Font size
Worksheetspct exam review
Total questions: 99
Worksheet time: 25hrs 45mins
A patient care technician is caring for a patient who has significant hearing loss. Which of the following actions should the technician take to communicate with the patient?
speak faster than usual when communicating
use a picture board to provide instructions
speak in a higher tone of voice
avoid facing the patient directly when speaking
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 is running a fever of 38.5° C (101.4° F).
the patient blood pressure of 84/62 mm Hg with cold hands and fingers
the patient elevated in semi-fowlers position with a cold pack on her forehead
the patients skins appears flushed
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 dressing should the technician expect the nurse to use?
gauze
occlusive
semi-occlusive
transparent
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?
avoid inverting a specimen tube if it includes an additive
ensure the blood In the specimen tube maintains contact with the tube stopper
ensure the blood specimen transport bag has a liquid-tight closure
avoid wearing gloves when carrying with the specimen transports bag
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 reports stiffness in his hands and feet
the patient needs help lifting his legs onto the bed
the patients lower limbs show pitting edema
the patients fingers are thick and fat
A patient care technician is caring for a patient who suddenly becomes unresponsive. Which of the following actions should the technician take first?
check the movement of the patients chest for 10 sec
tap the patients should and ask."are you okay?"
start chest compressions after placing the patient flat
notify the emergency response team
A patient care technician should identify that which of the following structures of the heart is immediately affected if a sinoatrial (SA) node fails?
bundle of his
purkinje fibers
atrioventricular node
interventricular septum
A patient care technician is caring for a patient who requires oral suctioning. Which of the following actions should the technician take?
wear sterile gloves while suctioning the patient
wait 30 sec between suctioning attempts
limit suctioning to no more than 15 sec at a time
insert the suction catheter into the patients throat
A patient care technician is caring for a patient who has a stage Il pressure ulcer. Which of the following findings should the technician expect?
skin that is intact and nonblanchable
tissue loss with exposed bone
visible subcutaneous fat
blister-like appearance
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?
roll the sheets away from the patient
remove the patients IV and indwelling urinary catheter prior to transferring the patient
instruct the patient to put their hands by their sides
raise the patients bed to the same level as the stretcher
A patient care technician should identify that which of the following is the most commonly used paper speed for an EKG machine?
10 mm/sec
50 mm/sec
25mm/sec
5mm/sec
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 toilet paper to wipe around the stoma
wipe the area around the stoma vigorously when cleaning
use hot water to clean around the stoma
apple a bag that is 3.8 cm (1.5) larger than the stoma
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?
''ill get the nurse ''
"you can ask the patient about his condition"
" ill send a request to the medical records department "
"I need you to fax over a written request "
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
clean the cannula with soap and water and assist the patient to put it back on
check the cannula for damage, and if there is none, place it back on the patient
check that the cannulas tubing is long enough and assist the patient to put it back on
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 are
manually, using the radial artery
electronically, using the pulse oximeter
electronically, using the EKG machine
Which of the following assistive devices should a patient care technician use to improve vertebral alignment in a patient who is immobile?
trapeze bar
side rail
bed board
wedge pillow
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?
sliced bananas
scrambled eggs
mashed potatoes
chocolate pudding
A patient care technician is reinforcing teaching about using an incentive spirometer with a patient. Which of the following instructions should the technician include?
" you should be in the prone position when using the incentive spirometer"
"the goal is to get the ball to rise in the chamber of the incentive spirometer "
"blow into the incentive spirometer to make the ball move "
"you should use the incentive spirometer every 12 hrs "
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?
"I will apply the gait belt under your arms "
"you can support yourself by holding onto my arms "
"you should walk slightly behind me "
"I will support you by walking on your stronger side "
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
inform a supervisor about the conflict
inform the Human Resources department about the conflict
discuss these concerns wit the nurse manager
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
the right circumstance
the right direction
the right supervision
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 can review real-time charting about their medical care
the patient receives improved coordination of care
these systems are similar enough that special training is not required across facilities
these systems provide documentation for patients who might be involved in medical malpractice lawsuits
A patient care technician should identify that which of the following represents the first link in the chain of infection?
infectious agent
portal of entry
mode of transmission
susceptible host
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 4 hrs
every 8hrs
every 12 hr
every 24hr
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?
have the patient wrap her arms around his neck, bend at the waist, and lift using his back muscles
have the patient hold his hand, stand using weak side first, while he supports the patients strong side
ask the patient to lean backwards in the bed, grasp the front of the transfer belt, pull up, and transfer into the wheelchair
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?
visit the occupational health facility
complete an incident report
wash the affected area with antimicrobial soap
report the incident to supervisor
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 the to talk or remain silent
ask the patient about their family to divert their attention
teach the patient stress managment techniques to avoid feelings of anger
reassure the patient that they still have good times ahead
A patient care technician must invert anticoagulant tubes to prevent which of the following?
hemolysis
clotting
hemoconcentration
reflux
A patient care technician is caring for a patient who is 8 hr postoperative following repair of a fractured femur. Which of the following vital sign values should the technician report to a nurse?
Temperature 36.6° C (97.8° F)
pulse rate 72/min
blood pressure 180/101 mm hg
respiratory rate 180/min
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 hrs
avoid using powder on the patients skin
avoid using massages for the patient
place the head of the patients be at 45° angle.
A patient care technician has orders to collect blood cultures, CBC, PT, and an iron panel. He forgets to draw for the PTT. Which of the following actions should the technician take?
discard the specimens and redraw
keep the specimens collected and draw the PPT
call another technician and notify the supervisor
draw a discard tube and redraw blood cultures and blue tops
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 sometimes forget where I put my cell phone "
"I am not able to see quite as well as I used to "
"I am able to walk we'll using a cane"
"I live alone, and don't get Many visitors "
A provider requests that a patient care technician collect blood specimens from a patient for blood cultures, hematology, and coagulation studies.
Which of the following should the technician fill first when performing the venipuncture?
lavender tube
red tube
light blue tube
blood culture bottle
A patient care technician is assisting a nurse with the care of a patient who has recently given birth vaginally. Which of the following bathing techniques should the technician use?
partial bed Bath
complete bed bath
cold water tub bath
sitz bath
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?
patients bill of rights
omnibus budget reconciliation act (OBRA)
health insurance portability and accountability act (HIPPA)
occupational safety and health administration(OSHA)
Upon entering the room, she sees the patient pushing away the overbed table with the lunch tray still on it. Which of the following actions should the technician take?
ask the patient if he has eaten within the past 2hrs
mark the test as random instead of 2 hr postprandial
contact the patients provider
preform the test and mark as 2hr postprandial
How frequently should a patient care technician disinfect an EKG machine?
after every shift
once weekly
after every use
once monthly
A patient care technician is preparing to place electrodes for an EKG on a patient who has large breasts. In which of the following locations should the technician place the electrodes for V4 and V5
in the closest position possible to normal, on top of the breasts
in the closest position possible to normal, underneath the breast
on the lateral surface of the breast
on the medial surface of the breast
A patient care technician is assisting a nurse to bathe a patient who has a colostomy. Which of the following cleansing agents should the technician use to clean the skin around the stoma?
warm water
0.9% sodium chloride
sterile water
hydrogen peroxide
A patient care technician is caring for a patient who is receiving an enteral feeding via an NG tube. In which of the following positions should the technician place the patient?
suspine
semi-fowlers
trendelenburg
orthopneic
A patient care technician is transporting a blood specimen that is wrapped in aluminum foil. The technician should identify that the specimen is wrapped in aluminum foil for which of the following reasons?
to keep the specimen warm
to shield the patient information
to protect the specimen from light
the insulate the specimen from ambient air
A patient care technician should identify that a health care facility's infection control program is required by which of the following institutions?
centers for disease control and prevention(CDC)
Centers for medicare and medicaid services (CMS)
the joint commission(TJC)
Clinical and laboratory standards institute (CLS)
A patient care technician is caring for a patient who is receiving hospice care. The patient states that she wants to stay alive long enough to see her first grandchild, who is due to be born in a few months. Which of the following stages of grief does this statement reflect?
acceptance
denial
depression
bargaining
A patient care technician is performing a venipuncture for a patient and observes a hematoma developing at the needle insertion site. Which of the following actions should the technician take?
observe the site for 3 min to see if the hematoma worsens
remove the needle while keeping the tourniquet in place
apply pressure to the site for a minimum of 5 min
continue the blood collection and send to the laboratory for analysis
A patient care technician should identify that which of the following terms is used when referring to infections that can be spread to patients?
hospital-attained infections
health care- associated infections
health care worker acquired infections
occupational health care acquired infections
For which of the following procedures should a patient care technician use sterile technique?
preforming a venipuncture
inserting a straight catheter
collecting a stool specimen
discontinuing peripheral IV access
A patient care technician is preparing to perform a venipuncture for a patient. Which of the following patient identifiers should the technician use to verify the patient's identity?
the unit the patient is in and their diagnosis
the patients name and date of birth
the patients room and bed number
the patients allergies and marital status
A patient care technician is preparing to label a patient's specimen tube following a blood collection. Which of the following actions should the technician take?
face the patient while labeling the specimen tube
use a pencil to label the specimen
avoid using computer-generated labels
initial the label prior to blood collection
A patent care technician is removing soiled gloves. Which of the following actions should the technician take?
Rinsed gloved hands before removing the gloves
grab the outside of one cuff while with other gloved hand
remove the second glove by pulling on the outside cuff
remove gloves by pulling on the end of the gloves near the finger tips
A patient care technician in a hospital is preparing to sterilize equipment that was soiled with blood. Which of the following methods should the technician use?
bleach
dry heat
boiling water
autoclave
Which of the following terms refers to the complete destruction of all forms of micro-organisms when providing patient care?
sterilization
sanitation
disinfection
medical asepsis
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?
entrance
reservoir
host
mode of transmission
A patient care technician is using a new disinfectant to clean a soiled mattress. The technician notes a skull and crossbones symbol on the label of the disinfectant. Which of the following hazards does this symbol indicate?
explosive
flammable
skin irritant
acute toxicity
A patient care technician is providing oral care to a patient who wears upper and lower dentures. Which of the following actions should the technician take when reinserting the dentures?
dry the dentures well before reinserting them
brush the gums after replacing the dentures
remove gloves to facilitate reinsertion of dentures
replace the upper denture before the lower denture
Which of the following actions should a patient care technician take to verify the quality of venipuncture supplies before beginning a blood draw?
determine that the tourniquet is the proper size
check the vacuum of the tube
inspect the integrity of the needles seal
verify that the adapter is the correct color
A patient care technician is caring for a group of four patients. The technician should immediately notify a nurse for which of the following patients?
a patient who reports being hungry
a patient who reports chest pain
a patient who requires bathing
a patient who requires toiletries
A patient care technician is transferring a weight-bearing patient from a wheelchair to the bed. Which of the following pieces of equipment should the technician use?
trapeze
crutches
gait belt
slide board
A patient care technician should identify that which of the following laboratory tests requires chain of custody protocol?
activated clotting time
blood alcohol level
prothrombin time
platelet function
A patient care technician is responding to an adult patient who is experiencing ventricular tachycardia and has become unresponsive. The technician should palpate the patient's pulse using which of the following sites?
radial
carotid
apical
brachial
A patient care technician is applying antiembolism stockings to a patient. The technician should identify that the provider has prescribed antiembolism stockings for which of the following reasons?
to reduce the risk for deep-vein thrombosis
to protect the skin from injury
to prevent air embolisms from circulating to the legs
to dislodge existing embolisms
When should a patient care technician compare the code on glucose cuvettes to the code on the glucometer?
after a new package of cuvettes I opened
when a patient is tested
at the beggining of the shift
following an error code
A patient care technician is preparing to bathe a patient who has diarrhea and has soiled the bed. Which of the following actions should the technician take to control the spread of infection?
wear gloves
wear a mask
give the patient an alcohol hand rub
apply petroleum jelly to the patients rectal area
A patient care technician should identify that which of the following procedures is most commonly used to obtain a routine urinalysis specimen from an adult patient?
clean catch midstream collection
catheterized collection
suprapubic aspiration
24-hr collection
A patient care technician should identify that which of the following situations will likely cause somatic interference during EKG testing?
a patient who is sweating profusely
a patient who is experiencing a seizure
a patient who is watching tv
a patient whose respirations are 16/min
A patient care technician is performing an EKG for a patient. The technician should recognize that the vertical projections in the image below are a result of which of the following?
pacemaker spikes
intrinsic r waves
intrinsic vertical anomaly
defibrillator spikes
A patient care technician is performing a 12-lead EKG for a patient. In which of the following locations should the technician place the V4 lead?
Fourth intercostal space, to the right of the sternum
Fourth intercostal space, to the left of the sternum
Left anterior axillary line
Fifth intercostal space at the midclavicular line
A patient care technician is performing a 12-lead EKG for a patient. The technician should identify that which of the following heart rates indicates
bradycardia?
50/min
100/min
110/min
75/min
A patient care technician is assisting a patient with bowel elimination. Which of the following actions should the technician take to promote relaxation and emotional support?
check on patient frequently
play soft music at the patients bedside
place the patients bed in the suspine position
insist that the patient use a bed pan
A patient care technician is assisting a patient who recently had a stroke and has left-sided weakness. Which of the following instructions should the technician provide when assisting the patient to learn how to use a cane?
"hold the cane on the stronger side of your body "
"move your stronger leg forward before moving the weaker leg "
"move the cane at the same time as your weaker leg "
"position the handle of the cane at the level of your waist "
A patient care technician is assisting with the care of a 3-year-old child who has several bruises on the arms in various stages of healing. The child's guardian states that the child "falls down a lot." Which of the following actions should the technician take?
ask the guardian why the child falls down a lot
report the signs of injury to a supervisor
ask the child in private how the injuries occurred
confront the guardian about the possible abuse
A patient care technician is caring for a patient who has a large wound on the upper thigh that is draining purulent fluid. The technician should identify that this wound will most likely heal by which of the following processes?
the edges will be easily approximated and a small scar will form
granulation tissue will fill the wound and a large scar will form
it will be kept open to drain the fluid and will be sutured at a later date
the wound will be covered with a nonexclusive dressing
Which of the following actions should a patient care technician take to help prevent health care-associated infections?
use a new respirator for each patient
wear sterile gloves when preforming a venipuncture
follow standard precautions when caring for patients who have surgical incisions
place used needles in a biohazardous waste bag
A patient care technician is caring for a 5-year-old child who reports pain. Which of the following pain scales should the technician use to measure the child's pain?
visual analog
numerical
verbal descriptive
Wong-baker FACES
A patient care technician is documenting in a patient's electronic health record. Which of the following abbreviations should the technician avoid using?
TID (three times a day)
U (units)
NPO (nothing by mouth)
L (liters )
A patient care technician is preparing to apply restraints to a patient. Which of the following actions should the technician take?
apply the restraints over the patients clothing
check on the patient every hour after applying restraints
lower the side rails after applying restraints
remove the restraints every 6hrs for a total of 20 min
A patient care technician is caring for a patient whose roommate asks about her diagnosis. The technician should identify that disclosing this information would violate which of the following?
standards of care
informed consent
patients self-determination act
patients' bill of rights
A patient care technician is obtaining vital signs for a patient and notices the patient's temperature is higher than normal. Which of the following actions should the technician take?
Apply a cold compress to the patient's head.
Administer acetaminophen to the patient.
Elevate the head of the patient's bed.
Notify the nurse about the patient's condition.
A patient care technician is assisting a weight-bearing patient from a wheelchair to the toilet in the patient's bathroom. Which of the following actions should the technician take to keep the patient safe during the transfer?
place a towel on the floor
lock the wheels on the wheel chair
use a mechanical lift with a sling for the transfer
apply a gait bet under the patients arms
A patient care technician is performing postmortem care for a patient who is scheduled for an autopsy. Which of the following actions should the technician take?
remove tubing from the patients body
discard any of the patients dressings
collect and document the patients valuables
remove the patients dentures
A patient care technician is collecting a urine specimen from a patient. The technician should identify that which of the following urine characteristics is an unexpected finding?
straw colored urine
pale yellow ruine
red-tinged urine
dark and gold urine
A patient care technician is preparing to collect a stool specimen from a patient. Which of the following actions should the technician take?
collect the specimen in a sterile container
wear sterile gloves while collecting the specimen
prevent contaminating the specimen with urine
place the specimen hat toward the front of the toilet
A patient care technician is caring for several adult patients. Which of the following findings should the technician report to the nurse first?
Blood pressure 139/88 mm Hg
Apical pulse 108/min
Respirator rate 22/min
Temperature 38.5° C (100.5° F)
A patient care technician is obtaining a blood specimen from a patient. The technician should identify that which of the following errors could cause specimen hemolysis?
Excessively massaging the antecubital space when locating a vein
Failing to release the tourniquet within 1 min
Redirecting the needle several times to locate a vein
Transporting the tubes horizontally
A patient care technician is reviewing quality improvement tools. Which of the following tools attempts to improve patient safety and the quality of health care by eliminating unnecessary processes and redirecting resources to patient needs?
failure modes and effect analysis
six sigma
lean methodology
root-cause analysis
A patient care technician is changing the linens for a patient who is prescribed contact precautions for Clostridium difficile. The technician finds the disposable underpad is heavily soiled with blood and feces. The technician should dispose of the pad in which of the following containers?
biohazard waste containers
biohazard sharps containers
linen container
trash container
A patient care technician is preparing to perform passive range-of-motion exercises for a patient. Which of the following motions should the technician perform on the patient's elbows?
flexion
abduction
adduction
dorsiflexion
A patient care technician is caring for a patient who has died. Which of the following actions should the technician take?
pull the sheets over the patients head prior to the family viewing
place the patient in semi-fowlers position
discourage the patients family from assisting with postmortem care
position a pillow under the patients head
A patient care technician is applying a sequential compression device (SCD) to a patient. The technician should plan to remove the SCD at which of the following times?
every 2 hrs
every 10 hrs
every 8 hrs
every 24 hrs
A patient care technician is preparing to weigh a patient who is at risk for falls. Which of the following actions should the technician take when using a mechanical scale to weigh the patient?
place a walker over the scale for the patient to use as support
give the patient a cane to use as support while being weighted
instruct the patient to hold on to the neck of the scale while being weighted
position a chair by the scale for the patient to lean on
A patient care technician is caring for a patient who is at risk for falls. At which of the following times should the technician check and document on this patient?
every 1 hr
every 2 hrs
every 3 hrs
every 4 hrs
A patient tells a patient care technician, "I don't like the overnight staff because nobody ever comes to help me use the bathroom when I use the call light. Please don't tell anyone because I don't want them to ignore me more." Which of the following actions should the technician take?
respect the patients wished and not tell anyone
come in early and talk to the overnight staff about the patients concerns
inform the patient that this concern will be reported to the charge nurse
apply an adult diaper to the patient for overnight toileting
A patient care technician is preparing to perform an antecubital venipuncture and has cleansed the site. The technician palpates the vein again with a gloved finger. Which of the following actions should the technician take next?
cleanse the site
insert the needle
remove the tourniquet
anchor the vein
A patient care technician can be instrumental in preventing sentinel events by taking which of the following actions?
developing an appropriate patient plan of care
properly documenting all oral medication administrations
ensuring proper application of all safety reminder devices(SRDs)
providing answers to patient questions to facilitate informed consent
A patient care technician informs a nurse about swelling at a patient's peripheral IV site. The technician should recognize that which of the following is the most likely cause of this finding?
medical reaction
improper positioning
catheter infiltration
constrictive dressing
A patient care technician is emptying a patient's bedside commode and accidentally splashes urine in his eye. Which of the following actions should the technician take?
wipe his eyes with a towel
rub his eyes with his hands
flush his eyes with water for 10 min
blink his eyes rapidly for 1 min
A patient care technician is assisting a patient who is recovering from abdominal surgery with deep-breathing and coughing exercises. Which of the following findings should the technician expect to observe in the patient?
reduced abdominal pain from surgery
cleared airway blockage of fluid and mucus
ability to take short and shallow breather for proper oxygenation
ability to take four or five deep breaths per hour
A patient care technician is performing a venipuncture to collect a blood specimen from a patient. Which of the following actions should the technician take to reduce the risk of exposure to bloodborne pathogens?
recap the needle after use
place the needle in a red biohazard bag after the venipuncture
dispose of the needle in a sharps container
verify any history of a bloodborne disease before performing a venipuncture
A patient care technician is caring for a patient who is to begin wearing a Holter monitor. Which of the following statements by the patient indicates an understanding of the device?
" i will wear tight-fitting clothes during monitoring."
" I can take the leads off in the shower during monitoring."
" I will keep a complete activity diary during monitoring."
"I will avoid having sex during monitoring."
Which of the following actions is outside the scope of practice for a patient care technician?
collecting a blood sample
receiving a medication prescription
providing catheter care
preparing a sterile tray
