Download NBSTSA CST Practice Exam A,Questions And Answers and more Exams Health sciences in PDF only on Docsity!
NBSTSA CST Practice Exam A,Questions
And Answers.
Which of the following is the opening in the occipital bone through which the spinal cord passes? A. foramen ovale B. foramen magnum C. foramen rotundum D. foramen of Bochdalek - correct answer B. foramen magnum 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 is the body's local tissue reaction to injury? A. fever B. infection C. inflammation D. immune reaction - correct answer C. inflammation Which of the following instruments is used for a common bile duct exploration? A. Fogarty clamp B. Randall forceps
C. Pennington clamp D. Forester ring forceps - correct answer B. Randall forceps Which of the following is the MOST important consideration when cutting suture? A. avoiding the knot B. using sharp scissors C.opening the scissors wide when cutting D. tagging the end of suture to be cut with a hemostat - correct answer A. avoiding the knot 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
The PRIMARY consideration in selecting an appropriate anesthetic agent is the A. physiologic condition of the patient. B. length of the procedure. C. type of the procedure. D. anxiety level of the patient. - correct answer A. physiologic condition of the patient. If two basins are wrapped together for sterilizing, they should be packaged with one basin A.stacked inside the other and separated by impervious material. B.on its side and the other upside down. C.stacked inside the other and wrapped in a towel. D.stacked inside the other and separated by a towel. - correct answer D.stacked inside the other and separated by a towel. 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. D. wiped with an alcohol sponge. - correct answer A.placed in a separate basin. Which of the following is the MOST serious complication of a strangulated hernia? A. shock B. necrosis C. infection D. hemorrhage - correct answer B. necrosis Which of the following techniques is NOT acceptable for draping the patient? A.Hold the drapes high until directly over the patient. B.Protect the gloved hands by cuffing the drapes. C.Readjust the drapes as necessary after placement. D.Place the drapes on a dry area. - correct answer C.Readjust the drapes as necessary after placement. Which of the following structures is separated first when a paramedian incision is performed? A. peritoneum B. transverse abdominis C. external oblique D. rectus abdominis - correct answer D. rectus abdominis Which of the following is MOST likely to be used to stabilize a cervical fracture? A. Kirschner wire B. Hoffman device C. Steinmann pins D. Mayfield clamp - correct answer D. Mayfield clamp During a transurethral resection of the prostate, bleeding is controlled by
C. bladder suspension D. anterior colporrhaphy - correct answer C. bladder suspension Immediately before a hemorrhoidectomy, which of the following procedures might be performed on the patient in the operating room? A. cystoscopy B. culdoscopy C. sigmoidoscopy D. laparoscopy - correct answer C. sigmoidoscopy Which of the following is a fenestrated drape? A. a drape with an opening that allows exposure of the operative site B. a split drape that has two tails 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 An appendectomy incision closed using suture is considered to be which of the following types of wound closure? A. primary intention B. secondary intention C. tertiary intention D. third intention - correct answer A. primary intention Which of the following patients is MOST likely to acquire a nosocomial infection? A. a healthy female patient who is 45 years of age B. a female patient in labor and delivery
C. a healthy male patient who is 45 years of age D. a male patient who has diabetes - correct answer D. a male patient who has diabetes 31 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
C. Knowles pins D. Kirschner wires - correct answer D. Kirschner wires 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 A surgical technologist is assigned to a room where the patient happens to be his neighbor. To protect patient confidentiality, the technologist should indicate that he knows the patient and A. continue with the procedure. B. request to be removed from the room. C. discuss patient personal medical information. D. inform the surgeon. - correct answer B. request to be removed from the room. Mannitol (Osmitrol) is used in neurosurgical procedures to A. prevent bleeding. B. decrease intracranial pressure. C. anesthetize the operative site. D. fight possible postoperative infection. - correct answer B. decrease intracranial pressure. 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 If the VII cranial nerve is severed, which of the following is the result? A. loss of hearing B. loss of vision C. facial paralysis D. impairment of eye muscles - correct answer C. facial paralysis When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist in the scrub role is placing the staples through which two layers? A.cuticular and subcuticular B.subicular and subcutaneous C.subcuticular and subcutaneous D.subcutaneous and fascia - correct answer A.cuticular and subcuticular During which of the following surgeries is a Meckel's diverticulum typically discovered?
C. sclera D. conjunctiva - correct answer D. conjunctiva When can instrument counts be omitted? A. if an emergency procedure must be performed B. when the surgical technologist in the circulator role becomes too busy C. if instruments are needed in another operating room D. when the patient is receiving outpatient surgery - correct answer A. if an emergency procedure must be performed In which of the following positions is a patient placed for a right nephrectomy? A. left lateral B. right lateral C. left lateral kidney D. right lateral kidney - correct answer C. left lateral kidney Which of the following examples illustrates UNSAFE technique for disposing of contaminated sharps? A. Used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps container. B. Used suture needles and scalpel blades remain in the needle counter and the closed needle counter is placed in the biohazard sharps container. C. The biohazard sharps container is located as close as possible to the area in which the items were used. D. Disposable surgical blades are removed from knife handles with a needle holder or other instrument.
- correct answer A. Used suture needles and scalpel blades are removed from the needle counter and individually placed in the biohazard sharps container. Why is the right kidney typically several centimeters lower than the left kidney? A. The liver rests superior and anterior to the right kidney.
B. The liver rests superior and posterior to the right kidney. C. The liver rests inferior and anterior to the right kidney. D. The liver rests inferior and posterior to the right kidney. - correct answer A. The liver rests superior and anterior to the right 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. If an adult patient refuses a blood transfusion, the surgical staff should A. not administer blood to the patient. B. administer blood only in an emergency. C. administer blood only after sedation. D. not perform any procedure that may require a transfusion. - correct answer A. not administer blood to the patient. During the intraoperative phase, which of the following activities can be completed by both sterile and non-sterile members of the surgical team?
D. upper gastrointestinal series - correct answer B. cholangiography A scleral buckle procedure repairs A. astigmatism. B. detached retinas. C. corneal scarring. D. eye muscle contractures. - correct answer B. detached retinas. 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 During dissection of the cystic duct in an open cholecystectomy, which of the following instruments is necessary? A. Ochsner forceps B. Jennings retractor C. Mixter clamp D. O'Sullivan-O'Connor retractor - correct answer C. Mixter clamp
A patient entering the operating room for a laparoscopic cholecystectomy looks jaundiced. Which of the following is the BEST explanation for this? A. pancreatitis B. biliary obstruction C. cholecystitis D. gastroschisis - correct answer B. biliary obstruction The primary purpose of a local anesthetic is to A. lower skin temperature. B. reduce fear and anxiety. C. block peripheral nerve receptors. D. decrease bleeding. - correct answer C. block peripheral nerve receptors. 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
D. Randall - correct answer C. resectoscope Which of the following instruments has teeth? A. Kocher B. Mixter C. Babcock D. Mosquito - correct answer A. Kocher When entering the abdominal cavity, which of the following BEST describes the order of contact with the layers of tissue? A. skin, fascia, subcutaneous, peritoneum, muscle B. skin, subcutaneous, muscle, fascia, peritoneum C. skin, fascia, peritoneum, subcutaneous, muscle D. skin, subcutaneous, fascia, muscle, peritoneum - correct answer D. skin, subcutaneous, fascia, muscle, peritoneum If a Kelly clamp is left in a patient who underwent a cholecystectomy, which of the following legal concepts apply? A. misdemeanor B. res ipsa loquitur C. extension doctrine D. intentional tort - correct answer B. res ipsa loquitur A surgical technologist just opened an instrument set that is wet inside after undergoing steam sterilization. Which of the following is the MOST likely reason for the condensate in the package and how can it be corrected? A. There are not enough instruments in the tray to allow for revaporization of the condensate. The number of instruments in the tray should be increased and the tray should be reprocessed.
B. The instrument set contained absorbant towels, which soaked up the moisture and prevented efficient drying. The tray should be reprocessed without any towels. C. The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels. D. Condensate has built up on the steam lines. The surgical technologist should clean the steam lines and reprocess the instrument tray. - correct answer C. The absorbent towels were wrapped too tightly around the instrument tray, so they retained moisture. The tray should be reprocessed with loosely wrapped new towels A surgeon's preference card indicates the surgeon wears a size L gown and double-gloves with a size 7 inner glove and size 6-1/2 outer glove, and the first assistant wears a size XL gown and double-gloves with a size 7-1/2 inner glove and size 7 outer glove. The first assistant arrives prior to the surgeon. Which of the following is the proper order to place the sterile attire on the back table? 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/ glove, 7 glove, L gown, 7 glove, 6-1/2 glove Following a surgical procedure, which of the following is the BEST sequence of actions for a surgical technologist to take? A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient. B. Remove gown and gloves, don a pair of unsterile gloves to remove drapes from the patient, and remove instruments and supplies from the back table. C. Remove gown and gloves, don a pair of sterile gloves to remove drapes from patient, and remove gloves and don a pain of unsterile gloves to clean the back table. D. Remove sterile drapes, remove gown and gloves, and don a pair of sterile gloves to clean back table.
- correct answer A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the postoperative patient.
