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Certified Surgical Technologist Practice Test

NBSTSA-CST exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

The CST examination consists of 175 questions- 150 of which are scored. The 25 pretest items (unscored) are randomly distributed throughout the examination for the purpose of analysis and statistical evaluation. The passing score is the
minimum number of questions that must be answered correctly. Candidates should refer to nbstsa.org for the number of questions which must be answered correctly in order to obtain a passing score. Score reports are provided to all candidates who take the examination

Cardiovascular
--------------

- Acute inflammatory disease
- myocarditis
- endocarditis
- pericarditis
- Coronary artery disease
- Acute coronary syndrome

- Cardiac interventions
- Surgical
- revascularization
- valve replacement
- valve repair
- Non surgical/PCI
- Hybrid procedures
- ablation
- TAVR
- Electrophysiology
- Cardiac arrest
- ACLS protocols
- post care
- targeted temperature management [TTM]

- Cardiac tamponade
- Cardiac trauma
- Cardiomyopathies
- hypertrophic
- dilated
- restrictive
- idiopathic
- Dyslipidemia
- Dysrhythmias
- Heart failure
- Acute
- Chronic
- Hypertension
- Hypertensive urgencies or emergencies
- Congenital heart disease
- Structural heart disease
- Syncope
- Postural orthostatic tachycardic syndrome

- Vascular Conditions
- Arterial
- carotid stenosis
- peripheral artery disease
- acute occlusion
- Venous
- stasis
- venous insufficiency
- Aortic syndromes
- dissection
- aneurysm
- occlusion
- Venous thromboembolism (VTE)
- Vascular interventions
- stents
- bypass
- endarterectomy
- Trauma
- Transplant and mechanical circulatory support
- LVAD
- ECMO

Respiratory
-----------

- Pulmonary embolus
- Pulmonary edema
- Acute respiratory distress syndrome (ARDS)
- Respiratory failure
- Air-leak syndromes
- pneumothorax
- Airway obstruction
- angioedema
- mucus plug
- air space-occupying lesions

- Chronic lung disease
- Asthma
- COPD
- Interstitial lung disease
- Sleep apnea
- Pleural effusion
- Pulmonary hypertension
- Pulmonary infectious/inflammatory conditions
- Community-acquired pneumonia
- Empyema
- Hospital-acquired pneumonia
- Ventilator-associated events
- Aspiration

- Pulmonary trauma
- lung contusions
- fractured ribs
- hemothorax
- Pulmonary interventions
- surgical
- stent
- percutaneous

Endocrine
---------

- Adrenal disorders
- Diabetes mellitus
- Diabetic ketoacidosis (DKA)/hyperglycemic hyperosmolar state (HHS)
- Hyperglycemia
- stress-induced
- medication-induced
- Hypoglycemia
- Syndrome of inappropriate secretion of antidiuretic hormone (SIADH)
- Diabetes insipidus
- Thyroid disorders

Hematology / Immunology / Oncology
---------------------------------------

- Anemia
- microcytic
- macrocytic
- Autoimmune diseases
- Coagulopathies
- Hypercoagulable states
- cancers
- DIC
- VTE
- Hypocoagulable states
- thrombocytopenia
- iatrogenic/ medication induced
- Hematologic and solid tumors
- Immunosuppression
- post-transplant
- oncologic
- medication-induced
- Myelosuppression
- neutropenia
- pancytopenia
- thrombocytopenia

- Oncologic emergencies
- tumor lysis syndrome
- electrolyte imbalances
- SVC syndrome
- neutropenic fever
- Immunotherapy and chemotherapy side effects
- pneumonitis
- colitis
- myocarditis

Gastrointestinal
----------------

- Abdominal trauma
- Bowel infarction/obstruction/perforation
- Gallbladder disease
- GI infectious disorders
- GI hemorrhage
- GI motility disorders
- constipation
- diarrhea
- ileus
- gastroparesis

- GI surgeries
- Hepatorenal syndrome
- Liver disease
- hepatitis
- hepatic failure
- Acute liver dysfunction
- Cirrhosis
- Pancreatitis
- Erosive/ulcerative conditions
- GERD
- peptic ulcer
- IBD/IBS

Renal / Genitourinary
---------------------

- Acute kidney failure
- Chronic kidney disease
- Contrast-associated nephropathy
- Fluid and electrolyte imbalances
- Infections
- UTI
- PID
- STIs
- Urogenital/renal trauma

Integumentary
-------------

- Exfoliative skin disorders
- StevensJohnson
- toxic epidermal necrolysis [TEN]
- Infectious skin disorders
- necrotizing fasciitis
- cellulitis
- Intravenous infiltration and extravasation
- Pressure injuries
- Wounds (surgical- nonsurgical- traumatic)

Musculoskeletal
---------------

- Gait disturbance
- spastic gait
- ataxic gait
- Infections
- osteomyelitis
- Rhabdomyolysis
- Fractures and dislocations
- traumatic
- pathologic
- osteoporosis
- Amputations
- Osteoporosis/osteopenia

Neurology
---------

- Encephalopathy
- Intracranial hypertension/herniation syndromes
- Hydrocephalus
- Neurologic infectious diseases
- Neuromuscular disorders
- Seizure disorders
- Space-occupying lesions
- Spinal cord injury
- Stroke
- ischemic
- hemorrhagic
- Traumatic brain injury

Musculoskeletal
---------------

- Gait disturbance
- spastic gait
- ataxic gait
- Infections
- osteomyelitis
- Rhabdomyolysis
- Fractures and dislocations
- traumatic
- pathologic
- osteoporosis
- Amputations
- Osteoporosis/osteopenia

Neurology
---------

- Encephalopathy
- Intracranial hypertension/herniation syndromes
- Hydrocephalus
- Neurologic infectious diseases
- Neuromuscular disorders
- Seizure disorders
- Space-occupying lesions
- Spinal cord injury
- Stroke
- ischemic
- hemorrhagic
- Traumatic brain injury

Psychosocial / Behavioral / Cognitive Health
--------------------------------------------

- Agitation
- Anxiety disorders
- PTSD
- OCD
- fears
- phobias
- Delirium
- Dementia
- Mood disorders
- depression
- Post-ICU syndrome
- Sleep disorders
- insomnia
- Suicidal ideation

Factors Influencing Health Status (risk assessment- prevention- wellness)
--------------------------
- Factors Influencing Health Status (risk assessment- prevention- wellness)
- Advance care planning
- advance directive
- power of attorney
- Prevention and screening
- Primary
- tobacco cessation
- vaccines
- genetic screening
- colon screening
- Secondary
- cardiac rehabilitation
- pulmonary rehabilitation
- Co-morbid risk assessment
- procedural risk assessment

- Caregiver burden
- Palliative care
- symptom management
- Nutrition
- malnutrition
enteral
parenteral nutrition
- Mobility
- immobility
- debility
- falls
- Medical nonadherence
- Maltreatment
- abuse
- neglect
- self-harm
- Social determinants of health
- access to care
- socioeconomic factors
- health literacy
- Failure to thrive

Multisystem
-----------

- Acid-base disorders
- Compartment syndrome
- Shock
- Distributive shock
- anaphylaxis
- neurogenic
- septic
- Hypovolemic shock
- Cardiogenic shock
- Sepsis
- Fever of unknown origin
- Infectious and communicable diseases
- Morbid obesity
- Multisystem trauma
- Pain Management
- Acute pain
- Chronic pain
- Substance use disorder
- Substance withdrawal
- Burns
- MODS
- Solid organ transplant
- Bone marrow transplant
- Stem cell transplant
- Toxic ingestions/inhalations
- Obstetric/gynecologic conditions
- Critical illness polyneuropathy
- Infiltrative disease
- sarcoidosis
- amyloidosis
- End of life (e.g.- transition to comfort care)
- Organ and tissue donation

- Advocacy/Moral Agency
- Caring Practices
- Response to Diversity
- Facilitation of Learning
- Collaboration
- Systems Thinking
- Clinical Inquiry

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Category: Medical & Healthcare
NBSTSA-CST
Certified Surgical Technologist 2026
https://killexams.com/pass4sure/exam-detail/NBSTSA-CST
Question: 1272
You are preparing for a surgical procedure and must ensure that all electrical
equipment is functioning properly. Which of the following checks is most
crucial for preventing electrical hazards?
A. Inspecting the equipment for visible damage only
B. Ensuring all equipment is plugged in correctly and grounding is intact
C. Testing equipment only when there are reported issues
D. Ignoring manufacturer instructions for setup
Answer: B
Explanation: Ensuring all equipment is plugged in correctly and that grounding
is intact is crucial for preventing electrical hazards and ensuring safe operation.
Question: 1273
When performing the surgical scrub, what specific area often requires
additional attention to detail to ensure thorough cleaning?
A. Under the nails
B. The wrists
C. The back of the hands
D. The palms of the hands
Answer: A
Explanation: Under the nails often requires additional attention during the
surgical scrub as it can harbor bacteria and contaminants that need to be
removed.
Question: 1274
In the context of robotic-assisted surgery, which of the following advantages
does this technique offer compared to traditional laparoscopic methods?
A. Enhanced dexterity and precision
B. Increased risk of complications
C. Longer operative times
D. Higher costs
Answer: A
Explanation: Robotic-assisted surgery offers enhanced dexterity and precision
due to the articulated instruments and 3D visualization, which can improve
surgical outcomes compared to traditional laparoscopic methods.
Question: 1275
What should the surgical technologist do if they notice that a patient is
positioned in a way that could lead to pressure ulcers during a lengthy
procedure?
A. Wait until the end of the procedure to make adjustments
B. Inform the anesthesiologist of the concern
C. Adjust the patient's position immediately and safely
D. Document the concern in the surgical notes
Answer: C
Explanation: Adjusting the patient's position immediately is crucial to prevent
the development of pressure ulcers, which can lead to additional complications.
Question: 1276
In preparation for a laparoscopic procedure, which of the following
interventions is essential for maintaining a sterile environment during
instrument setup?
A. All instruments should be placed in a stack for easy access.
B. Instruments should be set up prior to the patient's arrival.
C. All non-sterile team members should be excluded from the room.
D. The scrubbed surgical technologist should avoid touching any non-sterile
items.
Answer: D
Explanation: A scrubbed surgical technologist must avoid touching non-sterile
items to maintain the sterile field and prevent contamination during the
procedure.
Question: 1277
During the removal of surgical drapes post-operation, which of the following
techniques is recommended to minimize the risk of contamination?
A. Pulling the drapes off quickly in one motion
B. Folding the drapes inward towards the patient
C. Removing the drapes from the head of the bed first
D. Allowing the surgical team to assist in a coordinated manner
Answer: D
Explanation: Allowing the surgical team to assist in a coordinated manner
ensures that drapes are removed methodically, reducing the risk of
contamination and maintaining a sterile environment.
Question: 1278
When classifying surgical wounds, which of the following best describes a
wound that is deliberately created under sterile conditions but involves the
entry of a hollow organ into the surgical field?
A. Clean wound
B. Clean-contaminated wound
C. Contaminated wound
D. Infected wound
Answer: B
Explanation: A clean-contaminated wound is created under sterile conditions
but involves entry into a hollow organ, increasing the risk of contamination.
Question: 1279
In a postoperative discussion, the surgical team addresses the need for
improved communication regarding medication administration. What is the
most effective strategy to enhance this communication?
A. Establishing a standardized medication checklist
B. Relying on verbal communication alone
C. Limiting discussion to only the anesthesia provider
D. Ignoring past communication failures
Answer: A
Explanation: A standardized checklist improves clarity and ensures all team
members are aware of the medications administered during the procedure.
Question: 1280
After assembling the sterile instruments for a procedure, the surgical
technologist notices that one of the instruments is not functioning properly.
What should be done next?
A. Ignore the issue and proceed with the surgery
B. Inform the surgeon and prepare to replace it with a new instrument
C. Attempt to fix the instrument during the procedure
D. Wait until the procedure is over to report the issue
Answer: B
Explanation: The surgical technologist should inform the surgeon and prepare
to replace the non-functioning instrument, ensuring that the surgical procedure
can proceed safely and effectively.
Question: 1281
In the event of a sudden drop in the patient�s blood pressure during surgery,
which action should the surgical technologist prioritize to assist the surgical
team effectively?
A. Apply a tourniquet to the limb
B. Initiate cardiopulmonary resuscitation (CPR)
C. Ensure the patient is in a supine position
D. Notify the anesthesia provider immediately
Answer: D
Explanation: A sudden drop in blood pressure can indicate a critical situation.
The surgical technologist should notify the anesthesia provider immediately, as
they can assess the need for interventions such as fluid resuscitation or
medication adjustments.
Question: 1282
When evaluating the effectiveness of sterilization methods, which of the
following indicators provides the most reliable confirmation that an item has
been adequately sterilized?
A. Chemical indicator tape
B. Visual inspection of the item
C. Physical monitoring of sterilizer parameters
D. Biological indicator
Answer: D
Explanation: Biological indicators provide the most reliable confirmation of
sterilization efficacy by demonstrating that viable microorganisms have been
killed during the process.
Question: 1283
During a bilateral oophorectomy, which anatomical structure must be carefully
dissected to avoid hemorrhage?
A. Ovarian artery
B. Ureter
C. Round ligament
D. Fallopian tube
Answer: A
Explanation: The ovarian artery supplies blood to the ovaries and must be
meticulously ligated to prevent significant hemorrhage during oophorectomy.
Question: 1284
A surgical technologist is tasked with setting up a bovie pad for an
electrosurgical procedure. Which of the following is the most critical
consideration to ensure patient safety?
A. Place the pad on an area with excessive hair
B. Ensure the pad is connected to the electrosurgical unit
C. Apply the pad to an area close to the surgical site
D. Make sure the pad is placed on the patient's arm
Answer: B
Explanation: Ensuring that the bovie pad is properly connected to the
electrosurgical unit is critical for effective and safe operation. Incorrect
placement can lead to burns or ineffective coagulation.
Question: 1285
In preparation for a surgical procedure, a surgical technologist is tasked with
calculating the appropriate dosage of a medication based on a ratio of
1:500,000. If the surgeon orders 10 mL of this medication, how many
milligrams does this represent?
A. 0.02 mg
B. 0.1 mg
C. 20 mg
D. 2 mg
Answer: D
Explanation: A 1:500,000 ratio means there is 1 mg in 500 mL. Therefore, in
10 mL, there would be (10 mL � 1 mg) / 500 mL = 0.02 mg, which is incorrect.
The correct calculation should yield 2 mg for 10 mL.
Question: 1286
When preparing to initiate suction during a procedure, what is the most
important aspect the surgical technologist must confirm about the suction
apparatus?
A. That it is turned off until needed
B. That the suction canister is properly connected and secured
C. That it has an adequate supply of sterile fluid
D. That it is located within easy reach of the surgeon
Answer: B
Explanation: Confirming that the suction canister is properly connected and
secured is crucial to ensure the suction apparatus functions correctly when
needed, minimizing delays during surgery.
Question: 1287
As part of the pre-operative checklist, what is the most important aspect to
verify regarding the operating room's suction system?
A. That the suction canister is full
B. That the suction pressure is set to a high level
C. That the suction is located near the surgical table
D. That the suction tubing is free of kinks and obstructions
Answer: D
Explanation: Ensuring that the suction tubing is free of kinks and obstructions
is critical to ensure effective suctioning during the surgical procedure.
Question: 1288
When preparing to assist with suturing, what key aspect must be communicated
to the surgeon regarding the suture material being used?
A. The color of the suture
B. The expiration date of the suture
C. The tensile strength of the suture material
D. The brand of the suture
Answer: C
Explanation: Communicating the tensile strength of the suture material is
crucial as it informs the surgeon about the suitability of the suture for the
specific tissue being closed.
Question: 1289
When a medication dosage is calculated based on BSA and the patient has a
BSA of 1.5 m� with a dosage of 100 mg/m�, what is the total amount of
medication the patient should receive?
A. 150 mg
B. 200 mg
C. 130 mg
D. 120 mg
Answer: A
Explanation: The total dosage is determined by multiplying the BSA by the
dosage per square meter: 1.5 m� � 100 mg/m� = 150 mg.
Question: 1290
Which of the following actions is considered inappropriate when disposing of
contaminated sharps after a surgical procedure?
A. Using a two-handed technique to dispose of needles
B. Placing sharps in a puncture-resistant container
C. Ensuring the container is clearly labeled and accessible
D. Securing the lid of the sharps container tightly
Answer: A
Explanation: A two-handed technique increases the risk of needle-stick injuries;
a one-handed technique should always be used to enhance safety during
disposal.
Question: 1291
Which of the following statements about the use of a Bovie pad during
electrosurgery is most accurate?
A. It can be placed on any part of the body without consequence.
B. Its placement is irrelevant as long as the active electrode is used correctly.
C. It should be applied after the incision is made.
D. It must be placed in proximity to the surgical site for effective grounding.
Answer: D
Explanation: The Bovie pad must be placed in proximity to the surgical site to
ensure effective grounding and minimize the risk of burns or electrical injuries
during electrosurgery.
Question: 1292
When preparing to irrigate a surgical site, which of the following solutions
should be avoided, and why?
A. Normal saline; it is safe and effective
B. Sterile water; it can cause hemolysis of red blood cells
C. Lactated Ringer�s; it is isotonic and safe
D. Dextrose solution; it provides nutrients
Answer: B
Explanation: Sterile water should be avoided for irrigation because it can cause
hemolysis of red blood cells, leading to complications in the surgical site.
Question: 1293
In a case where a surgical team is preparing for a procedure involving a
contaminated field, which infection control procedure is essential to uphold
aseptic technique?
A. Use of sterile saline for irrigation
B. Application of a sterile drape over the site
C. Utilization of non-sterile gloves
D. Frequent changing of the surgical gown
Answer: B
Explanation: A sterile drape is crucial in maintaining an aseptic field to prevent
contamination from the surrounding environment, particularly in contaminated
cases.
Question: 1294
During a surgical procedure, a patient suddenly becomes unresponsive. What is
the first step you should take to ensure the safety of the patient and the
effectiveness of the team response?
A. Assume it is a temporary issue and continue with the procedure
B. Check the patient�s vital signs and alert the surgical team
C. Leave the room to find additional help
D. Wait for the anesthesiologist to respond
Answer: B
Explanation: Checking the patient�s vital signs and alerting the surgical team
immediately is critical for ensuring prompt intervention and maintaining patient
safety.
Question: 1295
In the context of surgical preparation, when utilizing antiseptic solutions for
skin preparation, which of the following statements is most accurate regarding
the use of chlorhexidine gluconate?
A. It should be applied in a circular motion from the incision site outward.
B. It is contraindicated for use in patients with latex allergies.
C. It is effective against both gram-positive and gram-negative bacteria.
D. It requires a 3-minute drying time before draping.
Answer: C
Explanation: Chlorhexidine gluconate is a broad-spectrum antimicrobial agent
effective against a variety of pathogens, making it a preferred choice for
surgical site preparation.
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References

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