NBSTSA CERTIFICATION EXAM 2020 C /CERTIFICATION EXAM NBSTSA QUESTIONS ORIGINAL VERSION

NBSTSA CERTIFICATION EXAM 2020 C /CERTIFICATION EXAM NBSTSA QUESTIONS ORIGINAL VERSION A patient is having surgery to repair a torn rotator cuff. Which of the following structures are the tendons of the rotator cuff attached to? a. Ulna b. Symphysis c. Humerus d. Clavicle --ANSWER--> ANS: C Rationale: The tendons of the rotator cuff are attached to the humerus with sutures or anchor suturing devices. "Any unexpected occurrence involving death or serious physical or psychological injury or the risk there of" a. Perjury b. Sentinel event c. Incident d. Practice act --ANSWER--> ANS: B Rationale: A sentinel event is "Any unexpected occurrence involving death or serious physical or psychological injury or the risk there of" to the patient. Who is authorized to sign the informed surgical consent for a patient who is not mentally competent or is incapacitated? a. Patient b. Anesthesiologist c. Agency representative d. Patient's friend --ANSWER--> ANS: C Rationale: If a patient is mentally incompetent or incapacitated a responsible guardian, agency representative or court representative may sign the informed consent. Which stage of grief is a patient in when he or she begins to state: "Just let me live to see my daughter finish school?" a. Bargaining b. Depression c. Denial d. Anger --ANSWER--> ANS: A Rationale: Kubler Ross describes this stage as a way of postponing death. Any patient who makes these types of statements is bargaining because he or she is unable to face reality and has gone through the stage of being angry and now wants to postpone the inevitable. A 10-year-old patient is scheduled for surgery in an operating room (OR) with a low temperature. What can be done to keep this patient from becoming hypothermic? a. Keep the OR temperature low. b. Warm the patient before he or she enters the OR. c. Use an overhead radiant heater. d. Warm the OR prior to the patient's arrival. --ANSWER--> ANS: D Rationale: Warming/raising the temperature in the OR would be critical to maintaining proper body temperature. The first priority in treating a trauma patient is _____________. a. placing an IV catheter b. opening the airway c. placing a chest tube d. controlling blood loss --ANSWER--> ANS: B Rationale: As with all trauma patients, the first priority is to open the airway and make sure that it is maintained. A pregnant patient has been diagnosed as having appendicitis and needs surgery. When should the surgery be performed? a. Third trimester b. Second trimester c. Immediately d. After delivery --ANSWER--> ANS: C Rationale: Emergent operative procedures such as appendicitis should be performed immediately. How should the surgical technologist (ST) handle a bullet that has been removed from a surgical patient? a. With sterile gauze b. With a clamp c. Throw into the kick bucket d. Throw away into sharps container --ANSWER--> ANS: A Rationale: Bullets should be carefully handled; they should be placed on a clean gauze and passed off the sterile field. The surgical technologist should avoid any contact of the bullet with any other metal, as metal could scratch the bullet, and obscure evidential marks. To keep airborne contamination in the OR to a minimum, how many maximum air changes should take place? a. 40 per hour b. 20 per hour c. 10 per hour d. 30 per hour --ANSWER--> ANS: