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CTS Practice Exam B Question and Answers
SKU: | Pages: 64 | Year: 2024
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A surgical technologist is preparing the incision site for the dressing
following a TAH. The patient has developed a hematoma at the incision site....
A surgical technologist is preparing the incision site for the dressing
following a TAH. The patient has developed a hematoma at the incision site.
The surgeon has left the room. Which of the following actions should the
surgical technologist take?
A. Place a pressure dressing.
B. Cover with Dermabond.
C. Steri-Strip the incision.
D. Have the surgeon return.
EXPLANATIONS:(u) A. Although placing a pressure dressing may help the
hematoma from getting bigger, this will not correct the problem.(u) B.
Dermabond is a fibrin glue used to join skin edges without using sutures.(u)
C. Steri-Strips are used to reinforce skin closure and would not help in
eliminating a hematoma.(c) D. The surgeon would need to see the incision
site and evaluate the extent of the hematoma. Some hematomas require
evacuation to prevent infection; others reabsorb and require no further
action. REFERENCE:
Surgical Technology: Principles and Practice, 2009, 5
th Ed., Joanna Kotcher
Fuller, pg. 374
Which of the following is a sign of cardiac arrest?
A. edema
B. convulsion
C. cyanosis
D. hypertension
EXPLANATIONS:(u) A. Edema is not a sign of cardiac arrest. (u) B.
Convulsions are not a sign of cardiac arrest.(c) C. With lack of circulation
(which provides oxygen to tissues) in cardiac arrest, the patient will look blue
(cyanotic).(u) D. Lack of circulation related to cardiac arrest causes a
decrease in blood pressure.REFERENCE:
American Heart Association - CPR Guidelines: www.heart.org
The number of Staphylococcus aureus micro-organisms carried by the
surgical technologist can be drastically reduced by
A. wearing a surgical cap.
B. wearing hospital scrubs.
C. keeping the OR doors closed.
D. a thorough surgical hand scrub.
EXPLANATIONS:(u) A. The surgical cap will keep hair from the surgical area;
staph is found predominantly on the skin.(u) B. The hospital scrubs are there
to keep the employees from bringing micro-organisms from outside the OR
into the surgical environment.(u) C. Keeping OR doors closed helps to keep
micro-organisms outside the room from entering; however, staph is found
predominantly on the skin.(c) D. A thorough surgical hand scrub (followed by
sterile gloves) removes many staph micro-organisms from these skin
1
2
3
surfaces, where they are commonly carried.REFERENCES:
Surgical Technology: Principles and Practice, 2009, 5
th Ed., Joanna Ko
- 64-pages detailed model answer (PDF + online view)
- Clinical reasoning & medication selection justified
- NP-level explanation with key teaching points
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CTS Practice Exam B
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