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Exam (elaborations)

NCCT Written Exam 2023.

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NCCT Written Exam 2023.While preparing to do an abdominal hysterectomy on a 500 pound female the surgical technologist begins to retrieve supplies and instrumentation. Which of the following retractor systems should the technologist retrieve for this case? - ANSWER Bookwalter 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 surgical technologist should suggest that the ESU pad be removed and placed on - ANSWER the buttocks Which of the following are done during the initial count for a tubal ligation case? (Select the three (3) correct answers.) - ANSWER state the name of each item as you begin to count it, circulator records the items counted, count laps, Raytecs, needles, and blades 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? - ANSWER Don new gown and gloves. Which of the following is used to help maintain hemostasis intraoperatively in neurosurgery? - ANSWER raney clips 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.) - ANSWER electrosurgical pen, sponge, suction device 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? - ANSWER 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. When disinfecting a flexible endoscope used on a patient with TB, which of the following sterilization methods should be employed? - ANSWER steris During a total hip replacement, how can a surgical technologist prevent blood from drying on instruments? - ANSWER Place the instruments in a basin of sterile water. Which of the following prep solutions is contraindicated for use with a laser? - ANSWER Duraprep In the Sterile Processing Department, a DART test for autoclave steam sterilizers should be run - ANSWER daily. 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? - ANSWER Remove the sterilized instrument tray from the sterile field. The surgeon requests a non-absorbable suture for skin closure. Which of the following sutures is non-absorbable? - ANSWER Nylon The anesthesia provider would typically ask the surgical technologist how much fluid has been used in order to - ANSWER estimate blood loss. 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 - ANSWER place arm pads.

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