NCCT CST (2025) FULL ACTUAL PRACTICE EXAM | COMPLETE & ACCURATE RATIONALES WITH SOLUTIONS

NCCT CST (2025) FULL ACTUAL PRACTICE EXAM | COMPLETE & ACCURATE RATIONALES WITH SOLUTIONS The surgical technologist places the patient in Fowler position with head secured by craniotomy headrest. Which of the following l ...

NCCT CST (2025) FULL ACTUAL PRACTICE EXAM | COMPLETE & ACCURATE RATIONALES WITH SOLUTIONS The surgical technologist places the patient in Fowler position with head secured by craniotomy headrest. Which of the following locations indicates correct application of the safety strap? A. 2 inches above the knees B. 2 inches below the knees C. across the torso just below the sternum D. across the torso just above the sternum A. 2 inches above the knees Rationale: Correct placement of the safety strap is two inches above the knees. Take care to make sure the strap is not too tight. You should be able to slip two fingers under the strap with ease. Placing the strap across the torso would not secure the legs to the bed. Placing the strap below the knees does not provide adequate safety support to the rest of the body. An OB-GYN surgeon has posted a laparoscopic partial hysterectomy and has informed the surgical team that the ovaries are remaining. However, the fallopian tubes will require ligation involving the tubes being clipped and cauterized. Which of the following instruments should the surgical technologist open? A. a Filshie and a Kleppinger B. a harmonic scalpel and hemoclip applier C. a Filshie and hemoclip applier D. a Kleppinger and harmonic scalpel A. a Filshie and a Kleppinger Rationale: A Filshie is a small titanium clip with a soft lining used specifically for female sterilization. The Kleppinger would be used next as a secondary measure to cauterize the exposed ends of the Fallopian tubes. A harmonic scalpel is used to cut and coagulate tissue, but the Kleppinger offers a smaller, more precise coagulation area. Hemoclip appliers are not used as a sterilization method. When transferring a patient to the operation room table, the surgical technologist should A. power off any medical equipment during the transfer. B. ensure that the O.R table remains unlocked in order to position the table to the surgeon's preference. C. allow 5-6 fingerbreadths between the safety strap and the patient. D. transfer medical equipment first and then move the patient. D. transfer medical equipment first and then move the patient. Rationale: Powering off medical equipment could harm the patient. Unlocked operating room tables increase the patients risk for injury. The safety strap should be snug for the safety of the patient without causing injury. Transferring medical equipment first ensures the equipment remains functional throughout the transfer. Instruments and supplies have been opened by the surgical technologist for a case in Room 5. Soon after the surgical technologist was informed that the case has been moved to Room 1, but there is a similar case scheduled for Room 5 later that morning. Which of the following is the best course of action? A. Cover the back table with a sterile drape and leave it in Room 5. B. Leave the set-up in Room 5 to be used on the later case for no longer than one hour. C. Leave the case in Room 5 in order to save costs and alert the charge nurse about the move to Room 1. D. Take unopened supplies to Room 1, build a new set-up, and break down Room 5. D. Take unopened supplies to Room 1, build a new set-up, and break down Room 5. Rationale: If a room is delayed or cancelled, there is no way to ensure the set up remains sterile, unless a staff member stays in the room and monitors. Facility policy may also dictate a time frame for use of opened sterile items.