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CST Certified Surgical Technologist 2026 Comprehensive Practice Exam 350 Questions with Answers and Explanations Study Guide

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This document provides a comprehensive practice exam for the CST (Certified Surgical Technologist) certification, including 350 review questions with detailed answers and explanations. It covers essential topics such as surgical procedures, sterile techniques, instrumentation, patient safety, and perioperative care. The material is structured to support exam preparation and reinforce understanding of key concepts aligned with CST certification standards for 2026. It is designed as a study aid to help learners assess knowledge and improve readiness for the certification exam.

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2024 CST PRACTICE ACTUAL EXAM WITH 100%
COMPLETE SOLUTIONS RATED A (350
QUESTIONS AND CORRECT ANSWERS) |
(EXPERT VERFIED)
A #12 knife blade on a #7 handle is MOST commonly used for what type of
surgery? - ✔✔✔ Correct Answer > D. tonsillectomy
A 15-year-old girl with anemia will be undergoing an exploratory procedure and a
blood transfusion will be necessary. The parents are Jehovah's Witnesses and will
not consent to a blood transfusion, but the patient states that she wants the
transfusion. The operating room staff reports this to the nurse manager. Which of
the following is the BEST course of action now? - ✔✔✔ Correct Answer > D. The
physician or nurse manager should contact the hospital's administration to
request that legal counsel becomes involved.

A Balfour is used in which of the following procedures? - ✔✔✔ Correct Answer >
B. sigmoid resection
A cardiac arrest occurs during a procedure, and the surgeon is resuscitating the
patient. What is the responsibility of the surgical technologist in the scrub role
during this time? - ✔✔✔ Correct Answer > C. Remain sterile and maintain the
sterile field.

A cerclage procedure is performed for which of the following conditions? - ✔✔✔
Correct Answer > C. incompetent cervix
A colonoscopy has just concluded, and it is time to reprocess the instruments
utilized in the case. Which of the following is the MOST effective method for
processing the endoscopes? - ✔✔✔ Correct Answer > D. glutaraldehyde

A device used to measure fluid pressure is known as a - ✔✔✔ Correct Answer >
B. manometer.
A form of contrast media used within the body that is visible when exposed to x-
ray is - ✔✔✔ Correct Answer > B. radiopaque

,A Javid shunt is used for which of the following procedures? - ✔✔✔ Correct
Answer > A. carotid endarterectomy
A laparotomy drape has been placed on a patient, and unprepped skin on the
operative site is exposed. Which of the following is the BEST next step? - ✔✔✔
Correct Answer > C. Remove drapes and re-prep
A liver laceration is identified during an emergency exploratory laparotomy. A
surgical technologist will prepare suture attached to which of the following types
of needles? - ✔✔✔ Correct Answer > C. blunt

A lumbar meningocele involves removal of - ✔✔✔ Correct Answer > D. a fluid-
filled sac.

A major function of the colon is to - ✔✔✔ Correct Answer > A. absorb water
A Marshall-Marchetti-Krantz (MMK) requires which of the following skin
preparations?
1. abdominal
2. vaginal
3. rectal

4. extremity - ✔✔✔ Correct Answer > A. 1 and 2 only

A nasogastric (NG) tube is used to - ✔✔✔ Correct Answer > C. drain the stomach.
A patient entering the operating room for a laparoscopic cholecystectomy looks
jaundiced. Which of the following is the BEST explanation for this? - ✔✔✔ Correct
Answer > B. biliary obstruction
A patient has arrived in the operating room for a bilateral mastectomy. She is
crying inconsolably. The surgical technologist can best console her by saying
which of the following? - ✔✔✔ Correct Answer > D. "We are going to give you
the best care possible."
A patient is complaining of nausea, fever, and severe back pain. The patient was
previously diagnosed with hyperparathyroidism. This patient MOST likely suffers
from - ✔✔✔ Correct Answer > A. kidney stones.

,A patient presented in the OR without family history related to anesthesia
complications. Which of the following complications is of MOST concern related
to the lack of family history? - ✔✔✔ Correct Answer > A. malignant hyperthermia
A patient undergoing a blood transfusion is having a hemolytic reaction. Which of
the following actions should the healthcare providers take FIRST? - ✔✔✔ Correct
Answer > B. Stop the transfusion
A patient undergoing a procedure while under general anesthesia begins to
experience muscle rigidity, followed by tachycardia, metabolic and respiratory
acidosis, and cardiac dysrhythmias. Which of the following is the patient
experiencing? - ✔✔✔ Correct Answer > B. malignant hyperthermia
A patient who is HIV-positive is having an abdominal procedure. Another patient
who is HIV-negative is having an orthopedic procedure. During and subsequent to
the cases, the surgical technologist should take - ✔✔✔ Correct Answer > D.
standard precautions for both patients.
A patient with multiple trauma injuries requires surgical intervention. The patient
has a history of DVT and is currently taking anticoagulants. Which of the following
should be done to ensure a clot does not develop? - ✔✔✔ Correct Answer > C.
Place a sequential compression device on lower extremities
A patient's dentures are removed in the operating room. Which of the following is
the proper procedure for the care of the dentures? - ✔✔✔ Correct Answer > B.
Place them in a labeled denture cup and keep them with the patient's chart.

A perforator is used for which of the following procedures? - ✔✔✔ Correct
Answer > B. craniotomy
A physician prescribed 50 milligrams of Demerol. The Demerol is supplied in 100
mg/mL. How many mL of Demerol should be given? - ✔✔✔ Correct Answer > A.
0.5 mL

A pneumatic tourniquet may be used for extremity surgery to - ✔✔✔ Correct
Answer > C. reduce blood loss.

A pneumatic tourniquet may be used for extremity surgery to - ✔✔✔ Correct
Answer > C. reduce blood loss.

, A postoperative total arthroplasty patient presents to the emergency department
with severe throbbing pain, fever, and malaise. Which of the following is the likely
diagnosis? - ✔✔✔ Correct Answer > C. osteomyelitis
A potential surgical complication of an inguinal herniorrhaphy is injury to the -
✔✔✔ Correct Answer > C. spermatic cord.

A resectoscope is used in which of the following prostatic approaches? - ✔✔✔
Correct Answer > D. transurethral

A resectoscope is used to resect the - ✔✔✔ Correct Answer > B. prostate.

A scleral buckle procedure repairs - ✔✔✔ Correct Answer > B. detached retinas.
A specimen obtained for frozen section is generally removed from the sterile field
intraoperatively because it - ✔✔✔ Correct Answer > B. is sent to pathology
immediately.

A Stamey needle is used for which of the following types of surgery? - ✔✔✔
Correct Answer > C. bladder suspension

A sterile item used with an electrosurgical unit is the - ✔✔✔ Correct Answer > C.
active electrode
A surgeon asks a surgical technologist to place a drop of a mydriatic solution in
OD. As a result of this medication, the pupil of the - ✔✔✔ Correct Answer > A.
right eye will dilate.
A surgeon asks for warm irrigation after a GI tract reanastomosis. Which of the
following BEST describes the reason for irrigating at this point in the procedure? -
✔✔✔ Correct Answer > D. to aid visual inspection for leakage
A surgeon has just completed an incisional biopsy and would like to have an
immediate diagnosis. Which of the following is the MOST appropriate next step? -
✔✔✔ Correct Answer > A. Send the specimen to pathology in a dry specimen
container so that a frozen section can be completed.
A surgeon is performing a procedure to repair damage from a gunshot wound to
the chest. Which of the following types of drains should the surgical technologist

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