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Patient Care Technician Pre-Assessment

Total questions: 70

Worksheet time: 53mins

Name
Class
Date
1.

When should postmortem care be performed?

a)

After the family views the body.

b)

Immediately after the doctor pronounces the patient deceased.

c)

When rigor mortis sets in.

d)

After the body is transferred to the morgue.

2.

The healthcare provider is helping a patient dress for the day, which of the following is an appropriate action?

a)

Check the physician's order.

b)

Select the patient's clothing.

c)

Close the door to provide privacy.

d)

Report to the charge nurse.

3.

Which of the following this should the healthcare provider do to familiarize new patients with their surroundings?

a)

Demonstrate the location and use of the call light.

b)

Explain that the TV is not to used unless supervised.

c)

Instruct the family to leave the room after the healthcare provider has completed the admission.

d)

Raise the bed to the highest position and raise the safety rails.

4.

A patient asks, "I need help during the night, who will be there?" The best response by the healthcare provider is:

a)

Don't worry, you'll be okay.

b)

Just yell; someone will hear you.

c)

Your roommate will ring the call bell for you.

d)

There are people here all night to help you.

5.

A patient is scheduled for a partial bed bath. This means that the healthcare provider must wash the patient's

a)

face, neck, ears, arms, and hands.

b)

face, axillae, hands, and buttocks.

c)

face, hands, axillae, and legs.

d)

face, hands, axillae, genitals, and buttocks.

6.

When working with a client who has urinary retention, the healthcare provider can expect that the patient will:

a)

Urinate large volumes.

b)

Be unable to urinate.

c)

Urinate frequently.

d)

Be incontinent of urine.

7.

A patient's dentures are lost. The first action should be to:

a)

notify the administrator.

b)

notify the patient's family members.

c)

notify the patient's physician.

d)

notify the charge nurse.

8.

The patient's religion forbids them to consume pork. Bacon is being served for breakfast. The most appropriate response is to:

a)

Encourage the patient to eat because they require the protein to prevent skin breakdown.

b)

Instruct the patient that it is okay for them to consume the pork since their physician ordered it.

c)

Call the kitchen for a tray without bacon and request that this preference be added to their dietary restrictions.

d)

Inform the patient that dietary restrictions are not as important as their health.

9.

Which of the following best describes nail care?

a)

Nail care is not required for elderly because their nails do not grow due to aging.

b)

Use scissors only to administer nail care when working with elderly patients.

c)

All patients need nail care.

d)

Contact the charge nurse for nail care.

10.

A patient turns on the call light when she needs to urinate. The appropriate action is to:

a)

ignore the light, since she is not the healthcare provider who notices the light's responsibility.

b)

announce on the intercom that two patients are ahead of her and she will be helped in the order that she called.

c)

answer the call light and assist the patient with urination.

d)

answer the call light when the healthcare provider has time.

11.

A patient is blind. It is important not to:

a)

leave the door completely closed.

b)

rearrange the furniture.

c)

announce yourself prior to entering the room.

d)

explain the location of food on the plate, using the face of a time clock.

12.

Which of the following best destroys all microorganisms?

a)

alcohol soak

b)

disinfecting with bleach

c)

sterilization

d)

scrubbing with hot water

13.

An acute illness is:

a)

A sudden illness from which a person is expected to recover.

b)

An ongoing illness for which there is no known cure.

c)

An illness that is slow or gradual in onset.

d)

An illness for which there is no reasonable expectation of recovery.

14.

The best way to safely identify a patient is by:

a)

Asking his or her name.

b)

Calling his or her name and waiting for their response.

c)

Checking his or her bed plate.

d)

Checking his or her identification band.

15.

When a patient complains that her dentures are hurting, the appropriate action is to:

a)

encourage him to wear the dentures more often.

b)

report the complaint to the charge nurse.

c)

report the complaint to the patient's family members.

d)

report the complaint to the patient's physician.

16.

When the family members of patient's visit, the visitors should:

a)

stay in the day room.

b)

stay a short while so as not to tire the patient.

c)

be expected to assist with care.

d)

be allowed privacy with the patient.

17.

The preferred way to remove a bedpan from a patient who is unable to lift their buttocks is to:

a)

use a mechanical lift.

b)

have another healthcare provider lift the resident while one healthcare provider removes the bedpan.

c)

turn the patient to one side while holding the bedpan.

d)

slowly slide the bedpan from under the patient as their legs are in lithotomy position.

18.

How often should a patient's intake and output records be totaled?

a)

q shift

b)

BID

c)

q4h

d)

q12j

19.

The hot water bottle is an example of:

a)

local dry heat application.

b)

generalized dry heat application.

c)

local moist heat application.

d)

generalized moist heat application.

20.

During handwashing, the healthcare provider accidentally touches the side of the sink while rinsing the soap off. The next action the healthcare provider should take is to:

a)

Allow the water to run over the hands for 2 minutes.

b)

Dry the hands and turn off the faucet with the paper towel.

c)

Repeat the wash from the beginning.

d)

Repeat washing, but only for half of the required time.

21.

Diastolic blood pressure is determined by:

a)

listening for the first clear heart sound.

b)

listening for the last clear heart sound.

c)

subtracting the denominator from the numerator.

d)

adding the numerator and the denominator.

22.

How should a healthcare professional dress for a job interview?

a)

Wear a clean t-shirt and casual slacks, no jeans.

b)

Wear a clean set of scrubs.

c)

Wear a business suit, dress, or pants and dress shirt.

d)

Wear a formal dress or suit.

23.

Before transferring a patient from the bed to a wheelchair, the healthcare provider should allow them to sit at the side of the bed for a few minutes. What is the rationale for doing this?

a)

To allow the healthcare provider time to rearrange their bed clothing.

b)

Prevent orthostatic hypotension.

c)

To allow the healthcare provider time to position the wheelchair.

d)

To allow the healthcare provider time to rest and remove the transfer belt.

24.

Failure to raise the side rails on the bed of a confused patient is an example of:

a)

Malpractice

b)

Negligence

c)

Assault

d)

Tort Law

25.

If a healthcare provider sees another employee strike another patient, the healthcare provider should:

a)

Report the incident to the charge nurse immediately.

b)

Call 911.

c)

Notify the patient's physician.

d)

Notify the patient's family members.

26.

A patient with dementia makes sexual advances towards another patient who has dementia. The healthcare provider should:

a)

Allow it; OBRA '87, states that a resident must be allowed to fulfill sexual needs.

b)

Ignore it so that you do not embarrass the patients.

c)

Ask them to keep their sexual activity to private places such as their room.

d)

Inform the charge nurse, since a patient with dementia is unable to give consent.

27.

Aging-related hearing changes result in older patients gradually losing their ability to hear:

a)

High-pitched sounds

b)

Low-pitched sounds

c)

Sound levels

d)

Faint sounds

28.

A patient is confined to her bed. What could keep the patient from developing pressure ulcers?

a)

A plastic draw sheet.

b)

A foot board.

c)

Use of body lotion.

d)

An air mattress.

29.

The purpose of correctly positioning the patient is to:

a)

prevent skin breakdown.

b)

maintain function of joints and muscles.

c)

increase patient comfort.

d)

All answers provided are correct.

30.

When the healthcare provider is assisting a patient in learning how to properly use a cane, the healthcare provider stands:

a)

Approximately two feet directly behind the patient.

b)

About one foot from the patient's weak side.

c)

About one foot from the patient's strong side.

d)

Slightly behind the resident on the patient's weak side.

31.

Which of the following is an early sign of dementia in an elderly patient?

a)

refusing to eat a meal.

b)

confusion about who they are.

c)

frequent urination.

d)

complaining of headaches.

32.

If a patient is in traction, the healthcare provider should never:

a)

monitor affected skin temperature.

b)

administer a total bed bath.

c)

manipulate the position of the weights.

d)

monitor distal pulses.

33.

Dying patients may:

a)

always pass through the five stages of grief in sequential order.

b)

go back and forth among the five stages of grief in no particular order.

c)

always accept death before it occurs.

d)

must complete all of the stages of grief before they die.

34.

A patient often cries while she receives p.m. care. What is the best response by the healthcare provider?

a)

Instruct the patient to stop crying.

b)

Ignore the patient and continue administering care.

c)

Tell the patient jokes to make them laugh.

d)

Explain to the resident that it is okay to cry and attempt to determine the reason the patient is crying.

35.

When arranging a patient's room, the healthcare professional should complete all of the following EXCEPT:

a)

Checking the placement of the call light.

b)

Adjusting the back rest as directed.

c)

Placing the bedside table on the farthest side of the room away from the patient.

d)

Adjusting the lighting as appropriate.

36.

All of the following can cause an inaccurate oral temperature reading EXCEPT:

a)

drinking a cup of hot tea ten minutes prior to the reading.

b)

using an electronic thermometer.

c)

failing to shake down a glass thermometer.

d)

vigorous exercise prior to the reading.

37.

Safe use of oxygen therapy includes:

a)

always setting the flow meter to 2-3L/min.

b)

using cashmere blankets only.

c)

cleansing the nasal prongs with alcohol each shift with alcohol or betadine swabs.

d)

post a "NO SMOKING" sign on the patient's door.

38.

Patient care technicians are responsible for:

a)

planning patient care.

b)

completing tasks assigned by the charge nurse.

c)

performing without ever asking for assistance.

d)

comparing assignments with coworkers.

39.

A patient is on a bowel and bladder training program and has not had a bowel movement in three days. The healthcare provider should:

a)

Report this occurrence to the charge nurse.

b)

Administer an enema.

c)

Offer the patient prune juice.

d)

Encourage the patient to increase fluid intake.

40.

After shaving a patient with a safety razor, the healthcare provider should:

a)

Cover the razor before discarding it.

b)

Wrap the razor in a paper towel and drop it into the regular trash receptacle.

c)

Dispose of the razor in the biohazard sharps container.

d)

Place the used razor in the patient's drawer for future use.

41.

When removing a soiled gown from a patient who has an IV infusion, the best action is to:

a)

remove the arm without the IV infusion first.

b)

instruct the charge nurse to remove the IV.

c)

disconnect the IV bag and tubing.

d)

stop the IV solution and slip the gown over the bag.

42.

Administering back rubs aid in all of the following EXCEPT:

a)

improving patient posture.

b)

improving circulation.

c)

increasing one-to-one interaction.

d)

relaxing the patient.

43.

Before placing a patient in Fowler's position, the healthcare provider should:

a)

Turn the patient on their abdomen.

b)

Explain the procedure to the patient.

c)

Lower the head to a 180 degree angle.

d)

Remake the bed with new linens.

44.

An ambulatory patient is newly admitted. Before leaving the patient alone, the healthcare provider should:

a)

Ask the patient if they are hungry.

b)

Inspect the patient's skin.

c)

Assess the patient's intake and output.

d)

Instruct the patient on the proper use and location of the call light.

45.

The best food choices for geriatric patients who do not have teeth would include:

a)

hamburger, french fries, corn, and ice cream.

b)

baked chicken, cornbread dressing, greens, and coconut macaroons.

c)

spare ribs, macaroni and cheese, coleslaw, and fruit cocktail.

d)

baked fish, whipped potatoes, spinach souffle, and tapioca.

46.

A patient is on bed rest, and is currently wearing anti-embolic stockings or TED hose. How often should the stockings be removed?

a)

the stockings should remain in place until the charge nurse instructs the healthcare provider to remove them.

b)

q2h

c)

BID

d)

q8h

47.

When assisting a patient with eating, one of the first things the healthcare provider should do is:

a)

Cut the food into bite-size pieces.

b)

Wash his or her own hands as well as the patient's hands.

c)

Butter the patient's bread.

d)

Provide the patient with privacy.

48.

The most common site for counting the pulse rate is:

a)

Carotid artery

b)

Femoral artery

c)

Brachial artery

d)

Radial artery

49.

The first step in performing any procedure is to:

a)

explain the procedure to the patient.

b)

gather needed equipment.

c)

perform proper handwashing.

d)

provide privacy.

50.

The patient states that a mistake has been made because she notices that there is a salt packet on her tray and her physician ordered her to be on a low-sodium diet. The healthcare provider should:

a)

Explain to the patient that this means there is no salt used when preparing the food.

b)

Instruct the patient not to use the salt.

c)

Check the diet order with the charge nurse and inform them of the incident.

d)

Call the kitchen for a new tray.

51.

A patient hits a healthcare provider during lunch. The appropriate response is:

a)

Call the charge nurse for help.

b)

Continue to feed the patient.

c)

Apply a restraint.

d)

Yell at the patient to stop hitting you.

52.

A procedural manual is a:

a)

written set of instructions on how to perform a procedure.

b)

set of directions used to complete the healthcare provider's job description.

c)

protocol book for administering patient medications.

d)

book listing procedures that the healthcare provider has been assigned to complete.

53.

Which of the following is a patient's right?

a)

Having personal information kept confidential.

b)

Obtaining private duty staff if desired.

c)

Knowing what is wrong with the patient's roommate.

d)

Treating the staff any way she or she desires.

54.

When assisting a patient out of bed, the healthcare provider should always:

a)

Utilize proper body mechanics.

b)

Get another healthcare provider to assist with the transfer.

c)

Raise the bed to its maximum height.

d)

Lower all safety rails if present.

55.

When completing perineal care on a male patient, always:

a)

Clean the scrotum first.

b)

Retract the foreskin if the patient is uncircumcised.

c)

Clean from front to back.

d)

Hold the penis at a 90 degree angle.

56.

When administering care for a patient who has been placed on NPO, the healthcare provider should:

a)

Encourage the resident not to think about food or liquids.

b)

Encourage the resident to eat and drink frequently.

c)

Remove the water pitcher and all items of food and drink from the resident's room.

d)

Administer meticulous mouth care.

57.

When moving a wheelchair onto an elevator, the healthcare provider should stay:

a)

Behind the chair and pull it toward them.

b)

Behind the chair and push it away from them.

c)

In front of the patient to observe the patient's condition.

d)

At the side of the wheelchair while the door is opening.

58.

A cane should be used on:

a)

The affected or weak side of the body.

b)

The unaffected or strong side of the body.

c)

The side of the body that has the strongest arm.

d)

The weak side one day, and the strong side the following day, alternating days.

59.

A patient has a new cast on his right arm. While caring for him, it is important to first observe for:

a)

Pulse above the cast.

b)

Color and hardness of the cast.

c)

Warmth and color of fingers on right arm.

d)

Signs of crumbling at the end of the cast.

60.

A healthcare provider notices that a water pitcher has spilled onto the floor. The best action for the healthcare provider to perform is to:

a)

Wipe it up immediately.

b)

Cover it with a towel.

c)

Notify the charge nurse.

d)

Contact housekeeping.

61.

Which of the following should the healthcare provider to observe and record when admitting a patient?

a)

Wrinkles

b)

Freckles

c)

Bruises or skin tears

d)

Length of nails

62.

An agitated patient must be turned every two hours all night long. The first action of the healthcare provider when waking up the patient is to:

a)

turn on the light.

b)

knock on the door softly and speak quietly and calmly.

c)

touch the patient on the shoulder.

d)

shout the patient's name.

63.

When applying a cold treatment to a patient, it is important to observe the patient closely for:

a)

redness.

b)

dizziness.

c)

fainting.

d)

cyanosis.

64.

When giving information to the charge nurse for an incident report, the healthcare provider should:

a)

write in the patient's chart that the incident occurred.

b)

State the facts clearly as they occurred.

c)

Keep the report in their personal files.

d)

Give opinions regarding what they think occurred and why.

65.

Maintain good interpersonal relationships depends on:

a)

agreeing with the crowd.

b)

communicating clearly with others.

c)

following orders without question.

d)

avoiding contact after work hours.

66.

A patient who has difficulty chewing or swallowing will need what type of diet?

a)

Clear liquid

b)

Low residue

c)

Pureed

d)

Mechanical soft

67.

Before assisting a patient into a wheelchair, the first action would be to check if the:

a)

Patient is covered adequately.

b)

Floor is slippery.

c)

Door to the room is secured.

d)

Wheelchair is in a locked position.

68.

Which of the following is not the healthcare provider's responsibility when caring for patients who have urinary catheters?

a)

Inserting the urinary catheter.

b)

Ensuring the urinary catheter is draining properly.

c)

Preventing infection.

d)

Recording urinary output.

69.

Reporting what the patient tells you is an example of:

a)

subjective data.

b)

objective data.

c)

primary data.

d)

objective observation.

70.

Patients that are diagnosed with Alzheimer's disease may have all of the following characteristics EXCEPT:

a)

Physical wasting away.

b)

Memory loss.

c)

Wandering.

d)

Irritability.