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NBSTSA CST PRACTICE EXAM A QUESTIONS AND CORRECT VERIFIED ANSWERS
"Sterile supplies and instruments for a case have been opened in OR 1. A surgical technologist was just informed that the case has been moved to OR 2 and the next case in OR 1 is scheduled in two hours. Which of the following is the BEST course of action? A. Cover the sterile field with a sterile drape and move it from OR 1 to OR 2. B. New sterile supplies and instruments should be obtained for OR 2 and the setup in OR 1 should be disposed of. C. OR 1 should be left so that these supplies and instruments can be used by the next case.
D. The surgical technologist should argue that the procedure be held in OR 1 as planned. -
CORRECT ANSWER B. New sterile supplies and instruments should be obtained for OR 2 and
the setup in OR 1 should be disposed of." "Which of the following structures are ligated and divided during the cholecystectomy? A.cystic artery and cystic duct B.hepatic artery and hepatic duct C. cystic artery and common bile duct
D. hepatic artery and pancreatic duct - CORRECT ANSWER A.cystic artery and cystic duct"
"Which of the following may be used when applying a sterile dressing to a skin graft site? A. pressure dressing B. ABD pad C. 4x4s
D. Steri-Strips - CORRECT ANSWER A. pressure dressing"
"When performing a dilation and curettage, which of the following instruments is used to grasp the cervix? A. Sims B. Auvard C. Schroeder
D. Bozeman - CORRECT ANSWER C. Schroeder"
"On the way into the operating room, a terminally ill patient tells the nurse, "No matter what happens, it will be okay." Which of the Five Stages of Grief is the patient MOST likely in? A. denial
B. bargaining C. depression
D. acceptance - CORRECT ANSWER D. acceptance"
"Which of the following instruments is used for placement of cottonoid strips during a craniotomy? A. bayonet forceps B. Russian forceps C. Kelly clamp
D. angled DeBakey clamp - CORRECT ANSWER A. bayonet forceps"
"When two individuals in sterile attire pass one another in the sterile field, they should A. pass back-to-back. B. both face the wall. C. pass side-to-side.
D. both face the sterile field. - CORRECT ANSWER A. pass back-to-back."
"Which of the following items may be used in positioning a patient for a total hip arthroplasty? A. fracture table B. Wilson frame C. Andrews frame
D. bean bag - CORRECT ANSWER D. bean bag"
"A surgical technologist sees a neighbor being admitted. How should the surgical technologist respond? A.Acknowledge the neighbor. B.Reassure the neighbor that everything will be fine. C.Do not acknowledge the neighbor unless greeted first.
D.Ignore the neighbor, even if greeted. - CORRECT ANSWER C. Do not acknowledge the
neighbor unless greeted first" "Instruments that come in contact with the appendiceal stump during an appendectomy should be A.placed in a separate basin. B.wiped with a saline sponge. C.returned to the Mayo stand.
C. a drape used to cover the operating table, instrument table, and body regions
D. an incise drape that is self-adhering - CORRECT ANSWER A. a drape with an opening that
allows exposure of the operative site" " The appendiceal stump, when inverted, is held in place by which of the following types of suture? A. mattress B. traction C. interrupted
D. purse-string - CORRECT ANSWER D. purse-string"
"Aerobic organisms are BEST characterized as A. pathogenic. B. nonpathogenic. C. oxygen-requiring.
D. non-oxygen-requiring. - CORRECT ANSWER C. oxygen-requiring."
"The PRIMARY purpose of chest tubes is to A. irrigate the pleural space. B. eliminate chest leaks. C. prevent pulmonary emboli.
D. re-establish negative pressure. - CORRECT ANSWER D. re-establish negative pressure."
"Which of the following is a surgical instrument designed for retracting? A. Potts B. Penfield C. Lowman
D. Gelpi - CORRECT ANSWER D. Gelpi"
"Which of the following surgical procedures may be used to remove a carcinoma from the head of the pancreas? A. Heller B. Whipple C. Bankart
D. Billroth I - CORRECT ANSWER B. Whipple"
"A sterile item used with an electrosurgical unit is the
A. generator. B. patient return electrode. C. active electrode.
D. foot pedal. - CORRECT ANSWER C. active electrode"
"What is the desired effect of atropine sulfate when used as a preoperative medication? A. drowsiness B. pain relief C. decreased anxiety
D. drying of secretions - CORRECT ANSWER D. drying of secretions"
"Which of the following is the primary purpose for changing into operating room attire? A. to standardize uniforms B. to prevent the of spread of microorganisms C. to identify operating room personnel
D. to avoid damage to personal attire - CORRECT ANSWER B. to prevent the of spread of
microorganisms" "Which of the following lies between the lung and the chest wall? A. mediastinum B. peritoneum C. pleura
D. pericardium - CORRECT ANSWER C. pleura"
"Which of the following is applied as a nonadherent dressing? A. adaptic B. collodion C. steri-strip
D. elastoplast - CORRECT ANSWER A. adaptic"
"A Balfour is used in which of the following procedures? A. tracheostomy B. sigmoid resection C. pulmonary decortication
D. stapedectomy - CORRECT ANSWER B. sigmoid resection"
D. right lateral kidney - CORRECT ANSWER C. left lateral kidney"
"Which of the following should be the MINIMUM exposure time in a flash sterilizer for unwrapped instruments? A. 1 minute B. 3 minutes C. 5 minutes
D. 7 minutes - CORRECT ANSWER B. 3 minutes"
"If a routine surgical procedure was performed without consent, the surgeon committed A. assault. B. battery. C. malpractice.
D. liability. - CORRECT ANSWER B. battery."
"A lumbar meningocele involves removal of A. cerebrospinal fluid. B. lumbar disc. C. meninges.
D. a fluid-filled sac. - CORRECT ANSWER D. a fluid-filled sac."
"Wrinkle-free padding is applied to an extremity before application of a tourniquet to avoid A. skin injuries. B. improper inflation. C. excessive blood loss.
D. skeletal injuries. - CORRECT ANSWER A. skin injuries"
"Which of the following retractors should the surgical technologist have available to provide exposure to the patellar tendon while harvesting the graft for an ACL repair? A. Senn B. Richardson C. Hayes
D. Fukuda - CORRECT ANSWER A. Senn"
"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 - CORRECT ANSWER B.carotid endarterectomy"
"Which of the following is the correct skin preparation for a female patient undergoing a right mastectomy with possible axillary dissection? A. shoulder, upper arm and extending down to the elbow, axilla, chest to the table line, and to the left shoulder B. base of the neck, shoulder, scapula, chest to midline, and circumference of upper arm down to the elbow C. entire arm, shoulder, axilla, including the hand
D. chin to umbilicus and laterally to the table line - CORRECT ANSWER A. shoulder, upper arm
and extending down to the elbow, axilla, chest to the table line, and to the left shoulder" "When performing a parotidectomy, which of the following nerves is identified and preserved with the use of a nerve stimulator? A. facial nerve B. recurrent laryngeal nerve C. acoustic nerve
D. vagus nerve - CORRECT ANSWER A. facial nerve"
"Which of the following medications is the anesthesia provider responsible for recording the name, amount, and delivery method during a surgical procedure? A. thrombin B. topically applied epinephrine C. polymyxin B sulfate irrigation
D. propofol - CORRECT ANSWER D. propofol"
"As a surgical technologist begins to prep a female patient for Foley catheterization, a bulge in the vaginal wall is noticed. Which of the following would cause this bulge? A. cystocele B. endometriosis C. leiomyoma
D. ectopic pregnancy - CORRECT ANSWER A. cystocele"
A. L gown, 7 glove, 6-1/2 glove, XL gown, 7-1/2 glove, 7 glove B. XL gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove C. XL gown, 7 glove, 7-1/2 glove, towel, L gown, 6-1/2 glove, 7 glove
D. L gown, 6-1/2 glove, 7 glove, towel, XL gown, 7 glove, 6-1/2 glove - CORRECT ANSWER B. XL
gown, 7-1/2 glove, 7 glove, L gown, 7 glove, 6-1/2 glove" "Which of the following drugs neutralizes the action of heparin? A. calcium chloride B. protamine sulfate C. lidocaine (Xylocaine)
D. neostigmine (Prostigmin) - CORRECT ANSWER B. protamine sulfate"
"Which of the following wounds is MOST likely in the inflammatory phase of wound healing? A. a Bankart repair, one week post-procedure B. a laparotomy incision with a cicatrix C. an open reduction internal fixation (ORIF) of a finger, two weeks post-procedure
D. an abdominal incision, 20 minutes post-closure - CORRECT ANSWER D. an abdominal
incision, 20 minutes post-closure" "To revascularize the heart muscle of a patient with heart disease, a graft may be anastomosed between which of the following two vessels? A. internal mammary artery to affected coronary artery B. subclavian artery to affected coronary artery C. internal mammary artery to aorta
D. subclavian artery to aorta - CORRECT ANSWER A. internal mammary artery to affected
coronary artery" "Ratcheted instruments should be A. soaked in a saline solution. B. prepared for decontamination with curved tips up. C. opened for washing and sterilizing.
D. sterilized in the sonic washer. - CORRECT ANSWER C. opened for washing and sterilizing."
"An effective packaging material used for a Balfour to be steam sterilized
A. permits penetration by the sterilant. B. allows for condensation that produces wet packs. C. allows for exposure to peracetic acid.
D. is dictated by the surgeon's preference. - CORRECT ANSWER A. permits penetration by the
sterilant." "The parathyroid gland regulates A. insulin. B. calcium. C. sodium.
D. aldosterone. - CORRECT ANSWER B. calcium."
"Scoliosis is MOST commonly found in which of the following curves of the vertebral column? A. cervical B. thoracic C. lumbar
D. sacral - CORRECT ANSWER B. thoracic"
"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 - CORRECT ANSWER A. pledget"
"Which of the following should be visualized on an x-ray to determine if a long bone is still growing? A. periosteum B. diaphysis C. medullary canal
D. epiphyseal plate - CORRECT ANSWER D. epiphyseal plate"
"Which of the following procedures for obtaining an informed consent form is appropriate? A. The patient is asked to sign the consent form after the surgeon has explained the procedure. B. The surgical technologist in the circulator role is ultimately responsible for obtaining the signed consent form. C. The patient is asked to read the entire consent form after signing it.
"During a laparoscopic appendectomy, which of the following types of staplers should the surgical technologist have ready on the back table for removing the appendix and ensuring no spillage of bowel content? A. intraluminal B. linear C. skin
D. purse-string - CORRECT ANSWER B. linear"
"Which of the following solutions is used to identify diseased areas for a cold conization of the cervix? A. Lugol's B. fluorescein C. methylene blue
D. Isovue - CORRECT ANSWER A. Lugol's"
"Which of the following is the correct position for dilation and curettage? A. Sims B. supine C. Kraske
D. lithotomy - CORRECT ANSWER D. lithotomy"
"Which of the following may be used for a cerebral aneurysm? A. dura hook B. nerve hook C. brain spoon
D. rake retractor - CORRECT ANSWER C. brain spoon"
"Which of the following instruments should be included in the set-up for a laminectomy? A. Hohmann B. Mayfield C. Kerrison
D. Bennett - CORRECT ANSWER C. Kerrison"
"Which of the following surgical needles is MOST appropriately used in a liver resection? A. cutting B. taper C. blunt
D. trocar - CORRECT ANSWER C. blunt"
"Which of the following is NOT an acceptable technique when placing a patient in the lithotomy position? A. arms placed on arm boards B. legs placed in stirrups one at a time C. both legs placed in stirrups simultaneously
D. hips placed over the lower break of the table - CORRECT ANSWER B. legs placed in stirrups
one at a time" "What is the function of silver sulfadiazine (Silvadene)? A. antimicrobial B. hemostasis C. irrigation
D. anticoagulant - CORRECT ANSWER A. antimicrobial"
"If unexpected heavy blood loss occurs during an abdominal procedure, a surgical technologist should request additional A. lap sponges. B. RAY-TEC sponges. C. Kitners.
D. cottonoids. - CORRECT ANSWER A. lap sponges"
"A surgical technologist is explaining the steps of the ESU circuit to a student. The surgical technologist should explain that the electric current is channeled back to the generator through the A. power source. B. active electrode (ESU pencil). C. patient.
D. dispersive (inactive) electrode. - CORRECT ANSWER D. dispersive (inactive) electrode."
"Sponges that have been added to the sterile field after a procedure has begun should be counted by the A. circulator and surgeon. B. surgical technologist in the scrub role and surgical first assistant. C. surgeon and surgical first assistant.
B. Pfannenstiel C. midline
D. subcostal - CORRECT ANSWER D. subcostal"
"Which of the following pathogens would MOST likely cause a post-operative SSI? A. Staphylococcus aureus B. Enterococcus spp. C. Streptococcus spp.
D. Escherichia coli - CORRECT ANSWER A. Staphylococcus aureus"
"Which of the following is NOT a symptom of shock? A. tachycardia B. hypertension C. cold, clammy skin
D. increased respirations - CORRECT ANSWER B. hypertension"
"When transferring an unconscious, post-operative adult patient from the operating room table to a bed, what is the minimum number of people required for safe transfer? A. 1 B. 2 C. 3
D. 4 - CORRECT ANSWER D. 4"
"Which of the following scissors is MOST likely found in a basic hysterectomy set-up? A. Potts-Smith B. Stevens C. Jorgenson
D. Iris - CORRECT ANSWER C. Jorgenson"
"Which of the following is used to remove clots and tissue from the bladder during transurethral resections (TURPs)? A. lithotrite B. asepto syringe C. Ellik evacuator
D. Fogarty catheter - CORRECT ANSWER C. Ellik evacuator"
"A Javid shunt is used for which of the following procedures?
A. carotid endarterectomy B. femoral-popliteal bypass C. abdominal aneurysmectomy
D. saphenous vein ligation - CORRECT ANSWER A. carotid endarterectomy"
"How much 0.25% bupivacaine (Marcaine) should be mixed with 1 mL of 1.0% lidocaine (Xylocaine) to make the solution equal strengths of both medications? A. 2.0 mL B. 4.0 mL C. 5.0 mL
D. 10.0 mL - CORRECT ANSWER B. 4.0 mL"
"Hair removed during preparation for cranial surgery should be A. discarded by the circulator. B. sent to pathology. C. used for potential reimplantation.
D. saved because it is personal property. - CORRECT ANSWER B. sent to pathology"
"Which of the following terms best describes a formal medical process when death occurs in surgery and the surgeon and anesthesia care provider must verify that death has occurred? A. determination of death B. rigor mortis C. postmortem procedures
D. livor mortis - CORRECT ANSWER A. determination of death"
"To help prevent toxicity and vascular events in a patient where polymethylmethacrylate (PMMA) is used, which of the following devices should a surgical technologist have available? A. pulse lavage B. mask C. smoke evacuator
D. cement mixer with charcoal filter - CORRECT ANSWER A. pulse lavage"
"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. - CORRECT ANSWER C. reduce blood loss."
A. RAY-TEC
B. cherry C. Weck-cel
D. cottonoid - CORRECT ANSWER D. cottonoid"
"Which of the following procedures requires an incision in the suprasternal notch? A. mediastinoscopy B. bronchoscopy C. parotidectomy
D. pericardectomy - CORRECT ANSWER A. mediastinoscopy"
"Following an abdominal surgery, the surgeon has just closed the peritoneum. Which of the following layers will be sutured next? A. fascia B. muscle C. subcutaneous
D. subcuticular - CORRECT ANSWER A. fascia"
"During the application of arch bars, the surgeon will MOST likely use which of the following between the teeth and around the bar? A. 0-1 Dexon B. 5-0 to 6-0 Vicryl C. 25- or 26-gauge stainless steel wire
D. 35- or 40-gauge stainless steel wire - CORRECT ANSWER C. 25- or 26-gauge stainless steel
wire" "In which of the following positions should a patient be placed for a low anterior colon resection? A. dorsal recumbent B. prone C. lateral
D. lithotomy - CORRECT ANSWER D. lithotomy"
"A #12 knife blade on a #7 handle is MOST commonly used for what type of surgery? A. gastrectomy B. hysterectomy C. adenoidectomy
D. tonsillectomy - CORRECT ANSWER D. tonsillectomy"
"Which of the following anticoagulants should be given during a vascular procedure to prevent normal blood clotting? A. heparin sodium B. protamine sulfate C. atropine
D. epinephrine - CORRECT ANSWER A. heparin sodium"
"What advantage do hand-held retractors have over self-retaining retractors? A. less exposure B. operator dependency C. lesser fatigue factor
D. dynamic adjustability - CORRECT ANSWER D. dynamic adjustability"
"In which of the following congenital anomalies does the urethra open on the underside of the penis? A. chordee B. epispadias C. phimosis
D. hypospadias - CORRECT ANSWER D. hypospadias"
"Once a surgical technologist dons a gown, the cuffs on the gown are considered unsterile because they are A. covered by the cuff of the sterile glove. B. double thickness. C. absorbant and collect moisture.
D. stretchable and pliable. - CORRECT ANSWER C. absorbant and collect moisture."
"A physician prescribed 50 milligrams of Demerol. The Demerol is supplied in 100 mg/mL. How many mL of Demerol should be given? A. 0.5 mL B. 1.0 mL C. 1.5 mL
D. 2.0 mL - CORRECT ANSWER A. 0.5 mL"
"A surgeon asks a surgical technologist to place a drop of a mydriatic solution in OD. As a result of this medication, the pupil of the
