NCCT Surgical Tech (Administrative and
Personnel)
. Which of the following is occurring during the postoperative phase of surgery? (Select the
three (3) correct answers.)
A. Traffic into and out of the OR is restricted.
B. Unused supplies are returned to appropriate area.
C. The sterile field is preserved until the patient has left the room.
D. Sterile furniture is moved into position.
E. Specimens are taken to the proper area for transport. - ANS-Unused supplies are
returned to appropriate area., The sterile field is preserved until the patient has left the
room., Specimens are taken to the proper area for transport.
A patient has been placed in prone position for a posterior cervical decompression. As
surgery begins an overhead announcement alerts the staff to a major fire in the operating
room department. Which of the following actions should the surgical technologist take next?
A. Proceed with the case; the difficult positioning for this patient requires that the surgery
continues.
B. Ambulate the patient out of the building.
C. Break down the surgical field and break scrub to evacuate the OR per protocol.
D. Evacuate the operating room immediately. - ANS-Evacuate the operating room
immediately
A patient is undergoing a right total knee joint replacement. Midway through the procedure
there is a fire at the incision site. Which of the following are the most likely the sources of
ignition?
A. ESU, O2
B. O2, drill
C. ESU, surgical drapes
D. drill, surgical drapes - ANS-ESU, surgical drapes
, A surgeon asks the technologist for a specific retractor that is not routinely used and for the
preference card to be updated. Which of the following should the technologist report the
change to?
A. charge nurse
B. director
C. coordinator
D. manager - ANS-coordinator
A surgical technologist is being permanently relieved from a case at the end of the day.
Which of the following should the technologist communicate to her relief? (Select the three
(3) correct answers.)
A. that a side-to-side abdominal skin prep was performed on the patient for an
abdominoplasty
B. that initial and subsequent sharps and sponge counts are correct
C. anticipated specimens
D. amount of fluid replacement given by anesthesia during an exploratory laparotomy
E. confirmation of fluids and medications on back table - ANS-that initial and subsequent
sharps and sponge counts are correct, anticipated specimens, confirmation of fluids and
medications on back table
During a first closing count the surgical technologist and circulating nurse notice there is a
needle missing. Which of the following should be their next course of action?
A. Report the issue to the surgeon.
B. Recount everything.
C. Report the issue to anesthesia.
D. Report the issue to the charge nurse. - ANS-Report the issue to the surgeon
During a routine laparoscopy the surgeon notices a mole on the patient's skin. The surgeon
wants to remove it. The surgical consent is for the laparoscopy and "any necessary
procedures relating to the laparoscopy." In this scenario mole removal is
A. appropriate because the mole could be malignant
cancer.
B. inappropriate because patient has not given consent for this procedure.
C. appropriate because it helps the patient avoid another round of anesthesia.
Personnel)
. Which of the following is occurring during the postoperative phase of surgery? (Select the
three (3) correct answers.)
A. Traffic into and out of the OR is restricted.
B. Unused supplies are returned to appropriate area.
C. The sterile field is preserved until the patient has left the room.
D. Sterile furniture is moved into position.
E. Specimens are taken to the proper area for transport. - ANS-Unused supplies are
returned to appropriate area., The sterile field is preserved until the patient has left the
room., Specimens are taken to the proper area for transport.
A patient has been placed in prone position for a posterior cervical decompression. As
surgery begins an overhead announcement alerts the staff to a major fire in the operating
room department. Which of the following actions should the surgical technologist take next?
A. Proceed with the case; the difficult positioning for this patient requires that the surgery
continues.
B. Ambulate the patient out of the building.
C. Break down the surgical field and break scrub to evacuate the OR per protocol.
D. Evacuate the operating room immediately. - ANS-Evacuate the operating room
immediately
A patient is undergoing a right total knee joint replacement. Midway through the procedure
there is a fire at the incision site. Which of the following are the most likely the sources of
ignition?
A. ESU, O2
B. O2, drill
C. ESU, surgical drapes
D. drill, surgical drapes - ANS-ESU, surgical drapes
, A surgeon asks the technologist for a specific retractor that is not routinely used and for the
preference card to be updated. Which of the following should the technologist report the
change to?
A. charge nurse
B. director
C. coordinator
D. manager - ANS-coordinator
A surgical technologist is being permanently relieved from a case at the end of the day.
Which of the following should the technologist communicate to her relief? (Select the three
(3) correct answers.)
A. that a side-to-side abdominal skin prep was performed on the patient for an
abdominoplasty
B. that initial and subsequent sharps and sponge counts are correct
C. anticipated specimens
D. amount of fluid replacement given by anesthesia during an exploratory laparotomy
E. confirmation of fluids and medications on back table - ANS-that initial and subsequent
sharps and sponge counts are correct, anticipated specimens, confirmation of fluids and
medications on back table
During a first closing count the surgical technologist and circulating nurse notice there is a
needle missing. Which of the following should be their next course of action?
A. Report the issue to the surgeon.
B. Recount everything.
C. Report the issue to anesthesia.
D. Report the issue to the charge nurse. - ANS-Report the issue to the surgeon
During a routine laparoscopy the surgeon notices a mole on the patient's skin. The surgeon
wants to remove it. The surgical consent is for the laparoscopy and "any necessary
procedures relating to the laparoscopy." In this scenario mole removal is
A. appropriate because the mole could be malignant
cancer.
B. inappropriate because patient has not given consent for this procedure.
C. appropriate because it helps the patient avoid another round of anesthesia.
