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PCT practice

Total questions: 24

Worksheet time: 12mins

Name
Class
Date
1.

The additive in a gray-topped tube is:

a)

K+ oxalate

b)

Na+ citrate

c)

EDTA

d)

None of the above

2.

A 28-year-old man states that he was lifting weights at the local health club when he experienced a sudden sharp pain in the left side of his chest. Since then he has become increasingly short of breath and continues to have pain that is worse when he tries to take a deep breath. The PCT notes that his respiratory rate is 32, his pulse is 108, his oxygen saturation is 88%, and he appears mildly anxious. The physician notes decreased breath sounds on the patient's left side. Based on this information, the PCT prepares to assist

a)

Chest tube insertion

b)

A nebulizer treatment

c)

Transfer of the patient to the hospital for surgery

d)

stat ECG

3.

Which of the following gauge needle is used for the typical adult venipuncture?

a)

25 g

b)

16 g

c)

23 g

d)

21 g

4.

As an elderly couple enters the reception area of

a family practice office, the wife begins shouting,

"Please help my husband. He can't breathe!" As he

collapses to the floor the PCT rushes to his side and

determines that he is unresponsive. Her next best

action is to

a)

Administer chest compressions and rescue breathing

b)

Obtain his vital signs

c)

Obtain his medical history from his wife

d)

Summon help immediately by calling a code

5.

Which of the needle has the largest gauge?

a)

25 g

b)

16 g

c)

20 g

d)

21 g

6.

A patient appears cyanotic with moist clammy skin, nasal flaring, and wide frightened eyes. His is sitting bold upright, wheezing audibly, and his respiratory rate is 34. This man is experiencing:

a)

A panic attack

b)

Severe dyspnea

c)

Eupnea

d)

Heat exhaustion

7.

The patient experiencing a panic attack is most likely to need

a)

Reassurance

b)

Chest tube insertion

c)

Nebulizer treatment

d)

Oxygen

8.

A patient complains of a pattern of heartburn and belching that is worse after large meals and at bedtime. Based on this limited information, the medical assistant suspects this patient has

a)

Cholecystitis

b)

Gastroesophageal reflux disease

c)

Pericarditis

d)

Ulcerative colitis

9.

The lavender-topped tube contains:

a)

No additive

b)

SPS (Sodium polyanethole sulfonate)

c)

EDTA (ethylenediaminetetraacetic acid)

d)

Na+ citrate

10.

A 32-year-old patient who experienced a fall from a ladder complains of pain with breathing. He appears mildly cyanotic and tachypneic. His blood pressure is 90/54 and is oxygen saturation is 86%. The physician notes absent breath sounds on the right side and calls for a stat chest x-ray. Based on this information, the PCT prepares to assist with

a)

Emergency surgery

Splint application

b)

Chest tube insertion

c)

Defibrillation

11.

An elderly man waiting in the reception area suddenly complains of difficulty breathing and states, "It feels like an elephant is sitting on my chest." After sending another staff member to notify the physician, the PCT's next action best is to

a)

Administer oxygen per office protocol

Order a stat chest x-ray

b)

Assist the patient in walking to an examination

room

c)

Initiate cardiopulmonary resuscitation

12.

When the PCT notes a patient is experiencing severe dyspnea, her next best action is to

a)

Walk the patient to an examination room

b)

Get the physician or a nurse immediately

c)

Assist the patient in using his inhaler

d)

Obtain a complete set of vital signs

13.

All of the following are guidelines for handling urine

reagent strips except:

a)

Check the expiration date prior to use

b)

Store in the refrigerator when not in use

c)

Check each strip for color changes prior to use

d)

Keep cover on container when not in use

14.

A protocol is:

a)

Legal rules dictate the standard of care. An automated device used to treat patients with cardiac arrhythmias.

b)

A predetermined plan of response

c)

. A code of conduct for ethical behavior in the workplace

15.

Which of the following is NOT a component of the

cardiovascular system?

a)

Spleen

b)

Arteries

c)

Capillaries

d)

Heart

16.

The pregnancy test tests for which of the following

hormones?

a)

Estrogen

b)

Growth hormone

c)

Human chorionic gonadotropin

d)

Progesterone

17.

If a urine specimen cannot be tested within 30-60

minutes, the PCT should

a)

Put the urine in the incubator

b)

Put the urine in a specimen collection bag

c)

Leave the specimen on the counter

d)

Put the urine in the refrigerator

18.

If a patient is complaining of difficulty or painful

urination, he is said to have

a)

Dysuria

b)

Oliguria

c)

Polyuria

d)

Nocturia

19.

Which of the following is the correct term for absence of urine?

a)

Oliguria

b)

Nonuria

c)

Dysuria

d)

Anuria

20.

The PCT who is teaching her patient about a cardiac stress test realizes that the patient needs further instruction when he states:

a)

"I will be closely monitored during the test."

b)

"We are doing this to see how well my heart tolerates physical activity."

c)

"I will walk on a treadmill during the test."

d)

"There are no risks to worry about during this test."

21.

The PCT understands that the most life-threatening

of the following cardiac rhythms is:

a)

Sinus tachycardia

b)

Sinus arrhythmia

c)

Atrial flutter

d)

Ventricular fibrillation

22.

The PCT who is teaching her patient about a cardioverter defibrillator realizes that the patient needs further instruction when he states:

a)

"This is the same size as a pacemaker."

b)

"This might send an electric shock to my heart if I

need it."

c)

"This will send information about my heart rate and

rhythm to the medical office on a continuous basis."

d)

"This is essentially the same thing as a pacemaker."

23.

The PCT who is teaching her patient about a cardiac pacemaker realizes that the patient needs further instruction when he states:

a)

"This device will deliver electrical impulses to my heart to make it beat."

b)

"Since mine will be a rate-responsive pacemaker, it will sense my activity and increase or decrease the rate as I need it."

c)

"There are many different types of pacemakers."

d)

"It will be implanted in my right chest wall beneath the skin."

24.

The PCT who is teaching her patient about a Holter

monitor realizes that the patient needs further instruction when he states:

a)

"A cardiologist will review and interpret the results

of this test."

b)

"I can shower or bathe as I normally do while wearing this monitor."

c)

"I will wear this device for up to 48 hours."

d)

"I must keep a journal of my activities and any

symptoms I have."