NBSTSA CST CERTIFICATION 4 EXAM SCRIPT
2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ After gowning and gloving, a surgeon activates the Duraprep
applicator and proceeds to prep the patient for surgery. What is the
best action to take at this time?
Answer: Regown and reglove the surgeon
◉ What position is used for a pneumonectomy?
Answer: Lateral
◉ What is the kraske position?
Answer: Anatomical position in which the patient is prone, with hips
flexed and elevated, head and feet down.
◉ Which position is correct for a dilation and curettage?
Answer: Lithotomy
◉ When a hernia is strangulated, which instrument set is added to
the general abdominal set-up?
Answer: Gastrointestinal
,◉ What is a fenestrated drape?
Answer: A drape with an opening that allows exposure of the
operative site
◉ Sterile supplies and instruments for a case have been opened in
OR one. A surgical technologist was just informed that the case has
been moved to OR two and the next case in OR one is scheduled in
two hours. What is the best course of action?
Answer: New sterile supplies and instruments should be obtained
for OR two and the setup in OR one should be disposed of
◉ What is the first step in applying the pneumatic tourniquet
necessary in creating a bloodless field?
Answer: Padding the area where the tourniquet is to be wrapped
with Webril
◉ For a splenectomy procedure, which clamp should be used?
Answer: Satinsky
◉ Surgical loupes are used to:
Answer: Magnify the surgical field
◉ Which position is the patient placed in for a right nephrectomy?
,Answer: Left lateral kidney
◉ Once a surgical technologist dons a gown, the cuffs on the gown
are considered unsterile because they are:
Answer: Absorbant and collect moisture
◉ Instruments that come in contact with the appendiceal stump
during an appendectomy should be:
Answer: Placed in a separate bin
◉ Which instrument is used to cross-clamp the intestine during a
bowel resection?
Answer: Allen
◉ The primary purpose of chest tubes is to:
Answer: Re-establish the negative pressure
◉ Traction sutures are used on common duct explorations to:
Answer: Hold the duct open
◉ The appendiceal stump, when inverted, is held in place by which
of the following types of suture?
Answer: Purse-string
, ◉ Which catheter is most commonly used to perform an
embolectomy?
Answer: Fogarty
◉ A resectoscope is used in what prostatic approach?
Answer: Transurethral
◉ Which retractor is preferred for a groin incision?
Answer: Weitlaner
◉ What type of dressing is applied as a nonadherent dressing?
Answer: Adaptic
◉ During an excisional biopsy of sentinel nodes, the surgical
technologist should prepare specimens using which method?
Answer: Placed in separate containers and identify
◉ Immediately before a hemorrhoidectomy, which procedure might
be performed on the patient in the operating room?
Answer: Sigmoidectomy
2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ After gowning and gloving, a surgeon activates the Duraprep
applicator and proceeds to prep the patient for surgery. What is the
best action to take at this time?
Answer: Regown and reglove the surgeon
◉ What position is used for a pneumonectomy?
Answer: Lateral
◉ What is the kraske position?
Answer: Anatomical position in which the patient is prone, with hips
flexed and elevated, head and feet down.
◉ Which position is correct for a dilation and curettage?
Answer: Lithotomy
◉ When a hernia is strangulated, which instrument set is added to
the general abdominal set-up?
Answer: Gastrointestinal
,◉ What is a fenestrated drape?
Answer: A drape with an opening that allows exposure of the
operative site
◉ Sterile supplies and instruments for a case have been opened in
OR one. A surgical technologist was just informed that the case has
been moved to OR two and the next case in OR one is scheduled in
two hours. What is the best course of action?
Answer: New sterile supplies and instruments should be obtained
for OR two and the setup in OR one should be disposed of
◉ What is the first step in applying the pneumatic tourniquet
necessary in creating a bloodless field?
Answer: Padding the area where the tourniquet is to be wrapped
with Webril
◉ For a splenectomy procedure, which clamp should be used?
Answer: Satinsky
◉ Surgical loupes are used to:
Answer: Magnify the surgical field
◉ Which position is the patient placed in for a right nephrectomy?
,Answer: Left lateral kidney
◉ Once a surgical technologist dons a gown, the cuffs on the gown
are considered unsterile because they are:
Answer: Absorbant and collect moisture
◉ Instruments that come in contact with the appendiceal stump
during an appendectomy should be:
Answer: Placed in a separate bin
◉ Which instrument is used to cross-clamp the intestine during a
bowel resection?
Answer: Allen
◉ The primary purpose of chest tubes is to:
Answer: Re-establish the negative pressure
◉ Traction sutures are used on common duct explorations to:
Answer: Hold the duct open
◉ The appendiceal stump, when inverted, is held in place by which
of the following types of suture?
Answer: Purse-string
, ◉ Which catheter is most commonly used to perform an
embolectomy?
Answer: Fogarty
◉ A resectoscope is used in what prostatic approach?
Answer: Transurethral
◉ Which retractor is preferred for a groin incision?
Answer: Weitlaner
◉ What type of dressing is applied as a nonadherent dressing?
Answer: Adaptic
◉ During an excisional biopsy of sentinel nodes, the surgical
technologist should prepare specimens using which method?
Answer: Placed in separate containers and identify
◉ Immediately before a hemorrhoidectomy, which procedure might
be performed on the patient in the operating room?
Answer: Sigmoidectomy
