CST EXAM PREP 2025 – 2026 UPDATE (LETY)
QUESTIONS WITH 100% CORRECT ANSWERS.
1.
During,a,laparoscopic,appendectomy,,the,appendix,is,perforated,,and,contents,begin,spilling,into,the,abd
omen.,Which,of,the,following,should,the,surgical,technologist,anticipate,as,the,NEXT,step?
A.
Suction,the,fluid,from,the,abdomen.
B.
Continue,removing,the,appendix,as,planned.
C.
Place,a,Kelly,clamp,over,the,perforation.
D.
Close,the,wound,and,terminate,the,procedure.,,,ANS,-correct,answer,A,
EXPLANATIONS:
A.,Suctioning,the,fluid,from,the,abdomen,as,soon,as,possible,will,help,limit,postoperative,complications,s
uch,as,infection,or,peritonitis.
B.,Continuing,with,the,operation,as,planned,will,cause,an,increase,in,the,possibility,of,postoperative,comp
lications.
C.,Placing,a,Kelly,clamp,over,the,perforation,is,a,step,that,could,only,be,performed,during,an,open,proced
ure.,It,is,not,possible,to,do,this,during,a,laparoscopic,procedure.
D.,Closing,the,wound,would,not,be,an,option,because,the,appendix,still,needs,to,be,removed,and,termina
tion,of,the,procedure,is,not,necessary,due,to,perforation,alone.
,REFERENCE(S):
Surgical,Technology:,Principles,and,Practice,,2018,,7th,Edition,,Joanna,Kotcher,Fuller:,pg.,532
2.
A,carotid,endarterectomy,has,just,been,finished,and,the,dressing,is,on.,The,surgical,technologist,begins,re
moving,all,sharps,and,non-
disposables,from,the,drapes,before,pushing,everything,back.,According,to,best,practice,,which,of,the,follo
wing,should,be,the,NEXT,step?
A.
Push,the,back,table,,mayo,,and,basin,back,and,tear,it,down.
B.
Pull,the,drapes,off,and,put,them,on,the,back,table,in,case,they,are,needed,again.
C.
Push,the,back,table,,mayo,,and,basin,back,and,keep,sterile,until,the,patient,is,transported,to,PACU.
D.
Leave,the,back,table,,mayo,,and,basin,close,to,patient,in,case,they,are,needed,again.,,,ANS,-
correct,answer,C,
EXPLANATIONS:
A.,Set,up,should,not,be,torn,down,until,the,vascular,patient,leaves,the,room.
B.,The,back,table,must,remain,sterile,until,the,vascular,patient,leaves,the,room.,This,would,contaminate,t
he,table.
C.,The,back,table,must,remain,sterile,until,the,vascular,patient,leaves,the,room.
D.,Set,up,should,be,moved,away,from,the,patient,to,prevent,contamination.
,REFERENCE(S):
Surgical,Technology,for,the,Surgical,Technologist:,A,Positive,Care,Approach,,2017,,5th,Ed:,pg.,375
3.
Which,of,the,following,should,be,prepared,for,a,mastoid,dressing?
A.
several,squared,gauze,sponges
B.
rolled,gauze,and,an,abdominal,pad
C.
several,fluffed,sponges,and,rolled,gauze
D.
gauze,sponges,and,a,Velcro,strap,,,ANS,-correct,answer,C
EXPLANATIONS:
A.,Using,only,squared,gauze,sponges,is,not,bulky,or,compatible,for,this,area,of,the,body.
B.,Rolled,gauze,is,used,however,,an,abdominal,pad,is,primarily,for,pressure,dressings,to,eliminate,dead,sp
ace.
C.,Complex,ear,procedures,require,the,use,of,a,mastoid,dressing,,the,surgical,technologist,will,prepare,se
veral,fluffed,sponges,along,with,Kerlix,and/or,Kling,(rolled,gauze).
D.,Gauzed,sponges,would,need,to,be,fluffed,and,a,Velcro,strap,is,used,for,a,Glasscock,but,not,necessary,fo
r,the,mastoid,dressing.
, REFERENCE(S):
Surgical,Technology,for,the,Surgical,Technologist:,A,Positive,Care,Approach,,2017,,5th,Ed:,pg.,632
Surgical,Technology:,Principles,and,Practice,,2018,,7th,Edition,,Joanna,Kotcher,Fuller:,pg.,674
4.
Which,of,the,following,is,the,FIRST,step,in,applying,the,pneumatic,tourniquet?
A.
wrapping,the,limb,sequentially,with,an,Esmarch,bandage,from,distal,to,proximal
B.
applying,the,pneumatic,tourniquet,to,the,limb,and,immediately,inflating,it
C.
prepping,the,limb,with,ChloraPrep,,including,the,determined,location,of,the,tourniquet
D.
padding,the,limb,where,the,tourniquet,is,to,be,wrapped,with,Webril,,,ANS,-correct,answer,D
EXPLANATIONS:
A.,The,Esmarch,bandage,is,not,applied,until,the,Webril,and,tourniquet,have,been,placed,in,the,appropriat
e,positions,,as,well,as,completion,of,prep.
B.,The,tourniquet,cannot,be,placed,on,the,limb,until,Webril,or,another,soft,bandaging,material,is,applied.,
Inflation,of,the,tourniquet,must,wait,until,the,Esmarch,bandage,has,been,applied,for,exsanguination.
C.,The,area,that,is,selected,for,the,location,of,the,tourniquet,should,not,receive,any,prep,solution,,as,prep,
solution,under,the,cuff,can,cause,burns.
QUESTIONS WITH 100% CORRECT ANSWERS.
1.
During,a,laparoscopic,appendectomy,,the,appendix,is,perforated,,and,contents,begin,spilling,into,the,abd
omen.,Which,of,the,following,should,the,surgical,technologist,anticipate,as,the,NEXT,step?
A.
Suction,the,fluid,from,the,abdomen.
B.
Continue,removing,the,appendix,as,planned.
C.
Place,a,Kelly,clamp,over,the,perforation.
D.
Close,the,wound,and,terminate,the,procedure.,,,ANS,-correct,answer,A,
EXPLANATIONS:
A.,Suctioning,the,fluid,from,the,abdomen,as,soon,as,possible,will,help,limit,postoperative,complications,s
uch,as,infection,or,peritonitis.
B.,Continuing,with,the,operation,as,planned,will,cause,an,increase,in,the,possibility,of,postoperative,comp
lications.
C.,Placing,a,Kelly,clamp,over,the,perforation,is,a,step,that,could,only,be,performed,during,an,open,proced
ure.,It,is,not,possible,to,do,this,during,a,laparoscopic,procedure.
D.,Closing,the,wound,would,not,be,an,option,because,the,appendix,still,needs,to,be,removed,and,termina
tion,of,the,procedure,is,not,necessary,due,to,perforation,alone.
,REFERENCE(S):
Surgical,Technology:,Principles,and,Practice,,2018,,7th,Edition,,Joanna,Kotcher,Fuller:,pg.,532
2.
A,carotid,endarterectomy,has,just,been,finished,and,the,dressing,is,on.,The,surgical,technologist,begins,re
moving,all,sharps,and,non-
disposables,from,the,drapes,before,pushing,everything,back.,According,to,best,practice,,which,of,the,follo
wing,should,be,the,NEXT,step?
A.
Push,the,back,table,,mayo,,and,basin,back,and,tear,it,down.
B.
Pull,the,drapes,off,and,put,them,on,the,back,table,in,case,they,are,needed,again.
C.
Push,the,back,table,,mayo,,and,basin,back,and,keep,sterile,until,the,patient,is,transported,to,PACU.
D.
Leave,the,back,table,,mayo,,and,basin,close,to,patient,in,case,they,are,needed,again.,,,ANS,-
correct,answer,C,
EXPLANATIONS:
A.,Set,up,should,not,be,torn,down,until,the,vascular,patient,leaves,the,room.
B.,The,back,table,must,remain,sterile,until,the,vascular,patient,leaves,the,room.,This,would,contaminate,t
he,table.
C.,The,back,table,must,remain,sterile,until,the,vascular,patient,leaves,the,room.
D.,Set,up,should,be,moved,away,from,the,patient,to,prevent,contamination.
,REFERENCE(S):
Surgical,Technology,for,the,Surgical,Technologist:,A,Positive,Care,Approach,,2017,,5th,Ed:,pg.,375
3.
Which,of,the,following,should,be,prepared,for,a,mastoid,dressing?
A.
several,squared,gauze,sponges
B.
rolled,gauze,and,an,abdominal,pad
C.
several,fluffed,sponges,and,rolled,gauze
D.
gauze,sponges,and,a,Velcro,strap,,,ANS,-correct,answer,C
EXPLANATIONS:
A.,Using,only,squared,gauze,sponges,is,not,bulky,or,compatible,for,this,area,of,the,body.
B.,Rolled,gauze,is,used,however,,an,abdominal,pad,is,primarily,for,pressure,dressings,to,eliminate,dead,sp
ace.
C.,Complex,ear,procedures,require,the,use,of,a,mastoid,dressing,,the,surgical,technologist,will,prepare,se
veral,fluffed,sponges,along,with,Kerlix,and/or,Kling,(rolled,gauze).
D.,Gauzed,sponges,would,need,to,be,fluffed,and,a,Velcro,strap,is,used,for,a,Glasscock,but,not,necessary,fo
r,the,mastoid,dressing.
, REFERENCE(S):
Surgical,Technology,for,the,Surgical,Technologist:,A,Positive,Care,Approach,,2017,,5th,Ed:,pg.,632
Surgical,Technology:,Principles,and,Practice,,2018,,7th,Edition,,Joanna,Kotcher,Fuller:,pg.,674
4.
Which,of,the,following,is,the,FIRST,step,in,applying,the,pneumatic,tourniquet?
A.
wrapping,the,limb,sequentially,with,an,Esmarch,bandage,from,distal,to,proximal
B.
applying,the,pneumatic,tourniquet,to,the,limb,and,immediately,inflating,it
C.
prepping,the,limb,with,ChloraPrep,,including,the,determined,location,of,the,tourniquet
D.
padding,the,limb,where,the,tourniquet,is,to,be,wrapped,with,Webril,,,ANS,-correct,answer,D
EXPLANATIONS:
A.,The,Esmarch,bandage,is,not,applied,until,the,Webril,and,tourniquet,have,been,placed,in,the,appropriat
e,positions,,as,well,as,completion,of,prep.
B.,The,tourniquet,cannot,be,placed,on,the,limb,until,Webril,or,another,soft,bandaging,material,is,applied.,
Inflation,of,the,tourniquet,must,wait,until,the,Esmarch,bandage,has,been,applied,for,exsanguination.
C.,The,area,that,is,selected,for,the,location,of,the,tourniquet,should,not,receive,any,prep,solution,,as,prep,
solution,under,the,cuff,can,cause,burns.
