NBSTSA PSI CST EXAM REVIEW Questions and answers, 100% Accurate.

NBSTSA PSI CST EXAM REVIEW Questions and answers, 100% Accurate. 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 practices, which of the following should be the NEXT step? A. Push the back table, mayo, and basin back and tear it down B. Pull the drapes off and put them on the back table in case they are needed again. C. Push the back table, mayo, and basin back and keep sterile until the patient is transported to PACU. D. Leave the back table, mayo, and basin close to patient in case they are needed again. - C. Push the back table, mayo, and basin back and keep sterile until the patient is transported to PACU. A Javid shunt is used for which of the following procedures? A.carotid endarterectomy B.femoral-popliteal bypass C.abdominal aneurysmectomy D.saphenous vein ligation - A. carotid endarterectomy A large power saw is not functioning. Which of the following is the MOST likely cause? A.It is not plugged into the electrical outlet. B.The battery has not been adequately charged. C.It has not been joined to the foot pedal. D.The arthroscopy shaver motor is not connected. - B. the battery has not been adequately charged 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? A. tapered B. reverse cutting C. blunt D. conventional cutting - C. blunt A patient having recently undergone a laparoscopic cholecystectomy has been transferred to the PACU. The patient becomes tachycardic and the nurse reports a rise in core body temperature. The nurse attempts to communicate with the patient and notices that the patient's muscles are very rigid. The nurse notifies the surgical team. The surgical technologist should recognize these as signs of A.malignant hyperthermia. B.cardiac arrest. C.pulmonary embolism. D.hypokalemia. - A. malignant hyperthermia 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 - B. Ulnar 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? A. smoke evacuator B. suction tip C. pulse lavage D. endocatch bag - A. Smoke evacuator A patient is undergoing a laser vocal cord nodule ablation. During the procedure, the anesthetist calls for all action to cease due to an airway fire that has suddenly occurred. Which of the following is the MOST likely cause of the fire? A.The draping near the patient's face was compromised. B.Wet sponges were used around the endotracheal tube cuff. C.The laser-specific endotracheal tube was not used. D.The draping was ignited by the heat near the surgical site. - C. The laser-specific endotracheal tube was not used. A patient's dentures are removed in the operating room. Which of the following is the proper procedure for the care of the dentures? A. Return them to the patient's unit and leave them at the nurses' station. B. Place them in a labeled cup and keep them with the patient's chart. C. Wrap them in a paper towel and give them to the anesthesiologist. D. Ask the circulator to return them to the patient's room. - B. Place them in a labeled cup and keep them with the patient's chart A plastic surgeon performs surgery PRIMARILY on which of the following anatomical systems? A.vascular B.genitourinary C.endocrine D.integumentary - D. integumentary A proper informed consent should include the A.surgeon's name. B.patient's blood type. C.known allergies. D.next of kin information. - A. surgeon's name A specimen obtained for frozen section is generally removed from the sterile field intraoperatively because it A. needs to be labeled by the circulator. B. is sent to pathology immediately. C. will contaminate the sterile field. D. needs to be placed in formalin solution. - B. is sent to pathology immediately A Stamey needle is used for which of the following types of surgery? A.hysterectomy B.prostatectomy C.bladder suspension D.anterior colporrhaphy - C. bladder suspension A stockinette is used in draping for A.an abdominal procedure. B.a cranial procedure. C.a perineal procedure. D.an extremity procedure. - D. an extremity procedure 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? A. to clean out the area of any loose tissue B. to maintain the core body temperature C. to eliminate any infection causing microbes D. to aid visual inspection for leakage - D. to aid visual inspection for leakage 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. - A. dry specimen container so that a frozen section can be completed A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which of the following types of drains should the surgical technologist have available at the end of the procedure? A.passive B.suction C.gravity D.underwater - D. underwater 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? A. 0 suture and toothed tissue forceps B. 7-0 Vicryl and toothed tissue forceps C. retention sutures and toothed tissue forceps D. staples and Adson with teeth - A. 0 suture and toothed tissue forceps A surgeon received a report from PACU that a patient is bleeding at the surgical site after a lumbar laminectomy procedure. Upon inspection, the surgeon deems it necessary to return the patient to the OR to correct the issue. Which of the following should the surgeon suspect to occur if the issue is not resolved immediately? A.dehiscence B.hematoma C.evisceration D.adhesion - B. hematoma A surgeon repeatedly asks the surgical technologist to refill the 10 cc syringe with local anesthetic. If the surgical technologist refilled the syringe three times and there was 5 cc left in the syringe, how much anesthetic was used? A.15 B.25 C.30 D.35 - D. 35 A surgeon requests a patient to be placed into the lithotomy position for the surgical procedure. Which of the following positioning devices must be obtained? A.leg stirrups B.chest rolls C.bean bags D.axillary rolls - A. leg stirrups 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. - B. making the initial incision A surgical incision that is sutured together so that the wound edges are in direct contact with one another is referred to as which of the following types of closure? A.granulation B.primary intention C.secondary intention D.delayed closure - B. primary intention A threeway 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. - A. irrigate and aid in hemostasis A thyroidectomy that was done earlier in the day is being brought back for excessive bleeding from the incision. Which of the following items are needed for this case? A.Monocryl suture and harmonic scalpel B.laps, silk ties, and hemoclips C.Vicryl ties, pledgets, and Alexis D.nylon suture, Raytec, and Geralds - B. laps, silk ties, and hemoclips After a surgical procedure, infectious waste is separated from all other waste and placed in A.yellow plastic bags. B.biohazard bags. C.plastic trash bags. D.an impenetrable hard container. - B. Biohazard bags After completion of a procedure, the nurse notices that the arms were extended beyond 90 degrees. This may have caused injury to the A.brachial plexus. B.humeral head. C.femoral nerve. D.supraspinatus. - A. brachial plexus 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? A. Assist the surgeon in draping the patient. B. Regown and reglove the surgeon. C. Pass off Bovie and suction. D. Inform the supervisor. - B. Regown and reglove the surgeon After receiving a stapler on the sterile field, the surgical technologist determines that the device is not working properly. Which of the following should the surgical technologist do FIRST? A.Report the issue to biomed. B.Ask the circulator for another stapler. C.Tell anesthesia the case will be delayed due to a device malfunction. D.Inform the clinical director of the situation. - B. ask the circulator for another stapler An effective packaging material used for steam sterilization of a Balfour retractor A.permits penetration by the sterilant. B.allows for condensation that produces wet packs. C.allows for exposure to peracetic acid. D.is dictated by the surgeon's preference. - A. permits penetration by the sterilant An organization that regulates the production of biological sterilization test packs inhouse is A. CDC. B. ANSI. C. AAMI. D. SDS. - C. AAMI Apart from trauma cases, which of the following incisions would be BEST for sigmoid surgery? A. vertical midline B. vertical paramedian C. oblique subcostal D. lower transverse - B. Vertical paramedian At the conclusion of a surgical case, how should the surgical technologist aid in reducing bioburden on instruments as the FIRST step in the sterilization cycle? A.hand cleaning B.disinfection C.sorting D.sterilization - A. hand cleaning At the end of a posterior capsulectomy, a surgeon is having difficulty closing the sclerotomies. Which medication should the surgeon request? A.Viscoat B.Hyaluronidase C.Prednisolone D.Mannitol - D. Mannitol During a craniotomy, removal of the bone flap is followed by A. incision of the dura mater. B. opening the galea aponeurotica. C. application of the Raney clips. D. repairing the dura mater. - A. incision of the dura mater During 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? a. Suction the fluid from the abdomen b. Continue removing the appendix as planned C. Place a Kelly clamp over the perforation D. Close the wound and terminate the procedure - A. Suction the fluid from the abdomen During a laparoscopic appendectomy, which of the following types of staplers should the surgical technologist have ready on the back table for removing the appendix and ensuring no spillage of bowel content? A.intraluminal B.linear C.skin D.purse-string - B. linear During a laparoscopic cholecystectomy, the surgeon determines that the procedure will convert to an open case. Which of the following incisions is preferred for access? A.subcostal B.vertical C.transverse D.thoracoabdominal - A. subcostal During a laser laryngoscopy, which of the following supplies must be available? A.wet sponges and towels B.microscope and bronchoscope C.thyroid tray and methylene blue D.bronchoscope and tracheotomy tray and tube - A. wet sponges and towels During a Nissen fundoplication, after the pneumoperitoneum is established and trocars are placed, which of the following is the NEXT step? A.The stomach is mobilized and divided from the omentum. B.The upper portion of the fundus is wrapped around the esophagus. C.The phrenoesophageal membrane is dissected free. D.The surgeon performs a saline drop test. - A. The stomach is mobilized and divided from the omentum 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. - D. topically stop bleeding During a procedure, a hole is noticed in the surgical technologist's glove. What should the surgical technologist do NEXT? A. Continue the case. B. Change the glove using the open-gloving technique. C. Change the glove using the closed-gloving technique. D. Break scrub, rescrub, gown, and glove. - B. change the glove using the open-gloving technique During a procedure, a major piece of equipment malfunctions and causes a patient's death. Which of the following is this situation MOST likely to be classified as? A.defamation B.sentinel event C.malpractice D.abandonment - B. sentinel event During a transurethral resection of the prostate, bleeding is controlled by A.Gelfoam. B.irrigation. C.cauterization. D.suture ligature. - C. cauterization During an open repair of an indirect hernia, which of the following drains should a surgical technologist have available to pass the surgeon once the spermatic cord has been dissected? A.Malecot B.T-tube C.Jackson-Pratt D.Penrose - D. Penrose During dissection of the cystic duct and artery in an open cholecystectomy, which of the following instruments is necessary? A.Ochsner forceps B.Jennings retractor C.Mixter clamp D.O'Sullivan-O'Connor retractor - C. Mixter clamp During ophthalmic procedures, the surgeon will use which of the following paralytic agents to dilate the pupil? A.cycloplegics B.miotics C.viscoelastic D.BSS - A. cycloplegics During surgery, the surgeon intermittently uses a local anesthetic intraoperatively. The surgical technologist should A.keep track of the times. B.ask the circulator to add the amounts. C.ask the anesthesia provider to add the amounts. D.keep track of the amounts. - D. keep track of the amounts During the intraoperative phase, which of the following activities can be completed by both sterile and non-sterile members of the surgical team? A.handling of the specimen B.maintaining the patient's operative record C.clearing residual blood from the surgical field D.maintaining the sterile field and neutral zone - A. handling of the specimen 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 - D. incubation Factors that contribute to SSI include A.wearing proper PPE. B.using aseptic technique. C.immunosuppression. D.portal hypertension. - C. immunosuppression