Surgical Technology Examination Appleton & Lange 13-32 CST Exam Prep

1. 188. a bacteria found in the intestinal tract is

Escherichia coli

Bordetella pertussis

Franciscella tularensis

Neisseria gonorrhoeae

2. 223. which item is used on cut edges of bone to seal off oozing of blood

Electroautery

Silver nitrate

Bone wax

Epinephrine

3. 321. The most effective protection from radiation of x-rays is a

Lead apron

Double thick muslin apron

3-foot distance from the machine

3-foot distance from patient

4. 365. An electrocardiogram is

An electrical recording of the heart activity

An x-ray defining heart structures

An x-ray of the cardiac portion of the stomach

A stress test on the heart

5. 327. When moving the patient from the OR table, who is responsible for guarding the head and neck from injury

Circulating nurse

Scrub nurse

Anesthesiologist

Surgical technician

6. 177. a laboratory procedure useful in classifying bacteria using a staining procedure is

Gram stain

Iodine stain

Acid fast stain

Differential stain

7. 181. a severe allergic reaction possibly resulting in death is called

Arthus reaction

Hypersensibility

Anaphylactic shock

Autoimmune disease

8. 222. a topical antibiotic is

Bacitracin

Ephedrine

Ancef

Keflex

9. 260. a vasoconstrictor that, when added to a local anesthetic agent, extends its life is

Ephedrine

Epinephrine

Aramine

Ethrane

10. 353. When catheterizing a patient

The patient must be shaved

The tip of the catheter must be kept sterile

Sterile technique is not necessary

The bag must be maintained above table level

11. 198. keloids are

A form of abscess

An adhered serous membrane

A raised, thickened scar

A benign tumor

12. 192. removal of contaminated debris from a wound is called

Decontamination

Debridement

Dehiscence

Desiccation

13. 206. a drug that interferes with the blood clotting mechanism is

Lidocaine

Fentanyl

Heparin

Cefazolin

14. 227. steroids are used for

Reduction of fluid in body

Reduction of body's need for oxygen

Reduction of tissue inflammation and swelling

Reduction of uterine constriction and contraction

15. 237. the universal donor blood that may be given in extreme emergencies until the patient can by typed and crossmatched is

A

B

O

Ab

16. 241. the last sensation to leave the patient during general anesthesia induction is

Hearing

Sight

Feeling

Smell

17. 254. the indication for an epidural would be

Anorectal, vaginal, perineal, and obstetric procedures

Lower intestinal procedures

Upper gastrointestinal procedures

Above-the-waist procedures

18. 271. at the end of the case, drapes should be

Pulled off and placed in a hamper

Rolled off and placed on the floor so they can be checked for instruments

Rolled off and placed in a hamper

Checked for instruments, rolled off, and placed in a hamper

19. 317. When flipping a sterile item onto the field, the circulator may

Lean over the sterile field to shake item out of package

Project item without reaching over the sterile field

Shake item into sterile basin stand

Lean over sterile linen pack and drop item onto it

20. 372. Which action is the responsibility of the scrub person during an intraoperative CPR effort?

Remain sterile, keep track of counted items, and assist as necessary

Document all medications given and draw up as necessary

Start clock, guard sterile field

Bring defibrillator into the room and reposition the patient

21. 174. herpes simplex is commonly called

Cold sore

Shingles

Smallpox

Chicken pox

22. 178. a fulminating infection arising from necrotic tissue and spreading rapidly is

Rabies

Gas gangrene

Pasteurellosis

Tetanus

23. 187. the bacteria highly resistant to sterilization and disinfection is

Spores

Fungus

Gram-positive

Pseudomonas

24. 263. blood or fluid can be quickly delivered to a patient via

Rapid infusion pump

SARA

Bair hugger

Doppler

25. 318. The room temperature in an operating room (OR) should be

Below 50F

Below 60F

Between 68 and 76F

Between 80 and 86F

26. 348. Tachycardia is a(n)

Heartbeat over 100 beats per minute

Irregular heartbeat

Thready, weak heartbeat

Heartbeat less than 60 beats per minute

27. 375. If a patient falls because he or she was left unattended, the OR team member could be cited in a lawsuit for

Misconduct

Assault

Doctrine of Respondeat Superior

Abandonment

28. 383. In which way could a patient's response to impending surgery exhibit itself?

Tension and anxiety

Fear and suspicion

Anger and hostility

All of the above

29. 384. Excessive exposure to radiation can affect the

Integumentary system

Brain

Reproductive organs

Stomach

30. 391. The best measure for staff protection against HIV is

Handling all needles and sharps carefully

Using barriers to avoid direct contact with blood and body fluids

Immunization of all staff with vaccine

A & B

31. 392. Which body organ is most susceptible to laser injury

Skin

Gonads

Eye

Thyroid

32. 215. Naloxone (narcan) is an example of a/an

Narcotic antagonist

Mydriatic

Histamine

Diuretic

33. 224. the most common diuretic is

Lasix

Pronestyl

Esoptin

Cefadyl

34. 264. blood oxygenation can be monitored during surgery by means of a(n)

Blood pressure monitor

Arterial catheter

Pulse oximeter

CVP catheter

35. 313. When using a pour solution

A portion may be poured and the cap replaced

The contents must be used or discarded after the bottle is opened

The cap may be replaced if it has not been placed on an unsterile surface

The solution may be used the same case if the cap is not replaced

36. 350. The body temperature taken orally is 98.6F. What is it in Celsius?

37C

52C

110C

212C

37. 389. Which virus can be transmitted by a needle puncture or splash in the eye?

Hepatitis A

Hepatitis B

Non-A hepatitis

Non-B hepatitis

38. 162. Oxygen-dependent bacteria are said to be

Anaerobic

Bacillic

Antibiotic

Aerobic

39. 229. tubal patency may be tested by the installation of _________ into the uterine cavity.

Balanced salt solution

Chymar

Methylene blue

Gentian violet

40. 248. a drug used to soothe and relieve anxiety is a(n)

Cholinergic

Analgesic

Sedative

Narcotic

41. 258. the most widely used local anesthetic is

Carbocaine

Marcaine

Prilocaine

Lidocaine

42. 269. identify which of the following is not safe practice

Discard opened sterile bottles

Sterile persons drape first toward themselves, then away

Sterile persons face sterile areas

Sterile tables may be covered for later use

43. 322. It is considered good technique to

Change the mask only if it becomes moistened

Hang the mask around the neck

Criss-cross the strings over the head

Handle the mask only by the strings

44. 335. During lateral positioning, a

Pillow is placed between the legs

Sandbag is placed between the knees

Rolled towel is placed under the bottom leg

Sheet is folded flat between the legs

45. 165. staphylococcus aureus would most likely be transmitted by

Urine

Feces

Nose and mouth

Sex organs

46. 240. a drug used to treat metabolic acidosis is

Inderal

Pronestyl

Sodium bicarbonate

Isuprel

47. 261. the purpose of an LMA is

To establish and maintain a patent airway

To provide patient cooling

To minitor body temperature

To evaluate cardiac and venous status

48. 276. the minimun exposure time for unwrapped instruments in a flash sterilizer that is set at 270F (132C) is

2 minutes

3 minutes

5 minutes

7 minutes

49. 286. The chemical agent used in gas sterilization is

Ethylene glycol

Ethacrynate sodium

Ethyl chloride

Ethylene oxide

50. 315. When opening a wrapper, the circulator should open the top flap

Toward self

Away from self

After the sides

Over sterile field

51. 326. When using a patient roller, how many people are necessary to move the patient safely and efficiently?

Two

Three

Four

Five

52. 330. Which statement is false regarding the position on the OR table?

Elbow should not rest against the metal table

Feet should be uncrossed

Pillows provide support and comfort to prevent strain

Safety strap is 4 inches below the knee

53. 339. When using an armboard, the most important measure is to

Support the arm at the intravenous site

Strap the patient's hand to it securely

Avoid hyperextension of the arm

Avoid hypoextension of the arm

54. 373. A patient was burned on the lip with a hot mouth gag. Which of the following actions would have prevented this incident?

The circulator cooled the item in the sterilizer

The scrub nurse warned the surgeon that the item was hot

The scrub nurse cooled the item in a basin with sterile water

The surgeon had checked the item before using it

55. 377. A lack of care or skill that any nurse or technician in the same situation would be expected to use is the legal definition of

Assault

Abandonment

Negligence

Default

56. 387. A potential safety hazard associated with laser surgery is

Eye injury

Electrical shock

Carcinogenic activity

Ionizing radiation exposure

57. 171. The body's first line of defense against the invasion of pathogens is

The immune response

Skin and mucous membrane linings

Cellular and chemical responses

Phagocytosis

58. 219. an anticoagulant given subcutaneously, intravenously, or as a flush is

Nitroglycerin

Dextran

Heparin

Thrombin

59. 220. a drug that decreases the tendency of blood platelets to clot is

Warfarin sodium

Diazepam

Lorazepam

Midazolam HCI

60. 259. another name for adrenalin is

Ephedrine

Epinephrine

Lidocaine

Levophed

61. 281. All of the following statements regarding instrument sets are true EXCEPT

Instruments must be placed in perforated trays

Heavy instruments are placed on the bottom

All instruments must be closed

All detachable parts must be disassembled

62. 304. When using a high-level disinfectant, always

Submerge items while wet

Rinse items with sterile distilled water before using

Soak items in saline before using

Add hot diluent to activated agent

63. 341. If the patient is in a supine position, the circulator must always

Place a pillow between the knees

Place a pillow under the knees

See that the ankles and legs are not crossed

See that the thoracic area is padded adequately

64. 345. The anesthesiologist closes the eyelids of a general anesthetic patient for all of the following reasons EXCEPT

Prevent drying of the eye

Prevent the patient from seeing the procedure

Prevent eye trauma

Protect the eye from anesthetic agents

65. 173. a procedure used to remove damaged tissue that provides growth conditions for pathogens is called

Incision and drainage

Dessication

Lysis of adhesions

Debridement

66. 184. a bacterial pathogen most frequently invading damaged skin is

Staphylococcus aureus

Clostridium tetani

Pseudomonas septica

Candida albicans

67. 231. Immobility of the eye, along with lowered intra-ocular pressure is facilitated by the use of

Diprivan block

Versed block

Xylocaine block

Retrobulbar block

68. 295. In a high-speed flash sterilizer, unwrapped instruments are exposed for a minimum of

1 minute

3 minutes

5 minutes

10 minutes

69. 332. A patient with a fractured femur is being moved to the OR table. Who is responsible for supporting and protecting the fracture site?

The nurse assistant

The physician

The circulating nurse

The scrub nurse

70. 351. Which term indicates low or decreased blood volume?

Anoxemia

Hypovolemia

Hypoxia

Hypocapnia

71. 172. rodlike shaped bacteria are identified microscopically as

Bacilli

Cocci

Spirilla

Spirochetes

72. 217. an absorbable gelatin hemostatic agent that is often soaked in thrombin or epinephrine solution is

Avitene

Oxycel

Nu-knit

Gelfoam

73. 221. an antibiotic used intraoperatively is

Diazepam

Ketoralac

Cyclogyl

Gentamicin

74. 233. an agent that keeps the cornea moist during surgery and is used for irrigation as well is

Mannitol

Miochol

Chymar

Bss

75. 238. normal saline is used for laparotomy pack moistening and for intraperitoneal irrigation because it is

Hypotonic

Isotonic

Hypertonic

Hyperkalemic

76. 253. a method of anesthesia in which medication is injected into the subarachnoid space, affecting a portion of the spinal cord is called a

Bier block

Field block

Nerve block

Spinal block

77. 270. tables are considered sterile

On the top and 2 inches below the table level

Up to 2 feet off the ground

On the top and in the area that has been pulled close to the sterile field

Only on the top

78. 290. The commercial name for glutaraldehyde is

Peracetic acid

Phenol

Quats

Cidex

79. 324 Electrical cords should be

Removed from outlets by the cord

Wrapped tightly around equipment

Removed from pathways so equipment is not rolled over them

Disconnected from the unit before disconnection from the wall

80. 380. Liability is a legal rule that

Applies only in criminal actions

Holds the hospital responsible for its personnel

Holds each individual responsible for his or her own acts

Has no significance in malpractice suits

81. 386. Ionizing radiation protection is afforded by the use of

Iron

Ebonized coating

Zinc

Lead

82. 161. Passage of fluid through a cell membrane is called

Metosis

Miosis

Osmosis

Symbiosis

83. 175. all of the following descriptors refer to the inflammatory process except

Heat

Pain

Vasoconstriction

Edema

84. 235. an anticoagulant used in vascular surgery is

Protamine sulfate

Heparin

Adrenalin

Papavarine

85. 312. An item dropped on the floor is considered safe only if

It is wrapped in woven material

It is enclosed in an impervious material

It is used right away

It is inspected carefully

86. 357. The patient has received preoperative medication. The action to be taken when this patient complains of dry mouth (thirst) and requests water would be to

Provide the patient unlimited water for thorough hydration

Restrict water to 2 ounces

Restrict fluids completely and explain the reason for action of medication

Report to the surgeon immediately

87. 369. Operative records documenting all aspects of perioperative care are required by

JCHO

OSHA

ASTM

CDC

88. 374. A patient signs a permission form for surgery, but because of a language barrier he or she does not fully understand what she or he has signed. This could constitute a liability case for

Assault and battery

Lack of accountability

Improper documentation

Invasion of privacy

89. 385. Radiation exposure of the staff is monitored with

A homing device

A Holter monitor

Film badges

A notation on each operative record

90. 166. Microbial death occurs when an organism is

Reproducing at a slower rate

Reduced in population

No longer capable of reproduction

Exposed to heat

91. 185. which type of wound would favor the development of gas gangrene

Moist

Necrotic

Dry

Warm

92. 272. if a solution soaks through a sterile drape

Discard drape and replace it

Cover wet area with impervious sterile drape or towel

Cover wet area with at least two layers of fabric

Fill out an incident report at the end of the case

93. 274. positive assurance that sterilization conditions have been achieved can only be obtained through

Biologic control test

Heat-sensitive tape

Color change monitor

Mechanical indicator

94. 309. All of the following statements regarding muslin wrappers are true EXCEPT

Muslin must be laundered, even if unused, in order to rehydrate it

A 140-thread count of unbleached muslin is used for wrappers

Muslin is flexible and easy to handle

Small holes can be repaired by stitching on a patch

95. 168. The clinical syndrome characterized by microbial invasion of the bloodstream is

Superinfection

Septicemia

Cross-infection

Cellulitis

96. 197. a cicatrix is

An abscess

A scar

Pus

A wound

97. 212. a drug used to increase blood pressure is

Avitene

Epinephrine

Heparin

Mannitol

98. 230. a mydriatic drug, neo-synephrine, is used to

Constrict the pupil

Dilate the pupil

Anesthetize the eye

Lower intra-ocular pressure

99. 331. To avoid compromising the venous circulation, the restraint or safety strap should be placed

At knee level

At the midthigh area

2 inches above the knee

2 inches below the knee

100. 349. The most common artery used to feel the pulse is the

Dorsalis pedis artery

Femoral artery

Radial artery

Carotid artery

101. 356. Why is the obese patient at greater surgical risk that one of normal weight?

Fat has poor vascularity

Fluid and electrolyte balance is compromised

Kidney function is altered

Immune system lacks integrity

102. 363. Inherited deficiencies of coagulation in which bleeding occurs spontaneously after minor trauma is

Tay-Sachs disease

Hemophilia

Pernicious anemia

Erythroblastosis fetalis

103. 368. Which procedure is NOT absolutely necessary in patient identification?

Identification by the anesthesiologist, who checks the wristband, chart, and operating schedule

Identification by the surgeon before administration of an anesthetic

Identification by the circulating nurse, who checks the wristband, chart, and operating schedule

Identification by the scrub nurse before the procedure begins

104. 200. a CDC guideline that addresses the care of "sharps" includes all of the following except

Needles should always be recapped

Needles should not be bent or broken by hand

Needles should not be removed from disposable syringes

Needles should be discarded in puncture-resistant containers for disposal

105. 232. miochol is a(n)

Antihistamine

Blood thinner

Miotic

Anti-inflammatory

106. 236. heparin effects are reversed by

Pitocin

Phenylephrine

Protamine sulfate

Procainamine Hcl

107. 268. the minimum distance a nonsterile person should remain from a sterile field is

6 inches

1 foot

2 feet

3 feet

108. 279. Gravity displacement utilizes ___________ to destroy microorganisms

Gas

Radiation

Gamma rays

Steam

109. 287. What chemical system uses peracetic acid as the sterilant?

Ozone gas sterilization

Steris

Sterrad

Vapor phase sterilizer

110. 325. Scatter radiation effects are directly related to

Amount of radiation

Length of exposure

Accumulation of radioactive substances in OR room

Amount of radiation and length of exposure time

111. 337. The lithotomy position requires each of the following EXCEPT

Patient's buttocks rest along the break between the body and leg sections of the table

Stirrups are at equal height on both sides of the table

Stirrups are at the appropriate height for the length of the patient's legs to maintain symmetry

Each leg is raised slowly and gently as it is grasped by the toes

112. 367. A microscopic blood exam that estimates the percentages of each type of white cell is called a

Red blood count

White blood count

Differential blood count

Blood grouping

113. 379. The doctrine of Respondeat Superior refers to

The legal terms for assault and battery

Invasion of privacy

Employer liability for employee's negligent conduct

Professional misconduct

114. 164. Bacteriostatic means

To inhibit growth of microorganisms

To destroy microorganisms

To control microorganisms

To inactivate microorganisms

115. 163. The destruction of bacteria by white cells during the inflammatory process is called

Symbiosis

Mitosis

Lymphocytosis

Phagocytosis

116. 216. avitene is

Hemostatic

Adrenergic

Cycloplegic

Mydriatic

117. 257. which technique can be employed to prevent pain during an operative procedure or to relieve chronic pain

Local infiltration

Bier block

Nerve block

Field block

118. 280. The process called cavitation occurs in the

Moist heat sterilizer

Ultrasonic cleaner

High-speed pressure sterilizer

Washer-sterilizer

119. 319. If an OR staff member wears eyeglasses

The glasses should be wiped with an antiseptic solution before each operation

The glasses should be soaked for 5 minutes in an antiseptic solution before the day begins

The glasses should be wiped with an antiseptic solution daily

No special care is necissary

120. 346. Diastolic blood pressure refers to

The force created by the contraction of the left ventricle of the heart

The relaxation phase between heartbeats

The first sound heard when taking the pressure on a manometer

The high point of the cycle

121. 167. What immune protection is available to the fetus

Natural active

Natural passive

Active artificial

Passive artificial

122. 193. the space caused by separation of wound edges is called

Lag phase

Evisceration

Fibrous scarring

Dead space

123. 204. which body fluid is least likely to transmit HIV

Blood

Semen

Saliva

Spinal fluid

124. 205. a band of scar tissue that binds together two anatomical surfaces that are normally separate from each other is called

Keloid

Adhesion

Cicatrix

Dehiscence

125. 214. the total volume in a 30-cc syringe is

1 ounce

2 ounces

3 ounces

4 ounces

126. 234. an artificial plasma-volume expander is

Mannitol

Dextran

Ringer's solution

Uromatic

127. 250. Which inhalation agent is used for short procedures requiring no muscle relaxation

Nitrous oxide

Halothane

Ethrane

Forane

128. 284. Which of the following statements regarding the sterilization of basin sets is true?

Basins must be separated by a porous material if they are nested

Sponges and linen may be packaged inside the basin to be sterilized

Basins are placed flat in the autoclave

Basins must always be placed on the top shelf of the autoclave in a combined load

129. 179. which bacteria is commonly found in soil

Clostridium tetani

Trypanosoma brucei

Pediculus vestimenti

Yersinia pestis

130. 226. a systemic agent used to control uterine hemorrhage is

Protamine

Pitocin

Procainamide HCI

Phenylephrine

131. 247. a bolus is

A small, intermittent dose intravenously

A dose injected intramuscularly

A rapid dose subcutaneously

A dose injected all at once, intravenously

132. 293. What is the shelf life of Cidex

Between 14 and 28 days

7 days

1 month

Indefinite

133. 333. Crossing the patient's arms across his or her chest may cause

Pressure on the ulnar nerve

Interference with circulation

Postoperative discomfort

Interference with respiration

134. 344. In the prone position, the thorax must be elevated from the OR table to prevent

Compromised respiration

Pressure areas

Circulatory impairment

Brachial nerve damage

135. 359. A patient is on anticoagulant drugs. Which of the following tests may be done to check the clotting time of his or her blood?

Serum amylase

Complete blood count

Bleeding time

Prothrombin time

136. 381. A criteria that identifies, measures, monitors, and evaluates patient care is

Audits

Automated information systems

Quality control circles

Quality assurance programs

137. 207. an mg is a measurement of

Length

Weight

Volume

Temperature

138. 393. How is inhalation of the laser plume best prevented?

Double mask worn by a scrub team

Filter on suction

Laser on standby whenever possible

Mechanical smoke evacuator on field

139. 160. The english surgeon who began the age of chemical control of the atmosphere was

Ehrlich

Madame curie

Alexander

Lister

140. 176. clostridium tetani causes

Gangrene

Nosocomial infection

Lockjaw

Malaria

141. 191. Inflammation is characterized by pain, redness, heat, swelling, and loss of function. The redness can be attributed to

Serum brought into the area

Constriction of capillaries

Vasodilation bringing more blood to the area

Heat from metabolic reaction

142. 196. the substance that unites with thrombin to form fibrin, the basic structural material of blood clots is

Fibrinogen

Prothrombin

Fibrin

Thrombin

143. 211. one gram equals

100mg

1000mg

100mL

1000mL

144. 292. Which of the following is essential when using activated glutaraldehyde for sterilization?

Items must be rinsed thoroughly in sterile water before use

The solution must be heated in order to be effective

The items must be thoroughly moistened before placement in solution

The item must be air dried before use

145. 361. A type and crossmatch is done

On all surgical patients

If the surgeon anticipates in advance of the operation that blood loss replacement may be necessary

On all hospital patients

In the OR

146. 382. Each of the following applies to an incident report EXCEPT

Notation is made on the patient's OR record

Statement should be factual and non-interpretive

Description includes action taken

Details are complete and accurate

147. 239. levophed

Increases cardiac output

Decreases venous return to the heart

Increases urine secretion

Restores and maintains blood pressure

148. 262. a drug used to reverse hypotension is

Isuprel

Inderal

Pronestyl

Levophed

149. 278. To be sterilized effectively, a linen pack must not weigh more than

12 pounds

14 pounds

16 pounds

18 pounds

150. 210. how many milliliters are in 1 ounce

10

30

75

100

151. 225. an osmotic diuretic agent used to decrease cerebral edema and intraocular edema is

Diuril

Fluosemide

Papaverine

Mannitol

152. 244. a sedative- tranquilizer used to reduce anxiety and apprehension of the pre-op patient and as an adjunct to general anesthesia to reduce the amount and concentration of other more potent agents is

Valium

Marzicon

Anectine

Demerol

153. 328. To move the patient from the transport stretcher to the OR table

One person stands at the head, one at the foot, while the patient moves over

One person stands next to the stretcher, one adjacent to the OR table, while the patient moves over

One person stands next to the stretcher, stabilizing it against the OR table, while the patient moves over

One person may stand next to the OR table and guide the patient toward him if stretcher wheels are locked

154. 334. A precaution always taken when the patient is in the supine position is to

Place the pillows under the knees for support

Place the safety strap 3 to 4 inches below the knee

Place the head in a headrest

Protect the heels from pressure on the OR table

155. 347. Systolic blood pressure represents

The pressure in the heart chambers, great vein, or close to the heart

The relaxation phase between heartbeats

The low point of the cycle

The greatest force caused by the contraction of the left ventricle of the heart

156. 182. What organism is responsible for a boil

Staphylococcus aureus

Clostridium perfringens

Escherichia coli

Neisseria

157. 202. to promote healing, a surgical wound must have all of the following requisites except

Suture closure of dead space

Drains to remove fluid or air

A moderately tight dressing

Tight sutures to create tension

158. 203. wound healing that employs a technique allowing the wound to heal from the bottom up is called

Interrupted intention

First intention

Second intention

Third intention

159. 209. an inch equals

2.2 cm

2.54 cm

4.4 cm

10 cm

160. 213. the action of an anticholinergic drug is to reduce

Heart rate

Anxiety

Nausea

Secretions

161. 246. anesthesia given in a combination of several agents to obtain optimum results is called

Regional anesthesia

General anesthesia

Conduction anesthesia

Balanced anesthesia

162. 338. All of the following are requirements of the Kraske position EXCEPT

Patient is prone with hips over the break of the table

A pillow is placed under lower legs and ankles

A padded knee strap is applied 2 inches above knees

Arms are tucked in at sides

163. 364. Preoperative chest x-rays

Are not necessary for the surgical patient

Are necessary only for the thoracic surgical patient

Are necessary only on the surgical patient with a chronic cough

Should be done on all surgical patients

164. 376. Which is not considered a safe procedure when caring for dentures inadvertently sent to the OR?

Place in a properly labeled container

Place in a properly labeled denture cup

Return to patient unit immediately and obtain a receipt, which is placed on the chart

Wrap in a plastic bag and attach to the patients chart

165. 194. if tissue is approximated too tightly is can cause

Ischemia

Excessive scar tissue

Keloids

Adhesions

166. 249. a bier block provides

Anesthesia to a distal portion of an extremity

Anesthesia below the diaphragm

Anesthetic block surrounding a peripheral nerve

Anesthetic block to a nerve group

167. 252. halothane is also called

Ethrane

Penthrane

Forane

Fluothane

168. 291. A 30 minute, single use, sterilization system useful for endoscopes is

Steris

ETO

Steam under pressure

Cold sterilization

169. 266. arterial blood gases (ABGs) are commonly obtained by accessing the

Femoral artery

Carotid artery

Radial artery

Renal artery

170. 275. a wrapped tray of instruments is sterilized in a gravity displacement sterilizer at 250F for

10 minutes

15 minutes

30 minutes

40 minutes

171. 285. Why would gas sterilization be chosen over steam sterilization?

It is less expensive

It is less damaging to items

It is faster

It is more effective

172. 294. In which procedure would the use of a high-level disinfectant be acceptable instrument preparation?

Suction lipectomy

Tracheotomy

Cystoscopy

Mediastinoscopy

173. 308. Which of the following is the only acceptable plastic that can be used for a steam sterilization wrapper?

Polyethylene

Polypropylene

Polyamide

Polyvinyl chloride

174. 314. What is the standard safety margin on package wrappers?

Up to the edge

Less than 1 inch

1 inch or more

None of the above

175. 195. tensile strength of a wound refers to

The suture strength

Ability of tissue to resist rupture

Wound contraction

Tissue approximation

176. 218. Each of the following agents must be applied using dry gloves or instruments except

Gelfoam

Collastat

Avitene

Helistat

177. 282. All of the following statements regarding steam sterilization are true EXCEPT

Flat packages are placed on the shelf on edge

Small packages, placed one on top of the other, are criss-crossed

Basins are placed on their sides

Solutions may be autoclaved along with other items as long as they are on a shelf alone

178. 311. The maximum storage life for a muslin wrapped item in a closed cabinet is

7 days

14 days

21 days

30 days

179. 336. To prevent strain to the lumbosacral muscles and ligaments when the patient is in the lithotomy position

The buttocks must not extend beyond the table edge

The legs must be placed symmetrically

The legs must be at equal height

A pillow should be placed under the sacral area

180. 355. Uncontrolled increased positive pressure in one side of the thorax causes collapse of the opposite side, which is called

Flail chest

Chyne-Stokes syndrome

Emphysema

Mediastinal shift

181. 189. the burn classification that is characterized by a dry, pearly white, or charred-appearing surface is

First

Second

Third

Fourth

182. 256. pontocaine is

Carbocaine

Tetracaine HCl

Marcaine

Prilocaine HCl

183. 305. The chemical sterilant used in the STERIS method of sterilizing is

Formaldehyde

Cidex

Ethylene oxide

Peracetic acid

184. 277. when steam is used to sterilize a rubber tubing or catheter

The lumen must be dried thoroughly before the process begins

A rubber band may be placed around it so it does not unwind

It should be fan-folded before wrapping

A residual of distilled water should be left inside the lumen

185. 388. An OR hazard that has been linked to increased risk of spontaneous abortion in female OR employees is exposure to

X-ray control

Radium

Sterilization agents

Waste anesthetic gas

186. 180. The bacteria that causes rheumatic fever is

Escherichia coli

Streptococcus

Pseudomonas

Staphylococcus

187. 273. the pounds of pressure necessary in a steam sterilizer set at 250F is

15-17

20-22

22-25

25-27

188. 296. To kill spores, an item must be immersed in a 2% aqueous solution of glutaraldehyde for

20 minutes

2 hours

10 hours

24 hours

189. 320. Each statement regarding OR attire is true EXCEPT

Lab coats worn out of the OR suite should be clean, closed, and knee length

Scrub suits are always changed upon re-entry to the OR suite

Scrub suits may be worn out of the OR uncovered, if they are changed upon OR re-entry

Nonprofessional personnel and visitors must wear approved attire in the OR

190. 323. Sterile gloves

Should be wiped off after donning to remove lubricant

Need not be wiped off

Should be wiped off only in septic cases

Should be wiped off only in eye cases

191. 343. Ulnar nerve damage could result from

Poor placement of the legs in stirrups

Hyperextension of the arm

Using mattress pads of varying thickness

Placing an arm on an unpadded table edge

192. 186. gas gangrene is caused by

Fusobacterium

Clostridium tetani

Pseudomonas aeruginosa

Clostridium perfringens

193. 190. OSHA is a governmental regulating agency whose aim is to

Provide guidlines to prevent transmission of blood-borne infections

Execute requirements designed to prevent transmission of blood-borne pathogens in the work environment

Require that communicable diseases be reported to a public health agency

Train employees how to recognize and execute safe practices

194. 201. the type of wound healing that requires debridement is

First

Second

Third

Fourth

195. 208. the solutions used intravenously to replace plasma when plasma is not available is

0.9 % NaCl

Dextrose 5% in water

Lactated ringer's solution

Dextran

196. 243. neuroleptoanalgesia combines

A narcotic and an anticholinergic

A tranquilizer and a narcotic

An anti-inflammatory and a tranquilizer

A muscle relaxant and a tranquilizer

197. 390. While using this mixture, a scavenging system is used to collect and exhaust or absorb its vapors. It is called

Glutaraldehyde

Polypropylene

Methyl methacrylate

Halon

198. 298. What is the role of moisture in EO sterilization?

The items will dry out during the process if no humidity is added

The sterilizer will deteriorate from gas over a period of time if no moisture is added

Dried spores are resistant to the gas, so they must be hydrated

Moisture is not an essential element in gas sterilization

199. 329. When moving a patient with a fracture in the OR, all of the following are true EXCEPT

Extra personnel are necessary

Support of the extremity should always be from below the site of fracture

Lifters on the affected side support the fracture

The surgeon should be present

200. 183. the organism most frequently found in burns is

Clostridium perfringens

Pseudomonas aeruginosa

Clostridium tetani

Hemolytic streptococci

Surgical Technology Examination Appleton & Lange 13-32 CST Exam Prep

1. 188. a bacteria found in the intestinal tract is

2.

What first name or nickname would you like us to use?

2. 223. which item is used on cut edges of bone to seal off oozing of blood

3. 321. The most effective protection from radiation of x-rays is a

4. 365. An electrocardiogram is

5. 327. When moving the patient from the OR table, who is responsible for guarding the head and neck from injury

6. 177. a laboratory procedure useful in classifying bacteria using a staining procedure is

7. 181. a severe allergic reaction possibly resulting in death is called

8. 222. a topical antibiotic is

9. 260. a vasoconstrictor that, when added to a local anesthetic agent, extends its life is

10. 353. When catheterizing a patient

11. 198. keloids are

12. 192. removal of contaminated debris from a wound is called

13. 206. a drug that interferes with the blood clotting mechanism is

14. 227. steroids are used for

15. 237. the universal donor blood that may be given in extreme emergencies until the patient can by typed and crossmatched is

16. 241. the last sensation to leave the patient during general anesthesia induction is

17. 254. the indication for an epidural would be

18. 271. at the end of the case, drapes should be

19. 317. When flipping a sterile item onto the field, the circulator may

20. 372. Which action is the responsibility of the scrub person during an intraoperative CPR effort?

21. 174. herpes simplex is commonly called

22. 178. a fulminating infection arising from necrotic tissue and spreading rapidly is

23. 187. the bacteria highly resistant to sterilization and disinfection is

24. 263. blood or fluid can be quickly delivered to a patient via

25. 318. The room temperature in an operating room (OR) should be

26. 348. Tachycardia is a(n)

27. 375. If a patient falls because he or she was left unattended, the OR team member could be cited in a lawsuit for

28. 383. In which way could a patient's response to impending surgery exhibit itself?

29. 384. Excessive exposure to radiation can affect the

30. 391. The best measure for staff protection against HIV is

31. 392. Which body organ is most susceptible to laser injury

32. 215. Naloxone (narcan) is an example of a/an

33. 224. the most common diuretic is

34. 264. blood oxygenation can be monitored during surgery by means of a(n)

35. 313. When using a pour solution

36. 350. The body temperature taken orally is 98.6F. What is it in Celsius?

37. 389. Which virus can be transmitted by a needle puncture or splash in the eye?

38. 162. Oxygen-dependent bacteria are said to be

39. 229. tubal patency may be tested by the installation of _________ into the uterine cavity.

40. 248. a drug used to soothe and relieve anxiety is a(n)

41. 258. the most widely used local anesthetic is

42. 269. identify which of the following is not safe practice

43. 322. It is considered good technique to

44. 335. During lateral positioning, a

45. 165. staphylococcus aureus would most likely be transmitted by

46. 240. a drug used to treat metabolic acidosis is

47. 261. the purpose of an LMA is

48. 276. the minimun exposure time for unwrapped instruments in a flash sterilizer that is set at 270F (132C) is

49. 286. The chemical agent used in gas sterilization is

50. 315. When opening a wrapper, the circulator should open the top flap

51. 326. When using a patient roller, how many people are necessary to move the patient safely and efficiently?

52. 330. Which statement is false regarding the position on the OR table?

53. 339. When using an armboard, the most important measure is to

54. 373. A patient was burned on the lip with a hot mouth gag. Which of the following actions would have prevented this incident?

55. 377. A lack of care or skill that any nurse or technician in the same situation would be expected to use is the legal definition of

56. 387. A potential safety hazard associated with laser surgery is

57. 171. The body's first line of defense against the invasion of pathogens is

58. 219. an anticoagulant given subcutaneously, intravenously, or as a flush is

59. 220. a drug that decreases the tendency of blood platelets to clot is

60. 259. another name for adrenalin is

61. 281. All of the following statements regarding instrument sets are true EXCEPT

62. 304. When using a high-level disinfectant, always

63. 341. If the patient is in a supine position, the circulator must always

64. 345. The anesthesiologist closes the eyelids of a general anesthetic patient for all of the following reasons EXCEPT

65. 173. a procedure used to remove damaged tissue that provides growth conditions for pathogens is called

66. 184. a bacterial pathogen most frequently invading damaged skin is

67. 231. Immobility of the eye, along with lowered intra-ocular pressure is facilitated by the use of

68. 295. In a high-speed flash sterilizer, unwrapped instruments are exposed for a minimum of

69. 332. A patient with a fractured femur is being moved to the OR table. Who is responsible for supporting and protecting the fracture site?

70. 351. Which term indicates low or decreased blood volume?

71. 172. rodlike shaped bacteria are identified microscopically as

72. 217. an absorbable gelatin hemostatic agent that is often soaked in thrombin or epinephrine solution is

73. 221. an antibiotic used intraoperatively is

74. 233. an agent that keeps the cornea moist during surgery and is used for irrigation as well is

75. 238. normal saline is used for laparotomy pack moistening and for intraperitoneal irrigation because it is

76. 253. a method of anesthesia in which medication is injected into the subarachnoid space, affecting a portion of the spinal cord is called a

77. 270. tables are considered sterile