NCCT tech in surgery practice exam (Surgical tech) Q’s & A’s Graded A+

NCCT tech in surgery practice exam (Surgical tech) Q’s & A’s Graded A+ The anesthesia care provider (ACP) is performing an induction on a known asthmatic patient. The patient experiences a laryngospasm during intubation. The patient's oxygen saturation is 65%. The scrubbed surgical technologist should: prepare for a tracheostomy. Which of the following is the minimum number of counts for a Cesarean section case? 4 During surgery, the surgical technologist reaches for a supply item being handed by the circulator. The surgical technologist's left glove touches the outside of the package. Which of the following steps must be taken to correct the break in sterile technique? The circulator removes the contaminated glove and then the technologist re-gloves herself. When reviewing the autoclave log, the surgical technologist should confirm that which of the following have been documented before using the instrumentation? Exposure temperature What is the minimum percentage level of humidity in the OR suite? 20 % The surgical technologist is preparing for a myelography procedure. Which of the following items would definitely be on the preference card for this case? Contrast medium When preparing for a right total nephrectomy, the operating room team should position the patient using which of the following positioning options? left lateral position During an abdominal surgery, the anesthetist states that they believe an MH crisis is presenting itself in the surgical patient. The surgical tech should Prepare to close quickly and maintain the sterile field The surgical technologist is preparing the incision site for placement of a dressing following a mastectomy. The surgical technologist noticed that the patient has developed a hematoma at the incision site. The surgeon has left the operating room. Which of the following actions should the surgical technologist take? Ask the surgeon to return. The surgical technologist should use which of the following disinfectants when reprocessing an endotracheal tube used during surgery? Cidex OPA A patient is having a cervical cone biopsy. The surgeon prefers to not use a Bovie. Which of the following solutions should the surgical technologist have available in the room for control of bleeding? Monsels solution Before use of the ESU generator the surgical technologist should check for the biomedical engineering sticker. A gynecologic oncology surgeon decides to bring her patient into the OR emergently after seeing her in the office. The patient's abdomen is greatly distended, warm and firm to the touch. Which of the following should the surgical technologist have available? Poole tip suction and Lap sponges At the end of each case the surgical technologist should rinse blood from the instruments with sterile water. A cardiac arrest occurs during a thoracotomy procedure, and the surgeon calls a CODE BLUE. The surgeon is attempting to resuscitate the patient using CPR. Which of the following is the responsibility of the surgical technologist in this situation? Prepare internal defibrillator paddles. Which of the following is being tested when doing a Bowie-Dick test on an autoclave? Amount of air removed from the autoclave The patient is undergoing cardiothoracic surgery, and placed in the Sims position. Which of the following actions prevents the likelihood of an intraoperative positioning injury to the brachial plexus? Place rolled towel padding beneath abducted down-side arm. The patient will need surgical skin prep for a right arm disarticulation at the shoulder. Which of the following is the correct method for completing this prep? Begin at shoulder to finger tips, including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the arm away from the bed. Which of the following instruments is used to extend the arteriotomy during a carotid endarterectomy? potts smith During an open hernia procedure on adult male patient the surgeon requests assistance with retracting the spermatic cord. Which of the following should the surgical technologist provide? moist Penrose The surgical technologist places the patient in Fowler position with head secured by craniotomy headrest. Which of the following locations indicates correct application of the safety strap? 2 inches above the knees A surgical technologist is in the process of opening sterile supplies for an abdominal hysterectomy on a 300 lb. patient. After reviewing the preference card, which of the following items should the technologist hold in order to watch costs? (Select the three (3) correct answers.) Closing suture, 11 knife blade, Extra Raytec Which of the following retractors will the surgical technologist need for an emergent bring back case on a 450lb abdominal hysterectomy patient? bookwalter In preparation for a carotid endarterectomy the surgical technologist should anticipate using which of the following sutures? 7-0 Prolene Following placement of dressings on the back of a patient after a Posterolateral Instrumented Lumbar Fusion (PLIF), the circulator notices bleeding at the surgical site and notifies the surgeon. The surgical technologist has broken sterility to help move the patient. Which of the following actions should the surgical technologist take? Prepare to scrub, re-gown, and re-glove. A patient is having a hysteroscopy for myomectomy excision. The patient has been under anesthesia for an hour and is starting to show signs of extreme swelling. Which of the following is most critical to monitor in order to prevent these symptoms? Fluid intake and output During a total abdominal hysterectomy, the surgeon is using a Balfour retractor. Which type of nerve injury is possible if this retractor is placed incorrectly inside the patient? Femoral The surgical technologist is preparing the OR suite for a patient's transurethral resection of the prostate (TURP). Which of the following supplies should the surgical technologist anticipate? Continuous bladder irrigation solution The surgical technologist hears a patient entering the operating room state verbally that he doesn't want the surgery and fears he will not survive. The surgical technologist must inform the circulating nurse. The surgical technologist is assisting the surgical team in positioning the patient for a total hip arthroplasty. How can the surgical technologist plan for placing the patient in this position? Position the beanbag or pegboard on the surgical table. The surgeon is using staples to close the skin on an abdominal incision after performing an exploratory laparotomy. Which of the following pickups should the surgical technologist use for this step? adson A GYN patient is scheduled to have a D&C procedure. To prevent the risk of skin and neurovascular pressure or injury when the patient is placed in stirrups in the lithotomy position, which of the following must the surgical team do? Have adequate padding available in room. The surgical technologist notices smoke and flames coming from the drape surrounding the surgical site. Which of the following actions should the surgical technologist take? Smother the drape with a wet sterile towel. Which of the following hemostatic agents must be handled dry? Microfibrillar collagen/Avitene The surgical team prepares the room for a trauma case. The nurse is notified by the ER that the patient is a 3-year-old female with a gunshot wound. In preparing the room for the patient's arrival, the surgical technologist should ensure that the room is maintained at 75 degrees F (23 C). The surgeon is closing skin with the final stitch and all counts are complete. Which of the following should the surgical technologist have ready for next step? (Select the three (3) correct answers.) Wet sponge, Dry sponge, ABD pad A patient is undergoing a right partial pneumonectomy. Which of the following drains should the surgical technologist prepare for placement at the end of the case? Chest tube During a colon resection, an endo GIA misfired. Where should the surgical technologist bring the endo GIA after surgery? Decontamination area During a vascular procedure a vessel is ligated. The surgeon states that she will repair the vessel after bleeding is controlled. Which needle type would she most likely require to complete this task? Tapered needle Which of the following instruments can be decontaminated in a washer-sterilizer? Laser coated instrument set During a laparoscopic cholecystectomy, the surgeon performs a cholangiogram. The circulator delivers 30cc of undiluted contrast medium to the surgical technologist. The surgeon prefers his contrast medium diluted 50/50 with saline. To complete the cholangiogram, the surgeon uses two 20cc syringes of the 50/50 contrast medium, and two 20cc syringes of saline. Which of the following is the total amount of contrast medium used during the procedure? 20cc The surgical technologist prepared a breast lump to send as a frozen section to pathology. The surgical technologist should pass off the specimen placed on a telfa pad. For which of the following drains is a sterile safety pin used? Penrose A surgical technologist (ST) is notified of a burn patient coming into the OR for a debridement. The ST volunteers to assist in transporting the patient from the patient's room to the OR with other non-direct health care providers. Before entering the patient's room, the ST dons a gown, gloves, and mask to retrieve the patient. Why is this the proper protocol? The patient is under isolation precautions. When preparing peel pack instruments for steam sterilization the surgical technologist should inspect the instrument, place an indicator in the package, and label the package. The surgical technologist has just completed scrubbing for a repair of an abdominal aneurysm. The aneurysm repair ruptures during transport from the operating room bed to the stretcher. Which of the following actions should the surgical technologist take next? Don new gown and gloves. Which of the following is a correct date notation for a sterile package? 164