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1. Bookwalter: While preparing to do an abdominal hysterectomy on a 500 pound female the surgical technol-
ogist begins to retrieve supplies and instrumentation. Which of the following retractor systems should the technologist
retrieve for this case?
2. the buttocks: 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 surgica
technologist should suggest that the ESU pad be removed and placed on
3. state the name of each item as you begin to count it, circulator records the
items counted, count laps, Raytecs, needles, and blades: Which of the following are done
during the initial count for a tubal ligation case? (Select the three (3) correct answers.)
4. Don new gown and gloves.: 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?
5. raney clips: Which of the following is used to help maintain hemostasis intraoperatively in neurosurgery?
6. electrosurgical pen, sponge, suction device: 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.)
7. 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.: 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?
8. steris: When disinfecting a flexible endoscope used on a patient with TB, which of the following sterilization
methods should be employed?
9. Place the instruments in a basin of sterile water.: During a total hip replacement, how can
a surgical technologist prevent blood from drying on instruments?
10. Duraprep: Which of the following prep solutions is contraindicated for use with a laser?
11. daily.: In the Sterile Processing Department, a DART test for autoclave steam sterilizers should be run
12. Remove the sterilized instrument tray from the sterile field.: 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?
13. Nylon: The surgeon requests a non-absorbable suture for skin closure. Which of the following sutures is
non-absorbable?
, NCCT SURGICAL TECH PRACTICE EXAM
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14. estimate blood loss.: The anesthesia provider would typically ask the surgical technologist how much
fluid has been used in order to
15. place arm pads.: 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
16. hospital MSDS log: 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?
17. 24 hours: When steam sterilizing biological indicators, how long are they incubated before the reading is
recorded?
18. Wait until the washer stops and run a new cycle with the instruments.: 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?
19. Moisten sponges and place around the field prior to start of procedure to
minimize leakage and reduce heat buildup.: During an otorhinolaryngologic procedure, which
of the following precautions should the surgical technologist take if the anesthesia provider is using an uncuffed
endotracheal tube?
20. Squeeze the bulb to apply manual suction.: Which of the following should the surgical
technologist do immediately before connecting the Jackson-Pratt drain to the drainage tubing?
21. The battery has not been adequately charged.: Prior to a case the surgical technologist
determines the power saw is not functioning. Which of the following is the most likely cause?
22. 2 inches above the knees: 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?
23. four: Which of the following is the minimum number of counts for a Cesarean section case?
24. rinse blood from the instruments with sterile water.: At the end of each case the surgica
technologist should
25. All sharps are contained and disposed of in the sharps container.: When breaking
down the setup, which of the following steps should be completed first?
26. bookwalter: Which of the following retractors will the surgical technologist need for an emergent bring back
case on a 450 lb abdominal hysterectomy patient?
27. Inform the circulator that the drain is full and there is the potential for active
bleeding in the surgical site.: 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?
, NCCT SURGICAL TECH PRACTICE EXAM
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28. Close the jaws.: 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?
29. conduct a complete count.: When a surgical technologist is being relieved at end of shift during a
myomectomy, she is required to
30. Post warning signs outside the room., Do not use alcohol based preps., Wear
safety goggles.: While preparing the room for a surgical procedure using the laser, which of the following
policies ensure the laser is being used correctly? (Select the three (3) correct answers.)
31. keep the inside of the gown toward the body.: When donning a sterile gown the surgical
technologist should
32. tracheostomy hook and spreader: After a tracheostomy procedure the surgical technologist
should keep which of the following items sterile on the back table until the patient leaves the room?
33. Add the Steven's scissor to every hand procedure preference card for the
surgeon.: At the beginning of a carpal tunnel procedure the surgeon announces that he will use a Steven's scissor
for every hand case he does from this day forward. After the case, which of the following is the most efficient way to
make sure he has his Steven's scissor moving forward?
34. iodophor paint: Patient skin preparation for LAVH and abdominal to perineal procedures should be
performed using which of the following solutions?
35. steri strips.: Following an eyelid laceration repair, the surgeon begins to close the skin. Anticipating the
surgeon's needs the surgical technologist should hand the surgeon
36. is maintained at 75 degrees F (23 C).: 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
37. Unwrap, decontaminate and re-sterilize implants with a biological test pack
and place a hold on the use of the sets until the BI test results are available.: A
surgical technologist working the night shift is preparing implants for the next morning. After running the autoclave,
the cycle fails. Which of the following should the surgical technologist do?
38. straight Iris scissors: When cutting 7-0 nylon suture, which of the following is the best instrument to use?
39. Enlist an all female surgical team.: A vulva biopsy is to be conducted on a patient who is an
observant Muslim. Which of the following should actions should be taken for this case?
40. leak: Which of the following tests is essential to ensure patient safety when processing a flexible endoscope?
41. skin graft.: A pressure dressing is most likely applied over a