Following a mastectomy, ECG electrodes should be placed

as close to surgical site as possible without touching site

PCT unable to hear part of narrative while entering data into EMR during physicians exam.

leave blank and flag for clarification later

Where should the V4 electrode be placed on the body?

L midclavicular line, 5th intercostal space

To ensure proper monitoring of pt during a stress test, the PCT should do what (3) things?

observe facial expressions, skin color, and perspiration, Instruct pt to report any symptoms, Adjustroom temp to pt preference

Patient experiences coughing, wheezing, and SOB after receiving an injection of medication.

obtain epinephrine and oxygen and await Dr. orders

Pt has R ankle sprain that occurred 3 hrs ago. Select 3 appropriate treatments

protect and rest, wrap w/ a compression bandage, apply ice

Which should be reported to provider? T 36.9C(98.5), P110, R28, BP88/56, O2 saturation 96%

Respirations, blood pressure, Pulse

Which is the correct order of PPE removal upon leaving a contact-droplet isolation room?

gloves, gown, shoe covers, mask

Which of the following is correct ECG lead placement for a pt with amputated L arm?

moved to back of L shoulder, moving R side to match

Which question encourages open communication with a patient c/o low back pain?

What has been going on with you since your last appointment?

Select 3 things the PCT should do when drawing blood from a pt on anticoagulants

apply pressure dressing over site, wait for bleeding to stop, hold pressure and elevate arm

Which action should PCT take first after coming in contact with pt's blood via needlestick ?

Flush with warm water and thouroughly wash are

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1
Pt c/o tremors, nausea, blurred vision and HA while receiving nebulizer tx w/ albuterol
tell pt these are common side effects
notify physician
decrease O2 to 3l/min
place pt on NPO status
2
PCT receives requisition for lab tests on pt with L mastectomy. PICC line in R arm. PCT should:
Draw above PICC line
Draw from L arm
Drawfrom the PICC line
Refer the draw to the nurse
3
A pt. falls unconscious in the waiting room. What should PCT do regarding consent to treat?
treat based on implied consent
obtain a signed consent to treat
obtain consent from family member
treat based on expressed consent
4
Following a mastectomy, ECG electrodes should be placed
in intercostal spaces above heart and surgical site
3 inches above surgical site
3 inches lower than the site
as close to surgical site as possible without touching site
5
PCT unable to hear part of narrative while entering data into EMR during physicians exam.
enter what Dr. usually says
leave blank and flag for clarification later
apologize and interrupt to clarify
enter what was observed at the time
6
Where should the V4 electrode be placed on the body?
R midclavicular line, 5th intercostal space
L midclavicular line, 5th intercostal space
L midaxillary line, 5th intercstal space
R anterior axillary line, 5th intercostal space
7
Which is an appropriate venipuncture method to access a vein on the back of a hand?
evacuated tube
needle and syringe
capillary puncture
butterfly
8
Patient has a pulse oximetry reading of 88% on room air. What condition does reading indicate?
apnea
hypoxia
eupnea
arrhythmia
9
Objective of this agency is to regulate and ensure quality of clinical laboratory testing
CLIA
OSHA
FDA
DEA
10
Which type of isolation requires handwashing, gloves, gown, and mask?
standard airborne
contact airborne
contact droplet airborne
contact droplet
11
PCT notices pt has MRSA sores after washing her hands. Next step to prevent transmission is
don a mask
use universal precautions
reschedule pt until sores have healed
implement reverse isolation
12
To ensure proper monitoring of pt during a stress test, the PCT should do what (3) things?
instruct pt to start at a rapid pace
observe facial expressions, skin color, and perspiration
Instruct pt to report any symptoms
Adjustroom temp to pt preference
13
Patient experiences coughing, wheezing, and SOB after receiving an injection of medication.
obtain epinephrine and oxygen and await Dr. orders
perform Heimlich
Call poison control
initiate CPR
14
Commitment to privacy, continuity of care, advance directives, authority to refuse treatment
Informed Consent
Patient Bill of Rights
Good Samaritan Law
Americans with Disabilities Act
15
Which tube should be used for collection of electrolytes?
grey
blue
lavender
green
16
Pt has R ankle sprain that occurred 3 hrs ago. Select 3 appropriate treatments
protect and rest
wrap w/ a compression bandage
apply a warm pack
apply ice
17
An adult pt with vital signs of T 37.0C, P 72, R 18, BP 192/102 indicates what condition?
hypertension
tachycardia
orthostatic hypotension
hypoxia
18
Prior to handing the Dr. a supply from a sterile field, the PCT should
prepare a second sterile field
apply sterile gloves
apply clean gloves
request additional assistance
19
Which should be reported to provider? T 36.9C(98.5), P110, R28, BP88/56, O2 saturation 96%
Respirations
Temp
blood pressure
Pulse
20
If a translator is not provided when requested, this is a violation of:
Patient's confidentiality
protected health information
Patient's Bill of Rights
HIPAA
21
Vital signs on adult: T 98.6, P 68, R 30, BP 128/84 Which measurement should be reassessed?
Pulse
Blood pressure
Temperature
Respirations
22
Providing high quality chest compressions while performing CPR
eliminates need for AED
prevents aspiration of stomach contents
pumps blood from the heart
maintains alignment to open airway
23
Which describes the best way to clean up a broken glass tube?
use a wet towel
use a broom and dust pan
Use paper towel
Place broken glass on a piece of paper
24
Which of the following is a bloodborne pathogen?
tuberculosis
influenza
varicella
hepatitis C
25
Patient suffered CVA with L sided weakness. At the follow up visit PCT would likely perform
full weight bearing exercise
active assisted ROM
cold chemical pack application
crutch training
26
The expected time frame to obtain a temperature with a digital thermometer
a few seconds
2-3 minutes
3-4 minutes
approximately 30 seconds
27
Which of the following is appropriate when administering a drug sublingually?
apply directly to skin
ask pt to swallow the medication
place under tongue
placebetween gum and cheek
28
An adult patient is choking on a piece of hard candy and cannot talk. Next immediate action is:
get a set of vitals
abdominal thrusts
chest compressions
AED
29
After the PCT has introduced her/himself and identified the patient, he/she should
reassure patient that it will not hurt
state purpose of test ordered
explain the procedure
ask patient about chief complaint
30
The medical abbreviation meaning drops is
mL
gtt
oz
drp
31
Oxygen administered via nasal cannula is documented in
percentage per minute
degrees per minute
liters per minute
volume per minute
32
Which is the correct order of PPE removal upon leaving a contact-droplet isolation room?
gloves, gown, shoe covers, mask
shoe covers, gown, gloves, mask
gown, mask, gloves, shoe covers
mask, gloves, gown, shoe covers
33
Recommended microcollection order of draw for BMP, CBC, bilirubin
green, red, lavender
lavender, green, red
green, lavender, red
lavender, red, green
34
Which of the following is correct ECG lead placement for a pt with amputated L arm?
moved to back of L shoulder, moving R side to match
same as a pt with out L arm amputation
back side of L shoulder
as close to site as possible but higher
35
Pt has O2 sat on room air of 79%. No s/s of distress What should PCT do next?
Notify Dr.
take full set of vitals
reposition finger probe
supplememt w/ oxygen
36
Which question encourages open communication with a patient c/o low back pain?
Why did you come in today?
What has been going on with you since your last appointment?
Why didn't you take any medicine to help with the pain?
What medication did you take for pain?
37
Where should the PCT look to find information on disposal of outdated hazardous chemicals?
HIPAA
MSDS
CLIA
NIOSH
38
Which of the following is required for permission to perform a procedure on a patient?
advanced directive
living will
implied consent
informed consent
39
Select 3 things the PCT should do when drawing blood from a pt on anticoagulants
apply pressure dressing over site
wait for bleeding to stop
hold pressure and elevate arm
call nurse for instructions
40
To ensure accuracy of oral temp, it is important to ask the patient prior to inserting probe...
medications taken today
pain with swallowing
recent food or fluid intake
fever in last 24 hours
41
The term oliguria refers to which of the following conditions?
renal calculi
frequent urination
low urine output
cystitis
42
What is the minimum time a pt must be fasting prior to a glucose tolerance test?
12-24 hours
1-2 hours
8-12 hours
2-4 hours
43
When performing a venipuncture, immediately before removing needle, PCT should:
release the tourniquet
apply gauze pressure dressing
activate needle safety mechanism
gently invert tubes
44
Pt BP during check- in process is 178/108. What action should PCT take?
calculate pt's BMI and document
administer nitroglycerin
notify health care provider
assist pt to trendelenburg position
45
Leaving tourniquet in place for extensive period of time will most likely result in
hematoma
hemolysis
excessive bleeding
hemoconcentration
46
Which of the following sites is used to measure heart rate when obtaining routine vital signs?
cephalic vein
radial artery
basilic vein
brachial artery
47
Which action should PCT take first after coming in contact with pt's blood via needlestick ?
Apply pressure to stop bleeding
Flush with warm water and thouroughly wash are
Inform pt about incident
Obtain Hepatits B vaccine
48
PCT is drawing blood from pt on blood thinners.What additional equipment will be needed?
non-adhering bandage
elastic gauze
paper tape
adhesive tape
49
Which of the following is the most common mode of transmission of Hepatitis A?
sexual contact
contaminated needles
fecal contaminated food/water
forceful coughing
50
The PCT has collected an ammonia level. What should be done to transport the specimen?
wrap in a heel warmer to slow metabolic process
maintain at room temp
wrap in foil to protect from light
immerse in water/ice slurry
51
Which of the following terms describe a wound that is pus-producing?
pyogenic
percutaneous
parenteral
parietal
52
Medication ordered twice a day should be documented in the chart as
qid
qd
bid
tid
53
PCT auscultates an apical pulse of 70 bpm on adult pt taking Lanoxin. Interpretation would be?
pt experiencing bradycardia
pt experiencing pulse deficit
pt experiencing tachycardia
pt HR is within normal limits
54
Pt's c/o difficulty falling asleep is documented as
narcolepsy
insomnia
sleep apnea
nocturia
55
Appropriate to use alcohol based hand rub as the only method of hand hygiene at which time?
before putting on gloves prior to venipuncture
after removing soiled gloves
before entering employee break room
after using restroom
56
Which letter corresponds to the best anatomical site for auscultating an apical heart rate?
C
B
D
A
57
I&D of a gangrenous abcess requires mask, gloves, and....
N95 respirator mask
protective eyewear
sterile gown
hazmat suit
58
If a patient has measles, which of the following is a required additional precaution?
fluid resistant apron
double gloves
N95 respirator
surgical mask
59
yellowish appearance to the skin
jaundice
cyanosis
pallor
erythema
60
A suppository is ordered for pt with N&V. Which is correct route of administration?
SC
IM
INH
PR
61
An emergency arises w/ the patient while performing an ECG. Initially assess what 2 things?
pulse
respiration
temp
skin color
62
Which of the following conditions is characterized by paralysis on one side of the body?
quadriplegia
hemiplegia
hemmorhagia
paraplegia
63
When serving as a witness to a pt's consent for a procedure, PCT is attesting to the fact that:
Pt was made aware of alternative treatment methods
Pt has the ability to make the decision
Pt comprehended all relevant information
Pt's signature was his/her own
64
Beginning with the infectious agent, put elements of chain of infection in correct order
reservoir, portal exit,mode trans,portal entry, suscept host
host, portal exit, mode of trans, portal entry, reservoir
portal of exit, reservoir, portal entry, mode of trans, host
reservoir,potal entry, mode of trans, port exit,suscept host
65
What should be used to hold gauze in place after blood draw on elderly person with skin tears?
band aid
rolled gauze
adhesive tape
paper tape
66
Patient faints after becoming upset about death of spouse, what should PCT do next?
protect pt from injury
activate EMS
Notify the physician
Draw blood for lab tests
67
Pt has hx of coronary artery disease. Which of these BP's should the PCT report? Select 3
132/78
138/98
92/44
162/96
68
The importance of a BMI measurement is to
screen for diabetes
determine level of hydration
assess skin fold thickness
estimate body fat and obesity related health risks
69
A pt calls office for ECG results. The PCT answering the phone should...
make appt for pt to meet with ECG Tech to discuss results
verify pt SSN and DOB before giving results
inform pt results cannot be given over phone
verify patient identity before giving results
70
When giving a nebulizer treatment with a bronchodilator, the PCT should monitor pt for
N & V
epistaxis
hyperventilation
persistent tachycardia
71
PCT & nurse discuss pt. lab results outside room where conversation is overheard by visitors:
HITECH
HIPAA
Midicare
JCAHO
72
Which of the following refers to a written order specifying pt does not want CPR?
living will
Advanced Beneficiary Notice
DNR
DPOA
73
Dr. orders a nebulizer treatment for an asthmatic pt. What medication would be used ?
bronchodilator
vasopressor
mucolytic
expectorant
74
Which piece of equipment should the PCT anticipate using when taking a blood pressure?
otoscope
sphygmomanometer
speculum
pulse oximeter
75
Best method to clean instruments used on a pt diagnosed with MRSA or HIV
chemical sterilization
steam sterilization
disinfect with alcohol
disinfect with sodium hypochlorite
76
PCT observes persistent bleeding from venipuncture site after 2 min.of pressure. What next?
wrap arm with pressure dressing
notify physician
continue pressure by bending arm at elbow
elevate arm while applying pressure
77
If the RA-LA sensors are reversed on a pt, the ECG will record a downward deflection in
AVL
AVR
Lead II
Lead 1
78
The PCT measures pt's blood pressure. Reading is 220/88. This indicates
hypotension
bradycardia
tachycardia
hypertension
79
A pt has a seizure in the waiting room chair. The PCT should respond by:
Restrain pt
provide glusoce immediately
Place tongue depressor in pt's mouth to maintain airway
move pt to floor and clear surrounding area
80
A pulse oximetry monitor measures which of the following?
pulse pressure
respiratory rate
oxygen flow rate
oxygen saturation
81
Which of the following is the most commonly used pair of patient identifiers?
Bed #/DOB
Bed #/Dr. name
Pt Name/DOB
Pt name/Dr. name
82
Which of the following rhythms is shown in the strip?
atrial fibrillation
atrial tachycardia
atrial flutter
premature atrial complex
83
Which of the following should a PCT do to initiate care for 2nd degree burns? Select 2
run cool water over affected intact skin
soak in epsom salt
apply cream to area
protect from pressure
84
Forceful shaking of blood in a collection tube can result in
hemostasis
hemolysis
hemoconcentration
contamination
85
A sharp may be disposed of following a venipuncture once the needle is
cut
bent
broken
sheathed
86
Prior to transmitting ECG report to pt's EMR, PCT should (choose 3)
give copy to patient
Ensure all pt info is correct
Ensure correct ICD codes were used
eliminate artifact
87
Which of the following conditions describes poor oxygenation?
hypothermia
jaundice
hypoxia
erythema
88
Pt's temp is 104. Which 3 s/s should the PCT be monitoring for related to this increased temp?
increased respiratory rate
increased heart rate
hypotension
chills
89
Physician order: STAT Hgb/Hct, chemistry panel, PT tests. Which tubes will you use? Select 3
red
lavender
light blue
grey
90
An abnormally rapid heart rate is described as
hyperplasia
tachycardia
tachypnea
hypertension
91
Why are vitals taken at every office visit?
Toobtain baseline measurements of overall health
For diagnostic purposes
To comply with insurance reimbursement policies
The physician requires it
92
Patient exhibits S/S of anaphylaxis after an allergy injection. What med will likely be given?
insulin
diazepam
dextrose
epinephrine
93
Which of the following is most likely to cause a low oxygen saturation reading?
anaphylaxis
jaundice
artifact
nail polish
94
Which of the following should the PCT use when collecting blood from a geriatric patient?
tighter tourniquet to anchor fragile veins
pulling skin taught to firmly anchor vein
vigorous massaging to increase blood flow
using a sharper needle angle to decrease rolling
95
This communication approach describes ability to see things from another person's point of view
rapport
empathy
sympathy
active listening
96
Artifact is present on the ECG. Select 3 actions to correct this.
keep pt warm
keep tension on lead wires
Remind pt. not to move
use a grounded outlet
97
When obtaining a tympanic temperature, the PCT should gently pull the adult pinea:
up and back
straight back
down and back
straight down
98
CMP is ordered on older adult pt. whose veins continue to collapse. Which is best method?
evacuated tube system
butterfly
capillary puncture
needle and syringe
99
PCT is obtaining BP on a pt with a right sided mastectomy. Which site would be used?
LLL
RUA
RLL
LUA
100
PCT notices wrapped instruments are damp when emptying the autoclave, she should:
leave instruments in the autoclave to dry with door cracked
remove and remove instruments and place on mayo stand
leave in autoclave and run the cycle again
remove and allow to dry on counter
101
Disinfecting an ECG machine with antimicrobial wipes is an example of which of the following?
biohazard precautions
surgical asepsis
medical asepsis
sterile technique
102
Which of the following rhythms is shown in the strip ?
atrioventricular pacing
failure to capture
atrial pacing
ventricular pacing
103
Which of the following are included in 5 rights of medication administration? Select 3
right medication
right position
right dose
right patient
104
The purpose of the Joint Commission's "DO Not Use" abbreviation list is to:
Reduce # of medication errors caused by incorrect med terms
promote safety through proper labeling
Ensure 5 rights of medication administration are verified
track adverse medication reactions
105
PCT discovers edge of unopened sterile pack was placed in small area of water by sink. Action?
open package from opposite end
Discard as if contaminated
Reprocess in autoclave
allow to dry and use later
106
Which describes the correct technique for cleansing a minor wound?
Use a gentle back and forth motion below the wound
Use a gentle back and forth motion above the wound
Cleanse from inside wound to the outside
Cleanse from outside to inside of wound
107
A paper towel heavily saturated with blood should be disposed of in a
medical waste recycling container
biohazard waste bin
yellow trash bin
sharps container
108
Pt expresses belief about alternative pain control that differs from PCT's view. Respond how?
you should see a neurologist
Tell me about how this approach has helped you
the physician does not recommend that approach
Standard methods are proven more effective
109
The adult pt's respiratory rate is 18 breaths per minute w/ no apparent distress. This finding:
indicates tachypnea
is within normal limits
indicates apnea
should be reported to physician
110
Which of the following indicates compliance with the Americans with Disabilities Act?
Providing hand rails in at least one restroom stall
providing unpaid leave to employee with critically ill child
Providing an interpreter for non-English speaking pt.
Providing employees with Hepatitis B vaccine
111
The abbreviations o.d, o.s, and o.u are used to reference the
ear
eye
nose
throat
112
Which action should the PCT take for a pt experiencing a nose bleed?
flush affected nostril with saline
direct pressure to affected nostril for 10-15 min
tilt head back
Ice pack to forehead
113
Which of the following is outside the PCT's scope of practice?
assist with oxygen therapy
perform catheter care
visually inspect stool specimens
collect ABG specimens
114
Which action should be taken to prevent hemolysis of a blood specimen in an EDTA tube?
Gently invert tube after collecting specimen
Use a 25 gauge needle for collection
tore in refrigerator after collection
allowtube to stand for 20 minutes prior to processing
115
Incident reports should be generated for medication errors in order to:
understand circumstances and prevent future occurrences
begin disciplinary action
ensure it becomes part of the patients medical record
prevent legal action
116
PCT notices blood on gloves after venipuncture. Where will they be disposed of?
biohazard waste container
specimen transport bag
sharps container
regular trash
117
Thick yellow wound drainage with a foul odor would be documented as
serosanguinous
serous
purulent
sanguinous
118
Requisition for chemistry and coagulation testing. Select correct tubes and order of draw
light blue, SST
red, light blue
red, royal blue
SST, royal blue
119
Pt. in the lab states became dizzy and room was spinning with last blood draw. Actions for PCT:
Reassure procedure will be over before he can become dizzy
Encourage pt to sit upright on exam table during procedure
have pt lean forward during blood draw
Encourage pt to lie down during procedure
120
When reading the results of a HCT, the PCT should start reading at the
bottom of the meniscus
top of the packed cells
top of the buffy coat
bottom of the plasma
121
A pt on coumadin comes to lab for weekly coagulation test. What color tube will you collect?
green
lavender
red
light blue
122
A pt suspected of having this respiratory disease would be placed in isolation
acute asthma
chronic croup
active TB
COPD
123
When performing a 12 lead ECG, which of the following is a correct lead placement?
V4 placed L midclavicular 5th intercostal space
V5 Left midaxillary 5th intercostal space
V4 placed L midclavicular 4th intercostal space
V5 Left midclavicular 4th intercostal space
124
Which of the following is a CLIA waived test that can be performed by a PCT?
crossmatch
chemical urinalysis
differential
Gram stain analysis
125
Which artery is most commonly used for blood pressure measurement?
carotid
popliteal
brachial
radial
126
Involves the process of cleaning out the contents of the stomach through a nasogastric tube
gavage
cleansing enema
lavage
lumbar puncture
127
Pt has orders for CBC, PT, electrolytes, and glucose. What is the correct order of the draw?
light blue, lavender, green, gray
light blue, green, lavender, gray
lavender, green, gray, light blue
lavender, light blue, green, gray
128
Which action will help to prevent a hematoma after venipuncture?
Have pt bend elbow to hold gauze in place
clean site with alcohol
apply direct pressure with cotton ball
ask pt to make a fist
129
PT/PTT is ordered. Which tube should be selected?
light green
light blue
grey
red
130
Which of the following indicates a normal resting heart rate for an adult?
Greater than 100bpm
50-90 bpm
Less than 50 bpm
60-100 bpm
131
When a CMP and a CBC are ordered at the same time, why should CMP be drawn first?
Drawing tubes with additives first leads to hemolysis
whole blood should be collected before serum
tubes without additive are drawn before tubes with additives
CMP is used for blood cultures which are sterile
132
The doctor explains a procedure to the pt. and asks the pt. to sign a/an?
implied consent
verbal consent
expressed consent
informed consent
133
minimum PPE required when drawing blood on an HIV positive pt.
gloves and mask
gown, gloves, mask
mask
gloves

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