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NCCT STUDY GUIDE WITH COMPLETE QUESTIONS AND CORRECT ANSWERS WITH DETALED RATIONALE RATED A+
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NCCT STUDY GUIDE WITH COMPLETE QUESTIONS AND CORRECT ANSWERS WITH DETALED RATIONALE RATED A+
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NCCT STUDY GUIDE WITH COMPLETEQUESTIONS AND CORRECT ANSWERS
WITH DETALED RATIONALE RATED A+
Which of the following is being tested when doing a Bowie-Dick
test on an autoclave?
population of spores left in the autoclave
amount of air removed from the autoclave
correct pressure is attained
correct amount of steam present Correct Answer Correct
response:
amount of air removed from the autoclave
Rationale: Bowie-Dick is the most commonly known DART test
that should be performed on the autoclave. It ensures that the air
is completely removed from the chamber and that it has been
successfully replaced with steam.
The surgical technologist prepared a breast lump to send as a
frozen section to pathology. The surgical technologist should pass
off the specimen placed
in normal saline.
on a raytec sponge.
on a telfa pad.
in formalin. Correct Answer On a telfa pad
Rationale: A fresh frozen specimen means that the specimen is
not in formalin, or any fixative agent. The STs responsibility is to
place the specimen on a moist Telfa, which will allow it to be
easily removed in the lab and not stick to an untreated surface.
The ST should pass the specimen off on the Telfa to her circulator
who will then place it in a clean specimen container and arrange
for immediate transport to pathology.
,The surgical technologist should use which of the following
disinfectants when reprocessing an endotracheal tube used
during surgery?
alcohol (70-90%)
phenolic
quaternary ammonium
cidex OPA Correct Answer cidex OPA
Rationale: Alcohol (70-90%) is not used as a disinfectant.
Phenolic is a detergent used for environmental cleaning only.
Quaternary ammonium is used for low level environmental
cleaning and has limited effectiveness. Cidex OPA is a chemical
disinfect that is used for medical devices such as an endotracheal
tube.
Which of the following procedures requires a surgical site
dressing?
myringotomy
hysteroscopy
ureteroscopy
laparotomy Correct Answer Laparotomy
Rationale: The laparotomy procedure is the only one that would
have an incision big enough for a surgical site dressing. The
myringotomy is a small incision in the ear to place a vent tube. A
hysteroscopy is used for visualization of the uterus and uses a
scope and no incisions are made. A ureteroscopy is also used for
visualization, but of the ureters. No incision is made in a
ureteroscopy either.
During a vaginal hysterectomy the surgical team noticed that the
safety belt was left off the patient before the drape was applied
and discovered after draping. How can the patient be secured to
the OR bed without interrupting the sterile field or procedure?
,The surgical technologist can watch for movement of the patient
and inform the circulator.
The anesthesiologist can secure the head to prevent shifting.
The circulator can reach under the sterile drape and apply the
safety strap.
The surgeon can request sterile coban to secure the patient.
Correct Answer The circulator can reach under the sterile drape
and apply the safety strap.
Rationale: The underside of the drape is not sterile, therefore, can
be touched by the unsterile circulating nurse, while she secures
the patient with the safety strap.
A patient presents to the operating room for irrigation and
debridement of a wound caused by penetrating trauma. The
surgeon states that the wound will heal by secondary intention.
Which of the following dressing types should the surgical
technologist ask the circulator for?
Steri-Strips
bio-occlusive Opsite
ABD
bolsters Correct Answer ABD dressing
Rationale: The ABD would be used because of the drainage that
will follow after doing the irrigation and debridement so it can
absorb fluid. Steri strips and the bio-occlusive opsite have an
adhesive backing and would stick to the incision, so they are not
the appropriate dressing. Bolsters are used over suture strands to
keep them from cutting into the skin when suture is placed in a
high tension area. A wound that will heal by secondary intention is
not sutured closed.
During an open hernia procedure on adult male patient the
surgeon requests assistance with retracting the spermatic cord.
Which of the following should the surgical technologist provide?
, Army-Navy retractor
vessel loop
moist Penrose
Weitlaner Correct Answer Moist Penrose
Rationale: A moist Penrose drape is used with a Kelly clamp to
retract and preserve the spermatic cord during an inguinal hernia.
The Army Navy is a hand retractor which provides exposure to
the operative site. A Weitlaner is a self-retaining retractor used to
provide exposure to the operative site. Vessel loops are used to
retract nerves, arteries, or veins.
After completing an incident report, the surgical technologist
should submit it to the
surgeon
circulator
human resource department
OR supervisor Correct Answer OR supervisor
The surgical technologist observed a patient fall during the
transfer from the gurney to the operating bed. Which of the
following items are required in the incident report? (Select the
three (3) Correct Answers.)
patient's name
personnel involved
type of anesthesia used
location of the incident
patient's weight Correct Answer Correct response:
patient's name, personnel involved, location of the incident
Rationale: In completing an incident report for an occurrence such
as this fall, all information regarding the patient and the
circumstances around the occurrence should be included. In this
case scenario, the patient had not had anesthesia yet so this did
not play a factor, nor did the patient's weight. So the best choices
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