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NCCT CST Practice Guide : Surgical Technologist Certification Exam Prep – Positioning, Draping, Sterile Technique, Retractors, Tourniquets, Malignant Hyperthermia, Time Out Protocol, Medication Labeling, & 150+ Practice Questions with Answers – P

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2026 UPDATED Practice Guide! Master the NCCT CST with this focused exam prep. Covers high-yield topics: patient positioning (prone, lithotomy, Sims, beach chair, Trendelenburg), draping sequences (fenestrated, U-drape, towel clips), sterile gowning/gloving (sterile zones – waist to axillary line, elbows to cuffs), retractors (Balfour, Bookwalter, Weitlaner, Jennings, Alm), tourniquet use & complications (nerve paralysis, DVT, skin bruising), malignant hyperthermia signs (tachycardia, muscle rigidity, unstable BP), time out protocol (patient identity, site, procedure), medication labeling (name, strength, expiration), and specialty setups (total hip, total knee, C-section, VATS, carpal tunnel, cleft palate). 150+ practice Q&As with correct answers. Your NCCT CST pass starts here!

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NCCT SURGICAL TECH PRACTICE GUIDE 2026: 90
MOST-TESTED QUESTIONS AND 100% VERIFIED
ANSWERS |GRADED A+ | GUARANTEED PASS!!

Which of the following items should the surgical technologist expect to pull for a
carpal tunnel release? (Select the three (3) correct answers.)
A. extremity drape
B. Alm retractor
C. Volkmann rake
D. tenotomy scissors
E. Army-Navy retractor
- answer-A. extremity drape
B. Alm retractor
D. tenotomy scissors

3. When preparing the room for a total knee arthroplasty which of the following
items is necessary to occlude blood flow during the surgical procedure?
A. Coban
B. stockinette
C. tourniquet
D. Esmark
- answer-C. tourniquet

A 35-year-old, 160 pound female patient undergoing a C-section has a history of
DVT. Which of the following equipment should the surgical technologist have in
the room?
A. TPS
B. laparoscopic tower
C. nitrogen tubing
D. sequential compression device
- answer-D. sequential compression device

A conscious alert patient is transported on a stretcher to the O.R. for a minor
procedure. Which of the following actions should the surgical team perform to
safely transfer the patient to the O.R. table? (Select the three (3) correct answers.)

,A. Carefully place a roller or transfer board under the patient and pull from one
side to another.
B. Ask the patient to slide slowly onto the operating table, taking the top sheet
along.
C. Align the head of the stretcher with the head of locked operating table, then lock
the stretcher.
D. Verify that the operating table remains unlocked to allow for the surgeon's bed
location preference.
E. Free up IV lines and other tubing first, then transfer patient.
- answer-Ask the patient to slide slowly onto the operating table, taking the top
sheet along., Align the head of the stretcher with the head of locked operating
table, then lock the stretcher., Free up IV lines and other tubing first, then transfer
patient.

A laparotomy drape has been placed on the patient and un-prepped skin around the
operative site is exposed. Which of the following is the next step the surgical
technologists should take?
A. Apply drapes over the un-prepped skin.
B. Reposition the drapes to cover the un-prepped skin.
C. Remove the drapes and re-prep.
D. Cover the area with a sterile adhesive drape.
- answer-Remove the drapes and re-prep.

A nurse is putting 5000u of heparin in 500ml of normal saline on the back table.
Which of the following is the concentration the surgical technologist should put on
the label?
A. 1:100
B. 1:10
C. 1:1000
D. 1:1
- answer-1:10

A patient with C-spine precautions comes to surgery. Which of the following
should be used to transfer this patient from a gurney to the operating room table?
A. draw sheet
B. roller board
C. gait belt
D. Hoyer lift
- answer-roller board

, A preference card indicates the surgeon prefers an extra-large gown and size 8.5
gloves and the assistant prefers a small gown and size 6 gloves. The assistant
usually scrubs first and uses an alcohol based scrub. Place the surgical attire below
in the order it should be stacked from top to bottom. (Click and drag the options in
the left column to their correct position in the right column.)
size 6 gloves
size 8.5 gloves
towel for surgeon
small gown
extra-large gown
- answer-small gown, size 6 gloves, towel for surgeon, extra-large gown, size 8.5
gloves

An orthopedic surgeon has posted an I&D of a forearm using the pulse lavage
system. Which of the following PPE is necessary to assist in this surgery? (Select
the three (3) correct answers.)
A. lead apron
B. face shield
C. shoe covers
D. N95 respirator
E. gown
- answer-face shield, shoe covers, gown

During a preoperative count the number of sponges in a package is incorrect.
Which of the following actions should the surgical technologist and circulating
nurse take?
A. Discard the package and open a new one.
B. Document the shortage and continue the count.
C. Inform the surgeon immediately.
D. Open a new package and continue the count.
- answer-Discard the package and open a new one.

During the surgical time out, the nurse reads from the consent that a right
uretoroscopy will be done. The anesthesiologist confirms and the surgical
technologist also confirms and announces the right side is marked. However, the
surgeon says a left uretoroscopy will be performed. Which of the following should
be done regarding this situation?
A. Rely on the surgeon as he will be performing the procedure.
B. Rely on the nurse as the nurse is reading directly from the consent
.C. Proceed with the nurse annotating in the chart that surgical site is in question.

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