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Certified Surgical Technologist 2025 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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NBSTSA-CST
Certified Surgical Technologist
https://killexams.com/pass4sure/exam-detail/NBSTSA-CST
Question: 44
What is the purpose of covering reconstituted disinfectant solutions when not in
use?
A. The solutions may otherwise become contaminated.
B. The solutions may emit noxious fumes or odors.
C. The solutions may otherwise lose levels of concentration.
D. The solutions may expire more quickly.
Answer: B
The purpose of covering reconstituted disinfectant solutions is that the solutions
may emit noxious fumes or odors. Disinfectant solutions can contain very
powerful odors because they are created from chemical compounds designed to
kill microorganisms. However, noxious odors and fumes from these chemicals
can become overwhelming to staff when left unattended and may be very
uncomfortable for the patient who is recovering.
Question: 45
Which of the following steps is part of the terminal process of cleaning
instruments used in surgery?
A. Disinfection
B. Neutralization
C. Sterilization
D. Both A and C
Answer: D
Disinfection and sterilization are both parts of the terminal process of cleaning
instruments used in surgery. Both disinfection and sterilization involve
eliminating microorganisms that have the potential to cause disease so
instruments may be used again for future procedures. The process follows the
decontamination stage and is done before supplies are stored for use.
Question: 46
What items must the perioperative nurse check to ensure safety during a surgery
that uses electrocautery?
A. The electrosurgical unit is set at the highest setting necessary for the
procedure.
B. The footpad should be located just next to the suction canister for ease of use.
C. The ground pad is in an appropriate location, such as on the back of the elbow.
D. The alarm is turned on and can be heard by those in the room.
Answer: D
The perioperative nurse should ensure that the alarm for the electrocautery unit
has been turned on and can be heard by those in the room. This alarm typically
activates if the ground pad is not working or if the patient is at risk of becoming
burned. The nurse can also check for this by ensuring the ground pad stays dry
during the procedure and that it maintains consistent contact with the patient.
Question: 47
Which of the following factors may have an effect on a patients risk of
developing an infection after a surgical procedure?
A. The patients condition before surgery
B. The state of the surgical wound at closure
C. The route the antibiotics were administered preoperatively
D. Both A and B
Answer: D
Both the patients condition before surgery and the state of the surgical wound at
closure have an effect on the patients risk of developing an infection after a
surgical procedure. Some patients with certain medical conditions are more likely
to develop infections than others; for example, a patient with diabetes may be at
higher risk. A wound that is kept clean during the surgical procedure is less likely
to become infected.
Question: 48
A nurse in the operating room helps the surgeon by using surgical instruments,
providing suturing and handling tissue specimens. The most likely title of this
nurse would be:
A. Scrub nurse
B. RN first assistant
C. Circulating nurse
D. Nurse anesthetist
Answer: B
The most likely title of this nurse would be an RN first assistant. This type of
nurse works in the perioperative setting but may have duties that exceed those of
the circulating or scrub nurse. The RN first assistant usually assists the physician
directly, but their real scope of practice may vary between states.
Question: 49
While administering blood products during a surgical procedure, the nurse notes
that the patient has spiked a fever to 101 degrees, their skin is flushing and their
heart rate has increased. What is the nurses first reaction?
A. Administer oxygen by non-rebreather mask at 10L/min.
B. Call the Blood Bank to verify labeling of the blood products.
C. Check the patients chart to ensure the orders are correct.
D. Stop the transfusion and notify the physician.
Answer: D
The nurses first action is to stop the transfusion and notify the physician. When
giving a blood transfusion, if the patient develops a fever, flushing and becomes
tachycardic, they are most likely having a transfusion reaction. The nurse needs to
notify the physician who placed the order, as well as the Blood Bank; treat the
signs of transfusion reaction; and begin another transfusion, if ordered.

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