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Exam (elaborations)

NBSTSA Certification Exam 2025: Practice Questions & Answers for Surgical Technologist Certification (CST)

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Prepare for the NBSTSA CST exam with 150 verified practice questions, answers, and rationales. Covers instruments, sterile technique, procedures, anatomy, and surgical pharmacology for surgical technology certification. NBSTSA, CST exam, surgical technologist, sterile processing, CST study guide, operating room, surgical tech, certification exam, practice questions, test prep

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Uploaded on
December 9, 2025
Number of pages
48
Written in
2025/2026
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NBSTSA CERTIFICATION EXAM 2020 A
QUESTIONS AND ANSWERS| LATEST UPDATED
VERSION WITH VERIFIED SOLUTIONS -
ASSURED PASS
1. Which of the following is considered the MOST important skill for a
surgical technologist?
A. management of specimens
B. management of sponges
C. maintaining an orderly setup
D. ensuring adequate lighting
- ANSWER: A. Management of specimens


2. During the postoperative phase, the personnel primarily responsible for
transporting soiled instrumentation to decontamination is the
A. housekeeping staff.
B. anesthesia technician.
C. surgical technologist.
D. central processing technician.
- ANSWER: C. Surgical technologist


3. The surgical incision that allows for the BEST visualization for a Billroth I
procedure is


A. McBurney's.
B. Pfannenstiel.
C. midline.

,2|Page


D. subcostal.
- ANSWER: C. Midline


4. CSF is formed 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.
- ANSWER: C. Sylvius into the fourth ventricle


5. During an excisional biopsy of sentinel nodes, the surgical technologist
should prepare specimens using which of the following methods?


A. Place on a Raytec to be handed off to the circulator.
B. Separate on Telfa and pass to the circulator.
C. Place in separate containers and identify.
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

,3|Page


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 that was 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 related to handling a specific type of specimen,
which of the following departments should be consulted?


A. histology
B. laboratory
C. pathology
D. radiology
- ANSWER: C. Pathology


9. The required number of air exchanges per hour in an OR is


A. 5 to 10.

, 4|Page


B. 15 to 25.
C. 30 to 35.
D. 40 to 50.
- ANSWER: B. 15 to 25


10. A special-made instrument without a backup falls to the floor during a
procedure. Which of the following is the BEST reason to hesitate performing
immediate-use sterilization?


A. The sterilizer is used for implantable devices, but not instruments.
B. The manufacturer's standards for sterilizing the instrument are unknown.
C. The staff feels uncomfortable transporting 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

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