NCCT SURGICAL TECHNOLOGY PRELIMINARY EXAM QUESTIONS WITH ACCURATE &
WELL DETAILED RATIONALES
The preferred liquid to use when wiping gross debris from instrumentation is
Betadine.
water.
saline.
Hibiclens.
water
The surgical team is at the surgical field and has just completed the time-out. The surgeon
turns to the surgical technologist and asks for local. Which of the following actions should
the surgical technologist take next before passing the local?
-Read aloud the medication label on the syringe.
-Pass the correctly labeled medication syringe.
-Confirm with the circulator the medication label on the syringe.
-Confirm with the anesthesiologist the medication on the syringe.
Correct response:
Read aloud the medication label on the syringe.
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.
Correct response:
place arm pads
While cleaning the back table after a cystoscopy case, the tray of instruments accidentally
falls on the floor. After retrieving all instruments, which of the following should the surgical
technologist do before returning instruments to decontamination?
-Send the contents of the tray to Biomedical Engineering.
-Visually inspect the instruments.
-Inform Central Sterile that the instruments need inspection.
-Assemble the instruments that have not been used.
Correct response:
Visually inspect the instruments.
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
-Harrington
,-Army-Navy
Army-Navy
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?
-Normal saline intake
-Time under anesthesia
-Fluid intake and output
-Glycine levels
Fluid intake and output
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?
-Apply flank padding and a head stabilizer.
-Place rolled towel padding beneath abducted down-side arm.
-Place lower leg stirrup sling directly over Achilles tendon.
-Apply pillows directly under the knee joint.
Place rolled towel padding beneath abducted down-side arm
When transferring a patient to the operation room table, the surgical technologist should
-power off any medical equipment during the transfer.
, -ensure that the O.R table remains unlocked in order to position the table to the surgeon's
preference.
-allow 5-6 fingerbreadths between the safety strap and the patient.
-transfer medical equipment first and then move the patient.
Transfer medical equipment first and then move the patient
When being relieved for lunch during surgery, which of the following tasks is performed by
the outgoing surgical technologist?
-Removing supplies and equipment from the Mayo stand
-Counting sharps and sponges
-Adding gown and gloves to the back table for return to surgery
-Placing all softs and sharps onto the back table
Counting sharps and sponges
When using an internal stapling device during an endoscopic case the surgical
technologist should hand the stapler to the surgeon with the mouth of the stapler
-open and facing away from the surgeon.
-closed and facing away from the surgeon.
-closed and facing the surgeon.
-open and facing the surgeon.
Correct response:
closed and facing away from the surgeon.
WELL DETAILED RATIONALES
The preferred liquid to use when wiping gross debris from instrumentation is
Betadine.
water.
saline.
Hibiclens.
water
The surgical team is at the surgical field and has just completed the time-out. The surgeon
turns to the surgical technologist and asks for local. Which of the following actions should
the surgical technologist take next before passing the local?
-Read aloud the medication label on the syringe.
-Pass the correctly labeled medication syringe.
-Confirm with the circulator the medication label on the syringe.
-Confirm with the anesthesiologist the medication on the syringe.
Correct response:
Read aloud the medication label on the syringe.
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.
Correct response:
place arm pads
While cleaning the back table after a cystoscopy case, the tray of instruments accidentally
falls on the floor. After retrieving all instruments, which of the following should the surgical
technologist do before returning instruments to decontamination?
-Send the contents of the tray to Biomedical Engineering.
-Visually inspect the instruments.
-Inform Central Sterile that the instruments need inspection.
-Assemble the instruments that have not been used.
Correct response:
Visually inspect the instruments.
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
-Harrington
,-Army-Navy
Army-Navy
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?
-Normal saline intake
-Time under anesthesia
-Fluid intake and output
-Glycine levels
Fluid intake and output
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?
-Apply flank padding and a head stabilizer.
-Place rolled towel padding beneath abducted down-side arm.
-Place lower leg stirrup sling directly over Achilles tendon.
-Apply pillows directly under the knee joint.
Place rolled towel padding beneath abducted down-side arm
When transferring a patient to the operation room table, the surgical technologist should
-power off any medical equipment during the transfer.
, -ensure that the O.R table remains unlocked in order to position the table to the surgeon's
preference.
-allow 5-6 fingerbreadths between the safety strap and the patient.
-transfer medical equipment first and then move the patient.
Transfer medical equipment first and then move the patient
When being relieved for lunch during surgery, which of the following tasks is performed by
the outgoing surgical technologist?
-Removing supplies and equipment from the Mayo stand
-Counting sharps and sponges
-Adding gown and gloves to the back table for return to surgery
-Placing all softs and sharps onto the back table
Counting sharps and sponges
When using an internal stapling device during an endoscopic case the surgical
technologist should hand the stapler to the surgeon with the mouth of the stapler
-open and facing away from the surgeon.
-closed and facing away from the surgeon.
-closed and facing the surgeon.
-open and facing the surgeon.
Correct response:
closed and facing away from the surgeon.
