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WorksheetsPCT practice #2
Total questions: 63
Worksheet time: 32mins
A PCT is reinforcing teaching about using an incentive spirometer with a pt. Which of the following instructions should the tech 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 hours.
A PCT is caring for a pt who has a stage II pressure ulcer. Which of the following findings should the tech expect?
Skin that is intact and nonblanchable
Tissue loss with exposed bone
Visible subcutaneous fat
Blister-like appearance
A PCT is performing a 12-lead EKG for a pt. In which of the following locations should the tech 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 PCT must invert anticoagulant tubes to prevent which of the following?
Hemolysis
Clotting
Hemoconcentration
Reflux
A PCT in a hospital is preparing to sterilize equipment that was soiled with blood. Which of the following methods should the tech use?
Bleach
Dry heat
Boiling water
Autoclave
A PCT is preparing to transport a pt via a stretcher. Which of the following actions should the tech take when transferring a pt from a bed to the stretcher?
Roll the sheets away from the patient.
Remove the patient’s IV and indwelling urinary catheter prior to transferring the patient.
Instruct the patient to put their hands by their sides.
Raise the patient’s bed to the same level as the stretcher.
A PCT is transferring a weight-bearing pt from a wheelchair to the bed. Which of the following pieces of equipment should the tech use?
Trapeze
Crutches
Gait belt
Slide board
A PCT should identify that which of the following terms is used when referring to infections that can be spread to pts?
Hospital-attained infections
Health care-associated infections
Health care-worker acquired infections
Occupational health care acquired infections
A PCT is caring for a pt whose daughter is visiting. The daughter asks about the health of the pts roommate. Which of the following statements by the tech is an appropriate response?
"I'll get the nurse."
"You can ask the patient about his condition."
"I'll send a request to the medical records department."
"I need you to fax over a written request."
A PCT is caring for a pt who has significant hearing loss. Which of the following actions should the tech take to communicate with the pt?
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.
Which of the following terms refers to the complete destruction of all forms of micro-organisms when providing pt care?
Sterilization
Sanitization
Disinfection
Medical asepsis
A PCT is obtaining vital signs for a pt & notices the pts temperature is higher than normal. Which of the following actions should the tech 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 PCT is preparing to place electrodes for an EKG on a pt who has large breasts. In which of the following locations should the tech place the electrodes for V4 & V5?
In the closest position possible to normal, on top of the breast
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 PCT is measuring intake for a pt who has consumed 2oz of ice tea, 6oz of chicken broth, & 4oz of flavored gelatin. Which of the following amounts is the pts total intake?
120 mL
240 mL
360 mL
420 mL
A PCT is performing post-mortem care for a pt who is scheduled for an autopsy. Which of the following actions should the tech take?
Remove tubing from the patient's body.
Discard any of the patient's dressings.
Collect and document the patient's valuables.
Remove the patient's dentures.
A PCT is caring for a pt who is receiving hospice care. The pt states that she wants to stay alive long enough to see her first grandchild, who is born in a few months. Which of the following stages of grief does this statement reflect?
Acceptance
Denial
Depression
Bargaining
A PCT is caring for a pt who is at risk for pressure ulcers. Which of the following actions should the tech take?
Reposition the patient at least every 2 hr.
Avoid using powder on the patient's skin.
Avoid providing massages for the patient.
Place the head of the patient's bed at a 45° angle.
A PCT should identify that which of the following procedures is most commonly used to obtain a routine urinalysis specimen for an adult pt?
Clean-catch midstream collection
Catheterized collection
Suprapubic aspiration
24-hr collection
For which of the following procedures should a PCT use sterile technique?
Inserting a urinary catheter
Taking a blood pressure reading
Performing a fingerstick blood glucose test
Assisting with ambulation
A PCT is applying antiembolism stockings to a pt. The tech 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
A PCT is caring for a pt who suddenly becomes unresponsive. Which of the following actions should the tech take first?
Check the movement of the patient's chest for 10 seconds.
Tap the patient's shoulders and ask, 'Are you okay?'
Start chest compressions after placing the patient flat.
Notify the emergency response team.
A PCT is performing a venipuncture for a pt & observes a hematoma developing at the needle insertion site. Which of the following actions should the tech 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 PCT is assisting a nurse with the care of a pt who has recently given birth vaginally. Which of the following bathing techniques should the tech use?
Partial bed bath
Complete bed bath
Cold water tub bath
Sitz bath
A PCT is assisting with the care of a 3yo 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 tech 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 PCT is changing a patient's bedding & 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 PCT is caring for a patient who is 8 hours postoperative following a 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 18/min
A PCT is manually transferring a patient who has right-sided weakness from the bed to the wheelchair. Which of the following methods should the tech 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 patient’s strong side.
Ask the patient to lean backward 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 PCT is caring for several adult pts. Which of the following findings should the tech report to the nurse first?
Blood pressure 139/88 mm Hg
Apical pulse 108/min
Respiratory rate 22/min
Temperature 38.5° C (100.5° F)
A PCT is using a new disinfectant to clean a soiled mattress. The tech notes a skull & crossbones symbol on the label of the disinfectant. Which of the following hazards does the symbol indicate?
Explosive
Flammable
Skin irritant
Acute toxicity
Which of the following actions should the PCT 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 needle's seal.
Verify that the adapter is the correct color.
A PCT is preparing to perform passive ROM exercises for a pt. Which of the following motions should the tech perform on the pts elbows?
Flexion
Abduction
Adduction
Dorsiflexion
A PCT is performing a 12-lead EKG for a pt. The tech should identify that which of the following heart rates indicates bradycardia?
50/min
100/min
110/min
75/min
A PCT is changing the linens for a pt who is prescribed contact precautions for Clostridium difficile. The tech finds the disposable underpad is heavily soiled with blood & feces. The tech should dispose of the pad in which of the following containers?
Biohazard waste container
Biohazard sharps container
Linen container
Trash container
A PCT is preparing to bathe a pt who has diarrhea & has soiled the bed. Which of the following actions should the tech take to control the spread of infection?
Wear gloves.
Wear a mask.
Give the patient an alcohol hand rub.
A PCT is providing oral care to a patient who wears upper and lower dentures. Which of the following actions should the tech 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.
A PCT 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 (HIPAA)
Occupational Safety and Health Administration (OSHA)
A PCT is providing instructions to a newly hired tech about transporting and handling blood specimens. Which of the following instructions should the tech 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 the specimen transport bag.
A PCT is preparing to assist a patient to ambulate using a gait belt. Which of the following statements should the tech 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 PCT 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 PCT is preparing to determine the pulse rate of a pt who has atrial fibrillation. Which of the following methods should the tech use?
Manually, using the apical area
Manually, using the radial artery
Electronically, using a pulse oximeter
Electronically, using an EKG machine
A PCT is caring for a pt who has died. Which of the following actions should the tech take?
Pull the sheet over the patient's head prior to the family viewing.
Place the patient in semi-Fowler's position.
Discourage the patient's family from assisting with postmortem care.
Position a pillow under the patient's head.
If a pt who has influenza is coughing, a PCT should understand that the cough is which of the following links in the chain of infection?
Entrance
Reservoir
Host
Mode of transmission
A PCT is assisting a pt who is recovering from abdominal surgery with deep breathing & coughing exercises. Which of the following findings should the tech expect to observe in the pt?
Reduced abdominal pain from surgery
Cleared airway blockage of fluid and mucus
Ability to take short and shallow breaths for proper oxygenation
Ability to take four or five deep breaths per hour
A pt tells a PCT, “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 tech take?
Respect the patient's wishes and not tell anyone.
Come in early and talk to the overnight staff about the patient’s 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 PCT 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 PCT is assisting a weight-bearing pt from a wheelchair to the toilet in the pts bathroom. Which of the following actions should the tech take to keep the pt safe during the transfer?
Place a towel on the floor.
Lock the wheels on the wheelchair.
Use a mechanical lift with a sling for the transfer.
Apply a gait belt under the patient's arms.
A PCT is caring for a pt who is at risk for falls. At which of the following times should the technician check & document on this pt?
Every 1 hr
Every 2 hr
Every 3 hr
Every 4 hr
A PCT is applying a sequential compression device (SCD) to a pt. The tech should plan to remove the SCD at which of the following times?
Every 2 hr
Every 8 hr
Every 10 hr
Every 24 hr
A PCT is performing a venipuncture to collect a blood specimen from a pt. Which of the following actions should the tech 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 PCT is assisting a nurse to bathe a pt who has a colostomy. Which of the following cleansing agents should the tech use to clean the skin around the stoma?
Warm water
0.9% sodium chloride
Sterile water
Hydrogen peroxide
A provider requests that a PCT collect blood specimens from a pt for blood cultures, hematology, & coagulation studies. Which of the following should the tech fill first when performing the venipuncture?
Lavender tube
Red tube
Light blue tube
Blood culture bottle
A PCT is preparing to weigh a pt who is at risk for falls. Which of the following actions should the tech take when using a mechanical scale to weigh the pt?
Place a walker over the scale for the patient to use as support.
Give the patient a cane to use as support while being weighed.
Instruct the patient to hold on to the neck of the scale while being weighed.
Position a chair by the scale for the patient to lean on.
A PCT should identify that which of the following is the most commonly used paper speed for an EKG machine?
10 mm/sec
50 mm/sec
25 mm/sec
5 mm/sec
A PCT is preparing to apply restraints to a pt. Which of the following actions should the tech take?
Apply the restraints over the patient's clothing.
Check on the patient every hour after applying restraints.
Lower the side rails after applying restraints.
Remove the restraints every 6 hr for a total of 20 min.
A PCT is preparing to perform a venipuncture for a pt. Which of the following pt identifiers should the tech use to verify the pts identity?
The unit the patient is in and their diagnosis
The patient's name and date of birth
The patient's room and bed number
The patient's allergies and marital status
A nurse instructs a PCT to perform a procedure. The tech then considers whether the procedure is within their scope of practice. Which of the following 5 rights of delegation is the tech following?
The right task
The right circumstance
The right direction
The right supervision
A PCT 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 PCT is caring for a pt who has a large wound on the upper thigh that is draining purulent fluid. The tech 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. This type of wound healing occurs through secondary intention, which means that any dead tissue decomposes and escapes the wound, then the space that is left fills with granulation tissue, which is a blend of capillaries and collagen. This type of wound will leave a significant scar.
A PCT is caring for a group of 4 pts. The tech should immediately notify a nurse for which of the following pts?
A patient who reports being hungry
A patient who reports chest pain
A patient who requires bathing
A patient who requires toileting
A PCT is caring for a pt who is to begin wearing a Holter monitor. Which of the following statements by the pt indicates 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.
A PCT is assisting a pt who recently had a stroke & has left-sided weakness. Which of the following instructions should the tech provide when assisting the pt 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 to be at the level of your waist.
How frequently should a PCT disinfect an EKG machine?
After every shift
Once weekly
After every use
Once monthly
A PCT is caring for a pt who is in the acceptance stage of the grieving process. Which of the following actions should the tech take?
Stay with the patient and allow them to talk or remain silent.
Ask the patient about their family to divert their attention.
Teach the patient stress management techniques to avoid feelings of anger.
Reassure the patient that they still have good times ahead.
