NBSTSA CST Practice Exam B, Questions with accurate answers. Latest update

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NBSTSA CST Practice Exam B, Questions with accurate answers. Latest update A SURGICAL TECHNOLOGIST IS PREPARING THE INCISION SITE FOR THE DRESSING FOLLWING A (TAH). THE PATIENT HAS DEVELOPED A ... HEMATOMA AT THE INCISION SITE. THE SURGEON HAS LEFT THE ROOM. WHICH OF THE FOLLOWING ACTIONS SHOULD THE SURGICAL TECH TAKE? A. PLACE A PRESSURE DRESSING B. COVER WITH DERMABOND C. STERI-STRIP THE INCISION D. HAVE THE SURGEION RETURN - ✔✔D. HAVE THE SURGEON RETURN WHICH OF THE FOLLOWING IS A SIGN OF CARDIAC ARREST? A. EDEMA B. CONVULSION C. CYANOSIS D. HYPERTENSION - ✔✔C. CYANOSIS The number of Staphylococcus aureus micro-organisms carried by the surgical technologist can be drastically reduced by. A. wearing a surgical cap. B. wearing hospital scrubs. C. keeping the OR doors closed. D. a thorough surgical hand scrub. - ✔✔D. a thorough surgical hand scrub. List in order the sequence of induction for general anesthesia: 1. leads placed on the patient 2. induction agent is given through an IV 3. patient is prompted to breathe 100% oxygen 4. patient is intubated 5. anesthetic gas agent is selected and applied A. 1, 3, 5, 4, and 2 B. 5, 2, 3, 1, and 4 C. 1, 3, 2, 4, and 5 D. 4, 2, 3, 1, and 5 - ✔✔C. 1, 3, 2, 4, and 5 Place the following phases of wound healing by first intention in correct order from first to last: I. proliferation II. remodeling III. inflammatory A. I, II, III B. II, I, III C. III, I, II D. III, II, I - ✔✔C. III, I, II A surgical technologist has selected the sutures for a procedure based on the surgeon's preference card. The surgeon states he would like additional sutures and his preference card is outdated. Which of the following is the surgical technologist's BEST course of action? A. Open all of the sutures that were collected and place them on the back table just in case the surgeon needs them. B. Return the sutures that are not needed to sterile supply and proceed with the case. C. Ask the surgeon if he would like to have his preference card updated and proceed accordingly. D. Update the surgeon's preference card to reflect the sutures that have been requested for this case. - ✔✔C. Ask the surgeon if he would like to have his preference card updated and proceed accordingly. While being transferred from the stretcher to the operating room bed, the patient expresses fear of not awakening from anesthesia. The surgical technologist should. A. proceed with the transfer and disregard patient comments. B. explain the action of the anesthetic agent. C. reassure the patient that the anesthetic is safe. D. have the anesthesia care provider address the patient's concerns. - ✔✔D. have the anesthesia care provider address the patient's concerns. When preparing endoscopic cameras for ethylene oxide sterilization, which of the following monitoring processes would be utilized to ensure all parameters of sterilization were met? A. external tape B. biological indicator C. dynamic air removal D. internal strip - ✔✔B. biological indicator Which of the following rongeurs is used to expand the antrostomy in a Caldwell-Luc procedure? A. Cushing B. Bethune C. Kerrison D. Stille-Luer - ✔✔C. Kerrison The surgical technologist in the scrub role should remain sterile following which of the following surgical procedures? A. laparoscopic cholecystectomy B. carotid endarterectomy C. total hip arthroplasty D. tympanoplasty - ✔✔B. carotid endarterectomy After gowning and gloving, a surgeon activates the DuraPrep applicator and proceeds to prep the patient 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. Remove drapes and start over. D. Inform the supervisor. - ✔✔B. Regown and reglove the surgeon. Local anesthetics containing epinephrine should NEVER be used in which of the following areas? A. arms and legs B. epidural spaces C. wrists and ankles D. digits and penis - ✔✔D. digits and penis To prevent contamination at the end of a surgical procedure, which of the following should be removed LAST by the surgical technologist in the scrub role? A. patient's drapes B. surgical gloves C. surgical gown D. Mayo stand drape - ✔✔B. surgical gloves During a procedure, a surgical technologist notices a hole in his glove. Which of the following should be done 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. - ✔✔B. Change the glove using the open-gloving technique. Which of the following is an unexpected occurrence that involves physiologic or psychologic injury or death? A. unintentional tort B. sentinel event C. negligence D. malpractice - ✔✔B. sentinel event Which of the following is a benign fluid-filled sac that develops in the anterior testis? A. rectocele B. cystocele C. enterocele D. hydrocele - ✔✔D. hydrocele When a cholecystectomy is performed, which of the following anatomical structures must be preserved? A. cystic duct B. cystic vein C. common duct D. cystic artery - ✔✔C. common duct Which of the following procedures treats a congenital obstructed lesion found at the distal end of an infant's stomach? A. gastrostomy B. Nissen fundoplication C. Heller myotomy D. pyloromyotomy - ✔✔D. pyloromyotomy The safest method for placing a blade on a knife handle is with a A. Mixter. B. gloved hand. C. needle holder. D. tissue forceps. - ✔✔C. needle holder When inflating a 5-cc balloon on a Foley catheter, which of the following would be the MOST appropriate choice? A. 3-5 mL of sterile water B. 3-5 mL of normal saline C. 8-10 mL of sterile water D. 8-10 mL of normal saline - ✔✔C. 8-10 mL of sterile water The tissue that covers bones and provides movement to the skeletal system is A. nerve. B. cartilage. C. muscle. D. ligament. - ✔✔C. muscle. When donning gloves using the open-gloving technique, the ungloved hand will touch the A. outer side of the cuff of the glove. B. outer side of the sterile glove. C. cuffed edge nearest the glove palm. D. folded edge of the cuff of the glove. - ✔✔D. folded edge of the cuff of the glove. Which of the following is MOST resistant to sterilization processes? A. virus B. spore C. spirochete D. fungus - ✔✔B. spore During a herniorrhaphy, the abdominal area that is bound by the rectus abdominis muscle, the inguinal ligament, and the inferior epigastric vessels is the A. visceral peritoneum. B. abdominal peritoneum. C. subcutaneous tissue. D. Hesselbach triangle. - ✔✔D. Hesselbach triangle. Which of the following instruments may be used to extend the arteriotomy during carotid endarterectomy? A. straight Mayo B. Potts-Smith C. Jorgenson D. Stevens tenotomy - ✔✔B. Potts-Smith When an anesthetized patient's position is changed from lithotomy to supine, the patient's legs should be lowered slowly to prevent which of the following? A. hypotension B. laryngospasm C. respiratory distress D. peroneal nerve damage - ✔✔A. hypotension Growth in the length of a long bone occurs at the A. diaphysis. B. medullary canal. C. epiphyseal plate. D. articular cartilage. - ✔✔C. epiphyseal plate. pad-like sac or cavity that prevents friction within a joint is known as a A. bursa. B. fossa. C. ganglion. D. ligament. - ✔✔A. bursa. A resectoscope is used to resect the A. ovaries. B. prostate. C. vas deferens. D. fallopian tubes. - ✔✔B. prostate. A cardiac arrest occurs during a procedure, and the surgeon is resuscitating the patient. What is the responsibility of the surgical technologist in the scrub role during this time? A. Hand the surgeon a loaded needle holder and forceps for closing. B. Break scrub and call for help. C. Remain sterile and maintain the sterile field. D. Move the electrosurgical unit (ESU) away from the operating table. - ✔✔C. Remain sterile and maintain the sterile field. During an abdominoperineal resection, which of the following stapling devices should the surgical technologist have available to form an anal pouch from the ileum? A. TA B. GIA C. EEA D. LDS - ✔✔B. GIA Which of the following is MOST commonly used for wound closure in the presence of infection? A. stainless steel B. polyglactin-910 C. plain gut D. silk - ✔✔A. stainless steel Herniation of the rectum through a weakened posterior vaginal wall is known as A. a rectocele. B. a cystocele. C. a varicocele. D. an enterocele. - ✔✔A. a rectocele Which of the following procedures requires an opening into the gallbladder to permit drainage and removal of stones? A. choledochotomy B. cholecystostomy C. cholecystectomy D. cholecystojejunostomy - ✔✔B. cholecystostomy If the parents of a dependent minor requiring emergency surgery cannot be located, the operative consent form for surgery may be signed by A. the patient. B. a family friend. C. two consulting physicians. D. the operating room supervisor. - ✔✔C. two consulting physicians. A 15-year-old girl with anemia will be undergoing an exploratory procedure and a blood transfusion will be necessary. The parents are Jehovah's Witnesses and will not consent to a blood transfusion, but the patient states that she wants the transfusion. The operating room staff reports this to the nurse manager. Which of the following is the BEST course of action now? A. The physician or nurse manager should contact the hospital's clergy to provide an intervention. B. The operating room staff should inform the patient that her parents must give consent before she can receive the transfusion. C. The operating room staff should inform the patient that since she is a minor, she cannot make health care decisions for herself. D. The physician or nurse manager should contact the hospital's administration to request that legal counsel becomes involved. - ✔✔D. The physician or nurse manager should contact the hospital's administration to request that legal counsel becomes involved. A surgical technologist counts only 9 sponges in a pack on the initial count. After recounting the sponges, it is confirmed that there are only 9 sponges in the pack. Which of the following is the appropriate course of action? A. Change the count sheet to match the initial count and use the sponges from the current package. B. Leave the current package on the surgical field; document the problem; open a new package; recount. C. Remove the current package from the surgical field, but not the operating room; document the problem; open a new package; recount. D. Remove the current package from the operating room; document the problem; open a new package; and recount. - ✔✔C. Remove the current package from the surgical field, but not the operating room; document the problem; open a new package; recount. It is important that the patient void before pelvic surgery to prevent A. incontinence. B. contamination. C. bladder injury. D. bladder infection. - ✔✔C. bladder injury. A pneumatic tourniquet may be used for extremity surgery to A. exsanguinate the extremity. B. allow the surgeon more operating time. C. reduce blood loss. D. create an anesthetic effect. - ✔✔C. reduce blood loss. When utilizing a laparoscopic set-up, potential hazards associated with the equipment include A. non-ionizing radiation. B. nitrogen embolus. C. pneumoperitoneum. D. fiberoptic beam fire. - ✔✔D. fiberoptic beam fire. The primary reason padding is used in positioning a patient is to A. ensure the patient's comfort. B. facilitate the surgeon's approach. C. prevent injury to pressure points. D. maintain the position during surgery. - ✔✔C. prevent injury to pressure points. Which of the following procedures may require a postauricular incision? A. myringotomy B. tympanostomy C. adenoidectomy D. mastoidectomy - ✔✔D. mastoidectomy A patient with multiple trauma injuries requires surgical intervention. The patient has a history of DVT and is currently taking anticoagulants. Which of the following should be done to ensure a clot does not develop? A. Administer a subcutaneous anticoagulant preoperatively. B. Continue current anticoagulation therapy. C. Place a sequential compression device on lower extremities. D. Draw a PT/PTT and send the patient to surgery. - ✔✔C. Place a sequential [Show More]

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