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NCCT practice exam Recent Questions with
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Q: Which of the following key information should be on the outside of a
peel package of a sterilized instrument? (Select the three (3) correct
answers.)
type of case the instrument is used in
length of sterilization
sterile indicator
name of item
date of sterilization
Ans: sterile indicator, name of item, date of sterilization
Rationale: The sterile indicator, name of item, and date of sterilization should
all be labeled on the outside of the package. The date of use does not
need to be on the package. It is not necessary to put the type of case
the instrument is used in.
Q: The surgeon is performing an inguinal herniorraphy procedure
and has made the incision and dissected down a short way into the
underlying tissue. Which of the following retractors should the surgical
technologist have ready to pass?
Bookwalter
Senn
Sunday, 02 March 2025
,Harrington
Army-Navy
Ans: Army- Navy
Rationale: To facilitate proper exposure for length and depth of incision for
hernia repair, Army-Navy retractors are best utilized for retraction
needs of short depths, as is specified in this case description. A
Bookwalter is a large self-retaining retractor used in larger abdominal
procedures. A Senn is a small, hand-held retractor for superficial
incisions. A Harrington is a larger hand-held retractor often used to
retract the liver or spleen.
Q: Postoperatively a hernia repair patient complains of ulnar pain,
numbness and tingling bilaterally. The most likely cause of the patient's
discomfort is that the surgical technologist forgot to
adduct the arm.
place the axillary roll.
place arm pads.
abduct the arm.
Ans: Place arm pads
Rationale: Adduction/abduction are motions performed during surgery.
Axillary rolls are used during the lateral position. Arm pads are used
throughout surgery to prevent damage to the ulnar nerve. The arms are
placed on arm boards with the palm facing upwards.
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,Q: During an abdominal hysterectomy, the surgeon found a lesion
on the ovary. The surgeon excised the lesion and asked that the
specimen be sent to the lab for immediate analysis. Which of the
following types of specimen is this?
permanent
frozen
partial
fresh
Ans: frozen
Rationale: A frozen specimen is sent to the lab dry for immediate analysis. It
is useful for checking margins on the specimen. Permanent sections
are placed in a fixative solution for further analysis later. A fresh
specimen is one that has to be sent to the lab dry and then will be
fixed with a fixative solution upon arrival in the lab.
Q: Which of the following patients is at the greatest risk for OR-
acquired pressure ulcer development?
77-year-old undergoing a coronary artery bypass graft
35-year-old undergoing a transverse colectomy
2-year-old undergoing hypospadias repair
82-year-old undergoing cochlear implantation
Ans: 77-year-old undergoing a coronary artery bypass graft
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, Senior patients are at a higher risk of developing pressure ulcers due to their
preexisting conditions that include mobility restrictions, nutritional
deficits, reduced blood flow, nerve damage and thin or fragile skin.
The reason that "D" is not the better answer is that even though it is an
elderly patient, a cochlear implant is a very quick procedure, and
there is a lesser likelihood of developing a pressure ulcer during this
short operative time
Q: A patient is having a laparoscopic assisted vaginal
hysterectomy. If the surgeon is unable to extract the uterus vaginally,
which of the following equipment should the surgical technologist have
available to retrieve the uterus?
harmonic scalpel
ligasure
morcellator
enseal
Ans: Morcellator
Morcellation, during gynecological procedures, means cutting the specimen
into smaller pieces for easier removal. This has many benefits to the
patient, including smaller incisions and shorter surgery time. The
harmonic scalpel would not be helpful in retrieving the uterus because
it is used to cut and coagulate tissue simultaneously. Ligasure and
Enseal are used to help seal vessels.
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