NBSTSA Surgical Instrumentation and Equipment 3

Question 1

Which instrument is used to clamp, ligate, and divide tubular structures such as vessels and the cystic duct during laparoscopic cholecystectomy?

Accepted Answer

Laparoscopic clip applier

Answer

The laparoscopic clip applier places titanium or polymer clips on tubular structures such as the cystic duct and artery before division during laparoscopic cholecystectomy.

Question 2

The Jackson-Pratt (JP) drain functions as which type of drain?

Accepted Answer

Active closed-suction drain using a collapsible bulb reservoir

Answer

The Jackson-Pratt drain uses a collapsible bulb that, when compressed and capped, creates negative pressure (suction) to actively draw fluid through the perforated drain.

Question 3

Which of the following best describes the proper care of microsurgical instruments?

Accepted Answer

They must be kept separate, handled with extreme care, and never allowed to contact other instruments during processing

Answer

Microsurgical instruments have extremely delicate tips that are easily damaged by contact with other instruments; they must be processed separately and handled with specialized care.

Question 4

During a surgical count, which items are included in the AORN-recommended count protocol?

Accepted Answer

Sponges, sharps, instruments, and miscellaneous items such as vessel loops and bulldogs

Answer

AORN guidelines require counting sponges, sharps, instruments, and any miscellaneous items (e.g., vessel loops, bulldog clamps, umbilical tapes) that could be inadvertently retained.

Question 5

A right-angle (Mixter) clamp is primarily used for which purpose?

Accepted Answer

Passing a ligature or dissecting around tubular structures at a right angle

Answer

The Mixter clamp has jaws bent at a right angle to the shank, allowing the scrub to pass suture or a drain around vessels, ducts, or other tubular structures during dissection.

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

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

NBSTSA Surgical Instrumentation and Equipment 3