NCCT Full Exam highly recommended studying 100% Verified 2022

NCCT Full Exam highly recommended studying 100% Verified 2022 Which of the following are applications of thrombin during a laminectomy procedure? (Select the two (2) correct answers.) A. I.V. B. poured C. mixed with sterile water D. injected E. sprayed {{Ans- B. Poured, E. Sprayed Which of the following is a correct suture cutting technique? A. Use the tip of the scissors and turn the scissors at a 45-degree angle. B. Use the tip of the scissors and turn the scissors at a 90-degree angle. C. Turn the scissors at a 45-degree angle and use the center edges of the scissors. D. Turn the scissors at a 90-degree angle and use the center edges of the scissors. {{Ans- A. Use the tip of the scissors and turn the scissors at a 45-degree angle During a diagnostic laparoscopy the surgical technologist notices the surgeon about to cut the fallopian tube to remove the ovary. The technologist knows this is not part of the consent the patient signed. Which of the following actions should the technologist take? A. Take the instrument from the surgeon to protect the patient. B. Distract the surgeon long enough for the nurse to see what he is doing and question him about his intentions. C. Ask the surgeon to stop to discuss why he is removing the ovary, and verify if the consent allows for this procedure. D. Keep moving forward as the surgeon is ultimately responsible. {{Ans- C. Ask the surgeon to stop to discuss why he is removing the ovary, and verify if the consent allows for this procedure Which of the following is an acceptable temperature for an adult orthopedic operating room to be kept at? A. 68° Fahrenheit B. 65° Fahrenheit C. 60° Fahrenheit D. 73° Fahrenheit {{Ans- A. 68 degrees F Which of the following documentation must be included when flash sterilizing instruments? (Select the three (3) correct answers.) A. sterilizer number B. load number C. temperature D. flash duration E. tray the instrument came from {{Ans- A. sterilizer number, B. load number, C. temperature For a total knee arthroplasty, the recommended dressing is A. a compression dressing. B. plaster casting. C. a wet to dry dressing. D. Tegaderm. {{Ans- A. A compression dressing Which of the following sutures must be kept in the package or kept wet to prevent the suture material from drying out? A. Maxon B. PDS C. gut D. coated Vicryl {{Ans- C. Gut Which of the following should be on the sterile field for an open intraoperative cholangiogram? A. sterile water and sterile saline B. radiopaque contrast medium and sterile saline C. lidocaine and sterile water D. radiopaque contrast medium and lidocaine {{Ans- B. Radiopaque contrast medium and sterile saline The physician has adjusted the lights after draping the patient. The surgical technologist realizes neither of the light handles are in place. Which of the following should the surgical technologist do? A. Have the nurse open new gloves and drapes. Reglove the surgeon and re-drape the patient. B. Have the nurse open new light handles and gloves for the surgeon. Reglove the surgeon and replace the light handles. C. Have the nurse open new gloves for the surgeon. He can reglove himself using the open glove technique. D. Have the nurse open new gloves and remove the surgeon's gloves. Re-glove the surgeon. {{Ans- D. Have the nurse open new gloves and remove the surgeon's gloves. Re-glove the surgeon. A surgical technologist is called in to relieve another surgical technologist for a lunch break. Which of the following is the next step that the relieving surgical technologist must take? A. Perform a time out. B. Perform an intra-operative count. C. Perform an instrument, supply and equipment check. D. Sign off on the count on the patients' peri-operative record. {{Ans- B. Perform an intra-operative count Which of the following should the surgical technologist do when transferring a patient from the operating room table to the stretcher? A. Secure the patient's IV. B. Assist with moving the patient's head. C. Assist with holding the patient's feet. D. Assist with the patient's airway. {{Ans- C. Assist with holding the patient's feet The surgeon wants to tuck the left arm for a laparoscopic cholecystectomy. Extra padding is needed for the elbow to protect the A. ulnar nerve. B. brachial nerve. C. radial nerve. D. median nerve. {{Ans- A. Ulnar nerve Which of the following supplies will the surgical technologist need in order to collect specimens during a D&C? (Select the three (3) correct answers.) A. gauze B. skin marker C. Telfa D. perineal pad E. containers {{Ans- B. Skin marker, C. Telfa, E. Containers How often should a DART test be performed in a sterile processing department? A. daily B. weekly C. monthly D. quarterly {{Ans- A. Daily Which of the following retractors should the surgical technologist have available during closure of a C- section? A. Weitlaner B. Richardson C. Harrington D. Deaver {{Ans- B. Richardson Which of the following should be used as a disinfectant for an EGD scope? A. hydrogen peroxide B. isopropyl alcohol C. glutaraldehyde D. sodium hypochlorite {{Ans- C. Glutaraldehyde After placing a dressing on the patient, the surgical technologist moved the Mayo away from the operating bed, removed the sterile drapes, and proceeded to clean the patient. While cleaning the patient, the technologist noticed the dressing was soaked with blood. The technologist removed the dressing and noticed there was blood gushing out of the wound. Which of the following should the technologist do? (Select the three (3) correct answers.) A. Gown and glove again. B. Apply suction to the wound. C. Call the doctor. D. Drape the patient and pull the Mayo up to the field. E. Prepare another back table. {{Ans- A. Gown and glove again, C. Call the doctor, D. Drape the patient and pull the Mayo up to the field Which of the following drain systems needs a reservoir bulb? A. Hemovac B. TLS C. Penrose D. Jackson-Pratt {{Ans- D. Jackson-Pratt The surgical Time Out is a federally mandated process that should take place A. after all supplies needed for the case have been added to the sterile filed. B. directly before the operative phase of the case begins. C. directly before the post-operative phase of the case begins. D. during the anesthesia induction phase. {{Ans- B. Directly before the operative phase of the case begins Which of the following duties are commonly delegated to the surgical technologist by the surgeon? (Select the three (3) correct answers.) A. holding retractors B. cutting tissue C. sponging or suctioning D. suturing E. cutting suture {{Ans- A. Holding retractors, C. Sponging or suctioning, E. Cutting suture A patient is not positioned with a safety strap for a procedure. The nurse steps away and the patient falls off the operating room table. This would be categorized as A. negligence. B. battery. C. malice. D. respondent superior. {{Ans- A. Negligence Which of the following is normally the suture of choice for a vascular anastomosis? A. polyglactin 910 B. poliglecaprone 25 C. polypropylene D. silk {{Ans- C. Polypropylene Which of the following is the proper temperature range and time for sterilization using a flash sterilizer on metal items with a lumen? A. 270⁰F-275⁰F, 4 minutes B. 220⁰F-230⁰F, 10 minutes C. 270⁰F-275⁰F, 10 minutes D. 220⁰F-230⁰F, 4 minutes {{Ans- C. 270 F-275 F, 10 minutes A cardiovascular surgeon is performing an arteriovenous fistula and informs the team that he will need the microscope because of the patient's anatomy. Which of the following is the correct way for the surgical technologist to handle the preference card? A. Add the microscope to the preference card immediately. B. Ask the circulator to add in the notes section of the preference card to always have a microscope in the room. C. Add the microscope to the equipment section of the preference card. D. Ask the circulator to add in the notes section of the preference card to have a microscope available for this procedure. {{Ans- D. Ask the circulator to add in the notes section of the preference card to have a microscope available for this procedure A laparoscopic cholecystectomy has been converted to an open. Which of the following drains should the surgical technologist have available? A. Jackson Pratt B. Foley C. TLS D. T-tube {{Ans- D. T-tube During a case set up the circulator opened the surgeon's instrument tray and noticed that the inner chemical indicator was missing. The outer tamper-proof seal did turn color. Which of the following should the surgical technologist do? A. Proceed with the case because the outer tamper-proof seal indicates the tray was properly sterilized. B. Double glove, reach into the instrument pan, and attempt to locate the missing indicator. C. Remove the tray and open a new one. D. Ask the surgeon if he is willing to proceed with the case based on the outer indicator alone. {{Ans- C. Remove the tray and open a new one Which of the following self-retaining retractors is used for a total hip arthroplasty? A. Charnley B. Alexis C. Balfour D. Bookwalter {{Ans- A. Charnley Which of the following are items that must be verified by the surgical technologist when receiving an implant during a total knee arthroplasty? (Select the three (3) correct answers.) A. size B. laterality C. expiration D. lot number E. manufacturer {{Ans- A. Size, B. Laterality, C. Expiration When removing the drapes from the patient it is important to A. ensure that the drapes are removed by keeping the drape inverted to contain the bioburden. B. remove drapes prior to the placement of the dressing material to keep the dressing clean. C. secure the dressings prior to removal of the drapes. D. remove outer gloves prior to drape removal in order to facilitate the placement of a clean dressing. {{Ans- A. Ensure that the drapes are removed by keeping the drape inverted to contain the bioburden Which of the following is a special consideration for a geriatric patient in surgery? A. fluid intake and output B. voiding before surgery and catheterization C. physical injury and loss of body heat D. surgical bed extender attachments {{Ans- C. Physical injury and loss of body heat If initial preoperative sponge counts are incorrect, which of the following should the surgical technologist do? A. Document any adjustments on the count sheet and continue with the case. B. Continue with the case and notify the surgeon. C Tear down the case setup and start over. D. Remove the entire package from the room, get a new pack, and start again. {{Ans- D. Remove the entire package from the room, get a new pack, and start again The surgical technologist opens instrumentation, and before placing on the back table, notices the casket has water in the bottom of it. Which of the following should the surgical technologist do? A. Check to make sure the Bowie-Dick test was passed. B. Discard the setup. C. Have the instruments reprocessed. D. Check the indicator before placing the instrument on the back table. {{Ans- C. Have the instruments reprocessed After a procedure the patient is waking up and begins to aspirate. The anesthesia provider is having trouble reintubating. Which of the following procedures should the surgical technologist be prepared for? A. flexible bronchoscopy B. laryngoscopy C. tracheostomy D. nasal intubation {{Ans- C. Tracheostomy The surgical technologist is opening the sterile operating room pack for a revision total knee. He picks up the tibial cutting device and notices that it came up assembled in the tray with the wrong size jig on. Which of the following actions should the surgical technologist take? A. Switch the jig and keep setting up. B. Let the circulating nurse know and get the entire pan flashed. C. Call the rep and tell him that he assembled the device incorrectly. D. Tell the surgeon and let him adjust accordingly. {{Ans- B. Let the circulating nurse know and get the entire pan flashed Which of the following should be reported as a sentinel event? A. surgeon cursing and offending other members of the team B. lost needle left in patient C. a missing instrument in a tray D. nine Raytecs in a ten pack found on initial count {{Ans- B. Lost needle left in patient Which of the following information should be on the surgeon's preference card? (Select the three (3) correct answers.) A. prep solution B. positioning C. types of dressing D. patient H&P E. available start times {{Ans- A. Prep solution, B. Positioning, C. Types of dressing The patient has been prepped with an alcohol based prep solution that requires three minutes to dry. After waiting the three minutes and then draping, the surgical technologist notices the umbilicus has a pooling of the prep solution. Which of the following should the technologist do? A. Wait three more minutes before passing off the Bovie and connect it for use. B. Use a sponge to soak up the solution, pass it off the field, and then re-drape. C. Pass off the Bovie and suction, then soak up the solution in a sponge. D. Use a sponge to soak up the solution, pass it off the field, and proceed with the case. {{Ans- D. Use a sponge to soak up the solution, pass it off the field, and proceed with the case When passing a loaded needle driver, where should the suture be when the surgeon has control of the driver? A. draped in the surgeon's hand B. draped over the back of the surgeon's hand C. left in the suture packet and slowly fed out D. clamped in the locked ratchet to avoid knotting {{Ans- B. Draped over the back of the surgeon's hand Which of the following positions should the box lock and sharp tip of an instrument be in before it is sent to decontamination? A. locked and tip down B. open and tip down C. locked and tip up D. open and tip up {{Ans- B. Open and tip down Which of the following is needed for a cholangiography? A. lead gloves B. harmonic scalpel C. X-ray protective gowns D. grounding pad {{Ans- C. X-ray protective gowns Which of the following is correct technique when assisting with dressings after an ORIF of a right leg? A. Place the plaster splints in warm water. B. Wrap pin incisions with Xeroform. C. Trim the external fixator pins to an equal length. D. Cut plaster splints the length of the toes to the knee. {{Ans- B. Wrap pin incisions with Xeroform During a laparoscopic cholecystectomy, the resident accidently knicks the small bowel with the laparoscopic shears. The primary physician decides to open the abdomen. Which of the following instrumentation is the best choice for this scenario? A. major vascular set and Bookwalter retractor B. major vascular set and Mayfield retractor C. major instrument set and Bookwalter retractor D. major instrument set and Mayfield retractor {{Ans- C. Major instrument set and Bookwalter retractor The surgeon has requested a quick turnover of the room for a case to follow. The circulating nurse has requested that the floor be mopped to facilitate the surgeons' request. The surgical technologist should mop A. a 4 foot by 4 foot perimeter around the bed and where visibly soiled. B. a 2 foot by 2 foot perimeter around the bed and where visibly soiled. C. the entire room regardless of what is visibly soiled. D. around the bed only if visibly soiled. {{Ans- A. A 4 foot by 4 foot perimeter around the bed and where visibly soiled The surgical technologist is opening a double peel pouched instrument for a tonsillectomy. When the outer packaging is peeled away, the technologist's hand comes in contact with the corner of the inner pouch. The appropriate action at this point is to A. continue opening the instrument to the field. B. remove the inner pouch and transfer the instrument to the field utilizing proper sterile technique. C. confirm that parameters for sterility have been met and open the instrument to the field. D. discard the package and retrieve a new instrument. {{Ans- B. Remove the inner pouch and transfer the instruments to the field utilizing proper sterile technique Which of the following procedures requires a Frazier suction? A. myringotomy B. hysterectomy C. appendectomy D. cholecystectomy {{Ans- A. Myringotomy The circulating nurse properly gives the surgical technologist 5,000 units of heparin, mixed in 500 mL's of normal saline. At the end of the procedure there are 200 mL's left. How much heparinized saline used will be reported to the nurse? A. 500 mL B. 300 mL C. 3,000 units D. 4,800 units {{Ans- B. 300 mL Which of the following is the minimal information to be verified during a surgical time out? (Select the three (3) correct answers.) A. correct patient B. correct surgical team personnel C. correct start time D. correct site E. correct procedure {{Ans- A. Correct patient, D. Correct site, E. Correct procedure Which of the following must be on the medication label on the sterile field? (Select the three (3) correct answers.) A. drug name B. time received on the field C. expiration date D. manufacturer name E. strength {{Ans- A. Drug name, C. Expiration date, E. Strength In the postoperative phase of the instrument cycle, decontamination begins in the OR by placing A. soiled instruments in a basin of water. B. soiled instruments in a basin of 0.9% saline. C. unsoiled instruments in a basin of water. D. unsoiled instruments in a basin of 0.9% saline. {{Ans- A. Soiled instruments in a basin of water Which of the following is the most important safety consideration when using an ESU hand pi ece? A. Remove jewelry. B. Select an appropriate sized Bovie tip. C. Avoid ESU burns of the skin. D. Do not use ESU near the patient's mouth. {{Ans- C. Avoid ESUburns of the skin Which of the following resources should the surgical technologist use if a question arises concerning the correct use of a cleaning solution? A. OSHA regulations B. CDC guidelines C. MSDS D. Bowie-Dick test sheet {{Ans- C. MSDS 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. {{Ans- B. Have adequate padding available in room The patient coming into surgery is from northern India. After induction the anesthesia provider asks for hair clippers to trim the patients beard to tape the endotracheal tube in place. Which of the following is the appropriate action? A. Retrieve the clippers as this is medically necessary regardless of religion. B. Inform the anesthesia provider of the patient's religion. C. Consult with the surgeon as this was not on the consent. D. Provide a razor as a better option than the hair clipper. {{Ans- B. Inform the anesthesia provider of the patient's religion During a colon resection, an endo GIA misfired. Where should the surgical technologist bring the endo GIA after surgery? A. Materials Management B. CS assembly department C. decontamination area D. Biomed {{Ans- C. Decontamination area If a Frazier suction tip falls on the floor during a procedure the proper protocol for flash autoclaving the item in a gravity displacement sterilizer is to A. properly place it in the autoclave for 4 minutes at 270 degrees F. B. properly place it in the autoclave for 10 minutes at 270 degrees F. C. flush the lumen and autoclave for 4 minutes at 270 degrees F. D. flush the lumen and autoclave for 10 minutes at 270 degrees F. {{Ans- D. Flush the lumen and autoclave for 10 minutes at 270 degrees F When being relieved for lunch during surgery, which of the following tasks is performed by the outgoing surgical technologist? A. removing supplies and equipment from the Mayo stand B. counting sharps and sponges C. adding gown and gloves to the back table for return to surgery D. placing all softs and sharps onto the back table {{Ans- B. Counting sharps and sponges Which of the following patients is at the greatest risk for OR-acquired pressure ulcer development? A. 77-year-old undergoing a coronary artery bypass graft B. 35-year-old undergoing a transverse colectomy C. 2-year-old undergoing hypospadias repair D. 82-year-old undergoing cochlear implantation {{Ans- A. 77-year-old undergoing a coronary artery bypass graft A pressure dressing is most likely applied over a A. fractured femur EX Fix. B. skin graft. C. cataract surgery. D. TURP. {{Ans- B. Skin graft The surgical technologist is preparing the incision site for placement of a dressing following a mastectomy. The surgical technologist noticed that the patient has developed a hematoma at the incision site. The surgeon has left the operating room. Which of the following actions should the surgical technologist take? A. Apply an ABD dressing. B. Apply a pressure dressing. C. Call a code. D. Ask the surgeon to return. {{Ans- D. Ask the surgeon to return The patient is scheduled for insertion of a permanent pacemaker at 0800. In addition to key surgical team members, the absence of which of the following individuals would cause the case to be delayed? A. unit coordinator B. internal hospital transporter C. manufacturer representative D. sterile processing personnel {{Ans- C. Manufacturer representative The anesthesia provider would typically ask the surgical technologist how much fluid has been used in order to A. assess for anaphylaxis. B. estimate blood loss. C. evaluate for drug toxicity. D. prevent malignant hyperthermia. {{Ans- B. Estimate blood loss Which of the following key information should be on the outside of a peel package of a sterilized instrument? (Select the three (3) correct answers.) A. type of case the instrument is used in B. length of sterilization C. sterile indicator D. name of item E. date of sterilization {{Ans- C. Sterile indicator, D. Name of item, E. Date of sterilization After skin closure, which of the following sequences for removing and discarding soiled surgical drapes maintains sterile technique? A. Remove the drapes, place dressings on the site, place the drapes into the proper receptacle, remove top gloves. B. Place sterile towels over the site, remove the drapes, remove top gloves, place dressings on the site. C. Remove the drapes, remove top gloves, place dressings on the site, place the drapes into the proper receptacle. D. Place sterile towels over the site, remove top gloves, place dressings on the site, remove the drapes. {{Ans- B. Place sterile towels over the site, remove the drapes, remove top gloves, place dressings on the site A patient is having a laparoscopic assisted vaginal hysterectomy. If the surgeon is unable to extract the uterus vaginally, which of the following equipment should the surgical technologist have available to retrieve the uterus? A. harmonic scalpel B. ligasure C. morcellator D. enseal {{Ans- C. Morcellator Which of the following factors determine if a disposable sterile supply item is acceptable to use? A. package integrity and expiration date B. on the preference card and expiration date C. package integrity and on the case cart D. on the case cart and on the preference card {{Ans- A. Package integrity and expiration date The surgeon requests suture to close the skin incision. Which of the following types of needles should be used? A. tapered B. blunt C. Veress D. cutting {{Ans- D. Cutting Which of the following is the correct means of sterilizing a non-flexible fiber