NCCT Surgical Technology Preliminary Test with Answers Rated A
Mayfield
The Mayfield is a headrest that pins the head for stabiliza-
tion. The pins used are very sharp and must be placed in
Which of the following retractors has sharp disposable
the sharps container after the procedure. A Cloward is a
inserts that must be disposed of in an appropriate sharps
hand held retractor used in an anterior cervical procedure.
container following the end of the surgical case?
The Bookwalter is a self-retaining retractor used for open
Mayfield
abdominal procedure. The Greenfield is a self-retaining
Cloward
retractor used on the brain.
Bookwalter
Greenfield
The surgeon is closing skin with the final stitch and all
counts are complete. Which of the following should the Wet Sponge, Dry Sponge, ABD Pad
surgical technologist have ready for next step? (Select the
three (3) correct answers.) After all counts are done and the incision has been closed,
Wet sponge the sterile dressing should then be opened. The incision
Dry sponge needs to be cleaned with a wet sponge then dried with
ABD pad a dry sponge. The dressing should be applied after the
Duraprep operative site has been cleaned and dried.
Cottonoids
Which of the following items should the surgical technol-
Extremity pack, Small fragment tray
ogist have in the room for an ORIF of an ankle case? (Select
the two (2) correct answers.)
The ORIF Open Reduction Internal Fixation involves the
Reciprocating saw
ankle fracture which is an extremity so an extremity pack
Laminectomy tray
will be needed. The Small fragment will also be need
Extremity pack
, NCCT Surgical Technology Preliminary Test with Answers Rated A
Vascular tray because it contains screws, plates and drill bits that will
Small fragment tray be needed for the fixation.
confirm that the package was exposed to sterilization.
In a sterilized package, a chemical indicator is used to:
Rationale: The chemical indicator is used internally and
-verify elimination of living flora on the package. externally to show that the package has been exposed
-confirm that the package was exposed to sterilization. to the sterilization process. They do not verify the sterility
-show that no moisture entered the package. of the items in the packages. They only mean that the
-ensure that the package is sterile. package has had the right temperature, humidity, and
sterilant. It will not verify elimination of living flora on the
package or that moisture is in the package.
During an I&D of a back wound with the patient in the
prone position the anesthesiologist announces that the
patient is turning blue and calls a code. Which of the
Cover the wound and remove the Mayo and back table.
following actions should the surgical technologist take to
assist? Rationale: The first thing that needs to be done is to main-
tain the patient's airway. The wound should be covered
-Assist the surgeon in closing the wound, remove the
and the mayo should be removed so the patient can be
drapes, and flip the patient.
flipped in order for anesthesia to take care of the airway,
-Cover the wound and remove the Mayo and back table.
then assist anesthesia with the patient.
-Flip the patient immediately.
-Assist anesthesia with the patient while the surgeon con-
tinues surgery.
When closing fascia after a laparotomy, which of the fol- PDS
lowing is the suture of choice?
Gore-Tex Rationale: PDS has a longer absorption rate of 183-238
PDS days, which makes it ideal for the slow-healing fascia.
Plain Gore-Tex is typically used for anastomosis of vascular
Nurolon grafts or in valve repairs. Plain gut suture is not to be used
, NCCT Surgical Technology Preliminary Test with Answers Rated A
on tissue under stress. Nurolon is a nonabsorbable suture
that loses some of its tensile strength over time.
The surgical technologist observed a patient fall during
the transfer from the gurney to the operating bed. Which
of the following items are required in the incident report?
(Select the three (3) correct answers.)
Patient's name, Personnel involved, Location of the inci-
Patient's name
dent
Personnel involved
Type of anesthesia used
Location of the incident
Patient's weight
Anesthesia provider
Rationale: The anesthesia provider is in control of the pa-
Which member of the surgical team is in charge of the tient transfer and coordinates the move. They have control
transfer of an immobile or unconscious patient from the of the head and the patient's airway. The surgeon most
OR table to the stretcher? likely has already left the room and cannot help with the
Surgeon transfer. The circulator is on the other side of the bed
Circulator waiting on the transfer device when anesthesia gives the
Anesthesia provider permission. The surgical technologist is on the other side
Surgical technologist waiting to help transfer the patient. There should always
be 4 people to transfer a patient. Anesthesia is at the head
of the bed and one person is on each side with one at the
end of the bed to help transfer the feet.
Which of the following steps are taken after the surgery
has finished and the surgical technologist is breaking
scrub?
Wipe the gloves ott, grasp the gown at the shoulders, and
-Wipe blood ott of gloves and remove them, then remove
roll the gown forward into a ball.
the gown.
-Using a gloved hand, untie the neck of the gown and pull
away from the body, keeping all blood on the gown.
, NCCT Surgical Technology Preliminary Test with Answers Rated A
-Wipe the gloves ott, grasp the gown at the shoulders, and
roll the gown forward into a ball.
-Ask the circulator to assist in removing the gown and
gloves.
The scheduled case is a prostatectomy. The surgeon
has requested chromic gut suture for reanastomosis. If Vicryl
Chromic gut is unavailable, which of the following sutures
is a viable substitute? Rationale: The acceptable substitute for a Chromic Gut
Polyester/Dacron suture would be a Vicryl suture. Vicryl, like Chromic Gut, it
Silk absorbable and would be the next best choice for re-anas-
Nylon tomosis in a prostatectomy.
Vicryl
ABD
A patient presents to the operating room for irrigation and
debridement of a wound caused by penetrating trauma. Rationale: The ABD would be used because of the
The surgeon states that the wound will heal by secondary drainage that will follow after doing the irrigation and
intention. Which of the following dressing types should debridement so it can absorb fluid. Steri strips and the
the surgical technologist ask the circulator for? bio-occlusive opsite have an adhesive backing and would
Steri-Strips stick to the incision, so they are not the appropriate dress-
Bio-occlusive Opsite ing. Bolsters are used over suture strands to keep them
ABD from cutting into the skin when suture is placed in a high
Bolsters tension area. A wound that will heal by secondary intention
is not sutured closed.
During the initial pre-operative count, the surgical tech- Remove the package and the sponges from room.
nologist and circulator noticed that there were 11 Raytecs
in a package instead of 10. Which of the following should Rationale: If the patient has not entered the room the
they do about the extra sponge? Raytecs are to be removed from the sterile field. They are
-Include the extra sponge in the count. then taken out of the room. Sponges used during the case
-Throw out one sponge to make it 10. are counted in the kick bucket so the incorrect sponges
-Discard the entire package into a kick bucket and remove should not be placed in it. Raytec sponges come in a total
Mayfield
The Mayfield is a headrest that pins the head for stabiliza-
tion. The pins used are very sharp and must be placed in
Which of the following retractors has sharp disposable
the sharps container after the procedure. A Cloward is a
inserts that must be disposed of in an appropriate sharps
hand held retractor used in an anterior cervical procedure.
container following the end of the surgical case?
The Bookwalter is a self-retaining retractor used for open
Mayfield
abdominal procedure. The Greenfield is a self-retaining
Cloward
retractor used on the brain.
Bookwalter
Greenfield
The surgeon is closing skin with the final stitch and all
counts are complete. Which of the following should the Wet Sponge, Dry Sponge, ABD Pad
surgical technologist have ready for next step? (Select the
three (3) correct answers.) After all counts are done and the incision has been closed,
Wet sponge the sterile dressing should then be opened. The incision
Dry sponge needs to be cleaned with a wet sponge then dried with
ABD pad a dry sponge. The dressing should be applied after the
Duraprep operative site has been cleaned and dried.
Cottonoids
Which of the following items should the surgical technol-
Extremity pack, Small fragment tray
ogist have in the room for an ORIF of an ankle case? (Select
the two (2) correct answers.)
The ORIF Open Reduction Internal Fixation involves the
Reciprocating saw
ankle fracture which is an extremity so an extremity pack
Laminectomy tray
will be needed. The Small fragment will also be need
Extremity pack
, NCCT Surgical Technology Preliminary Test with Answers Rated A
Vascular tray because it contains screws, plates and drill bits that will
Small fragment tray be needed for the fixation.
confirm that the package was exposed to sterilization.
In a sterilized package, a chemical indicator is used to:
Rationale: The chemical indicator is used internally and
-verify elimination of living flora on the package. externally to show that the package has been exposed
-confirm that the package was exposed to sterilization. to the sterilization process. They do not verify the sterility
-show that no moisture entered the package. of the items in the packages. They only mean that the
-ensure that the package is sterile. package has had the right temperature, humidity, and
sterilant. It will not verify elimination of living flora on the
package or that moisture is in the package.
During an I&D of a back wound with the patient in the
prone position the anesthesiologist announces that the
patient is turning blue and calls a code. Which of the
Cover the wound and remove the Mayo and back table.
following actions should the surgical technologist take to
assist? Rationale: The first thing that needs to be done is to main-
tain the patient's airway. The wound should be covered
-Assist the surgeon in closing the wound, remove the
and the mayo should be removed so the patient can be
drapes, and flip the patient.
flipped in order for anesthesia to take care of the airway,
-Cover the wound and remove the Mayo and back table.
then assist anesthesia with the patient.
-Flip the patient immediately.
-Assist anesthesia with the patient while the surgeon con-
tinues surgery.
When closing fascia after a laparotomy, which of the fol- PDS
lowing is the suture of choice?
Gore-Tex Rationale: PDS has a longer absorption rate of 183-238
PDS days, which makes it ideal for the slow-healing fascia.
Plain Gore-Tex is typically used for anastomosis of vascular
Nurolon grafts or in valve repairs. Plain gut suture is not to be used
, NCCT Surgical Technology Preliminary Test with Answers Rated A
on tissue under stress. Nurolon is a nonabsorbable suture
that loses some of its tensile strength over time.
The surgical technologist observed a patient fall during
the transfer from the gurney to the operating bed. Which
of the following items are required in the incident report?
(Select the three (3) correct answers.)
Patient's name, Personnel involved, Location of the inci-
Patient's name
dent
Personnel involved
Type of anesthesia used
Location of the incident
Patient's weight
Anesthesia provider
Rationale: The anesthesia provider is in control of the pa-
Which member of the surgical team is in charge of the tient transfer and coordinates the move. They have control
transfer of an immobile or unconscious patient from the of the head and the patient's airway. The surgeon most
OR table to the stretcher? likely has already left the room and cannot help with the
Surgeon transfer. The circulator is on the other side of the bed
Circulator waiting on the transfer device when anesthesia gives the
Anesthesia provider permission. The surgical technologist is on the other side
Surgical technologist waiting to help transfer the patient. There should always
be 4 people to transfer a patient. Anesthesia is at the head
of the bed and one person is on each side with one at the
end of the bed to help transfer the feet.
Which of the following steps are taken after the surgery
has finished and the surgical technologist is breaking
scrub?
Wipe the gloves ott, grasp the gown at the shoulders, and
-Wipe blood ott of gloves and remove them, then remove
roll the gown forward into a ball.
the gown.
-Using a gloved hand, untie the neck of the gown and pull
away from the body, keeping all blood on the gown.
, NCCT Surgical Technology Preliminary Test with Answers Rated A
-Wipe the gloves ott, grasp the gown at the shoulders, and
roll the gown forward into a ball.
-Ask the circulator to assist in removing the gown and
gloves.
The scheduled case is a prostatectomy. The surgeon
has requested chromic gut suture for reanastomosis. If Vicryl
Chromic gut is unavailable, which of the following sutures
is a viable substitute? Rationale: The acceptable substitute for a Chromic Gut
Polyester/Dacron suture would be a Vicryl suture. Vicryl, like Chromic Gut, it
Silk absorbable and would be the next best choice for re-anas-
Nylon tomosis in a prostatectomy.
Vicryl
ABD
A patient presents to the operating room for irrigation and
debridement of a wound caused by penetrating trauma. Rationale: The ABD would be used because of the
The surgeon states that the wound will heal by secondary drainage that will follow after doing the irrigation and
intention. Which of the following dressing types should debridement so it can absorb fluid. Steri strips and the
the surgical technologist ask the circulator for? bio-occlusive opsite have an adhesive backing and would
Steri-Strips stick to the incision, so they are not the appropriate dress-
Bio-occlusive Opsite ing. Bolsters are used over suture strands to keep them
ABD from cutting into the skin when suture is placed in a high
Bolsters tension area. A wound that will heal by secondary intention
is not sutured closed.
During the initial pre-operative count, the surgical tech- Remove the package and the sponges from room.
nologist and circulator noticed that there were 11 Raytecs
in a package instead of 10. Which of the following should Rationale: If the patient has not entered the room the
they do about the extra sponge? Raytecs are to be removed from the sterile field. They are
-Include the extra sponge in the count. then taken out of the room. Sponges used during the case
-Throw out one sponge to make it 10. are counted in the kick bucket so the incorrect sponges
-Discard the entire package into a kick bucket and remove should not be placed in it. Raytec sponges come in a total
