NHA PCT Exam: Practice Test

A pct in a clinic receives a urine sample form a pt who completed a 24 hr urine collection. The tech should ensure that the following condition has been met?

A. The specimen was allowed to stand for 8 hr following the final collection.

B. The final voiding of the 24-hr period was discarded.

C. The patient cleaned the meatus prior to each void.

D. The specimen was refrigerated prior to being returned.

D

A pct is teaching a pt about HIPAA regulations, which of the following client statements indicate an understanding of the teaching?

A. I do not need to give my provider permission to share my health info with my family members

B. My provider is required to report if I receive a diagnosis of tuberculosis

C. If I require an interpreter, my provider cannot share my health info with them

D. If I am injured at work my employer has a right to see my health information

B

A pct is assisting a nurse to insert an indwelling urinary catheter for a pt. After setting up a sterile field, the tech drops the catheter on clean sheets. Which of the following actions should the tech take?

A. Wipe the catheter with sterile gauze

B. Continue the procedure

C. Rinse the catheter with povidone iodine

D. Obtain another sterile kit

D

A pct is recording a pt's output and notes that the pt voided a small amount of dark yellow urine. The pt is flushed and reports dry mouth. The tech should identify that these findings indicate what?

A. Dehydration

B. Frequent urination

C. Adequate fluid intake

D. Urinary incontinence

A

A pct overhears the son of a pt who is terminally ill asking a nurse to keep the diagnosis secret from his father, and the nurse agrees. The tech should recognize that the nurses actions is a violation of which of the following parts of the Patients Bill of Rights?

A. The right to refuse treatment

B. The right to personal safety

C. The right to information about one's condition

D. The right to suggest alternatives to one's care plan

C

A pct received a needlestick injury while performing a venipuncture for a pt. Which of the following actions should the tech take?

A. Attend bloodborne pathogen training

B. Complete an incident report

C. Document the event in the pts medical record

D. Recap the needle and dispose of it

B

A pct is assisting with the admission of a pt who has hearing loss. Which of the following actions should the tech take when communicating with this pt?

A. Speak to the patient in a raised voice.

B. Sit next to the patient when speaking to her.

C. Write questions and instructions on a notepad for the patient.

D. Overenunciate words when speaking to the patient.

C

A pct is caring for a 6 year old. Which of the following should the tech identify as potential indication of child maltreatment?

A. Malnutrition

B. Outgoing temperament

C. Parent asks frequent questions about child care

D. Marital conflict between parents

A

A pct is prepping to transfer a non ambulatory pt from a bed to a wheelchair. Which of the following steps should the tech take?

​A. Place the patient in a prone position.

B. Apply transfer belt with the buckle in the rear.

C. Lock the wheels of the wheelchair and the bed.

D. Allow the patient to transfer without assistance.

​C

A pct is transferring a pt from a bed to a wheelchair using a mechanical lift. As the pt is being transferred, the tech should place him in what position?

A. Sims'

​B. Fowler's

​C. Lithotomy

D. Trendelenburg

B

A pct is caring for a pt who has stage III pressure ulcer. Which of the following should the tech expect from this?

A. The area forms a blister, and the epidermis peels away or cracks open.

B. The subcutaneous fat is visible, and there is drainage from the wound.

C. The area appears as reddened skin that does not return to its initial color after pressure is removed.

D. The damaged tissue extends all the way through the tissues to the muscle.

B

A pct is caring for a pt on bedrest. Which of the following actions should the tech take to prevent a pressure ulcer from forming?

A. Reposition the patient at least every 2 hr.

B. Apply lotion to the patient's skin every 4 hr.

C. Raise the head of the patient's bed to 45°.

D. Limit the patient's daily fluid intake to 35 oz.

A

What rhythm is this?

A. Multifocal atrial tachycardia

B. Atrial fibrillation

C. Wandering Atrial pacemaker

D. Atrial flutter with variable conduction

B

A pact is preparing to ambulate a pt who is at increased risk for falls. The pt asks the tech, "Why do you have to place a belt around me?" The tech should say:

A. "A gait belt is used to assist patients out of bed when a mechanical lift is unavailable."

B. "The facility requires a gait belt to be used on all patients."

C. "Gait belts are an added safety feature when assisting patients to walk."

D. "Gait belts are used for patients who are unable to bear weight on both legs."

C

A pct is performing a routine venipuncture when a pt becomes pallid and diaphoretic. Which of the following conditions is this pt moat likely to experience?

​A. Syncope

​B. Seizure

​C. Nausea

​D. Shock

A

A pct should identify which of the following settings adjusts the height of the EKG waveform on a tracing?

A. Gain control

B. Speed control

C. Stylus

D. Lead selector

A

A pct is caring for a 4 year old who reports right armpit. The tech should identify that which of the following methods should be used to measure pain intensity for this pt?

A. Ask the child to rate their pain on a scale of 0 to 10.

B. Ask the child to point to the drawing of the face that matches their pain level.

C. Ask the child to mark a spot on a line that indicates their pain level.

D. Ask the child to select a word that best describes their pain level.

B

A pct accidentally drops a thermometer and mercury is spilled on the floor. Which actions should the tech take first?

A. Mop the floor with a mercury-specific cleanser.

B. Close the doors to the room.

C. Evacuate the room.

D. Dispose of the mercury according to local regulations.

C

A pct is caring for a pt receiving oxygen at 2L/min nasal cannula. The tech notes that the pts pulse ox is at 91%, what action should the tech take?

A. Report the pulse oximetry level to a nurse.

B. Turn the pulse oximetry machine off.

C. Instruct the patient to take deep breaths.

D. Increase the patient's oxygen level to 3 L/min.

A

Which of the following tasks is within the scope of practice for a pct?

A. Teaching a new wound care technique to a patient

B. Changing a patient's wound care dressing

C. Providing a patient with medication suggestions to promote wound healing

D. Reinforcing teaching about a wound care technique taught to the patient by a nurse

D

A pct is performing P-ROM on a pts ankle, which action should the tech perform?

A. Circumduction

B. Abduction

C. Dorsiflexion

D. External rotation

A

A pct is preparing to transport a pt using a wheelchair. Which of the following actions should the tech take when assissiting the patient OOB?

A. Have the patient push off the bed using his hands when prompted.

B. Place the wheelchair 1 m (3.3 feet) from the patient's bed.

C. Place the wheelchair on the patient's weaker side.

D. Instruct the patient to place his arms around her neck for support.

A

A pct is caring for pts when a fire alert is activated. The tech should identify that the "R" in the RACE stands for

A. Run

B. React

C. Report

D. Rescue

D

Which of the following EKG findings differentiates accelerated idioventricular rhythm from junctional rhythm?

A. Accelerated idioventricular rhythm has P waves.

B. The ventricular rate in accelerated idioventricular rhythm is slower than junctional rhythm.

C. Junctional rhythm has P waves.

D. Accelerated idioventricular rhythm has wide QRS complexes.

D

A pct is assisting a pt who is post op following abdominal surgery and has a prescription for deep breathing and coughing exercises. Which of the following actions should the tech take?

A. During the exercises, have the patient place a pillow over the incisional area.

B. Place the patient in a prone position during the exercises.

C. During the exercises, have the patient sit with her hands at her side.

D. Have the patient sit with her head resting on the overbed table during the exercises.

A

A pct is teaching a patient how to use a Holter monitor. Which statement should the tech use?

A. "Record all activities and symptoms in a diary only if you are having chest pain."

B. "Metal detectors should be avoided when wearing the monitor."

C. "Stop using prescribed medications while the monitor is in use."

D. "Showering is allowed while wearing the monitor."

B

A pct has just washed his hands and left the room of a pt when he hears another pt calling for help. The tech notes that the pt calling for help is in contact isolation. What should they do next?

A. Put on a gown and gloves.

B. Enter the patient's room to provide assistance.

C. Find the technician assigned to the patient.

D. Ask the patient if he needs assistance.

A

A pct is caring for 4 clients. The tech should identify which of the following pts is at greatest risk of falling?

A. A 60-year-old patient who has moderate burns to his upper body

B. A 55-year-old patient who has diabetes mellitus

C. An 86-year-old patient who is 4 hr postoperative

D. A 34-year-old patient who is 6 hr postoperative

C

A pct is providing palliative care to a pt. The pts family expresses feelings of anger and hopelessness. Which of the following actions should the tech take?

A. Explain that anger is the first coping mechanism everyone experiences during grief.

B. ​Refer the family to the charge nurse.

C. Recommend that the patient talk to social services.

D. ​Listen when the family is ready to talk.

D

A pct is obtaining a bilirubin specimen from a newborn who is 1 day old with jaundice. Which action should they take to insure integrity of the specimen?

A. Turn off ultraviolet light

B. Clean puncture site with betadine

C. Obtain specimen from bend of arm

D. Place specimen into a warmer immediately after collection

A

Which of the following is the best method to prevent internal or external bleeding from the venipuncture site after needle is removed?

A. Apply pressure to prevent leakage of blood into the tissues.

B. ​Have the patient bend the arm at the elbow to reduce bleeding.

C. ​Apply a hot pack to the site if swelling or discoloration occurs.

D. Apply pressure to the site while removing the needle.

A

A pct should identify that, according to CDC's standard precautions, gloves are required for which of the following tasks?

A. Obtaining a patient's vital signs

B. Handling linen that is soiled with blood

C. Feeding a patient who had a stroke

D. Dressing a patient who needs complete assistance

B

A pct should identify that the Patients Bill of Rights guarantees pts what?

A. Insurance coverage for health care services

B. Legal advice for malpractice concerns

C. Sharing of health care information with their family members

D. Involvement in making decisions about their care

D

A pct is assisting a nurse to apply a hand-wrist immobility splint for a pt who has left sided paralysis due to stroke. The tech should identify that the splint will secure the pt's hand and wrist in what position?

A. Wrist in slight dorsiflexion

B. Fingers in an extended position

C. Fingers rotated slightly in an external position

D. Thumb kept in close proximity to the index finger

A

A pct is caring for a pt who states, "I'm in so much pain. I feel like I'm dying." Which of the following responses should the tech make?

A. "You should be realistic. You're not dying, so the pain shouldn't be that bad."

B. "I know how you feel. My back has been hurting all day long, and I have to work another shift."

C. "I'm on my way to lunch. I'll send in the charge nurse so you can let her know you're in pain."

D. "I'm sorry you're in so much pain. Can you tell me where your pain is located?"

D

A pct is caring for a NG tube pt. What should the pct expect from this?

A. Throat irritation

B. Diarrhea

C. Swollen abdomen

D. Nausea

A

A pct is caring for 4 pts, which pt should be prioritized?

A. A patient who has a blood glucose level of 190 mg/dL.

B. A patient who has a blood glucose level of 90 mg/dL.

C. A patient who has a blood glucose level of 100 mg/dL.

D. A patient who has a blood glucose level of 130 mg/dL.

A

Which of the following tubes should be collected first for dermal samples?

A. Lavender top

B. Green top

C. Red top

D. Light blue top

A

A PCT should recognize that which of the following is the purpose of CLIA?

A. To protect patient information

B. To establish quality standards for laboratory testing on human specimens

C. To provide clinical laboratory education

D. To create and promote clinical and laboratory practices

B

A patient care technician is collecting a blood culture specimen from a pt who is allergic to shellfish. Which topical antiseptic should be use to cleanse pt skin prior to venipuncture?

A. Hydrogen peroxide

B. Chlorhexidine gluconate

C. Povidone-iodine

D. Isopropyl alcohol

B

A pct is caring for a pt experiencing moderate epistaxis. What do they do?

A. Instruct the patient to sit up and tilt their head back.

B. Place the patient in semi-Fowler's position.

C. Cover the nose for 2 min with a sterile dressing soaked in an antiseptic.

D. Apply constant pressure to the nose for 10 to 15 min.

Instruct the patient to sit up and tilt their head back. The technician should have the patient sit up and lean forward slightly while applying direct pressure by pinching the nose.

Place the patient in semi-Fowler's position. The technician should have the patient sit up and lean forward slightly while applying direct pressure by pinching the nose.

Cover the nose for 2 min with a sterile dressing soaked in an antiseptic. Covering the nose with a dressing soaked in an antiseptic will not aid in stopping the bleeding, because the blood will quickly soak the dressing.

Apply constant pressure to the nose for 10 to 15 min. The technician should apply pressure to the patient's nose by pinching the nose for 10 to 15 min to allow adequate clotting.

A pt is A&O, but the pct finds all the waveforms are negative in Lead I. The tech should check the cable connections for what limb electrodes?

Left leg and right leg

Left arm and left leg

Right arm and left leg

Right arm and left arm

Left leg and right leg The right leg electrode does not participate in any lead. It acts as a ground.

Left arm and left leg The left arm and left leg electrodes form Lead III.

Right arm and left leg The right arm and left leg electrodes form Lead II.

Right arm and left arm The right arm and left arm electrodes form Lead I. The cable connections might be reversed, which can cause negative waveforms.

A pct attended a hospice care seminar. What statement indicates the tech is educated on hospice care?

"The cost of hospice care is reimbursed by Medicare or Medicaid."

"Many hospice agencies do not require patients to have a primary caregiver."

"An immediate family member must accept responsibility for the patient's care."

"Hospice care covers curative therapies prescribed by the health care provider."

"The cost of hospice care is reimbursed by Medicare or Medicaid." The technician should understand that the full cost of hospice care is reimbursed by Medicare or Medicaid.

"Many hospice agencies do not require patients to have a primary caregiver." Many hospice agencies require patients to have a primary caregiver.

"An immediate family member must accept responsibility for the patient's care." The interdisciplinary team, as well as the patient's family, can accept responsibility for the patient's care.

"Hospice care covers curative therapies prescribed by the health care provider." The goal of hospice care is not curative in nature. Its aim is to relieve pain and control symptoms of the disease.

A pct is performing ostomy care for a pt. What should they do first?

Cut an opening in the center of the wafer.

Measure the opening of the stoma.

Apply a protective skin barrier near the stoma.

Cleanse the skin around the stoma with warm water.

Cut an opening in the center of the wafer.

Measure the opening of the stoma.

Apply a protective skin barrier near the stoma.

Cleanse the skin around the stoma with warm water.

A pct is caring for a pt who needs their urine output measured and recorded hourly. Which of the following instructions should the tech give to the pt?

"Leave the urine in the container for me to measure at the end of the shift."

"Void into the specimen collection device that I have left for you."

"Clean the perineum with a povidone-iodine solution before urinating."

"Place the container back into the refrigerator after you have voided."

"Leave the urine in the container for me to measure at the end of the shift." The technician should empty the bedpan or urinal immediately after use and record the amount of urine after each void.

"Void into the specimen collection device that I have left for you." The technician should give the patient a calibrated specimen container to accurately measure the amount of urine after each void.

"Clean the perineum with a povidone-iodine solution before urinating." The technician should give this instruction to a patient who will be collecting a clean-catch midstream urine specimen.

"Place the container back into the refrigerator after you have voided." The technician should give this instruction to a patient who is preparing to perform a 24-hr urine specimen collection.

A pct is providing postop care for a pt who has been prescribed antiembolism stockings. Which should the pct do?

Remove the patient's stockings once every 24 hr.

Turn the patient's stockings inside out before applying.

Ensure that the patient's toes are covered by the stockings.

Encourage the patient to partially roll the stockings down at least twice daily.

Remove the patient's stockings once every 24 hr. The technician should remove the stockings at least once per shift.

Turn the patient's stockings inside out before applying. The technician should turn the stockings inside out to make application easier.

Ensure that the patient's toes are covered by the stockings. The technician should ensure that the patient's toes are accessible through the distal opening of the stockings to allow for circulation checks.

Encourage the patient to partially roll the stockings down at least twice daily. The technician should not encourage the patient to partially roll the stockings down, because rolling the stockings down can cause vasoconstriction.

A pct has obtained a specimen that must remain at body temp when transported to the lab for processing. What actions should the tech take?

Wrap the specimen in aluminum foil.

Put the specimen in a double layer of biohazard bags.

Place the specimen in a warming device.

Leave the specimen in a light-blocking, insulated container.

Wrap the specimen in aluminum foil.

Put the specimen in a double layer of biohazard bags.

Place the specimen in a warming device.

Leave the specimen in a light-blocking, insulated container.

A pct is observing a newly hired tech who is disinfecting items. In which situation is the newly hired tech making an object medically aseptic?

The technician uses standard precautions when rinsing a bedpan.

The technician uses soap to clean a resident's bath basin after use.

The technician uses sterile gloves when changing a patient's colostomy bag.

The technician uses a chemical cleanser to prepare a shower chair for reuse.

The technician uses standard precautions when rinsing a bedpan.

The technician uses soap to clean a resident's bath basin after use.

The technician uses sterile gloves when changing a patient's colostomy bag.

The technician uses a chemical cleanser to prepare a shower chair for reuse.

A pct has just obtained a EKG from a pt. When should the tech clean and disinfect the EKG equipment?

At the end of each day

Immediately after each patient

At the beginning of each shift

Once per week

At the end of each day

Immediately after each patient

At the beginning of each shift

Once per week

A pct is caring for a pt who has died. What action should the tech take?

Request an autopsy to examine the body.

Declare the patient legally dead.

Place the body in the prone position.

Secure any of the patient's valuables.

Request an autopsy to examine the body.

Declare the patient legally dead.

Place the body in the prone position.

Secure any of the patient's valuables.

Which of the following actions should the pct take when discharging a pt?

Review self-care procedures with the patient's family.

Inform the patient of any follow-up appointments.

Answer any questions regarding medications.

Escort the patient using a wheelchair.

Review self-care procedures with the patient's family.

Inform the patient of any follow-up appointments.

Answer any questions regarding medications.

Escort the patient using a wheelchair.

A pct is assisting a nurse to perform an aseptic wound dressing change for a pt who has a stage IV pressure ulcer. Which action should the tech take?

Don new gloves after removing the soiled dressing

Place new dressing

Dispose of dressing in trash can

Use sterile gloves to remove

Don new gloves after removing the soiled dressing

Place new dressing

Dispose of dressing in trash can

Use sterile gloves to remove

A pct is collecting 5 tubes of blood. During which of the following times should the tech release the tourniquet?

After the collection is complete

While the last tube is filling with blood

Within 1 min

Within 2 to 3 min

After the collection is complete If the technician releases the tourniquet after the collection is complete, it can increase the risk for hematoma and excessive bleeding.

While the last tube is filling with blood If the technician releases the tourniquet while the last tube is filling with blood, hemoconcentration might occur.

Within 1 min The technician should release the tourniquet within 1 min to ensure the most accurate results and to help prevent patient injury.

Within 2 to 3 min If the technician releases the tourniquet within 2 to 3 min, hemoconcentration might occur.

A pct is measuring a pts blood pressure. The tech should identify that which of the following situations can result in an inaccurate reading?

The cuff deflates at a constant, steady rate.

The cuff bladder is centered over the patient's brachial artery.

The patient's arm is above the level of the heart.

The aneroid needle is calibrated to zero

The cuff deflates at a constant, steady rate.

The cuff bladder is centered over the patient's brachial artery.

The patient's arm is above the level of the heart.

The aneroid needle is calibrated to zero

A pct is caring for a pt who has an indwelling cath, how often should the tech empty the draining receptacle?

Every 24 hr

Every 16 hr

Every 8 hr

Every 12 hr

Every 24 hr

Every 16 hr

Every 8 hr

Every 12 hr

A pct is prepping to perform documentation in a pts electronic health record. What is appropriate documentation?

The technician on the previous shift reports giving the patient a bath at 1600.

The patient has a large, dark brown bowel movement at 1100.

The patient will receive an enema at 1700.

The patient is upset because the nurse from the previous shift forgot to provide breakfast.

The technician on the previous shift reports giving the patient a bath at 1600.

The patient has a large, dark brown bowel movement at 1100.

The patient will receive an enema at 1700.

The patient is upset because the nurse from the previous shift forgot to provide breakfast.

Which of the following abnormalities is associated with large U waves on the EKG?

Increased sodium level

Increased potassium level

Decreased sodium level

Decreased potassium level

Increased sodium level

Increased potassium level

Decreased sodium level

Decreased potassium level

A pct is assigned to perform hourly, POC glucose testing for a pt who has diabetes mellitus. What should the tech do?

Allow the patient to perform the test using their own glucometer brought from home.

Use the facility's glucometer to perform the glucose tests on the patient.

Perform the test using the glucometer that the patient brought from home.

Alternate hourly testing between the facility's glucometer and the patient's glucometer.

Allow the patient to perform the test using their own glucometer brought from home.

Use the facility's glucometer to perform the glucose tests on the patient.

Perform the test using the glucometer that the patient brought from home.

Alternate hourly testing between the facility's glucometer and the patient's glucometer.

A pct is weighing a pt using a mechanical scale. What action should the tech take?

Verify that the weights are positioned at the patient's estimated weight before the patient steps on the scale.

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

Move the large weight up in 10-lb increments.

Move the small weight up in 5-lb increments.

Verify that the weights are positioned at the patient's estimated weight before the patient steps on the scale.

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

Move the large weight up in 10-lb increments.

Move the small weight up in 5-lb increments.

A pct is in the cafeteria during lunch and sees someone choking. What should they do?

​Perform the abdominal thrust maneuver.

​Ask the visitor if she is able to speak.

​Get the defibrillator and call for help.

​Palpate the visitor's pulse and begin CPR.

​Perform the abdominal thrust maneuver.

​Ask the visitor if she is able to speak. The first action the technician should take is to verify if the visitor is able to speak. If the visitor is unable to speak, her airway is obstructed and emergency treatment is necessary.

​Get the defibrillator and call for help.

​Palpate the visitor's pulse and begin CPR.

A pct is making an open bed for a pt. What should they do?

Fanfold the top linens at the foot of the bed.

Keep the top sheet untucked from the mattress.

Fold the top sheet across the length of the mattress.

Pull the top linens up to cover the full length of the mattress.

Fanfold the top linens at the foot of the bed.

Keep the top sheet untucked from the mattress.

Fold the top sheet across the length of the mattress.

Pull the top linens up to cover the full length of the mattress.

A pct is prepping to clean metal instruments that were used to remove staples from a pts surgical wound. What should they do to destroy the micro-organisms on the metal instruments?

Rinse the instruments under hot tap water for 30 seconds.

Scrub the instruments with a bactericidal solution and let them air dry.

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

Soak the instruments in an iodine solution for 30 min before rinsing them with sterile water.

Rinse the instruments under hot tap water for 30 seconds.

Scrub the instruments with a bactericidal solution and let them air dry.

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

Soak the instruments in an iodine solution for 30 min before rinsing them with sterile water.

A pct is transferring a pt from a bed to a wheelchair using a gait belt. What should they do?

Apply the gait belt while the patient is lying in bed.

Grasp the gait belt on the patient's front.

Stand to the side of the patient during transfer.

Secure the gait belt around the patient's waist.

Apply the gait belt while the patient is lying in bed.

Grasp the gait belt on the patient's front.

Stand to the side of the patient during transfer.

Secure the gait belt around the patient's waist.

A pct is caring for a pt undergoing a stress test in the morning. The tech should expect the pt to receive what instructions?

Wear tight-fitting clothing on the day of the test."

"Eat a light meal 2 hours prior to taking the test."

"Avoid caffeine for 3 days prior to taking the test."

"Wear an underwire bra on the day of the test."

Wear tight-fitting clothing on the day of the test."

"Eat a light meal 2 hours prior to taking the test."

"Avoid caffeine for 3 days prior to taking the test."

"Wear an underwire bra on the day of the test."

A pct documents a pts vital signs using a bedside EHR system. The tech should identify that which of the following is the primary advantage of a bedside EHR system?

It allows family members to view patient information.

It is a back-up for handwritten documentation.

It allows the health care team to document a task before it is completed.

It makes information immediately available to the health care team.

It allows family members to view patient information.

It is a back-up for handwritten documentation.

It allows the health care team to document a task before it is completed.

It makes information immediately available to the health care team.

A pct is prepping to measure the pulse ox of an adult pt who has decreased arterial blood flow. Which of the following locations is the best place to obtain this measurement?

Finger

Forehead

Earlobe

Toe

Finger

Forehead

Earlobe

Toe

A pct has just collected a blood specimen from a pt. What reason should the tech invert the tube after collection that contain anticoagulants?

To encourage the mixing of hemoglobin and plasma

To prevent clotting of the blood

To prevent blood from mixing with the additives

To encourage sedimentation within the collection tube

To encourage the mixing of hemoglobin and plasma

To prevent clotting of the blood

To prevent blood from mixing with the additives

To encourage sedimentation within the collection tube

A pct is participating in a mock disaster at work, what is considered an internal disaster?

A tornado

A factory explosion

A fire

A train crash

A tornado

A factory explosion

A fire

A train crash

A pct should recognize the primary purpose of which agency is to ensure safe work environments?

​CDC

Food and Drug Administration (FDA)

​OSHA

The Joint Commission (TJC)

​CDC

Food and Drug Administration (FDA)

​OSHA

The Joint Commission (TJC)

A pct is caring for a pt who is postop following abdominal surgery and observes thin, watery reddish drainage on wound dressing. The tech should identify that this is what type of drainage?

Serous

Purulent

Sanguineous

Serosanguineous

Serous Serous drainage is clear and watery.

Purulent Purulent drainage is thick and yellow, green, tan, or brown.

Sanguineous Sanguineous drainage is bright red and indicates active bleeding.

Serosanguineous The technician should identify this type of wound drainage as serosanguineous. Serosanguineous drainage is thin, watery, and reddish.

A pct should identify that what PPE should be removed first?

Gloves

Face shield

Mask

Goggles

Gloves

Face shield

Mask

Goggles

A pct is cleaning urine off an exam table, what disposal container should they use?

Trash bag

Red biohazard bag

Impermeable laundry bag

Sharps container

Trash bag The technician should use a trash bag for generally disposable items, such as paper wrappers and packaging. This is not the correct receptacle for a urine-soiled washcloth.

Red biohazard bag The technician should use a red biohazard bag for objects that have been soiled with blood or other potential pathogenic materials. This is not the correct receptacle for a urine-soiled washcloth.

Impermeable laundry bag The technician should dispose of soiled linens, such as a urine-soiled washcloth, in an impermeable laundry bag.

Sharps container The technician should use a sharps container to dispose of used needles and other sharp items like lancets. This is not the correct receptacle for a urine-soiled washcloth.

A pct is observing a pt who is ambulating using a walker, what is the correct pt technique?

The patient advances the walker 25.4 to 45.7 cm (10 to 18 in) in front of their legs.

The walker height is adjusted 10 cm (4 in) below the height of the patient's hips.

The feet should move up to but not inside the perimeter of the walker.

The patient slides, but does not lift, the walker forward.

The patient advances the walker 25.4 to 45.7 cm (10 to 18 in) in front of their legs.

The walker height is adjusted 10 cm (4 in) below the height of the patient's hips.

The feet should move up to but not inside the perimeter of the walker.

The patient slides, but does not lift, the walker forward.

A pct is caring for a pt with pulmonary tb, what PPE should the pct don?

N95 respirator

Gown

Face shield

Goggles

N95 respirator

Gown

Face shield

Goggles

A pct should identify that OSHA guidelines require techs to take which action to prevent needlestick?

Recap needles.

Dispose of needles in a sharps container.

Wear gloves.

Empty the sharps container when it is full.

Recap needles.

Dispose of needles in a sharps container.

Wear gloves.

Empty the sharps container when it is full.

A pct should identify that which of the follow should be reported to the TJC?

Needlestick injury

Sentinel event

Breach of confidentiality

Exposure to blood-borne pathogens

Needlestick injury A needlestick injury should be reported to the Occupational Safety and Health Administration (OSHA).

Sentinel event Sentinel events should be reported to The Joint Commission. Sentinel events are unexpected occurrences that cause death or serious physical or psychological injury to a patient.

Breach of confidentiality A breach of patient confidentiality should be reported to HIPAA.

Exposure to blood-borne pathogens Exposure to blood-borne pathogens should be reported to the Centers for Disease Control and Prevention (CDC).

A pct is caring for a pt who has a developmental disability, what should they do?

Use long phrases when communicating with the patient.

Ask family members about communication techniques that work best for the patient.

Avoid using assistive devices to help the patient perform daily activities.

Rely on the patient's verbal communication to provide information about discomfort or pain

Use long phrases when communicating with the patient.

Ask family members about communication techniques that work best for the patient.

Avoid using assistive devices to help the patient perform daily activities.

Rely on the patient's verbal communication to provide information about discomfort or pain

A pct is caring for a postpartum pt, what should be notified?

Diaphoresis

Vaginal bleeding

Respiratory rate 12/min

Headache with visual disturbance

Diaphoresis

Vaginal bleeding

Respiratory rate 12/min

Headache with visual disturbance

A pct is caring for a pt who has diabetes. The pt asks how to give a insulin injections, what should the tech say?

"I will inform the nurse about your request regarding the injection."

"We should wait for your family because they should also learn about how to give the injection."

"The best time to get the injection is before breakfast, so we can do it at that time."

"I think you should look for information online about how to administer the injection."

"I will inform the nurse about your request regarding the injection."

"We should wait for your family because they should also learn about how to give the injection."

"The best time to get the injection is before breakfast, so we can do it at that time."

"I think you should look for information online about how to administer the injection."

A pct is attending a class about fire safety, what acronyms should the tech remember about it?

OSHA

NIOSH

PASS

RACE

OSHA

NIOSH

PASS

RACE

A pct is performing CPR on a adult pt, what action should they take?

Check for a pulse at the patient's radial artery site.

Give the patient rescue breaths that have a 3-second duration.

Depress 5 cm (2 in) into the patient's chest while performing compressions.

Perform 80 to 90 chest compressions per min.

Check for a pulse at the patient's radial artery site.

Give the patient rescue breaths that have a 3-second duration.

Depress 5 cm (2 in) into the patient's chest while performing compressions.

Perform 80 to 90 chest compressions per min.

A pct is in a hospital concerned about a coworkers unethical behavior, who should they report this to?

The charge nurse

The coworker

State regulatory agency representative

Local law enforcement officer

The charge nurse

The coworker

State regulatory agency representative

Local law enforcement officer

A pct received orders to collect an infant screening card, 02 levels, bilirubin and DNA. What should be collected first?

O2 levels

Bilirubin

DNA

Screening card

O2 levels The technician should attempt to collect the infant's O2 levels when the infant is in a resting state. Collecting specimens might cause the infant to cry, which would affect the infant's O2 levels. Therefore, the technician should collect the specimen for O2 levels first.

Bilirubin The technician should attempt to collect the infant's O2 levels when the infant is in a resting state. Collecting specimens might cause the infant to cry, which would affect the infant's O2 levels. Therefore, the technician should collect the specimen for O2 levels first.

DNA The technician should attempt to collect the infant's O2 levels when the infant is in a resting state. Collecting specimens might cause the infant to cry, which would affect the infant's O2 levels. Therefore, the technician should collect the specimen for O2 levels first.

Screening card The technician should attempt to collect the infant's O2 levels when the infant is in a resting state. Collecting specimens might cause the infant to cry, which would affect the infant's O2 levels. Therefore, the technician should collect the specimen for O2 levels first.

A pct is caring for a pt who has CHF, what findings is reported to the nurse immeidtly?

Changes in appetite and food preferences

​Swelling in the legs and feet

A weight loss of 1 lb in 3 weeks

Increased urinary output

Changes in appetite and food preferences

​Swelling in the legs and feet

A weight loss of 1 lb in 3 weeks

Increased urinary output

A pct is performing a EKG on a pt who is 1 day post op follow a right leg above knee amputation, where should the tech place the right lower limb electrode.

Left lower leg

Right upper limb

Right lower abdomen

Left upper thigh

Left lower leg

Right upper limb

Right lower abdomen

Left upper thigh

A pct is attending a seminar about recognizing workplace violence, the tech should identify what as such?

Emotional maltreatment

A violation of HIPAA

Loss of independence

Failure to delegate properly

Emotional maltreatment

A violation of HIPAA

Loss of independence

Failure to delegate properly

What following action is appropriate in labeling specimens?

Labeling specimens at the time of collection in front of the patient

Specifying the patient's room number, last name, and date of birth on the label

Keeping the specimens in the tray and labeling them in the laboratory

Writing the technician's initials and the time on the label prior to collection

Labeling specimens at the time of collection in front of the patient

Specifying the patient's room number, last name, and date of birth on the label

Keeping the specimens in the tray and labeling them in the laboratory

Writing the technician's initials and the time on the label prior to collection

A pct is monitoring a pt I/O for 24 hrs, what should be immediately reported?

Pale, yellow-colored urine

Amber-colored urine

Urine output 1,400 mL

Urine output 500 mL

Pale, yellow-colored urine Generally, urine is yellow with variations from a pale, straw color to amber color; therefore, this is an expected finding and does not need to be reported to the nurse.

Amber-colored urine Generally, urine is yellow with variations from a pale, straw color to amber color; therefore, this is an expected finding and does not need to be reported to the nurse.

Urine output 1,400 mLThe expected reference range for urine output within a 24-hr period is 750 to 2,000 mL; therefore, this is an expected finding and does not need to be reported to the nurse.

Urine output 500 mL The expected reference range for urine output within a 24-hr period is 750 to 2,000 mL; therefore, the technician should report this finding to the nurse immediately.

A pct is caring for a ileostomy pt, what type of stool is expected

Liquid

Black

Foul-smelling

Soft

Liquid

Black

Foul-smelling

Soft

A pct should recognize the chain of custody is used for what?

To follow methods of collection with samples and data

To guarantee the identification and integrity of samples

To ensure that samples are being disposed of using correct operating procedures

To track the location of samples and data

To follow methods of collection with samples and data

To guarantee the identification and integrity of samples

To ensure that samples are being disposed of using correct operating procedures

To track the location of samples and data

A pct changes linens for a C.diff pt who is soiled, what action should they take?

Double bag the linens and place them in a trash can.

Send the linens for sterilization.

Place the linens in a biohazard linen bag.

Roll the linens and place them in a linen bag.

Double bag the linens and place them in a trash can.

Send the linens for sterilization.

Place the linens in a biohazard linen bag.

Roll the linens and place them in a linen bag.

A pct observes a nurse administering a flu vaccine to a pt, receiving a flu vaccine breaks what link of chain of infection?

A. Susceptible host

B. Portal of entry

C. Infectious agent

D. Method of transmission

A

A pct should identify that which of the following is the min preferred vol of urine in a routine urinalysis?

A. 30 mL

B. 10 mL

C. 60 mL

D. 90 mL

A

A pct is prepping to remove a peripheral IV cath, what following action should the tech take?

Don sterile gloves prior to removing the catheter.

Turn the infusion clamp to the "on" position.

Hold gauze over the site when removing the catheter.

Clean the area with saline before removing the catheter.

Don sterile gloves prior to removing the catheter.

Turn the infusion clamp to the "on" position.

Hold gauze over the site when removing the catheter.

Clean the area with saline before removing the catheter.

A pct is caring for a new pt, what ques should the tech ask the pt to verify identity?

"What is your name and date of birth?"

"What is your phone number and home address?"

"What is your medical record number and Social Security number?"

"What is your room number and your diagnosis?"

"What is your name and date of birth?"

"What is your phone number and home address?"

"What is your medical record number and Social Security number?"

"What is your room number and your diagnosis?"

A pct is prepping to obtain a standard 12-lead EKG, what is the standard EKG paper speed?

1 mm/second

5 mm/second

10 mm/second

25 mm/second

1 mm/second

5 mm/second

10 mm/second

25 mm/second

A pct is caring for a pt who is post op with a incentive spirometry, what should the tech recognize as the reason for the therapy?

To prevent the loss of muscle mass

To reduce the risk for blood clots

To prevent pooling of blood in the lower legs

To prevent respiratory complications

To prevent the loss of muscle mass

To reduce the risk for blood clots

To prevent pooling of blood in the lower legs

To prevent respiratory complications

A pt has difficult understanding why she needs ambulatory monitor after having a EKG 48 hrs prior, what is a appropriate explanation?

"An ambulatory monitor records differently than an EKG."

"Your doctor wants to study your heart over a longer period of time."

"It is standard practice to attach an ambulatory monitor shortly after an EKG."

"I cannot discuss why you have to wear an ambulatory monitor. You'll have to discuss that with your doctor."

"An ambulatory monitor records differently than an EKG."

"Your doctor wants to study your heart over a longer period of time."

"It is standard practice to attach an ambulatory monitor shortly after an EKG."

"I cannot discuss why you have to wear an ambulatory monitor. You'll have to discuss that with your doctor."

A pct is measuring BP of a pt with a left side mascetomy, and deflates the cuff too quickly and does not obtain an accurate reading. Which of the following actions should the tech make?

Partially deflate the cuff and then reinflate it.

Release all of the air from the cuff before retesting.

Measure the blood pressure using the left arm.

Measure the blood pressure using a different cuff.

Partially deflate the cuff and then reinflate it.

Release all of the air from the cuff before retesting.

Measure the blood pressure using the left arm.

Measure the blood pressure using a different cuff.