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NCMA Registered Surgical Tech - Reviews


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Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we are here to help you prepare for test day.



See why our users from 154 countries love us for their exam prep! Including 160 reviews for the NCMA RST exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

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NCMA Registered Surgical Tech - Test Reviews Sample Questions

You have a patient with increased intracranial pressure (ICP). Your goals for this patient should include which of the following?

Correct Answer:
all of the above
when managing a patient with increased intracranial pressure (icp), comprehensive care is crucial due to the delicate balance required in the brain's environment. the goals of treatment are multi-faceted to ensure overall neurological health and to prevent further complications.

the first goal is to maintain icp within normal limits. increased icp can cause brain tissue to compress, leading to severe damage or dysfunction. strategies to manage icp include medication to reduce fluid in the brain, surgical interventions like ventriculostomies, and ensuring the head of the bed is elevated to promote venous drainage.

maintaining a patent airway is also a priority. a clear airway is critical because hypoxia or lower oxygen levels can exacerbate brain swelling and increase icp. airway management might involve positioning, suctioning, or the use of airway adjuncts or mechanical ventilation, depending on the patient’s level of consciousness and respiratory status.

another important goal is to demonstrate normal fluid and electrolyte balance. fluid management in patients with increased icp is delicate; too much fluid can increase icp, while too little can lead to hypotension and reduced cerebral perfusion. electrolyte imbalances, particularly sodium, can also affect brain cell function and fluid balance. careful monitoring and adjustments based on laboratory results are necessary.

avoiding complications secondary to immobility is critical as well. patients with increased icp often have reduced mobility due to decreased consciousness or other neurological impairments. prolonged immobility can lead to complications such as pressure ulcers, deep vein thrombosis, and muscle atrophy. regular repositioning, use of prophylactic anticoagulants, and physical therapy can help mitigate these risks.

lastly, it's important to manage and prevent complications related to a decreased level of consciousness (loc). a reduced loc can affect a patient’s ability to protect their airway and can alter their mental status, making monitoring and interventions for issues like aspiration or delirium necessary. ensuring safety in the environment, regular neurological assessments, and engaging with rehabilitation specialists are essential components of care.

in conclusion, the correct answer to the question is "all of the above" because all these goals are interconnected and essential for the comprehensive management of a patient with increased icp. each goal supports the others, creating a holistic approach to care that addresses both the direct and indirect effects of increased intracranial pressure.

A 65 year old patient has trouble hearing high-frequency sounds. What is the most likely cause?

Correct Answer:
age.


the most likely cause of a 65-year-old patient having trouble hearing high-frequency sounds is age-related hearing loss, also known as presbycusis. this condition is a common form of sensorineural hearing loss that occurs as part of the aging process. high-frequency hearing loss implies that the patient finds it particularly challenging to hear sounds that occur at higher pitches, such as the voices of children or certain consonants in speech, which can make understanding conversations difficult.

presbycusis typically develops gradually, often affecting both ears symmetrically. it is caused by changes in the inner ear and auditory pathways in the brain, which degrade over time due to natural aging and cumulative exposure to loud noises. other contributing factors can include genetics, diet, and overall health conditions like cardiovascular disease, which can also impair blood flow to the auditory system.

the reason high-frequency sounds are often the first to be affected lies in the structure of the cochlea, which is part of the inner ear. inside the cochlea, sound waves are processed by tiny hair cells, which are responsible for converting these waves into electrical signals that the brain interprets as sound. the hair cells that detect higher frequencies are located near the beginning of the cochlea's spiral and are thus more susceptible to damage from loud noises and other environmental factors over a lifetime.

although minor hearing loss is considered a normal part of aging at 65, it is important for individuals experiencing this condition to consult with a healthcare provider or audiologist. these professionals can conduct more comprehensive hearing tests to confirm the diagnosis and rule out other possible causes such as ear infections or head trauma, which can also affect hearing but typically have different underlying mechanisms and treatments.

management of age-related hearing loss might include the use of hearing aids, which can significantly improve the ability to hear and understand speech, particularly in noisy environments. other interventions might involve strategies to better cope with hearing loss, such as lip-reading classes or using assistive listening devices. regular check-ups and hearing evaluations are recommended to monitor the progression of hearing loss and adjust hearing aid settings or other interventions as necessary.