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NBSTSA CST EXAM 2024/2025. COMPLETE EXAM QUESTIONS AND ANSWERS RATED A+.

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NBSTSA CST EXAM 2024/2025. COMPLETE EXAM QUESTIONS AND ANSWERS RATED A+. A Surgical Technologist is scheduled to assist a new surgeon on a scheduled cholecystectomy tomorrow. The information needed regarding the positioning the patient, the instruments the surgeon will need for the case, and the details of the procedure can be found. -Correct Answer: On the surgeon’s preference card A pre-operative surgical site is being prepared by the surgical technician. After appropriately draping the nonoperative sites, a final drape is applied that contains a specific opening to accommodate the surgical incision. What type of drape is this? Correct Answer Plastic adhesive drape When preparing the operating room lights for a specific surgery, care should be taken to: change the light bulbs prior to each surgery angle both surgical lights toward the ceiling so the surgeon can move them into the correct position -Correct Answer: apply sterile handle covers to the lights keep the brightness setting on low for the surgical procedure In which of the following circumstances is an incise drape specifically useful? -Correct Answer: An abdominal surgery with a 6-inch horizontal incision A 65-year-old male is being admitted for emergency repair of a strangulated ventral hernia. He has a history of coronary artery disease, congestive heart failure, type 2 diabetes, and COPD. What would be important to discuss with the patient during the preoperative period? -Correct Answer: His advance directive wishes A 34-year-old female is scheduled to undergo carpal tunnel surgery. The Certified Surgical Technologist knows that the anesthesiologist/CRNA will perform a Bier block while using a(n): -Correct Answer: pneumatic tourniquet What is the first level, or bottom, of the pyramid in Maslow’s Hierarchy of Needs? Correct physiological needs The anesthesiologist would use a thermoregulatory device on a patient when: -Correct Answer: they show signs of hypothermia from the anesthesia Which of the following is the normal lab value for white blood cells? -Correct Answer: 5,000-10,000/mm3 Which of the following identifies the elements to be included in the surgical time out? -Correct Answer: patient name, surgery to be performed, and identification of the correct site/side for the surgery Which of the following diagnostic procedures is used to determine abnormalities, tumors, disc herniation, or other problems associated with the spinal structures? -Correct Answer: Myelography What is used to help prevent the patient from moving during surgery? -Correct Answer: safety straps Which of the following patient positions is preferred for cardiac and thyroid procedures? -Correct Answer: supine position The triad of the fundamental principles of radiation protection for the Certified Surgical Technologist in the perioperative area includes: -Correct Answer: time, distance, and shielding Which of the following refers to the flow of air from inside the operating room outward? -Correct Answer: Laminar air flow Which of the following patients would require special precautions be taken during surgery? -Correct Answer: a patient with a latex allergy Which of the following is an example of universal precautions? -Correct Answer: proper handling of sharps In what position should the C-arm be set before applying sterile drapes? -Correct Answer: horizontal at waist height or a little higher Which of the following is the LEAST effective method for monitoring the patient’s core body temperature? -Correct Answer: head monitoring strip After removing a drape from its packaging, what is the first step when applying a sterile drape to a microscope? -Correct Answer: starting with applying the lens cover on the bottom first During open surgery, the surgeon requests an instrument to use so that he can grasp tissue during the procedure. Which is the appropriate instrument to hand to the surgeon? -Correct Answer: Forceps All of the following are common locations from which the surgeon can harvest an autograft for an ACL repair EXCEPT: -Correct Answer: the bicep The first step before using a self-retaining retractor is to: -Correct Answer: test the locking mechanism to ensure it is functioning correctly In which of the following anatomical locations would a dilator be LEAST like to be used? -Correct Answer: Sinus Cavity The primary purpose for operating a suction device in the surgical site is to: -Correct Answer: minimize pooling fluid that could obstruct the surgeon’s view Which of the following chemical cauterization substances is frequently used to control cervical or nasal bleeding? -Correct Answer: Silver Nitrate A microscope may be used for all of the following surgeries EXCEPT: -Correct Answer: appendectomy Which of the following is NOT a common type of suture material? -Correct Answer: Nonmetallic One way the Certified Surgical Technologist can prevent a medication error is to: -Correct Answer: label syringes with the drug information so they are clearly identifiable Which of the following is the most commonly used substance in cryotherapy? -Correct Answer: Liquid Nitrogen When estimating blood loss based on a visual assessment of saturated gauze, how much blood is estimated to be lost with each saturated piece of 4x4 gauze? -Correct Answer: 12 mL Which of the following is a characteristic specific to the laparoscopic technique? -Correct Answer: The use video assistance to visualize internal structures The type of suturing needle that should never be used for closing skin is: -Correct Answer: a tapered, or smooth, needle Which of the following surgical methods uses the combination of irrigation and aspiration simultaneously? -Correct Answer: phacoemulsification In the event of a Code Blue (cardiac arrest) of a patient during surgery, the main responsibility of the Certified Surgical Technologist is to: -Correct Answer: maintain sterility of the back table, Mayo stand, and surgical site Which of the following is an area that is established in order to reduce the potential for sharps-related injury? -Correct Answer: Neutral zone The main difference between a cast and a splint is: -Correct Answer: a cast completely wraps around a joint to immobilize it, while a splint is made of strips of fiberglass or plastic to immobilize a joint Which of the following is NOT an example of a one-layer dressing? -Correct Answer: Pressure dressing What type of bleeding is seen within the first 24 hours of surgery? -Correct Answer: Reactive bleeding The surgeon is performing a skin graft and will need a dressing prepared. What is the MOST appropriate dressing for this type of procedure? -Correct Answer: Bolster dressing All of the following can cause a rash in the postoperative period EXCEPT: -Correct Answer: bleeding in the surgical wound Which of the following is a surgical procedure in which therapeutic agents are surgically implanted into the body? -Correct Answer: Brachytherapy A Surgical Technologist is seen throwing a disposable towel that is soaked with blood into the regular trash. The best response is to: -Correct Answer: politely let them know that this item should be placed in a red bag What is the purpose of a vascular implant? -Correct Answer: To re-route blood flow around a diseased or obstructed blood vessel The Surgical Technologist has supplied the surgeon with several 10 cc syringes filled with lidocaine 1% without epinephrine. How should the total quantity be recorded accurately? -Correct Answer: The Surgical Technologist should write down the quantity given to keep track Which of the following surgical instruments should be prepared for the surgeon who is about to perform a colonoscopy procedure? -Correct Answer: Endoscope While preparing the necessary equipment and supplies for a particular case, the surgeon tells the Surgical Technologist that he would like to have additional sutures than the ones listed on his preference card for this particular procedure. The most appropriate action to take is to -Correct Answer: clarify with the surgeon if he would like to have the preference card for this procedure updated to reflect these sutures instead of the ones listed Which of the following refers to an intensely hot, precisely focused beam of light designed to alter or destroy target tissue? -Correct Answer: laser During a mass casualty drill, the coordination of different resources and personnel comes from: -Correct Answer: the command center Which type of biopsy requires the entire lesion to be removed to test for clean tissue margins after removal? -Correct Answer: Excision biopsy What are the 3 elements that must be present for a fire to occur in the operating room? -Correct Answer: Ignition source, fuel source, and oxidizer Which of the following is only difference when dealing with bullet specimens? -Correct Answer: Bullets must be processed differently because they will become police evidence All of the following are potential risks with laser use in the operating room EXCEPT: -Correct Answer: radiation exposure Which of the following is true of the Stealth Surgical Navigation System? -Correct Answer: It is a computer-assisted technology where surgical procedures are performed based on a starting point in space Of the following activities, which can the Surgical Technologist perform that would help with the cost containment process? -Correct Answer: Update the surgeon’s preference card to decrease waste Which of the following is the federal policy requiring all users of medical devices to report any incidents that cause illness, injury, or death of a patient? -Correct Answer: Safe Medical Devices Act What are the basic principles of group dynamics? Correct Answer Group development stages, communication, rotational leadership, dynamic, and group norms Which of the following should be performed if an instrument used during a surgical procedure cannot be verified and reconciled? -Correct Answer: Obtain an x-ray of the surgical site The difference between a preceptor and a mentor is: -Correct Answer: a preceptor provides hands-on training or orienting in a new position while a mentor provides encouragement and feedback when a problem is encountered Which of the following refers to the act of making the patient aware of the procedure, the risks and

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NBSTSA CST EXAM 2024/2025. COMPLETE EXAM
QUESTIONS AND ANSWERS RATED A+.
A Surgical Technologist is scheduled to assist a new surgeon on a scheduled cholecystectomy tomorrow.
The information needed regarding the positioning the patient, the instruments the surgeon will need for
the case, and the details of the procedure can be found.
-Correct Answer:
On the surgeon’s preference card

A pre-operative surgical site is being prepared by the surgical technician. After appropriately draping the
nonoperative sites, a final drape is applied that contains a specific opening to accommodate the surgical
incision. What type of drape is this?
Correct Answer
Plastic adhesive drape

When preparing the operating room lights for a specific surgery, care should be taken to: change the light
bulbs prior to each surgery angle both surgical lights toward the ceiling so the surgeon can move them into
the correct position
-Correct Answer:
apply sterile handle covers to the lights
keep the brightness setting on low for the surgical procedure

In which of the following circumstances is an incise drape specifically useful?
-Correct Answer:
An abdominal surgery with a 6-inch horizontal incision

A 65-year-old male is being admitted for emergency repair of a strangulated ventral hernia. He has a
history of coronary artery disease, congestive heart failure, type 2 diabetes, and COPD. What would be
important to discuss with the patient during the preoperative period?
-Correct Answer:
His advance directive wishes


A 34-year-old female is scheduled to undergo carpal tunnel surgery. The Certified Surgical Technologist
knows that the anesthesiologist/CRNA will perform a Bier block while using a(n):
-Correct Answer:
pneumatic tourniquet
What is the first level, or bottom, of the pyramid in Maslow’s Hierarchy of Needs?
Correct
physiological needs

The anesthesiologist would use a thermoregulatory device on a patient when:
-Correct Answer:
they show signs of hypothermia from the anesthesia


Which of the following is the normal lab value for white blood cells?
-Correct Answer:
5,000-10,000/mm3

,Which of the following identifies the elements to be included in the surgical time out?
-Correct Answer:
patient name, surgery to be performed, and identification of the correct site/side for the surgery
Which of the following diagnostic procedures is used to determine abnormalities, tumors, disc herniation,
or other problems associated with the spinal structures?
-Correct Answer:
Myelography

What is used to help prevent the patient from moving during surgery?
-Correct Answer:
safety straps

Which of the following patient positions is preferred for cardiac and thyroid procedures? -Correct Answer:
supine position
The triad of the fundamental principles of radiation protection for the Certified Surgical Technologist in the
perioperative area includes:
-Correct Answer:
time, distance, and shielding
Which of the following refers to the flow of air from inside the operating room outward?
-Correct Answer:
Laminar air flow
Which of the following patients would require special precautions be taken during surgery?
-Correct Answer:
a patient with a latex allergy


Which of the following is an example of universal precautions?
-Correct Answer:
proper handling of sharps

In what position should the C-arm be set before applying sterile drapes?
-Correct Answer:
horizontal at waist height or a little higher
Which of the following is the LEAST effective method for monitoring the patient’s core body temperature?
-Correct Answer:
head monitoring strip
After removing a drape from its packaging, what is the first step when applying a sterile drape to a
microscope?
-Correct Answer:
starting with applying the lens cover on the bottom first

During open surgery, the surgeon requests an instrument to use so that he can grasp tissue during the
procedure. Which is the appropriate instrument to hand to the surgeon?
-Correct Answer: Forceps
All of the following are common locations from which the surgeon can harvest an autograft for an ACL
repair EXCEPT:
-Correct Answer:
the bicep
The first step before using a self-retaining retractor is to:
-Correct Answer:

, test the locking mechanism to ensure it is functioning correctly
In which of the following anatomical locations would a dilator be LEAST like to be used?
-Correct Answer: Sinus Cavity
The primary purpose for operating a suction device in the surgical site is to:
-Correct Answer:
minimize pooling fluid that could obstruct the surgeon’s view
Which of the following chemical cauterization substances is frequently used to control cervical or nasal
bleeding?
-Correct Answer:
Silver Nitrate

A microscope may be used for all of the following surgeries EXCEPT:
-Correct Answer: appendectomy
Which of the following is NOT a common type of suture material?
-Correct Answer:
Nonmetallic

One way the Certified Surgical Technologist can prevent a medication error is to:
-Correct Answer:
label syringes with the drug information so they are clearly identifiable
Which of the following is the most commonly used substance in cryotherapy?
-Correct Answer:
Liquid Nitrogen
When estimating blood loss based on a visual assessment of saturated gauze, how much blood is estimated
to be lost with each saturated piece of 4x4 gauze?
-Correct Answer: 12 mL
Which of the following is a characteristic specific to the laparoscopic technique?
-Correct Answer:

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