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Exam I (Ch. 1 & 2)

Total questions: 63

Worksheet time: 32mins

Name
Class
Date
1.

What types of tasks do patient care technicians commonly perform in inpatient care settings?

a)

Diagnostic and screening tasks

b)

Delegated care tasks

c)

Assessment and treatment tasks

d)

Triage and management tasks

2.

Which of the following is a task that may be assigned to PCTs?

a)

Minor laceration repair

b)

Administering medications

c)

Drawing blood for testing

d)

Explaining the patient’s diagnosis

3.

If a PCT works for a heart care hospital, which of the following tasks might he perform often?

a)

Conducting EKGs

b)

Interpreting EKGs

c)

Cardiac catheterization

d)

Treating patients who become unresponsive

4.

Which other healthcare workers do many of the same tasks PCTs perform?

a)

Physical therapists and speech therapists

b)

X-ray technicians and respiratory technicians

c)

Nursing assistants and medical assistants

d)

Pharmacy technicians and medication aides

5.

Which of the following is true of PCTs and home health care?

a)

PCTs who work in home care may do housekeeping tasks in addition to caring for clients.

b)

PCTs are never hired to do home care.

c)

PCTs who work in home care often give injections.

d)

PCTs who work in home care must be licensed.

6.

A PCT notices that a patient is having a hard time gripping utensils during meals. Which care team member could help?

a)

Occupational therapist

b)

Physical therapist

c)

Medical social worker

d)

Speech-language pathologist

7.

If a PCT has a concern about another employee, how should she address it?

a)

By posting on social media

b)

By telling other PCTs and asking if they agree

c)

By using the facility’s chain of command

d)

By making an anonymous complaint to the director of nursing

8.

What is the term for the responsibilities that are within the knowledge, training, and legal definition of a profession?

a)

Scope of practice

b)

Code of ethics

c)

Standard of care

d)

Chain of command

9.

PCT Jonah forgets to identify Mrs. Contreras and check the meal card before helping her eat dinner. He realizes after she eats that he gave her the wrong meal. He reports his mistake immediately. Which characteristic of professionalism does this show best?

a)

Organization

b)

Honesty

c)

Compassion

d)

Patience

10.

Which of the following is true of dressing in a clean, wrinkle-free uniform?

a)

It is important and a sign of professionalism.

b)

It is not necessary as long as a PCT performs their job properly.

c)

It is not necessary because most employers do not care about appearance.

d)

It is an outdated standard that can be ignored.

11.

What are 2 common requirements for PCT certification?

a)

Recommendation from a healthcare professional and a job offer at a hospital

b)

A letter stating the person’s reasons for becoming a PCT and recommendation from an instructor

c)

Completion of a PCT course and a letter of recommendation from a hospital administrator

d)

Completion of a PCT course and passing a test given by the certification agency

12.

What document replaced the American Hospital Association’s Statement on a Patient’s Bill of Rights?

a)

The Dying Person’s Bill of Rights

b)

The Hippocratic Oath

c)

The Patient Care Partnership

d)

The Affordable Care Act

13.

Before a patient participates in a medical research study, a provider must

a)

Give a detailed explanation of the study and tell the patient about possible risks

b)

Ask if the patient wants to know what the risks may be

c)

Arrange for the patient to talk to the researchers who are running the study

d)

Make sure the patient does not know about any risks involved

14.

The Patient Self-Determination Act requires medical facilities to inform patients about

a)

Organ donation

b)

Genetic testing

c)

Insurance choices

d)

Advance directives

15.

A patient being treated in the emergency department collapses. He is not breathing and has no pulse. The patient has a DNR order in his chart. Which of the following is true?

a)

Any trained healthcare worker must start CPR right away.

b)

CPR should not be performed.

c)

Only a provider can start CPR.

d)

Only an emergency medical technician can start CPR.

16.

A patient assigned male at birth uses the name Ms. Jones and uses she/her pronouns. A PCT must

a)

Use the patient’s preferred name/pronouns if it does not conflict with the PCT’s personal beliefs

b)

Try to remember to use the patient’s preferred name/pronouns

c)

Apologize to the patient if the PCT does not want to use the preferred name/pronouns

d)

Use the patient’s preferred name/pronouns

17.

What is one way a PCT can promote patient rights during care?

a)

By performing care quickly so the patient can be left alone

b)

By telling the patient stories about other patients during care so he feels less isolated

18.

How does HIPAA protect patient rights?

a)

By making sure patients are only treated by qualified providers

b)

By protecting choices about what care to receive

c)

By requiring healthcare workers to report abuse

d)

By keeping health information private and secure

19.

A local news anchor is being treated at the hospital where Juan works as a PCT. He tells his friends that he is caring for the news anchor and even drew her blood. Which of the following is true?

a)

What Juan did was illegal and unethical.

b)

What Juan did was not illegal, but it was unethical.

c)

What Juan did was not illegal or unethical because the news anchor is a public figure.

d)

What Juan did was not illegal or unethical because the news anchor signed a form consenting to treatment.

20.

Which law requires that hospitals provide necessary emergency treatment for patients even if they cannot pay?

a)

EMTALA

b)

HIPAA

c)

CLIA

d)

ADA

21.

Violations of civil law are called

a)

Crimes

b)

Torts

c)

Infractions

d)

Penalties

22.

A PCT who does not wash hands before providing care may be considered guilty of

a)

Abuse

b)

Assault

c)

Negligence

d)

Neglect

23.

A child is brought to the emergency department of a hospital by her aunt. Her parents are on a cruise and cannot be contacted. What legal concept allows the child to be treated?

a)

Advance directives

b)

Express consent

c)

Informed consent

d)

Implied consent

24.

A PCT is drawing blood from a child who is very frightened and keeps pulling his arm away. The PCT says, “Stop it!” and grips the child’s arm very tightly. This behavior

a)

Is sometimes necessary

b)

Should have been left to the parents

c)

Can only be done by a nurse or provider

d)

Is abusive

25.

After using the facility’s chain of command to report physical abuse of patients by a nurse, a PCT sees that nothing has been done to change the situation. The PCT reports the abuse to law enforcement. What type of law protects the PCT from being fired or treated badly as a result of this report?

a)

Good Samaritan laws

b)

Patient protection laws

c)

Whistleblower laws

d)

Chain of command laws

26.

Suspected abuse of a patient must be reported

a)

If a patient is seriously hurt

b)

If the abuse seems to be ongoing

c)

Immediately

d)

Only if the patient consents to the report

27.

What is the purpose of an incident report?

a)

To help prevent future incidents and improve quality of care and patient safety

b)

To find out who is to blame for the incident and punish the person appropriately

c)

To hide the details of the incident from legal authorities

d)

To guarantee the facility will not be considered liable for any injuries

28.

A PCT is injured on the job. What type of report may be made in addition to the facility’s incident report?

a)

A report to the city or county health department

b)

A report to the state board of medical licensing

c)

A report to the PCT’s certifying agency

d)

A federal report

29.

What should not be discussed in an incident report?

a)

A factual account of the event

b)

Details of response to the event

c)

Blame or liability for the event

d)

The person’s reaction to the event

30.

The main job of a PCT is to perform

a)

Assigned tasks related to direct patient care

b)

Assessment and treatment of patients

31.

Which of the following best describes the role of a patient care technician (PCT)?

a)

Direct patient care only

b)

Clerical/administrative tasks only

c)

Cleaning and organizing tasks

d)

A mixture of direct patient care and clerical/administrative tasks

32.

Which of the following is a PCT task that is not common for nursing assistants?

a)

Assisting patients with bathing, grooming, and elimination

b)

Drawing blood for testing

c)

Assisting with admitting new patients

d)

Assisting with range of motion exercises and ambulation

33.

If a PCT works in the memory care unit of an assisted living facility, what condition can they expect to see often?

a)

Dementia

b)

Low blood pressure

c)

Thyroid disorders

d)

Heart attack

34.

Which of the following tasks is likely to be performed by a PCT working in an outpatient setting?

a)

Helping a patient to eat meals

b)

Assisting providers with examinations

c)

Removing a peripheral IV

d)

Managing patient billing and insurance claims

35.

What type of nurse must complete postgraduate training (a master’s or doctoral degree)?

a)

A licensed vocational nurse

b)

A licensed practical nurse

c)

A registered nurse

d)

An advanced practice registered nurse

36.

A PCT notices that a patient is choking during meals and seems to have difficulty swallowing. Which care team member could help?

a)

Occupational therapist

b)

Physical therapist

c)

Medical social worker

d)

Speech-language pathologist

37.

Which of the following is true about a PCT’s scope of practice?

a)

It is set by federal law.

b)

It is set by certification agencies.

c)

It may be set by state law and/or facility policy.

d)

It may be set by city law and/or the policies of the school where the PCT is trained.

38.

This healthcare worker is usually directly above a PCT in a facility’s chain of command:

(a)  

39.

One of the Five Rights of Delegation is

a)

Right Dose

b)

Right Diagnosis

c)

Right Direction/Communication

d)

Right Time

40.

Keeping healthcare information confidential is a common

a)

Procedure

b)

Policy

c)

Suggestion

d)

Observation

41.

James, a PCT, gets a text message from his girlfriend shortly after arriving at work. She says she wants to talk later that day about whether they should continue dating or break up. Which of the following is a professional response?

a)

James tells his first patient he is sorry if he seems distracted, but his girlfriend wants to break up with him.

b)

James takes a moment to breathe and gather his thoughts, then continues working without mentioning the situation.

c)

James decides that because he is so upset he just will not talk to patients or coworkers at all today if he can avoid it.

d)

James continues working and asks every patient for advice about the situation with his girlfriend.

42.

Which of the following is an example of a PCT being proactive?

a)

A PCT notices that a patient or family member has plugged in a laptop computer by stretching a cord across the patient’s path to the bathroom. She unplugs the laptop and plugs it in behind the nightstand so the cord is not in the way.

b)

A PCT answers a call light and helps a patient get out of bed and to the bathroom.

c)

A PCT is assigned to draw blood from a patient. He checks the requisition and gathers the necessary equipment. He goes to the patient’s room and identifies the patient correctly before performing the blood draw.

d)

A PCT sees that a patient has had an episode of incontinence. She reassures the patient, immediately removes all wet clothing and linens, cleans the patient, and provides fresh clothing and linens.

43.

What is the term for annual training a PCT needs to take in order to maintain certification?

a)

Vocational training

b)

Continuing education

c)

Certification training

44.

With whom may a PCT share contact information and personal details about a coworker?

a)

Only with his spouse or significant other

b)

Only with trustworthy people

c)

With nobody

d)

Only with people the PCT thinks his coworker knows

45.

What is a code of ethics?

a)

A list of laws that must be followed by healthcare workers

b)

A handbook of facility policies

c)

A manual for the proper performance of care procedures

d)

A guide to promote proper conduct and high standards of practice in a facility

46.

Kendra is a PCT. She has found it very difficult to care for Mrs. Jackson today and she is feeling angry. Mrs. Jackson complains that Kendra is brushing her hair too roughly and Kendra responds by brushing harder and faster. Which of the following is true?

a)

Kendra’s behavior is abusive.

b)

Kendra is right to quickly finish her work with Mrs. Jackson before she gets even angrier.

c)

Mrs. Jackson’s bad temper is to blame for Kendra’s behavior.

d)

Mrs. Jackson should be brushing her own hair.

47.

Advance directives

a)

Are only important if a patient has not told her family verbally how she wishes to be cared for

b)

Indicate what property will go to whom when a patient dies

c)

May include living wills, durable power of attorney for health care, and do not resuscitate (DNR) or do not intubate (DNI) orders

d)

Are required for admission to facilities that receive Medicare or Medicaid funds

48.

Lucas, a PCT, is assigned to perform a 12-lead EKG on a patient. The patient says she does not want the EKG done and pulls her blanket up to her chin. What should Lucas do?

a)

Explain that the doctor needs this test done and then gently pull the blanket down and start the EKG

b)

Tell the patient she is just making things hard for the doctor and if she really wanted to get well she would agree to the test

c)

Tell the patient that if she does not cooperate he will need to get another PCT to help him do the test

d)

Tell the patient he understands that she does not want the test done and ask if there are any questions he or a nurse or provider could answer to make her feel more comfortable

49.

Which of the following is an example of the kind of choice a PCT can allow a patient to make?

a)

Whether to have a bath or do oral care first

b)

How often to have vital signs measured

c)

When to have X-rays or other scheduled tests performed

d)

When to be discharged from the facility

50.

The best place for a PCT to give information about all patients on the floor to the PCT on the next shift is

a)

In a public lounge area

b)

In the hospital lobby

c)

In a patient’s room

d)

In a room or area available only to staff

51.

A woman rushes up to a PCT in the hallway and says she is the daughter of the patient in room 423. She wants to know how he is doing. How should the PCT respond?

a)

By looking up the patient’s record and telling the woman his latest vital signs

b)

By telling her about any care the PCT has provided for the patient that day

c)

By telling her that she is sorry, but she cannot discuss patient care without the patient’s permission

d)

By telling her to go to the information desk downstairs

52.

Who has to follow HIPAA regulations?

a)

All healthcare workers

b)

Certified healthcare workers only

c)

Licensed healthcare workers only

d)

Facility administrative staff only

53.

Which of the following is a patient whose record a PCT is legally and ethically allowed to view?

a)

The record of his cousin, who is being treated in another facility connected to the facility where the PCT works

b)

The record of his best friend, who is in the unit where the PCT works, but whom the PCT is not assigned to care for

c)

The record of an old neighbor, whom the PCT is assigned to care for

d)

The record of the city’s mayor, who was treated in the facility’s emergency department and then released

54.

A patient who needs a wheelchair is placed in a room that is arranged in a way that makes it hard for her to get to the bathroom. Which law gives her the right to be in a room where she can access the bathroom without difficulty?

a)

EMTALA

b)

HIPAA

c)

CLIA

d)

ADA

55.

Which of the following is an example of battery?

a)

Telling a disruptive patient that she will not get dinner if she does not quiet down

b)

Forcing food into a patient’s mouth

c)

Threatening a patient that he will be sent to a different unit if he does not behave for the PCT

d)

Teasing a patient who is afraid to have a procedure done

56.

An adult patient who is not legally able to give consent due to cognitive disability must have

a)

All healthcare decisions made by a primary healthcare provider

b)

A legal representative for healthcare decisions

c)

All healthcare decisions based on implied consent

d)

A medical social worker present when healthcare decisions are made

57.

What is a mandated reporter?

a)

A person who must report changes in vital signs to the nurse

b)

A person who is legally required to report suspected or observed abuse

c)

A person responsible for assisting patients who wish to make a general complaint

d)

A person who writes articles about patients’ rights for a facility newsletter

58.

Mr. Olsen never wants to talk when his eldest son visits. The son always closes the door and never allows anyone else to enter the room during his visits. Mr. Olsen is withdrawn for hours after these visits. What should a PCT who witnesses these things do?

a)

Confront the son and accuse him of abusing his father

b)

Tell Mr. Olsen that his son cannot visit any more

c)

Talk to a supervisor about her concerns and then follow up to be sure the issue has been addressed

d)

Immediately call local or state authorities

59.

A living will indicates the medical care a person wants or does not want in case she becomes unable to make those decisions and may also be called a(n)

a)

Durable power of attorney for health care

b)

Will

c)

Invocation of trust

d)

Directive to physicians

60.

After a patient falls, in what circumstances should a PCT make an incident report?

a)

If a bone is broken

b)

If the patient must be treated by a provider as a result of the fall

c)

If the patient wants an incident report filed

d)

In every circumstance

61.

What is documented in a patient’s medical record regarding an incident report?

a)

The facts of the incident, but not that an incident report was filed.

b)

A copy of the incident report itself.

c)

The names of all staff involved in the incident report.

d)

A detailed analysis of who was at fault in the incident.

62.

A patient was not given a very important medication for an extended time. As a result, the patient had a heart attack. This is an example of

a)

Workplace violence

b)

A sentinel event

c)

Assault

d)

Exploitation

63.

How might incident reports improve safety in a facility?

a)

By shaming the responsible healthcare workers into providing better care

b)

By properly punishing healthcare workers who make mistakes

c)

By identifying possible problems and preventing future incidents

d)

By giving patients a chance to express their opinions about mistakes in care