NBSTSA Practice Exam B, Questions & Answers. 100% Verified. Graded A+

NBSTSA Practice Exam B, Questions & Answers. 100% Verified. Graded A+ 1. Which of the following is considered the MOST important skill for a surgical technologist? A. management of specimens B. management of sponges ...

NBSTSA Practice Exam B, Questions & Answers. 100% Verified. Graded A+ 1. Which of the following is considered the MOST important skill for a surgical technologist? A. management of specimens B. management of sponges C. maintaining an orderly setup D. ensuring adequate lighting - ✔✔A. Management of specimens 2. During the postoperative phase, the personnel primarily responsible for transporting soiled instrumentation to decontamination is the A. housekeeping staff. B. anesthesia technician. C. surgical technologist. D. central processing technician. - ✔✔C. Surgical technologist 3. The surgical incision that allows for the BEST visualization for a Billroth I procedure is A. McBurney's. B. Pfannenstiel. C. midline. D. subcostal. - ✔✔C. Midline 4. CSF is formed in the lateral ventricles of a patient and may not properly flow into the third ventricle through the foramen of A. Magendie into the fourth ventricle. B. Monro into the fourth ventricle. C. Sylvius into the fourth ventricle. D. Luschka into the fourth ventricle. - ✔✔C. Sylvius into the fourth ventricle 5. During an excisional biopsy of sentinel nodes, the surgical technologist should prepare specimens using which of the following methods? A. Place on a Raytec to be handed off to the circulator. B. Separate on Telfa and pass to the circulator. C. Place in separate containers and identify. D. Place in specimen container held by the circulator using a hemostat. - ✔✔C. Place in separate containers and identify 6. A surgical technologist received the following medications onto the sterile field: 0.9% sodium chloride, bacitracin 1 gm, and 0.25% Marcaine with epinephrine. Which of the following is the MOST appropriate way to label these medications? A. saline + bacitracin and .25 Marcaine + epinephrine B. NACL + 1 gm baci and 0.25 marc w/epi C. saline + baci and 0.25% marc with epi D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine - ✔✔D. 0.9% saline + 1 gm bacitracin and 0.25% Marcaine with epinephrine 7. A thyroidectomy that was done earlier in the day is being brought back for excessive bleeding from the incision. Which of the following items are needed for this case? A. Monocryl suture and harmonic scalpel B. laps, silk ties, and hemoclips C. Vicryl ties, pledgets, and Alexis D. nylon suture, Raytec, and Geralds - ✔✔B. laps, silk ties, and hemoclips 8. 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 - ✔✔C. Pathology 9. The required number of air exchanges per hour in an OR is A. 5 to 10. B. 15 to 25. C. 30 to 35. D. 40 to 50. - ✔✔B. 15 to 25 10. A special-made instrument without a backup falls to the floor during a procedure. Which of the following is the BEST reason to hesitate performing immediate-use sterilization? A. The sterilizer is used for implantable devices, but not instruments. B. The manufacturer's standards for sterilizing the instrument are unknown. C. The staff feels uncomfortable transporting the unwrapped instrument to the OR after sterilization. D. There are no wrappers or pouches available for sterilizing the instrument. - ✔✔B. The manufacturer's standards for sterilizing the instrument are unknown. 11. When transferring a thoracotomy patient to recovery, the chest drainage system should be A. disconnected. B. placed at the patient's side. C. positioned above the patient's head. D. maintained below the patient's chest level. - ✔✔D. Maintained below the patient's chest level 12.Which of the following procedures requires an incision in the suprasternal notch? A. mediastinoscopy B. bronchoscopy C. parotidectomy D. pericardectomy - ✔✔A. Mediastionscopy 13. When preparing surgical specimens, in addition to the surgical technologist, who else is responsible for accurately labeling the specimen? A. surgeon and anesthesiologist B. circulating nurse and first assistant C. anesthesiologist and first assistant D. surgeon and circulating nurse - ✔✔D. Surgeon and circulating nurse 14. A T-tube drain may be used following A. a splenectomy. B. a choledochotomy. C. an appendectomy. D. a herniorrhaphy. - ✔✔B. a choledochotomy 15. When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist places the staples through which two layers? A. cuticular and subcuticular B. subicular and subcutaneous C. subcuticular and subcutaneous D. subcutaneous and fascia - ✔✔A. cuticular and subcuticular 16. A type of regional anesthesia in which a tourniquet is applied and local anesthetic is administered intravenously is called a A. Bier block. B. peripheral nerve block. C. MAC. D. caudal anesthesia. - ✔✔A. Bier block 17. During a craniotomy, which of the following types of bone is entered? A. flat B. round C. long D. short - ✔✔A. Flat 18. 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 - ✔✔A. 0.5 mL 19. Which of the following is MOST likely to be used during a posterior cervical decompression? A. Kirschner wire B. Hoffman device C. Steinmann pins D. Mayfield clamp - ✔✔D. Mayfield clamp 20. Which of the following is the MOST acceptable technique when placing a patient in the lithotomy position? A. arms placed on arm boards placed at 110 degrees B. legs placed in stirrups one at a time C. both legs placed in stirrups simultaneously D. hips placed above the lower break of the table - ✔✔C. both legs placed in stirrups simultaneously 21. Which of the following supplies should the surgical technologist have available for placement of a long arm cast? A. Xeroform B. Webril C. Telfa D. Kerlix - ✔✔B. Webril 22. How much 0.25% bupivacaine should be mixed with 1 mL of 1.0% lidocaine 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 - ✔✔B. 4.0 mL 23. The appendiceal stump, when inverted, is held in place by which of the following types of sutures? A. Mattress B. traction C. interrupted D. purse-string - ✔✔D. purse-string 24. 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 - ✔✔D. to aid visual inspection for leakage 25. Which of the following devices should the surgical technologist have delivered to the sterile field for a low anterior resection? A. GIA linear stapler B. ligating dividing stapler C. intraluminal stapler D. TA-60 stapler - ✔✔C. intraluminal stapler 26. Which of the following is reshaped during a total hip arthroplasty? A. fibula B. acetabulum C. iliac crest D. tibia - ✔✔B. acetabulum 27. An organization that regulates the production of biological sterilization test packs in-house is A. CDC. B. ANSI. C. AAMI. D. SDS. - ✔✔C. AAMI 28. Rod-shaped bacteria are called A. bacilli. B. cocci. C. vibrio. D. spirals. - ✔✔A. bacilli 29. A type of passive transport when salt crystals dissolve in water is known as A. phagocytosis. B. endocytosis. C. osmosis. D. diffusion. - ✔✔D. diffusion 30. Utilization of lasers in the operating room requires the use of A. a HEPA filter mask. B. a lead apron. C. double gloves. D. eye protection. - ✔✔D. eye protection 31. During application of a Volar splint, the surgical technologist notices that the splint was not completely dried and has caused a pressure point on the patient. Which of the following should be the surgical technologist's NEXT step? A. Allow the splint to remain as-is and allow more time to dry. B. Notify the nurse and let the nurse handle it. C. Bring it to the surgeon's attention and assist in putting on a new splint. D. Apply a new splint and notify the surgeon when finished. - ✔✔C. Bring it to the surgeon's attention and assist in putting on a new splint. 32. 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 and surgical first assistant. C. surgeon and surgical first assistant. D. surgical technologist and the circulator. - ✔✔D. surgical technologist and the circulator 33. Which of the following spore-forming microorganisms are used as biological monitors for checking steam sterilization effectiveness for a load of instruments in a rigid container? A. Bacillus stearothermophilus B. Bacillus atrophaeus C. Mycobacterium tuberculosis D. Streptococcus pyogenes - ✔✔A. Bacillus stearothermophilus 34. After surgery, the scrub tech takes the instruments used in surgery to the decontamination area. How soon should these instruments be washed? A. within 20 minutes B. within 10 minutes C. as soon as they arrive to the decontamination area D. any time the technologist is available - ✔✔A. within 20 minutes 35.Which of the following types of laser is typically used for stone fragmentation in the ureter? A. argon B. krypton C. carbon dioxide D. holmium: YAG - ✔✔D. holmium: YAG 36. If a patient is undergoing a mastectomy immediately followed by reconstruction, how many surgical setups should be obtained? A. One; the reconstruction will immediately follow the mastectomy, so the same instruments can be used without additional interventions. B. One; the reconstruction will immediately follow the mastectomy, so the same instruments can be used after they are cleaned with sterile water. C. Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding. D. Two; the reconstruction will immediately follow the mastectomy, but it will be done in a different OR so two sets are needed. - ✔✔C. Two; the reconstruction will immediately follow the mastectomy, but a second set of instruments should be used to prevent seeding. 37. 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 - ✔✔B. tunneler 38. A patient has developed a hematoma at the incision site after the surgeon has left the room. The surgical technologist should A. place a pressure dressing on the site. B. cover the site with Dermabond. C. use a Steri-Strip for the incision site. D. request the surgeon to return. - ✔✔D. request the surgeon to return 39. The surgical technologist hands the surgeon the dressing at the end of a procedure. Which of the following is the BEST method to follow in regard to removing the drape? A. The circulator applies the tape before the removal of the drape. B. The circulator assists the surgeon with cleaning the patient before removing the drape. C. A sterile team member holds the dressing in place while the drape is removed. D. A sterile team member applies the tape after the drape has been removed. - ✔✔C. A sterile team member holds the dressing in place while the drape is removed. 40. 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 - ✔✔A. Fascia 41. Which of the following arteries is commonly used for taking a blood pressure reading? A. radial B. femoral C. brachial D. popliteal - ✔✔C. brachial 42. Which of the following is applied as a nonadherent dressing? A. Adaptic B. Dermabond C. Steri-Strip D. Elastoplast - ✔✔A. adaptic 43. 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 44. Necrotizing fasciitis confined to the perineum and scrotum is known as A. cellulitis. B. Gerota's fasciitis. C. boil. D. Fournier's gangrene. - ✔✔D. Fournier's gangrene 45. Where is the gastrocnemius muscle located? A. arm B. calf C. back D. thigh - ✔✔B. calf 46. For a splenectomy procedure, which of the following clamps should be used? A. Allen B. Doyen C. Duval D. Satinsky - ✔✔D. satinsky 47.A cystectomy with ileal conduit procedure was performed. The surgical technologist anticipates the need for a stoma A. pouch to collect body fluids. B. flange to create an artificial orifice. C. pouch to heal the wound. D. collar to provide suction for drainage. - ✔✔A. pouch to collect body fluids 48. IUSS sterilizers are typically located in an area A. that is designated as a restricted sub-sterile room. B. in the semi-restricted corridor with other equipment. C. outside of the OR department. D. inside a designated OR. - ✔✔A. that is designated as a restricted sub-sterile room 49. Which of the following surgical needles is MOST appropriate for use in a liver resection? A. cutting B. taper C. blunt D. trocar - ✔✔C. Blunt 50. To help in the calculation of the amount of blood loss, the surgical technologist should A. weigh the blood-soaked sponges. B. measure the amount of collected fluid. C. administer the blood replacement. D. report the amount of irrigation used. - ✔✔D. report the amount of irrigation used 51. During dilation and curettage, after the Auvard weighted vaginal speculum is placed, which of the following instruments is used to grasp the cervix? A. Hegar dilator B. uterine sound C. Sim's curette D. single tooth tenaculum - ✔✔D. single tooth tenaculum 52. Which of the following is the MOST accurate method to check steam autoclave effectiveness? A. chemical indicator B. biological indicator C. external tape D. temperature recording device - ✔✔B. biological indicator 53. 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 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 the patient, then replace those gloves with a pair 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 the back table. - ✔✔A. Remove sterile drapes, remove gown and gloves, and don a pair of unsterile gloves to aid in the care of the patient. 54.Which of the following will place a staff member at risk for work-related musculoskeletal disorders? A. working in the same posture for prolonged periods B. making small adjustments to a chair or backrest C. using four team members to transfer a patient laterally D. frequent position changes while standing at the sterile field - ✔✔A. working in the same posture for prolonged periods 55. While setting up for a surgical procedure, a surgical technologist discovers a puncture in the right surgical glove. If no one is available to assist, the BEST solution for the surgical technologist is to A. request the circulator to reglove the contaminated hand. B. ask the circulator for a new set of gloves to perform a closed-gloved technique. C.ask the circulator for a new gown and gloves to regown and reglove. D. request another set of gloves to place over the punctured glove. - ✔✔C.ask the circulator for a new gown and gloves to regown and reglove. 56. 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. 24- or 26-gauge stainless steel wire D. 35- or 40-gauge stainless steel wire - ✔✔C. 24- or 26-gauge stainless steel wire 57. Which of the following is necessary for ethylene oxide sterilization to occur? A. indirect contact B. gravity displacement C. humidity D. steam - ✔✔C. humidit