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NBSTSA CST Practice Exam A 2026 | 100+ Certified Surgical Technologist Questions & Answers | Sterile Technique, General Surgery, Neurosurgery & Surgical Instrumentation | CST Exam

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This NBSTSA CST Practice Exam A 2026 study guide contains more than 100 Certified Surgical Technologist (CST) practice questions with fully explained answers designed to help students prepare for the National Board of Surgical Technology and Surgical Assisting (NBSTSA) CST certification examination. The material covers core perioperative concepts including sterile technique, surgical instrumentation, anatomy and physiology, patient positioning, wound healing, surgical pharmacology, anesthesia, infection prevention, sterilization methods, electrosurgery, surgical draping, specimen handling, and intraoperative patient safety. The document provides comprehensive review content for multiple surgical specialties including general surgery, gynecology, orthopedic surgery, neurosurgery, cardiovascular surgery, ophthalmology, urology, vascular surgery, ENT procedures, and laparoscopic surgery. Key concepts include cholecystectomy, TURP procedures, craniotomy instrumentation, laminectomy equipment, carotid endarterectomy, nephrectomy positioning, hysterectomy instruments, wound classification, sterile field maintenance, surgical counts, shock recognition, malignant hyperthermia, chest tube management, tourniquet safety, and CST legal and ethical responsibilities. The questions reinforce critical surgical technology competencies such as aseptic technique, perioperative workflow, instrumentation identification, surgical anatomy, patient care coordination, and operating room safety standards commonly tested on NBSTSA certification exams. This resource is especially valuable for: NBSTSA CST certification candidates Surgical Technology students CST board examination preparation programs Perioperative nursing and surgical assisting students Operating room clinical rotation students Allied health and surgical sciences programs Surgical instrumentation and sterile processing learners Students preparing for national surgical technology competency exams The material aligns with current surgical technology standards and perioperative best practices referenced in the AST Core Curriculum for Surgical Technology, Alexander’s Care of the Patient in Surgery, Berry & Kohn’s Operating Room Technique, and guidelines published by the Association of Surgical Technologists (AST) and the Association of periOperative Registered Nurses (AORN). The content also reflects evidence-based sterile processing principles, infection control standards, surgical instrumentation handling, and perioperative patient safety protocols required in modern operating room practice. Keywords NBSTSA CST exam, certified surgical technologist, CST practice questions, surgical technology exam prep, sterile technique, surgical instrumentation, perioperative nursing, operating room procedures, surgical anatomy, aseptic technique, surgical draping, patient positioning, wound healing, surgical pharmacology, anesthesia concepts, electrosurgery safety, sterilization methods, infection prevention, surgical counts, laparoscopic surgery, craniotomy instruments, TURP procedure, cholecystectomy instruments, laminectomy setup, vascular surgery instruments, hysterectomy instruments, orthopedic surgery review, neurosurgery instruments, surgical technology study guide, CST board review, perioperative patient care, operating room safety, sterile field management, surgical specimen handling, malignant hyperthermia, surgical instrumentation review, AST guidelines, AORN standards, surgical assisting review, CST certification preparation

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



Which of the following is the opening in the occipital bone through which

the spinal cord passes?

A. foramen ovale

B. foramen magnum

C. foramen rotundum


D. foramen of Bochdalek - ANSWER ✔✔B. foramen magnum

,Sterile supplies and instruments for a case have been opened in OR 1. A

surgical technologist was just informed that the case has been moved to

OR 2 and the next case in OR 1 is scheduled in two hours. Which of the

following is the BEST course of action?




A. Cover the sterile field with a sterile drape and move it from OR 1 to

OR 2.

B. New sterile supplies and instruments should be obtained for OR 2

and the setup in OR 1 should be disposed of.

C. OR 1 should be left so that these supplies and instruments can be

used by the next case.

D. The surgical technologist should argue that the procedure be held in

OR 1 as planned. - ANSWER ✔✔B. New sterile supplies and

instruments should be obtained for OR 2 and the setup in OR 1 should

be disposed of.

Which of the following is the body's local tissue reaction to injury?

A. fever

B. infection

C. inflammation

,D. immune reaction - ANSWER ✔✔C. inflammation


Which of the following instruments is used for a common bile duct

exploration?

A. Fogarty clamp

B. Randall forceps

C. Pennington clamp


D. Forester ring forceps - ANSWER ✔✔B. Randall forceps


Which of the following is the MOST important consideration when cutting

suture?




A. avoiding the knot

B. using sharp scissors

C.opening the scissors wide when cutting


D. tagging the end of suture to be cut with a hemostat - ANSWER

✔✔A. avoiding the knot


Which of the following structures are ligated and divided during the

cholecystectomy?



3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED

, A.cystic artery and cystic duct

B.hepatic artery and hepatic duct

C. cystic artery and common bile duct


D. hepatic artery and pancreatic duct - ANSWER ✔✔A.cystic artery

and cystic duct

Which of the following may be used when applying a sterile dressing to a

skin graft site?

A. pressure dressing

B. ABD pad

C. 4x4s


D. Steri-Strips - ANSWER ✔✔A. pressure dressing


When performing a dilation and curettage, which of the following

instruments is used to grasp the cervix?




A. Sims

B. Auvard

C. Schroeder

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