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NBSTSA SURGICAL TECHNOLOGIST CERTIFICATION EXAM 2026 – 200+ PRACTICE QUESTIONS & ANSWERS WITH RATIONALES

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Pass the NBSTSA Surgical Technologist (CST) exam on your first attempt! This comprehensive guide features 200+ realistic practice questions with detailed rationales—covering sterile technique, instrument identification, surgical procedures (general, ortho, neuro, cardio, OB/GYN, urology), patient safety, emergencies, and sterilization protocols. Updated for 2026. Learn the "why" behind every answer, master OR scenarios, and walk into your exam with confidence. Perfect for CST candidates, students, and surgical techs recertifying. Download now and pass with ease!

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NBSTSA SURGICAL TECHNOLOGIST CERTIFICATION
Course
NBSTSA SURGICAL TECHNOLOGIST CERTIFICATION

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Page 1 of 106



SURGICAL TECHNOLOGIST NBSTSA

CERTIFICATION EXAM COMPREHENSIVE

QUESTIONS AND ANSWERS|ACTUAL 350

Qs&As|GRADED A+

1. The purpose of surgical aseptic technique is to:

 A) Reduce bacteria on the skin

 B) Eliminate all microorganisms, including spores, from the

sterile field

 C) Clean the operating room floor

 D) Sterilize instruments after surgery

 Answer: B

 Rationale: Surgical aseptic technique aims to create and

maintain a sterile field free from all microorganisms,

including spores, to prevent surgical site infections.

,Page 2 of 106


2. Which of the following is NOT considered a sterile item?

 A) Instrument tray opened onto a sterile back table

 B) Inner wrap of a sterile package

 C) Outer wrapper of a sterile package

 D) Sterile gown sleeve

 Answer: C

 Rationale: The outer wrapper of a sterile package is

considered contaminated because it has been exposed to

the environment. The inner wrapper or contents remain

sterile.

3. Scenario: A surgical technologist opens a sterile pack and

notices a small brown stain on the inner drape. What should

the technologist do?

 A) Use the pack if the stain is dry

 B) Discard the pack and open a new one

,Page 3 of 106


 C) Wipe off the stain with sterile saline

 D) Use the pack but avoid the stained area

 Answer: B

 Rationale: Any evidence of moisture, stain, or compromised

packaging renders the contents non-sterile. The pack must

be discarded and a new sterile pack opened.

4. The sterile field should be established:

 A) As soon as the patient enters the room

 B) Before the patient is brought into the operating room

 C) After the surgeon scrubs

 D) After the patient is draped

 Answer: B

, Page 4 of 106


 Rationale: The sterile field should be set up before the

patient enters the OR to minimize airborne contamination

and allow efficient workflow.

5. When pouring a sterile solution into a basin on the sterile

field, the surgical technologist should:

 A) Hold the bottle with the label facing down

 B) Pour from a height of 12 inches to avoid splashing

 C) Pour the entire contents even if not needed

 D) Avoid touching the rim of the basin with the bottle

 Answer: D

 Rationale: The bottle rim must not touch the sterile basin to

prevent contamination. The label should be facing up to

allow reading, and pouring from a low height prevents

splashing.

6. The “flash sterilization” cycle is used for:

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Institution
NBSTSA SURGICAL TECHNOLOGIST CERTIFICATION
Course
NBSTSA SURGICAL TECHNOLOGIST CERTIFICATION

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