NCCT tech in surgery practice exam (Surgical tech) Q’s &
A’s Graded A+
The anesthesia care provider (ACP) is performing an induction on a known
asthmatic patient. The patient experiences a laryngospasm during intubation. The
patient's oxygen saturation is 65%. The scrubbed surgical technologist should:
prepare for a tracheostomy.
Which of the following is the minimum number of counts for a Cesarean section
case?
4
During surgery, the surgical technologist reaches for a supply item being handed
by the circulator. The surgical technologist's left glove touches the outside of the
package. Which of the following steps must be taken to correct the break in
sterile technique?
The circulator removes the contaminated glove and then the technologist re-gloves
herself.
When reviewing the autoclave log, the surgical technologist should confirm that
which of the following have been documented before using the instrumentation?
Exposure temperature
What is the minimum percentage level of humidity in the OR suite?
20 %
The surgical technologist is preparing for a myelography procedure. Which of the
following items would definitely be on the preference card for this case?
Contrast medium
When preparing for a right total nephrectomy, the operating room team should
position the patient using which of the following positioning options?
left lateral position
During an abdominal surgery, the anesthetist states that they believe an MH crisis
is presenting itself in the surgical patient. The surgical tech should
Prepare to close quickly and maintain the sterile field
The surgical technologist is preparing the incision site for placement of a
dressing following a mastectomy. The surgical technologist noticed that the
patient has developed a hematoma at the incision site. The surgeon has left the
operating room. Which of the following actions should the surgical technologist
take?
Ask the surgeon to return.
The surgical technologist should use which of the following disinfectants when
reprocessing an endotracheal tube used during surgery?
Cidex OPA
A patient is having a cervical cone biopsy. The surgeon prefers to not use a
Bovie. Which of the following solutions should the surgical technologist have
available in the room for control of bleeding?
Monsels solution
Before use of the ESU generator the surgical technologist should check for the
biomedical engineering sticker.
,A gynecologic oncology surgeon decides to bring her patient into the OR
emergently after seeing her in the office. The patient's abdomen is greatly
distended, warm and firm to the touch. Which of the following should the surgical
technologist have available?
Poole tip suction and Lap sponges
At the end of each case the surgical technologist should
rinse blood from the instruments with sterile water.
A cardiac arrest occurs during a thoracotomy procedure, and the surgeon calls a
CODE BLUE. The surgeon is attempting to resuscitate the patient using CPR.
Which of the following is the responsibility of the surgical technologist in this
situation?
Prepare internal defibrillator paddles.
Which of the following is being tested when doing a Bowie-Dick test on an
autoclave?
Amount of air removed from the autoclave
The patient is undergoing cardiothoracic surgery, and placed in the Sims
position. Which of the following actions prevents the likelihood of an
intraoperative positioning injury to the brachial plexus?
Place rolled towel padding beneath abducted down-side arm.
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.
Which of the following instruments is used to extend the arteriotomy during a
carotid endarterectomy?
potts smith
During an open hernia procedure on adult male patient the surgeon requests
assistance with retracting the spermatic cord. Which of the following should the
surgical technologist provide?
moist Penrose
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
A surgical technologist is in the process of opening sterile supplies for an
abdominal hysterectomy on a 300 lb. patient. After reviewing the preference card,
which of the following items should the technologist hold in order to watch
costs? (Select the three (3) correct answers.)
Closing suture, 11 knife blade, Extra Raytec
Which of the following retractors will the surgical technologist need for an
emergent bring back case on a 450lb abdominal hysterectomy patient?
bookwalter
In preparation for a carotid endarterectomy the surgical technologist should
anticipate using which of the following sutures?
7-0 Prolene
, Following placement of dressings on the back of a patient after a Posterolateral
Instrumented Lumbar Fusion (PLIF), the circulator notices bleeding at the
surgical site and notifies the surgeon. The surgical technologist has broken
sterility to help move the patient. Which of the following actions should the
surgical technologist take?
Prepare to scrub, re-gown, and re-glove.
A patient is having a hysteroscopy for myomectomy excision. The patient has
been under anesthesia for an hour and is starting to show signs of extreme
swelling. Which of the following is most critical to monitor in order to prevent
these symptoms?
Fluid intake and output
During a total abdominal hysterectomy, the surgeon is using a Balfour retractor.
Which type of nerve injury is possible if this retractor is placed incorrectly inside
the patient?
Femoral
The surgical technologist is preparing the OR suite for a patient's transurethral
resection of the prostate (TURP). Which of the following supplies should the
surgical technologist anticipate?
Continuous bladder irrigation solution
The surgical technologist hears a patient entering the operating room state
verbally that he doesn't want the surgery and fears he will not survive. The
surgical technologist must inform the
circulating nurse.
The surgical technologist is assisting the surgical team in positioning the patient
for a total hip arthroplasty. How can the surgical technologist plan for placing the
patient in this position?
Position the beanbag or pegboard on the surgical table.
The surgeon is using staples to close the skin on an abdominal incision after
performing an exploratory laparotomy. Which of the following pickups should the
surgical technologist use for this step?
adson
A GYN patient is scheduled to have a D&C procedure. To prevent the risk of skin
and neurovascular pressure or injury when the patient is placed in stirrups in the
lithotomy position, which of the following must the surgical team do?
Have adequate padding available in room.
The surgical technologist notices smoke and flames coming from the drape
surrounding the surgical site. Which of the following actions should the surgical
technologist take?
Smother the drape with a wet sterile towel.
Which of the following hemostatic agents must be handled dry?
Microfibrillar collagen/Avitene
The surgical team prepares the room for a trauma case. The nurse is notified by
the ER that the patient is a 3-year-old female with a gunshot wound. In preparing
the room for the patient's arrival, the surgical technologist should ensure that the
room is
maintained at 75 degrees F (23 C).
A’s Graded A+
The anesthesia care provider (ACP) is performing an induction on a known
asthmatic patient. The patient experiences a laryngospasm during intubation. The
patient's oxygen saturation is 65%. The scrubbed surgical technologist should:
prepare for a tracheostomy.
Which of the following is the minimum number of counts for a Cesarean section
case?
4
During surgery, the surgical technologist reaches for a supply item being handed
by the circulator. The surgical technologist's left glove touches the outside of the
package. Which of the following steps must be taken to correct the break in
sterile technique?
The circulator removes the contaminated glove and then the technologist re-gloves
herself.
When reviewing the autoclave log, the surgical technologist should confirm that
which of the following have been documented before using the instrumentation?
Exposure temperature
What is the minimum percentage level of humidity in the OR suite?
20 %
The surgical technologist is preparing for a myelography procedure. Which of the
following items would definitely be on the preference card for this case?
Contrast medium
When preparing for a right total nephrectomy, the operating room team should
position the patient using which of the following positioning options?
left lateral position
During an abdominal surgery, the anesthetist states that they believe an MH crisis
is presenting itself in the surgical patient. The surgical tech should
Prepare to close quickly and maintain the sterile field
The surgical technologist is preparing the incision site for placement of a
dressing following a mastectomy. The surgical technologist noticed that the
patient has developed a hematoma at the incision site. The surgeon has left the
operating room. Which of the following actions should the surgical technologist
take?
Ask the surgeon to return.
The surgical technologist should use which of the following disinfectants when
reprocessing an endotracheal tube used during surgery?
Cidex OPA
A patient is having a cervical cone biopsy. The surgeon prefers to not use a
Bovie. Which of the following solutions should the surgical technologist have
available in the room for control of bleeding?
Monsels solution
Before use of the ESU generator the surgical technologist should check for the
biomedical engineering sticker.
,A gynecologic oncology surgeon decides to bring her patient into the OR
emergently after seeing her in the office. The patient's abdomen is greatly
distended, warm and firm to the touch. Which of the following should the surgical
technologist have available?
Poole tip suction and Lap sponges
At the end of each case the surgical technologist should
rinse blood from the instruments with sterile water.
A cardiac arrest occurs during a thoracotomy procedure, and the surgeon calls a
CODE BLUE. The surgeon is attempting to resuscitate the patient using CPR.
Which of the following is the responsibility of the surgical technologist in this
situation?
Prepare internal defibrillator paddles.
Which of the following is being tested when doing a Bowie-Dick test on an
autoclave?
Amount of air removed from the autoclave
The patient is undergoing cardiothoracic surgery, and placed in the Sims
position. Which of the following actions prevents the likelihood of an
intraoperative positioning injury to the brachial plexus?
Place rolled towel padding beneath abducted down-side arm.
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.
Which of the following instruments is used to extend the arteriotomy during a
carotid endarterectomy?
potts smith
During an open hernia procedure on adult male patient the surgeon requests
assistance with retracting the spermatic cord. Which of the following should the
surgical technologist provide?
moist Penrose
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
A surgical technologist is in the process of opening sterile supplies for an
abdominal hysterectomy on a 300 lb. patient. After reviewing the preference card,
which of the following items should the technologist hold in order to watch
costs? (Select the three (3) correct answers.)
Closing suture, 11 knife blade, Extra Raytec
Which of the following retractors will the surgical technologist need for an
emergent bring back case on a 450lb abdominal hysterectomy patient?
bookwalter
In preparation for a carotid endarterectomy the surgical technologist should
anticipate using which of the following sutures?
7-0 Prolene
, Following placement of dressings on the back of a patient after a Posterolateral
Instrumented Lumbar Fusion (PLIF), the circulator notices bleeding at the
surgical site and notifies the surgeon. The surgical technologist has broken
sterility to help move the patient. Which of the following actions should the
surgical technologist take?
Prepare to scrub, re-gown, and re-glove.
A patient is having a hysteroscopy for myomectomy excision. The patient has
been under anesthesia for an hour and is starting to show signs of extreme
swelling. Which of the following is most critical to monitor in order to prevent
these symptoms?
Fluid intake and output
During a total abdominal hysterectomy, the surgeon is using a Balfour retractor.
Which type of nerve injury is possible if this retractor is placed incorrectly inside
the patient?
Femoral
The surgical technologist is preparing the OR suite for a patient's transurethral
resection of the prostate (TURP). Which of the following supplies should the
surgical technologist anticipate?
Continuous bladder irrigation solution
The surgical technologist hears a patient entering the operating room state
verbally that he doesn't want the surgery and fears he will not survive. The
surgical technologist must inform the
circulating nurse.
The surgical technologist is assisting the surgical team in positioning the patient
for a total hip arthroplasty. How can the surgical technologist plan for placing the
patient in this position?
Position the beanbag or pegboard on the surgical table.
The surgeon is using staples to close the skin on an abdominal incision after
performing an exploratory laparotomy. Which of the following pickups should the
surgical technologist use for this step?
adson
A GYN patient is scheduled to have a D&C procedure. To prevent the risk of skin
and neurovascular pressure or injury when the patient is placed in stirrups in the
lithotomy position, which of the following must the surgical team do?
Have adequate padding available in room.
The surgical technologist notices smoke and flames coming from the drape
surrounding the surgical site. Which of the following actions should the surgical
technologist take?
Smother the drape with a wet sterile towel.
Which of the following hemostatic agents must be handled dry?
Microfibrillar collagen/Avitene
The surgical team prepares the room for a trauma case. The nurse is notified by
the ER that the patient is a 3-year-old female with a gunshot wound. In preparing
the room for the patient's arrival, the surgical technologist should ensure that the
room is
maintained at 75 degrees F (23 C).
