CPCT FINAL EXAM(1)

Which of the following manifestations is the first sign of skin breakdown in a patient?

Discoloration

A PCT should identify that a capillary puncture is contraindicated for which of the following patients?

A patient who has edema in the hands

A PCT has an order to collect a specimen for urine culture.Which of the following methods of collection should the PCT use?

Clean- catch midstream

A PCT is caring for a patient who has a prescription for restraints. Which of the following actions should the PCT take?

Check on the patient every 15 minutes

Which of the following is the primary function of a pulse oximeter?

Measure a patient's heart rate and give oxygen

A PCT assists a patient to shave using a safety razor. In which of the following should the PCT dispose of the razor?

A sharps container

A patient who has dementia consistently wanders away from their room in a long- term care facility.Which of the following actions should the PCT take?

Provide a secure environment for the patient to wander

A PCT is providing palliative care (comfort) to an unconscious patient.The PCT should recognize that which of the following senses is the last to leave a dying patient?

Hearing

A PCT has a prescription to collect a routine , clean- catch urine specimen from a patient. Which of the following instructions should the PCT include?

Clean the genital area with the provided towelette and urinate a small amount into the toilet. Then, collect 1 to 2 ounces of urine midstream.

Which of the following identifiers can be used to correctly identify a patient in accordance with The Joint Commission's National Patient Safety Goals?

Assigned ID number

A PCT is caring for a patient who requires the application of anti-embolic stockings each morning.Which of the following should the PCT recognize as the reason for this procedure?

Are applied to deep blood circulating and reduce the risk of deep-vein thrombosis

A PCT is caring for a patient who has received a dose of pain medicine. The patient tells the PCT that she is still feeling pain. Which of the following responses by the PCT is therapeutic?

"How would you describe the pain?"

Which of the following is indicated by an ST segment?

Time interval between ventricular contraction and the beginning of ventricular recovery

Which of the following factors determines whether a child should have his capillary collection by heel stick or finger stick method?

Age & Development

A PCT is monitoring a patient's vital signs. Which of the following blood pressure values should the PCT report to the nurse?

90/70mm Hg

Which of the following actions is within a PCT's scope of practice when providing would care?

Irrigating the wound

A PCT observes swelling at the IV site of a patient who has peripheral IV. Which of the following conditions should the PCT identify as a potential cause of the swelling?

Infiltration of the solution

During a venipuncture, the needle is in the vein and blood flow is established. When the second tube is attached, blood flow stops. Which of the following actions should the PCT take?

Rotate the bevel the needle

A PCT has applied a sequential compression device to a patient. Which of the following should the PCT report to the nurse?

Discoloration in the extremity

A PCT is caring for a patient who has dentures. The PCT should take which of the following actions?

Removing upper dentures first

A PCT should identify that a patient's use of an incentive spirometer after surgery assists with which of the following ?

Preventing pulmonary complications

A PCT has just finished a procedure and all their PPE is visibly clean (no evidence of blood or body fluid).Which of the PPE items should the PCT remove first?

Gloves

The patient compliance with GTT testing, a PCT should...

Confirm the patient is fasting

Which of the following government agencies provides guidelines for preventing and reporting injuries?

OSHA

Which of the following patients requires protective ,or reverse, isolation?

A 10 yr old who is receiving chemotherapy

A PCT is giving a bed bath to a patient and notes a bruise on the patient's upper arm. The patient tells the PCT that the bruise was caused by another PCT during ambulation.Which of the following actions should

Notify the patient's nurse immediately

A PCT should recognize that hematuria is associated with which of the following conditions?

Cystitis

The emergency department sends two nasal swabs from a 7 yr old child influenza and strep. Only one swab has the patient's label on it. Which of the following actions should be taken?

Run test on labeled swab

A PCT discovers a fire on the unit. Which of the following actions should be taken first?

Evacuate patients in the area

The tracing below is an example of which of the following?

Premature ventricular contraction

The following artifact is displayed on the EKG. To resolve this, the PCT should do which of the following?

Inspect electrodes and wires for secure connection

A PCT is transferring a patient from a stretcher to a bed. Which of the following actions by the PCT demonstrates proper body mechanics?

Having wide base support

A PCT has been assigned to draw blood on a 9 yr old patient. Which of the following actions should the PCT take to ease the child's fears related to the procedure?

Explain the procedure and any potential discomfort to the child

A PCT is caring for a patient who has an ostomy. The PCT. The PCT should identify that which of the following can cause skin impairment?

Liquid stool under the appliance

A PCT is caring for a patient who is at risk for skin breakdown. Which of the following actions should the PCT take to prevent this breakdown?

Reposition the patient every 2 hours

A PCT's hand is accidentally exposed to a patient's blood. Which of the following actions should the PCT take?

Wash his hands with soap and water

A PCT is caring for a patient who has a diagnosis of congestive heart failure. The patient has a fluid and sodium restriction, which would indicate which of the following?

Edema

Which of the following causes hemolysis

Vigorously inverting the collection tubes

A PCT is providing general hygiene for a patient who has Clostridium difficile. Which of the following types of precautions should the PCT follow?

Contact

Which of the following describes the purpose of using sequential compression devices after surgery?

Preventing the formation of blood cots

Which of the following should a PCT reference to find a patients recorded intake and output?

Flow or graphic sheet

A PCT assisted a nurse with removal staples from a patient surgical wound. Which of should the PCT take to sterilize the instruments?

Place the instruments in an autoclave and steam them under pressure or most heat

A PCT is caring for a patient and to obtain a stool specimen for parasites. Which of the following actions should the PCT take after obtaining the specimen?

Take the specimen to the laboratory immediately after obtaining it

Which of the following actions should a PCT take when obtaining a 24 hour urine collection from a patient who uses a bedside commode?

Discard the first urination of the collection period

A PCT is assisting with ADL's for a patient who has right - sided weakened following a stroke. Which of the following actions should the PCT take?

Assist the patient with dressing their right side first

A PCT is preparing to use a mechanical scale to weigh an adult patient who uses a walker. Which of the following actions should the PCT take?

Place the walker over the scale for the patient to use as support

Which of the following is the most commonly requested urine test?

Routine urinalysis

Which of the following should the PCT recognize about a stress test?

The test determines whether the heart receives adequate blood flow during exercise

A PCT should recognize that which of the following test specimens should be protected from light?

Bilirubin

A PCT is caring for a patient who has an NG tube and is receiving continuous feeding. Which of the following positions should the patient be placed?

Semi- Fowlers

Prior to performing a capillary (dermal) puncture, the PCT should ...

Select the lancet size

A PCT is performing a venipuncture on a patient and sustains a needle stick injury. Which of the following actions should the PCT take

Contact the supervisor and document the incident

Which of the following information is included on a patient's identification band?

Age

A patient tells a PCT, "I don't like the staff that works overnight here because I ring the bell to get up to go to the bathroom , and nobody ever comes. Please don't tell anyone because I don't want them to ignore me more." Which of the following actions should the PCT take?

Inform the patient that it is the PCT's duty to report their concerns to the supervisor

Which the following artifacts is indicated by the tracing below?

Electrical interference

A patient goes into ventricular fibrillation during an EKG. Which of the following actions should the PCT take?

Alert the emergency response system

Which of the following actions should a PCT take when setting up a sterile field?

Consider a 1 - inch border around the edge of the sterile field as non sterile

A PCT is caring for a patient who is in stable condition. The patient's coworker approaches the PCT and asks about the patients test results. Which of the following responses by the PCT is appropriate?

"You can ask the patient's family"

After completing patient rounding, which of the following actions should a PCT take to ensure the patient's safety?

Leave the call light within the the patient's reach

At which of the following times does rigor mortis occur in a patient who has died?

2- 4 hrs after death

Which of the following findings should a PCT recognize as a risk elder abuse?

Patient has decreased strength and mobility

While assisting the nurse , which of the following procedure requires sterile technique?

Inserting a urinary catheter

A PCT is preparing to transfer a client from a bed to a wheelchair . Which go the following actions should the PCT take?

Move the patient to the side of the bed

Following the blood draw, a patient begins to twitch and shake, and her eyes roll back into her head. The PCT should ...

Observe the patient and help protect against injury

Which of the following information does OSHA require to be included on a Safety Data Sheet (SDS)?

First Aid measures

A PCT decides to look in a patient's chart from another unit to determine the patient's diagnosis. Which of the following torts has the PCT committed.

Invasion of privacy

Which of the following tests in a noninvasive method is use to monitor the percentage of hemoglobin carrying oxygen throughout the tissues?

Pulse oximetry

When caring for a patient who has an ostomy, which of the following observations should a PCT report to the nurse?

The stoma is pale in color

A PCT notices new bruises on an older adult patient. Which of the following actions should the PCT take?

Notify the RN

A PCT is entering the room of a patient who has influenza. Which of the following precautions should the PCT use?

Airborne

A PCT is preparing to perform basic CPR for an unresponsive patient. The PCT does not have a face shield or automated external defibrillator (AED) with them. Which of the following actions should the PCT take?

Provide hands- only CPR immediately

A PCT is reinforcing teaching with a patient who has an order for an EKG. Which of the following statements by the patient indicates the understanding of the procedure.

"I should feel no pain or discomfort from the procedure."

Which of the following is designed to prevent development of deep vein thrombosis in a patient in a patient who is postoperative?

Sequential compression device

Which of the following is the regular paper speed of an EKG machine?

25mm/ second

Which of the following task is within the scope of practice of a PCT?

Supervising a newly certified PCT

Which of the following actions should a PCT take when caring for a patient who has a feeding tube?

Keep the head of the bed elevated 30 degrees

A PCT is setting up a sterile field for a patient who needs a dressing change. Which of the following actions by the PCT is contraindicated?

Picking up the handle of the Kelly forceps that are beyond the edge of the sterile field

A PCT is caring for a patient who has an abdominal incisions dressing that is saturated with thick, green drainage. The PCT should identify that this which of the following types of drainage?

Purulent

A PCT is performing venipuncture on a patient. Which of the following two acceptable patient identifiers must be verified to ensure that the PCT has the correct patient?

The Patients full name and DOB

A PCT is assigned to a patient who has scabies. Which of the following precautions should the PCT follow when providing care to this patient?

Contact

A PCT is assigned to collect a chemistry panel and coagulation studies. Which of the following specimen tubes should the PCT draw first?

Light Blue

A PCT is preparing to perform a phlebotomy procedure on a patient. Upon entering the room, which of the following actions should the PCT take first?

Introduce himself and explain his clinical role

A PCT is removing a patient indwelling urinary catheter. The PCT should recognize that all the water should be removed from the catheter's balloon, because it can cause which of the following?

Injury to the urethra

A PCT is caring for a patient who is sweating. The PCT should use which of the following terms to communicate this finding?

Diaphroesis

A PCT is assigned to a new patient. Which of the following actions should the PCT take when meeting a patient for the first time?

Ask the patient what they would like to be called

A PCT is entering the room of a new patient. Which of the following actions should;d the technician take first?

Verify the patient's identification band

A PCT is caring for a patient who is on fall precautions. The patient is acting confused, crawling out of bed, and roaming around his room. Which of the following actions should the PCT take?

Notify the charge nurse

A PCT is preparing to perform a heel stick on an infant. Which of the following actions should the PCT take?

Warm infant's heel using warm, damp washcloth

A PCT is caring for a patient who has an order for restraints. How often should the restraints be released?

Every 2 hrs

The Tracing below is an example of which of the following?

Atrial Flutter

When collecting laboratory specimens, which of the following protocols requires a PCT to be involved in a process that involves witnesses, signatures, and detailed tracking?

Chain of Custody

A PCT is caring for a patient who is deaf and nonverbal. The patient appears to be in pain. The PCT should evaluate the patient's pain using which of the following methods?

Using FACES scale 1 to 5

Which of the following patients might require adaptive devices to perform ADL's?

A patient who has a cerebrovascular accident

Which of the following statements describes the use of disinfectants?

Disinfectants can be used to clean inanimate objects

Anti- embolism stockings are used to decrease the potential for which of the following?

Thrombophelbitis

A PCT should notify the nurse to conduct a safety minder device assessment, for which of the following patients?

A patient who attempts to move the IV line

The duties of a PCT include

Greeting and instructing patients

A PCT is caring for a terminally ill patient. The PCT walks into the patient's room and finds the patient and their family members crying. Which of the following actions should the PCT take?

Provide Privacy

A PCT is caring for a patient who has undergone a total abdominal hysterectomy. The patient has just returned to her hospital from the recovery room. Which of the following actions should the PCT take?

Have the patient use a pillow while doing coughing and deep breathing exercises

A PCT is caring for a patient who has respiratory rate of 30/min. Which of the following terms should the tech use to describe the patient's breathing pattern when reporting the vital signs to the nurse?

Tachypnea