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PCT - certification exam review (Pt 1) Flashcards | StudBud
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PCT - certification exam review (Pt 1)
PCT - certification exam review (Pt 1)
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PCT - certification exam review
Flashcards
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1
Which is required for permission to treat a pt scheduled for a complex procedure?
informed consent
living will
advanced directive
implied consent
2
A pt on coumadin is at the lab for a coagulation test. Which tube should be used for this test?
lavender top
light blue top
green top
red top
3
Hgb/Hct, CMP, and PT is ordered for a patient. Which tubes are needed for this procedure?
red – for chemistry
lavender
gray
light blue
4
Which of the following actions ensure proper monitoring of a pt during a stress test?
Observe facial expressions, skin color and perspiration
Instruct the patient to start at a rapid pace
Instruct the patient to report any symptoms
Measure blood pressure and heart rate frequently
5
The PCT is obtaining a BP on a pt with a right mastectomy. Where should the PCT take the BP?
right lower leg
left lower leg
right upper arm
left upper arm
6
Which of the following techniques should be used when collecting a blood from a geriatric pt
pulling the skin taunt and firmly anchor the vein
a tighter tourniquet to anchor more fragile veins
a sharper angle of needle insertion to decrease rolling
vigorous massaging of the arm to increase venous blood flow
7
To help prevent a hematoma at the site after drawing blood, which action should the PCT take?
ask the patient to make a fist
apply direct pressure with cotton gauze
clean the site with an alcohol prep
have the patient bend the elbow to hold gauze on the site
8
What is the minimum PPE requirement when drawing labs on a pt with suspected HIV?
gloves and mask only
mask only
gown, gloves, and mask
gloves only
9
Which of the following should be reported: T 98.6F, P 110, R 28, B/P 88/56, O
2
Sat 96%.
Pulse
Resp
Temp
BP
10
A patient becomes upset patient suddenly faints. Which action should the PCT take next?
Protect the patient from injury.
Activate EMS.
Draw blood for laboratory tests.
Notify the physician.
11
To ensure the accuracy of an oral temperature, it is important to ask the patient if she has:
pain with swallowing.
taken her prescribed medications today.
recently ingested hot or cold food or beverages.
had a fever in the last 24 hours.
12
What is Rigor Mortis?
difficulty with life
noise made when dying
stiffening of the body after death
13
When should you take your ppe off?
Before your finished in the room
When you get out of the room
While leaving the room
14
Leaving the tourniquet on for an extensive length of time most likely results in what?
hemolysis
hemoconcentration
excessive bleeding
hematoma
15
The physician orders a PT/PTT. Which of the following tubes should be used for the specimen?
red
grey
light blue
light green
16
A pt has beliefs about pain treatment different from the PCT’s. How should the PCT respond?
"Standard methods of pain management are more effective."
"Perhaps you should see a neurologist."
"Tell me more about how this approach has worked for you."
"The physician does not recommend that approach."
17
What color tube do you need before using the blue tube?
green
red
pink
grey
18
Which of the following is the best method to clean the equipment from a MRSA patient's room?
chemical sterilization
disinfect with sodium hypochlorite
steam sterilization
disinfect with 70% isopropyl alcohol
19
Which of the following is shown in the strip?
wandering baseline
sixty-cycle interference
interrupted baseline
somatic tremor
20
Which procedure involves the process of cleaning out the stomach contents through an NG tube?
lavage
lumbar puncture
gavage
cleansing enema
21
A sharp may be disposed of following a venipuncture once the needle is
broken
cut.
bent
sheathed
22
To prevent the likelihood of somatic tremor artifact, the patient care technician should
ask the pt to remove metal objects
make the patient calm and comfortable to minimize movement.
attach V2 at the 4th intercostal space right of the sternum.
move limb electrodes as far away from the trunk as possible.
23
Which of the following terms describes a wound that is pus-producing?
parietal
pyogenic
percutaneous
parenteral
24
If a PCT has questions about disposing of hazardous chemicals, what can the PCT check?
MSDS
CLIA
NIOSH
OSHA
25
The PCT applies pressure to the venipuncture site for 2 min. It is still bleeding. What next?
wrap the arm with a pressure dressing
notify the physician immediately
apply pressure while bending the arm at the elbow
elevate the arm while applying pressure
26
Which of the following would be considered a hospital acquired infection?
a healthcare worker that develops Hepatitis C
a 72-year-old patient in the ER with flu-like symptoms
an 8-year-old patient admitted with chicken pox
a patient who contracts a MRSA infection from a venipuncture
27
The PCT was stuck by a contaminated needle. The PCT should immediately
report the incident to a supervisor.
milk the puncture site and clean with alcohol.
soak the puncture site in BetadineTM.
wash the exposed area with soap and water.
28
A pt with a left mastectomy has labs ordered and a PICC line in the right arm. The PCT should
refer the draw to the nurse
draw from the left arm
draw directly from the PICC line
draw above the PICC line.
29
Which of the following best describes the proper way to clean up a broken glass tube?
Place the glass on a piece of paper and carry to the trash.
Use a wet towel and wipe over the area
Use a paper towel to pick up the glass and place in a trash.
Use a broom and dust pan and place in sharps
30
When removing gloves that have blood on them, where should the gloves be discarded?
a specimen transport bag
a regular trash container
a biohazard waste container
a red sharps container
31
A CMP and CBC are ordered, why should the CMP be drawn first?
Drawing the tubes with additives first leads to hemolysis.
Whole blood should be collected before serum.
The CMP is used for blood cultures which are sterile.
Tubes without additives should be drawn first.
32
When placing electrodes on a patient’s skin for a 24-hour Holter monitor which is incorrect?
Abrade the skin with an alcohol pad or dry 4x4.
Tape the lead wires to the patient’s skin.
Avoid scars and incisions.
Tape the electrodes to the pt pointing toward the ankles.
33
An elderly pt has multiple skin tears. What should be used to secure the 2x2 after venipuncture
rolled gauze
paper tape
band aid
adhesive tape
34
A patient’s c/o difficulty falling asleep is described as which of the following conditions
sleep apnea
narcolepsy
nocturia
insomnia
35
A pt on room air has normal color, no signs of distress, O2 Sat is 79%. What should the PCT do
notify the physician
supplement the patient with oxygen per protocol
take a full set of vital signs
reposition the finger probe
36
Which of the following indicates compliance with the Americans with Disabilities Act?
Providing PCT up to 12 weeks of leave for chronic illness
Providing interpreter services for a non-English speaking pt
Providing employees the HepB vaccine.
Providing hand rails in at least one restroom stall.
37
Which describes the ability to see things from another person's point of view?
empathy
rapport
sympathy
active listening
38
While performing a venipuncture, immediately before removing the needle, the PCT should:
apply a gauze pressure dressing
activate the needle safety mechanism
gently invert the evacuated tubes.
release the tourniquet
39
Which of the following actions decreases the potential for hemolysis of a blood in an EDTA tube
Use a 25 gauge needle or smaller to collect the specimen
Allow the tube to stand for 20 minutes prior to processing.
Gently invert the tube after collecting the specimen.
Store in the refrigerator after collection.
40
Which of the following describes the correct technique for cleansing a patient’s minor wound
Cleanse from the inside of the wound toward the outside.
Use a gentle back and forth motion above the wound.
Use a gentle back and forth motion below the wound.
Cleanse from the outside of the wound toward the inside
41
Privacy, continuity of care, advance directives, and refusal of treatment are granted by
The Patient’s Bill of Rights
Informed Consent
Good Samaritan Law
Americans with Disabilities Act
42
A pt calls the office asking for ECG test results. The individual answering the phone should
make an appointment for the pt to meet with the ECG tech
verify the pt first and last name before giving the results
Tell the pt that results cannot be discussed over the phone.
43
Which of the following is considered a potentially biohazardous substance?
tears
cerumen
sputum
sweat
44
You can unplug anything electrical to minimize electrical interference on the EKG
False
True
45
A pt is not provided a interpreter although one was requested. This would be a violation of
Patient’s Bill of Rights
protected health information
Health Insurance Portability and Accountability Act
patient confidentiality
46
Vitals on an older pt are: T: 98.6F, P: 68, RR: 30, B/P 128/84. Which should be rechecked?
respirations
blood pressure
temperature
pulse
47
Which of the following is most likely to cause a false low reading on an O2 saturation monitor?
jaundice
nail polish
anaphylaxis
artifact
48
An anxious pt c/o persistent lower back pain. Which question is most therapetuic?
“What has been going on since your last appointment?”
“Why did you come in today?”
“Why didn’t you take any medication to help with the pain?”
“How much pain medication are you taking every day?”
49
Which of the following is the most commonly used pair of patient identifiers?
patient's name/social security
patient's name/room number
Patient's name/medical record number
patient's name/date of birth
