NBSTSA Practice Exam B 100% Correct
1. Which is the MOST important skill for the surgical technologist?
A. specimen management
B. sponge management
C. setup maintenance
D. illumination control - ANSWER A. Management of specimens
2. In the postoperative phase, who is RESPONSIBLE FOR transporting soiled
instrumentation to decontamination?
A. housekeeping personnel.
B. anesthesia technician.
C. surgical technologist.
D. central processing technician. - ANSWER C. Surgical technologist
3. The surgical incision which allows for the BEST visualization for a Billroth I procedure
is
A. McBurney's.
B. Pfannenstiel.
C. midline.
D. subcostal. - ANSWER C. Midline
4. CSF is produced in the lateral ventricles of a patient and may not properly flow into
the third ventricle through the foramen of
A. Magendie into the fourth ventricle.
B. Monro into the fourth ventricle.
,C. Sylvius into the fourth ventricle.
D. Luschka into the fourth ventricle. - ANWER C. Sylvius into the fourth ventricle
5. The surgical technologist should prepare specimens when performing an excisional
biopsy of sentinel nodes by:
A. Placing on a Raytec to be handed off to the circulator.
B. Separating on Telfa and passing to the circulator.
C. Placing in separate containers and identifying.
D. Place in specimen container held by the circulator using a hemostat. - ANSWER C.
Place in separate containers and identify
6. A surgical technologist received the following medications onto the sterile field: 0.9%
sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with epinephrine. Which of the
following is the MOST appropriate way to label these medications?
A. saline + bacitracin and .25 Marcaine + epinephrine
B. NACL + 1 gm baci and 0.25 marc w/epi
C. saline + baci and 0.25% marc with epi
D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine - ANSWER D.
0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine
7. A thyroidectomy 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 - ANSWER B. laps, silk ties, and hemoclips
,8. If there is any question concerning how a particular type of specimen is to be
handled, which one of the following departments is consulted?
A. histology
B. laboratory
C. pathology
D. radiology - ANSWER C. Pathology
9. The number of air exchanges per hour needed in an OR is
A. 5 to 10.
B. 15 to 25.
C. 30 to 35.
D. 40 to 50. - ANSWER B. 15 to 25
10. An instrument specially made for the case without a backup drops to the floor during
the procedure. Which of the following is the BEST reason to be cautious in performing
immediate-use sterilization?
A. The sterilizer is approved to sterilize implantable devices, but not instruments.
B. The manufacturer's guidelines for sterilizing the instrument are unknown.
C. Staff are uncomfortable taking the unwrapped instrument to the OR after sterilization.
D. There are no wrappers or pouches available for sterilizing the instrument. - ANSWER
B. The manufacturer's standards for sterilizing the instrument are unknown.
11. When transferring a thoracotomy patient to recovery, the chest drainage system
, should be
A. disconnected.
B. placed at the patient's side.
C. positioned above the patient's head.
D. maintained below the patient's chest level. - ANSWER D. Maintained below the
patient's chest level
12.Which of the following procedures requires an incision in the suprasternal notch?
A. mediastinoscopy
B. bronchoscopy
C. parotidectomy
D. pericardectomy - ANSWER A. Mediastionscopy
13. In preparing surgical specimens, besides the surgical technologist, who is also
responsible for properly labeling the specimen?
A. surgeon and anesthesiologist
B. circulating nurse and first assistant
C. anesthesiologist and first assistant
D. surgeon and circulating nurse - ANSWER D. Surgeon and circulating nurse
14. A T-tube drain may be utilized following
A. a splenectomy.
B. a choledochotomy.
C. an appendectomy.
1. Which is the MOST important skill for the surgical technologist?
A. specimen management
B. sponge management
C. setup maintenance
D. illumination control - ANSWER A. Management of specimens
2. In the postoperative phase, who is RESPONSIBLE FOR transporting soiled
instrumentation to decontamination?
A. housekeeping personnel.
B. anesthesia technician.
C. surgical technologist.
D. central processing technician. - ANSWER C. Surgical technologist
3. The surgical incision which allows for the BEST visualization for a Billroth I procedure
is
A. McBurney's.
B. Pfannenstiel.
C. midline.
D. subcostal. - ANSWER C. Midline
4. CSF is produced in the lateral ventricles of a patient and may not properly flow into
the third ventricle through the foramen of
A. Magendie into the fourth ventricle.
B. Monro into the fourth ventricle.
,C. Sylvius into the fourth ventricle.
D. Luschka into the fourth ventricle. - ANWER C. Sylvius into the fourth ventricle
5. The surgical technologist should prepare specimens when performing an excisional
biopsy of sentinel nodes by:
A. Placing on a Raytec to be handed off to the circulator.
B. Separating on Telfa and passing to the circulator.
C. Placing in separate containers and identifying.
D. Place in specimen container held by the circulator using a hemostat. - ANSWER C.
Place in separate containers and identify
6. A surgical technologist received the following medications onto the sterile field: 0.9%
sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with epinephrine. Which of the
following is the MOST appropriate way to label these medications?
A. saline + bacitracin and .25 Marcaine + epinephrine
B. NACL + 1 gm baci and 0.25 marc w/epi
C. saline + baci and 0.25% marc with epi
D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine - ANSWER D.
0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine
7. A thyroidectomy 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 - ANSWER B. laps, silk ties, and hemoclips
,8. If there is any question concerning how a particular type of specimen is to be
handled, which one of the following departments is consulted?
A. histology
B. laboratory
C. pathology
D. radiology - ANSWER C. Pathology
9. The number of air exchanges per hour needed in an OR is
A. 5 to 10.
B. 15 to 25.
C. 30 to 35.
D. 40 to 50. - ANSWER B. 15 to 25
10. An instrument specially made for the case without a backup drops to the floor during
the procedure. Which of the following is the BEST reason to be cautious in performing
immediate-use sterilization?
A. The sterilizer is approved to sterilize implantable devices, but not instruments.
B. The manufacturer's guidelines for sterilizing the instrument are unknown.
C. Staff are uncomfortable taking the unwrapped instrument to the OR after sterilization.
D. There are no wrappers or pouches available for sterilizing the instrument. - ANSWER
B. The manufacturer's standards for sterilizing the instrument are unknown.
11. When transferring a thoracotomy patient to recovery, the chest drainage system
, should be
A. disconnected.
B. placed at the patient's side.
C. positioned above the patient's head.
D. maintained below the patient's chest level. - ANSWER D. Maintained below the
patient's chest level
12.Which of the following procedures requires an incision in the suprasternal notch?
A. mediastinoscopy
B. bronchoscopy
C. parotidectomy
D. pericardectomy - ANSWER A. Mediastionscopy
13. In preparing surgical specimens, besides the surgical technologist, who is also
responsible for properly labeling the specimen?
A. surgeon and anesthesiologist
B. circulating nurse and first assistant
C. anesthesiologist and first assistant
D. surgeon and circulating nurse - ANSWER D. Surgeon and circulating nurse
14. A T-tube drain may be utilized following
A. a splenectomy.
B. a choledochotomy.
C. an appendectomy.
