CPCT FINAL EXAM

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

Discoloration or redness

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 or catheterized specimen

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 oxygen percentage

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 keep 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

Which of the following actions is within a PCT's scope of practice when providing wound 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 IV 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 should identify that a patient's use of an incentive spirometer after surgery assists with which of the following ?

Preventing pulmonary or respiratory complications/increasing respiratory circulation

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 (glucose tolerance test)testing, a PCT should...

Confirm the patient is fasting

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

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 the PCT take?

Notify the patient's nurse immediately

A PCT should recognize that hematuria (blood in the urine) is associated with which of the following conditions?

Cystitis (Bladder Infection)

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 should identify that which of the following can cause skin impairment?

Liquid stool or moisture 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

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 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

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 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

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

Droplet

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 NOT 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 at least 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?

Diaphoresis

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?

Thromboembolism

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

A patient who attempts to remove 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

A PCT is preparing to empty a patient's indwelling urinary catheter bag. Which of the following is the correct procedure?

Empty the contents into the graduate and record the findings

Which of the following can a PCT do to minimize somatic tremor?

Cover the patient with a blanket

A PCT is performing a venipuncture , and the patient reports a sharp pain radiating down their arm. Which of the following actions should the PCT take?

Pull back on the needle confirm the pain has subsided and continue to draw

A PCT is preparing to insert an indwelling urinary catheter. Which of the following actions should the PCT take?

Open the package and apply the sterile gloves

A patient has a pressure ulcer that has is progressed all the way through the tissues to the muscle. The PCT should identify that this pressure ulcer is which stage?

Stage 4

A PCT is caring for a patient who has cancer. A member of the patients family asks, "When is my mother going to get better?" Which of the following statements by the technician is therapeutic?

"It sounds like you are concerned about your mother's condition ."

Which of the following Is and example of a prosthetic device?

Dentures

A PCT is performing passive range-of-motion exercises for a patient. Which of the following actions is an example of adduction and abduction?

Rotates the patient's hip away from the body and back

Which of the following is an example of passive range- of - motion exercise?

The PCT assists the patient with dorsiflexion on his foot

At which of the following times should a PCT take baseline vital signs?

When a patient is admitted to the facility

A PCT is performing a procedure, and he notices coffee ground emesis on the patient. Which of the following actions should the PCT take?

Save the sample to show the nurse