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NCCT Tech in Surgery Study Guide 2026–2027 Complete Review with Verified Answers

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Comprehensive NCCT Tech in Surgery study guide designed to help candidates prepare for the NCCT surgical technologist certification exam. This structured review covers surgical instrumentation, aseptic technique, sterilization, patient positioning, anatomy and physiology, surgical procedures, pharmacology, infection prevention, perioperative patient care, surgical safety, operating room protocols, and professional responsibilities. The content is organized to reinforce key certification concepts and support effective exam preparation. This resource is intended for educational and study purposes only and does not contain or reproduce actual NCCT exam questions, confidential testing materials, or secure certification exam content.

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NCCT TECH IN SURGERY STUDY GUIDE 2026-
2027: 160 QUESTIONS AND 100% VERIFIED
ANSWERS | GRADED A+ |GUARANTEED PASS!!

The anesthesia care provider (ACP) is performing an induction on a known
asthmatic patient. The patient experiences a laryngospasm during intubation. The
patient's oxygen saturation is 65%. The scrubbed surgical technologist should:
- answer-prepare for a tracheostomy.

Which of the following is the minimum number of counts for a Cesarean section
case?
- answer-4

During surgery, the surgical technologist reaches for a supply item being handed
by the circulator. The surgical technologist's left glove touches the outside of the
package. Which of the following steps must be taken to correct the break in sterile
technique?
- answer-The circulator removes the contaminated glove and then the
technologist re-gloves herself.

When reviewing the autoclave log, the surgical technologist should confirm that
which of the following have been documented before using the instrumentation?
- answer-Exposure temperature

What is the minimum percentage level of humidity in the OR suite?
- answer-20 %

The surgical technologist is preparing for a myelography procedure. Which of the
following items would definitely be on the preference card for this case?
- answer-Contrast medium

When preparing for a right total nephrectomy, the operating room team should
position the patient using which of the following positioning options?
- answer-left lateral position

,During an abdominal surgery, the anesthetist states that they believe an MH crisis
is presenting itself in the surgical patient. The surgical tech should
- answer-Prepare to close quickly and maintain the sterile field

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?
- answer-Ask the surgeon to return.

The surgical technologist should use which of the following disinfectants when
reprocessing an endotracheal tube used during surgery?
- answer-Cidex OPA

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?
- answer-Monsels solution

Before use of the ESU generator the surgical technologist should check for the
- answer-biomedical engineering sticker.

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?
- answer-Poole tip suction and Lap sponges

At the end of each case the surgical technologist should
- answer-rinse blood from the instruments with sterile water.

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?
- answer-Prepare internal defibrillator paddles.

Which of the following is being tested when doing a Bowie-Dick test on an
autoclave?
- answer-Amount of air removed from the autoclave

, The patient is undergoing cardiothoracic surgery, and placed in the Sims position.
Which of the following actions prevents the likelihood of an intraoperative
positioning injury to the brachial plexus?
- answer-Place rolled towel padding beneath abducted down-side arm.

The patient will need surgical skin prep for a right arm disarticulation at the
shoulder. Which of the following is the correct method for completing this prep?
- answer-Begin at shoulder to finger tips, including flank and chest,
prepping the axilla last, using as many sponges as needed, keeping the arm
away from the bed.

Which of the following instruments is used to extend the arteriotomy during a
carotid endarterectomy?
- answer-potts smith

During an open hernia procedure on adult male patient the surgeon requests
assistance with retracting the spermatic cord. Which of the following should the
surgical technologist provide?
- answer-moist Penrose

The surgical technologist places the patient in Fowler position with head secured
by craniotomy headrest. Which of the following locations indicates correct
application of the safety strap?
- answer-2 inches above the knees

A surgical technologist is in the process of opening sterile supplies for an
abdominal hysterectomy on a 300 lb. patient. After reviewing the preference
card, which of the following items should the technologist hold in order to watch
costs? (Select the three (3) correct answers.)
- answer-Closing suture, 11 knife blade, Extra Raytec

Which of the following retractors will the surgical technologist need for an
emergent bring back case on a 450lb abdominal hysterectomy patient?
- answer-bookwalter

In preparation for a carotid endarterectomy the surgical technologist should
anticipate using which of the following sutures?
- answer-7-0 Prolene

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