NHA PCT- Review 1

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

A decreased potassium level

A patient care technician is assigned to perform hourly, point-of-care testing for a patient who has diabetes mellitus. Which of the following actions should the technician take?

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

A patient care technician is weighing a patient using a mechanical scale. Which of the following actions should the technician take?

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

A patient care technician is in the cafeteria during lunch and sees a visitor that appears to be choking. Which of the following actions should the technician take first?

Ask the visitor if she is able to speak

A patient care technician is making an open bed for a patient. Which of the following actions should the technician take?

Fanfold the top linens at the foot of the bed

A patient care technician is preparing to clean metal instruments that were used to remove the staples from a patient's surgical wound. Which of the following actions should the technician take to destroy micro-organisms and spores on the metal instruments?

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

A patients care technician is transferring a patient from a bed to a wheelchair using a gait belt. Which of the following actions should the technician take?

Secure the gait belt around the patient's waist

A patient care technician is caring for a patient who is to undergo an exercise stress test the next morning. The technician should expect the patient to receive which of the following instructions?

Eat a light meal 2 hours prior to taking the test

A patient care technician documents a patient's vital signs using a bedside electronic health record (EHR) system. The technician should identify that which of the following is the primary advantage of a bedside EHR system?

It makes information immediately available to the health care team

A patient care technician is preparing to measure the pulse oximetry of an adult patient who has decreased arterial blood flow. Which of the following locations is the best place to obtain this measurement for a patient who has this condition?

If a patient has a decreased arterial blood flow, the forehead is the fastest and most accurate location to obtain a pulse oximetry reading.

A patient care technician has just collected a blood specimen from a patient. For which of the following reasons should the technician invert the collection tubes that contain anticoagulants immediately following a blood collection

To prevent clotting of the blood

A patient care technician is participating in a mock disaster situation at work. Which of the following should the technician identify as an example of an internal disaster

A fire

A patient care technician should recognize that it is the primary purpose of which of the following agencies to provide guidelines that ensure safe work environments

OSHA

A patient care technician is caring for a patient who is postoperative following abdominal surgery and observes thin, water, reddish drainage on the wound dressing. The technician should identify that which of the following terms is used to describe this type of drainage?

serosanguineous

A patient care technician should identify that which of the following pieces of personal protective equipment (PPE) should be removed first

gloves

A patient care technician is cleaning urine off of an examination table. Which of the following disposal containers should the technician use to dispose of a urine-soiled washcloth?

Impermeable laundry bag

A patient care technician is observing a patient who is ambulating using a walker. Which of the following actions by the patient demonstrates correct technique?

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

A patient care technician is preparing to care for a patient who has pulmonary tuberculosis. Which of the following pieces of personal protective equipment should the technician put on before entering the patient's room?

N95 respirator

A patient care technician should identify that OSHA guideline require technicians to take which of the following actions to prevent needlestick injuries during venipuncture?

dispose of needles in a sharps container

A patient care technician should identify that which of the following incidents should be reported to The Joint Commission (TJC)

Sentinel events

A patient care technician is caring for a patient who has a developmental disability. Which of the following actions should the technician take?

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

A patient care technician is caring for a postpartum patient. For which of the following findings should the technician notify the nurse?

Headache with visual distrubance

A patient care technician is caring for a patient who has a new diagnosis of diabetes mellitus. The patient asks the technician to demonstrate how to give an insulin injection. Which of the following statements should the technician make?

I will inform the nurse about your request regarding the injection

A patient care technician is attending a class about fire safety. which of the following acronyms should the technician use to remember how to operate a fire extinguisher

PASS

A patient care technician in a hospital is concerned about the unethical behavior of a coworker. To which of the following people should the technician report his concern?

The charge nurse

A patient care technician receives orders to collect an infant screening card, O2 levels, bilirubin, and DNA. Which of the following should be collected first?

O2 levels

Which of the following actions is appropriate when labeling specimens

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

A patient care technician is caring for a patient who has congestive heart failure. Which of the following findings should be reported to the nurse immediately?

Swellings of the legs and feet

A patient care technician should recognize that chain of custody is used for which of the following reasons

To guarantee the identification and integrity of samples

A patient care technician is performing an EKG for a patient who is 1 day postoperative following a right leg above-the-knee amputation. In which of the following places should the technician place the right lower limb electrode?

Right lower abdomen

A patient care technician should identify that which of the following is the minimum preferred volume of urine for a routine urinalysis?

30 mL

A patient care technician is attending a seminar about recognizing workplace violence. The technician should identify which of the following as an example of workplace violence

Emotional maltreatment

A patients care technician is caring for a patients who has significant hearing loss.Which of the following actions should the technician take to communicate with the patient?

Use a picture board to provide instructions

A patient care technician should identify which of the following structures of the heart is immediately affected if a sinoatrial (SA) node fails?

Atrioventricular node

A patient care technician has been monitoring a patient's intake and output for the past 24 hr. Which of the following findings should the technician report to the nurse immediately?

Urine output 500 mL

A patient care technician is caring for a patient who has a stage II pressure ulcer. Which of the following findings should the technician expect

Blister-like appearance

A patient care technician is caring for a patient who has an ileostomy. Which of the following types of stool should the technician expect to observe in the ostomy pouch?

Liquid

A patient care technician should identify that which of the following is the most commonly used paper speed for and EKG machine

25 mm/sec

Which of the following assistive devices should a patient care technician use to improve vertebral alignment in a patient who is immobile?

Bed board

A patient care technician is changing linens for a patient who has clostridium difficile and whose bed is soiled with stool. Which of the following actions should the technician take?

Place the linens in a biohazard linen bag

A patient care technician should identify that patients benefit from the use of electronic health record (EHR) systems in which of the following ways?

The patient receives improved coordination of care.

A patient care technician observes a nurse administering an influenza vaccine to a patient. The technician should identify that receiving an influenza vaccine breaks which of the following links in the chain of infection?

susceptible host

A patient care technician should identify that which of the following represents the first link in the chain of infection

Infectious agent

A patient care technician must invert anticoagulant tubes to prevent which of the following?

clotting

A patient care technician is preparing to remove a patients peripheral IV catheter. Which of the following actions should the technician plan to take?

Hold gauze over the site when removing the catheter.

A patient care technician should identify that which of the following provides residents in long-term care facilities with the right to be free of physical or psychological abuse?

Omnibus Budget Reconciliation ACT (OBRA)

A patient care technician is caring for a new patient. Which of the following questions should the technician ask the patient to verify their identity?

What is your name and date of birth?

How frequently should a patient care technician disinfect an EKG machine?

After every use

A patient care technician is preparing to obtain a standard 12-lead EKG. The technician should identify that which of the following is the standard EKG paper speed

25 mm/second

A patient care technician should identify that a health care facility's infection control program is required by which of the following institutions?

The Joint Commission (TJIC)

A patient care technician is caring for a patient who is postoperative and has been prescribed incentive spirometry. The technician should recognize that the provide prescribed this therapy for which of the following reasons?

To prevent respiratory complications

For which of the following procedures should a patent care technician use sterile technique

inserting a straight catheter

A patient has difficulty understanding why she needs an ambulatory monitor after having an EKG 48 hr prior. Which of the following is an appropriate explanation by the patient care technician?

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

If a patient who has influenza is coughing, a patient care technician should understand that the cough is which of the following links in the chain of infection?

Mode of transmission

A patient care technician is measuring the blood pressure of a patient who has a left-sided mastectomy. The technician deflates the cuff too quickly and does not obtain an accurate reading on the right arm. Which of the following actions should the technician take?

Release all of the air from the cuff before retesting.

A patient care technician should identify that which of the following laboratory tests requires chain of custody protocol?

blood alcohol level

A patient care technician is assisting a nurse to change a dressing on a surgical wound. The wound should not have contact with air or oxygen. Which of the following types of dressings should the technician expect the nurse to use?

Occulusive

Which of the following actions should a patient care technician take to help prevent health care-associated infections.

Follow standard precautions when caring for patients who have surgical incisions.

A patient care technician can be instrumental in preventing sentinel events by taking which of the following actions?

Ensuring proper application of all safety reminder devices (SRDs)

A patient care technician is taking a patient's pulse oximetry reading. The technician cannot get the reading to appear on the monitor. Which of the following could be the cause

The patient has a blood pressure of 84/62 mm Hg with cold hands and fingers.

Which of the following provided specific definitions about the scope of practice for patient care technicians?

The state nurse practice acts

A patient care technician is caring for a patient whose daughter is visiting. The daughter asks about the health of the patient's roommate. Which of the following statements by the technician is an appropriate response?

You can ask the patient about his condition

Which of the following can reduce abnormal marks on an EKG tracing that are caused by patient movement or muscle tremors?

Artifact filter

A patient care technician is providing instructions to a newly hired technician about transporting and handling blood specimens. Which of the following instructions should the technician include?

Ensure the blood specimen transport bag has a liquid-tight closure.

A patient care technician is caring for a patient who has a two-piece colostomy system in place. Which of the following actions should the technician take when providing ostomy care?

verify that the stoma is moist and reddish-pink in color.

A patient care technician is monitoring a patient who has severe hypertension. which of the following findings related to the patient's condition should the technician report to the nurse immediately?

The patient's lower limbs shout pitting edema.

A patient care technician is teaching a patient about HiPAA regulations. Which of the following client statements indicates and understanding of the teaching?

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

A patient care technician is caring for a patient who suddenly becomes unresponsive. Which of the following actions should the technician take first.

Tap the patient shoulders and ask, " Are you okay?"

A patient care technician should identify that which of the following settings adjusts the height of the EKG waveform on a tracing

Gain control

A patient care technician is caring for patients when a fire alert is activated. The technician should identify that the "R" in the fire-response mnemoinc RACE stands for which of the following?

Rescue

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

Accelerated idioventricular rhythm has wide QRS complexes.

A patient care technician is assisting with the physical examination of an older adult patient. Which of the following statements by the patient indicates a risk factor for elder abuse.

I live alone, and I don't get many visitors.

Which of the following tubes should be collected first for dermal samles

Lavender top

A patient care technician is preparing to transport a patient via a stretcher. Which of the following actions should the technician take when transferring the patient from a bed to the stretcher?

Raise the patients bed to the same level as the stretcher.

A patient care technician should recognize that which of the following is the purpose of CLIA

To establish quality for laboratory testing on human specimens

Which of the following actions should a patient care technician take when discharging a patient

Escort the patient using a wheelchair.

A patient care technician is caring for a patient who has an ostomy. Which of the following actions should the technician take when providing ostomy care?

Use a toilet paper to wipe around the stoma.

A patient care technician should identify that which of the following incidents should be reported to the Joint Commission (TJC)

Sentinel event

A patient care technician is caring for a patient who requires oral suctioning. Which of the following actions should the technician take?

Limit suctioning to no more than 15 seconds at a time.

a patient care technician receives orders to collect an infant screening card, O2 levels, bilirubin, and DNA. Which of the following should be collected first?

O2 levels

A patient care technician enters the room of a patient who is receiving oxygen and finds the patient's nasal cannula on the floor. Which of the following actions should the technician take?

Obtain a new cannula, connect it, and place it on the patient.

A patient care technician is performing an EKG for a patient who is 1 day postoperaive following a right leg above-the-knee amputation. In which of the following places should the technician place the right lower limb electrode?

Right lower abdomen

A patient care technician is preparing to determine the pulse rate of a patient who has atrial fibrillation. Which of the following methods should the technician use?

Manually, using the apical area

A patient care technician has been monitoring a patient's intake and output for the past 24 hr. Which of the following findings should the technician report to the nurse immediately

Urine output 500 mL

A patient care technician should recognize that chain of custody is used for which of the following reasons?

To guarantee the identification and integrity of samples

A patient care technician is assisting during mealtime with a patient who is at risk for dysphagia. The technician should identify that which of the following foods should be calculated as fluid intake for the intake and output record?

Chocolate pudding

A patient care technician observes a nurse administering an influenza vaccine to a patient. The technician should identify that receiving an influenza vaccine breaks which of the following links in the chain of infection

susceptible host

A patient care technician is reinforcing teaching about using an incentive spirometer with a patient. Which of the following instructions should the technician include?

The goal is to get the ball to rise in the chamber of the incentive spirometer.

A patient care technician is preparing to obtain a standard 12-lead EKG. The technician should identify that which of the following is the standard EKG paper speed

25mm/second

A patient care technician is preparing to assist a patient to ambulate using a gait belt. Which of the following statements should the technician make?

You can support yourself by holding onto my arms

A patient care technician is caring for a patient who is postoperative and has been prescribed incentive spirometry. The technician should recognize that the provider prescribed this therapy for which of the following reasons?

to prevent respiratory complications

A patient care technician has a conflict with another technician. Which of the following actions should the technician take first?

Discuss these concerns with the other technician in private.

A nurse instructs a patient care technician to perform a procedure. The technician then considers whether the procedure is within their scope of practice. Which of the following five rights of delegation is the technician following.

The right task

A patient care technician 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 24hrs

A patient care technician is manually transferring a patient who has right-sided weakness from the bed to the wheelchair. Which of the following methods should the technician use to promote proper body mechanics?

Grasp the back of the transfer belt and have the patient stand using stronger side while lifting with legs and keeping back straight

A patient care technician is changing a patient's bedding and receives a needlestick. Which of the following actions should the technician take first?

Wash the affected area with antimicrobial soap.

A patient care technician is caring for a patient who is in the acceptance stage of the grieving process. Which of the following actions should the technician take?

Stay with the patient and allow them to talk or remain silent.

A patient care technician is caring for a patient who is 8hr postoperative following a repair of a fractured femur. Which of the following vital sign values should the technician report to a nurse?

Blood pressure 180/101 mm HG

A patient care technician is caring for a patient who is at risk for pressure ulcers. Which of the following actions should the technician take?

reposition the patient at least every 2 hr.

A patient care technician has orders to collect blood cultures, CBC, PTT, and an iron panel. He forgets to draw for the PTT. Which of the following actions should the technician take?

Keep the specimens collected and draw the PTT