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