NBSTSA Wound Management & Surgical Complications 2

Question 1

Deep vein thrombosis (DVT) prophylaxis for surgical patients most commonly includes:

Accepted Answer

Sequential compression devices (SCDs) and/or anticoagulants

Answer

DVT prophylaxis combines mechanical measures (SCDs) and pharmacologic agents (heparin, LMWH) based on patient risk stratification.

Question 2

Which wound closure material is most appropriate for a highly contaminated traumatic laceration?

Accepted Answer

Delayed primary closure with wet-to-dry dressings

Answer

Highly contaminated wounds should not be closed primarily; delayed primary closure after adequate irrigation and debridement reduces infection risk.

Question 3

A retained surgical sponge identified postoperatively is an example of which category of surgical adverse event?

Accepted Answer

Sentinel event

Answer

A retained foreign body (gossypiboma) is classified as a sentinel event by The Joint Commission — an unexpected occurrence resulting in or risking serious patient harm.

Question 4

Which suture is MOST appropriate for vascular anastomosis because of its minimal tissue reactivity and strength retention?

Accepted Answer

Polypropylene (Prolene)

Answer

Polypropylene (Prolene) is a non-absorbable, monofilament suture with minimal tissue reactivity and permanent strength, ideal for cardiovascular anastomoses.

Question 5

Which complication occurs when blood accumulates in the tissue planes of a surgical wound?

Accepted Answer

Hematoma

Answer

A hematoma is a collection of blood in the wound tissue planes, often from inadequate hemostasis, that can lead to infection or dehiscence if not evacuated.

NBSTSA - National Board of Surgical Technology and Surgical Assisting Practice Test

NBSTSA - National Board of Surgical Technology and Surgical Assisting Practice Test

NBSTSA Wound Management & Surgical Complications 2