A PCT is caring for a pt who has died, they should

Position a pillow under the pt's head

You have a 3 yr old who has bruising in several stages on their arm, parent says they "fall down a lot" you should

Report the sign of injury to CPS and your supervisor

A PCT needs a 2h postprandial glucose and sees lunch still on the tray table. What should the technician do?

Ask the patient if they have eaten in the last 2 hours

Why would a specimen need to be transported in aluminum foil?

To protect the specimen from light

A PCT is caring for a pt whose daughter is visiting and asks about the health of the roommate, you should say

"You can ask the pt about his condition."

Which of the following actions should the PCT take to help prevent healthcare-associated infections?

Follow standard precautions when caring for pts who have surgical incisions

A PCT is preparing to ambulate a pt with a gait belt, which statement should the tech make?

"You can support yourself while holding onto my arms."

A PCT is caring for a pt who goes unresponsive. Which action should the tech take first?

Tap the pt's shoulder and ask "Hey, are you okay?"

A PCT is obtaining vital signs from a pt and notices their temp is high, what should the technician do?

Notify the nurse of the pt's condition

Which term refers to infections that can spread to patients from a healthcare setting?

Healthcare-associated infections

A PCT is preparing to label a specimen tube following a blood collection. Which action should the tech take?

Face the pt while labeling the specimen tube

A PCT has a conflict with another tech, what action should be taken first?

Discuss these concerns with the other tech in private

You are weighing a pt at risk for falls, what actions should you take when using a mechanical scale to weigh the pt?

Place a walker over the scale for the pt to use as support

A PCT can prevent a sentinel event from occurring by

Ensuring proper application of all safety reminder devices (SRDs)

You have to collect blood cultures, CBC, PTT, and an iron panel. You forgot to draw the PTT, what should you do?

Keep the specimens collected and draw the PTT

You are changing a pt's bed and get stuck by a needle. What should you do first?

Wash the affected area with antimicrobial soap

Which of the following could cause hemolysis?

Transporting the tubes horizontally

A PCT is reinforcing teaching about using an IS with a pt. Which of the following should the tech include?

The goal is to get the ball to rise in the chamber of the IS

When caring for a pt with TB, how should a PCT disinfect the equipment used in the treatment of the pt?

When it will be removed from the pt's room to use on another pt

You are performing a venipuncture and see a hematoma forming at your injection site. You should

Apply pressure to the site for a minimum of 5 min

A PCT is caring for a pt wearing a Holter monitor. Which statement indicates understanding from the pt?

"I will keep a complete activity diary during monitoring."

Which of the following is outside of the scope of practice for a PCT?

Receiving a medication prescription

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PCT Review

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Answers

1
A PCT is caring for a pt who has died, they should
Place the pt in semi-Fowler's position
Discourage the pt's family from assisting with post-mortem care
Pull the sheet over the pt's head prior to the family viewing
Position a pillow under the pt's head
2
Which of the following is the first link in the chain of infection?
Infectious agent
Susceptible host
Mode of transmission
Portal on entry
3
You are doing a venipuncture and have cleansed the AC site. You palpate the vein again c a gloved finger, now you should
Anchor the vein
Cleanse the site
Insert the needle
Remove the tourniquet
4
You have a 3 yr old who has bruising in several stages on their arm, parent says they "fall down a lot" you should
Confront the guardian about the possible abuse
Ask the guardian why they fall down a lot
Report the sign of injury to CPS and your supervisor
Ask the child in private how the injuries occurred
5
A pt states she wants to stay alive long enough to see her first grandchild born in a few months, what stage of grief?
Depression
Denial
Bargaining
Acceptance
6
A PCT is bathing a pt who has diarrhea and has soiled the bed. How should the tech control the spread of infection?
Give the pt an alcohol hand rub
Wear a mask
Apply petroleum jelly to the pt's rectal area
Wear gloves
7
You are doing an EKG, you know the vertical projections in the strip are a result of which of the following?
Abnormal p waves
Pacemaker spikes
Defibrillator spikes
Intrinsic R waves
8
A PCT needs a 2h postprandial glucose and sees lunch still on the tray table. What should the technician do?
Contact the patient's provider
Perform the test and mark as 2h postprandial
Mark the test as random instead of 2h postprandial
Ask the patient if they have eaten in the last 2 hours
9
Why would a specimen need to be transported in aluminum foil?
To keep the specimen warm
To insulate the specimen from ambient air
To protect the specimen from light
To shield the pt information
10
A PCT is caring for a pt whose daughter is visiting and asks about the health of the roommate, you should say
"You can ask the pt about his condition."
"I'll get the nurse."
"They don't have anything contagious, don't worry!"
"Oh, he's only here for abdominal pain."
11
Which of the following actions should the PCT take to help prevent healthcare-associated infections?
Place used needles in a biohazardous waste bag
Follow standard precautions when caring for pts who have surgical incisions
Use a new respirator for each pt
Wear sterile gloves when performing a venipuncture
12
A PCT is preparing to ambulate a pt with a gait belt, which statement should the tech make?
"I will apply the gait belt under your arms."
"I will support you by walking on your stronger side."
"You should walk slightly behind me."
"You can support yourself while holding onto my arms."
13
A PCT is caring for a pt who goes unresponsive. Which action should the tech take first?
Start chest compressions after placing the pt flat
Tap the pt's shoulder and ask "Hey, are you okay?"
Notify the emergency response team
Check the movement of the pt's chest for 10 seconds
14
A PCT is caring for a pt with a stage II pressure ulcer, which of the following findings should they suspect?
Visible subcutaneous fat
Tissue loss with exposed bone
Skin that in intact and nonblanchable
Blister-like appearance
15
You are going to sterilize equipment that has been soiled with blood, which method should you use?
Boiling water
Autoclave
Dry heat
Bleach
16
A PCT is obtaining vital signs from a pt and notices their temp is high, what should the technician do?
Notify the nurse of the pt's condition
Elevate the HOB
Apply a cold compress to the pt's head
Administer acetaminophen to the pt
17
A healthcare facility's Infection Control Program is required by which of the following institutions?
Health and Human Services (HHS)
Centers for Disease Control and Prevention (CDC)
The Joint Commission (TJC)
Center for Medicare and Medicaid Services (CMS)
18
You are assisting a nurse with the bath of a pt who just gave birth vaginally, which bathing technique should you use?
Partial bed bath
Complete bed bath
Cold water tub bath
Sitz bath
19
You inform the nurse about swelling around an IV site, you know that the most probable cause of this is
Catheter infiltration
Improper positioning
Constrictive dressing
Medication reaction
20
Which term refers to infections that can spread to patients from a healthcare setting?
Healthcare worker-acquired infections
Hospital-attained Infections
Healthcare-associated infections
Occupational healthcare-acquired infections
21
You are assisting a nurse to bathe a pt c a colostomy. What should you use to clean the skin around the stoma?
Hydrogen peroxide
0.9% sodium chloride
Sterile water
Warm water
22
For a pt c dysphagia, which of these foods should be calculated for I/Os?
Mashed potatoes
Sliced Banana
Scrambled eggs
Chocolate pudding
23
A PCT is taking the pulse of a pt with AFIB, how should they do this?
Electronically using an EKG machine
Manually using the radial artery
Electronically using a pulse oximeter
Manually using the apical area
24
A PCT is preparing to label a specimen tube following a blood collection. Which action should the tech take?
Avoid using computer-generated labels
Use a pencil to label the specimen
Face the pt while labeling the specimen tube
Initial the label prior to blood collection
25
How often should you remove SCDs?
Q8h
Q2h
Q10h
Q24h
26
A surgical wound should not have contact with air or oxygen, what dressing should the tech expect the nurse to apply?
Gauze
Transparent
Occlusive
Semi-occlusive
27
a PCT is taking care of a patient at risk for pressure ulcers, what action should the technician
Place the HOB at a 45 degree angle
Reposition the pt at least q2h
Avoid providing massages for the pt
Avoid using powder on the pt's skin
28
A PCT has a conflict with another tech, what action should be taken first?
Discuss these concerns with the other tech in private
Discuss concerns with the nurse manager
Inform a supervisor about the conflict
Inform HR about the conflict
29
A PCT is caring for a pt who has a wound that is healing through granulation, how often should the wound be redressed?
q12h
q24h
q4h
q8h
30
A PCT is performing passive ROM on a pt. Which should the tech perform on the pt's elbows?
Abduction
Dorsiflexion
Adduction
Flexion
31
You are weighing a pt at risk for falls, what actions should you take when using a mechanical scale to weigh the pt?
Instruct the pt to hold onto the neck of the scale while being weighed
Give the pt a cane to use as support while being weighed
Position a chair by the scale for the pt to lean on
Place a walker over the scale for the pt to use as support
32
Your pt is 8h post-op and you take their vitals. Which of the following do you need to report to your nurse?
BP 180/101 mm Hg
Pulse 72
RR 18
Temperature of 36.6 C (97.8 F)
33
You have an order to collect blood cultures, hematology, and coagulation studies, what should you collect first?
Blood culture bottles
Lavender tube
Light blue tube
Red tube
34
Which of the following refers to a complete destruction of all forms of micro-organisms?
Sanitization
Disinfection
Sterilization
Medical asepsis
35
A PCT can prevent a sentinel event from occurring by
Ensuring proper application of all safety reminder devices (SRDs)
Developing an appropriate plan of care
Providing answers to pt questions to facilitate informed consent
Properly documenting all oral medication administrations
36
A PCT is caring for a pt whose roommate asks about their diagnosis. Disclosing this would violate which of the following
Patient Self-Determination Act
Informed Consent
Patient's Bill of Rights
Standard of Care
37
You have to collect blood cultures, CBC, PTT, and an iron panel. You forgot to draw the PTT, what should you do?
Discard the specimens and redraw
Draw a discard tube and redraw blood cultures and blue top
Keep the specimens collected and draw the PTT
Call another tech and notify the supervisor
38
You are changing a pt's bed and get stuck by a needle. What should you do first?
Visit employee health
Wash the affected area with antimicrobial soap
Report to your supervisor
Complete an incident report
39
As a PCT you have a pt at risk for falls, how often should you check and document on the pt?
Q4h
Q3h
Q1h
Q2h
40
Which of the following could cause hemolysis?
Excessively massaging the AC when locating a vein
Failing to release the tourniquet within 1 minute
Transporting the tubes horizontally
Redirecting the needle several times to locate a vein
41
While using a cleaning solution you notice a skull and crossbones on the container, what does that mean?
Explosive
Flammable
Skin irritant
Acute toxicity
42
What organization can give you information regarding the code of ethics?
The Joint Commission
Hospital Consumer Assessment of Healthcare providers and Systems
Occupational Safety and Health Administration
Center for Disease Control
43
You are measuring intake for a pt who has had 2 oz tea, 6 oz chicken broth, and 4 oz gelatin. What is the total intake?
420 ml
240 ml
360 ml
120 ml
44
A PCT is reinforcing teaching about using an IS with a pt. Which of the following should the tech include?
You should be in the prone position when using the IS
Blow into the IS to make the ball move
You should use the IS q12h
The goal is to get the ball to rise in the chamber of the IS
45
A pt with influenza is coughing. The cough is which link in the chain of infection?
Mode of Transmission
Host
Entrance
Reservoir
46
When caring for a pt with TB, how should a PCT disinfect the equipment used in the treatment of the pt?
When it will be removed from the pt's room to use on another pt
At the beginning and end of a 12 hour shift
Each time the tech enters and leaves the pt's room
At least once during an 8h shift
47
You are performing a venipuncture and see a hematoma forming at your injection site. You should
Observe the site for 3 min to see if it worsens
Apply pressure to the site for a minimum of 5 min
Remove the needle while keeping the tourniquet in place
Continue the blood collection, and send for analysis
48
A PCT is caring for a pt wearing a Holter monitor. Which statement indicates understanding from the pt?
"I can take the lead off in the shower."
"I will keep a complete activity diary during monitoring."
"I should wear tight-fitting clothing."
"I will avoid having sex during monitoring."
49
Which of the following procedures should a PCT use sterile technique?
DCing a peripheral IV
Collecting a stool specimen
Inserting a straight catheter
Performing a venipuncture
50
A PCT is documenting in the pt's chart, which of the following abbreviations should the tech avoid using?
TID
U
NPO
L
51
Which of the following is outside of the scope of practice for a PCT?
Providing catheter care
Receiving a medication prescription
Collecting a blood sample
Preparing a sterile tray
52
You are charting on a pt at the nurse's desk and have to leave to help a pt. You should
Log off the computer
Ask the unit clerk to make sure no one else uses the computer
Turn off the monitor
Turn the computer away from others' view
53
A PCT is assisting a pt who is weight-bearing from a WC to the toilet. How should the tech keep the pt safe?
Place a towel on the floor
Apply a gait belt under the patient's arms
Use a mechanical lift with a sling for the transfer
Lock the wheels on the WC
54
A PCT is instructing a pt who has had a stroke with left-sided weakness to use a cane, they should say
"Move the cane at the same time as your weaker leg."
"Move your stronger leg forward before moving your weaker leg."
"Hold the cane on the stronger side of your body"
"Position the handle of the cane to be at the level of your waist."
55
A pt if day 1 postop from abdominal surgery. When performing coughing and deep breathing, the pt should
Know that the diaphragm will move upward during inspiration
Place a pillow over their incision site
Lay in a supine position
Inhale through the mouth and exhale out the nose
56
As a PCT you are taking care of 4 pts. Which should you notify your nurse immediately about?
A pt who reports chest pain
A pt who reports being hungry
A pt who requires bathing
A pt who requires toileting
57
How often should a PCT disinfect the EKG machine?
Once monthly
Once weekly
After every shift
After every use
58
When applying restraints to a pt, what should you do?
Remove the restraints q6h for a total of 20 minutes
Check on the pt qh after applying restraints
Apply the restraints over the pt's clothing
Lower the side rails after applying the restraints
59
A pt has difficulty falling asleep because of arthritis in their knees, how can you help the pt and keep them safe?
Make sure the temp of bath water is between 110-120 F
Check the pt's skin during heat application q20min
Allow the pt to sleep with a heating pad on their knees
Serve warm milk in a cup with a lid before bedtime
60
When performing a venipuncture how can you reduce the risk of exposure to bloodborne pathogens?
Very any history of a bloodborne disease before performing a venipuncture
Recap the needle after use
Dispose of the needle in a sharps container
Place the needle in a red biohazard bag after the venipuncture
61
Which of the following procedures is most commonly used to obtain a routine urinalysis specimen for an adult pt?
Clean-catch midstream collection
Suprapubic aspiration
Catheterized collection
24-hr collection
62
A nurse delegates a task to you, it is in your scope of practice? Which of the 5 rights of delegation are you following?
The right direction
The right circumstance
The right task
The right supervision
63
A PCT is caring for a pt who is in the acceptance stage of the grieving process. What should the tech do?
Teach the pt stress management techniques to avoid feelings of anger
Reassure the pt that they still have good times ahead
Ask the pt about their family to divert their attention
Stay with the patient and allow them to talk or remain silent
64
To abide by HIPAA regulations regarding PHI you should
Discuss pts with other healthcare members in the hallway
Use the shredder to dispose of all documents with PHI
Request to see photo identification before sharing information about a pt
Connect with pts on social media if they give permission
65
A PCT is caring for a pt who needs oral suctioning, they should
Wait 30 sec between suctioning attempts
Limit suctioning to no more than 15 seconds at a time
Insert the suction catheter into the pt's throat
Wear sterile gloves while suctioning the pt
66
Which of the following laboratory tests requires chain of custody protocol?
Activated clotting time
Blood alcohol level
Prothrombin Time
Platelet Function
67
A PCT is caring for a pt at risk for pressure ulcers, which of the following should they take to prevent them?
Reposition the pt q3h
Use the draw sheet when moving the pt up in bed
Keep the HOB elevated at 45 degrees
Refrain from using powder of the skin
68
You are applying antiembolism stockings to a pt postop. How should you apply them?
Bunch the stocking together from the top down to the heel portion prior
Slide the stocking up over the foot and the heel
Place the pt in a sitting position
Roll any excess stocking down to fit above the calf after application
69
You are to collect a stool specimen from a pt. You should
Prevent contaminating the specimen with urine
Collect the specimen in a sterile container
Place the specimen hat toward the front of the toilet
Wear sterile gloves while collecting the specimen
70
A PCT is performing postmortem care for a pt going for an autopsy. Which is correct?
Remove tubing from the pt's body
Collect and document the pt's belongings
Remove the pt's dentures
Discard any of the pt's dressings
71
Which of the following indicates understanding of transmission-based precautions?
Use alcohol-based hand rub when caring for a pt with diarrhea
Placing dirty linens in a biohazard waste bag for disposal
Wear N-95 respirator when caring for a pt who has the measles
Apply a face mask when within 6 ft of pts who are coughing
72
Which of the following is not a safety precaution used for pt's who are falls risks?
Have pt use a WC when out of bed
Call light within reach
Nonskid slippers/socks
Have bed in lowest position
73
A PCT has a pt who is recovering from abdominal surgery c deep breathing and coughing exercises, what should you observe
Reduced abdominal pain from surgery
Cleared airway blockage of fluids and mucus
Ability to take short and shallow breaths for proper oxygenation
Ability to take 4 or 5 deep breaths/hour
74
A PCT is removing a peripheral IV. Which of the following actions should they take?
Withdraw the catheter quickly and apply firm pressure for 1 min
Pull out the catheter with the hub perpendicular to the skin
Move the roller clamp on the tubing to the closed position
Apply firm pressure over the catheter during the removal
75
A PCT is measuring a patient's blood pressure. Which of the following actions should the technician take?
Document the first sound as the patient's diastolic blood pressure
After inflating until the brachial pulse isn't felt, inflate it another 50
Position the patient's arm below the heart level
Place the cuff about 1 inch above the inner crease of the elbow
76
You are emptying a pt's bedside commode and accidentally splash urine in their eyes, you should
Tell him to blink his eyes rapidly for 1 min
Wipe their eyes with a wet washcloth
Ask him to rub his eyes with his hands
Flush his eyes with water for 10 minutes
77
What provides residents of long-term care facilities with the right to be free of physical or psychological abuse?
Patient's Bill of Rights
Occupational Safety and Health Administration (OSHA)
Health Insurance Portability and Accountability Act (HIPAA)
Omnibus Budget Reconciliation Act (OBRA)
78
Which of the following would likely cause a somatic interference during EKG testing?
A pt who is diaphoretic
A pt whose respirations are 16 bpm
A pt who is experiencing a seizure
A pt who is watching TV
79
Which of the following actions should the PCT take to verify the quality of venipuncture supplies before a blood draw?
Determine that the tourniquet is the proper size
Verify the adapter is the right color
Check the vacuum of the tube
Inspect the integrity of the needle's seal
80
A PCT is performing an EKG on a patient with large breasts. In which location should the tech place V4 and V5?
In the closest position possible to normal, underneath the breast
The closest position possible to normal, on top of the breast
On the lateral surface of the breast
On the medial surface of the breast
81
A PCT is assisting a patient who is postop to ambulate. Which of the following actions should the technician take?
Disconnect the patient from their IV fluids
Have the patient sit on the edge of the bed
Measure the patient's vital signs
Apply a gait belt securely around the patient's waist
82
A PCT enters a pt's room and observes a small fire in the wastebasket. What should the tech do first?
Activate the fire alarm system
Attempt to extinguish the fire
Close the door to the patient's room
Transport the patient away from the fire
83
A PCT is caring for a pt with an ostomy. Which of the following actions should the tech take when providing ostomy care?
Use hot water to clean around the stoma
Apply a bag that is 1.5 in larger than the stoma
Use toilet paper to wipe around the stoma
Wipe the area around the stoma vigorously when cleaning

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