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NBSTSA PSI CST EXAM
REVIEW,LATEST,GRADED A+.
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 - correct answer 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 practices, which of the following should be the NEXT step? 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. - correct answer C. Push the back table, mayo, and basin back and keep sterile until the patient is transported to PACU. Which of the following should be prepared for a mastoid dressing? A. several squared gauze sponges B. Rolled gauze and an abdominal pad C. several fluffed sponges and rolled gauze D. gauze sponges and a Velcro strap - correct answer C. Several fluffed sponges and rolled gauze Which of the following is the FIRST step in applying the pneumatic tourniquet?
A. wrapping the limb sequentially with an Esmarch bandage from distal to proximal B. applying the pneumatic tourniquet to the limb and immediately inflating it C. prepping the limb with ChloraPrep, including the determined location of the tourniquet D. padding the limb where the tourniquet is to be wrapped with Webril - correct answer D. Padding the limb where the tourniquet is to be wrapped with Webril 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 How many lobes do the right and left lungs have, respectively? A. three, two B. two, three C. three, three D. two, two - correct answer A. Three, Two When a break in aseptic technique occurs, the surgical technologist should FIRST notify the A. circulating nurse. B. contaminating team member. C. OR supervisor. D. anesthesia provider. - correct answer B. Contaminating team member
D. The CRNA requests it be continued. - correct answer A. The patient's durable POA requests it be continued. A surgeon asks for warm irrigation after a right hemicolectomy. Which of the following BEST describes the reason for irrigating at this point in the procedure? A. to clean out the area of any loose tissue B. to maintain the core body temperature C. to eliminate any infection causing microbes D. to aid visual inspection for leakage - correct answer D. to aid visual inspection for leakage 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. - correct answer B. 15- 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 - correct answer 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. - correct answer 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. endocatch bag - correct answer 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 - correct answer B. 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. - correct answer D. Sodium, potassium, and calcium Which of the following is the MOST effective mechanical method of controlling bleeding occurring from needle holes in vessel anastomoses?
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. - correct answer 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 toothed tissue forceps D. staples and Adson with teeth - correct answer 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. - correct answer 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 - correct answer C. resectoscope
Which of the following terms describes airway assessment by listening with a stethoscope? A. observation B. perfusion C. auscultation D. palpation - correct answer C. auscultation Which of the following techniques promotes safety and protection of the surgical technologist during the intraoperative phase? A. securing the electrosurgical pencil to the drapes with a Kelly clamp after every use B. recapping hypodermic needle C. establishing a neutral zone D. using PPE, except in endoscopic procedures - correct answer C. establishing a neutral zone Which of the following verifies that autoclave sterilization has occurred? A. chemical indicator B. Julian date C. heatsensitive tape D. biological indicator - correct answer D. biological indicator Which of the following instruments is used in otorhinolaryngology surgery? A. Heaney B. Baron C. Doyen D. Poole - correct answer B. Baron
D. conventional cutting - correct answer C. blunt Which of the following instruments is used to thread a vascular graft from one incision to another? A. hemostat B. tunneler C. DeBakey vascular forceps D. Randall Stone forceps - correct answer B. Tunneler Which of the following combination of medications are commonly used during a MAC? A. nerve conduction blockades with supplemental analgesics, sedatives, or amnesics B. induction agents, anticholinergics, and antiemetics C. hemostatics, ringer's solution, analgesics, amnesics or sedatives D. tranquilizers, gastric acid management, or lubricants - correct answer A. nerve conduction blockades with supplemental analgesics, sedatives, or amnesics Which of the following items must the surgical technologist have available after a thyroidectomy? A. lap sponges, hemostatic clamps, and electrocautery. B. endotracheal tube, hemostatic clamps, and scalpel. C. knife handle, scalpel blade, and nasogastric tube. D. scalpel, hemostatic clamps, and tracheostomy tube. - correct answer D. Scalpel, hemostatic clamps, and tracheostomy tube Which of the following is the name of the avascular strip of tissue at the midline which runs from the xiphoid process to the pubis? A. linea semilunaris B. linea alba
C. arcuate line D. midaxillary line - correct answer B. linea alba A threeway Foley catheter is inserted following a transurethral resection of the prostate (TURP) in order to A. irrigate and aid in hemostasis. B. prevent the patient from getting out of bed. C. maintain accurate input and output records. D. keep the perineal area dry. - correct answer A. irrigate and aid in hemostasis A patient is in the supine position for a procedure. After the arms are placed on arm boards, padding is placed under the elbows to decrease pressure on which of the following nerves? A. brachial B. ulnar C. axillary D. median - correct answer B. Ulnar Which of the following supplies should be pulled by the surgical technologist for a thoracic procedure? A. water-sealed drainage system B. passive drainage system C. Jackson-Pratt drainage system D. Andrews-Pynchon suction - correct answer A. water-sealed drainage system The FIRST sign of malignant hyperthermia is A. muscle twitching.
A. cystoscopy B. culdoscopy C. proctoscopy D. laparoscopy - correct answer C. proctoscopy During which of the following phases of infection do pathogens actively replicate, but the host shows no symptoms? A. convalescence B. prodromal phase C. acute phase D. incubation - correct answer D. incubation Which of the following conditions should be treated FIRST? A. obstructed airway B. closed cerebral injury C. shock due to hemorrhage D. sucking chest wound - correct answer A. obstructed airway During a partial nephrectomy, the surgeon asks for a large chromic suture and Gelfoam. The surgeon would like the Gelfoam to be cut into pledget squares and loaded onto the suture. The MAIN purpose for the use of the Gelfoam and suture is to A. cauterize the tissue. B. cause a fibrin clot to form. C. seal or close tissue. D. topically stop bleeding. - correct answer D. topically stop bleeding Which of the following is a tonsillolith?
A. a stone within the tonsil B. inflammation within the tonsil C. removal of the tonsil D. an abscess of the tonsil - correct answer A. a stone within the tonsil Which of the following should be the MINIMUM exposure time in an immediate use sterilizer for unwrapped instruments? A. 1 minute B. 3 minutes C. 5 minutes D. 7 minutes - correct answer B. 3 minutes The anesthesia care provider (ACP) is gathering supplies to initiate a Bier block for the surgical patient. Which of the following items does the surgical technologist give to the ACP to assist in displacing the blood? A. pneumatic tourniquet B. stockinette C. Esmarch bandage D. Coban - correct answer C. esmarch bandage Which of the following hormones regulates urine concentration based on reabsorption? A. ADH B. PTH C. ANP D. GFR - correct answer A. ADH
D. Connect the insufflation tubing. - correct answer D. connect the insufflation tubing Prions are unique from other infectious agents because they lack which of the following? A. cytoplasm B. nucleus C. DNA D. cell membrane - correct answer C. DNA In metastatic cancer, which of the following systems allows for tumors to extend beyond the regional area? A. skeletal B. lymphatic C. endocrine D. respiratory - correct answer B. lymphatic For which of the following procedures is Gelfoam MOST commonly used? A. TVH B. cataract extraction C. TURP D. myringotomy - correct answer D. myringotomy Which of the following is the receiving nerve end of all transmission? A. cell body B. dendrite C. axon
D. trigger zone - correct answer B. dendrite A surgical "time out" must be performed prior to A.leaving the pre-op holding area. B.making the initial incision. C.placing the grounding pad. D.intubating the patient. - correct answer B. making the initial incision The opening in the occipital bone which the spinal cord passes through is the foramen A.of Monro. B.magnum. C.rotundum. D.of Bochdalek. - correct answer B. magnum When preparing cannulated instruments for steam sterilization, the instrument lumen should be A.dry for dynamic air removal and wet for gravity displacement. B.wet for dynamic air removal and dry for gravity displacement. C.dry for both dynamic air removal and for gravity displacement. D.wet for both dynamic air removal and for gravity displacement. - correct answer A. dry for dynamic air removal and wet for gravity displacement When steam comes into an autoclave from an outside source, the steam is heated in the A.vacuum system. B.chamber. C.thermostatic trap.
B.linear C.skin D.purse-string - correct answer B. linear During a transurethral resection of the prostate, bleeding is controlled by A.Gelfoam. B.irrigation. C.cauterization. D.suture ligature. - correct answer C. cauterization During the intraoperative phase, which of the following activities can be completed by both sterile and non-sterile members of the surgical team? A.handling of the specimen B.maintaining the patient's operative record C.clearing residual blood from the surgical field D.maintaining the sterile field and neutral zone - correct answer A. handling of the specimen When using an ultrasonic cleaner, which of the following should be done FIRST? A.Visible debris and biologic matter should be removed. B.Instruments should be closed and assembled. C.All instruments should be checked to be the same metal type. D.Cleaning solution should be changed. - correct answer A. Visible debris and biologic matter should be removed Which of the following important considerations should be taken by the surgical technologist when it comes to the suture material for third intention closure?
A.A low-capillary action suture will not retain moisture. B.Choosing the proper tensile strength of the suture can aid in healing. C.The handling of suture is more important than the suture material. D.The size of the suture is more important than the suture material. - correct answer A. A low-capillary action suture will not retain moisture Which of the following is the name of the biological indicator used for hydrogen peroxide gas plasma? A.Geobacillus stearothermophilus B.Bacillus atrophaeus C.Staphylococcus aureus D.Escherichia coli - correct answer B. Bacillus atrophaeus Which of the following is MOST likely to be used when applying a sterile dressing to a skin graft recipient site? A.bolster B.ABD pad C.4x4s D.Steri-Strips - correct answer A. bolster Which of the following surgical instruments will a surgeon use in dissection of a breast tumor? A. Potts scissors B. electrosurgical unit C. Metzenbaum scissors D. #11 blade - correct answer C. Metzenbaum scissors A surgical incision that is sutured together so that the wound edges are in direct contact with one another is referred to as which of the following types of closure?
