NCCT SURGICAL TECH PRACTICE
QUESTIONS AND CORRECT
ANSWERS VERIFIED AND GRADED
A+
While preparing to do an abdominal hysterectomy on a 500 pound female
the surgical technologist begins to retrieve supplies and instrumentation.
Which of the following retractor systems should the technologist retrieve for
this case?
A. Chaux
B. Bookwalter
C. O'Connor-O'Sullivan
D. Greenberg
B. Bookwalter
Rationale: A Bookwalter is a large self-retaining retractor and is the best
choice for abdominal retraction for this patient due to the adjustability of the
ring size, and varied widths and lengths of retractor blades. A Chaux is a
type of sternal retractor. The O'Connor O'Sullivan retractor is not the best
choice for the patient due to the patient's larger size. A Greenberg retractor
is commonly used in neuro or cranial procedures.
The surgical technologist should place the chest tube water seal drainage
system below the level of the thoracic cavity in which of the following
locations?
A. on the bed, lying between the patient's legs
B. on the side rail, parallel to the patient's shoulders
C. at the foot of the bed, secured to the footboard
,D. at the head of the bed, secured on the headboard
C. at the foot of the bed, secured to the footboard
Rationale: The chest tube water seal drainage system is based on the
principals of gravity. Placement of the unit at the foot of the bed, lower than
the level of the patient's chest allows for the system to work properly.
During a total knee arthroplasty the tourniquet is deflated after the implants
are in place. Which of the following is needed when the tourniquet is
deflated? (Select the three (3) correct answers.)
A. suction
B. bone wax
C. sponges
D. irrigation
E. Surgicel
A. suction
C. Sponges
D. irrigation
Rationale: After the tourniquet deflates, blood begins to flow back into the
extremity and active bleeding may begin. To control the bleeding, suction
and sponges are needed for visualization. Irrigation will be needed toward
the end of the case prior to closure. Bone wax is used to seal any oozing
from cut bone edges. Surgicel is a hemostatic agent used for capillary
bleeding.
Which of the following are done during the initial count for a tubal ligation
case? (Select the three (3) correct answers.)
,A. state the name of each item as you begin to count it
B. count syringes
C. circulator records the items counted
D. count laps, Raytecs, needles, and blades
E. count dressings
A. state the name of each item as you begin to count it
C. circulator records the items counted
D. count laps, Raytecs, needles, and blades
Rationale: Dressings should not be opened until the end of the case. Counted
items do include lap tapes, Raytecs, needles and blades, but not syringes.
Always state each item being counted as you begin to count out loud with
the circulator.
Which of the following sites require the surgical technologist to prep the
surrounding area first and then the dirty area? (Select the three (3) correct
answers.)
A. armpit
B. sinus tract
C. mucous membrane
D. foot
E. stomas
B. sinus tract
C. mucous membrane
E. stomas
Rationale: Any areas that have a high microbial count must be prepped last,
after the surrounding area has been prepped. This prevents any microbes
, from being spread to the cleaner areas. Any sinus tract, mucous membrane
or stoma is considered dirty. The foot and armpit are not considered dirty
areas.
A patient has a latex allergy and is scheduled for an abdominal
hysterectomy. A catheter will be inserted in the patient's bladder pre-
operatively. Which of the following is the proper catheter to use for this
patient?
A. rubber Foley catheter
B. Teflon ureteral catheter
C. polyethylene Malecot catheter
D. silicone retention catheter
D. silicone retention catheter
Rationale: While Teflon, polyethylene, and silicone are all substitute material
options for latex products, the difference is in the types of catheters listed. A
Malecot is a wing-tipped catheter often used for suprapubic catheter
placement. A ureteral catheter is placed in the ureters, not the bladder. A
rubber Foley is the traditional Foley that contains latex.
Following an eyelid laceration repair, the surgeon begins to close the skin.
Anticipating the surgeon's needs the surgical technologist should hand the
surgeon
A. iodophor gauze.
B. staples.
C. Dermabond.
D. steri strips.
D. steri strips.
QUESTIONS AND CORRECT
ANSWERS VERIFIED AND GRADED
A+
While preparing to do an abdominal hysterectomy on a 500 pound female
the surgical technologist begins to retrieve supplies and instrumentation.
Which of the following retractor systems should the technologist retrieve for
this case?
A. Chaux
B. Bookwalter
C. O'Connor-O'Sullivan
D. Greenberg
B. Bookwalter
Rationale: A Bookwalter is a large self-retaining retractor and is the best
choice for abdominal retraction for this patient due to the adjustability of the
ring size, and varied widths and lengths of retractor blades. A Chaux is a
type of sternal retractor. The O'Connor O'Sullivan retractor is not the best
choice for the patient due to the patient's larger size. A Greenberg retractor
is commonly used in neuro or cranial procedures.
The surgical technologist should place the chest tube water seal drainage
system below the level of the thoracic cavity in which of the following
locations?
A. on the bed, lying between the patient's legs
B. on the side rail, parallel to the patient's shoulders
C. at the foot of the bed, secured to the footboard
,D. at the head of the bed, secured on the headboard
C. at the foot of the bed, secured to the footboard
Rationale: The chest tube water seal drainage system is based on the
principals of gravity. Placement of the unit at the foot of the bed, lower than
the level of the patient's chest allows for the system to work properly.
During a total knee arthroplasty the tourniquet is deflated after the implants
are in place. Which of the following is needed when the tourniquet is
deflated? (Select the three (3) correct answers.)
A. suction
B. bone wax
C. sponges
D. irrigation
E. Surgicel
A. suction
C. Sponges
D. irrigation
Rationale: After the tourniquet deflates, blood begins to flow back into the
extremity and active bleeding may begin. To control the bleeding, suction
and sponges are needed for visualization. Irrigation will be needed toward
the end of the case prior to closure. Bone wax is used to seal any oozing
from cut bone edges. Surgicel is a hemostatic agent used for capillary
bleeding.
Which of the following are done during the initial count for a tubal ligation
case? (Select the three (3) correct answers.)
,A. state the name of each item as you begin to count it
B. count syringes
C. circulator records the items counted
D. count laps, Raytecs, needles, and blades
E. count dressings
A. state the name of each item as you begin to count it
C. circulator records the items counted
D. count laps, Raytecs, needles, and blades
Rationale: Dressings should not be opened until the end of the case. Counted
items do include lap tapes, Raytecs, needles and blades, but not syringes.
Always state each item being counted as you begin to count out loud with
the circulator.
Which of the following sites require the surgical technologist to prep the
surrounding area first and then the dirty area? (Select the three (3) correct
answers.)
A. armpit
B. sinus tract
C. mucous membrane
D. foot
E. stomas
B. sinus tract
C. mucous membrane
E. stomas
Rationale: Any areas that have a high microbial count must be prepped last,
after the surrounding area has been prepped. This prevents any microbes
, from being spread to the cleaner areas. Any sinus tract, mucous membrane
or stoma is considered dirty. The foot and armpit are not considered dirty
areas.
A patient has a latex allergy and is scheduled for an abdominal
hysterectomy. A catheter will be inserted in the patient's bladder pre-
operatively. Which of the following is the proper catheter to use for this
patient?
A. rubber Foley catheter
B. Teflon ureteral catheter
C. polyethylene Malecot catheter
D. silicone retention catheter
D. silicone retention catheter
Rationale: While Teflon, polyethylene, and silicone are all substitute material
options for latex products, the difference is in the types of catheters listed. A
Malecot is a wing-tipped catheter often used for suprapubic catheter
placement. A ureteral catheter is placed in the ureters, not the bladder. A
rubber Foley is the traditional Foley that contains latex.
Following an eyelid laceration repair, the surgeon begins to close the skin.
Anticipating the surgeon's needs the surgical technologist should hand the
surgeon
A. iodophor gauze.
B. staples.
C. Dermabond.
D. steri strips.
D. steri strips.
