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NHA Final Practice Test

Total questions: 120

Worksheet time: 2hrs 0mins

Name
Class
Date
1.

Which of the following actions should a PCT take when preparing to transfer a patient from a bed to a stretcher?

a)

Elevate the bed to a position equal to the height of the stretcher

b)

Elevate the bed to a position lower than the height of the stretcher

c)

Reach across the stretcher to assist the patient

d)

Elevate the bed to a position higher than the height of the stretcher

2.

A PCT is obtaining a patient's apical pulse. The technician should measure this pulse at which of the following locations?

a)

The first intercostal space

b)

The fifth intercostal space

c)

The seventh intercostal space

d)

The tenth intercostal space

3.

A PCT should identify which rhythms should be reported to a nurse because it indicates that a patient might become unresponsive?

a)

Junctional tachycardia

b)

Ventricular tachycardia

c)

Sinus tachycardia

d)

Premature atrial complexes

4.

A PCT is caring for a patient who's unable to void her bladder & crying in pain. Her attending provider has not made rounds & her primary nurse is unavailable. Which of the following actions should the technician take?

a)

Immediately insert a straight catheter to alleviate the patient's pain

b)

Report the patient's pain to the charge nurse

c)

Ask another nurse for permission to catheterize the patient

d)

Contact the patient's on call provider

5.

A PCT obtains a sputum specimen from a patient. The technician should expect the specimen to have which of the following characteristics?

a)

Pink-tinged

b)

Yellow - color

c)

Watery consistency

d)

Thick consistency

6.

A PCT is caring for a patient who has an ostomy. The technician should expect the fecal material to be more solid and less irritating to the skin if the stoma is placed in which of the following locations?

a)

In the ileum

b)

In the ascending colon

c)

In the sigmoid colon

d)

In the cecum

7.

A PCT is preparing to dispose of a dressing that is heavily soiled and leaking fluid. In which of the following locations should the technician dispose of the dressing?

a)

Toilet

b)

Biohazard bag

c)

Sink

d)

Trash can

8.

A PCT is preparing to perform passive range of motion exercises on a patient’s knee. Which of the following types of exercise should the technician perform?

a)

Abduction

b)

Extension

c)

Inversion

d)

External rotation

9.

A PCT is asked by a nurse to complete a task that is outside his scope of practice. After discussing his concern with the nurse and failing to come to a resolution, the technician should report his concern to which of the following individuals?

a)

The attending provider

b)

The charge nurse

c)

The case management nurse

d)

Another PCT

10.

A PCT is caring for a number of patients following a shift change. Which of the following patients should the technician assess first?

a)

A patient who has a temperature of 37.3 °C (99.1 °F).

b)

A patient who is disoriented

c)

A patient who is comatose

d)

A patient who is incontinent

11.

A PCT is caring for a group of older adults. The technician should recognize that which of the following types of injury poses the greatest risk for accidental death in this age group?

a)

Burns

b)

Falls

c)

Entrapment

d)

Poisoning

12.

Two PCTs are transferring a patient who is deceased from bed to a morgue gurney. To avoid injury, the technicians should use which of the following body mechanics?

a)

Roll the patient gently from the bed to the gurney

b)

Use a draw sheet to lift the patient

c)

Have one technician lift the head, the other lift the feet, and allow the momentum to move the patient

d)

Use a mechanical lift with a sling to move the body

13.

A PCT is caring for a patient following the application of an immobility splint. Which of the following actions should the technician take to ensure the patient’s safety?

a)

Lower the bed’s side rails

b)

Raise the bed to the technician’s working height

c)

Ensure that the splint remains moist

d)

Place the call light within the patient’s reach

14.

A PCT is preparing to collect and transport a bilirubin blood specimen. The technician should use a tube that is which of the following colors?

a)

Light blue

b)

Amber

c)

Green

d)

Yellow

15.

A PCT is caring for a patient who is 24 hour postoperative following a total hip arthroplasty and has a surgical wound. Which of the following findings should the technician identify as an indication of potential wound infection?

a)

Seranguineous drainage

b)

General discomfort at the incision site

c)

Oral temperature 36.8 °C (98.2 °F)

d)

Increased warmth around the incision site

16.

A PCT is preparing to discontinue a patient’s peripheral IV. The technician assembles all the needed equipment and performs hand hygiene. Which of the following actions should the technician take next?

a)

Explain the procedure to the patient

b)

Remove any overlying tape

c)

Turn the IV roller clamp off

d)

Apply pressure to the IV site for 2-3 min.

17.

A PCT is applying sequential compression devices (SCDs) to a patient who is postoperative. The technician should identify that SCDs are used to reduce the risk for which of the following conditions?

a)

Edema

b)

Deep vein thrombosis

c)

Varicose veins

d)

Pneumonia

18.

A PCT should identify which of the following tasks requires the use of sterile gloves?

a)

Emptying indwelling urinary drainage bag

b)

Inserting an intermittent urinary catheter

c)

Applying a condom catheter

d)

Removing an indwelling urinary catheter

19.

A PCT is lifting boxes from a cart into a patient’s room. Which of the following actions should the technician take to ensure proper body mechanics?

a)

Hold the boxes close to the body

b)

Maintain a narrow base of support

c)

Bend at the waist to pick up the boxes

d)

Twist at the torso when turning to pick up the boxes

20.

A PCT is preparing to perform a venipuncture for a patient who speaks a different language than the technician. Which of the following actions should the technician take?

a)

Use a loud tone when speaking to the patient

b)

Anticipate the patient’s response

c)

Interpret the patient nodding as an indication of understanding

d)

Provide the patient with a professional translator

21.

A PCT attended an inservice about performing CPR on a patient. When performing CPR, which of the following actions should the technician take?

a)

  1. Apply 60 to 80 compressions followed by two slow breaths

b)

  1. Apply 100 to 120 compressions per minute followed by four slow breaths

c)

  1. Apply 100 to 120 compressions per minute followed by two slow breaths

d)

  1. Apply 60 to 80 compressions per minute, followed by four slow breaths

22.

A nurse asks a PCT to empty a patient’s ostomy bag. The technician is unfamiliar with this task. Which of the following actions should the technician take?

a)

Ask for instructions from the nurse before attempting the task

b)

Ask another technician how to perform the task

c)

Refuse to perform the task

d)

Perform the task as requested by the nurse

23.

A PCT is documenting in a patient’s electronic health record. The technician should identify which of the following abbreviations is on the Joint Commission’s approved list of abbreviations?

a)

NPO

b)

U

c)

IU

d)

MgSO4

24.

A PCT obtains an EKG and notes the presence of a wandering baseline. Which of the following actions should the technician take?

a)

Move the patient’s bed away from the wall

b)

Clean the patient’s skin under the electrodes with alcohol and gauze

c)

Ask the patient to take slow deep breaths

d)

Instruct the patient to place their hands palms down under buttocks

25.

A PCT tears their gloves while cleaning a soiled mattress and gets some of the cleaning solution on their hands. After cleaning their hands, which of the following actions should the technician take next?

a)

Seek medical attention

b)

File a worker’s compensation claim

c)

Review the safety data sheet (SDS) for the cleaning solution

d)

Submit a report to the occupational safety and health administration (OSHA)

26.

A PCT is caring for a patient who is terminally ill. Which of the following actions should the technician take?

a)

Encourage the patient to remain optimistic about their diagnosis

b)

Determine how the patient’s family is coping

c)

Evaluate the patient’s mental health

d)

Inform the nurse if the patient expresses feelings of grief

27.

A PCT is preparing to obtain a 12 lead EKG for a patient who had left arm amputation. In which of the following locations should the technician attach the left arm lead?

a)

Right sternal border

b)

On the amputation site

c)

Anterior axillary line

d)

Left deltoid

28.

Which of the following devices should a PCT use to help a patient maintain balance while being weighed on a scale?

a)

Walker

b)

Cane

c)

Crutches

d)

Wheelchair

29.

A PCT is teaching a newly hired technician about percutaneous endoscopic gastrostomy (PEG) tubes. Which of the following statements should the technician make?

a)

PEG tubes are easier to dislodge than nasogastric tubes

b)

Patients who are disoriented or confused are less likely to dislodge the tube

c)

Patients who are receiving enteral nutrition via a PEG tube have an increased risk for aspiration

d)

If a patient requires enteral nutrition for more than 2 weeks, a nasogastric tube should be used

30.

A PCT is performing an EKG for a pediatric patient. In which of the following locations should the technician place lead V6?

a)

On the anterior axillary line

b)

On the midaxillary line

c)

Halfway between Ids V2 and V4

d)

On the fourth intercostal space, left sternal border

31.

A PCT is reinforcing teaching with a patient who has a Holter monitor. Which of the following statements should the technician make?

a)

Remove the wires at bedtime

b)

Take tub baths instead of showers

c)

Avoid adjusting the electrodes during the monitoring period

d)

Set the time on the digital clock at the beginning of the monitoring period

32.

A PCT is preparing to disinfect a contaminated piece of equipment. Which of the following actions should the technician take?

a)

Scrub the equipment with a bleach solution

b)

Rinse the equipment with warm water

c)

Process the equipment in an autoclave

d)

Soak the equipment in cold water

33.

A PCT has assisted a patient into bed. In which of the following locations should the technician place the drainage bag for the patient’s indwelling urinary catheter?

a)

Resting on the floor

b)

Secured to a side rail

c)

Hanging from the IV pole

d)

Secured to the frame of the bed

34.

A PCT is preparing to open a sterile package. Which of the following actions should the technician take first?

a)

Perform hand hygiene

b)

Remove the seal

c)

Place the item in the center of the work surface

d)

Grasp the outer surface of the outermost flap’s tip

35.

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?

a)

  1. Reservoir 

b)

  1. Infectious agent

c)

  1. Portal of entry

d)

  1. Susceptible host

36.

A PCT is assisting with the care of a patient who is on strict I & O. How often should the technician record the patient's I & O?

a)

Every 1 hour

b)

Every 2 hour

c)

Every 8 hour

d)

Every 6 hour

37.

A PCT is caring for a patient who has vision loss. Which of the following actions should the technician take when assisting the patient with meals?

a)

Offer to feed the patient

b)

Cut all solid items into small pieces

c)

Withhold liquids until after the patient has finished eating

d)

Describe the location of food on the tray using the face of a clock as a reference

38.

A PCT is about to perform a venipuncture for a patient. Which of the following equipment should the technician use to prevent hemolysis of the blood sample?

a)

A small volume tube with a 21 gauge butterfly needle

b)

A large volume tube with a 23 gauge butterfly needle

c)

A large volume syringe with a 25 gauge needle

d)

A small volume syringe with a 25 gauge needle

39.

A PCT is caring for a 75-year-old patient who was admitted for malnutrition. The patient's family manages the finances and grocery shopping for the patient. Which of the following hospital departments should the technician expect to intervene in this patient's care?

a)

Dietician

b)

Pastoral care

c)

Social worker

d)

Occupational therapy

40.

A patient care technician is assisting a patient to perform passive range-of-motion exercises. Which of the following actions should the technician take?

a)

Position the patient's bed at the lowest level.

b)

Instruct the patient to flex his head.

c)

Place the patient in high-Fowler's position.

d)

Move the patient's arm away from the side of his body.

41.

Which of the following provides specific definitions about the scope of practice for patient care technicians?

a)

The Health Insurance Portability and Accountability Act of 1996 (HIPAA)

b)

The doctrine of informed consent

c)

The Patient Self-Determination Act (PSDA)

d)

The state nurse practice acts

42.

A patient care technician is caring for a patient who is to receive continuous tube feedings. The technician should place the patient into which of the following positions?

a)

Supine position

b)

Prone position

c)

Semi-Fowler's position

d)

Trendelenburg position

43.

Which of the following can reduce abnormal marks on an EKG tracing that are caused by patient movement or muscle tremors?

a)

Speed control

b)

Calibration

c)

Artifact filter

d)

Gain control

44.

 A patient care technician in a facility sustained a needlestick injury. Which of the following should the technician notify following the incident?


a)

The nurse

b)

The National Institute for Occupational Safety and Health (NIOSH)

c)

The patient

d)

The Centers for Disease Control and Prevention (CDC)

45.

A patient care technician should identify that a bed scale should be used for a patient who has which of the following conditions?

a)

Fractured ankle

b)

Above-the-knee amputation

c)

Total hip dislocation

d)

Venous stasis ulcers

46.

A patient care technician receives a needlestick injury during a routine venipuncture. Which of the following actions should the technician take first?

a)

Report the incident to the supervisor.

b)

See a provider for evaluation.

c)

Wash the site with antimicrobial soap.

d)

Get tested for HIV infection.

47.

A patient care technician should identify that the provider will stop an exercise stress test if a patient develops which of the following symptoms?

a)

Mild fatigue

b)

Syncope

c)

Perspiration

d)

Increased respiratory rate

48.

A patient care technician is preparing to perform a venipuncture for a patient. The patient states, "I'm pretty anxious about this since it's my first time having blood drawn." Which of the following actions should the technician take?

a)

Explain the reason the provider prescribed the test in detail.

b)

Inform the patient about all possible complications.

c)

Prepare an ammonia inhalant for the patient.

d)

Describe the procedure to the patient.

49.

A patient care technician is preparing to document information in a patient's electronic health record (EHR). Which of the following actions should the technician plan to take?

a)

  1. Record care before it is provided.

b)

  1. Note patient response to an analgesic

c)

  1. Record the patient's vital signs as reported by the nurse.

d)

  1. Use generalized phrases when documenting

50.

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 nurse’s action violates which of the following parts of the Patient’s Bill of Rights?

a)

Right to be free of psychological abuse

b)

Right to be free of physical abuse

c)

Right to refuse treatment

d)

Right to make decisions about plan of care.

51.

A PCT is documenting a patient’s intake and output. Which of the following measurements should the technician include when recording output for the end of shift totals?

a)

Serous fluid on a wound dressing

b)

Nasogastric suction volume

c)

Solid stool from a colostomy

d)

Total parenteral nutrition (TPN) administered.

52.

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?

a)

Encourage the patient to enter the hospice program

b)

Tell the patient that further treatment is not an option

c)

Acknowledge the family’s concern and notify the nurse

d)

Recommend alternative treatment options for the patient.

53.

A PCT is assisting with the care of a patient who is on strict I & O. How often should the technician record the patient’s I & O?

a)

Every 1 hour

b)

Every 2 hour

c)

Every 8 hour

d)

Every 6 hour

54.

A PCT obtains a stool sample specimen from a patient. Which of the following actions should the technician take when labeling the specimen?

a)

Apply the label to the side of the specimen container

b)

Apply the label to the lid of the specimen container

c)

Apply the label to seal the lid onto the specimen container

d)

Apply the label to the outside of the sealed biohazard bag that holds the specimen container.

55.

Which of the following is a consequence of mislabeling a blood bank specimen?

a)

A HIPAA violation

b)

A transfusion reaction

c)

A medical transcription error

d)

A pharmaceutical reaction.

56.

A PCT notices that a patient cut his foot while ambulating and is bleeding. Which of the following should the technician take?

a)

  1. Activate the emergency response team

b)

  1. Instruct the patient to remain in a standing position

c)

  1. Place the affected extremity below the level of the heart

d)

  1. Apply steady pressure to the wound

57.

A PCT in a hospice setting is caring for a patient who has terminal cancer and states: I need to live long enough to see my child get married. The technician should identify that the patient is in which of the following stages of grief?

a)

Bargaining

b)

Denial

c)

Acceptance

d)

Anger

58.

Which of the following findings should a PCT report to a nurse?

a)

A 1 year old patient who has a pulse rate of 50/min

b)

A 12 year old patient who has a pulse rate of 76/min

c)

A 40 year old patient who has a pulse rate of 88/min

d)

An 89 year old patient who has a pulse rate of 85/min

59.

A PCT should identify that which of the following patients requires droplet precautions?

a)

A patient who has influenza

b)

A patient who has scabies

c)

A patient who has pediculosis

d)

A patient who has hepatitis A

60.

A PCT is performing ostomy care for a patient. Which of the following findings should the technician report to the nurse?

a)

The stoma has a small amount of bloody drainage

b)

The stoma is red in color

c)

The stoma is leaking around the wafer

d)

The stoma remains the same size

61.

A PCT is caring for a patient who has 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?

a)

Increase the flow of oxygen to the patient

b)

Notify the nurse immediately

c)

Assist the patient to ambulate

d)

Lower the head of the bed

62.

When collecting a multi draw venous sample which of the following sites should the PCT attempt to draw from first?

a)

Median cubital

b)

Basilic

c)

Cephalic

d)

Radial

63.

A PCT should recognize that which of the following statements regarding skin preparation for blood cultures is correct?

a)

I will cleanse the area with 70% ethyl alcohol

b)

I will cleanse the area with sodium hypochlorite

c)

I will cleanse the area with chlorhexidine gluconate

d)

I will cleanse the area with sterile saline

64.

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?

a)

Lead selector

b)

Artifact filter

c)

Heart rate limits

d)

Speed

65.

A PCT 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 actions should the technician take if the patient expresses fear of the procedure?

a)

Advise the patient that the test is painless

b)

Require the patient to remove all clothing

c)

Inform the patient that refusal is not an option due to the presenting symptom

d)

Caution the patient that jewelry near the wires and electrodes might cause sparks.

66.

A PCT is transporting a patient using a wheelchair. Which of the following actions should the technician take?

a)

Ensure the patient’s feet are placed on the footrests

b)

Place a loose blanket over the patient’s legs

c)

Fasten the seat belt loosely around the patient’s waist

d)

Pull the back wheels onto the curb first when going up a curb.

67.

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?

a)

Walk on the patient’s stronger side while ambulating

b)

Walk slightly in front of the patient while ambulating

c)

Apply the gait belt over the patient’s clothing at the waist

d)

Grasp the gait belt on each side with palms facing downward.

68.

A PCT should identify that adjusting a patient’s bed to be between 60° and 90° will place the patient in which of the following positions?

a)

Fowler’s

b)

Orthopneic

c)

Semi-Fowler’s

d)

High Fowler’s

69.

Which of the following blood specimens should a PCT keep chilled during transfer to the laboratory?

a)

Ammonia

b)

Bilirubin

c)

Glucose

d)

Potassium

70.

A PCT is to perform a venous blood draw for a 91 year old patient. The technician should use which of the following methods?

a)

Butterfly needle and syringe

b)

Hand draw

c)

Capillary collection

d)

Vacutainer collection

71.

A PCT enters the patient's room and is approached by visitor’s requesting test results. Which of the following responses by the technician is appropriate?

a)

The doctor needs to give you that information

b)

The lab values were all within the expected reference range

c)

I’m sorry but I can’t give you that information

d)

I’ll ask the nurse to give you that information

72.

A PCT is collecting a patient’s sputum specimen. Which of the following actions should the technician take?

a)

Instruct the patient to perform shallow coughs

b)

Collect a minimum of 5 tsp of sputum

c)

Have the patient use an alcohol based mouthwash prior to collection

d)

Obtain the specimen first thing in the morning

73.

A PCT is caring for a patient following the application of an immobility splint. Which of the following actions should the technician make to ensure the patient’s safety?

a)

lower bed side rails

b)

raise bed to technician working height

c)

ensure splint remains moist

d)

place call light within patients reach

74.

A PCT is performing postmortem care of a patient. Which of the following is a correct technique for preparing the body?

a)

Remove any dentures as soon as possible

b)

Place the body supine, with one hand crossed over the other

c)

Ensure all tubes, drains, and bandages are removed

d)

Place a folded towel under the head

75.

A PCT is caring for a patient who has a two piece colostomy system in place. Which of the following should the technician take when providing ostomy care?

a)

Apply pressure for 30 seconds when applying the skin barrier wafer

b)

Cut the skin barrier wafer to be 0.64 cm (0.25 in) larger than the stoma

c)

Verify the stoma is moist and reddish-pink in color

d)

Cleanse the skin around the stoma with hot, soapy water

76.

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?

a)

decreased temperature

b)

Restlessness

c)

Change in level of consciousness

d)

Dry skin

77.

Which of the following arrhythmias is represented in the tracing below?

a)

Atrial premature contraction

b)

Atrial fibrillation

c)

Wandering atrial pacemaker

d)

Ectopic atrial tachycardia

78.

A PCT should report which of the following as possible elder abuse or neglect?

a)

A patient who refuses to take prescribed medications

b)

A patient who reports receiving phone calls from family but never any visits

c)

A patient who reports his checking account is being mismanaged by his adult grandchild

d)

A patient whose provider has refused to sign paperwork to allow for renewal of the patient’s driver’s license

79.

Identify the arrhythmia in the tracing below.

a)

Junctional tachycardia

b)

Ventricular tachycardia

c)

Sinus tachycardia

d)

Accelerated idioventricular rhythm

80.

A PCT is collecting a urine specimen and accidently spills it on the floor. Which of the following actions should the technician take to clean the spill?

a)

Use a clean, dry towel

b)

Use a disinfectant that contains bleach

c)

Call the hazardous materials team

d)

Use a mop with hot, soapy water

81.

The choice to perform a capillary puncture is best determined by which of the following factors?

a)

Patient weight

b)

Patient diagnosis

c)

Test results

d)

Test ordered

82.

A PCT is assisting with the physical examination of a patient. Which of the following identifiers should the technician use to verify the patient’s identity?

a)

Age

b)

Date of birth

c)

Room number

d)

Diagnosis

83.

A PCT is performing perineal care for a patient who is at risk for skin breakdown. Which of the following products should the technician use to prevent skin breakdown?

a)

Barrier cream

b)

Silver sulfadiazine cream

c)

Moisturizing cream

d)

Permethrin cream

84.

A PCT is caring for a patient who has right sided heart failure. Which of the following findings should the technician expect?

a)

Hypertension

b)

Pallor

c)

Tachycardia

d)

Swelling of the legs

85.

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?

a)

Seal the specimen lid with the label from the chain of custody form

b)

Check the specimen’s temperature within 10 min of receiving the specimen

c)

Ship the specimen to the testing laboratory the next day

d)

Instruct the patient to flush the toilet following voiding

86.

A PCT is transferring a non weight bearing patient from the bed to a wheelchair. Which of the following actions should the technician take?

a)

Keep the bed at the most comfortable working height

b)

Place hands under the patient’s arms to provide support

c)

Lock the wheels of the bed and wheelchair

d)

Instruct the patient to remove socks and shoes

87.

A PCT is caring for a new patient. The technician should recognize that which of the following procedures requires medical aseptic or clean techniques?

a)

Assisting to apply a sterile dressing

b)

Inserting a urinary catheter

c)

Changing bed linens

d)

Cleaning an operating room

88.

Which of the following is the most important action a PT can take to help prevent the spread of infection?

a)

Wearing PPE

b)

Performing hand hygiene between contact with patients

c)

Covering the mouth and nose when sneezing or coughing

d)

Disposing of all used needles in the sharps container.

89.

A PCT is using massage to stimulate circulation for a patient who is immobile. Which of the following areas should the technician massage?

a)

The patient’s back

b)

The patient’s lower legs

c)

Reddened areas

d)

Bony prominences

90.

A PCT in a long term care facility is caring for a patient who requires restraints. For which of the following reasons should a technician expect a provider to prescribe restraints?

a)

To prevent patients from injuring themselves or others

b)

To prevent patients from falling out of bed

c)

To provide convenience for the nursing staff

d)

To allow patients to independently reposition themselves

91.

A PCT is performing a 12 lead EKG for a patient who has tachycardia. Which of the following paper speed settings should the technician expect the provider to prescribe?

a)

50 mm/sec

b)

25 mm/sec

c)

5 mm/sec

d)

10 mm/sec

92.

A PCT is assisting with the care of a patient who has diabetes mellitus. The technician should know which of the following is a sign of hyperglycemia?

a)

Cool, clammy skin

b)

Fever

c)

Frequent urination

d)

Rapid, shallow respirations

93.

A PCT is caring for a patient who had a cerebrovascular accident and is non ambulatory. Which of the following findings should the technician report to the nurse immediately?

a)

Skin discoloration that subsides with repositioning

b)

Chronic loss of feeling in one extremity

c)

One episode of incontinence

d)

Change in size and shape of a pressure ulcer

94.

Which of the following is the purpose of using standard precautions in the healthcare setting?

a)

To ensure that all healthcare workers receive the necessary immunizations

b)

To protect staff and patients from airborne illnesses

c)

To guarantee that patients understand infection control guidelines before signing informed consent

d)

To reduce the transmission of bloodborne pathogens when providing care

95.

A PCT is caring for a patient and notices a fire in the waste basket. Which of the following actions should the technician take first?

a)

Close all the doors to the patient’s room

b)

Remove the patient from the room

c)

Activate the emergency alarm

d)

Extinguish the fire

96.

A PCT should identify that which of the following patients requires contact precautions?

a)

A patient who has rotavirus

b)

A patient who has tuberculosis

c)

A patient who has measles

d)

A patient who has influenza

97.

A PCT is assisting with the care of a patient who has active tuberculosis (TB). Which of the following types of masks should the technician wear when in the patient’s room?

a)

Face mask

b)

N95 respirator mask

c)

Venturi respirator mask

d)

Nonrebreather respirator mask

98.

 A PCT is preparing to perform urinary catheter care for a female patient. Which of the following actions should the technician take?


a)

Clean around the meatus with antiseptic solution

b)

Tape the cleaned catheter snugly to the lower leg

c)

Use normal saline to cleanse the meatus

d)

Place the patient supine with thighs slightly abducted

99.

A PCT is obtaining a blood specimen for coagulation testing. The technician should select a tube that contains which of the following additives?


a)

Ethylenediaminetetraacetic acid (EDT

b)

Sodium citrate

c)

Heparin

d)

Potassium oxalate

100.

A PCT receives a needlestick injury. The technician should report this injury at which of the following times?


a)

Within 72-96 hours

b)

Before the start of the next shift

c)

By the end of the documented pay period

d)

Before leaving the facility at the end of their shift

101.

A PCT is planning for a patient who is on contact precautions. When entering the patient’s room, the technician should apply which of the following?


a)

N95 respirator

b)

Gown

c)

Surgical mask

d)

Shoe covers

102.

 A PCT is instructed to measure a patient’s pulse manually. Which of the following actions should the technician take?

a)

Place the center of the palm over the patient’s chest and count each pulse felt for 2 min

b)

Locate the brachial pulse using the thumb, count pulses felt fo 30 seconds, and multiply by 2

c)

Locate the radial artery, feel for the pulse with the index and middle fingers and count pulse felt for 1 minute

d)

Locate the radial artery and use the thumb to count each pulse felt for  minute

103.

A PCT is performing an EKG and the patient reports chest pain and discomfort. Which of the following actions should the technician take?


a)

Reposition the patient’s chest electrodes

b)

Perform another EKG recording

c)

Notify the patient’s provider

d)

Check the patient and the room for causes of artifact interference

104.

 A PCT is assisting a nurse to set up suction equipment for a patient who has a tracheostomy. Which of the following actions should the technician take to maintain the sterility of the equipment?

a)

Use clean gloves to open the suction catheter kit

b)

Place a prepackaged drape under the tracheostomy site

c)

Open the suction catheter kit and place the tip of the catheter on a towel

d)

Use the dominant hand to turn on the suction machine

105.

A PCT should recognize that which of the following scenarios requires an aseptic dressing change?

a)

Changing the surgical wound dressing of a patient who is 1 day postoperative

b)

Changing a patient’s triple lumen catheter dressing

c)

Changing the dressing of a patient who has a deep wound drain

d)

Changing the dressing of a patient who has superficial decubiti

106.

A CT schedules hygiene care measures to be performed at the same time as other care measures. Which of the following best describes the technician’s action?


a)

Continuity of care

b)

Care plan

c)

Coordination of care

d)

Hygiene care schedule

107.

A PCT is preparing to perform venipuncture for a patient using the antecubital area. At which of the following angles should the technician insert the needle?

a)

40 ° to 45°

b)

5 ° to 10°

c)

15 ° to 30°

d)

50 ° to 60°

108.

 A PCT is preparing a patient for hospital discharge. The patient states, I’m afraid to go back home to my partner. Which of the following responses by the technician is appropriate?

a)

Would you like to speak with a police officer?

b)

If your partner is abusing you at home, would you tell me immediately?

c)

Your partner loves you, and you have no reason to be afraid

d)

Can you tell me if something happened that made you feel unsafe?

109.

A PCT is measuring an adult’s blood pressure electronically. Which of the following readings should be reported to the nurse?


a)

130/81

b)

119/76

c)

116/78

d)

98/60

110.

 A PCT is preparing to assist in performing an EKG for a toddler. Which of the following leads can be placed in mirror image to typical placement to prevent crowding of the electrodes?


a)

Lead V2

b)

Lead V1

c)

Lead V5

d)

Lead V3

111.

A PCT should identify that which of the following actions can create shearing force and impair skin integrity?


a)

Use a lift device to reposition a patient

b)

Assisting a patient to the bathroom frequently

c)

Repositioning a patient every 2 hours

d)

Elevating the head of a patient’s bed to 45 °

112.

 A PCT should recognize that health care facilities are required by which of the following entities to keep safety data sheets (SDS) available?


a)

OSHA

b)

TJC

c)

CLIA

d)

Clinical and Laboratory Standards Institute (CLSI)

113.

Which of the following organizations provides guidelines for identifying and preventing the spread of communicable diseases?


a)

CDC

b)

OSHA

c)

FDA

d)

NIOSH

114.

. 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 HIPAA guidelines?


a)

Stay with the record until the provider arrives

b)

Check the record for accuracy

c)

Obtain any missing signatures on consent forms

d)

Ensure that no identifiable patient information is visible

115.

 A PCT is caring for a patient who has to undergo a blood transfusion. The technician should recognize which of the following vital signs should be reported to the nurse immediately?

a)

  1. Pulse rate 85/min

b)

  1. Respiratory rate 17/min

c)

  1. Temperature 38.8 ° C (101.8 ℉)

d)

  1. Blood pressure 118/79 mm Hg

116.

A PCT is reinforcing teaching with a patient who is using an incentive spirometer. Which of the following statements should the technician take?

a)

  1. Lie flat on the bed while using the spirometer

b)

  1. Inhale forcefully through the long tube to raise the balls in the chamber

c)

  1. Take a deep breath and exhale through the long tube for 10 seconds

d)

  1. Remove the long tube from the spirometer and breathe directly into the chamber

117.

Which of the following procedural steps for a finger stick should a PCT do first?


a)

  1. Cleanse the site with an antiseptic wipe

b)

  1. Position the blade of the lancet actress the lines of the fingertip

c)

  1. Select the appropriate part of the third or fourth finger

d)

  1. Confirm the correct identity of the patient

118.

A PCT is transferring a patient from the bed to a wheelchair. In which of the following positions should the technician stand during the transfer?


a)

  1. Facing the patient

b)

  1. Behind the wheelchair

c)

  1. On the patient’s weak side

d)

  1. With one leg between the patient’s legs

119.

A PCT is assisting a patient who is postoperative with deep-breathing exercises. The technician should recognize that these exercises can be prescribed for which of the following reasons?


a)

  1. To treat respiratory arrest

b)

  1. To prevent respiratory complications

c)

  1. To prevent wound dehiscence

d)

  1. To treat cardiac arrest

120.

 After drawing 6 vials of blood for a patient, a PCT finds that two of the six vials should the technician take?


a)

  1. Notify the manufacturer

b)

  1. Discard the expired vials

c)

  1. Submit the vials for testing with a supervisor

d)

  1. Place new expiration date labels on the expired