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 2025
https://killexams.com/pass4sure/exam-detail/NBSTSA-CST
re preparing for a surgical procedure and must ensure that all electric pment is functioning properly. Which of the following checks is most al for preventing electrical hazards?
nspecting the equipment for visible damage only
nsuring all equipment is plugged in correctly and grounding is intact esting equipment only when there are reported issues
gnoring manufacturer instructions for setup wer: B
anation: Ensuring all equipment is plugged in correctly and that groun act is crucial for preventing electrical hazards and ensuring safe opera
stion: 1273
Question: 1272
You a al
equi cruci
1. I
2. E
3. T
4. I
Ans
Expl ding
is int tion.
Que
When performing the surgical scrub, what specific area often requires additional attention to detail to ensure thorough cleaning?
1. Under the nails
2. The wrists
3. The back of the hands
4. The palms of the hands Answer: A
stion: 1274
context of robotic-assisted surgery, which of the following advantag this technique offer compared to traditional laparoscopic methods?
nhanced dexterity and precision creased risk of complications onger operative times
igher costs wer: A
anation: Robotic-assisted surgery offers enhanced dexterity and precis o the articulated instruments and 3D visualization, which can improv cal outcomes compared to traditional laparoscopic methods.
Explanation: Under the nails often requires additional attention during the surgical scrub as it can harbor bacteria and contaminants that need to be removed.
Que
In the es
does
1. E
2. In
3. L
4. H
Ans
Expl ion
due t e
surgi
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?
1. Wait until the end of the procedure to make adjustments
2. Inform the anesthesiologist of the concern
3. Adjust the patient's position immediately and safely
anation: Adjusting the patient's position immediately is crucial to prev evelopment of pressure ulcers, which can lead to additional complicat
stion: 1276
eparation for a laparoscopic procedure, which of the following ventions is essential for maintaining a sterile environment during ument setup?
ll instruments should be placed in a stack for easy access. struments should be set up prior to the patient's arrival.
ll non-sterile team members should be excluded from the room.
he scrubbed surgical technologist should avoid touching any non-steri s.
wer: D
Document the concern in the surgical notes Answer: C
Expl ent
the d ions.
Que
In pr inter instr
1. A
2. In
3. A
4. T le
item Ans
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?
1. Pulling the drapes off quickly in one motion
2. Folding the drapes inward towards the patient
llowing the surgical team to assist in a coordinated manner wer: D
anation: Allowing the surgical team to assist in a coordinated manner res that drapes are removed methodically, reducing the risk of amination and maintaining a sterile environment.
stion: 1278
When classifying surgical wounds, which of the following best describes a nd that is deliberately created under sterile conditions but involves the
of a hollow organ into the surgical field?
lean wound
lean-contaminated wound
Removing the drapes from the head of the bed first
3. A
Ans Expl
ensu cont
Que
wou entry
1. C
2. C
3. Contaminated wound
4. 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
stablishing a standardized medication checklist elying on verbal communication alone
imiting discussion to only the anesthesia provider gnoring past communication failures
wer: A
anation: A standardized checklist improves clarity and ensures all tea bers are aware of the medications administered during the procedure.
stion: 1280
assembling the sterile instruments for a procedure, the surgical nologist notices that one of the instruments is not functioning properly
should be done next?
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?
1. E
2. R
3. L
4. I
Ans
Expl m
mem
Que
After
tech .
What
1. Ignore the issue and proceed with the surgery
2. Inform the surgeon and prepare to replace it with a new instrument
3. Attempt to fix the instrument during the procedure
4. 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.
event of a sudden drop in the patient�s blood pressure during surger h action should the surgical technologist prioritize to assist the surgic effectively?
pply a tourniquet to the limb
itiate cardiopulmonary resuscitation (CPR) nsure the patient is in a supine position otify the anesthesia provider immediately
wer: D
anation: A sudden drop in blood pressure can indicate a critical situati urgical technologist should notify the anesthesia provider immediatel an assess the need for interventions such as fluid resuscitation or cation adjustments.
Question: 1281
In the y,
whic al
team
1. A
2. In
3. E
4. N
Ans
Expl on.
The s y, as
they c medi
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?
1. Chemical indicator tape
2. Visual inspection of the item
3. Physical monitoring of sterilizer parameters
4. Biological indicator Answer: D
ization efficacy by demonstrating that viable microorganisms have be during the process.
stion: 1283
ng a bilateral oophorectomy, which anatomical structure must be caref cted to avoid hemorrhage?
varian artery reter
ound ligament allopian tube
wer: A
anation: The ovarian artery supplies blood to the ovaries and must be
Explanation: Biological indicators provide the most reliable confirmation of steril en
killed
Que
Duri ully
disse
1. O
2. U
3. R
4. F
Ans Expl
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?
1. Place the pad on an area with excessive hair
2. Ensure the pad is connected to the electrosurgical unit
3. Apply the pad to an area close to the surgical site
wer: B
anation: Ensuring that the bovie pad is properly connected to the rosurgical unit is critical for effective and safe operation. Incorrect ement can lead to burns or ineffective coagulation.
stion: 1285
eparation for a surgical procedure, a surgical technologist is tasked wi ulating the appropriate dosage of a medication based on a ratio of 0,000. If the surgeon orders 10 mL of this medication, how many grams does this represent?
02 mg
1 mg mg
Make sure the pad is placed on the patient's arm Ans
Expl elect plac
Que
In pr th
calc 1:50
milli
1. 0.
2. 0.
3. 20
4. 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
hat it is turned off until needed
hat the suction canister is properly connected and secured hat it has an adequate supply of sterile fluid
hat it is located within easy reach of the surgeon wer: B
anation: Confirming that the suction canister is properly connected an red is crucial to ensure the suction apparatus functions correctly when ed, minimizing delays during surgery.
stion: 1287
art of the pre-operative checklist, what is the most important aspect to verify regarding the operating room's suction system?
When preparing to initiate suction during a procedure, what is the most important aspect the surgical technologist must confirm about the suction apparatus?
1. T
2. T
3. T
4. T
Ans
Expl d
secu need
Que
As p
1. That the suction canister is full
2. That the suction pressure is set to a high level
3. That the suction is located near the surgical table
4. 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 guarantee effective suctioning during the surgical procedure.
Question: 1288
to the
1. T
2. T
3. T
4. T
Ans Expl
cruci speci
Que
When preparing to assist with suturing, what key aspect must be communi surgeon regarding the suture material being used?
he color of the suture
he expiration date of the suture
he tensile strength of the suture material he brand of the suture
wer: C
anation: Communicating the tensile strength of the suture material is al as it informs the surgeon about the suitability of the suture for the fic tissue being closed.
stion: 1289
cated
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?
1. 150 mg
2. 200 mg
3. 130 mg
4. 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.
stion: 1290
ch of the following actions is considered inappropriate when disposing aminated sharps after a surgical procedure?
sing a two-handed technique to dispose of needles acing sharps in a puncture-resistant container
nsuring the container is clearly labeled and accessible ecuring the lid of the sharps container tightly
wer: A
anation: A two-handed technique increases the risk of needle-stick inj
-handed technique should always be used to enhance safety during osal.
Que
Whi of
cont
1. U
2. Pl
3. E
4. S
Ans
Expl uries;
a one disp
Question: 1291
Which of the following statements about the use of a Bovie pad during electrosurgery is most accurate?
1. It can be placed on any part of the body without consequence.
2. Its placement is irrelevant as long as the active electrode is used correctly.
3. It should be applied after the incision is made.
4. It must be placed in proximity to the surgical site for effective grounding. Answer: D
ng electrosurgery.
stion: 1292
When preparing to irrigate a surgical site, which of the following solutions ld be avoided, and why?
ormal saline; it is safe and effective
erile water; it can cause hemolysis of red blood cells actated Ringer�s; it is isotonic and safe
extrose solution; it provides nutrients wer: B
anation: Sterile water should be avoided for irrigation because it can c olysis of red blood cells, leading to complications in the surgical site.
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 duri
Que
shou
1. N
2. St
3. L
4. D
Ans
Expl ause
hem
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?
1. Use of sterile saline for irrigation
2. Application of a sterile drape over the site
3. Utilization of non-sterile gloves
anation: A sterile drape is crucial in maintaining an aseptic field to pr amination from the surrounding environment, particularly in contamin
stion: 1294
ng a surgical procedure, a patient suddenly becomes unresponsive. W irst step you should take to ensure the safety of the patient and the tiveness of the team response?
ssume it is a temporary issue and continue with the procedure heck the patient�s vital signs and alert the surgical team
eave the room to find additional help ait for the anesthesiologist to respond
Frequent changing of the surgical gown Answer: B
Expl event
cont ated
cases.
Que
Duri hat is
the f effec
1. A
2. C
3. L
4. W
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?
is contraindicated for use in patients with latex allergies.
is effective against both gram-positive and gram-negative bacteria. requires a 3-minute drying time before draping.
wer: C
anation: Chlorhexidine gluconate is a broad-spectrum antimicrobial a tive against a variety of pathogens, making it a preferred choice for cal site preparation.
It should be applied in a circular motion from the incision site outward.
It
It
It
Ans
Expl gent
effec surgi

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