CST - NBSTSA Exam with 100% Correct Answers 2023

CST - NBSTSA Exam Surgical operation performed for the reconstruction of the eardrum (tympanic membrane) and/or small bones of the middle ear (ossicles) - Correct answerTympanosplasty After gowning and gloving, a surgeon activates the Duraprep applicator and proceeds to prep the patient for surgery. What is the best action to take at this time? - Correct answer-Regown and reglove the surgeon What position is used for a pneumonectomy? - Correct answer-Lateral What is the kraske position? - Correct answer-Anatomical position in which the patient is prone, with hips flexed and elevated, head and feet down. Which position is correct for a dilation and curettage? - Correct answer-Lithotomy When a hernia is strangulated, which instrument set is added to the general abdominal set-up? - Correct answer-Gastrointestinal What is a fenestrated drape? - Correct answer-A drape with an opening that allows exposure of the operative site Sterile supplies and instruments for a case have been opened in OR one. A surgical technologist was just informed that the case has been moved to OR two and the next case in OR one is scheduled in two hours. What is the best course of action? - Correct answer-New sterile supplies and instruments should be obtained for OR two and the setup in OR one should be disposed of What is the first step in applying the pneumatic tourniquet necessary in creating a bloodless field? - Correct answer-Padding the area where the tourniquet is to be wrapped with Webril For a splenectomy procedure, which clamp should be used? - Correct answer-Satinsky Surgical loupes are used to: - Correct answer-Magnify the surgical field Which position is the patient placed in for a right nephrectomy? - Correct answer-Left lateral kidney Once a surgical technologist dons a gown, the cuffs on the gown are considered unsterile because they are: - Correct answer-Absorbant and collect moisture Instruments that come in contact with the appendiceal stump during an appendectomy should be: - Correct answer-Placed in a separate bin Which instrument is used to cross-clamp the intestine during a bowel resection? - Correct answer-Allen The primary purpose of chest tubes is to: - Correct answer-Re-establish the negative pressure Traction sutures are used on common duct explorations to: - Correct answer-Hold the duct open The appendiceal stump, when inverted, is held in place by which of the following types of suture? - Correct answer-Purse-string Which catheter is most commonly used to perform an embolectomy? - Correct answerFogarty A resectoscope is used in what prostatic approach? - Correct answer-Transurethral Which retractor is preferred for a groin incision? - Correct answer-Weitlaner What type of dressing is applied as a nonadherent dressing? - Correct answer-Adaptic During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which method? - Correct answer-Placed in separate containers and identify Immediately before a hemorrhoidectomy, which procedure might be performed on the patient in the operating room? - Correct answer-Sigmoidectomy When a break in antisecptic technique occurs, the surgical technologist in the scrub role should first notify the: - Correct answer-Contaminating team member Sponges that have been added to the sterile field after a procedure has begun should be counted by the: - Correct answer-Surgical technologist in the scrub role and the circulator What is a procedure for removing excess skin from the face and neck? - Correct answer-Rhytidectomy Which rongeur is used to expand the antrostomy in a Caldwell-Luc procedure? - Correct answer-Kerrison Which procedure is used to visualize the cystic, hepatic, and common ducts? - Correct answer-Cholangiography Once the spinous process is exposed during a laminectomy, the next instrument needed for the removal of the lamina is a: - Correct answer-Kerrison rongeur What should the surgical technologist in the scrub role do during a cardiac emergency? - Correct answer-Remain sterile and keep the table sterile What is used to stabilize a fractured finger? - Correct answer-Kirschner wires During the application of arch bars, the surgeon will most likely use what between the teeth and around the bar? - Correct answer-25-gauge or 26-gauge stainless steel wire Which solution is used to identify diseased areas for a cold conization of the cervix? - Correct answer-Lugol's When using power saws on bone, what action best helps prevent bone damage? - Correct answer-Irrigation Which retractor is used in a C-section? - Correct answer-De Lee A nasogastric tube (NG) is used to: - Correct answer-Drain the stomach Which procedure requires an incision in the suprasternal nothc? - Correct answerMediastinoscopy The surgical technologist in the scrub role must keep track of blood loss as well as: - Correct answer-Track amount of irrigation used Following an abdominal surgery, the surgeon has just closed the peritoneum. Which layer will be sutured next? - Correct answer-Fascia Which medication is the anesthesia provider responsible for recording the name, amount, and delivery method during a surgical procedure? - Correct answer-Propofol A surgeon is preparing to close the abdomen of an average weight patient. Which closing supplies should the surgical technologist have ready for closing the fascial layer? - Correct answer-2-0 suture and toothed tissue forceps While preparing a sterile field, a surgical technologist secures the Bovie holster to the Mayo stand. The surgeon insists on keeping the Bovie by him toward the head of the patient. What would be the best course of action? - Correct answer-Move Bovie holster up by the head of the patient A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which type of drain should the surgical technologist have available at the end of the procedure? - Correct answer-Underwater A liver laceration is identified during an emergency exploratory laparotomy. A surgical technologist will prepare suture attached to which of the following type of needles? - Correct answer-Blunt A Stamey needle is used for which type of surgery? - Correct answer-Bladder suspension What advantage do hand-held retractors have over self-retaining retractors? - Correct answer-Dynamic adjustability If unexpected heavy blood loss occurs during an abdominal procedure, a surgical technologist should request additional: - Correct answer-Lap sponges What is most commonly used for wound closure in the presence of infection? - Correct answer-Stainless steel A surgeon asks for warm irrigation after a GI tract reastomosis. What best describes the reason for irrigation at this point in the procedure? - Correct answer-To aid visual inspection for leakage In comparison to oral Fahrenheit temperatures, rectal Fahrenheit temperatures are - Correct answer-Approximately 1 degree higher What is the unexpected occurrence that involves physiologic or psychologic injury or death? - Correct answer-Sentinel event Following a surgical procedure, what is the best sequence of actions for a surgical technologist to take? - Correct answer-Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient To prevent contamination at the end of a surgical procedure, what should be removed last by the surgical technologist in the scrub role? - Correct answer-Surgical drapes/gloves An RN has just asked a surgical technologist to complete a task that is within the surgical technologist's scope of practice, but the surgical technologist does not feel comfortable completing the task independently. What is the surgical technologist's best course of action? - Correct answer-Request that the RN provides the appropriate level of supervision during the task to ensure safety What is necessary for ethylene oxide sterilization to occur? - Correct answer-Humidity The destruction of organisms in an autoclave is accomplished by the: - Correct answerCoagulation of cell protein Ratcheted instruments should be: - Correct answer-Opened for washing and sterilizing An effective packaging material used for a Balfour to be steam sterilized: - Correct answer-Permits penetration by the sterilant While removing peel pack instruments from the sterilizer, a surgical technologist notices several of the packages have ruptured. What would most likely be the cause of this? - Correct answer-The air was not evacuated from the pouch Which layer is transected when a subcostal flank incision is used from a nephrectomy? - Correct answer-Oblique muscles In order to remove a portion of the kidney, the surgeon must enter what? - Correct answer-Gerota's fascia What lies between the lung and the chest wall? - Correct answer-pleura Where is the gastrocnemius muscle located? - Correct answer-Calf What is the most serious complication of a strangulated hernia? - Correct answerNecrosis During a herniaorraphy, the abdominal area that is bound by the rectus abdominis muscle, the inguinal ligament, and the inferior epigastric vessels is the: - Correct answer-Hesselbach triangle Scoliosis is most commonly found in which curve of the vertebral column? - Correct answer-Thoracic When performing a Shirodkar procedure, where is the attention being focused? - Correct answer-Cervix A patient entering the operating room for a laparoscopic cholecystectomy looks jaundiced. What is the best explanation for this? - Correct answer-Biliary obstruction Which surgical procedure may be used to remove a carcinoma from the head of the pancreas? - Correct answer-Whipple A scleral buckle procedure repairs: - Correct answer-Detached retinas Which procedure treats a congenital obstructed lesion found at the distal end of an infant's stomach? - Correct answer-Pyloromyotomy What is the surgical correction of a Colles' fracture? - Correct answer-The distal radius is fractured and the periosteum will be closed with absorbable sutures What surgery is a Meckel's diverticulum typically discovered? - Correct answerAppendectomy Which structure is behind and below the base of the penis? - Correct answer-Scrotum When performing a right hemicolectomy, the surgeon will most likely remove portions of what? - Correct answer-Ascending and transverse colon What destroys bacterial spores? - Correct answer-Sterilant 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-Standard precautions for both patients Which wound class is assigned to a bowel case in which the resident perforated during the procedure? - Correct answer-III What is an example of a wound in the inflammatory phase of wound healing? - Correct answer-An abdominal incision, 20 minutes post-closure What is the desired effect of atropine sulfate when used as a preoperative medication? - Correct answer-Drying of secretions Which condition is triggered by an injection of succinylcholine (Anectine) and causes an unusually high fever? - Correct answer-Malignant hyperthermia The primary purpose of a local anesthetic is to: - Correct answer-Block peripheral nerve receptors How is propofol (Diprivan) administered? - Correct answer-Intravenously A physician prescribed 50 mg of Demerol. The Demerol is supplied in 100 mg/mL. How many mL of Demerol should be given? - Correct answer-0.5 mL A patient presented in the OR without family history related to anesthesia complications. Which complication is of most concern related to the lack of family history? - Correct answer-Malignant hyperthermia The primary consideration in selecting an appropriate anesthetic agent is the: - Correct answer-Physiologic condition of the patient Which anticoagulant should be given during a vascular procedure to prevent normal blood clotting? - Correct answer-Heparin sodium A form of contrast media used within the body that is visible when exposed to x-ray is: - Correct answer-Radiopaque A sterile item used with an electrosurgical unit is the: - Correct answer-Active electrode What is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection? - Correct answer-Shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder When donning gloves using the open-gloving technique, the ungloved hand will touch the: - Correct answer-Folded edge of the cuff of the glove A pneumatic tourniquet may be used for surgery for: - Correct answer-Reduce blood loss A device used to measure fluid pressure is known as a: - Correct answer-Manometer An instrument used for measuring the air capacity of lungs is known as: - Correct answer-Spirometer A monitoring device that measures and numerically displays the concentration of carbon dioxide in exhaled air is called: - Correct answer-Capnometer What can be used to remove clots and tissue from the bladder during transurethral resections (TURPs)? - Correct answer-Ellik elevator Which position should a patient be placed for a low anterior colon resection? - Correct answer-Lithotomy The position in which one lies flat with the chest down and back up is known as the: - Correct answer-Prone position In which position would a person be if lying on their back? - Correct answer-Supine If a patient is lying on their right side, which position are they in? - Correct answer-Left lateral recumbent In which position is the patient in if they are lying supine with legs separated, flexed, and raised in stirrups - Correct answer-Lithotomy A patient's dentures are removed in the operating room. What is the proper procedure for the care of the dentures? - Correct answer-Place them in a labeled denture cup and keep them with the patient's chart During a procedure, a surgical technologist notices a hole in his glove. What should be done next? - Correct answer-Change the glove using the open-gloving technique A patient undergoing a blood transfusion is having a hemolytic reaction. What should the healthcare provider do first? - Correct answer-Stop the transfusion Which instrument is most likely used to stabilize a cervical fracture? - Correct answerMayfield clamp What procedure may require a postauricular incision? - Correct answer-Mastoidectomy What is the surgical procedure that removes diseased mastoid air cells? - Correct answer-Mastoidectomy What is the surgical procedure used to remove adenoids for reasons which include: impaired breathing through the nose, chronic infections, or recurrent earaches - Correct answer-Adenoidectomy What is the surgical procedure of an incision to the eardrum to relieve pressure or drain fluid? - Correct answer-Myringotomy During an abdominoperineal resection, which stapling device should the surgical technologist have available to form an anal pouch from the ileum? - Correct answer-GIA A #12 knife blade on a #7 handle is most commonly used for what type of surgery? - Correct answer-Tonsillectomy Which instrument is used to grasp the base of the hemorrhoid during a hemorrhoidectomy? - Correct answer-Allis Which retractor may be used during an open cholecystectomy? - Correct answerHarrington What may be used when applying a sterile dressing to a skin graft site? - Correct answer-Pressure dressing The diagnostic procedure that examines the interior of the respiratory structures is: - Correct answer-Bronchoscopy What is the endoscopic procedure performed to examine the rectouterine pouch and pelvic viscera by the introduction of a culdoscope through the posterior vaginal wall? - Correct answer-Culdoscopy What is the procedure where a flexed endoscope is inserted through the mouth or, more rarely, through the nares and into the esophagus? - Correct answer-Esophagoscopy This procedure is done to examine the mediastinum. - Correct answer-Mediastinoscopy