NBSTSA CST Practice Exam B Latest Update

NBSTSA CST Practice Exam B Latest Update 2024-2025 Questions and Verified Correct Answers Guaranteed A+ A 15-year-old girl with anemia will be undergoing an exploratory procedure and a blood transfusion will be necessary. The parents are Jehovah's Witnesses and will not consent to a blood transfusion, but the patient states that she wants the transfusion.The operating room staff reports this to the nurse manager. Which of the following is the BEST course of action now?

• The physician or nurse manager should contact the hospital's clergy to provide an

intervention.

• The operating room staff should inform the patient that her parents must give

consent before she can receive the transfusion.

• The operating room staff should inform the patient that since she is a minor, she

cannot make health care decisions for herself.

• The physician or nurse manager should contact the hospital's administration to

request that legal counsel becomes involved. - D. The physician or nurse manager should contact the hospital's administration to request that legal counsel becomes involved.

A cardiac arrest occurs during a procedure, and the surgeon is resuscitating the patient.What is the responsibility of the surgical technologist in the scrub role during this time?

• Hand the surgeon a loaded needle holder and forceps for closing.
• Break scrub and call for help.
• Remain sterile and maintain the sterile field.
• Move the electrosurgical unit (ESU) away from the operating table. - C. Remain

sterile and maintain the sterile field.

A cerclage procedure is performed for which of the following conditions?

• Bartholin's cyst
• ectopic pregnancy
• incompetent cervix
• placenta previa - C. incompetent cervix

A colonoscopy has just concluded, and it is time to reprocess the instruments utilized in the case. Which of the following is the MOST effective method for processing the endoscopes?

• gravity displacement sterilizer
• ethylene oxide
• cobalt-60 radiation 1 / 4

• glutaraldehyde - D. glutaraldehyde

A device used to measure fluid pressure is known as a

• capnometer.
• manometer.
• spirometer.
• thermometer. - B. manometer.

A form of contrast media used within the body that is visible when exposed to x-ray is

• exogenous.
• radiopaque.
• radiolucent.
• endogenous. - B. radiopaque

A liver laceration is identified during an emergency exploratory laparotomy. A surgical technologist will prepare suture attached to which of the following types of needles?

• tapered
• reverse cutting
• blunt
• conventional cutting - C. blunt

A nasogastric (NG) tube is used to

• dilate the lower esophageal sphincter.
• monitor the pH of stomach contents.
• drain the stomach.
• promote vomiting. - C. drain the stomach.

A patient has arrived in the operating room for a bilateral mastectomy. She is crying inconsolably. The surgical technologist can best console her by saying which of the following?

• "I am sure we will be able to remove all of the cancer."
• "Everything will be fine."
• "Your surgeon is the best in the hospital."
• "We are going to give you the best care possible." - D. "We are going to give you the

best care possible."

A patient is complaining of nausea, fever, and severe back pain. The patient was previously diagnosed with hyperparathyroidism. This patient MOST likely suffers from

• kidney stones.
• glomerulonephritis. 2 / 4

• hydrocele.
• chordee. - A. kidney stones.

A patient presented in the OR without family history related to anesthesia complications.Which of the following complications is of MOST concern related to the lack of family history?

• malignant hyperthermia
• bronchospasm
• cardiac arrest
• transfusion reaction - A. malignant hyperthermia

A patient who is HIV-positive is having an abdominal procedure. Another patient who is HIV-negative is having an orthopedic procedure. During and subsequent to the cases, the surgical technologist should take

• standard precautions for the HIV-positive patient.
• standard precautions for the HIV-negative patient.
• no precautions for either patient.
• standard precautions for both patients. - D. standard precautions for both patients.

A patient with multiple trauma injuries requires surgical intervention. The patient has a history of DVT and is currently taking anticoagulants. Which of the following should be done to ensure a clot does not develop?

• Administer a subcutaneous anticoagulant preoperatively.
• Continue current anticoagulation therapy.
• Place a sequential compression device on lower extremities.
• Draw a PT/PTT and send the patient to surgery. - C. Place a sequential

compression device on lower extremities

A pneumatic tourniquet may be used for extremity surgery to

• exsanguinate the extremity.
• allow the surgeon more operating time.
• reduce blood loss.
• create an anesthetic effect. - C. reduce blood loss.

A resectoscope is used in which of the following prostatic approaches?

• perineal
• suprapubic
• retropubic
• transurethral - D. transurethral

A resectoscope is used to resect the 3 / 4

• ovaries.
• prostate.
• vas deferens.
• fallopian tubes. - B. prostate.

A surgeon asks for warm irrigation after a GI tract reanastomosis. Which of the following BEST describes the reason for irrigating at this point in the procedure?

• to clean out the area of any loose tissue
• to maintain the core body temperature
• to eliminate any infection-causing microbes
• to aid visual inspection for leakage - D. to aid visual inspection for leakage

A surgeon has just completed an incisional biopsy and would like to have an immediate diagnosis. Which of the following is the MOST appropriate next step?

• Send the specimen to pathology in a dry specimen container so that a frozen section

can be completed.

• Send the specimen to pathology in a specimen container containing normal saline

so that a frozen section can be completed.

• Send the specimen to pathology in a dry specimen container so that a permanent

section can be completed.

• Send the specimen to pathology in a specimen container containing normal saline

so that a permanent section can be completed. - A. Send the specimen to pathology in a dry specimen container so that a frozen section can be completed.

A surgeon is performing a procedure to repair damage from a gunshot wound to the chest. Which of the following types of drains should the surgical technologist have available at the end of the procedure?

• passive
• suction
• gravity
• underwater - D. underwater

A surgeon is preparing to close the abdomen of an average weight patient. Which of the following closing supplies should the surgical technologist have ready for closing the fascial layer?

• 2-0 suture and toothed tissue forceps
• 7-0 Vicryl and toothed tissue forceps
• 0 retention sutures and toothed tissue forceps
• staples and Adson with teeth - A. 2-0 suture and toothed tissue forceps
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