NCCT Surgical Technology Preliminary Exam 1
Questions and Verified Answers Detailed
Answers Graded A+
When closing fascia after a laparotomy, which of the
following is the suture of choice?
Gore-Tex
PDS
Plain
Nurolon
PDS
Rationale: PDS has a longer absorption rate of 183-238 days,
which makes it ideal for the slow-healing fascia. Gore-Tex is
typically used for anastomosis of vascular grafts or in valve
repairs. Plain gut suture is not to be used on tissue under stress.
Nurolon is a nonabsorbable suture that loses some of its tensile
strength over time.
The surgical technologist observed a patient fall during the
transfer from the gurney to the operating bed. Which of the
following items are required in the incident report? (Select
the three (3) correct answers.)
Patient's name
Personnel involved
Type of anesthesia used
Location of the incident
Patient's weight
Patient’s name, Personnel involved, Location of the incident
Which member of the surgical team is in charge of the
transfer of an immobile or unconscious patient from the OR
table to the stretcher?
,Surgeon
Circulator
Anesthesia provider
Surgical technologist
Anesthesia provider
Rationale: The anesthesia provider is in control of the patient
transfer and coordinates the move. They have control of the head
and the patient's airway. The surgeon most likely has already left
the room and cannot help with the transfer. The circulator is on
the other side of the bed waiting on the transfer device when
anesthesia gives the permission. The surgical technologist is on
the other side waiting to help transfer the patient. There should
always be 4 people to transfer a patient. Anesthesia is at the head
of the bed and one person is on each side with one at the end of
the bed to help transfer the feet.
Which of the following steps are taken after the surgery has
finished and the surgical technologist is breaking scrub?
-Wipe blood off of gloves and remove them, then remove the
gown.
-Using a gloved hand, untie the neck of the gown and pull
away from the body, keeping all blood on the gown.
-Wipe the gloves off, grasp the gown at the shoulders, and
roll the gown forward into a ball.
-Ask the circulator to assist in removing the gown and
gloves.
Wipe the gloves off, grasp the gown at the shoulders, and
roll the gown forward into a ball.
The scheduled case is a prostatectomy. The surgeon has
requested chromic gut suture for reanastomosis. If Chromic
gut is unavailable, which of the following sutures is a viable
substitute?
,Polyester/Dacron
Silk
Nylon
Vicryl
Vicryl
Rationale: The acceptable substitute for a Chromic Gut suture
would be a Vicryl suture. Vicryl, like Chromic Gut, it absorbable
and would be the next best choice for re-anastomosis in a
prostatectomy.
A patient presents to the operating room for irrigation and
debridement of a wound caused by penetrating trauma. The
surgeon states that the wound will heal by secondary
intention. Which of the following dressing types should the
surgical technologist ask the circulator for?
Steri-Strips
Bio-occlusive Opsite
ABD
Bolsters
ABD
Rationale: The ABD would be used because of the drainage that
will follow after doing the irrigation and debridement so it can
absorb fluid. Steri strips and the bio-occlusive opsite have an
adhesive backing and would stick to the incision, so they are not
the appropriate dressing. Bolsters are used over suture strands to
keep them from cutting into the skin when suture is placed in a
high tension area. A wound that will heal by secondary intention is
not sutured closed.
During the initial pre-operative count, the surgical
technologist and circulator noticed that there were 11
Raytecs in a package instead of 10. Which of the following
should they do about the extra sponge?
, -Include the extra sponge in the count.
-Throw out one sponge to make it 10.
-Discard the entire package into a kick bucket and remove it
from count.
-Remove the package and the sponges from room.
Remove the package and the sponges from room.
Rationale: If the patient has not entered the room the Raytecs
are to be removed from the sterile field. They are then taken out
of the room. Sponges used during the case are counted in the
kick bucket so the incorrect sponges should not be placed in it.
Raytec sponges come in a total of 10, so subtracting one from the
count would complicate the surgery if relief would come in.
An OB-GYN surgeon has posted a laparoscopic partial
hysterectomy and has informed the surgical team that the
ovaries are remaining. However, the fallopian tubes will
require ligation involving the tubes being clipped and
cauterized. Which of the following instruments should the
surgical technologist open?
-Filshie and Kleppinger
-Harmonic scalpel and hemoclip applier
-Filshie and hemoclip applier
-Kleppinger and harmonic scalpel
Filshie and Kleppinger
Rationale: A Filshie is a small titanium clip with a soft lining used
specifically for female sterilization. The Kleppinger would be used
next as a secondary measure to cauterize the exposed ends of
the Fallopian tubes. A harmonic scalpel is used to cut and
coagulate tissue, but the Kleppinger offers a smaller, more
precise coagulation area. Hemoclip appliers are not used as a
sterilization method.
Questions and Verified Answers Detailed
Answers Graded A+
When closing fascia after a laparotomy, which of the
following is the suture of choice?
Gore-Tex
PDS
Plain
Nurolon
PDS
Rationale: PDS has a longer absorption rate of 183-238 days,
which makes it ideal for the slow-healing fascia. Gore-Tex is
typically used for anastomosis of vascular grafts or in valve
repairs. Plain gut suture is not to be used on tissue under stress.
Nurolon is a nonabsorbable suture that loses some of its tensile
strength over time.
The surgical technologist observed a patient fall during the
transfer from the gurney to the operating bed. Which of the
following items are required in the incident report? (Select
the three (3) correct answers.)
Patient's name
Personnel involved
Type of anesthesia used
Location of the incident
Patient's weight
Patient’s name, Personnel involved, Location of the incident
Which member of the surgical team is in charge of the
transfer of an immobile or unconscious patient from the OR
table to the stretcher?
,Surgeon
Circulator
Anesthesia provider
Surgical technologist
Anesthesia provider
Rationale: The anesthesia provider is in control of the patient
transfer and coordinates the move. They have control of the head
and the patient's airway. The surgeon most likely has already left
the room and cannot help with the transfer. The circulator is on
the other side of the bed waiting on the transfer device when
anesthesia gives the permission. The surgical technologist is on
the other side waiting to help transfer the patient. There should
always be 4 people to transfer a patient. Anesthesia is at the head
of the bed and one person is on each side with one at the end of
the bed to help transfer the feet.
Which of the following steps are taken after the surgery has
finished and the surgical technologist is breaking scrub?
-Wipe blood off of gloves and remove them, then remove the
gown.
-Using a gloved hand, untie the neck of the gown and pull
away from the body, keeping all blood on the gown.
-Wipe the gloves off, grasp the gown at the shoulders, and
roll the gown forward into a ball.
-Ask the circulator to assist in removing the gown and
gloves.
Wipe the gloves off, grasp the gown at the shoulders, and
roll the gown forward into a ball.
The scheduled case is a prostatectomy. The surgeon has
requested chromic gut suture for reanastomosis. If Chromic
gut is unavailable, which of the following sutures is a viable
substitute?
,Polyester/Dacron
Silk
Nylon
Vicryl
Vicryl
Rationale: The acceptable substitute for a Chromic Gut suture
would be a Vicryl suture. Vicryl, like Chromic Gut, it absorbable
and would be the next best choice for re-anastomosis in a
prostatectomy.
A patient presents to the operating room for irrigation and
debridement of a wound caused by penetrating trauma. The
surgeon states that the wound will heal by secondary
intention. Which of the following dressing types should the
surgical technologist ask the circulator for?
Steri-Strips
Bio-occlusive Opsite
ABD
Bolsters
ABD
Rationale: The ABD would be used because of the drainage that
will follow after doing the irrigation and debridement so it can
absorb fluid. Steri strips and the bio-occlusive opsite have an
adhesive backing and would stick to the incision, so they are not
the appropriate dressing. Bolsters are used over suture strands to
keep them from cutting into the skin when suture is placed in a
high tension area. A wound that will heal by secondary intention is
not sutured closed.
During the initial pre-operative count, the surgical
technologist and circulator noticed that there were 11
Raytecs in a package instead of 10. Which of the following
should they do about the extra sponge?
, -Include the extra sponge in the count.
-Throw out one sponge to make it 10.
-Discard the entire package into a kick bucket and remove it
from count.
-Remove the package and the sponges from room.
Remove the package and the sponges from room.
Rationale: If the patient has not entered the room the Raytecs
are to be removed from the sterile field. They are then taken out
of the room. Sponges used during the case are counted in the
kick bucket so the incorrect sponges should not be placed in it.
Raytec sponges come in a total of 10, so subtracting one from the
count would complicate the surgery if relief would come in.
An OB-GYN surgeon has posted a laparoscopic partial
hysterectomy and has informed the surgical team that the
ovaries are remaining. However, the fallopian tubes will
require ligation involving the tubes being clipped and
cauterized. Which of the following instruments should the
surgical technologist open?
-Filshie and Kleppinger
-Harmonic scalpel and hemoclip applier
-Filshie and hemoclip applier
-Kleppinger and harmonic scalpel
Filshie and Kleppinger
Rationale: A Filshie is a small titanium clip with a soft lining used
specifically for female sterilization. The Kleppinger would be used
next as a secondary measure to cauterize the exposed ends of
the Fallopian tubes. A harmonic scalpel is used to cut and
coagulate tissue, but the Kleppinger offers a smaller, more
precise coagulation area. Hemoclip appliers are not used as a
sterilization method.
