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WorksheetsPCT Certification Practice Exam 2
Total questions: 125
Worksheet time: 2hrs 4mins
Average temperature is ...
100.4
96.8
98.6
97.0
What is a "normal" blood pressure
120/110 mmHg
120/80 mmHg
100/80 mmHg
140/80 mmHg
Which of the following is a definition of pulse?
Synapses in the patient's brain that keep blood flowing in the body.
The amount of oxygen being transported to body organs.
The pressure of blood pushing against an artery as the heart beats.
The amount of blood being circulated in the body.
What is this position called?
side face
airway position
resting position
recovery position
Which of these is NOT a component of good body mechanics?
communicate with other rescuers while lifting
don't worry about weight of the other person, use proper techniques and you can lift/drag them
maintain good footing
lift with legs, not the back
What is the advantage of using the blanket drag during an emergency evacuation?
only takes 1 rescuer
blankets can usually be found or improvised for
can be done relatively quickly
all are correct
What is the best method to transfer a patient to a stretcher who is already laying in a bed?
slide the patient onto the stretcher by grabbing and moving the sheet they are laying on
use two people to lift the patient out of bed
grab the patient's arms and drag them onto the stretcher
gently drag the patient by the legs onto the stretcher
An immobile patient should be re-positioned at least every ____ hours
4
1
2
3
Which pressure ulcer stage includes exposure of bone, muscle or tendons?
Stage I
Stage II
Stage III
Stage IV
Categorize this pressure injury
Stage 1
Stage 2
Deep Tissue Injury
Unstageable
Sudden drop in blood pressure when a person quickly rises from a lying to sitting position.
Orthostatic Hypotension
Mastectomy
Hypotension
Hypertension
The goals of first aid are
call for help and keep the person warm.
prevent death and prevent injuries from becoming worse.
stay calm and give emergency care.
calm the person and keep by standers away.
Sudden cardiac arrest (SCI) is
the same as stroke.
the sudden stopping of heart action.
the sudden loss of consciousness.
when organs and tissues do not get enough blood.
The signs of sudden cardiac arrest are
no response, no normal breathing, and no pulse.
restlessness, rapid breathing, and a weak pulse.
confusion, hemiplegia, and slurred speech.
dizziness, pale skin, and rapid breathing.
Which pulse is used during adult CPR?
The apical pulse
The brachial pulse
The carotid pulse
The femoral pulse
A person is hemorrhaging from the left forearm. Your first action is to
lower the arm.
apply pressure to the brachial artery.
apply direct pressure to the wound.
tape the dressing in place.
Which is not a sign of shock?
high blood pressure
rapid pulse
rapid respirations
cold, moist, and pale skin
A person in shock needs
rescue breathing
to be kept lying down
clothes removed
the recovery position
A person was burned. There are no complaints of pain. You know that
the burn is minor.
the burn is partial thickness.
the burn is full thickness.
nerve endings are exposed.
If a person has a seizure, you should
place an object between their teeth.
distract the person to stop the seizure.
position the person in bed.
move furniture, equipment, and sharp objects.
If the person has signs of a stroke, position the person in
a chair.
semi-fowler's position.
the recovery position.
a supine position.
Signs and symptoms of shock include low or falling BP, tachycardia, tachypnea, cool,moist, and pale skin, thirst, restlessness, confusion, and possible loss of consciousness.
true
false
Syncope is the
sudden loss of consciousness from nutrients to the brain.
sudden loss of consciousness from an inadequate blood supply to the brain.
The recovery position is used
because it helps keep the airway open.
because it prevents aspiration.
when the person is breathing and has a pulse is not responding.
all of the above.
You find a patient lying on the floor unconscious but breathing and they have a pulse. You should
alert the nurse so they can be assessed for injuries.
sit the patient up to increase circulation.
roll them to their side and place a pillow under their neck.
use a Hoyer lift to pick them up and place them in the bed.
Which one is NOT the main symptom of stroke?
speech not clear (slurred speech)
weakness of upper or lower limbs
dropping eye and mouth (assymetry)
severe chest pain
What is the general rule when weighing the patient
Weigh after breakfast
must be in a gown
Weigh the patient at the same time each day
Include medical equipment
A code status is?
any medical measures needed to save the patient
cardiac or respiratory arrest
The level of medical intervention that the patient wishes to have started
No medical interventions for revival
Which disease requires an Airborne precaution?
Mumps
Measles
Pneumonia
Staphylococci
Which disease requires a droplet precaution?
Meningitis
MRSA
Measles
malaria
When bathing a resident, always wash from:
back to front
cleanest to dirtiest
dirtiest to cleanest
top to bottom
You should wash the eyes:
using only a small amount of soap
with the hottest water the resident can stand
from the outer corner to the inner corner
from the inner corner to the outer corner
Before beginning to bathe the resident, you should ensure the resident's safety by
checking the water temperature
checking the water temperature and asking the resident to verify comfort of water
using only cold water
asking another CNA if the water feels OK
After washing the resident what should you do with the basin?
empty and rinse the basin
leave it for the housekeeping staff to clean
sterilize the basin
empty, rinse and dry the basin
Which of the following lists the six links in the chain of infection in correct order?
Reservoir, Portal of exit, Pathogen, Mode of transmission, Portal of entry, Susceptible host
Pathogen, Reservoir, Portal of exit, Mode of transmission, Portal of entry, Susceptible host
Portal of exit, Reservoir, Mode of transmission, Susceptible host, Portal of entry, Pathogen
Pathogen, Portal of exit, Reservoir, Mode of transmission, Susceptible host, Portal of entry
What is a microorganism?
A foreign object that injures the body
a living body that is not visible to the naked eye
a drug that injures the body
a technique that prevents illness
What is significant about the practice of surgical asepsis?
It is in a sanitary environment
It is in a sterile environment
It uses surgical instruments
It is a clean environment
When wearing PPE, the inside of the gown is considered ______.
sterile
clean
contaminated
A vaccine or immunization is _______________ .
Medication to take when you are sick
Only given to people with an infectious disease
made from small amounts of a weakened or dead germ in order to fight disease
only given by injection
Which type of infection is limited to a specific location in the body and has symptoms that are near the site of infection?
systemic infection
localized infection
healthcare-associated infection
cross-infection
Infection that occurs when pathogens enter the bloodstream and move throughout the body.
systemic infection
localized infection
healthcare-associated infection
An infection acquired within a healthcare setting during the delivery of medical care.
systemic infection
localized infection
healthcare-associated infection
A disease not capable of being spread
communicable disease
contagious disease
non-communicable disease
The physical movement or transfer of harmful bacteria from one person, object, or place to another, or from one part of the body to another
contamination
reinfection
cross-infection
disinfection
Type of transmission that happens by touching the infected person or his secretions
direct contact
indirect contact
fomite
droplet precautions
Which is the first step the HCW should take when cleaning a spill?
HCW should scoop up spill.
HCW should don gloves
HCW should apply disinfectant to spill area
HCW should place absorbing powder on spill
The type of precautions set beyond or in addition to standard precautions for persons who are infected with a certain iinfectious disease
airborne precautions
droplet precautions
transmission-based precautions
contact precautions
alcohol
anticoagulant
thinning solution
clot buster
During venipuncture, the tourniquet should not be left on longer than :
30 seconds
45 seconds
60 seconds
2 minutes
At what angle should a multisample needle be inserted for routine venipuncture?
10 - 20 degrees
15 - 30 degrees
20 - 30 degrees
60 - 90 degrees
What is the correct order for donning P.P.E?
Gown, Gloves, Mask
Gloves, Gown, Mask
Mask, Gloves, Gown
Gown, Mask, Gloves
What is the first step in routine venipuncture?
Cleanse site
Obtain informed consent
Read lab requisition form
Insert needle at 15 - 30 degrees into skin
Which vacutainer tube would be collected for a CBC?
Lavender EDTA
Red clot activator
Light Blue Sodium Citrate
Pink EDTA
An increase in the ratio of formed elements to plasma caused by the tourniquet being left on too long during venipuncture.
Hemoconcentration
Hemolysis
Petechiae
Hematoma
Protecting safety of employees in the workplace
HIPAA
OSHA
Joint Commission
CAP
The P Wave on Ekg/Ecg represents which of the following activities occurring within the heart?
SA node generates electrical impulse;
both atria contract
Impulses reach AV node
Repolarization or recovery of ventricles
Impulses travels from AV node to Bundle of His to right & left bundle branches, down front of heart into Purkinje fibers
What happens during the QRS complex on an Ekg/Ecg strip?
Impulses travels from AV node to Bundle of His & branches off into right & left bundle branches, down front of heart into Purkinje Fibers; ventricles contract
SA Node generates electrical impulse;
both atria contract
Impulse reaches AV node
Repolarization or recovery of ventricles
V1
LEFT side of the sternum, directly across from V1 at the FOURTH intercostal space
LEFT side of the chest, FIFTH intercostal space, midclavicular line
RIGHT side of the sternum at the FOURTH intercostal space
LEFT side of the chest, FIFTH intercostal space, midaxillary line
Which of the following terms best describes a common cardiac arrhythmia characterized by premature heartbeats originating in the atria on Ekg/Ecg?
A-Fib
A-Flutter
PAC's
SA Block
HR: less than 60 bpm
Rhythm: regular
Which of the following terms best describes these observations on an Ekg/Ecg?
Sinus Rhythm
Sinus Arrhythmia
Sinus Bradycardia
Sinus Tachycardia
Which of the following terms describes when everything is normal on an Ekg/Ecg except the rate is greater than 100 bpm?
Sinus arrhythmia
Sinus bradycardia
Sinus tachycardia
Sinus block
The PCT is monitoring the client’s electrocardiography (ECG). What does the P wave on the ECG tracing represent?
Contraction of the atria
Contraction of the ventricles
Depolarization of the atria
Depolarization of the ventricles
A patient is experiencing electrocardiogram changes. Which wave should the PCT recognize as representing ventricular repolarization?
Q wave
R wave
S wave
T wave
The small boxes on ECG paper measure:
1 cm by 0.20 seconds
1mm by 0.20 seconds
1cm by 0.04 seconds
1mm by 0.04 seconds
The big boxes on the ECG paper measure:
5mm by 0.20 seconds
1mm by 0.20 seconds
5mm by 0.04 seconds
1mm by 0.04 seconds
AV node, Bundle of His, SA node, Purkinje fibers, Right & Left Bundle Branches
SA node, AV node, Bundle of His, Right & Left Bundle Branches, Purkinje fibers
SA node, Bundle of His, AV node, Purkinje fibers, Right & Left Bundle Branches
SA node, Bundle of His, Right & Left Bundle Branches, Purkinje fibers, AV node
Protein is an important nutrient because
provides fiber for bowel elimination
needed for tissue growth & repair
helps body use certain vitamins
does not provide calories
Aspiration precautions include
feeding person liquids through straw
positioning person upright after eating for 30 min
check person's mouth before each meal for pocketing
position person in supine position after each meal & snack
The chemical process by which the body breaks down foods to release energy is called_____________________.
anemia
metabolism
homeosasis
dehydration
These statements are about sitz baths. Which is false?
the perineal and rectal areas are immersed in warm water.
sitz baths last 25 to 30 minutes
they clean the perineum, relieve pain, increase circulation, or stimulate voiding.
weakness and fainting can occur
Cold applications
reduce pain, prevent swelling, and decrease circulation
dilate blood vessels
prevent the spread of microbes
prevent infection
What are ADL's defined as ?
Basic needs that an individual has
Basic rights of an individual
Basic tasks that must be accomplished every day for an individual to thrive
Responsibilities of an individual
Activities of daily living (ADLs) include:
toileting
bathing
feeding
all of the above
A teenager has an order for strict I & O's. What should you instruct the teenager to do?
Save all empty cups and containers after eating or drinking for you
Urinate in toilet hat every time she goes to the bathroom
Don't eat or drink anything unless I give it to you
Save all empty cups & containers after eating & drinking, urinate in toilet hat every time she urinates and save it for you to examine/measure
A patient presents with increased urgency, lower abdominal pain and cloudy urine, which of the following is likely their diagnosis:
UTI
kidney stone
diabetes mellitus
kidney failure
Under whose direction does a Patient Care Technician function in most states?
Physician
LPN
dentist
RN
How many Continuing Education credits should a Certified Patient Care Technician obtain prior to renewing their certification?
5 credits
10 credits
15 credits
20 credits
Which pulse is located at the elbow and is used to measure blood pressure?
Popliteal
Brachial
Carotid
Dorsalis pedis
How can a PCT maintain a patient's privacy?
only answer questions from family memebers
share computer access only with employees
use drapes & close doors during procedures
leave notes in patient's room
What federal regulation came into effect in 2003 and has impacted healthcare related to privacy of a patient's health information?
Patient Self-Determination Act (PSDA)
HIPAA
Patient's Bill of Rights
Patient Care Partnership.
Who is responsible for providing the patient the necessary information regarding a procedure?
nurse
MD or nurse practioner
PCT
family
A PCT is caring for a patient who requires supplemental oxygen via nasal cannula. Which one of the following actions should the technician take?
fill humidifier with 0.9% sodium chloride
Place cotton between cannula's tubing and patient's ears
Remove nasal cannula when patient is eating a meal.
Report any bubbling in humidifier container to nurse.
A PCT is preparing a patient to receive an enteral feeding through a nasogastric tube. The patient is resting in their bed on their side. Which of the following actions should the technician take?
Ask the patient to turn from their side onto their back.
Raise the head of the patient's bed to a semi-upright position.
Assist the patient into orthopedic position
Place am emesis basin under the patient's chin
A PCT is preparing to serve a meal tray to a patient who has vision loss. Which of the following actions should the tech take while assisting the patient to eat?
Feed food to patient standing up at bedside because you have several other patients to feed before lunch is over.
Avoid having a conversation with patient while they're eating; you should not distract them so they will eat more food.
Assist patient to hold their fork; open their drinks, etc.
Use numbers of a clock to describe food location on plate to patient.
A PCT enters a patient's room and finds the patient sitting on the floor. The patient states, "I was getting out of bed when I felt dizzy and slid to the floor." Which of the following actions should the tech take first?
Check floor for any spilled liquids; help patient back to bed; call for nurse with call light; follow nurses directions; complete incident report; document
Reassure patient; help patient back to bed; notify nurse when tech has time; document; complete incident report
Help patient back to bedside chair; complete an incident report; notify nurse; document
Press call light button; ask for nurse to come to patient's room while tech stays with patient; don't move patient until nurse examines; follow nurses directions; document; complete incident report
A PCT is removing a bedpan from a patient after defecation. Which of the following characteristics of stool would the tech report to the nurse?
dark brown stool
stool with a mild odor
soft, moist stool
liquid stool
A PCT is replacing a colostomy appliance for a patient. Which of the following actions should the technician take?
peel off the used ostomy appliance from the bottom
wipe away any feces around the stoma with an antiseptic wipe.
press the wafer against the patient's skin for 30 seconds
wash the skin around the stoma with soap & warm water.
A PCT is performing hourly rounds (checks) on several patients. To help anticipate and prevent falls, which of the following questions should the tech routinely include when speaking with their patients?
"Do you need pain medication?"
"Do you need to use the restroom right now?"
"Can I assist you into a more comfortable position?"
"Are you feeling any better since the last time I checked on you?"
A PCT is using a transfer (gait) belt to assist a patient who had a stroke to ambulate. Which of the following actions should the technician take?
Ensure one finger fits snugly between gait belt and patient's waist
Hold onto gait belt while assisting patient on their unaffected side.
Hold onto gait belt while walking slightly behind patient.
Hold onto gait belt at front of patient
A PCT is using a mechanical lift to transfer a patient who is non-weight-bearing from a bed to a wheelchair. Which of the following actions should the technician take?
Lock wheels on bed, wheelchair, and lift
Wrap sling around patient's waist.
Adjust patient's bed to height of wheelchair.
Slide patient across bed once sling is in place.
A PCT is transferring a patient who is weight-bearing from the bed to a wheelchair. Which of the following actions should the technician take?
apply transfer (gait) belt while patient sits at side of bed
place patient's bed at a working height
support patient's underarms when getting up from bed.
have patient grasp technician's forearm when standing up.
A PCT is caring for a patient who is at risk for pressure ulcers. Which of the following actions should the PCT take to prevent pressure ulcers?
use draw (lift) sheet when moving patient up in bed
keep head of bed elevated at 45* angle
reposition patient every 3 hours
massage skin over bony prominences
A PCT is applying antiembolism stockings for a patient who is postoperative. Which of the following actions should the PCT take?
place patient in a sitting position
slide elastic stocking up over foot and heel.
bunch elastic stocking together from top down to heel portion before application
roll any excess elastic stocking down to fit snugly above calf after application
A PCT is caring for a patient who is 1 day postoperative following abdominal surgery. When assisting the patient to perform coughing and deep breathing exercises, which of the following actions should the PCT take?
instruct patient to lay in supine position
place pillow over the patient's incision site
ask patient to inhale through mouth and exhale through nose.
explain to patient that diaphragm will move upward during inhalation
A patient care tech is providing instructions about the use of an incentive spirometer for a patient who is postoperative. Which of the following statements should the PCT make?
"exhale into the spirometer as hard as you can"
"try to raise the indicator inside the spirometer by inhaling"
"exhale in short puffs into the spirometer"
"inhale through the spirometer and then try to hold your breath for about 12 seconds"
A PCT is caring for a patient who had a blood specimen collected and is actively bleeding from the venipuncture site. Which of the following actions should the technician take?
cleanse venipuncture site with an alcohol pad.
apply adhesive bandage to venipuncture site
use gauze pad to apply pressure to venipuncture site.
place affected arm below level of patient's heart
A PCT is caring for a patient who has heart failure. Which of the following manifestations should the tech expect?
edema in the legs
left-sided weakness
sudden onset of severe headaches
sputum that is green
A PCT is caring for a 6 year old child who reports abdominal pain. Which of the following pain rating scales should the tech use to determine the child's level of pain?
visual analog pain scale
numerical pain scale
FACES pain scale
verbal descriptive pain scale
A PCT is providing care for a patient who has leg wound. Which of the following colors of discharge indicates wound infection?
red
pink
clear
green
A PCT is assisting a patient who is postoperative to ambulate. Which of the following actions should they take first before assisting the patient to ambulate?
apply anti-embolism elastic compression stockings
disconnect patient from their IV fluids
apply a transfer (gait) belt securely around patient's wrist
have/assist patient to sit on edge of bed (dangle) for a few minutes first
A PCT is collecting specimens for a patient. Which of the following findings should the PCT report to the nurse?
sputum that is grayish-white
urine that is pale amber color
urine that measures 30 mL
blood in the stool
A PCT is measuring a patient's blood pressure. Which of the following actions should the tech take?
position the patient's arm below heart level
place the cuff about 2.5cm above the inner crease of the elbow
after inflating the cuff until the brachial pulse is no longer palpable, inflate it another 50 mm Hg
document the first sound as the patient's diastolic pressure
A PCT is caring for a patient who has a new diagnosis of advanced lung cancer. The patient tells the technician, "I know I'll be fine because I've never smoked." The patient is demonstrating which of the following stages of grief?
denial
anger
bargaining
depression
A PCT is performing postmortem care for a patient. Which of the following actions should the technician take to prepare the body for viewing by the family?
place the patient's arms across the abdomen, with one hand on top of the other
cover the patient's entire body with a sheet
keep the patient's body supine with the head flat
close the patient's eyes and mouth
