine to stain and
disinfect.
A patient is having a hysteroscopy for myomectomy excision.
The patient has been under anesthesia for an hour and is starting
to show signs of extreme swelling. Which of the following is
most critical to monitor in order to prevent these symptoms?
Normal saline intake
Time under anesthesia
Fluid intake and output
Glycine levels Correct Answers Fluid intake and output
With Complete Solutions
A 21-year-old patient is rushed to the OR with a self-inflicted
stab wound to the groin. The wound is an inch in length and the
patient has flat lined with a steady flow of blood pumping from
the small wound. Which of the following items should the
surgical technologist have ready for the surgeon? (Select the
three (3) correct answers.)
Yankauer suction
Lap sponges
Raytec sponges
Frazier suction
Knife blade Correct Answers Lap sponges, Knife blade,
Yankauer suction
Rationale: Laparotomy sponges are needed because of the
steady flow of blood that is being lost. The Yankauer suction is
the appropriate suction to use because it can keep the incision
clear and absorb more fluid. A knife blade would be needed to
extend the incision to find out where the bleeding is coming
from so it can be stopped. Raytec sponges cannot absorb
substantial amounts of blood. A Frazier suction is not needed
because it is used for smaller, precise suctioning.
A cardiac arrest occurs during a thoracotomy procedure, and the
surgeon calls a CODE BLUE. The surgeon is attempting to
resuscitate the patient using CPR. Which of the following is the
responsibility of the surgical technologist in this situation?
A. Hand the surgeon a loaded needle holder and forceps for
closing.
B. Break scrub and retrieve the code cart.
,C. Prepare internal defibrillator paddles.
D. Prepare external defibrillator paddles. Correct Answers
Prepare internal defibrillator paddles.
Rationale: The surgery is already in progress when the Code
Blue is called the surgical technologist may be required to
prepare the internal defibrillator paddles. The surgical
technologist does not break scrub to get the crash cart the
circulator will get any necessary equipment needed.
A charge nurse has just notified the surgical technologist to be
prepared for a post-operative emergency for a post salpingo-
oophorectomy. Which of the following is the instrumentation
needed? (Select the two (2) correct answers.)
Bookwalter retractor
C-section set
Dilation and curettage set
Major set
Mayfield retractor Correct Answers Bookwalter retractor,
Major set
Rationale: The incision for this emergent procedure will most
likely be a midline vertical incision, which would require a
larger self-retaining retractor such as a Bookwalter. A Major
instrument set will also be needed because it will have all the
basic instruments for incision, dissection and hemostasis. A C-
section set does have several basic instrumentations, but a Major
instrument tray will have more instruments to use. A dilation
and curettage set only has vaginal instruments in it. A Mayfield
retractor is used during craniotomy procedures to hold the head
in place.
,A class II or a clean-contaminated surgical wound enters
through?
Respiratory, GI, genital, or urinary tract
Respiratory, genital, or urinary tract
GI and genital only
Respiratory only Correct Answers Respiratory, GI, genital, or
urinary tract
Rationale: Class II: Clean Contaminated involves minor break in
sterile technique. Controlled entry to aerodigestive (including
biliary tract) or genitourinary tract.
A GYN patient is scheduled to have a D&C procedure. To
prevent the risk of skin and neurovascular pressure or injury
when the patient is placed in stirrups in the lithotomy position,
which of the following must the surgical team do?
A. Have a backup pair of stirrups available in room.
B. Have adequate padding available in room.
C. Ensure the surgeon is in the room during positioning.
D. Place patient in position before the anesthesia. Correct
Answers Have adequate padding available in room.
Rationale: The patient's legs can be put in stirrups after
anesthesia has given permission to move the patient's legs. The
surgeon does not have to be in the room to position the patient.
When positioning the legs in the stirrups it is necessary to pad
the legs and feet.
A gynecologic oncology surgeon decides to bring her patient
into the OR emergently after seeing her in the office. The
patient's abdomen is greatly distended, warm and firm to the
touch. Which of the following should the surgical technologist
have available?
, A. Andrews tip suction and Raytec sponges
B. Poole tip suction and Lap sponges
C. Poole tip suction and Raytec sponges
D. Andrews tip suction and Lap sponges Correct Answers
Poole tip suction and Lap sponges
Rationale: Poole suction can suction much more quickly than an
Andrews tip, due to its size. Lap sponges have the ability to
absorb greater quantities of fluid than a raytec does.
A patient is having a cervical cone biopsy. The surgeon prefers
to not use a Bovie. Which of the following solutions should the
surgical technologist have available in the room for control of
bleeding?
Lugol's solution
Acetic acid
Monsel's solution
Collodian Correct Answers Monsel's solution
Rationale: Monsel's solution is a chemical hemostatic agent, and
Collodian is a skin adhesive. Acetic acid is also known as
vinegar which is used to identify areas of abnormal tissue, not
for hemostasis. Lugol's solution is an iodine to stain and
disinfect.
A patient is having a hysteroscopy for myomectomy excision.
The patient has been under anesthesia for an hour and is starting
to show signs of extreme swelling. Which of the following is
most critical to monitor in order to prevent these symptoms?
Normal saline intake
Time under anesthesia
Fluid intake and output
Glycine levels Correct Answers Fluid intake and output
