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WorksheetsPct
Total questions: 107
Worksheet time: 4hrs 34mins
A PCT is caring for a patient w COPD and is receiving oxygen therapy. The technician notes that the patient appears restless and is short of breath. Which of the following actions should the technician take?
increase flow of oxygen to patient
notify nurse immediately
Assist patient to ambulate
Lower head of bed
The patient care technician attended an in-service about performing CPR on a patient. When performing CPR, which of the following actions should the technician take?
apply 60-80 compressions per minute, followed by two slow breaths
Apply 100 to 120 compressions per minute, followed by four short breaths
Apply 100 to 120 compressions per minute, followed by two slow breaths
Apply 60 to 80 compressions per minute, followed by four short breaths
When collecting a venous sample, which of the following sites should the PCT attempt to draw from first?
Median cubital
Basilic
Cephalic
Radial
A PCT is caring for a patient who has end-stage pancreatic cancer. The patient's family expresses concern because the patient has refused admission to the hospice program and is seeking additional medical treatment. Which of the following actions should the technician take?
encourage the patient to enter the hospice program
tell the patient that further treatment is not an option
acknowledge the family's concern and notify the nurse
recommend alternative treatment options for the patient
A PCT is preparing to obtain a 12-lead EKG for a patient who had a left arm amputation. In which of the following locations should the technician attach the left arm lead?
right sternal border
on the amputation site
anterior axillary line
left deltoid
A PCT obtains a sputum specimen from a patient. The technician should expect the specimen to have which of the following characteristics?
pink-tinged color
yellow color
watery consistency
thick consistency
A PCT should recognize that which of the following statements regarding preparation for blood cultures is correct?
I will cleanse the area w/ 70% ethyl alcohol
I will cleanse the area w/ sodium hypochlorite
I will cleanse the area w/ chlorhexidine gluconate
I will cleanse the area w/ sterile saline
A PCT is performing an EKG for a patient who has a pacemaker. Which of the following controls should be adjusted to ensure an accurate EKG tracing?
lead selector
artifact filter
heart rate limits
speed
A PCT is performing ostomy care for a patient. Which of the following findings should the technician report to the nurse?
the stoma has a small amount of bloody drainage
the stoma is red in color
the stoma is leaking around the wafer
The stoma remains the same size
A CPT is preparing to obtain a 12-lead EKG for a patient who is being evaluated for chest pain in the emergency department. Which of the following action should the technician take if the patient expresses fear of the procedure?
advise the patient that the test is painless
require the patient to remove all clothing
inform the patient refusal is not an option due to the presenting symptom
caution the patient that jewelry near wires and electrodes might cause sparks
A PCT is reinforcing teaching w/ a patient who has a holter monitor. Which of the following statements should the technician make?
remove the wires @ bedtime
take tub baths instead of showers
avoid adjusting the electrodes during monitoring period
set the time on the digital clock at the beginning of the monitor period
A PCT is transporting a patient using a wheelchair. Which of the following actions should the technician take?
ensure the patients feet are placed on the footrests
place a loose blanket over the patient's legs
fasten the seatbelt loosely around the patient's waist
pull the back wheels onto the curb first when going up a curb
A PCT is reinforcing teaching w/ a patient who is using an incentive spirometer. Which of the following statements should the technician make?
lie flat on the bed while using the spirometer
take a deep breath and exhale through the long tube for 10 sec
inhale forcefully through the long tobe to raise the ball in the chamber
remove the long tube from the spirometer and breathe directly into the chamber
The choice to perform capillary puncture is best determined by which of the following factors?
patient weight
patient diagnosis
test results
Test ordered
A PCT is caring for a patient who is 24-hr postoperative following a total hip arthroplasty and has a surgical wound. Which of the following should the technician identify as an indication of potential wound infection?
serosanguineous drainage
general discomfort at the incision site
oral temp of 98.2 F
increased warmth around incision site
A PCt is preparing a patient for hospital discharge. The patient states "I am afraid to go back home to my partner". Which of the following responses by the technician is appropriate?
would you like me to speak w/ a police officer
if your partner is abusing you at home, would you tell me immediately
your partner loves you , and you have no reason to be afraid
can you tell me if something happened that made you feel unsafe?
A PCT is preparing to ambulate a patient who requires the use of a gait belt. Which of the following actions should the technician take?
walk on the patient's stronger side while ambulating
walk slightly in front of the patient while ambulating
apply the gait belt over the patient's clothing at the waist
grasp the gait belt on each side w/ palms facing downward
A PCT should identify that adjusting a patient's bed to be between 60 and 90 degrees will place the patient in which of the following positions?
Fowler's
Orthopedic
Semi-Fowler's
High Fowler's
Which of the following provides specific definitions about the scope of practice for PCTs?
The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
The doctrine of informed consent
The PAtient Self-Determination Act (PDSA)
The state nurse practice acts
A PCT is caring for a patient who has prescription for anti embolism stockings. Which of the following actions should the technician take?
avoid rolling the stockings partially down the patient's legs
remove the stocking once every 24 hrs
inform the patient the sticking help to prevent falls
instruct the patient to cross their legs for 10 min every hour
Which of the following blood specimens should a PCT keep chilled during transfer to the lab?
ammonia
bilirubin
glucose
potassium
A PCT is to perform a venous blood draw for a 91 year old patient. The technician should use which of the following methods?
butterfly needle and syringe
hand draw
capillary collection
vacutainer collection
A PCT has assisted a patient into bed. In which of the following locations should the the technician place the drainage bag for the patient's indwelling urinary catheter?
resting on the floor
secured to a side rail
hanging from the IV pole
secured to the frame of the bed
A PCT enters a patient's room and is approached by visitors requesting test results. Which of the following responses by the technician is appropriate?
the doctor needs to give you that information
the lab values were all within the expected reference range
I am sorry, I can't give you that information
I'll ask the nurse to give you that information
A PCT is collecting a patient's sputum specimen. Which of the following actions should the technician take?
instruct patient to perform shallow coughs
collect a minimum of 5 tsp of sputum
have the patient use an alcohol-based mouthwash prior to collection
obtain specimen first thing in the morning
A PCT is caring for a new patient. The technician should recognize that which of the following procedures requires medical aseptic or clean technique?
assisting to apply a sterile dressing
inserting a urinary catheter
changing bed linens
cleaning an operating room
Which of the following procedural steps for a finger stick should a PCT do first?
cleanse site w/ antiseptic wipe
select the appropriate part of the third/fourth finger
position blade of lancet across lines of fingertip
Confirm patient identity
A PCT should report which of the following as elder neglect?
patient who refuses to take prescribed medications
patient who reports receiving phone calls from family, but never any visits
patient who reports his checking account is being mismanaged by his adult grandchild
patient who's provider has refused to sign paperwork to allow for renewal of the patient's driver's license
A PCT should identify that which of the following patient requires contact precautions?
patient w/ rotavirus
patient w/ TBC
patient w/ measels
patient w/ influenza
Which of the following actions should a PCT taken when preparing to transfer a patient from a bed to a stretcher?
elevate bed to a position equal to height of stretcher
elevate bed to position lower than height of stretcher
reach across stretcher to assist patient
elevate bed to position higher than height of stretche
A PCT is preparing to perform a venipuncture for a patient. The patient states " I am pretty anxious about this since it is my first time having blood drawn". Which of the following actions should the technician take?
explain reason provider prescribed test in detail
inform patient about all possible complications
prepare an ammonia inhalant for patient
describe procedure to patient
Identify the arrhythmia in the tracing below
junctional tachycardia
ventricular tachycardia
sinus tachycardia
Accelerated idioventricular rhythm
Which of the following can reduce abnormal marks on an EKG tracing that are caused by patient movement or muscle tremors?
speed control
calibration
artifact filter
gain control
A PCT is reinforcing teaching w/ a patient who is using an incentive spirometer. Which of the following statements should the technician make?
lie flat on the bed while using the spirometer
take a deep breath and exhale through the long tube for 10 sec
inhale forcefully through the long tobe to raise the ball in the chamber
remove the long tube from the spirometer and breathe directly into the chamber
The choice to perform capillary puncture is best determined by which of the following factors?
patient weight
patient diagnosis
test results
test ordered
A PCT is measuring an adult patient's blood pressure electronically. Which of the following readings should be reported to the nurse?
116/78 mm Hg
98/60 mm HgC
119/76 mm Hg
130/81 mm Hg
A PCT notices that a patient cut his foot while ambulating and is bleeding. Which of the following steps should the technician take?
activate emergency response team
instruct patient to remain standing position
place affected extremity below heart level
apply steady pressure to wound
A PCT is collecting a urine specimen and accidentally spills it on the floor. Which of the follwoing actions should the technician take?
use clean, dry towel
use disinfectant that contains bleach
call hazardous materials team
use mop and hot soapy water
A PCT is caring for a number of patients following shift change. Which of the following patients should the technician asses first?
patient w a temperature of 99.1 F
patient who is disoriented
patient who is comatose
patient who is incontinent
A PCT is assisting a patient to perform PROM. Which of the following actions should the technician take?
position the patients bed at the lowest level
instruct patient to flex head
place patient in high-fowler's
move patients arm away from the side of the body
A PCT is wearing gloves while assisting to insert a urinary catheter. Which of the following parts of the chain of infection is the technician interrupting?
reservoir
infectious agent
Portal of entry
susceptible host
A PCT is planning care for patient who is on contact precautions. When entering the patients room, the technician should apply which of the following?
surgical mask
N95
Gown
Show covers
Which of the following devices should a PCT use to help maintain balance while being weighed on a scale?
Walker
Elevation bar
Cane
Balance bar
A PCT overhears a nurse say to a patient who has cognitive impairment, I'm so tired of you ringing the call bell. the technician should identify that the nurses action violates which of the following parts of the patient bill of rights?
right to be free of physiological abuse
right to be free of physical abuse
right to refuse treatment
right to make decisions about plan of care
Which of the following organizations provides guidelines for identifying and preventing spread of infectious diseases?
CDC
OSHA
FDA
NIOSH
A PCT is caring for a 75 year old who was admitted for malnutrition. The patients family manages finances and grocery shopping for the patient. Which of the following hospital departments should the technician expect to intervene in this patients care?
dietician
pastoral care
social worker
occupational therapy
A PCT receives a needlestick injury during a routine venipuncture. Which of the following actions should the technician take first?
report incident
see provider for evaluation
wash w/ antimicrobial soap
get tested for HIV
A PCT should identify that which of the following actions can create shearing force and impair skin integrity?
using a lift device to reposition a patient
repositioning a patient every 2 hrs
assisting a patient to the bathroom frequently
elevating the patient bed to 45 degree
A PCT is preparing to perform urinary catheter care for a female patient. Which of the following actions should the technician plan to take?
place the patient supine with thighs slightly abducted
use normal saline to cleanse the meatus
clean around the meatus with anti-septic solution
tape the clean catheter snuggly to the lower leg
A PCT is assisting with the care of a patient who has active TB. Which of the following types of masks should the technician wear in the patient's room?
face mask
N-95
venturi respirator mask
non-breather respirator mask
Two PCTs are transferring a patient who is deceased from a bed to a morgue gurney. To avoid injury, the technicians should use which of the following body mechanics?
roll the patient gently from bed to gurney
use a draw sheet to lift patient
have one technician lift head and hte other lift the feet and allow momentum to move hte patient
use mechanical lift with sling to move patient
A PCT is performing a EKG and the patient reports chest pain and discomfort. Which of the following actions should the technician take?
reposition the patient's chest electrodes
perform another EKG recording
notify the pateint's provider
check the patient in the room for cause of artifact interference
Which of the following finding should a PCT report to the nurse?
a one year old patient who has a pulse rate of 50/min
a twelve year old patient who has a pulse rate of 76/min
a forty year old patient who has a pulse rate of 88/min
an 89 year old patient who has a pulse rate of 85/min
Which of hte following is a consequence of mislabeling a blood bank specimen?
HIPAA violation
a transfusion reaction
a medical transcription error
a pharmaceutical reaction
A PCT is preparing to obtain and process a urine drug test for a patient. Which of the following actions should the technician plan to take?
seal the specimen lid with the label with the chain of custody form
check the specimen's temperature within 10 minutes of receiving the specimen
ship the specimen to a testing laboratory the next day
instruct patient to flush toilet following voiding
A PCT is caring for a patient who is unable to void her bladder and is crying in pain. Her attending provider has not yet made rounds and her primary nurse is unavailable. Which of the following actions should the technician take?
immediately insert a straight catheter to alleviate pain
report patient's pain to charge nurse
ask another nurse for permission to catheterize patient
contact patient's on call provider
A PCT is preparing to disinfect a contaminated piece of equipment. Which of the following actions should the technician take?
scrub the equipment with a bleach solution
rinse equipment with warm water
process equipment in autoclave
soak equipment in cold water
A PCT is preparing to document information in a patient's EHR. WHich of the following actions should the technician plan to take?
record care before it is provided
note patient response to analgesic
record patient's vital signs as reported by nurse
use generalized phrases when documenting
A PCT is assisting with the care of a patient who has diabetes mellitus. The technician should know that which of the following is a sign of hyperglycemia?
cool, clammy skin
fever
frequent urination
rapid, shallow respirations
A PCT is caring for a patient who is about to undergo a blood transfusion. The technician should report which of the following vital signs immediately?
respiratory rate of 17/min.
BP of 118/79mm Hg
pulse rate of 85/min
temperature of 101.8 f
A PCT is performing a 12 lead EKG for a patient who has tachycardia. Which of hte following paper speeds should the technician expect the provider to prescribe?
50 mm/sec
25 mm/sec
5 mm/sec
10 mm/sec
A PCT is caring for a patient who has colon cancer. Which of the following findings should the technician expect?
blood in stool
small lymph nodes
weight gain
indigestion
A PCT obtains a stool specimen from a patient. Which of hte following actions should a technician take when labeling hte specimen?
apply the label to side of specimen container
apply label to lid of specimen container
apply label to seal the lid on a specimen container
apply label to outside of sealed biohazard bag that holds specimen container
Which of the following is the most important action a PCT can take to help prevent the spread of infection?
wearing PPE
performing hand hygiene between contact with patients
cover mouth and nose when sneezing and coughing
dispose of all used needles and sharps
A PCT should recognize that health care facilities are required by which of the following entities to keep safety data sheets available?
OSHA
TJC
CLIA
CLSI
After drawing six vials of blood for a patient, a PCT finds that two of the six vials are expired. Which of the following actions should the technician take?
notify the manufacturer
discard the expired vials
submit vials for testing with superviser approval
place new expiration date labels on the expired vials
A PCT is caring for a patient who has a two piece colostomy system in place. Which of the following actions should hte technician take when providing ostomy care?
Apply pressure for 30 seconds when applying the skin barrier wafer
cut the skin barrier wafer to be .25 in larger than the stoma
verify that the stoma is moist and reddish pink color
cleanse the skin around the stoma with hot soapy water
A PCT should recognize that which of hte following scenarios requires an aseptic dressing change?
changing the surgical wound dressing of a patient who is one day post opp
change a patient's triple lumen catheter dressing
changing the dressing of the patient who has a deep wound drain
change the dressing of a patient who has superficial decubiti
A PCT is obtaining a patient's apical pulse. The techician should measure the pulse at which of hte following locations?
first intercostal space
5th intercostal space
7th intercostal space
10th intercostal space
A PCT is caring for a patient who is nonverbal. The technician should identify that which of the following findings can indicate the patient is experiencing pain?
decreased temperature
restlessness
change in the level of consciousness
dry skin
A PCT is instructed to measure a patient's pulse manually. Which of the following actions should hte technician take?
locate radial artery, feel pulse with index and middle finger
locate radial artery, use thumb
locate brachial pulse, use thumb
place center of palm over patient's chest
A PCT should identify that which of the following patients requires droplet precautions?
patient with influenza
patient who has pediculosis
patient with scabies
patient who has hepatitis A
A PCT is caring for a patient who is terminally ill. Which of the following actions should the technician take?
encourage patient to remain optimistic
determine how patient's family is coping
evaluate patient's mental health
inform nurse if patient expresses feelings of grief
A PCT is performing an EKG for a pediatric patient. In which of the following locations should the technician place lead V6
on anterior axillary line
on midaxillary line
Halfway between leads V2 and V4
on fourth intercostal space, left sternal border
A PCT schedules hygiene care measures to be performed @ the same time as other care measures. Which of the following terms best describes the technician's actions?
continuity of care
care plan
coordination of care
hygiene care schedule
A PCT is preparing to open a sterile package. Which of the following actions should the technician take first?
perform hand hygiene
remove the seal
place item in center of work surface
grasp outer surface of outermost
A PCT is asked to leave a patient's medical record in a designated area for the provider to view. Which of the following actions should the technician take to adhere to HIPPA regulations?
check record for accuracy
obtain any missing signatures on consent forms
stay w/ record until provider arrives
ensure no identifiable patient info is visible
A PCT is transferring a patient from a bed to a wheelchair. In which of the following positions should the PCT stand during the transfer?
facing the patient
behind wheelchair
on patients weak side
w/ one leg between patients legs
A PCT should identify that which of the following tasks requires the use of sterile gloves?
emptying an indwelling urinary drainage bag
inserting an intermittent urinary catheter
applying a condom catheter
removing an indwelling urinary catheter
A PCT is lifting boxes form a cart into a patients room. Which of the following actions should the technician take to ensure proper body mechanics?
hold boxes close to body
maintain narrow base
bend at waist to pick up boxes
twist torso when turning to pick up boxes
A PCT is teaching a newly hired technician about percutaneous endoscopic gastrostomy (PEG) tubes. Which of the following statements should the technician take?
PEG tubes are easier to dislodge than NG
patients who are disoriented are less likely to dislodge this tube
patients who have PEG tubes have increased risk of aspirating
if patient requires enteral nutrition for more than two weeks, use a NG tube
A PCT tears their gloves while cleaning a soiled mattress and gets some cleaning solution on their hands. After cleaning their hands, which of the following actions should the tech take next?
seek medical attention
file a workers compensation claim
review SDS
submit report to OSHA
Which of the following is purpose of using standard precautions in a health care setting?
to ensure all health care workers receive necessary immunizations
to protect staff and patients from airborne illnesses
to guarantee patients understand infection control guidelines before signing informed consent
to reduce transmission of bloodborne pathogens when providing care
A PCT obtains an EKG and notes the presence of a wandering baseline. which of the following actions should the tech take?
move patients bed away from wall
clean patients skin under electrodes w alcohol
ask patient to take slow deep breaths
instruct patient to place hands under their butt
A PCT is assisting a patient who is post op w deep breathing exercises. The tech should recognize these exercises can be prescribed to
treat respiratory arrest
treat respiratory complications
prevent wound dehiscence
treat cardiac arrest
A PCT should identify that a bed scale should be used for a patient who has which of the following conditions?
fractured ankle
above the ankle amputation
total knee dislocation
venous stasis ulcers
A PCT is documenting a patient I&O. Which of the following measurements should the tech include when recording end of shift totals?
serous fluid on a wound dressing
nasogastric suction volume
solid stool from a colostomy
total parenteral nutrition administered
A PCT should identify that which of the following rhythms should be reported to a nurse bc it indicates that a patient might become unresponsive?
sinus tachycardia
ventricular tachycardia
junctional tachycardia
premature atrial complexes
A PCT is obtaining a blood specimen for coagulation testing? Which additive is needed?
sodium citrate
EDTA
heparin
potassium oxolate
angle of needle for antecubital venipuncture?
5-10
15-30
40-45
50-60
A PCT is getting ready to dispose of a dressing that is heavily soiled and leaking fluid. Which location should this dressing be disposed of?
Toilet
Biohazard bag
Moisture-resistant bag
Trash can
A PCT is caring for a patient who had a CVA and is nonambulatory. Which of the following findings should be reported immediately?
skin discoloration that subsides
chronic loss of feeling in one extremity
one episode of incontinence
change in size and shape of pressure ulcer
A PCT in a facility sustained a needle stick injury, which of the following should incident be reported to?
nurse
NIOSH
patient
CDC
A PCT is preparing to perform PROM on a patients knee, which exercise should the tech perform?
abduction
extension
inversion
external rotation
what positions should patient be in for enteral tube feeding
semi fowlers
dorsal recumbent
supine
prone
"I need to live longer to see my child get married" is an example of...
bargaining
denial
acceptance
anger
A PCT is massaging to stimulate circulation on a patient who is immobile. Which area should the tech massage?
patients back
patients lower legs
reddened areas
bony prominences
A PCT is preparing to transport a bilirubin specimen, tech should use tube that is which color?
light blue
amber
green
yellow
A PCT should expect to find more solid stool if the stoma is located in...
the ileum
ascending colon
sigmoid colon
cecum
A PCT is assisting with the care of a patient who is on strict I&O. How often should the tech record the patients I&O?
every 1 hr
every 2 hrs
every 8 hrs
every 6 hrs
most common type of injury for older adults?
Burns
Falls
Entrapment
Poisoning
A PCT receives a needlestick injury. The tech should report this injury at which of the following times?
within 72-96 hrs
before start of next shift
by end of documented pay period
before leaving facility at end of shift
Which cream prevents skin breakdowns?
barrier cream
silver sulfadiazine cream
moisturizing cream
permethrin cream
Which of the following will prevent hemolysis?
small volume tube w 21 gauge butterfly needle
large volume w 23 gauge butterfly needle
large volume syringe w 25 gauge needle
small volume syringe w 25 gauge needle
A PCT is caring for a patient who has right side heart failure, which symptom is expected?
hypertension
pallor
tachycardia
swelling in legs
Which rhythm is this
ectopic atrial tachycardia
wandering atrial pacemaker
atrial premature contraction
atrial fibrillation
A PCT should identify that provider will stop a stress test if patient experiences...
mild fatigue
syncope
perspiration
increased respiratory rate
