Exam (elaborations)
NBSTSA CERTIFIED SURGICAL TECHNOLOGIST SELF-ASSESSMENT EXAMINATION A&B
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NBSTSA CERTIFIED SURGICAL TECHNOLOGIST SELF-ASSESSMENT EXAMINATION A&B
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NBSTSA CERTIFIED SURGICAL TECHNOLOGISTSELF-ASSESSMENT EXAMINATION A&B
During a laparoscopic appendectomy, the appendix is perforated, and contents begin
spilling into the abdomen. Which of the following should the surgical technologist
anticipate as the NEXT step?
A.Suction the fluid from the abdomen.
B.Continue removing the appendix as planned.
C.Place a Kelly clamp over the perforation.
D.Close the wound and terminate the procedure. - Answers -A.Suction the fluid from the
abdomen.
A carotid endarterectomy has just been finished and the dressing is on. The surgical
technologist begins removing all sharps and non-disposables from the drapes before
pushing everything back. According to best practice, which of the following should be
the NEXT step?
tear it down.
A.Push the back table, mayo, and basin back and tear it down.
B.Pull the drapes off and put them on the back table in case they are needed again.
C.Push the back table, mayo, and basin back and keep sterile until the patient is
transported to PACU.
D.Leave the back table, mayo, and basin close to patient in case they are needed again
- Answers -A.Push the back table, mayo, and basin back and keep sterile until the
patient is transported to PACU.
The rate per hour in air exchanges in a standard OR suite is
A.5-10.
B.15-25.
C.30-35.
D.40-50. - Answers -B.15-25
If there is any question related to handling a specific type of specimen, which of the
following departments should be consulted
A.histology
B.laboratory
C.pathology
D.radiology - Answers -C.pathology
A patient's dentures are removed in the operating room. Which of the following is the
proper procedure for the care of the dentures?
A.Return them to the patient's unit and leave them at the nurses' station.
B.Place them in a labeled cup and keep them with the patient's chart.
C.Wrap them in a paper towel and give them to the anesthesiologist.
,D.Ask the circulator to return them to the patient's room. - Answers -B.Place them in a
labeled cup and keep them with the patient's chart.
A patient is scheduled for laser removal of condyloma acuminata. As a safety
precaution, the surgical technologist should have which of the following special
equipment open and available?
A.smoke evacuator
B.suction tip
C.pulse lavage
D.endo-catch bag - Answers -A.smoke evacuator
Apart from trauma cases, which of the following incisions would be BEST for sigmoid
surgery?
A.vertical midline
B.vertical paramedian
C.oblique subcostal
D.lower transverse - Answers -A.vertical paramedian
The kidneys help regulate the blood levels of several ions, including
A.bicarbonate, water, and protein.
B.protein, sodium, and bicarbonate.
C.potassium, protein, and sodium.
D.sodium, potassium, and calcium. - Answers -D.sodium, potassium, calcium
Which of the following is the MOST effective mechanical method of controlling bleeding
occurring from needle holes in vessel anastomoses?
A.pledget
B.suction
C.ligature
D.clamp - Answers -A.pledget
Which of the following tags indicates the least critical of patients in a triage situation?
A.yellow
B.black
C.red
D.green - Answers -D.green
During a craniotomy, removal of the bone flap is followed by
A.incision of the dura mater.
B.opening the galea aponeurotica.
C.application of the Raney clips.
D.repairing the dura mater. - Answers -A.incision of the dura mater
After gowning and gloving, a surgeon activates the DuraPrep applicator and performs
the initial skin prep for surgery. Which of the following is the BEST action to take at this
time?
, A.Assist the surgeon in draping the patient.
B.Regown and reglove the surgeon.
C.Pass off Bovie and suction.
D.Inform the supervisor. - Answers -B.Regown and reglove the surgeon
A specimen obtained for frozen section is generally removed from the sterile field
intraoperatively because it
A. needs to be labeled by the circulator.
B. is sent to pathology immediately.
C. will contaminate the sterile field.
D. needs to be placed in formalin solution. - Answers -B. is sent to pathology
immediately.
A surgeon is preparing to close the abdomen. Which of the following closing supplies
should the surgical technologist have ready for closing the fascial layer?
A. 0 suture and toothed tissue forceps
B.7-0 Vicryl and toothed tissue forceps
C.retention sutures and too
D. Staples and adson with teeth - Answers -A. 0 suture and toothed tissue forceps
During a procedure, a hole is noticed in the surgical technologist's glove. What should
the surgical technologist do NEXT?
A.Continue the case.
B.Change the glove using the open-gloving technique.
C.Change the glove using the closed-gloving technique.
D.Break scrub, rescrub, gown, and glove. - Answers -B. Change the glove using the
open-gloving technique
Which of the following instruments should be included in a transurethral resection of the
prostate (TURP) setup?
A.lithotrite
B.urethrotome
C.resectoscope
D.Randall Stone - Answers -C.resectoscope
Which of the following terms describes airway assessment by listening with a
stethoscope?
A.observation
B.perfusion
C.auscultation
D. Palpation - Answers -C.auscultation
Which of the following should be prepared for a mastoid dressing?
A.several squared gauze sponges
B.rolled gauze and an abdominal pad
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