Surgical Technology NBSTSA EXAM 2021 updated

Surgical Technology NBSTSA EXAM 2021 updatedDuring a laparoscopic appendectomy, the appendix is perforated, and contents begin spilling into the abdomen. Which of the following should the surgical technologist anticipate as the NEXT step? Suction the fluid from the abdomen. A carotid endarterectomy has just been finished and the dressing is on. The surgical technologist begins removing all sharps and non-disposables from the drapes before pushing everything back. According to best practice, which of the following should be the NEXT step? Push the back table, mayo, and basin back and keep sterile until the patient is transported to PACU. Which of the following should be prepared for a mastoid dressing? several fluffed sponges and rolled gauze Which of the following is the FIRST step in applying the pneumatic tourniquet? padding the limb where the tourniquet is to be wrapped with Webril When performing a dilation and curettage, which of the following instruments is used to grasp the cervix? Schroeder How many lobes do the right and left lungs have, respectively? three, two When a break in aseptic technique occurs, the surgical technologist should FIRST notify the contaminating team member. Which of the following pathological conditions may be caused by an excessive production of cerebrospinal fluid in the brain? hydrocephalus If unexpected heavy blood loss occurs during an abdominal procedure, a surgical technologist should request additional lap sponges. Growth in the length of a long bone occurs at the epiphyseal plate In which of the following situation can a DNR order be continued in a unconscious patient for a surgical procedure? The patient durable POA requests it be continued A surgeon asks for warm irrigation after a right hemicolectomy. Which of the following BEST describes the reason for irrigating at this point in the procedure? to aid visual inspection for leakage The rate per hour in air exchanges in a standard OR suite is 15-25. If there is any question related to handling a specific type of specimen, which of the following departments should be consulted? pathology A patient's dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures? Place them in a labeled cup and keep them with the patient's chart. A patient is scheduled for laser removal of condyloma acuminata. As a safety precaution, the surgical technologist should have which of the following special equipment open and available? smoke evacuator Apart from trauma cases, which of the following incisions would be BEST for sigmoid surgery? vertical paramedian The kidneys help regulate the blood levels of several ions, including sodium, potassium, and calcium. Which of the following is the MOST effective mechanical method of controlling bleeding occurring from needle holes in vessel anastomoses? pledget Which of the following tags indicates the least critical of patients in a triage situation? green During a craniotomy, removal of the bone flap is followed by incision of the dura mater. After gowning and gloving, a surgeon activates the DuraPrep applicator and performs the initial skin prep for surgery. Which of the following is the BEST action to take at this time? Regown and reglove the surgeon. A specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it is sent to pathology immediately. A surgeon is preparing to close the abdomen. Which of the following closing supplies should the surgical technologist have ready for closing the fascial layer? 0 suture and toothed tissue forceps During a procedure, a hole is noticed in the surgical technologist's glove. What should the surgical technologist do NEXT? Change the glove using the open-gloving technique. Which of the following instruments should be included in a transurethral resection of the prostate (TURP) setup? resectoscope Which of the following terms describes airway assessment by listening with a stethoscope? auscultation - the act of listening to the lungs, heart, or abdomen through the stethoscope. Which of the following techniques promotes safety and protection of the surgical technologist during the intraoperative phase? establishing a neutral zone Which of the following verifies that autoclave sterilization has occurred? biological indicator Which of the following instruments is used in otorhinolaryngology surgery? Baron An organization that regulates the production of biological sterilization test packs in-house is AAMI-Association for the Advancement of Medical Instrumentation For an open hemicolectomy, a surgical technologist is preparing a second mayo stand for the placement of dirty surgical instruments. Which of the following instruments is MOST likely to be placed on the second mayo stand? Allis forceps When loading items in a gravity-displaced steam sterilizer, heavy packs should be placed at the periphery of the load. A liver laceration is identified during an emergency exploratory laparotomy. A surgical technologist should prepare a suture attached to which of the following types of needles? blunt Which of the following instruments is used to thread a vascular graft from one incision to another? tunneler Which of the following combination of medications are commonly used during a MAC? A. nerve conduction blockades with supplemental analgesics, sedatives, or amnesics B. induction agents, anticholinergics, and antiemetics C. hemostatics, ringer's solution, analgesics, amnesics or sedatives D. tranquilizers, gastric acid management, or lubricants nerve conduction blockades with supplemental analgesics, sedatives, or amnesics Which of the following items must the surgical technologist have available after a thyroidectomy? A. lap sponges, hemostatic clamps, and electrocautery. B. endotracheal tube, hemostatic clamps, and scalpel. C. knife handle, scalpel blade, and nasogastric tube. D. scalpel, hemostatic clamps, and tracheostomy tube. scalpel, hemostatic clamps, and tracheostomy tube. Which of the following is the name of the avascular strip of tissue at the midline which runs from the xiphoid process to the pubis? A.linea semilunaris B.linea alba C.arcuate line D.midaxillary line linea alba A three-way Foley catheter is inserted following a transurethral resection of the prostate (TURP) in order to A. irrigate and aid in hemostasis. B. prevent the patient from getting out of bed. C. maintain accurate input and output records. D. keep the perineal area dry. irrigate and aid in hemostasis. A patient is in the supine position for a procedure. After the arms are placed on arm boards, padding is placed under the elbows to decrease pressure on which of the following nerves? A. brachial B. ulnar C. axillary D. median ulnar Which of the following supplies should be pulled by the surgical technologist for a thoracic procedure? A. water-sealed drainage system B. passive drainage system C. Jackson-Pratt drainage system D. Andrews-Pynchon suction water-sealed drainage system The FIRST sign of malignant hyperthermia is A. muscle twitching. B. change in blood pressure. C. unexplained tachycardia. D. hemorrhage. unexplained tachycardia. Prior to the closure of an arteriotomy, which of the following solutions should the surgical technologist have ready for irrigation of the operative site? A. lactated Ringer's B. protamine sulfate C. sterile water D. heparinized saline heparinized saline Herniation of the rectum through a weakened posterior vaginal wall is known as A. a rectocele. B. a cystocele. C. a varicocele. D. an enterocele. a rectocele. If a surgeon requests Gelfoam soaked with thrombin, the method to maintain hemostasis is A. thermal. B. mechanical. C. chemical. D. electrical. chemical Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the patient in the OR? A. cystoscopy B. culdoscopy C. proctoscopy D. laparoscopy proctoscopy During which of the following phases of infection do pathogens actively replicate, but the host shows no symptoms? A. convalescence B. prodromal phase C. acute phase D. incubation incubation Which of the following conditions should be treated FIRST? A. obstructed airway B. closed cerebral injury C. shock due to hemorrhage D. sucking chest wound obstructed airway During a partial nephrectomy, the surgeon asks for a large chromic suture and Gelfoam. The surgeon would like the Gelfoam to be cut into pledget squares and loaded onto the suture. The MAIN purpose for the use of the Gelfoam and suture is to A. cauterize the tissue. B. cause a fibrin clot to form. C. seal or close tissue. D. topically stop bleeding. topically stop bleeding. Which of the following is a tonsillolith? A. a stone within the tonsil B. inflammation within the tonsil C. removal of the tonsil D. an abscess of the tonsil a stone within the tonsil Which of the following should be the MINIMUM exposure time in an immediate use sterilizer for unwrapped instruments? A. 1 minute B. 3 minutes C. 5 minutes D. 7 minutes 3 minutes The anesthesia care provider (ACP) is gathering supplies to initiate a Bier block for the surgical patient. Which of the following items does the surgical technologist give to the ACP to assist in displacing the blood? A. pneumatic tourniquet B. stockinette C. Esmarch bandage D. Coban Esmarch bandage Which of the following hormones regulates urine concentration based on reabsorption? A. ADH B. PTH C. ANP D.X GFR ADH -Anti diuretic hormone (ADH) is responsible for the dilution of urine. ADH may be secreted by the posterior pituitary gland and may be released if fluid levels shift as little as 1% due to dehydration or blood loss. A surgeon has just completed an incisional biopsy and would like to have an immediate diagnosis. The MOST appropriate NEXT step is to send the specimen to pathology in a A. dry specimen container so that a frozen section can be completed. B. container containing normal saline so that a frozen section can be completed. C. dry specimen container so that a permanent section can be completed. D. specimen container containing normal saline so that a permanent section can be completed. dry specimen container so that a frozen section can be completed. In the break room, a precepting surgical technologist is overheard discussing a student's lack of instrument knowledge. The precepting surgical technologist just committed A. tort. B. libel. C. malpractice. D. slander. slander. Which of the following must be done before sterilizing an instrument with a lumen? A. Allow the instrument to dry completely. B. Ensure the stylet is still within the lumen. C. Inject a small amount of distilled water into the lumen. D. Wrap the instrument separately in a peel pack pouch and place in the tray. Inject a small amount of distilled water into the lumen. Which of the following should occur after a Veress needle is inserted? A. Place a trocar in the umbilical area. B. Provide the camera to the surgeon. C. Verify the white balance of the camera. D.√ Connect the insufflation tubing. Connect the insufflation tubing. Prions are unique from other infectious agents because they lack which of the following? A. cytoplasm B. nucleus C. DNA D. cell membrane DNA In metastatic cancer, which of the following systems allows for tumors to extend beyond the regional area? A. skeletal B. lymphatic C. endocrine D. respiratory lymphatic For which of the following procedures is Gelfoam MOST commonly used? A.X TVH B. cataract extraction C. TURP D. myringotomy myringotomy Which of the following is the receiving nerve end of all transmission? A. cell body B. dendrite C. axon D. trigger zone dendrite A surgical "time out" must be performed prior to A. leaving the pre-op holding area. B. making the initial incision. C. placing the grounding pad. D. intubating the patient. making the initial incision. The opening in the occipital bone which the spinal cord passes through is the foramen A. of Monro. B. magnum. C. rotundum. D. of Bochdalek. magnum. When preparing cannulated instruments for steam sterilization, the instrument lumen should be A. dry for dynamic air removal and wet for gravity displacement. B. wet for dynamic air removal and dry for gravity displacement. C. dry for both dynamic air removal and for gravity displacement. D. wet for both dynamic air removal and for gravity displacement. dry for dynamic air removal and wet for gravity displacement. When steam comes into an autoclave from an outside source, the steam is heated in the A. vacuum system. B. chamber. C. thermostatic trap. D. jacket. jacket.