NHA CPCT Practice Test

How to fold linen for open bed?

Fanfold top linens to bottom of bed to allow easy access for patients

What should one document in the EHR?

Any health care provider should only record what they pbserve in during their time with the patient

Who is at ahigher risk for fall?

Older people

How to transfer someone from bed to wheelchair?

Use a gait belt around the waist

OSHA

ensures safe working environment

Where should the right lower limb electrode go in a right leg above knee amputation?

Right lower abdomen

How should problems/concerns be reported?

Through the chain of command

What should you look for in a patient with congestive heart failure?

Edeme any signs of swelling in legs and arms

How should young children be asked to desrcibe pain?

With facial expressions

How should a walker be used?

Should be lifted not dragged on floor. Places 10-18 inches ahead and place body completely within perimeter of walker.

How should linens soiled with person with Clostridium Difficle?

In biohazardous bag

What is the minimum preferred amount for urinalysis?

30 ml

PASS

Pull, Aim, Squeeze, Sweep

RACE

rescue, alarm, contain, extinguish

What should you do if a needlestick injury occurs?

must report and get tested

If regular testing a pateitn should you use personal glucometer or facility?

Facility becuase it is more accurate

How to identify patient?

Name and DOB

How to dispose of urine soiled linens?

In an impermeable bag

Difference in idioventricular and junctional rhythym in EKG?

Idioventricular rhythym has wide QRS

Pressure Ulcer stages

Stage 1: non-blanchable redness

Stage 2: partial thickness loss

Stage 3: full thickness loss, w/o undermining, see fat

Stage 4: 3+ undermining, see tendon, muscle

What should you collect from a baby first?

O2

What does an NG tube cause?

Throat Irritation

Example of internal disaster

Fire

What color top should be collected first for dermal sample?

Lavender Top

What position should you put a patient for a bed ot wheel tranfer using a mechanical lift with sling?

Fowler's

Venipuncture patient is pallid and diaphorectic

syncope

What postion should you keep wrist for someone with lefg side paralysis to put a splint on/

wrist in slight dorsiflexion

Who reimburses cost of hospice?

Medicare and Medicaid

What is a sign of myocardial infarction?

ST elevation, cyanosis, chest pain

what breaks down bilirubin?

UV light

is 190mg/dl good or bad ?

It is hyperglycemia

How should you deal with a angry patinet?

Wait till they are ready to talk

What should you do with a patient with moderate expixatasis?

constant pressure to nose for 10-15 minutes

What should you do before weighing a person?

Check the scale is balanced

What does HIPPA require?

Provider must report communicable disease

What does HIPPA require?

Provider must report communicable disease

Why is a bedside vital machine good?

Allows for immediate easy readings

How should you communicate with patients with developmental dissability?

Ask family members about techniques

What should you do if you get a wrong BP reading?

Deflate completely and redo

Is emotional maltreatment workplace violence?

Yes

How deep should CPR be in adults?

2 inch

What does a vaccince do>

break COI in suscpetible host

When should specimen be labelled?

At time of collection and in front of patient

Dark yellow urine is a sign of?

dehydration

What is spirometry used for?

prevent respiratory issues

the patient has a shellfish allergy

Do not use iodine and use chlorohexidine gluconate

What should you tell a patient who is getting an ambulatory moniter?

The doctor wants to monitor your heart over a ling period of time

What should you avoid when wearing a Holter Monter?

Avoid Metal Detectors

What is the word for thin watery reddish drainage?

Serosanguineous

what should you keep in mind wit urine samples

24 urine samples should be refrigerated

What do large u waves indicate?

low potassium levels

How to clean microorganism and spores?

Use autoclave

What is passicve ROM

dorsifelxion

WHat happens when arm is above heart?

High BP

What is an alternate spot for oximetry for infants?

Big Toe

How to remove peripheral IV catheter?

use gauze over site

How to discharge patient?

escort using a wheelchaor

What is within the scope of practice of PCT

reinforce any teaching

CLIA

Establishes guidelines for operating laboratories

Tube with anticoagulant

invert

What does chain of custody do?

Maintains integrity of sample

is teaching insluine admin out of SOP?

Yes

When to wear gloves?

Wear gloves when you anticipate that contact with blood or other potentially infectious materials, mucous membranes, non intact skin, or potentially contaminated intact skin (e.g., patient incontinent of stool or urine) could occur.

innacurate bp causes?

hand above heart

how to clean medical equipment?

autoclave

a pct is caring for a pt who has died which of the following actions should the pct take

secure any of the pts valuables

a pct is reinforcing teaching with a pt who has a new prescription for albuterol sulfate to be administered via an inhaler. which of the following pt statements indicated an understanding of teaching

i will shake the inhaler well before each use

a pct should recognize that chain of custody is used for which of the following reasons

to guarantee the identification and integrity of samples

a pct is carring for a 4 yr old pt who reports right arm pain. the pt should identify that which of the following methods should be used to measure pain intensity for this pt

ask the child to point to the drawing of the face that matches their pain level

A CPCT is assisting in the care of a patient who has a wound left to heal by way of granulation. How often should this wound be redressed?

Every 24 h

The CPCT has orders to collect blood cultures, CBC, PTT, and an iron pannel. He forgets to draw for the PTT. Which of the following actions should the CPCT take?

Keep the specimens collected and draw the PTT

why would a specimen be wrapped in aluminum foil

to protect the specimen from light

infection control plans is required by what institution

the joint commission

when inserting dentures

replace upper denture before lower denture

when should a patient care tech compare the code on glucose cuvettes to the code on the glucometer

when a patient is being tested

A CPCT is assisting with the care of a patient who is receiving a blood transfusion. Which of the following vital signs should the CPCT report first?

An elevated temperature

what tool attempts to improve patient safety and the quality of health care

lean mathodology

A patient care technician is preparing to preform passive range of motion exercises for a patient. Which of the following motions should the technician preform on the patients elbows?

flexion

A patient care technician is caring for a patient who is at risk for falls. At which of the following times should the technician check and document on this patient

every 1 hour

A patient care technician is assisting a patient who is recovering from abdominal surgery with deep- breathing and couching exercises. Which of the following findings should the technician expect to observe in the patient?

Cleared airway blocked of fluid and mucus

a pct is preparing to clean metal instruments that were used to remove the staples from a pts surgical wound. which of the following actions should a pct take to destroy microorganisms and spores on the metal instruments

place the instruments in an autoclave and steam them under pressure or moist heat

a pct is collecting five tubes of blood during which of the following times should the pct release the tourniquet

within 1 min

a pct is teaching a pt about hipaa regulations which of the following client statements indicates an understanding of the teaching

my provider is required to report if i receive a diagnosis of tuberculosis

my provider is required to report if i receive a diagnosis of tuberculosis

the patient has a large dark brown bowel movement at 1100

a pct is preparing to ambulate a pt who is at increased risk for falls. the pt asks the pct why he has to place a belt around him. what should the pct respond

gait belts are an added safety feature when assisting pts to walk

A patient care technician is caring for a patient who is receiving an enteral feeding via an NG tube. In which of the following positions should the technician place the patient?

Semi fowler's

a pt has difficulty understanding why she needs an ambulatory monitor after having an ekg 48 hours prior. what is an appropriate explanation by the pct

your dr wants to study your heart over a longer period of time

the pct is caring for apt who has a new diagnosis of diabetes mellitus the pt asks the pct to demonstrate how to give an insulin injection which of the following statements should the pct make

i will inform the nurse about your request regarding the injection

which of the following abnormalities is associated with large U waves on the ekg

decreased potassium level

a pct observes a nurse administering a flu vaccine to a pt the technician should identify that the vaccine breaks down which link in the chain of infection

susceptible host

a pct is in the cafeteria during lunch and sees a visitor that appears to be choking which of the following actions should the pct take first

ask the pt is she is able to talk

a pct hs just obtained a 12 lead ekg from a pt when should the pct clean and disinfect reusable ekg equipment

immediately after each pt

a pct is observing a pt who is ambulating using a walker which of the following actions by the pt demonstrates correct technique

the pt advances the walet 25.4-45.7 cm in front of their legs

a pct is caring for four pts which of the following should the pct report to the nurse

a pct who has a blood glucose level of 190 mg/dL

a pct is assisting a nurse to perform an aseptic wound dressing change for a pt who has a strage IV pressure ulcer. which of the following actiosn should the pct take?

don new gloves after removing the soilded dressing

a pct is caring for a 6 year old child which of the following findings should the technician identify as a potential indication of child maltreatment

malnutrition

a pct has just washed his hands and left the room of a pt when he hears another pt calling for help is in contact isolation. which of the following actions should the technician take next?n

put on a gown and gloves

a pct is performing a routine venipuncture for a pt who becomes pallid and diaphoretic which of the following conditions is this patent most likely to experience.

syncope

a pct is preparing a peripheral blood smear on a slide. which of the following actions should the technician take

verify that the smear covers 3/4 of the slide

a pct is weight a pt using a mechanical scale which of the following actions should the pct take

verify that the scale is balanced and the weights are set to zero before weighing the patient