NBSTSA PSI CST EXAM WITH 100% CORRECT ANSWERS 2023

NBSTSA CST Practice Exam A Which of the following is the opening in the occipital bone through which the spinal cord passes? A. foramen ovale B. foramen magnum C. foramen rotundum D. foramen of Bochdalek - Correct answer-B. foramen magnum Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just informed that the case has been moved to OR 2 and the next case in OR 1 is scheduled in two hours. Which of the following is the BEST course of action? A. Cover the sterile field with a sterile drape and move it from OR 1 to OR 2. B. New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. C. OR 1 should be left so that these supplies and instruments can be used by the next case. D. The surgical technologist should argue that the procedure be held in OR 1 as planned. - Correct answer-B. New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. Which of the following is the body's local tissue reaction to injury? A. fever B. infection C. inflammation D. immune reaction - Correct answer-C. inflammation Which of the following instruments is used for a common bile duct exploration? A. Fogarty clamp B. Randall forceps C. Pennington clamp D. Forester ring forceps - Correct answer-B. Randall forceps Which of the following is the MOST important consideration when cutting suture? A. avoiding the knot B. using sharp scissors C.opening the scissors wide when cutting D. tagging the end of suture to be cut with a hemostat - Correct answer-A. avoiding the knot Which of the following structures are ligated and divided during the cholecystectomy? A.cystic artery and cystic duct B.hepatic artery and hepatic duct C. cystic artery and common bile duct D. hepatic artery and pancreatic duct - Correct answer-A.cystic artery and cystic duct Which of the following may be used when applying a sterile dressing to a skin graft site? A. pressure dressing B. ABD pad C. 4x4s D. Steri-Strips - Correct answer-A. pressure dressing When performing a dilation and curettage, which of the following instruments is used to grasp the cervix? A. Sims B. Auvard C. Schroeder D. Bozeman - Correct answer-C. Schroeder On the way into the operating room, a terminally ill patient tells the nurse, "No matter what happens, it will be okay." Which of the Five Stages of Grief is the patient MOST likely in? A. denial B. bargaining C. depression D. acceptance - Correct answer-D. acceptance Which of the following instruments is used for placement of cottonoid strips during a craniotomy? A. bayonet forceps B. Russian forceps C. Kelly clamp D. angled DeBakey clamp - Correct answer-A. bayonet forceps When two individuals in sterile attire pass one another in the sterile field, they should A. pass back-to-back. B. both face the wall. C. pass side-to-side. D. both face the sterile field. - Correct answer-A. pass back-to-back. Which of the following is used to oxygenate and circulate blood? A. Doppler ultrasound B. defibrillator C. extracorporeal bypass D. autotransfuser - Correct answer-C. extracorporeal bypass The PRIMARY consideration in selecting an appropriate anesthetic agent is the A. physiologic condition of the patient. B. length of the procedure. C. type of the procedure. D. anxiety level of the patient. - Correct answer-A. physiologic condition of the patient. If two basins are wrapped together for sterilizing, they should be packaged with one basin A.stacked inside the other and separated by impervious material. B.on its side and the other upside down. C.stacked inside the other and wrapped in a towel. D.stacked inside the other and separated by a towel. - Correct answer-D.stacked inside the other and separated by a towel. Which of the following items may be used in positioning a patient for a total hip arthroplasty? A. fracture table B. Wilson frame C. Andrews frame D. bean bag - Correct answer-D. bean bag A surgical technologist sees a neighbor being admitted. How should the surgical technologist respond? A.Acknowledge the neighbor. B.Reassure the neighbor that everything will be fine. C.Do not acknowledge the neighbor unless greeted first. D.Ignore the neighbor, even if greeted. - Correct answer-C. Do not acknowledge the neighbor unless greeted first Instruments that come in contact with the appendiceal stump during an appendectomy should be A.placed in a separate basin. B.wiped with a saline sponge. C.returned to the Mayo stand. D. wiped with an alcohol sponge. - Correct answer-A.placed in a separate basin. Which of the following is the MOST serious complication of a strangulated hernia? A. shock B. necrosis C. infection D. hemorrhage - Correct answer-B. necrosis Which of the following techniques is NOT acceptable for draping the patient? A.Hold the drapes high until directly over the patient. B.Protect the gloved hands by cuffing the drapes. C.Readjust the drapes as necessary after placement. D.Place the drapes on a dry area. - Correct answer-C.Readjust the drapes as necessary after placement. Which of the following structures is separated first when a paramedian incision is performed? A. peritoneum B. transverse abdominis C. external oblique D. rectus abdominis - Correct answer-D. rectus abdominis Which of the following is MOST likely to be used to stabilize a cervical fracture? A. Kirschner wire B. Hoffman device C. Steinmann pins D. Mayfield clamp - Correct answer-D. Mayfield clamp During a transurethral resection of the prostate, bleeding is controlled by A. Gelfoam. B. irrigation. C. cauterization. D. suture ligature. - Correct answer-C. cauterization. To prevent contamination at the end of a surgical procedure, which of the following should be removed LAST by the surgical technologist in the scrub role? A. patient's drapes B. surgical gloves C. surgical gown D. Mayo stand drape - Correct answer-B. surgical gloves In order to remove a portion of the kidney, the surgeon must enter which of the following? A. synovial membrane B. Gerota's fascia C. Hesselbach's triangle D. suprapleural membrane - Correct answer-B. Gerota's fascia Which of the following is the MOST common straight catheter used prior to laparoscopic gynecological surgery in the OR? A. Foley B. Pezzer C. Malecot D. Robinson - Correct answer-D. Robinson A Stamey needle is used for which of the following types of surgery? A. hysterectomy B. prostatectomy C. bladder suspension D. anterior colporrhaphy - Correct answer-C. bladder suspension Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the patient in the operating room? A. cystoscopy B. culdoscopy C. sigmoidoscopy D. laparoscopy - Correct answer-C. sigmoidoscopy Which of the following is a fenestrated drape? A. a drape with an opening that allows exposure of the operative site B. a split drape that has two tails C. a drape used to cover the operating table, instrument table, and body regions D. an incise drape that is self-adhering - Correct answer-A. a drape with an opening that allows exposure of the operative site An appendectomy incision closed using suture is considered to be which of the following types of wound closure? A. primary intention B. secondary intention C. tertiary intention D. third intention - Correct answer-A. primary intention Which of the following patients is MOST likely to acquire a nosocomial infection? A. a healthy female patient who is 45 years of age B. a female patient in labor and delivery C. a healthy male patient who is 45 years of age D. a male patient who has diabetes - Correct answer-D. a male patient who has diabetes 31 The appendiceal stump, when inverted, is held in place by which of the following types of suture? A. mattress B. traction C. interrupted D. purse-string - Correct answer-D. purse-string Aerobic organisms are BEST characterized as A. pathogenic. B. nonpathogenic. C. oxygen-requiring. D. non-oxygen-requiring. - Correct answer-C. oxygen-requiring. The PRIMARY purpose of chest tubes is to A. irrigate the pleural space. B. eliminate chest leaks. C. prevent pulmonary emboli. D. re-establish negative pressure. - Correct answer-D. re-establish negative pressure. Which of the following is a surgical instrument designed for retracting? A. Potts B. Penfield C. Lowman D. Gelpi - Correct answer-D. Gelpi Which of the following surgical procedures may be used to remove a carcinoma from the head of the pancreas? A. Heller B. Whipple C. Bankart D. Billroth I - Correct answer-B. Whipple A sterile item used with an electrosurgical unit is the A. generator. B. patient return electrode. C. active electrode. D. foot pedal. - Correct answer-C. active electrode What is the desired effect of atropine sulfate when used as a preoperative medication? A. drowsiness B. pain relief C. decreased anxiety D. drying of secretions - Correct answer-D. drying of secretions A postoperative total arthroplasty patient presents to the emergency department with severe throbbing pain, fever, and malaise. Which of the following is the likely diagnosis? A. osteoarthritis B. osteoporosis C. osteomyelitis D. osteomalacia - Correct answer-C. osteomyelitis Which of the following is used to stabilize a fractured finger? A. Rush rods B. Hagie pins C. Knowles pins D. Kirschner wires - Correct answer-D. Kirschner wires Which of the following is the primary purpose for changing into operating room attire? A. to standardize uniforms B. to prevent the of spread of microorganisms C. to identify operating room personnel D. to avoid damage to personal attire - Correct answer-B. to prevent the of spread of microorganisms A surgical technologist is assigned to a room where the patient happens to be his neighbor. To protect patient confidentiality, the technologist should indicate that he knows the patient and A. continue with the procedure. B. request to be removed from the room. C. discuss patient personal medical information. D. inform the surgeon. - Correct answer-B. request to be removed from the room. Mannitol (Osmitrol) is used in neurosurgical procedures to A. prevent bleeding. B. decrease intracranial pressure. C. anesthetize the operative site. D. fight possible postoperative infection. - Correct answer-B. decrease intracranial pressure. Which of the following lies between the lung and the chest wall? A. mediastinum B. peritoneum C. pleura D. pericardium - Correct answer-C. pleura Which of the following is applied as a nonadherent dressing? A. adaptic B. collodion C. steri-strip D. elastoplast - Correct answer-A. adaptic A Balfour is used in which of the following procedures? A. tracheostomy B. sigmoid resection C. pulmonary decortication D. stapedectomy - Correct answer-B. sigmoid resection If the VII cranial nerve is severed, which of the following is the result? A. loss of hearing B. loss of vision C. facial paralysis D. impairment of eye muscles - Correct answer-C. facial paralysis When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist in the scrub role is placing the staples through which two layers? A.cuticular and subcuticular B.subicular and subcutaneous C.subcuticular and subcutaneous D.subcutaneous and fascia - Correct answer-A.cuticular and subcuticular During which of the following surgeries is a Meckel's diverticulum typically discovered? A. esophagectomy B. appendectomy C. prostatectomy D. varicocelectomy - Correct answer-B. appendectomy Which of the following layers are transected when a subcostal flank incision is used for a nephrectomy? A. pre-peritoneal fat B. linea alba C. oblique muscles D. rectus abdominis muscle - Correct answer-C. oblique muscles A perforator is used for which of the following procedures? A. cordotomy B. craniotomy C. laminectomy D. spinal fusion - Correct answer-B. craniotomy In preparation for a cranial aneurysm, which of the following pieces of equipment would MOST likely be used? A. microscope B. cryoprobe C. Jordan Day drill D. Crutchfield tongs - Correct answer-A. microscope During strabismus surgery, which of the following is the first tissue layer that must be incised?