Surgical Tech Cert. Exam

Front 1

Which of the following is not routinely required for all pts preoperatively?
Medical history and physical
Surgical Consent
Chest X-ray
Preoperative hygiene

Back 1

Chest x-ray

Front 2

Why should nail polish be removed?

Back 2

Pulse oximeter cannot function

Front 3

When performing the preoperative shave, nicks and cuts are considered a clean wound for up to _____ minutes and the case need not be cancelled.

Back 3

30 mins

Front 4

When transporting a pt to the OR, in what direction should the gurney be situated?

Back 4

feet first

Front 5

When transporting a pt to the OR in a gurney, where should the safety strap be placed?

Back 5

2" above the knees, across the thighs

Front 6

When transporting a pt to the OR in a gurney, how should the pt be transported when using an elevator?

Back 6

Enter elevator with pt, head first. Exit elevator feet first.

Front 7

If an adult pt is illiterate, how is the consent formed signed?

Back 7

pt marks an X

Front 8

The ultimate responsibility of obtaining the general consent belongs to the:

Back 8

Surgeon

Front 9

The pt has withdrawn the general consent prior to surgery. What action should be taken?

Back 9

Do not transport pt, inform surgeon

Front 10

In which of the following situations will the pt not be allowed to sign consent for the surgery?
Pt is legal age
Pt received pre-op meds
Pt explained alternative tx
pt is emancipated minor

Back 10

Pt received pre-op meds

Front 11

A pt signs a consent for surgery but does not speak english and does not fully understand what he has signed. Surgery on the pt could constitute a liability case for:

Back 11

Assault and battery

Front 12

What does a general consent for authorize?

Back 12

all routine treatments or procedures

Front 13

A minor requires emergency surgery but the parents cannot be contacted. How is the consent secured?

Back 13

2 physicians who are not the operating surgeon sign it

Front 14

When using an armboard on the OR table, the most important measure is to:

Back 14

Avoid hyperextension of the arm

Front 15

Which of the following procedures would be performed with the pt in the lateral postion?
Suprapubic prostatectomy
Vag. Hyst
Nephrectomy
Tonsillectomy

Back 15

Nephrectomy

Front 16

The surgical postition frequently used for pts undergoing kidney surgery is:

Back 16

Lateral

Front 17

When performing the pt skin prep, the skin should be scrubbed and painted from the:

Back 17

Incision site to periphery using a circulor motion

Front 18

The position most commonly used for mitral valve replacement is:

Back 18

Supine

Front 19

The position most commonly used for tonsillectomy performed under local anesthectic is:

Back 19

Fowlers

Front 20

What position is commonly used for neurosurgical and some ENT procedures?

Back 20

Fowlers

Front 21

An anesthetized pt is moved slowly to prevent:

Back 21

Cardiovascular complications

Front 22

When performing an abdominal prep, the umbilicus is prepped:

Back 22

Last or separately

Front 23

In the lateral chest position, a sandbag or padding is placed under the chest at axillary level to:

Back 23

Prevent pressure on the lower arm

Front 24

In the prone position, the thorax must be elevated from the OR table to prevent:

Back 24

respiratory complications

Front 25

Ulnar nerve damage could result from:

Back 25

Use of an unpadded arm board

Front 26

Stirrups that are not padded or improperly placed on the OR table can cause pressure on the:

Back 26

Peroneal nerve

Front 27

If the pt is in the supine position, the circulating nurse must always confirm:

Back 27

That ankles and legs are not crossed

Front 28

Where are the arms in the Kraske position?

Back 28

Extended above the head on angled armboards

Front 29

When moving the pt from the lithotomy position, make sure to:

Back 29

Lower legs together

Front 30

Where should the safety belt be placed on a pt in the prone position?

Back 30

2" above the knee

Front 31

The femoral nerve can be damaged if:

Back 31

Retractors are improperly placed during pelvic surgery

Front 32

To avoid foot drop, make sure to do these 2 things

Back 32

Pad foot or add table extension with padding

Front 33

The best surgical position for visualization of the lower abdomen or pelvis is:

Back 33

Trendelenburg

Front 34

The surgical position commonly used for thyroid and gallbladder surgery is:

Back 34

Reverse trendelenburg

Front 35

Crossing the pt arms across the chest in the supine position may cause:

Back 35

Interference with respirations

Front 36

In the prone position, which nerve could be compressed against the humerus?

Back 36

Radial Nerve

Front 37

When positioning an anesthetized pt, supporting the head and neck is the responsibility of who?

Back 37

anesthesia provider

Front 38

When moving a pt with an unsplinted fracture, who is responsible for protecting the wound?

Back 38

Surgeon

Front 39

Which procedure is best performed with the pt in the trendelenburg position?
Cholecystectomy
Hysterectomy
Thyroidectomy
Rotator cuff repair

Back 39

Hysterectomy

Front 40

A reverse trendelenburg position requires the added table attachment of a/an?

Back 40

Footboard

Front 41

A small pad placed under the pts head in the supine position helps to relax which muscles?

Back 41

The strap muscles

Front 42

What position allows the best approach to the retroperitoneal area of the flank?

Back 42

Lateral Kidney

Front 43

How is the pt positioned for a c-section?

Back 43

Supine with a bolster under right side

Front 44

What device is used when placing a pt in the operative position for a thyroidectomy?

Back 44

Shoulder roll

Front 45

What nerve could be damaged when the pt is placed in fowler's position?

Back 45

Sciatic