Page 1 of 198
NCCT Tech in Surgery – Certified (TS-C) Test
EXAM COMPLETE 300 QUESTIONS WITH
DETAILED SOLUTIONS JUST RELEASED THIS
YEAR
NCCT Tech in Surgery – Certified (TS-C) Exam
300 Randomized, Scenario-Based Multiple-Choice Questions
1. A patient is positioned in the lithotomy position for a vaginal hysterectomy. Which nerve is
most at risk for injury from improper leg holder placement?
A) Sciatic nerve
B) Common peroneal nerve
C) Femoral nerve
D) Brachial plexus
Correct Answer: B
The common peroneal nerve wraps around the fibular neck and is compressed by lithotomy leg
1
SUCCESS!
,Page 2 of 198
holders, potentially causing foot drop; padding and proper positioning are critical to prevent this
injury.
2. The surgeon is closing the abdominal fascia and asks for a "heavy needle holder" with a
tungsten carbide insert. Which instrument should you pass?
A) Webster needle holder
B) Halsey needle holder
C) Mayo-Hegar needle holder with TC tips
D) Castroviejo needle holder
Correct Answer: C
Mayo-Hegar with tungsten carbide (TC) inserts provides the durability and grip strength needed
for heavy fascial closure; the TC inserts resist wear and maintain a secure hold on large needles.
3. A biological indicator (BI) used specifically to monitor steam sterilization contains spores of
which microorganism?
A) Bacillus atrophaeus
2
SUCCESS!
,Page 3 of 198
B) Geobacillus stearothermophilus
C) Clostridium tetani
D) Pseudomonas aeruginosa
Correct Answer: B
Geobacillus stearothermophilus is the standard BI for steam and hydrogen peroxide sterilization
because its spores are highly heat-resistant, ensuring the sterilizer reached lethal parameters.
4. During a laparoscopic cholecystectomy, the surgeon encounters bleeding from the cystic
artery and requests a "lime green" clip applier. What size clips does this color typically
indicate?
A) Small (4-5mm)
B) Medium (6-7mm)
C) Large (8-9mm)
D) Extra-large (10-12mm)
3
SUCCESS!
, Page 4 of 198
Correct Answer: B
In most clip applier color-coding systems, lime green indicates medium clips (6-7mm) for cystic
duct and artery ligation; knowing color-to-size mapping prevents dangerous mismatches.
5. A patient undergoing an open abdominal aortic aneurysm repair is placed in which position
to provide optimal exposure?
A) Supine with a roll under the knees
B) Supine with a transverse roll under the lumbar spine
C) Left lateral decubitus
D) Prone with chest rolls
Correct Answer: B
A transverse roll (or folded blanket) under the lumbar spine extends the abdomen, pushing the
aorta anteriorly for better exposure; this position also prevents hyperextension injury.
6. Which suture material is most appropriate for closing a contaminated abdominal wound
where maximum tensile strength retention is required for wound support?
4
SUCCESS!
NCCT Tech in Surgery – Certified (TS-C) Test
EXAM COMPLETE 300 QUESTIONS WITH
DETAILED SOLUTIONS JUST RELEASED THIS
YEAR
NCCT Tech in Surgery – Certified (TS-C) Exam
300 Randomized, Scenario-Based Multiple-Choice Questions
1. A patient is positioned in the lithotomy position for a vaginal hysterectomy. Which nerve is
most at risk for injury from improper leg holder placement?
A) Sciatic nerve
B) Common peroneal nerve
C) Femoral nerve
D) Brachial plexus
Correct Answer: B
The common peroneal nerve wraps around the fibular neck and is compressed by lithotomy leg
1
SUCCESS!
,Page 2 of 198
holders, potentially causing foot drop; padding and proper positioning are critical to prevent this
injury.
2. The surgeon is closing the abdominal fascia and asks for a "heavy needle holder" with a
tungsten carbide insert. Which instrument should you pass?
A) Webster needle holder
B) Halsey needle holder
C) Mayo-Hegar needle holder with TC tips
D) Castroviejo needle holder
Correct Answer: C
Mayo-Hegar with tungsten carbide (TC) inserts provides the durability and grip strength needed
for heavy fascial closure; the TC inserts resist wear and maintain a secure hold on large needles.
3. A biological indicator (BI) used specifically to monitor steam sterilization contains spores of
which microorganism?
A) Bacillus atrophaeus
2
SUCCESS!
,Page 3 of 198
B) Geobacillus stearothermophilus
C) Clostridium tetani
D) Pseudomonas aeruginosa
Correct Answer: B
Geobacillus stearothermophilus is the standard BI for steam and hydrogen peroxide sterilization
because its spores are highly heat-resistant, ensuring the sterilizer reached lethal parameters.
4. During a laparoscopic cholecystectomy, the surgeon encounters bleeding from the cystic
artery and requests a "lime green" clip applier. What size clips does this color typically
indicate?
A) Small (4-5mm)
B) Medium (6-7mm)
C) Large (8-9mm)
D) Extra-large (10-12mm)
3
SUCCESS!
, Page 4 of 198
Correct Answer: B
In most clip applier color-coding systems, lime green indicates medium clips (6-7mm) for cystic
duct and artery ligation; knowing color-to-size mapping prevents dangerous mismatches.
5. A patient undergoing an open abdominal aortic aneurysm repair is placed in which position
to provide optimal exposure?
A) Supine with a roll under the knees
B) Supine with a transverse roll under the lumbar spine
C) Left lateral decubitus
D) Prone with chest rolls
Correct Answer: B
A transverse roll (or folded blanket) under the lumbar spine extends the abdomen, pushing the
aorta anteriorly for better exposure; this position also prevents hyperextension injury.
6. Which suture material is most appropriate for closing a contaminated abdominal wound
where maximum tensile strength retention is required for wound support?
4
SUCCESS!
