2022 NCCT Full Exam highly recommended studying 100% Verified

2022 NCCT Full Exam highly recommended studying 100% Verified 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