NCCT Practice Exam Surgical Tech Questions and Answers

NCCT Practice Exam Surgical Tech Questions and Answers The surgical technologist observed a patient fall during the transfer from the gurney to the operating bed. Which of the following items are required in the incident report? (Select the three (3) correct answers.) A. patient's name B. personnel involved C. type of anesthesia used D. location of the incident E. patient's weight - Answer-patient's name, personnel involved, location of the incident 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. The recovery room nurse maintains possession of the labeled denture cup until post surgery. B. The circulator places the dentures in a labeled denture cup and keeps them with the patient's chart. C. The anesthesia provider holds the labeled denture cup until the patient is awake. D. The charge nurse holds the labeled denture cup in a secure area until post surgery. - Answer-The circulator places the dentures in a labeled denture cup and keeps them with the patient's chart. The surgeon begins to close the uterus during a myomectomy. Which of the following actions should the surgical technologist take before continuing with the closure of the wound? A. Initiate the closing count. B. Initiate the cavity count. C. Obtain sterile wound dressing material. D. Weigh the myoma. - Answer-Initiate the cavity count. The surgical technologist prepared a breast lump to send as a frozen section to pathology. The surgical technologist should pass off the specimen placed A. in normal saline. B. on a raytec sponge. C. on a telfa pad. D. in formalin. - Answer-on a telfa pad. Which of the following steps are taken after the surgery has finished and the surgical technologist is breaking scrub? A. Wipe blood off of gloves and remove them, then remove the gown. B. Using a gloved hand, untie the neck of the gown and pull away from the body, keeping all blood on the gown. C. Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball. D. Ask the circulator to assist in removing the gown and gloves. - Answer-Wipe the gloves off, grasp the gown at the shoulders, and roll the gown forward into a ball. The patient coming into surgery is from northern India. After induction the anesthesia provider asks for hair clippers to trim the patients beard to tape the endotracheal tube in place. Which of the following is the appropriate action? A. Retrieve the clippers as this is medically necessary regardless of religion. B. Inform the anesthesia provider of the patient's religion. C. Consult with the surgeon as this was not on the consent. D. Provide a razor as a better option than the hair clipper. - Answer-Inform the anesthesia provider of the patient's religion. The surgical technologist is helping the surgeon complete a laparoscopic cholecystectomy and the surgeon has placed the dressing on the patient. Which of the following should the surgical technologist do next? A. Remove the top glove, hold the dressing in place, roll away the drape and discard. B. Remove Mayo stand, back table and top glove, hold the dressing in place, tear the drape off the patient and discard. C. Remove top glove, hold dressing in place, tear the drape off patient and discard. D. Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape and discard. - Answer-Remove the Mayo stand, back table and top glove, hold the dressing in place, roll away the drape and discard. During a small bowel resection the surgeon intends to use a disposable internal stapling device. When should the device be assembled by the surgical technologist? A. before the case starts B. after the surgeon choses the device C. after the case is set up D. once the patient is draped - Answer-after the surgeon choses the device When breaking down the setup, which of the following steps should be completed first? A. The instruments are put back into the instrument tray and placed in/on the case cart. B. All sharps are contained and disposed of in the sharps container. C. Spray down the non-disposable instruments with cleaner. D. All disposable drapes are discarded into the trash receptacle - Answer-All sharps are contained and disposed of in the sharps container. A 21-year-old patient is rushed to the OR with a self-inflicted stab wound to the groin. The wound is an inch in length and the patient has flat lined with a steady flow of blood pumping from the small wound. Which of the following items should the surgical technologist have ready for the surgeon? (Select the three (3) correct answers.) A. Yankauer suction B. lap sponges C. Raytec sponges D. Frazier suction E. knife blade - Answer-lap sponges, knife blade, Yankauer suction A tornado warning is in effect and power has been switched to the generator due to downed electrical lines. The hospital's disaster triage protocol has been activated. A surgical procedure is in progress. Which of the following is the best course of action to ensure patient safety? A. Immediately evacuate the patient to the preoperative holding area. B. Finish the procedure and evacuate the patient. C. Place wet towels under door and finish the procedure. D. Cover the back table until the storm passes. - Answer-Finish the procedure and evacuate the patient. During an otorhinolaryngologic procedure, which of the following precautions should the surgical technologist take if the anesthesia provider is using an uncuffed endotracheal tube? A. Fill the endotracheal tube with sterile water and saline to reduce leakage of oxygen. B. Fill the endotracheal tube with sterile saline and methylene blue to check for leakage of oxygen. C. Moisten the head drape around the field prior to start of procedure to minimize leakage and reduce heat buildup. D. Moisten sponges and place around the field prior to start of procedure to minimize leakage and reduce heat buildup. - Answer-Moisten sponges and place around the field prior to start of procedure to minimize leakage and reduce heat buildup. In preparation for a carotid endarterectomy the surgical technologist should anticipate using which of the following sutures? A. 7-0 prolene B. 7-0 chromic C. 7-0 ethibond D. 7-0 silk - Answer-7-0 prolene When reviewing the autoclave log, the surgical technologist should confirm that which of the following items have been documented before using the instrumentation? A. expiration date B. Sterrad indicator C. exposure temperature D. gas volume - Answer-exposure temperature When transferring a patient to the operation room table, the surgical technologist should A. power off any medical equipment during the transfer. B. ensure that the O.R table remains unlocked in order to position the table to the surgeon's preference. C. allow 5-6 fingerbreadths between the safety strap and the - Answer-transfer medical equipment first and then move the patient. The patient has undergone cardiac bypass surgery. Protamine has been administered and the surgeon is preparing to close the sternotomy. Bleeding is a postoperative concern. Which of the following systems should the surgical technologist anticipate the surgeon will use? Jackson Pratt Hemovac Pleur-Evac Penrose - Answer-Pleur-Evac While preparing the room for a carotid endarectomy, the surgeon walks in and tells the surgical technologist there is an emergent case scheduled next and the technologist needs to speed up the process of getting the patient prepped and draped. In order to have a safe outcome for the patient the technologist should prep the patient with A. Duraprep stick and place towels around the expected incision site. B. Duraprep stick and use a sterile towel to pat the prepped area dry. C. a chlorahexadine prep kit and place towels around the expected incision site. D. a chlorahexadine prep kit and use a sterile towel to pat the prepped area dry. - Answer-Duraprep stick and place towels around the expected incision site Which of the following hemostatic agents is most likely to be used during a laminectomy to achieve hemostasis of the vertebrae? Monsel's solution silver nitrate epinephrine bone wax - Answer-bone wax Which of the following instruments should be passed to the surgeon to achieve hemostasis at the beginning of an operative procedure? (Select the three (3) correct answers.) electrosurgical pen sponge scalpel suction device sponge forceps - Answer-electrosurgical pen, sponge, suction device