NCCT tech in surgery practice exam Questions
And Answers Verified 100% Correct |with
Rationales|
1. What is the most important reason why should surgical gut suture be kept away
from heat sources?
A. Gut is made from organic material and heat may alter it.
B. Surgical gut is packaged in flammable liquid.
C. Heat will dry out the gut and cause it to fray.
D. Heat can soften the suture, causing it to break easily - ANSWER -Correct
response:
Surgical gut is packaged in flammable liquid.
Rationale: Surgical gut is packaged in alcohol, which serves as a preservative as
well as keeping it moist. Although heat can dry out surgical gut and make it brittle,
it is usually not exposed to the air long enough to worry about this. Heat (within
reason) will not soften, fray, or alter surgical gut.
2. What does it mean if an item is listed as a "hold" on the doctor's preference
card?
A. The doctor has asked that the tech has the item in hand when they enter the
room.
B. The item remains unopened at the beginning of the case, but it is available in the
room in case doctor needs it.
C. The hospital must have the item available in the building in case it is needed.
D. The item is opened with the other materials, but it is set aside on the back table
until it is needed. - ANSWER -Correct response:
The item remains unopened at the beginning of the case, but it is available in the
room in case doctor needs it.
Rationale: Hold item(s) should not be opened, but should be available in the room
in case it is needed. These are generally items that may be needed if something
goes wrong with the case, and may be necessary to get them on the field quickly. If
,a hold item is opened with the other materials, it may not be used - resulting in an
unnecessary, and potentially very expensive charge for the patient. Just having the
item available in the building is not enough, since certain hold items may need to
be opened in case of an emergency.
3. Which critical safety consideration must be employed to protect the surgical
team when using a laser in the operating room?
A. Ensure that all personnel wear appropriate laser safety eyewear.
B. Direct the laser beam towards nearby reflective surfaces while on.
C. Use the laser at the highest power setting for faster procedures.
D. Keep the laser equipment under the surgical bed for easy access. - ANSWER -
Correct response:
Ensure that all personnel wear appropriate laser safety eyewear.
Rationale: Laser safety eyewear protects against accidental exposure to laser
beams, which can cause eye damage. Using the highest power setting may increase
the risk of tissue damage and should only be used as necessary for the procedure.
Directing the laser beam towards reflective surfaces can lead to unintended
reflections and potential eye hazards for personnel in the operating room. Any
equipment to be used in a sterile procedure should not be kept under the surgical
bed since that would make it unsterile and a potential contamination source, as
well as difficult to access during the procedure.
4. What action do Oxytocic drugs cause?
A. Pupil constriction
B. Analgesia
C. Uterine contractions
D. Microbial death - ANSWER -Correct response:
Uterine contractions
Rationale: Oxytocin causes uterine contractions and is used to induce labor, or
after the birth for the delivery of the placenta. Oxytocin does not cause pupil
constriction, analgesia, or microbial death.
,5. Which of these details is unnecessary to be discussed during a post-operative
debrief?
A. Name of procedure(s) performed
B. Packing removal plan
C. Wound classification
D. Pertinent medical history - ANSWER -Correct response:
Pertinent medical history
Rationale: Pertinent medical history - this is something that would be discussed
between the doctor and the patient prior to the surgery, and may be discussed
during the timeout if necessary, but it would not be discussed during a debrief after
the surgery. All the other options are routinely mentioned during a post-op debrief.
6. The requirements listed below regarding the correct method for sterilizing peel
packs are true, except:
A. There must be no evidence of strike-through, tears, or punctures.
B. Every seal must be completely covering any opening and intact.
C. Peel packs should be filled with air prior to sterilization to cushion the contents.
D. The chemical indicators must indicate exposure to sterilizing conditions. -
ANSWER -Correct response:
Peel packs should be filled with air prior to sterilization to cushion the contents.
Rationale: Peel packs should not be filled with air. Un-necessary pressure should
not be placed on sterile packs to prevent forcing out air and allowing air to be
pulled inward. All the other possible ANSWERs are accurate regarding the
integrity of sterile packaging.
7. Which type of steam sterilization, formerly referred to as "flash" sterilization, is
the process of sterilizing unwrapped items, such as instruments that have been
dropped during a surgical procedure?
A. Dynamic Air Removal
B. Immediate-Use
C. Gravity Displacement
D. Flush-Pressure-Pulse - ANSWER -Correct response:
Immediate-Use
, Rationale: Immediate-use steam sterilization is formerly known as "flashing" an
item for immediate-use. Immediate -use is the process of sterilizing unwrapped
items such as instruments that have been dropped during a surgical procedure.
Dynamic Air Removal is before the steam is injected into the sterilizer, air is
removed from the chamber, reducing the total cycle time. Gravity relies on gravity
to passively remove air from the chamber. Steam enters at the top of the chamber
and displaces the air. Air is heavier than steam. Flush-Pressure-Pulse is another
version of dynamic air removal cycle and involves four or five vacuum phases
instead of the two with the dynamic air removal cycle.
8. Which device is used to occlude a single small structure, such as a blood vessel
or a duct?
A. skin stapler
B. open intraluminal stapler
C. Linear stapler
D. ligating clip applier - ANSWER -Correct response:
ligating clip applier
Rationale: A Ligating clip applier is used during procedures like thyroidectomies
or lump excisions in fatty tissue to occlude small vessels while dissecting. Linear
staplers are used to create staple lines and cut large swaths of tissue, used often to
transect the small intestine or broad ligament during a hysterectomy. Open
intraluminal staplers simplify the creation of anastomoses in bowel tissue. Skin
staplers are used exclusively for closure or the superficial retraction of the skin.
9. Which of these has been shown to reduce the risk of surgical glove failure and
the consequences thereof?
A. Double gloving with sterile gloves.
B. Double gloving with the inner being non-sterile, the outer being sterile.
C. A single pair of sterile gloves is recommended by the CDC and WHO for
surgery.
D. A single pair of gloves is safest - ANSWER -Correct response:
Double gloving with sterile gloves.
And Answers Verified 100% Correct |with
Rationales|
1. What is the most important reason why should surgical gut suture be kept away
from heat sources?
A. Gut is made from organic material and heat may alter it.
B. Surgical gut is packaged in flammable liquid.
C. Heat will dry out the gut and cause it to fray.
D. Heat can soften the suture, causing it to break easily - ANSWER -Correct
response:
Surgical gut is packaged in flammable liquid.
Rationale: Surgical gut is packaged in alcohol, which serves as a preservative as
well as keeping it moist. Although heat can dry out surgical gut and make it brittle,
it is usually not exposed to the air long enough to worry about this. Heat (within
reason) will not soften, fray, or alter surgical gut.
2. What does it mean if an item is listed as a "hold" on the doctor's preference
card?
A. The doctor has asked that the tech has the item in hand when they enter the
room.
B. The item remains unopened at the beginning of the case, but it is available in the
room in case doctor needs it.
C. The hospital must have the item available in the building in case it is needed.
D. The item is opened with the other materials, but it is set aside on the back table
until it is needed. - ANSWER -Correct response:
The item remains unopened at the beginning of the case, but it is available in the
room in case doctor needs it.
Rationale: Hold item(s) should not be opened, but should be available in the room
in case it is needed. These are generally items that may be needed if something
goes wrong with the case, and may be necessary to get them on the field quickly. If
,a hold item is opened with the other materials, it may not be used - resulting in an
unnecessary, and potentially very expensive charge for the patient. Just having the
item available in the building is not enough, since certain hold items may need to
be opened in case of an emergency.
3. Which critical safety consideration must be employed to protect the surgical
team when using a laser in the operating room?
A. Ensure that all personnel wear appropriate laser safety eyewear.
B. Direct the laser beam towards nearby reflective surfaces while on.
C. Use the laser at the highest power setting for faster procedures.
D. Keep the laser equipment under the surgical bed for easy access. - ANSWER -
Correct response:
Ensure that all personnel wear appropriate laser safety eyewear.
Rationale: Laser safety eyewear protects against accidental exposure to laser
beams, which can cause eye damage. Using the highest power setting may increase
the risk of tissue damage and should only be used as necessary for the procedure.
Directing the laser beam towards reflective surfaces can lead to unintended
reflections and potential eye hazards for personnel in the operating room. Any
equipment to be used in a sterile procedure should not be kept under the surgical
bed since that would make it unsterile and a potential contamination source, as
well as difficult to access during the procedure.
4. What action do Oxytocic drugs cause?
A. Pupil constriction
B. Analgesia
C. Uterine contractions
D. Microbial death - ANSWER -Correct response:
Uterine contractions
Rationale: Oxytocin causes uterine contractions and is used to induce labor, or
after the birth for the delivery of the placenta. Oxytocin does not cause pupil
constriction, analgesia, or microbial death.
,5. Which of these details is unnecessary to be discussed during a post-operative
debrief?
A. Name of procedure(s) performed
B. Packing removal plan
C. Wound classification
D. Pertinent medical history - ANSWER -Correct response:
Pertinent medical history
Rationale: Pertinent medical history - this is something that would be discussed
between the doctor and the patient prior to the surgery, and may be discussed
during the timeout if necessary, but it would not be discussed during a debrief after
the surgery. All the other options are routinely mentioned during a post-op debrief.
6. The requirements listed below regarding the correct method for sterilizing peel
packs are true, except:
A. There must be no evidence of strike-through, tears, or punctures.
B. Every seal must be completely covering any opening and intact.
C. Peel packs should be filled with air prior to sterilization to cushion the contents.
D. The chemical indicators must indicate exposure to sterilizing conditions. -
ANSWER -Correct response:
Peel packs should be filled with air prior to sterilization to cushion the contents.
Rationale: Peel packs should not be filled with air. Un-necessary pressure should
not be placed on sterile packs to prevent forcing out air and allowing air to be
pulled inward. All the other possible ANSWERs are accurate regarding the
integrity of sterile packaging.
7. Which type of steam sterilization, formerly referred to as "flash" sterilization, is
the process of sterilizing unwrapped items, such as instruments that have been
dropped during a surgical procedure?
A. Dynamic Air Removal
B. Immediate-Use
C. Gravity Displacement
D. Flush-Pressure-Pulse - ANSWER -Correct response:
Immediate-Use
, Rationale: Immediate-use steam sterilization is formerly known as "flashing" an
item for immediate-use. Immediate -use is the process of sterilizing unwrapped
items such as instruments that have been dropped during a surgical procedure.
Dynamic Air Removal is before the steam is injected into the sterilizer, air is
removed from the chamber, reducing the total cycle time. Gravity relies on gravity
to passively remove air from the chamber. Steam enters at the top of the chamber
and displaces the air. Air is heavier than steam. Flush-Pressure-Pulse is another
version of dynamic air removal cycle and involves four or five vacuum phases
instead of the two with the dynamic air removal cycle.
8. Which device is used to occlude a single small structure, such as a blood vessel
or a duct?
A. skin stapler
B. open intraluminal stapler
C. Linear stapler
D. ligating clip applier - ANSWER -Correct response:
ligating clip applier
Rationale: A Ligating clip applier is used during procedures like thyroidectomies
or lump excisions in fatty tissue to occlude small vessels while dissecting. Linear
staplers are used to create staple lines and cut large swaths of tissue, used often to
transect the small intestine or broad ligament during a hysterectomy. Open
intraluminal staplers simplify the creation of anastomoses in bowel tissue. Skin
staplers are used exclusively for closure or the superficial retraction of the skin.
9. Which of these has been shown to reduce the risk of surgical glove failure and
the consequences thereof?
A. Double gloving with sterile gloves.
B. Double gloving with the inner being non-sterile, the outer being sterile.
C. A single pair of sterile gloves is recommended by the CDC and WHO for
surgery.
D. A single pair of gloves is safest - ANSWER -Correct response:
Double gloving with sterile gloves.
