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NCCT-TSC

NCCT Technician in Surgery 2025

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Question: 888


What considerations should be made regarding the storage and handling of surgical instruments to maintain their functionality? (Select All That Apply)


truments should be cleaned immediately after use ruments should be stored in a dry environment ruments should be organized by size and type

truments should be exposed to high humidity to prevent rust er: A, B, C

nation: Instruments should be cleaned immediately after use, stored in a dry environment, an zed by size and type to maintain functionality. High humidity can lead to rust and damage.


ion: 889


ase of a patient experiencing significant hemorrhage during surgery, which hemostatic agen the surgical technologist have prepared for immediate use? (Select All That Apply)


pical thrombin rin sealant

sorbable gelatin sponge n-absorbable sutures


er: A, B, C


nation: Topical thrombin, fibrin sealants, and absorbable gelatin sponges are all hemostatic a

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    suitable for managing hemorrhage. Non-absorbable sutures are not considered a hemostatic agent.


    Question: 890


    What are the key considerations when using Ethylene Oxide (EtO) for sterilization of surgical instruments? (Select All That Apply)


    1. Instruments must be pre-cleaned and dried before sterilization

    2. Ensure proper ventilation in the sterilization area

    3. Use heat-sensitive items only, as EtO does not require high temperatures

    4. Biological indicators should be used to confirm sterilization efficacy Answer: A, B, C, D

    Explanation: All listed factors are important in the EtO sterilization process, including pre-cleaning, ventilation, suitability for heat-sensitive items, and using biological indicators.


    ion: 891


    vent of a contamination incident during a procedure, what actions should the surgical team All That Apply)


    ntify the source of contamination ify the surgeon without delay

    cument the incident in the surgical record

    empt to clean the contaminated area immediately er: A, B, C

    nation: Identifying the source, notifying the surgeon, and documenting are essential actions. pting to clean the area during surgery is inappropriate and could worsen contamination.


    ion: 892


    re the essential considerations when using ethylene oxide for sterilizing surgical instruments All That Apply)


    sure proper ventilation in the sterilization area

    ruments must be pre-cleaned and dried before sterilization ylene oxide sterilization is effective only for metal instruments

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    4. Biological indicators should be used to confirm sterilization efficacy Answer: A, B, D

    Explanation: Proper ventilation, pre-cleaning, and using biological indicators are essential considerations. Ethylene oxide can be used for various materials, not just metals.


    Question: 893

    In a situation where a surgical team uses a Frazier suction tip, what are the advantages of this instrument compared to a Yankauer suction? (Select All That Apply)


    1. Smaller diameter for precise suction

    2. Greater suction power

    3. Ability to suction in confined spaces

    4. Designed for high-volume fluid removal Answer: A, C

    nation: The Frazier suction tip offers a smaller diameter for precise suction and is ideal for ning in confined spaces; however, it does not provide greater suction power than the Yankau


    ion: 894


    vent of a surgical instrument being dropped on the floor, which steps should be taken to ma y? (Select All That Apply)


    it up and continue using it place it with a sterile instrument

    ify the surgical team about the incident

    an and sterilize the instrument before reuse er: B, C

    nation: The instrument should be replaced with a sterile one, and the surgical team should be

    d. Picking it up and reusing it without proper sterilization is not acceptable.


    ion: 895


    a surgical procedure, what steps should be taken to minimize the risk of surgical site infecti

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    During ons

    (SSIs)? (Select All That Apply)


    1. Maintain strict adherence to sterile technique throughout the procedure

    2. Use preoperative antiseptics on the surgical site

    3. Limit the duration of the surgical procedure whenever possible

    4. Allow non-sterile personnel to enter the surgical field for assistance Answer: A, B, C

    Explanation: Adhering to sterile techniques, using antiseptics, and limiting procedure duration are critical

    for minimizing SSIs. Non-sterile personnel should not enter the sterile field.


    Question: 896


    In a situation where a patient develops a hematoma postoperatively, what actions should the surgical team take to manage this complication? (Select All That Apply)


    1. Monitor the site for changes in size and color

      mediately prepare for surgical intervention if necessary cument the findings and report to the surgeon


      er: A, B, C, D


      nation: Monitoring the site, applying ice, preparing for possible surgical intervention, and enting the findings are all essential steps in managing a hematoma.


      ion: 897


      ritical assessments should be conducted when a patient is undergoing surgery with a known lignant hyperthermia? (Select All That Apply)


      view the patient’s medical history for family history of reactions nitor the patient’s temperature continuously during surgery

      pare dantrolene sodium for immediate administration if needed sure the patient is in a hypothermic state before surgery


      er: A, B, C


      nation: Reviewing medical history, monitoring temperature, and preparing dantrolene are cru ng hypothermia is not a standard practice.

      Apply ice to the affected area to reduce swelling

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    Question: 898


    In preparing surgical instruments for sterilization, which of the following sterilization methods would be appropriate for items that are heat-sensitive and cannot withstand high temperatures? (Select All That Apply)


    1. Steam sterilization

    2. Ethylene oxide gas sterilization

    3. Hydrogen peroxide plasma sterilization

    4. Dry heat sterilization Answer: B, C

    Explanation: Ethylene oxide gas and hydrogen peroxide plasma sterilization are suitable for heat-sensitive items. Steam and dry heat sterilization require high temperatures that can damage heat-sensitive materials.


    ion: 899


    ssessing a surgical instrument tray, what should be included in the evaluation to ensure eteness before a procedure? (Select All That Apply)


    rification of all required instruments listed in the surgical plan pection for any visible damage or defects

    nfirmation that all instruments are sterile ecking for redundancy of instruments


    er: A, B, C


    nation: Verifying all required instruments, inspecting for damage, and confirming sterility are steps in evaluating a surgical instrument tray. Checking for redundancy, while it may be us rimary concern.


    ion: 900


    pecific complications should the surgical team be prepared to manage during a C-section? ( at Apply)


    rine atony leading to hemorrhage al distress during delivery

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    3. Infection at the surgical site

    4. Anaphylactic reaction to anesthesia Answer: A, B, C, D

    Explanation: The surgical team must be prepared to manage all listed complications, as they can occur during and after a C-section.

    Question: 901


    What key information should be included when documenting a patient’s transfer from the PACU to the surgical ward? (Select All That Apply)


    1. Patient's vital signs at the time of transfer

    2. Level of consciousness and pain management

    3. Any complications encountered in the PACU


      nation: Vital signs, consciousness level, and complications are critical for safe transfer entation. Patient satisfaction may be noted later but is not essential for the transfer record.


      ion: 902


      mportant factors should be considered when performing a wound closure using staples versu s? (Select All That Apply)


      eed of closure ength of closure

      pe of tissue being closed of materials


      er: A, B, C


      nation: The speed and strength of closure, as well as the type of tissue being closed, are critic when choosing between staples and sutures, while cost can be a consideration but is less cri

      he primary factors.


      ion: 903

      The patient's overall satisfaction with care Answer: A, B, C

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    Quest


    What critical factors should a surgical technologist consider when preparing a specimen for pathology? (Select All That Apply)


    1. The specimen's type and handling requirements

    2. The time elapsed since the specimen was collected

    3. The patient's age and health status

    4. The method of collection and transport Answer: A, B, D

    Explanation: The type and handling requirements of the specimen, the time elapsed since collection, and the method of collection and transport are critical factors. The patient's age and health status are less relevant to specimen handling.


    Question: 904



    vide additional sterile supplies as needed Help isolate the contaminated area

    egate tasks to other team members intain composure and follow protocols


    er: A, B, D


    nation: Providing additional sterile supplies, isolating the contaminated area, and maintaining sure while following protocols are essential actions. Delegating tasks is not typically the sibility of the technologist.


    ion: 905


    aring for a patient in the Post-Anesthesia Care Unit (PACU), which assessments are critica ng patient safety and effective recovery from anesthesia? (Select All That Apply)


    vel of consciousness and orientation level and management effectiveness

    gical site assessment for drainage

    ient's dietary preferences for the next meal


    er: A, B, C

    In a surgical setting, how can the surgical technologist assist in managing complications related to contamination? (Select All That Apply)


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    Explanation: Assessing consciousness, pain levels, and the surgical site for drainage are critical. Dietary preferences can be discussed later in recovery.


    Question: 906


    During terminal cleaning of an operating room, which procedures should be implemented to ensure thorough disinfection? (Select All That Apply)

    1. Use a hospital-grade disinfectant on all surfaces

    2. Clean from the least contaminated to the most contaminated areas

    3. Ensure all surgical instruments are removed before cleaning

    4. Focus only on high-touch areas during cleaning Answer: A, B, C


    ion: 907


    a procedure involving a cardiovascular valve replacement, which factors should be closely ored to ensure patient stability? (Select All That Apply)


    modynamic parameters, including blood pressure and heart rate mperature and fluid balance

    vels of cardiac enzymes postoperatively

    ient's ability to respond to commands during surgery er: A, B, C

    nation: Monitoring hemodynamic parameters, temperature, and fluid balance is critical. Asse siveness during surgery is not appropriate as the patient is typically under anesthesia.

    Explanation: Using a hospital-grade disinfectant, cleaning from least to most contaminated areas, and removing instruments are critical steps. High-touch areas are important but should not be the sole focus.


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