CPCT practice test(3)4

A CPCT should recognize which of the following requires an aseptic dressing change:

changing the dressing of a patient who has a superficial decubitus ulcer

When observing a patient's skin integrity, a CPCT should recognize that the first sign of breakdown is:

redness

While working with the automated lab information system, correct input of data is most critical because incorrect data may:

Can be reported to a health care provider

A CPCT is caring for a patient who has an order for Tobrax to be drawn 1 hr after dose. The medication has been ordered for 1100. Which of the following actions should the the CPCT take?

Check with the nurse

Before applying a wrist restraint to a patient, a CPCT should take which of the following actions:

check with the nurse for a restraint orders

The CPCT is measuring a patient's blood pressure. The CPCT should recognize that which of the following could result in an inaccurate reading?

Arm is at the level of the heart

A CPCT is caring for a new patient. Which of the following procedures should the CPCT recognize aseptic technique?

Waste management

Identify the arrhythmia in the tracing below

ventricular tachycardia

Which of the following is a consequence is mislabeling a blood bank specimen?

Transfusion reaction first sign of a fusion reaction regulated temperature

Which of the following statements made by a CPCT, regarding preparation of a peripheral blood smear, indicates the need for further teaching

I will need to press down on the spreader slide to fix the cells on the lower side

A CPCT is caring for several adult patients, which of the following should the CPCT report first?

Temperature 100.5

During a stress test, A CPCT notices the appears to be hyperventilating. Which of the following is an appropriate course of action for the CPCT

check the patient's respiratory rate

A CPCT is caring for a new patient. Which of the following statements made by the patient indicates a need for further teaching regarding HIPAA?

"If necessary, my doctor can release my test results at his own discretion."

A CPCT is caring for four patients. Which of the following findings should the CPCT report to the nurse?

polyuria and a blood glucose of 200

A CPCT is caring for a patient who is to receive continuous tube feedings. The CPCT should place the patient into which of the following positions?

semi-fowler's

A CPCT Is working in a facility when the fire alarm goes off. Which of the following actions should the CPCT take first?

Extinguish the fire

A CPCT Is drawing five blood collection tubes. when should the tourniquet be released?

1 to 2 minutes

Which of the following procedural steps for a finger stick should the CPCT do first?

confirm the correct identity of the patient

Which of the following findings should a CPCT Report to the nurse?

1-year-old patient who has a pulse race of 50

A CPCT is assisting with the care of a patient receiving a blood transfusion. which of the following Vital Signs should they report first?

elevated temperature

A CPCT is to determine the pulse rate of a patient who has atrial fibrillation. which of the following should the CPCT use?

Manually, using the apical area

A CPCT swelling at the peripheral IV site. The CPCT should recognize that which of the following is most likely cause of this finding?

catheter infiltration

A CPCT should recognize which of the following agencies ensures a safe working environment?

OSHA

When a CPCT is Distributing laboratory results to ordering Physicians, which results have priority?

Presurgical

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

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

A CPCT Is instructed to measure a patient's pulse manually. Which of the following actions should the CPCT take?

Locate the radial artery, feel the pulse with index finger and middle finger and count for one full minute

A CPCT is assisting with the care of a patient who is 8 hrs post-operative following a repair of a fractured femur. The CPCT is checking vital signs every 4 hours and notices changes in his vital signs. Which of the following values should be reported to the nurse?

Temperature 99.2, pulse 95, respirations 18, blood pressure 180/101

A CPCT Is drawing blood from a patient and observes red spots. Which of the following is an appropriate action for the CPCT to take?

Apply more pressure to the site

Two CPCT's Are transferring a deceased patient from a bed to mortgage Gurnee. To avoid injury, the CPCT's should use which of the following body mechanics?

Use draw sheet to lift patient

When should the code on glucose curvettes be compared to the code on the glucometer?

when a patient is tested

A CPCT Is collecting a urine specimen and accidentally spills it on the floor. Which of the following actions should the CPCT take to clean up the spill?

Use a disinfectant that contains bleach

A CPCT should recognize that which of the following statements regarding skin preparation for blood culture is correct?

"I will cleanse the area with chlorhexidine gluconate."

A CPCT Is performing an EKG in a hospital setting. The patient becomes unresponsive, stops breathing, and does not have a pulse. Which of the following would be the appropriate first step?

Start chest compressions

The CPCT Is caring for a patient who is unable to void her bladder and is crying in pain. Her attending physician has not yet made rounds and her primary nurse is unavailable. Which of the following actions should the CPCT take?

Report the patients pain to charge nurse

A CPCT is caring for a patient who has anxiety during venipuncture. Which of the following should the CPCT recognize as an appropriate response?

Explain the procedure before beginning the venipuncture

A CPCT Is caring for a patient who is at risk for skin breakdown. Which of the following products should the CPCT use to prevent skin breakdown?

Barrier cream

A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of the following should the CPCT do first?

Call for help and begin CPR

The CPCT is to collect the 2 hr PP glucose by dermal puncture. Upon entering the room, she sees the patient pushing away the overbed table with lunch tray still on it. Which of the following should the CPCT take?

Ask patient if he has eaten within the past 2 hrs

A CPCT is caring for a number of patients following a shift change. Which of the following patients should the CPCT assess first?

Patient who is disoriented

An EKG has a 2mm ST elevation in leads 1, AVL, V5, and V6. what type of infraction would this represent?

Lateral infarction

Which of the following findings on a tracing should the CPCT be most concerned with?

The ST segment elevation

A CPCT Is caring for an adult patient who has a new prescription for albuterol to be administered via inhaler. Which of the following statements by the patient indicates a need for further teaching?

As an adult i don't need to use spacers with my inhaler

To prevent needle sticks during venipuncture,OSHA guidelines require:

Disposing of needles in sharps container

Which of the following action is appropriate when labeling specimens?

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

A CPCT Is obtaining a patient's apical pulse. The CPCT Should measure this post at which of the following locations?

5th intercostal space

A CPCT Is taking a patient's pulse oximetry reading. The CPCT 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 with cold hands and fingers

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

Accelerated idioventricular rhythm has wide QRS complexes

When collecting a multi-draw venous sample, which of the following sites should the CPCT attempt first?

Median cubital

Which of the following Occurs in the pricing below.

Premature junctional complex

A CPCT is caring for a patient with congestive heart failure. which of the following immediately?

Swelling in legs and feet

A CPCT Is assisting with the care of a patient with diabetes mellitus. The CPCT should know that which of the following is a sign of hyperglycemia?

Frequent urination

A CPCT is preparing to draw blood from a patient in the hospital. The patient extends his arm in turns his head away. Which of the following forms of consent does this indicate?

implied consent

A CPCT Observes that a patient has a productive hacking cough. She offers the patient the emesis Basin and tissues. on visualization, the CPCT notices streaks of red tinged sputum. Which of the following actions should the CPCT take?

Ask patient what he ate or drank last

the choice to perform a capillary puncture is best determined by which of the following factors?

Test ordered

A CPCT Should recognize that a patient must avoid deep breathing and coughing after which of the following surgery?

Eye surgery

A CPCT Is caring for a patient who is undergoing a blood transfusion. The CPCT Should recognize that which of the following Vital Signs should be reported to the nurse immediately?

temperature is 102

Industry standard states that needle insertion in the antecubital area should be a:

15 to 30 degree angle

which of the following arrhythmia is represented in the tracing below?

Atrial premature contraction

A CPCT Is collecting a stool specimen from a newly admitted patient. The CPCT Should recognize that which of the following findings could be a sign of an upper gastrointestinal disorder?

Black, tarry stool

A CPCT is preparing to transfer a non-ambulatory patient from a bed to a wheelchair. Which of the following steps should a CPCT take?

locking the wheels of the wheelchair and bed

The CPCT is to perform a venous blood draw on a 91 year old patient. The CPCT Should use which of the following methods:

butterfly needle and syringe

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

Keep the specimen collected and draw the PTT

A CPCT is providing palliative care to a patient. The patient's Family Express his feelings of anger and hopelessness. Which of the following actions should the cpct take?

Listen when the family is ready to talk

A CPCT is in the cafeteria during lunch. A visitor appears to be in respiratory distress. The visitors lips and tongue are swollen. Which of the following actions should the CPCT take?

ask the person if she has any allergies

A CPCT should recognize that the chain of custody Is used for which of the following reasons?

to guarantee the identification and integrity of samples

A patient presents alert and oriented, but a CPCT finds that all the waveforms are negative and lead one. The CPCT should check the cable connections for which of the following limb electrodes?

right arm and left arm

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

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

A CPCT is collecting a patient's sputum specimen. Which of the following actions by the cpct is contraindicated?

Having patient use an alcohol based mouthwash

Some older adult or obese patients may not have accessible antecubital veins. in this situation, the cpct may use which of the following?

dorsal veins

A CPCT is assisting a patient to take self administered medications. The cpct should recognize that which of the following medications should not be crushed:

Enteric coated

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

Apply pressure to prevent leakage of the blood into the tissues

during a routine venipuncture the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient?

Syncope

A CPCT makes a mistake while measuring the patient's blood pressure. which of the following actions should the cpct take?

release all air from the cuff before retesting

A CPCT is transferring a patient using a Hoyer lift from a bed to a wheelchair. As the patient is being transferred, the CPCT should placed him into which of the following positions?

Fowler's

A CPCT detects a u wave, and a patient reports chest pain and discomfort. Which of the following is an appropriate action for the CPCT to take?

Notify the patient's physician

A CPCT must invert anticoagulant tubes to prevent which of the following?

clotting

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

Every 24 hours

A CPCT is caring for a patient who has Hepatitis B. Which of the following precautions should the CPCT take?

standard

Which of the following Actions should a CPCT take when discharging a patient?

Escort the patient using a wheelchair

Does CPCT needs to draw a gtt on a patient and notices an empty breakfast plate on the bedside table. Which of the following actions should the CPCT take?

Ask patient if he has had anything to eat or drank

A CPCT is caring for a patient whose daughter is visiting. The daughter asked about the health of the patients roommate. Which of the following statements by the CPCT is an appropriate response?

'You can ask the patient about his condition"

a CPCTis assisting with the care of a patient who is on strict I and O. How often should the cpct record the patient's I and O?

Every shift

which of the following actions should the CPCT take when preparing to transfer a patient from a bed to a stretcher?

Elevating bed to position equal to height of stretcher

A CPCT is preparing a patient for Hospital discharge. The patient states, " I'm afraid to go back home to my husband." which of the following responses by the CPCT is appropriate?

"Can you tell me if something happened that made you feel unsafe?'

The CPCT is monitoring a patient who has severe hypertension. Which of the following findings related to the patient's condition should the CPCT report to the nurse immediately?

the patient's lower limbs show pitting edema

A CPCT is planning care for a patient who is on contact precautions. When entering the patient's room, the CPCT should apply which of the following:

gown

the atypical vertical projections and an EKG below are likely the result of which of the following:

Pacemaker spikes

using the image below, localize the area of injury:

Anterior wall

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

lavender top dermal is finger stick

A CPCT is performing ostomy care for a patient. Which of the following findings should the CPCT report to the nurse?

Stoma is leaking around the wafer

A CPCT is caring for a patient who had a CVA and is non-ambulatory. which of the following findings should the CPCT report to the nurse immediately?

Change in size and shape of pressure ulcer

A CPCT is changing a patient's bedding and is accidentally stuck with a needle. Which of the following actions should the CPCT take first?

Milk the affected site

What action should the CPCT take to verify the quality of the venipuncture supplies before beginning a blood draw?

inspect the integrity of the needle's seal

A CPCT is caring for a patient who is non-ambulatory. Before manually lifting the patient which of the following factors should the CPCT consider first?

The patient's ability to assist

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

Decrease potassium level

A CPCT observes a hematoma developing at the side of a venous blood draw. The CPCT should:

release the tourniquet and stop the draw

a CPCT received orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which of the following should be drawn first?

O2 levels

A CPCT enters a patient's room and is approached by visitors requesting test results. Which of the following responses by the CPCT is appropriate?

"Im sorry, but i can't give you that information"

Identify the Rhythm in the tracing below:

Atrial fibrillation

A CPCT is an adult patients blood pressure electronically. Which of the following readings should be reported to the nurse?

90/50 mmHg