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NBSTSA CST Exam II (2026) – 600 Questions on Instruments, Sterile Technique, Anatomy & Procedures

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This document contains approximately 600 multiple-choice questions with verified answers for the NBSTSA CST Practice Exam II 2026 . It provides an extensive and in-depth review of surgical technology principles, including instrumentation, sterile technique, anatomy, surgical procedures, and perioperative responsibilities. As shown on page 1, the document begins with clinical surgical knowledge such as skin closure techniques and tissue layers. Early sections (pages 2–10) focus on core intraoperative concepts including incision selection (e.g., midline for abdominal procedures), specimen handling and labeling protocols, medication labeling on the sterile field, and postoperative responsibilities such as instrument transport and decontamination. The middle sections (pages 10–40) expand into advanced surgical topics including anesthesia types (e.g., Bier block), positioning techniques (e.g., lithotomy safety), wound closure methods (e.g., purse-string sutures), surgical instrumentation (e.g., Kerrison rongeur, Satinsky clamp), and specialty procedures such as thyroidectomy, cholecystectomy, and craniotomy. Later sections (pages 40–61) emphasize critical thinking and safety, including infection control (biological indicators, sterilization standards), emergency scenarios (e.g., hematoma management), pharmacology (e.g., propofol, mannitol), patient safety protocols (time-out procedures, PPE removal), and complication management. The document integrates detailed clinical scenarios with exam-style questions, reinforcing both theoretical knowledge and real-world application in the operating room. It closely mirrors NBSTSA certification exam standards, making it highly effective for developing critical thinking, procedural accuracy, and confidence in surgical settings. This document is ideal for: Surgical Technology students preparing for NBSTSA CST certification Operating Room (OR) trainees and interns Nursing and allied health students specializing in perioperative care Surgical technologists seeking exam review and skill reinforcement The content aligns closely with Surgical Technology for the Surgical Technologist: A Positive Care Approach, a primary textbook used in CST programs and certification preparation. Keywords: NBSTSA CST exam questions, surgical technology practice test, surgical instruments identification, sterile technique procedures, operating room protocols, perioperative care, surgical anatomy review, wound closure techniques, sterilization methods OR, surgical positioning safety, CST certification prep, surgical procedures review

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NBSTSA CST Practice Exam II
2026 Exam Questions with 100%
Correct Answers | Latest Update


When assisting with the closure of a skin incision and operating the skin

stapler, the surgical tech places the staples through which 2 layers?

a. cuticular and subcuticular

b. subicular and subcutaneous

c. subcuticular and subcutaneous


d. subcutaneous and fascia - 🧠 ANSWER ✔✔a. cuticular and subcuticular

,The surgical incision that allows for the BEST visualization for a Billroth I

procedure?

a. McBurney's

b. Pfannenstiel

c. midline


d. subcostal - 🧠 ANSWER ✔✔c. midline


During the postop phase, the personnel primarily responsible for

transporting soiled instrumentation to decontamination is the:

a. housekeeping staff

b. anesthesia tech

c. surgical tech


d. central processing tech - 🧠 ANSWER ✔✔c. surgical tech


CSF is formed in the lateral ventricles of a pt and may not properly flow into

the third ventricle through a foramen of:

a. Magendie into the fourth ventricle

b. Monro into the fourth ventricle

c. Sylvius into the fourth ventricle

,d. Luschka into the fourth ventricle - 🧠 ANSWER ✔✔c. Sylvius into the

fourth ventricle

During an excisional biopsy of sentinel nodes, the surgical tech should

prepare specimens using which of the following methods?

a. place on a Raytec to be handed off to the circulator

b. separate on Telfa and pass to the circulator

c. place in separate containers and identify

d. place in specimen container held by the circulator using a hemostat - 🧠

ANSWER ✔✔c. place in separate containers and identify


A surgical tech received the following medications onto the sterile field:

0.9% sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with

epinephrine. Which of the following in the MOST appropriate way to label

these medications?

a. saline + bacitracin and .25 Marcaine + epinephrine

b. NACL + 1 gm baci and 0.25 marc w/epi

c. saline + baci and 0.25% marc with epi




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, d. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine - 🧠

ANSWER ✔✔d. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with

epinephrine

A thyroidectomy that was done earlier in the day is being brought back for

excessive bleeding from the incision. Which of the following items are

needed for this case?

a. Monocryle suture and harmonic scalpel

b. laps, silk ties, and hemoclips

c. Vicryl ties, pledgets, and Alexis


d. nylon sutures, Raytec, and Geralds - 🧠 ANSWER ✔✔b. laps, silk ties,

and hemoclips

If there is any question related to handling a specific type of specimen,

which of the following departments should be consulted?

a. histology

b. laboratory

c. pathology


d. radiology - 🧠 ANSWER ✔✔c. pathology

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Uploaded on
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Number of pages
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Written in
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