NCCT tech in surgery practice exam Questions
And Answers Verified 100% Correct |with
Rationales|
1. The large back table is unnecessary for which of these cases?
A. ACL repair
B. Tonsillectomy
C. Laminectomy
D. A total joint replacement - ANSWER -Correct response:
Tonsillectomy
Rationale: A tonsillectomy can be performed using significantly less space than a
back table, typically a covered Mayo stand or prep stand is sufficient. Due to their
complexity and the likelihood of needing multiple instrument sets, the other cases
listed could be facilitated (given sufficient OR space) with either an additional or
larger back table.
2. What key information should be provided to the surgical team to facilitate the
completion of an incident report?
A. The detailed description including the who, what, when, where of the situation.
B. The patient's medical history, allergies, and current medications.
C. The central processing system for the care and maintenance of instruments.
D. The hospital and surgical team's safety protocols from the office manual. -
ANSWER -Correct response:
The detailed description including the who, what, when, where of the situation.
Rationale: The key information that should be provided to the surgical team to
facilitate the completion of an incident report includes a detailed description of the
incident. This description should cover what specifically happened, where and
when it occurred, and who was involved or affected by the incident. This ensures
that the incident report is comprehensive and accurately reflects the event. While
patient medical history, allergies, and medications are important for patient care,
they are not directly relevant to completing an incident report unless they were
,factors in the incident. The incident report wants to know what happened in this
situation, not what the central processing (CP) system is or the hospital's safety
protocols from the office manual. If the inspectors want any of that information,
they will as CP or the hospital safety coordinator for those details.
3. When scrubbing an open reduction internal fixation of an extremity, what is
important to verify with the surgeon besides the plate selection?
A. How many sutures they estimate they'll need for closure.
B. The type and size of the screws preferred for the case.
C. Whether they might want any graft material.
D. If everyone in the room needs protective eyewear. - ANSWER -Correct
response:
The type and size of the screws preferred for the case.
Rationale: The type and size of the preferred screws. This will largely be a doctor's
preference, but experience will help you predict the type and size of screw
depending on the drill bit size and vice versa. Graft material is unnecessary for an
ORIF procedure. Whether everyone in the room needs protective eyewear will
vary according to hospital policy, but it is not relevant to this case. While the
number of sutures the doctor will need may be a pertinent question, it is not
appropriate to ask this question while plating the fracture.
4. Which of the following practices is recommended for labeling medications in
the operating room to ensure patient safety?
A. Using pre-printed labels or stickers to clearly indicate the medication name,
strength, dosage, and patient name or identifier.
B. Writing the patient's name on the medication vial or syringe with a permanent
marker.
C. Verifying medication details verbally with team members without labeling the
medication container.
D. Placing medications in unmarked containers for easy access during procedures.
- ANSWER -Correct response:
Using pre-printed labels or stickers to clearly indicate the medication name,
strength, dosage, and patient name or identifier.
,Rationale: Using pre-printed labels or stickers ensures that essential information
such as medication name, strength, dosage, and patient identifier is clearly visible
and accessible to healthcare providers. Placing medications in unmarked containers
can lead to confusion and potential medication errors during procedures. Writing
directly on medication vials or syringes with a permanent marker can obscure
important information, lead to illegibility, or cause contamination. Verifying
medication details verbally without proper labeling increases the risk of
miscommunication or errors during medication administration.
5. What is the first step the surgical tech should take in reducing bioburden on
instruments for the sterilization cycle after completing a surgical procedure?
A. Presoaking
B. Sorting
C. Disinfecting
D. Sterilizing - ANSWER -Correct response:
Presoaking
Rationale: The first step in the overall decontamination process, begins at the point
of use (surgical procedure). The surgical techs are responsible for presoaking
contaminated instruments to prevent organic matter from drying on their surfaces
or in complex serrations. The other steps of sterilization (sorting, disinfecting,
sterilizing) come after presoaking.
6. Which of the following retractors should the surgical tech have available to
provide exposure to the patellar tendon while harvesting the graft for an ACL
repair?
A. Richardson
B. Fukuda
C. Hayes
D. Senn - ANSWER -Correct response:
Senn
Rationale: The Senn retractor is smaller, more delicate retractor (either blunt or
sharp) that is used to help expose the patellar tendon. The Richardson retractor is
, larger than the Senn and is used to expose organs or muscles. The Hayes retractor
is used in hand surgeries. The Fukuda retractor is use in shoulder surgeries.
7. What is the recommended temperature in the operating room for pediatric
patients?
A. Keeping the operating room temperature cooler is better for the comfort of the
child, and to reduce the risk of infections.
B. Keep the OR at 60 F (15.6 C) degrees as optimal since children are unaffected
by the cold like adults.
C. Normally the OR temperature is based on the preferences of the surgical team,
usually 60 - 68 degrees F (26.7 - 30 C).
D. The ambient operating room temperature should be 80°F (26.7 C) for the child's
comfort and safety. - ANSWER -Correct response:
The ambient operating room temperature should be 80°F (26.7 C) for the child's
comfort and safety.
Rationale: Maintaining the operating room temperature around 80 degrees F (26.7
C) helps ensure comfort and safety for pediatric patients during surgical
procedures, especially with newborns. Keeping the operating room cooler is not
recommended as it may increase the risk of hypothermia, especially in pediatric
patients who are more susceptible. Allowing the temperature to vary based on
preferences can lead to inconsistency and potential discomfort or risks for the
patient. It is incorrect to keep the OR at 60 degrees F (15.6 C) because children are
affected by the cold and may experience hypothermia faster than adults.
8. Specimens may be placed in a preservative solution for transport to the lab,
except which of the following?
A. Uterus
B. Curettings
C. Tonsils
D. Stones - ANSWER -Correct response:
Stones
Rationale: Stones are not placed in a preservative solution since they would
dissolve. Stones are placed in a dry container and are sent for analysis to determine
And Answers Verified 100% Correct |with
Rationales|
1. The large back table is unnecessary for which of these cases?
A. ACL repair
B. Tonsillectomy
C. Laminectomy
D. A total joint replacement - ANSWER -Correct response:
Tonsillectomy
Rationale: A tonsillectomy can be performed using significantly less space than a
back table, typically a covered Mayo stand or prep stand is sufficient. Due to their
complexity and the likelihood of needing multiple instrument sets, the other cases
listed could be facilitated (given sufficient OR space) with either an additional or
larger back table.
2. What key information should be provided to the surgical team to facilitate the
completion of an incident report?
A. The detailed description including the who, what, when, where of the situation.
B. The patient's medical history, allergies, and current medications.
C. The central processing system for the care and maintenance of instruments.
D. The hospital and surgical team's safety protocols from the office manual. -
ANSWER -Correct response:
The detailed description including the who, what, when, where of the situation.
Rationale: The key information that should be provided to the surgical team to
facilitate the completion of an incident report includes a detailed description of the
incident. This description should cover what specifically happened, where and
when it occurred, and who was involved or affected by the incident. This ensures
that the incident report is comprehensive and accurately reflects the event. While
patient medical history, allergies, and medications are important for patient care,
they are not directly relevant to completing an incident report unless they were
,factors in the incident. The incident report wants to know what happened in this
situation, not what the central processing (CP) system is or the hospital's safety
protocols from the office manual. If the inspectors want any of that information,
they will as CP or the hospital safety coordinator for those details.
3. When scrubbing an open reduction internal fixation of an extremity, what is
important to verify with the surgeon besides the plate selection?
A. How many sutures they estimate they'll need for closure.
B. The type and size of the screws preferred for the case.
C. Whether they might want any graft material.
D. If everyone in the room needs protective eyewear. - ANSWER -Correct
response:
The type and size of the screws preferred for the case.
Rationale: The type and size of the preferred screws. This will largely be a doctor's
preference, but experience will help you predict the type and size of screw
depending on the drill bit size and vice versa. Graft material is unnecessary for an
ORIF procedure. Whether everyone in the room needs protective eyewear will
vary according to hospital policy, but it is not relevant to this case. While the
number of sutures the doctor will need may be a pertinent question, it is not
appropriate to ask this question while plating the fracture.
4. Which of the following practices is recommended for labeling medications in
the operating room to ensure patient safety?
A. Using pre-printed labels or stickers to clearly indicate the medication name,
strength, dosage, and patient name or identifier.
B. Writing the patient's name on the medication vial or syringe with a permanent
marker.
C. Verifying medication details verbally with team members without labeling the
medication container.
D. Placing medications in unmarked containers for easy access during procedures.
- ANSWER -Correct response:
Using pre-printed labels or stickers to clearly indicate the medication name,
strength, dosage, and patient name or identifier.
,Rationale: Using pre-printed labels or stickers ensures that essential information
such as medication name, strength, dosage, and patient identifier is clearly visible
and accessible to healthcare providers. Placing medications in unmarked containers
can lead to confusion and potential medication errors during procedures. Writing
directly on medication vials or syringes with a permanent marker can obscure
important information, lead to illegibility, or cause contamination. Verifying
medication details verbally without proper labeling increases the risk of
miscommunication or errors during medication administration.
5. What is the first step the surgical tech should take in reducing bioburden on
instruments for the sterilization cycle after completing a surgical procedure?
A. Presoaking
B. Sorting
C. Disinfecting
D. Sterilizing - ANSWER -Correct response:
Presoaking
Rationale: The first step in the overall decontamination process, begins at the point
of use (surgical procedure). The surgical techs are responsible for presoaking
contaminated instruments to prevent organic matter from drying on their surfaces
or in complex serrations. The other steps of sterilization (sorting, disinfecting,
sterilizing) come after presoaking.
6. Which of the following retractors should the surgical tech have available to
provide exposure to the patellar tendon while harvesting the graft for an ACL
repair?
A. Richardson
B. Fukuda
C. Hayes
D. Senn - ANSWER -Correct response:
Senn
Rationale: The Senn retractor is smaller, more delicate retractor (either blunt or
sharp) that is used to help expose the patellar tendon. The Richardson retractor is
, larger than the Senn and is used to expose organs or muscles. The Hayes retractor
is used in hand surgeries. The Fukuda retractor is use in shoulder surgeries.
7. What is the recommended temperature in the operating room for pediatric
patients?
A. Keeping the operating room temperature cooler is better for the comfort of the
child, and to reduce the risk of infections.
B. Keep the OR at 60 F (15.6 C) degrees as optimal since children are unaffected
by the cold like adults.
C. Normally the OR temperature is based on the preferences of the surgical team,
usually 60 - 68 degrees F (26.7 - 30 C).
D. The ambient operating room temperature should be 80°F (26.7 C) for the child's
comfort and safety. - ANSWER -Correct response:
The ambient operating room temperature should be 80°F (26.7 C) for the child's
comfort and safety.
Rationale: Maintaining the operating room temperature around 80 degrees F (26.7
C) helps ensure comfort and safety for pediatric patients during surgical
procedures, especially with newborns. Keeping the operating room cooler is not
recommended as it may increase the risk of hypothermia, especially in pediatric
patients who are more susceptible. Allowing the temperature to vary based on
preferences can lead to inconsistency and potential discomfort or risks for the
patient. It is incorrect to keep the OR at 60 degrees F (15.6 C) because children are
affected by the cold and may experience hypothermia faster than adults.
8. Specimens may be placed in a preservative solution for transport to the lab,
except which of the following?
A. Uterus
B. Curettings
C. Tonsils
D. Stones - ANSWER -Correct response:
Stones
Rationale: Stones are not placed in a preservative solution since they would
dissolve. Stones are placed in a dry container and are sent for analysis to determine
