What should be reported to Joint Commission?

Any incident that causes death or injury to patient

An example of disinfecting items is

Using a chemical cleaner on shower chair between uses

You are using a gait belt to assit a pt who has had a stroke. Which action should you take?

Hold on to gait belt while walking slightly behind pt

You are removing an IV. Which action should you take?

Move the roller clamp on the tubing to a closed position

You observe a pt using crutches. Which of the following is proper technique?

Pt uses handgrips to support body weight

In patient with post-op abdominal incision, you should encourage them to

Use a pillow to brace their incision when moving

You are doing oral hygiene on a pt with lower dentures. You should

Remove denture by turning it sideways and upward

A pt with early stage dementia asks about advanced directives. Your response should be

It is documents that let healthcare staff know what you want when you cant

You are weighing a pt on an upright mechanical scale. You should

Move the large weight to the point closest to the pt's estimated weight

You enter a room and see a small fire in the wastebasket. Which would you do first?

Transport the pt away from the fire

You are preparing a pt to receive enteral feeding through an NG tube. The pt is in bed on their side. You should

Raise the head of the bed to a semi-upright position

You are caring for a pt at risk for pressure ulcers. Which should you do to help prevent them?

Use a draw sheet when moving the patient up in bed

When weighing a patient, the first thing you do for any type of scale is

Make sure it is balanced to zero prior to putting patient on

Stage III pressure ulcers have

Subcutaneous fat visible and drainage

While changing a dry dressing you note the gauze is adhered to the skin. Which action should you take first?

Apply sterile water to the gauze

You are transferring a pt in a wheelchair and come to a curb. You should

When going down, back the larger wheels off curb then roll them down

Chain of custody is used for

Guarantee the integrity of the sample

For a 24 hour urine collection, what must you confirm?

It was kept on ice or refrigerated prior to return

Incentive spirometry is used in post-op patients to

Prevent respiratory complications

You are using a mechanical lift to transfer a non-weighbearing pt to a wheelchair. You should

Lock the wheels on the bed, wheelchair, and lift

Proper use of a walker is

Patient extends walker 10-18 feet in front of them with each step

When assiting a patient from bed to wheelchair you should

have patient push off bed with hands when prompted

What is within the scope of practice of a POCT?

Reinforcing teaching about a dressing taught by the nurse

You are admitting a pt and notice abrasions on the pt's wrists and ankles. You should

Report suspicion of abuse to the nurse

When performing ostomy care, tech should do what first?

Cleanse skin around stoma with warm water

You are disposing of a needle and syringe. You should

Drop the needle and syringe into sharps container

You are measuring a pt's BP. Which of the following actions should you take?

Place the cuff 1 inch above the crease of the elbow

You are assisting a post-op pt with ambulation. Which should you do first?

Have the pt sit up on the side of the bed

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POCT Review

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Questions 100

Answers

1
What should be reported to Joint Commission?
Salary for nurses
Employee call off rate
Overhead cost of facility
Any incident that causes death or injury to patient
2
Normal urine output for an adult in 24-hour time frame?
750-2000 mL
500 CC
1000 mL
3500 cc
3
How often should an indwelling catheter bag be emptied
Every 8 hours
Every 2 hours
Once a shift
Once a day
4
An example of disinfecting items is
Using a chemical cleaner on shower chair between uses
Wearing a face mask
Wiping someone's mouth with a napkin
Wearing shoe covers
5
You are using a gait belt to assit a pt who has had a stroke. Which action should you take?
Hold on to gait belt in front of pt
Hold on to gait belt while walking slightly behind pt
Ensure that only one finger fits snugly between gait belt and pt
Hold on to gait belt while assisting pt on unaffected side
6
When caring for a deceased patient you should
Secure their valuables
Take dentures out of the mouth
Remove any tubes remaining in the body
Lay the body flat and allow eyes and mouth to remain open
7
You are caring for a pt with heart failure. Which should you expect?
Sudden onset of headaches
Edema in th legs
Sputum that is green
Left-sided weakness
8
When collecting blood cultures on a patient with a shellfish allergy you should clean with?
Isopropyl alcohol 90%
Soap and water
Chlorhexidine gluconate
Iodine
9
You are removing an IV. Which action should you take?
Pull out the catheter with the hub perpendicular to the skin
Move the roller clamp on the tubing to a closed position
Apply firm pressure over the catheter during removal
W/D the catheter quickly and apply pressure for 1 minute
10
You enter a room and observe a pt fall. To whom should you report the fall immediately?
Nurse
Unit Manager
Risk Manager
Provider
11
A POCT accidentally drops a mercury filled thermometer and it breaks. What should you do?
Evacuate the room
Apply gloves prior to clean up
Call 9-1-1
Use a broom and dust pan for clean up
12
You are measuring an adult's vitals. Which should you report to the nurse?
Oral temp 99.3 F
Heart rate 124/min
Respiratory rate 18/min
BP 118/78
13
You observe a pt using crutches. Which of the following is proper technique?
Pt uses handgrips to support body weight
Pt has 90 degree elbow flexion
Tips of crutches rest at slight angle on the floor
Pt is bearing full weight on both feet
14
In patient with post-op abdominal incision, you should encourage them to
Increase fluid intake
Lie as still as possible for as long as possible
Use a pillow to brace their incision when moving
Decrease fluid intake
15
A patient on oxygen has an SpO2 of 89%. What should you do?
Turn down their O2
Nothing, this is normal
Report to the nurse
Turn up their O2
16
When applying wrist splints to a patient who has had a stroke, you should place the joint in what position?
Dorsiflexion
Supine
Caudal
Plantarflexion
17
You are doing oral hygiene on a pt with lower dentures. You should
Remove denture by turning it sideways and upward
Clean the denture by soaking it in peroxide
Hold the denture between the thumb and index fingerwhen cleaning
Slightly tug downward to remove denture
18
A pt with early stage dementia asks about advanced directives. Your response should be
Its a document signed with your dr so that you both know what you want
Its a form that your attorney signs to make it legally binding
Its a form that indicates you give consent for treatment
It is documents that let healthcare staff know what you want when you cant
19
Thin, watery, reddish drainage would be noted as
Purulent
Abnormal
Serosanguineous
Infectious
20
You are weighing a pt on an upright mechanical scale. You should
Move the large weight to the point closest to the pt's estimated weight
Move the small and large weights all the way to the right before weighing
Move the small weight closest to the pt's estimated weight
Ensure that the balance bar is at its lowest point when the weight is zero
21
You enter a room and see a small fire in the wastebasket. Which would you do first?
Activate the fire alarm
Transport the pt away from the fire
Attmpt to extinguish the fire
Close the door to the pt's room
22
You are preparing a pt to receive enteral feeding through an NG tube. The pt is in bed on their side. You should
Ask the pt to roll onto their back
Assist the pt to an orthopneic position
Place an emesis basin under the patient's chin
Raise the head of the bed to a semi-upright position
23
You are collecting specimens for a pt. Which of the following ahould you report to the nurse?
Sputum that is grayish-white
Blood in the stool
Urine that is pale amber
Urine that measures 30 mL
24
For a patient in contact isolation, the minimum PPE would be
Goggles and shoe covers
Gown and gloves
Gown, mask, gloves
Gown and mask
25
You are caring for a pt at risk for pressure ulcers. Which should you do to help prevent them?
Keep the head of the bed elevated 45 degrees
Use a draw sheet when moving the patient up in bed
Massage the skin over the bony prominences
Reposition the pt every 3 hours
26
When weighing a patient, the first thing you do for any type of scale is
Ask the patient how much they weigh
Ask the family how much they think the patient weighs
Make sure it is balanced to zero prior to putting patient on
Put on non-skid slippers
27
When applying anti-embolic stockings, you should first
Apply sequential compression device
Turn them inside out
Put on patient's socks
Put on patient's shoes
28
Stage III pressure ulcers have
Bone visible
Subcutaneous fat visible and drainage
Intact skin
Redness and blistering of skin
29
While changing a dry dressing you note the gauze is adhered to the skin. Which action should you take first?
Apply sterile water to the gauze
Apply antibacterial ointment to the gauze
Apply a new dressing over the old
Apply hydrogen peroxide to the gauze
30
You are transferring a pt in a wheelchair and come to a curb. You should
When going down, back the larger wheels off curb then roll them down
When going up a curb, back the chair up to curb and pull it up backwards
When going up, elevate the front feet, keep elevated while pushing back up
Assist the pt out of the wheelchair before navigating the curb
31
You are assigned to change a sterile surgical dressing. Which of the following should you be concerned with violating?
Right task
Right circumstance
Right supervision
Right direction
32
Chain of custody is used for
Ensuring you report information to the right person
Guarantee the integrity of the sample
Used to settle personal disputes
Ensure the specimen was collected properly
33
For a 24 hour urine collection, what must you confirm?
It was stored at room temperature for 24 hours
They only kept urine during daytime hours
It was kept on ice or refrigerated prior to return
They only kept urine during nighttime hours
34
In a patient receiving feeding via an NG tube, which would you expect?
Diarrhea
Ear pain
Sore throat
Conjunctivitis
35
Incentive spirometry is used in post-op patients to
It would not be used in post-op patients
Prevent respiratory complications
Monitor their recovery
Help increase appetite
36
You are using a mechanical lift to transfer a non-weighbearing pt to a wheelchair. You should
Slide the pt across the bed once the sling is in place
Wrap the sling around a pts waist
Adjust the pts bed to the height of the wheelchair
Lock the wheels on the bed, wheelchair, and lift
37
Proper use of a walker is
Hand rails sit at patient's mid-thigh
Patient keeps walker within 6 inches of body at all times
Patient extends walker 10-18 feet in front of them with each step
Hand rails sit at patient's chest level
38
When assiting a patient from bed to wheelchair you should
keep resident in a supine position
raise the bed rails
Raise the bed to a working height
have patient push off bed with hands when prompted
39
You are caring for 6 yo with abdominal pain. Which pain rating scale would you use?
Visual analog
FACES
Numerical
Verbal descriptive
40
In patient with right above-the-knee amputation where do you place electrodes?
right ankle, left ankle
right knee, left ankle
right abdomen, left abdomen
right abdomen, left ankle
41
What is within the scope of practice of a POCT?
Passing medications
Reinforcing teaching about a dressing taught by the nurse
Starting an IV
Teaching a patient how to care for their surgical incision
42
You are calculatinbg fluid intake. Pt had 50 ml IV fluid, 6 oz tea, 6 oz broth, and 8 oz water. You would record
470 ml
650 ml
410 ml
600 ml
43
You feel that you are given a heavier assignments. After asking the charge nurse why nothing changes. Next you should
Address with director of nursing
Address with human resource manager
Address with lead POCT
Address with the unit manager
44
You are admitting a pt and notice abrasions on the pt's wrists and ankles. You should
Apply ATB ointment to the areas
Offer the pt a pamphlet about abuse
Determine who caused the pt's injuries
Report suspicion of abuse to the nurse
45
When performing ostomy care, tech should do what first?
Cleanse skin around stoma with warm water
Ostomy care is outside your scope of practice
Cleanse the stoma with 70% isopropyl alcohol
Change the bag and do not touch the stoma
46
A patient is alert and oriented but waveforms are negative in Lead I. What should you check?
Right arm, left arm
Left arm, left leg
V1 and V2
Right arm, left leg
47
You are disposing of a needle and syringe. You should
Recap the needle before putting in sharps container
Drop the needle and syringe into sharps container
Ask the nurse to dispose of them
Detatch needle from syringe before putting into sharps container
48
How far do you compress the chest in an adult when giving CPR?
6 inches
2 inches
1/4 inch
1 inch
49
You are measuring a pt's BP. Which of the following actions should you take?
Position the pt's arm below the heart
Place the cuff 1 inch above the crease of the elbow
Document the first sound as the diastolic
Inflate the cuff until the brachial pulse is no longer felt then go 50 more
50
You are assisting a post-op pt with ambulation. Which should you do first?
Apply the gait belt securely to the pt's waist
Disconnect the pt from their IVs
Measure the pt's vital signs
Have the pt sit up on the side of the bed
51
Your pt has a leg wound. Which of the following color changes indicates a wound infection?
Green
Red
Clear
Pink
52
What disease process is a provider mandated to report?
Tuberculosis
Rhinitis
Chicken pox
Influenza
53
You are instructing a pt on using a walker. Your instructions should include
Place the legs of the walker 5 inches in front of your body
When taking your first step, move the walker forward then take a step.
Position the handgrips level to your hips
Slide the legs of the walker along the floor to move it forward
54
You enter a pt's room to find them sitting on the floor. Pt states "I was getting out of bed and got dizzy" You should
Check the floor for any spills
Reassure the pt
Complete the incident report
Notify the nurse
55
When educating a patient about Holter monitors, you should tell them that
If they need to take it off for any reason it should be kept warm and dry
They only need to wear it while awake
They can swim as long as they record it in their journal
They should avoid metal detectors
56
You are caring for a pt who is 1 day post-op from abdominal surgery. You are helping them cough and deep breathe. You
Explain to the pt that the diaphragm will move upward during inhalation
Ask the pt to inhale through their mouth and exhale through their nose
Place the pillow over the pt's incision site
Instruct the pt to lie in a supine position
57
When performing venipuncture the patient becomes pale and diaphoretic. The patient is most likely going to experience?
N/V
Chills
Sycope
Shock
58
You are providing instructions about incentive spirometry. Which statement should you make?
Exhale in short puffs into the spirometer
Inhale through the spirometer and then hold your breath for 12 seconds
Exhale into the spirometer as hard as you can
Try to raise the indicator inside the spirometer by inhaling
59
POCT needs to collect infant screening card, O2 levels, bilirubin and DNA. Which should be collected first?
DNA
Screening card
O2 level
Bilirubin
60
What tube is collected first in dermal punctures?
Lavender
Blue
Red
Yellow
61
You are helping a nurse replace a new ileostomy pouch. After cutting the wafer, you should expect the opening to
Be 1 inch larger than the stoma
Be 1/16 inch larger than the stoma
match the circumference of the stoma
Be 1/2 inch larger than the stoma
62
Where do you place a gait belt when ambulating or transferring a patient?
Around their waist
Around their arms
Around their chest
Around their knees
63
What is the purpose of CLIA?
Set laboratory standards for testing on animals
Set laboratory standards for testing on humans
Disease control
Workplace safety
64
You are serving a tray to a pt who has vision loss. Which action should you take?
Avoid having conversation while they eat
Feed the pt
Use the numbers on the clock to describe the food on the plate
Assist the pt to hold their fork
65
You are performing passive ROM for a pt. Which of the following techniques should you use to hyperextend the shoulder
With the elbow straight, move arm backwards behind their body
Raise the arm forward from beside the body to above the head
Move the pt's arm in a full circle
Raise arm sideways to above head with palm outward
66
You have just finished venipuncture and the pt is actively bleeding from the site. You should
Apply an adhesive bandage to the site
Use a gauze pad to apply pressure to the site
Wipe the site with an alcohol pad
Place the affected arm below the level of the pt's heart
67
In the acronym RACE, the C stands for
Contain
Continue
Collect
Call for help
68
To measure a patient's urine output hourly, you should have them?
Urinate in toilet but don't flush
Urinate in the toilet and it is ok to flush
Have them push their call button every time they void
Void into the container that you give them
69
What would be an example of an internal disaster at work?
Fire
Hurricane
Tornado
Water main break on the street
70
What is the purpose of inverting tubes with anticoagulants in them?
There is no purpose
Prevent clotting
Make sure all cells are distributed evenly
Facilitate clotting
71
You are removing a bedpan with BM. Which of the following characteristics of stool would you report tot the nurse?
Liquid stool
Stool with mild color
Dark brown
Soft, moist stool
72
Patient is experiencing moderate epistaxis. You should
Apply light pressure for 10 minutes
Do nothing
Apply constant pressure for 5-10 minutes
Apply moderate pressure for 20 minutes
73
U waves on an EKG indicate?
Low potassium
High calcium
Low calcium
High potassium
74
In a post-partum patient the POCT should notify the nurse for
Headache with visual disturbances
Urine output of 2500 cc/day
Incision pain in the knee
Cough
75
You are performing hourly checks on several pts. To help anticipate and prevent falls, which question should you ask?
Do you need pain medication?
Can I assist you into a more comfortable position?
Are you feeling any better since the last time I checked on you?
Do you need to use the restroom?
76
A Bilirubin specimen must be
Placed in a warmed tube
Drawn using a lavendar tube
placed in an ice slurry
protected from light
77
Who is responsible for payment in Hospice patients?
The family
Your rich uncle
The patient
Medicare and Medicaid
78
You are transferring a weight-bearing pt to a wheelchair. You should
Support the pt under their arms when getting out of bed
Have pt grasp tech's forearms when standing up
Place the bed at a working height
Apply gait belt while pt sits on side of the bed
79
A newly diagnosed lung cancer pt states "I know I'll be fine, I never smoked". This is an example of
Bargaining
Depression
Anger
Denial
80
You are caring for a pt with a history of falls. You should
Ensure the pt has a red ID band on their wrist
Place large objects in walkways for stability
Make sure pt uses a wheelchair when out of bed
Have the pt wear non-skid slippers when out of bed
81
You are applying SCD sleeves for a post-op pt. You should
Assist the pt into a prone position
Remove the sleeves once every 24 hours to check circulation
Ensure that one finger can fit under the sleeve
Place the opening of the sleeve at the back of the pt's knees
82
Minimum amount preferred for a urinalysis?
500 mL
30 mL
10 mL
250 mL
83
How can you keep a specimen at body temperature?
Cooling device
Warming device
You can't
Keep on the dashboard of your car
84
What type of PPE should be removed first?
Gloves
Shoe covers
Goggles
Gown
85
An open bed would entail
Putting the pillow case on inside out
Pulling the sheets and blankets to the foot of the bed
Facing the pillow towards the open door
Pulling the sheets and blankets to the top of the bed
86
POCT is performing a sterile procedure and drops something out of the kit. What do they do?
Stop the procedure and document unable to complete
That's ok, proceed anyway
Cry
Obtain another sterile kit
87
Heart rhythm with "saw tooth" waveforms
Atrial Flutter
Ventricular Flutter
Atrial fibrillation
V-Tach
88
You are applying antiembolic stockings for a post-op pt. You should
Roll any excess stocking down to fit snugly above calf after application
Bunch the stocking together from the top down to the heel before applying
Place the pt in a sitting position
Slide the stocking up over the foot and heel
89
To adhere with HIPAA regulations, you should
Request to see photo ID beofre sharing information to anyone who asks
Discuss the pt with other cre team members in the hallway
Connect with patients on social media if they give you permission to
Use a shredder to dispose of documents containing PHI
90
You are doing postmortem care. Which action should you take to prepare the body for family viewing?
Place the pt's hands across the abdomen, one on top of the other
Keep the pt's body supine with head flat
Cover the pt's entire body with a sheet
Close the pt's eyes and mouth
91
Your pt has wrist restraints. You should
Tie the restraints to the bed rails
Ensure three fingers fit under each restraint
Pad the pt's wrists prior to applying the restraint
Remove the restraints every 3-4 hours
92
You are caring for a patient receiving oxygen through a nasal cannula. Which of the following actions should you take?
Place cotton between the cannula's tubing and the patient's ears.
Fill the humifier with 0.9% sodium chloride.
Remove the cannula when the patient is eating a meal.
Reoport any bubbling in the humidifier to the nurse.
93
Your pt has a pressure ulcer on their heel. Skin layers are worn away and subcutaneous fat is visible. This is stage
Stage 4
Stage 2
Stage 3
Stage 1
94
A terminal pt states "I've had a rough life so it's ok that I'm going to die" This is an example of
Projection
Rationalization
Conversion
Displacement
95
Patient's family is feeling hopeless and angry. The POCT should
Listen when the family is ready
Avoid them
Tell them it will all work out
Ignore them and speak only to the patient
96
You are replacing a colostomy appliance for a pt. You should
Wash the skin around the stoma with warm water
Press the wafer against the pt's skin for 30 seconds
Wipe away any feces from the stoma with an antiseptic wipe
Peel off the used ostomy appliance from the bottom
97
You find a pt motionless on the floor. Which of the following indicates the pt needs CPR?
The pt's heart monitor shows a rate of 58
the pt is coughing intermittently
The pt's respiratory monior shows a rate of 9
The pt is unresponsive when shaken and asked "are you ok"
98
You enter the room of a pt newly diagnosed with cancer and they are crying. What should you say?
Why are you crying?
Don't worry, you will receive excellent care for your cancer.
You shouldn't cry. You have a lot of people who support you.
You seem to be feeling sad. What are your thoughts right now?
99
You are documenting on a computer at the care base, but need to leave. You should
Turn off the monitor
Turn the monitor away from other's view
Log off the computer
Ask the unit clerk to make sure no one else uses the computer
100
In working with a patient with hearing loss you should
Yell louder
Dim the lights
Talk to the family member with them
Write questions and instructions on paper

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