NCCT SURGICAL TECH PRACTICE
EXAM TEST 2.
While preparing to do an abdominal hysterectomy on a 500 pound female the surgical technologist
N N N N N N N N N N N N N N
begins to retrieve supplies and instrumentation. Which of the following retractor systems should the
N N N N N N N N N N N N N N
technologist retrieve for this case? - ANS >> Bookwalter
N N N N N N N N N
An emaciated patient is scheduled for an abdominal hysterectomy with removal of excessive skin on
N N N N N N N N N N N N N N
bilateral thighs. The circulator has opted to place the ESU grounding pad on the patient's forearm.
N N N N N N N N N N N N N N N N
The surgical technologist should suggest that the ESU pad be removed and placed on - ANS >> the
N N N N N N N N N N N N N N N N N N
buttocks
N
Which of the following are done during the initial count for a tubal ligation case? (Select the three
N N N N N N N N N N N N N N N N N
(3) correct answers.) - ANS >> state the name of each item as you begin to count it, circulator
N N N N N N N N N N N N N N N N N N N
records the items counted, count laps, Raytecs, needles, and blades
N N N N N N N N N N
The surgical technologist has just completed scrubbing for a repair of an abdominal aneurysm. The
N N N N N N N N N N N N N N
aneurysm repair ruptures during transport from the operating room bed to the stretcher. Which of
N N N N N N N N N N N N N N N
the following actions should the surgical technologist take next? - ANS >> Don new gown and
N N N N N N N N N N N N N N N N
gloves.
N
Which of the following is used to help maintain hemostasis intraoperatively in neurosurgery? - ANS
N N N N N N N N N N N N N N
>> raney clips
N N N
Which of the following instruments should be passed to the surgeon to achieve hemostasis at the
N N N N N N N N N N N N N N N
beginning of an operative procedure? (Select the three (3) correct answers.) - ANS >> electrosurgical
N N N N N N N N N N N N N N N
pen, sponge, suction device
N N N N
The patient will need surgical skin prep for a right arm disarticulation at the shoulder. Which of the
N N N N N N N N N N N N N N N N N
following is the correct method for completing this prep? - ANS >> Begin at shoulder to finger tips,
N N N N N N N N N N N N N N N N N N
including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the
N N N N N N N N N N N N N N N N
arm away from the bed.
N N N N N
When disinfecting a flexible endoscope used on a patient with TB, which of the following sterilization
N N N N N N N N N N N N N N N
methods should be employed? - ANS >> steris
N N N N N N N N
During a total hip replacement, how can a surgical technologist prevent blood from drying on
N N N N N N N N N N N N N N
instruments? - ANS >> Place the instruments in a basin of sterile water.
N N N N N N N N N N N N N
Which of the following prep solutions is contraindicated for use with a laser? - ANS >> Duraprep
N N N N N N N N N N N N N N N N
,In the Sterile Processing Department, a DART test for autoclave steam sterilizers should be run - ANS
N N N N N N N N N N N N N N N N
N>> daily. N
Upon opening a sterilized instrument tray, the surgical technologist finds bioburden inside the lumen
N N N N N N N N N N N N N
of a metal suction. Which of the following actions should the surgical technologist take? - ANS >>
N N N N N N N N N N N N N N N N N
Remove the sterilized instrument tray from the sterile field.
N N N N N N N N N
The surgeon requests a non-absorbable suture for skin closure. Which of the following sutures is
N N N N N N N N N N N N N N
non-absorbable? - ANS >> Nylon
N N N N N
The anesthesia provider would typically ask the surgical technologist how much fluid has been used
N N N N N N N N N N N N N N
in order to - ANS >> estimate blood loss.
N N N N N N N N N
Postoperatively a hernia repair patient complains of ulnar pain, numbness and tingling bilaterally. The
N N N N N N N N N N N N N
most likely cause of the patient's discomfort is that the surgical technologist forgot to - ANS >> place
N N N N N N N N N N N N N N N N N N
arm pads.
N N
The surgical technologist must discard a malfunctioning sterilant and replace with a new one. Where
N N N N N N N N N N N N N N
should the technologist look to find the proper disposal protocol for this product? - ANS >> hospital
N N N N N N N N N N N N N N N N N
MSDS log
N N
When steam sterilizing biological indicators, how long are they incubated before the reading is
N N N N N N N N N N N N N
recorded? - ANS >> 24 hours
N N N N N N
Ten minutes into an automatic chemical washer cycle for an instrument string, the surgical
N N N N N N N N N N N N N
technologist notices she has missed a few critical instruments. Which of the following should the
N N N N N N N N N N N N N N N
technologist do? - ANS >> Wait until the washer stops and run a new cycle with the instruments.
N N N N N N N N N N N N N N N N N N
During an otorhinolaryngologic procedure, which of the following precautions should the surgical
N N N N N N N N N N N
technologist take if the anesthesia provider is using an uncuffed endotracheal tube? - ANS >>
N N N N N N N N N N N N N N N
Moisten sponges and place around the field prior to start of procedure to minimize leakage and
N N N N N N N N N N N N N N N N
reduce heat buildup.
N N N
Which of the following should the surgical technologist do immediately before connecting the
N N N N N N N N N N N N
Jackson-Pratt drain to the drainage tubing? - ANS >> Squeeze the bulb to apply manual suction.
N N N N N N N N N N N N N N N N
Prior to a case the surgical technologist determines the power saw is not functioning. Which of the
N N N N N N N N N N N N N N N N
following is the most likely cause? - ANS >> The battery has not been adequately charged.
N N N N N N N N N N N N N N N N
The surgical technologist places the patient in Fowler position with head secured by craniotomy
N N N N N N N N N N N N N
headrest. Which of the following locations indicates correct application of the safety strap? - ANS >>
N N N N N N N N N N N N N N N N
2 inches above the knees
N N N N N
Which of the following is the minimum number of counts for a Cesarean section case? - ANS >> four
N N N N N N N N N N N N N N N N N N
, At the end of each case the surgical technologist should - ANS >> rinse blood from the instruments
N N N N N N N N N N N N N N N N N
with sterile water.
N N N
When breaking down the setup, which of the following steps should be completed first? - ANS >> All
N N N N N N N N N N N N N N N N N
sharps are contained and disposed of in the sharps container.
N N N N N N N N N N
Which of the following retractors will the surgical technologist need for an emergent bring back case
N N N N N N N N N N N N N N N
on a 450 lb abdominal hysterectomy patient? - ANS >> bookwalter
N N N N N N N N N N N
The surgical team has just completed a radical mastectomy and the surgeon has left the room. While
N N N N N N N N N N N N N N N N
cleaning up the back table the surgical technologist notices the Jackson Pratt placed during this
N N N N N N N N N N N N N N N
surgery is full with bright red fluid. Which of the following should the surgical technologist do next?
N N N N N N N N N N N N N N N N N
- ANS >> Inform the circulator that the drain is full and there is the potential for active bleeding in
N N N N N N N N N N N N N N N N N N N N
the surgical site.
N N N
The surgeon is doing a laparoscopic procedure using an endo GIA stapler. He passes the stapler to
N N N N N N N N N N N N N N N N
the surgical technologist and asks him to reload. Which of the following should the technologist do
N N N N N N N N N N N N N N N N
to the stapler before passing back to the surgeon? - ANS >> Close the jaws.
N N N N N N N N N N N N N N N
When a surgical technologist is being relieved at end of shift during a myomectomy, she is required
N N N N N N N N N N N N N N N N
to - ANS >> conduct a complete count.
N N N N N N N N
While preparing the room for a surgical procedure using the laser, which of the following policies
N N N N N N N N N N N N N N N
ensure the laser is being used correctly? (Select the three (3) correct answers.) - ANS >> Post
N N N N N N N N N N N N N N N N N
warning signs outside the room., Do not use alcohol based preps., Wear safety goggles.
N N N N N N N N N N N N N N
When donning a sterile gown the surgical technologist should - ANS >> keep the inside of the gown
N N N N N N N N N N N N N N N N N
toward the body.
N N N
After a tracheostomy procedure the surgical technologist should keep which of the following items
N N N N N N N N N N N N N
sterile on the back table until the patient leaves the room? - ANS >> tracheostomy hook and
N N N N N N N N N N N N N N N N N
spreader
N
At the beginning of a carpal tunnel procedure the surgeon announces that he will use a Steven's
N N N N N N N N N N N N N N N N
scissor for every hand case he does from this day forward. After the case, which of the following is
N N N N N N N N N N N N N N N N N N N
the most efficient way to make sure he has his Steven's scissor moving forward? - ANS >> Add the
N N N N N N N N N N N N N N N N N N N
Steven's scissor to every hand procedure preference card for the surgeon.
N N N N N N N N N N N
Patient skin preparation for LAVH and abdominal to perineal procedures should be performed using
N N N N N N N N N N N N N
which of the following solutions? - ANS >> iodophor paint
N N N N N N N N N N
Following an eyelid laceration repair, the surgeon begins to close the skin. Anticipating the surgeon's
N N N N N N N N N N N N N N
Nneeds the surgical technologist should hand the surgeon - ANS >> steri strips.
N N N N N N N N N N N N
The surgical team prepares the room for a trauma case. The nurse is notified by the ER that the
N N N N N N N N N N N N N N N N N N
patient is a 3-year-old female with a gunshot wound. In preparing the room for the patient's arrival,
N N N N N N N N N N N N N N N N N
EXAM TEST 2.
While preparing to do an abdominal hysterectomy on a 500 pound female the surgical technologist
N N N N N N N N N N N N N N
begins to retrieve supplies and instrumentation. Which of the following retractor systems should the
N N N N N N N N N N N N N N
technologist retrieve for this case? - ANS >> Bookwalter
N N N N N N N N N
An emaciated patient is scheduled for an abdominal hysterectomy with removal of excessive skin on
N N N N N N N N N N N N N N
bilateral thighs. The circulator has opted to place the ESU grounding pad on the patient's forearm.
N N N N N N N N N N N N N N N N
The surgical technologist should suggest that the ESU pad be removed and placed on - ANS >> the
N N N N N N N N N N N N N N N N N N
buttocks
N
Which of the following are done during the initial count for a tubal ligation case? (Select the three
N N N N N N N N N N N N N N N N N
(3) correct answers.) - ANS >> state the name of each item as you begin to count it, circulator
N N N N N N N N N N N N N N N N N N N
records the items counted, count laps, Raytecs, needles, and blades
N N N N N N N N N N
The surgical technologist has just completed scrubbing for a repair of an abdominal aneurysm. The
N N N N N N N N N N N N N N
aneurysm repair ruptures during transport from the operating room bed to the stretcher. Which of
N N N N N N N N N N N N N N N
the following actions should the surgical technologist take next? - ANS >> Don new gown and
N N N N N N N N N N N N N N N N
gloves.
N
Which of the following is used to help maintain hemostasis intraoperatively in neurosurgery? - ANS
N N N N N N N N N N N N N N
>> raney clips
N N N
Which of the following instruments should be passed to the surgeon to achieve hemostasis at the
N N N N N N N N N N N N N N N
beginning of an operative procedure? (Select the three (3) correct answers.) - ANS >> electrosurgical
N N N N N N N N N N N N N N N
pen, sponge, suction device
N N N N
The patient will need surgical skin prep for a right arm disarticulation at the shoulder. Which of the
N N N N N N N N N N N N N N N N N
following is the correct method for completing this prep? - ANS >> Begin at shoulder to finger tips,
N N N N N N N N N N N N N N N N N N
including flank and chest, prepping the axilla last, using as many sponges as needed, keeping the
N N N N N N N N N N N N N N N N
arm away from the bed.
N N N N N
When disinfecting a flexible endoscope used on a patient with TB, which of the following sterilization
N N N N N N N N N N N N N N N
methods should be employed? - ANS >> steris
N N N N N N N N
During a total hip replacement, how can a surgical technologist prevent blood from drying on
N N N N N N N N N N N N N N
instruments? - ANS >> Place the instruments in a basin of sterile water.
N N N N N N N N N N N N N
Which of the following prep solutions is contraindicated for use with a laser? - ANS >> Duraprep
N N N N N N N N N N N N N N N N
,In the Sterile Processing Department, a DART test for autoclave steam sterilizers should be run - ANS
N N N N N N N N N N N N N N N N
N>> daily. N
Upon opening a sterilized instrument tray, the surgical technologist finds bioburden inside the lumen
N N N N N N N N N N N N N
of a metal suction. Which of the following actions should the surgical technologist take? - ANS >>
N N N N N N N N N N N N N N N N N
Remove the sterilized instrument tray from the sterile field.
N N N N N N N N N
The surgeon requests a non-absorbable suture for skin closure. Which of the following sutures is
N N N N N N N N N N N N N N
non-absorbable? - ANS >> Nylon
N N N N N
The anesthesia provider would typically ask the surgical technologist how much fluid has been used
N N N N N N N N N N N N N N
in order to - ANS >> estimate blood loss.
N N N N N N N N N
Postoperatively a hernia repair patient complains of ulnar pain, numbness and tingling bilaterally. The
N N N N N N N N N N N N N
most likely cause of the patient's discomfort is that the surgical technologist forgot to - ANS >> place
N N N N N N N N N N N N N N N N N N
arm pads.
N N
The surgical technologist must discard a malfunctioning sterilant and replace with a new one. Where
N N N N N N N N N N N N N N
should the technologist look to find the proper disposal protocol for this product? - ANS >> hospital
N N N N N N N N N N N N N N N N N
MSDS log
N N
When steam sterilizing biological indicators, how long are they incubated before the reading is
N N N N N N N N N N N N N
recorded? - ANS >> 24 hours
N N N N N N
Ten minutes into an automatic chemical washer cycle for an instrument string, the surgical
N N N N N N N N N N N N N
technologist notices she has missed a few critical instruments. Which of the following should the
N N N N N N N N N N N N N N N
technologist do? - ANS >> Wait until the washer stops and run a new cycle with the instruments.
N N N N N N N N N N N N N N N N N N
During an otorhinolaryngologic procedure, which of the following precautions should the surgical
N N N N N N N N N N N
technologist take if the anesthesia provider is using an uncuffed endotracheal tube? - ANS >>
N N N N N N N N N N N N N N N
Moisten sponges and place around the field prior to start of procedure to minimize leakage and
N N N N N N N N N N N N N N N N
reduce heat buildup.
N N N
Which of the following should the surgical technologist do immediately before connecting the
N N N N N N N N N N N N
Jackson-Pratt drain to the drainage tubing? - ANS >> Squeeze the bulb to apply manual suction.
N N N N N N N N N N N N N N N N
Prior to a case the surgical technologist determines the power saw is not functioning. Which of the
N N N N N N N N N N N N N N N N
following is the most likely cause? - ANS >> The battery has not been adequately charged.
N N N N N N N N N N N N N N N N
The surgical technologist places the patient in Fowler position with head secured by craniotomy
N N N N N N N N N N N N N
headrest. Which of the following locations indicates correct application of the safety strap? - ANS >>
N N N N N N N N N N N N N N N N
2 inches above the knees
N N N N N
Which of the following is the minimum number of counts for a Cesarean section case? - ANS >> four
N N N N N N N N N N N N N N N N N N
, At the end of each case the surgical technologist should - ANS >> rinse blood from the instruments
N N N N N N N N N N N N N N N N N
with sterile water.
N N N
When breaking down the setup, which of the following steps should be completed first? - ANS >> All
N N N N N N N N N N N N N N N N N
sharps are contained and disposed of in the sharps container.
N N N N N N N N N N
Which of the following retractors will the surgical technologist need for an emergent bring back case
N N N N N N N N N N N N N N N
on a 450 lb abdominal hysterectomy patient? - ANS >> bookwalter
N N N N N N N N N N N
The surgical team has just completed a radical mastectomy and the surgeon has left the room. While
N N N N N N N N N N N N N N N N
cleaning up the back table the surgical technologist notices the Jackson Pratt placed during this
N N N N N N N N N N N N N N N
surgery is full with bright red fluid. Which of the following should the surgical technologist do next?
N N N N N N N N N N N N N N N N N
- ANS >> Inform the circulator that the drain is full and there is the potential for active bleeding in
N N N N N N N N N N N N N N N N N N N N
the surgical site.
N N N
The surgeon is doing a laparoscopic procedure using an endo GIA stapler. He passes the stapler to
N N N N N N N N N N N N N N N N
the surgical technologist and asks him to reload. Which of the following should the technologist do
N N N N N N N N N N N N N N N N
to the stapler before passing back to the surgeon? - ANS >> Close the jaws.
N N N N N N N N N N N N N N N
When a surgical technologist is being relieved at end of shift during a myomectomy, she is required
N N N N N N N N N N N N N N N N
to - ANS >> conduct a complete count.
N N N N N N N N
While preparing the room for a surgical procedure using the laser, which of the following policies
N N N N N N N N N N N N N N N
ensure the laser is being used correctly? (Select the three (3) correct answers.) - ANS >> Post
N N N N N N N N N N N N N N N N N
warning signs outside the room., Do not use alcohol based preps., Wear safety goggles.
N N N N N N N N N N N N N N
When donning a sterile gown the surgical technologist should - ANS >> keep the inside of the gown
N N N N N N N N N N N N N N N N N
toward the body.
N N N
After a tracheostomy procedure the surgical technologist should keep which of the following items
N N N N N N N N N N N N N
sterile on the back table until the patient leaves the room? - ANS >> tracheostomy hook and
N N N N N N N N N N N N N N N N N
spreader
N
At the beginning of a carpal tunnel procedure the surgeon announces that he will use a Steven's
N N N N N N N N N N N N N N N N
scissor for every hand case he does from this day forward. After the case, which of the following is
N N N N N N N N N N N N N N N N N N N
the most efficient way to make sure he has his Steven's scissor moving forward? - ANS >> Add the
N N N N N N N N N N N N N N N N N N N
Steven's scissor to every hand procedure preference card for the surgeon.
N N N N N N N N N N N
Patient skin preparation for LAVH and abdominal to perineal procedures should be performed using
N N N N N N N N N N N N N
which of the following solutions? - ANS >> iodophor paint
N N N N N N N N N N
Following an eyelid laceration repair, the surgeon begins to close the skin. Anticipating the surgeon's
N N N N N N N N N N N N N N
Nneeds the surgical technologist should hand the surgeon - ANS >> steri strips.
N N N N N N N N N N N N
The surgical team prepares the room for a trauma case. The nurse is notified by the ER that the
N N N N N N N N N N N N N N N N N N
patient is a 3-year-old female with a gunshot wound. In preparing the room for the patient's arrival,
N N N N N N N N N N N N N N N N N
