CST Prep Exam Chapters 1-12 Test and Flashcards

The CST must employ effective listening skills when communicating with patients. All of the following are components of communication EXCEPT?

sensitive

The organization dedicated to the improvement of patient care within the operating room by elevating the educational standards and practices for the surgical nurse is?

AORN

Which of the following job titles below would include "anticipating the needs of the Surgeon" in the job description?

CST

Juan (CST) is preparing for an ORIF of a fractured ankle; he begins by selecting the surgeon's preference card and gathering supplies. At this moment he is in the _________ phase of case management.

preoperative

Juan (CST) is the STSR on the ORIF of a fracture ankle; the surgeon has requested he establish a neutral zone. Juan is working in the ___________ phase of case management.

intraoperative

Alisha the CST involved in a colon resection has to leave to pick up her daughter from school at 3pm. She knows that if she leaves without relief from another CST she could be charged with?

abandonment

Res Ipsa Loquitur is a Latin term related to the following?

a retained surgical instrument

A patient was left alone unattended in the pre-op holding area. The patient fell from the stretcher and was injured. Place the hospital investigational steps in order from first to last.

sentinel event, incident report, investigation by risk management

All of the following would be an example for unintentional torts except?

assault

Of the following action which is not an action associated with risk management?

fire negligent employees

Of the following safety measures the ____________, would be the best intervention by the CST to prevent sharp injuries.

establish a neutral zone

John a CST who is eating lunch with his colleagues in the cafeteria, he begins to discuss a surgical procedure and states the patients name. John is in violation of?

HIPAA

Dr. Smith has broken scrub and asked Mayra the CST in scrub role to inject the post operative medication because he forgot to give it. Mayra cannot perform this act because she would be in conflict with?

scope of practice

Dr. Smith obtains the surgical consent form from Mr. Valdez, for an open cholecystecomy procedure. When the preoperative nurse begins her evaluation of Mr. Valdez, he informs her that he does not speak English. This raises the concern over the validity of the?

informed consent

The responsibility of obtaining the informed consent is the?

surgeon

Use Maslow's hierarchy of needs and asses the most important patient priority?

patient with a compromised airway

The following would be considered a genetic malformation factor for surgical intervention.

cheiloschisis

The Following would be listed as disease factor for surgical intervention?

cholecystitis

A patient who is dying states "I know I will be in a better place", according to the Kubler-Ross stages of grief this would be classified as?

acceptance

A patient who is dying states "It can't be happening to me" is an example of the Kubler-Ross stage of?

denial

A DNR/DNI is written by a __________ and is initiated by the ___________.

physician, patient

A _____________ allows a patient to state in writing exactly what medical interventions they are willing to endure to sustain life.

Living Will

Advance directives are made up of which of the following two legal documents?

Power of attorney & living will

The surgical team in preparation for an ectopic pregnancy of a female patient who is Jehovah witness must be concerned with the fact that?

Patient beliefs do not allow blood transfusions

The following religion does not allow birth control?

Roman Catholic

A physical consideration for a child less than 6 months old is the child's inability to?

shiver

The most common cause of hypovolemic shock in pediatric age groups is?

dehydration

While preparing the room for an obese patient, the CST realizes that the patient is at risk for a DVT. The piece of equipment that should be in the room and available for the patient is?

venous compression device

The three most common complications after gastric bypass surgery are?

Internal hernia, abdominal catastrophe, gastric distention

All of the following are risks for the diabetic patient except?

good wound healing

One of The most common surgical interventions for a pregnant patient would be?

cholecystectomy

When positioning the pregnant patient the surgical technologist knows that a wedge under the patients right hip to?

relieve pressure on aorta and vena cava

In dealing with the immunocompromised patient, the CST knows that the patient is at risk for?

wound infection

Kaposi sarcoma's are lesions associated with AIDS, when they present in the __________ they pose a challenge to the ___________?

esophagus, anesthesia provider

The CST is preparing to help the surgeon on a patient who is diagnosed with Mycobacterium Tuberculosis. The CST knows that he will need to wear a ______ to protect himself from exposure.

N95 respirator

Geriatric patients are predisposition to all of the following except?

decreased blood pressure

The CST knows that sponge, instrument, and sharps count could be waived when?

it is life-threatening situation

The ability to reach and provide treatment to a trauma patient within the first hour of the injury is critical in determining the patient's outcome. The term used to describe this is?

golden hour

Cavitation is associated with which of the following decontamination pieces of equipment?

ultrasonic washer

The patient's family would like to speak with the Surgeon before the patient enters the operating room. This conversation will likely take place in the ______ Area?

unrestricted

George the CST setting up room 5, he knows there needs to be two suction canister set ups one for ______ and the other for _______.

sterile field, anesthesia

Most hospital's design the operating room in a ______ design to ensure that traffic patterns are controlled, environmental control, and to limit surgical site infections.

race track

The operating room and sterile areas are considered _________ areas.

restricted

Jose the CST in room 4 is told by the anesthesiologist to get an oxygen tank in the room for backup. Jose knows the color of this tank will be?

green

Operating room tables are translucent to allow for_______ during the procedure.

radiographs

In setting up a room for a surgical procedure, the CST knows that the sterile field is established on the?

back table

The Surgical Technologist gowns and gloves off of the following piece of equipment?

mayo stand

Paul the CST scrubbed on a TAH in room 2 drops a forceps on the floor; he needs the circulator to flash the instrument so he can use it on the sterile field. He knows the instrument will have to be washed and cleaned in the ____________ before flashing.

decontamination room

All operating rooms should have a unidirectional positive pressure flow of air that captures microbes to be filtered. This type of air system is called?

laminar

The normal temperature for an operating room should be between ____ to ______ degrees and the humidity should not exceed _____.

68, 73, and 60

The CST in preparing for a surgical procedure in which laser is involved, should take the following safety measures except?

use alcohol based prepping solutions

The CST in the STSR role is working on a laparoscopic procedure. The ST must take fire prevention precautions within the sterile field by?

ensuring the light source is on standby when the scope is not in use

Shelly the CST knows that Time, distance and shielding are related to?

radiation

Tia is preparing for a procedure in which the surgeon will be using the laser. She knows that if a fire was to start because of the laser she would need to use a __________ fire extinguisher to put it out.

Halon

Luna the CST functioning in the circulating role on a procedure places the _______ in an area where prepping fluids will not come in contact with it to prevent a burn.

patient return electrode

When lifting the patient the surgical technologist should use proper lifting techniques. Of the following lifting techniques listed below all are correct except?

lifting with back bowed out

Paul the CST in room 1 is setting up for a cholecystectomy with cholangiography, he knows that the x ray tech will be using the ________ machine and that he will need a ______ and ______ to protect himself from Ionizing radiation.

C-arm, lead apron, & thyroid shield

Pablo the CST who is working in room 2, he knows that to prevent an exposure injury he should use _________

standard precautions for every case

Douglas the CST scheduled to scrub on a laparoscopic appendectomy for Dr. Smith is nervous because he has never worked with Dr. Smith before. The best way for Douglas to prepare for the procedure is?

pull the surgeons preference card

The unsterile piece of the ESU circuit is the?

patient return electrode

Juan the CST scrubbed in room five listens as the surgeon complains that the ESU is not functioning correctly. The only part of the ESU circuit that Juan can check without breaking sterile technique is the?

electrosurgical pencil

To prevent safety issues while using the ESU on surgical procedures the CST should ensure all of the following except?

Use alcohol based prep solutions and do not allow to dry

One of the differences between Monopolar ESU and bipolar ESU is the fact that?

bipolar does not need a return electrode

One of the key factors in promoting robotic surgery for surgeons is?

elimination of hand tremors

One of the most frequently used lasers in surgery, is the ________ laser.

CO2

When using the Da Vinci robotic system in a surgical procedure, the surgeon?

does not need to be gowned and gloved

In robotic surgery resolution refers to the robots ability to?

differentiate between two objects

Paul the CST who is scrubbed in on a Craniotomy knows that surgeon would prefer to use the ________ for cauterization, when in close proximity to nerve tissue.

Bipolar ESU

When using the harmonic scalpel for a surgical procedure the CST should know that harmonic scalpel uses ________ energy and it is not necessary to use a ___________.

ultrasonic, dispersive electrode

Escherichia coli which reside inside the human intestines are an example of?

mutualism

One of the primary roles of the surgical technologist is to maintain sterile technique to prevent?

SSI's

The bacterial pathogen commonly associated with post operative wound infections is?

staphylococcus

The bacterial pathogen clostridium perfringens, is related to poor circulation and can lead to amputation for the patient. This bacteria is also called?

gas gangrene

The pathogen associate with symptoms of diarrhea and is life threatening in children is?

clostridium difficile

The pathogen transmitted through airborne droplets and requires a healthcare worker to wear an N 95 respirator as prevention is?

mycobacterium tuberculosis

Doug the CST has just completed a craniotomy in room 5. He is told that the surgical instrumentation he has used on the procedure must be destroyed instead of being reprocessed. He realizes that the previous patient must have been diagnosed with the disease associated with a prion called?

Creutzfeldt-Jacobs disease

All of the following are risk factors that increase the chance of post-operative surgical site infections except?

early ambulation

A Biological indicator is the test measure by which sterility is assured. When a BI turns yellow after 24 hours of incubation, this indicates?

biological growth load failure

Lisa is being oriented at a new surgical center. The director states that all of the sterile instrument baskets are not dated for expiration. Lisa assumes that the facility policy in regards to sterile items is?

event related sterility policy

n dealing with needle stick prevention and sharps precautions, the CST must NEVER?

recap needles

A break in sterile technique in which the sterile surgical assistant touches an unsterile IV pole and then touches the sterile field is?

cross-contamination

John, a CST who is setting up for colon resection in room 5, is in the midst of counting with the circulator when the resident comes in the room to inform them that the Surgeon wants to perform a colonoscopy as well as the resection. John knows that the colonoscope is a __________?

a semi-critical item that is not sterile

The difference between sterilization and high level disinfection is that?

one kills all microorganisms & spores, one kills all microorganisms

Glutaraldehyde is a high level disinfectant that can also be used as a sterilant. An item will need to be immersed in CIDEX for ________ to be considered sterile and for _________ to be considered high level disinfected.

10 hours/20 minutes

The disadvantage of using alcohol for disinfection of the skin is that it is?

highly flammable

Decontamination takes place within the sterile field, when the CST?

periodically wipes down instruments with gauze soaked in sterile water

A washer sterilizer renders surgical instrumentation?

safe for reprocessing by CSPD personnel

The ultrasonic cleaner is a piece of equipment that?

uses cavitation to clean instruments

Powered surgical instruments, drills, reamers, and saws should never be?

immersed

The two most common types of folds for wrapping surgical instrument sets for sterilization are?

square & envelope

The minimum temperature for a gravity displacement steam sterilizer is _______________ while the minimum the minimum temperature for a dynamic air removal steam sterilizer is _________.

250F/270F

The Bowie Dick test or the DART tests are used in steam sterilizers to?

air removal and entrapment

The STERRAD sterilization machine uses _____ for sterilization?

hydrogen peroxide

Ethylene Oxide or gas sterilization is one of the most expensive methods used to sterilize items. When using this process a ________ is necessary and ______ is required prior to instrument use.

biological/aeration

In addition to the circulator weighing sponges to account for the amount of blood loss during a surgical procedure, the anesthesiologist might ask the CST in the scrubbed role?

amount of irrigation used

The CST should know that the universal blood donor should have type _____ and the universal recipient should have type _____.

O/AB

Autotransfusion is the reinfusion of the patients own blood by use of the cell saver. This is contraindicated in patients who are _______ and or ________.

diagnosed with cancer/septic

When performing BLS CPR the ratio of chest compressions to rescue breaths for infants, adolescents, and adults is?

30 to 2

Disseminated Intravascular coagulation is a pathological process in which the blood within the entire body begins to clot. The CST needs to be mindful of this complication when dealing with?

obstetric patients

All of the following are warning signs of cardiac arrest except?

bradycardia

The first priority in emergency treatment of a patient is to?

check and maintain the airway

All of the following are Pharmaceutical agents that aid in hemostasis except?

succinylcholine

Dr Smith is in the middle of a procedure and asks the CST for a stick Tie. Miguel the CST who is Scrubbed on the case immediately passes him a?

suture ligature

During the TAH in room 4 the anesthesiologist calls for a unit of autologus blood due to the heavy blood loss. Autologus blood is?

blood that was donated previously by the patient

Carlos the CST scrubbed in on a carpal tunnel release for Dr Jones is preparing the local medication on the sterile field. The circulator prepares to give him 1 % xylocaine with epinephrine, Carlos asks the circulator to please recheck the preference card because?

epinephrine is contraindicated in the digits

In OB/GYN oxytocic drugs are used to induce labor and control uterine hemorrhage. Jack should expect the following medication to be given during the C-Section?

pitocin

Following a bunionectomy, Laura the CST hears the surgeon ask for a medication that will reduce the swelling around the incision site. She should be ready to draw up which of the following medications?

dexamethasone

During vascular surgery the surgeon might request ________ to prevent the formation of blood clots.

heparin

The Neuro surgeon is preparing to perform a craniotomy with evacuation of a subdural hematoma. He orders a diuretic that will help decrease intracranial pressure. Which of the following medications below did he order?

osmitrol

The CST in the circulating role can help prevent patient aspiration during induction by?

performing Sellicks maneuver

The anesthesiologist draws up the induction agent to prepare for the procedure. Gina, the CST in the room, knows that agent is most likely?

propofol

During a MH crisis the CST in the scrubbed role, can assist with treatment of the patient by?

maintaining the sterile field and providing chilled saline lavage

All of the following might be selected by the anesthesiologist as inhaled anesthetic agents except?

propofol

During a CABG procedure the vascular surgeon's preference card might have this medication on it to prevent vasospasms.

papaverine

Once the CST in the scrubbed role receives the medication on the sterile field and reads the medication label allowed and agrees with the circulating RN on the strength, dose, and type of medication. The CST's next step is to?

label medication

Doug the CST in room 5 knows that all of the following medications in room 5 can be given parenteraly except?

thrombin

The surgeon asks Pablo for peanuts on the field for his inguinal hernia operation. Pablo knows that peanuts are counted and come in sets of ______________and are used for _________.

five, blunt dissection

Jose the CST scrubbed in for the lumbar laminectomy, knows that the following sponges are most commonly used in neurological procedures.

cottonoids

Doug the CST in room 5 is setting up for a laparotomy, he knows he needs a fenestrated drape for the procedure. All of the following are fenestrated drapes except?

split sheet

Jackie is using a Tourniquet in room 3 for her case. The surgeon asks her for an esmarch bandage. The purpose of an esmarch bandage is to?

exsanguinate the extremity

The circulating CST in room 9 applies Sequential compression devices to the patient's legs. The purpose of this application is to?

prevent DVT

The CST in the scrubbed role cleans surgical instruments during the procedure by wiping them with?

sponge soaked in sterile water

In vascular procedures , this catheter would be used to remove an obstructive embolus?

fogarty catheter

At the end of the procedure the surgeon wants to put in an active drain ,all of the following are examples of an active drain except?

penrose

Before the OB/GYN surgical procedure begins the surgeon elects to place a self retaining catheter into the bladder. The best choice from below would be?

foley

All of the following are true about pressure dressing except?

create dead space

The surgical procedure is booked as I&D of a leg abscess, this procedure would have a wound classification of?

Class 4

Juan the CST on call has just completed a gastrostomy feeding tube insertion. During the procedure the stomach was entered without any spillage of contents, the wound classification assigned would be?

Class 2

While performing the excision of a sacral decubitis, the surgeon tells john the CST, "I want this wound to heal by granulation ". John knows this would be healing by?

2nd intention

A day after surgery a postoperative patient's wound has several separated layers. This would be a wound?

dehiscence

On a closure of an infected wound the surgeon request a monofilament non absorbable suture. The best choice for the CST would be?

prolene

The surgeon is working on a patient with severe hand laceration, he requests a fine Neurolon suture to repair the nerve. The CST knows the gauge of the suture should be?

6-0

Dave the CST setting up for a hernia procedure notices a 3-0 vicryl ligature reel on the back table. He informs the circulator to?

add it to the count

The surgeon asks for bolsters for the secondary suture line for closure of the laparotomy. The CST knows that this procedure will require closure with?

retention sutures

During an open appendectomy a purse string suturing technique is used to invert the stump of the appendix. During a laparoscopic appendectomy a__________ is used to cut and staple the base of the appendix.

endoscopic GIA

During an abdominal perineal resection procedure to ends of the intestines need to be anastomosed together. The stapler that would best facilitate this would be the?

EEA

The supine position gives the surgical team access to all of the following except?

lumbar spine

An ulnar nerve injury can be prevented by the following?

pad elbows

The trendelenburg position is used to displace the abdominal contents cephalad to provide better exposure. The CST knows the patient in this position will have his/her head?

downward

To prevent electrical injuries or burns, the patient's body when positioned should?

no part of the body may contact the metal surface of the table

Most OB/GYN procedures require the patient to be positioned in the lithotomy position. This will require extra equipment for this positioning, what is the piece of equipment applicable to this position?

candy cane stirrups

When placing the patient in the lithotomy position, the legs need to be raised ________ to prevent changes in blood pressure.

sinultaneously

In the right lateral position?

the patients right side is placed on the table with the left side exposed

For skin preparation of a closure of a colostomy, the CST is aware that the stoma is considered dirty. In prepping the patient for the procedure the CST in the circulating role should?

use two separate prep kits incision first/stoma second

While draping a patient during a surgical procedure, the CST in the scrub role knows that once a drape has been placed it?

can never be moved to avoid contamination

The CST in the scrub role knows when passing drapes for draping the patient, they should be passed in the?

folded position

To drape an upper or lower extremity the CST in the scrub role might require a_______ to complete the draping process.

stockinette

If the surgeon request a specimen be sent for a frozen section, the CST in the scub role knows that specimen should be placed in __________and sent to the lab _________.

specimen cup with no additive/immediately

The surgical technologist notices the medical resident who is scrubbed in on the case has touch an unsterile IV pole. The CST's best action would be to?

inform resident and tell him to back away from the sterile field

At the end of the procedure if the CST is not required to remain sterile, the CST will remove the drapes from the sterile field by?

rolling drapes ensuring that dressing is held in place

At the end of the procedure the CST in the scrubbed role removes their gown and glove in the following order?

gown/gloves

Flashcards: CST Prep Exam Chapters 1-12