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CPCT/A Practice Test 2.0 B 2023 Graded A+
A patient care technician is manually transferring a patient who has right-sided weakness from the bed to the wheelchair. Which of the following methods sh... [Show More] ould the technician use to promote proper body mechanics? a) Have the patient wrap her arms around his neck, bend at the waist, and lift using muscles. b) Have the patient hold his hands, stand using weak side first, while he supports the patient's strong side. c) Ask the patient to lean backward in the bed, grasp the front of the transfer belt, pull up, and transfer into the wheelchair. d) Grasp the back of the transfer belt and have the patient stand using stronger side while lifting with legs and keeping back straight. - ANSWER-d A patient care technician is caring for several adult patients. Which of the following findings should the technician report to the nurse first? a) Blood pressure 139/88 mm Hg b) Apical pulse 108/min c) Respiratory rate 22/min d) Temperature 38.5 degrees C (100.5 degrees F) - ANSWER-d A patient care technician is caring for a patient who suddenly becomes unresponsive. Which of the following actions should the technician take first? a) Check the movement of the patient's chest for 10 seconds. b) Tap the patient's shoulders and ask, "Are you okay?" c) Start chest compressions after placing the patient flat. d) Notify the emergency response team - ANSWER-b A patient care technician is using a new disinfectant to clean a soiled mattress. The technician notes a skull and crossbones symbol on the label of the disinfectant. Which hazards does this symbol indicate? a) Explosive b) Flammable c) Skin irritant d) Acute toxicity - ANSWER-d A patient care technician is preparing to transport a patient via a stretcher. Which of the following actions should the technician take when transferring the patient from a bed to the stretcher? a) Roll the sheets away from the patient. b) Remove the patient's IV and indwelling urinary catheter prior to transferring the patient. c) Instruct the patient to put their hands by their sides. d) Raise the patient's bed to the same level as the stretcher. - ANSWER-d A patient care technician should identify that a health care facility's infection control program is required by which of the following institutions? a) Centers for Disease Control and Prevention (CDC) b) Centers for Medicare and Medicaid Services (CMS) c) The Joint Commission (TJC) d) Clinical and Laboratory Standards Institute (CLSI) - ANSWER-c A patient care technician is preparing to label a patient's specimen tube following a blood collection. Which of the following actions should the technician take? a) Face the patient while labeling the specimen tube. b) Use a pencil to label the specimen. c) Avoid using computer-generated labels. d) Initial the label prior to blood collection. - ANSWER-a A patient care technician is applying antiembolism stockings to a patient. The technician should identify that the provider has prescribed antiembolism stockings for which of the following reasons? a) To reduce the risk for deep-vein thrombosis b) To protect the skin from injury c) To prevent air embolisms from circulating to the legs d) To dislodge existing embolisms - ANSWER-a Which of the following terms refers to the complete destruction of all forms of micro-organism when providing patient care? a) Sterilization b) Sanitization c) Disinfection d) Medical asepsis - ANSWER-a Which of the following actions should a patient care technician take to verify the quality of venipuncture supplies before beginning a blood draw? a) Determine that the tourniquet is proper size. b) Check the vacuum of the tube. c) Inspect the integrity of the needle's seal. d) Verify that the adapter is the correct color. - ANSWER-c A patient care technician is to collect 2 hr postprandial glucose by dermal puncture. Upon entering the room, she sees the patient pushing away the overbed table with the lunch tray still on it. Which of the following actions should the technician take? a) Ask the patient if he has eaten within the past 2 hr b) Mark the test as random instead of 2 hr postprandial. c) Contact the patients provider. d) Perform the test and mark as 2 hr postprandial - ANSWER-a A patient care technician is obtaining a blood specimen from a patient. The technician should identify that which of the following errors could cause specimen hemolysis? a) Excessibely massaging the antecubital space when locating a vein b) Failing to release the tourniquet within 1 min c) Redirecting the needle several times to locate a vein d) Transporting the tubes horizontally - ANSWER-d A patient care technician is preparing to perform passive range-of-motion exercise for a patient. Which of the following motions should the technician perform on the patient's elbows? a) Flexion b) Abduction c) Adduction d) Dorsiflexion - ANSWER-a A patient care technician is assisting a nurse to change a dressing on a surgical wound. The wound should not have contact with air or oxygen. Which of the following types of dressing should the technician expect the nurse to use? a) Occlusive b) Gauze c) Semi-occlusive d) Transparent - ANSWER-a A patient care technician must invert anticoagulation tubes to prevent which of the following? a) Hemolysis [Show Less]
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CPCT Exam #1 with Complete Solutions
Which of the following actions should the CPCT take when preparing to transfer the patient from a bed to a stretcher? - ANSWER-Elevating the bed to a posit... [Show More] ion equal to the height of the stretcher During a stress test, a CPCT notices the patient appears to be hyperventilating. Which of the following is an appropriate course of action for the technician - ANSWER-Check the respiratory rate: will allow CPCT to confirm hyperventilation. Ventricular tachycardia - ANSWER- A CPCT is assisting with a patient to take self-administered medications. The CPCT should recognize that which of the following medications should not be crushed? - ANSWER-Enteric-coated: This medication is used for sustained preparations. When a CPCT is distributing laboratory results to ordering physicians, which results have the priority? - ANSWER-Presurgical: they may alter how the surgery is performed. A CPCT is changing a patients' bedding and is accidentally stuck with a needle. Which of the following actions should the CPCT take first? - ANSWER-Milk the affected site: Report the incident to his or her supervisor, complete an incident report, and take that report to the occupational health facility. A CPCT should recognize that a chain of custody is used for which of the following reasons? - ANSWER-To guarantee the identification and integrity of samples. Industry standards states that the needle insertion in the antecubital area should be at _______. - ANSWER-15 to 30 degree angle. Which of the following tubes should be collected first for dermal samples? - ANSWER-Lavender Top: This minimizes platelet clumping and microclot forming. When should the code of the glucose cuvettes be compared to the code on the glucometer? - ANSWER-When the patient is tested: to ensure the most accurate results. A CPCT makes a mistake while measuring a patients' blood pressure. What should the CPCT do? - ANSWER-Release all of the air from the cuff before retesting. A CPCT is caring for a new patient. Which of the following statements made by the patient indicates a need for further teaching, regarding HIPAA? - ANSWER-"If necessary, my doctor can release my test results at his own discretion.": The doctor needs the patient's permission to release any test results. A CPCT is caring for a patient who is to receive continuous tube feedings. The CPCT should place the patient into which of the following positions? - ANSWER-Semi-Fowler's: This position is used to help avoid aspiration because of the angle; therefore, the CPCT should recognize that this position will be the most effective for these feedings. A CPCT should recognize that which of the following statements regarding skin preparation for blood cultures is correct? - ANSWER-"I will cleanse the area with chlorhexidine gluconate.": This is the appropriate antiseptic. The CPCT is monitoring a patient who has severe hypertension. Which of the following findings related to the patient's condition should the CPCT report to the nurse immediately? - ANSWER-The patient's lower limbs showing pitting edema: Minor swelling is an expected finding should be immediately, but pitting edema is more critical. A CPCT informs the nurse concerning swelling at the peripheral IV site. The CPCT should recognize that which of the following is the most likely cause of this finding? - ANSWER-Catheter infiltration: Infiltration occurs when I.V. fluid or medications leak into the surrounding tissue. Infiltration can be caused by improper placement or dislodgment of the catheter. Patient movement can cause the catheter to slip out or through the blood vessel lumen. Premature atrial complex - ANSWER-The third complex occurs early and is preceded by a wave of P wave indicating a premature atrial complex. A CPCT is drawing blood from a patient and observes red spots. Which of the following is an appropriate action for the CPCT to take? - ANSWER-Apply more pressure to the site: The development of petechiae is a sign of reduced platelet function and carries an increased risk of bleeding. Which of the following is a consequence of mislabeling a blood blank specimen? - ANSWER-A transfusion reaction: an undetected error could cause a fatal transfusion reaction. A CPCT is taking a patient's pulse oximetry reading. The CPCT cannot get the reading to appear on the monitor. Which of the following cause be the cause? - ANSWER-The patient has a BP of 84/62 mm Hg with cold hands and fingers: Low BP and cold hands and fingers indicate poor circulation causing problems on a pulse oximetry readout. A CPCT is caring for a patient who is non-ambulatory. Before manually lifting the patient, which of the following factors should the CPCT consider first? - ANSWER-The patient's ability to assist. Pacemaker spikes - ANSWER- A patient presents alert and orientated, but a CPCT finds that all of the waveforms are negative in Lead I. The technician should check the cable connections for which of the following limb electrodes? - ANSWER-Right arm and left arm: The right and left arm electrodes form Lead I. The cable connections are probably reversed, causing entirely negative waveforms. A CPCT is caring for a patient with congestive heart failure. Which of the following findings should be reported to the nurse immediately? - ANSWER-Swelling in the legs and feet: Signs of edema should be monitored and reported to the nurse immediately. The choice to perform a capillary puncture is best determined by which of the following factors? - ANSWER-Test ordered: The test ordered by the physician indicates whether a capillary puncture is preferred over a venous puncture. Which of the following actions is appropriate when labeling specimens? - ANSWER-Labeling specimens at the time of collection in front of the patient. ST segment elevation - ANSWER-ST elevations are signs of an acute myocardial infarction. Should show EKG to patient's provider immediately. A CPCT is working in a facility when the fire alarm goes off. Which of the following actions should the CPCTT take first? - ANSWER-Contain the fire by closing the doors: help to contain the fire. Atrial fibrillation - ANSWER-AF is characterized by absence of P waves and irregularly irregular rhythm, and a ventricular rate of 60 to 100/min. A CPCT is measuring an adult patient's blood pressure electronically. Which of the following readings should the technician report to the nurse? - ANSWER-130/81 mm Hg: Outside the expected range. A CPCT is planning care for a patient who is on contact precautions. When entering the patient's room, the CPCT should apply which of the following? - ANSWER-Gown: Contact precautions include a gown and gloves. Which of the following findings should a CPCT report to a nurse? - ANSWER-A 1 year old patient who has a pulse of 50 BPM: 1 year old is expected to have a 80-160 BPM, should be reported to a nurse. A CPCT is caring for a new patient. Which of the following procedures should the CPCT recognize as requiring aseptic technique? - ANSWER-Waste Management A CPCT is caring for a number of patients following a shift change. Which of the following should the CPCY assess first? - ANSWER-A patient who is disoriented: could be a danger to themselves or to other patients. A CPCT is caring for several adult patients. Which of the following patient findings should the technicians report to the nurse immediately? - ANSWER-Temperature 38.5 C (101.3 F): outside the expected reference range and should be reported. A CPCT must invert anticoagulant tubes to prevent which of the following? - ANSWER-Clotting: Prevention While working with the automated Laboratory Information System, correct input of data is most critical because incorrect data may ______. - ANSWER-be reported to the health care provider: The health care provider may choose a treatment option based on erroneous test results which will most likely endanger patient safety and wellbeing. A CPCT is to determine the pulse rate of a patient who has atrial fibrillation. Which of the following methods should the CPCT use? - ANSWER-Manually, using the apical area: This is the most reliable and accurate method of determining pulse rate in a patient who has atrial fibrillation. A CPCT is assisting with the care of a patient who is 8 hours postoperative following repair of a fractured femur. The technician is checking the client's vital signs every 4 hours and notices changes in his vital signs. Which of the following findings should the technician report to the nurse? - ANSWER-Temperature 37.3 C (99.1 F), pulse rate 95/min, respiratory rate 18/min, and blood pressure 180/101 mm Hg: Temperature and Blood pressure are outside of expected range. A CPCT is measuring a patient's blood pressure. The CPCT should recognize that which of the following situations could result in an inaccurate reading? - ANSWER-The arm is lower than the heat: the reading will be erroneously high. Which of the following statements made by a CPCT, regarding preparation of a peripheral blood smear, indicates the need for further teaching? - ANSWER-"I will press down on the spreader slide to fix the cells on the lower side." :The CPCT should never press down on the spreader side while preparing the smear. Anterior wall - ANSWER-ST segment elevation is present in leads VI through V4. Which of the following is the best method to prevent internal or external bleeding from the venipuncture site after the needle is removed? - ANSWER-Apply pressure to prevent leakage of blood into the tissues: reduces the change of a hematoma forming. A patient has difficulty understanding why she needs an ambulatory monitor after having an EKG 48 hr prior. Which of the following is an appropriate explanation by the CPCT? - ANSWER-"Your doctor wants to study your heart over a longer period of time.": Usually the patient wears the monitor between 24 to 48 hr. It allows the technician to see an EKG recorded during the patient's normal daily activities. To prevent any needle sticks during venipuncture, OSHA guidelines require ______. - ANSWER-disposing of needles in a sharps container. A CPCT observes that a patient has a productive hacking cough. She offers the emesis basin and tissues. On visualization, the CPCT notices streaks of red-tinged sputum. Which of the following actions should the CPCT take? - ANSWER-Ask the patient what he ate or drank last. A CPCT is assisting in the care of a patient who has a wound left to a heal by way of granulation. How often should this wound be redressed? - ANSWER-24 hr A CPCT has orders to collect blood cultures, CBC, PTT, and an iron panel. He forgets to draw for the PTT. Which of the following actions should the CPCT take? - ANSWER-Keep the specimens collected and draw the PTT. A CPCT is caring for a patient whose daughter is visiting. The daughter asks about the health of the patient's roommate. Which of the following statements by the CPCT is an appropriate response? - ANSWER-"You can ask the patient about his condition": The CPCT protects PHI by not giving out any information and referring the requesting party to the patient. A CPCT is collecting a patient's sputum specimen. Which of the following actions by the CPCT is contraindicated? - ANSWER-Having the patient use an alcohol-based mouthwash During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? - ANSWER-Syncope: The patient may faint, and precautions should be taken. A CPCT is collecting a urine specimen and accidentally spills it on the floor. Which of the following actions should the CPCT take to clean the spill? - ANSWER-Use a disinfectant that contains bleach. A CPCT is caring for four patients. Which of the following findings should the CPCT report to the nurse? - ANSWER-A patient is identified with polyuria and a blood glucose of 200 mg/dL: Top of the expected reference range and experiencing polyuria. These findings may indicate diabetes mellitus or hyperglycemia. A CPCT is assisting with the care of a patient who is on strict I&O. How often should the CPCT record the patient's I&O? - ANSWER-Every Shift The CPCT is to collect a 2 hr PP glucose by dermal puncture. Upon entering the room, she sees the patient pushing away the overbed tables with the lunch tray still on it. Which of the following actions should the CPCT take? - ANSWER-Ask the patient if he has eaten within the past 2 hr. [Show Less]
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CPCT Exam prep with Complete Solutions
what position after a spinal tap - ANSWER-flat what position after mastectomy - ANSWER-HOB up 30 degrees, affected arm elevated what position after O... [Show More] RIF - ANSWER-abduction, off affected side what position for - ANSWER- what position during sickle cell crisis - ANSWER-hob raised, no break at knees what position for COPDer - ANSWER-orthopneic what organs are found in RUQ - ANSWER-liver, gallbladder, ascending and transverse colon what organs in RLQ - ANSWER-cecum and appendix what organs in LUQ - ANSWER-stomach, left lobe of liver, duodenum, pancreas, descending colon and spleen what organs in LLQ - ANSWER-sm intestine, rectum and anus medial - ANSWER-middle lateral - ANSWER-towards side proximal - ANSWER-near to point of attachment distal - ANSWER-far from POA superficial - ANSWER-close to surface anterior - ANSWER-front caudal - ANSWER-tailward or down cephalic - ANSWER-head or upward inferior - ANSWER-below superior - ANSWER-above divides body in left and right - ANSWER-sagittal plane divides body in top and bottom - ANSWER-transverse plane (superior and inferior) divides the body into front and back - ANSWER-coronal plane adeno - ANSWER-glands cephal - ANSWER-brain choleo - ANSWER-gallbladder (bile) costo - ANSWER-rib cyano - ANSWER-blue cysto - ANSWER-bladder dento - ANSWER-teeth encephalo - ANSWER-brain entero - ANSWER-intestines glosso - ANSWER-tongue hepato - ANSWER-liver hydro - ANSWER-water hystero - ANSWER-uterus laparo - ANSWER-flank or groin litho - ANSWER-stone meno - ANSWER-menustration myelo - ANSWER-spinal cord necro - ANSWER-death nephro - ANSWER-kidney oophor - ANSWER-ovaries ortho - ANSWER-straight pnea - ANSWER-breathing procto - ANSWER-rectum rhino - ANSWER-nose salpingo - ANSWER-fallopian tubes stomato - ANSWER-mouth thrombo - ANSWER-blood clot contra - ANSWER-against lysis - ANSWER-to destroy oma - ANSWER-tumor centesis - ANSWER-puncture cyte - ANSWER-cell osis - ANSWER-condition rrhea - ANSWER-running of what organ is in the cranial cavity - ANSWER-brain what organs are in the thoracic cavity - ANSWER-heart and lungs what organs are in the pelvic cavity - ANSWER-reproductive organs what cavities make up the dorsal cavity - ANSWER-cranial and vertebral what cavities make up the ventral cavity - ANSWER-thoracic and abdominopelvic where are the kidneys located - ANSWER-in the retroperitoneal cavity what tube is surgically inserted into the stomach for feeding - ANSWER-gastrostomy tube what tube is placed directly into the small intestine - ANSWER-jejunostomy tube what are two schedules for tube feedings - ANSWER-bolus and continuous what 2 factors can contribute to aspiration - ANSWER-tube movement and regurgitation of feeding what are comfort measures for tube feeders - ANSWER-mouth care every 2 hours, clean nostrils, secure tubing to gown, lubricate lips how is tube placement assessed by the RN - ANSWER-listens for bowel sounds when air instilled what must be done before new tube can be used - ANSWER-xray what should be done before each feeding by the RN - ANSWER-residuals (remaining meal from last feeding) checked by removing stomach contents- feeding may be held if >500ml residual returned to stomach what is parenteral nutrition - ANSWER-feeding that bypasses stomach and is placed in a vein what is another name for TPN - ANSWER-hyperalimentation what are indications for TPN - ANSWER-burn victim, coma, cancer, NPO over 7 days, severe anorexia if a person is on TPN what lab may be affected - ANSWER-blood sugar may be high what are access routes for TPN - ANSWER-CV line, PICC, hickman, portacath what are the major parts of an IV set up - ANSWER-solution, slide clamp, drip chamber, tubing, injection port, piggyback junction what are PCT responsibilities to protect the IV site - ANSWER-use an armboard, assist with mobility and transfers, report s/sx of infiltration and phlebitis, standard precautions what is a heparin lock - ANSWER-portable IV for intermittent use or to KVO an IV that is swollen, cold, pale, tender and running poorly may be________ - ANSWER-infiltrated an IV site is red, warm, with a hard vein may suggest------- - ANSWER-phlebitis increase RR with period of apnea; associated with impending death - ANSWER-cheyne-stokes breathing made easier by sitting up - ANSWER-orthopnea deep, rapid breathing associated with DM - ANSWER-Kussmaul s RR over 22 - ANSWER-tachypnea RR of 10 - ANSWER-bradypnea what should be done prior to obtaining Pulse Ox - ANSWER-remove nail polish, warm hands, check P, avoid squeezing finger, what is an acceptable PO for a healthy person - ANSWER-99-100% what is the purpose of deep breathing and coughing post surg and in bedridden patients - ANSWER-moves air in lungs and helps to expel mucus to prevent atalectasis what is atalectasis - ANSWER-collapsed lung how is the incentive spirometer used - ANSWER-breath in and hold breath for 3 seconds how is an incision splinted during c & dp breathing - ANSWER-a pillow is hugged, person breathes in slowly 3 times on 3rd breath cough what are 4 methods of providing supplemental oxygen - ANSWER-wall outlet, tank, concentrator and liquid O2 system which mask has a reservoir, and exhalation ports - ANSWER-partial rebreathing mask which mask delivers the highest concentration of air and has one way valves along with a reservoir - ANSWER-nonrebreather mask which mask allows for control of the exact amount of O2 delivery - ANSWER-venturi what is a nebulizer treatment - ANSWER-medication delivered over 5-10 minutes via handheld misted inhaler- rinse mouth when done artificial airway in mouth to throat - ANSWER-oropharyngeal artificial airway down nose to trachea - ANSWER-nasotracheal if a person has an endotracheal tube what should the PCT make available for communication - ANSWER-patient cannot talk- have pen and paper ready and use a system for communication what are the 3 parts of the tracheostomy tube - ANSWER-obturator, inner and outer cannula which part of trach tube is removed to clean the trach - ANSWER-inner cannula what should be done before trach care - ANSWER-aerated with ambu bag or mask what is air in the pleural cavity called - ANSWER-pneumothorax what is blood in the pleural cavity called - ANSWER-hemothorax what is fluid in the pleural cavity called - ANSWER-pleural effusion what are guidelines for caring for a patient with a chest tube - ANSWER-keep below chest, keep tubing uncoiled, assist with pulmonary hygiene, note bubbling in chamber and report if it stops, keep sterile vaseline gauze at bedside what are ketones and how can they be tested for - ANSWER-substances from the breakdown of fat for energy- can dipstick for glucose and ketones 30 minutes ac and hs what is the purpose of a guiac test - ANSWER-testing for occult blood how is a sputum test obtained - ANSWER-in AM, have client rinse with water, take deep breaths, on 3rd breath cough forcefully- collect 1-2 tsp before performing a capillary fingerstick what should fingers be inspected for - ANSWER-bruising, swelling, scarring and calluses which fingers should be avoided with glucose testing - ANSWER-thumb and index finger where should finger be stuck - ANSWER-side or tip, not center what should be done before sticking finger - ANSWER-clean in circular motion, let dry, stick, and discard first drop of blood what is a normal accucheck for fasting and postprandial - ANSWER-fasting <100 for postprandial <140 what is A1C - ANSWER-test average BS over a 3 month period based on lifespan of an RBC what is a good reading for A1C - ANSWER-<5.7 what are s/sx of hypoglycemia - ANSWER-sweating, irritable, headache, pale [Show Less]
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CPCT practice test Latest Updated
A CPCT should recognize which of the following requires an aseptic dressing change: - ANSWER-changing the dressing of a patient who has a superficial decub... [Show More] itus ulcer When observing a patient's skin integrity, a CPCT should recognize that the first sign of breakdown is: - ANSWER-redness While working with the automated lab information system, correct input of data is most critical because incorrect data may: - ANSWER-Can be reported to a health care provider A CPCT is caring for a patient who has an order for Tobrax to be drawn 1 hr after dose. The medication has been ordered for 1100. Which of the following actions should the the CPCT take? - ANSWER-Check with the nurse Before applying a wrist restraint to a patient, a CPCT should take which of the following actions: - ANSWER-check with the nurse for a restraint orders The CPCT is measuring a patient's blood pressure. The CPCT should recognize that which of the following could result in an inaccurate reading? - ANSWER-Arm is at the level of the heart A CPCT is caring for a new patient. Which of the following procedures should the CPCT recognize aseptic technique? - ANSWER-Waste management Identify the arrhythmia in the tracing below - ANSWER-ventricular tachycardia Which of the following is a consequence is mislabeling a blood bank specimen? - ANSWER-Transfusion reaction first sign of a fusion reaction regulated temperature Which of the following statements made by a CPCT, regarding preparation of a peripheral blood smear, indicates the need for further teaching - ANSWER-I will need to press down on the spreader slide to fix the cells on the lower side A CPCT is caring for several adult patients, which of the following should the CPCT report first? - ANSWER-Temperature 100.5 During a stress test, A CPCT notices the appears to be hyperventilating. Which of the following is an appropriate course of action for the CPCT - ANSWER-check the patient's respiratory rate A CPCT is caring for a new patient. Which of the following statements made by the patient indicates a need for further teaching regarding HIPAA? - ANSWER-"If necessary, my doctor can release my test results at his own discretion." A CPCT is caring for four patients. Which of the following findings should the CPCT report to the nurse? - ANSWER-polyuria and a blood glucose of 200 A CPCT is caring for a patient who is to receive continuous tube feedings. The CPCT should place the patient into which of the following positions? - ANSWER-semi-fowler's A CPCT Is working in a facility when the fire alarm goes off. Which of the following actions should the CPCT take first? - ANSWER-Extinguish the fire A CPCT Is drawing five blood collection tubes. when should the tourniquet be released? - ANSWER-1 to 2 minutes Which of the following procedural steps for a finger stick should the CPCT do first? - ANSWER-confirm the correct identity of the patient Which of the following findings should a CPCT Report to the nurse? - ANSWER-1-year-old patient who has a pulse race of 50 A CPCT is assisting with the care of a patient receiving a blood transfusion. which of the following Vital Signs should they report first? - ANSWER-elevated temperature A CPCT is to determine the pulse rate of a patient who has atrial fibrillation. which of the following should the CPCT use? - ANSWER-Manually, using the apical area A CPCT swelling at the peripheral IV site. The CPCT should recognize that which of the following is most likely cause of this finding? - ANSWER-catheter infiltration A CPCT should recognize which of the following agencies ensures a safe working environment? - ANSWER-OSHA When a CPCT is Distributing laboratory results to ordering Physicians, which results have priority? - ANSWER-Presurgical A patient has difficulty understanding why she needs an ambulatory monitor after having an EKG 48 hours prior. Which of the following is an appropriate explanation by the CPCT? - ANSWER-Your doctor wants to study your heart over a longer period of time A CPCT Is instructed to measure a patient's pulse manually. Which of the following actions should the CPCT take? - ANSWER-Locate the radial artery, feel the pulse with index finger and middle finger and count for one full minute A CPCT is assisting with the care of a patient who is 8 hrs post-operative following a repair of a fractured femur. The CPCT is checking vital signs every 4 hours and notices changes in his vital signs. Which of the following values should be reported to the nurse? - ANSWER-Temperature 99.2, pulse 95, respirations 18, blood pressure 180/101 A CPCT Is drawing blood from a patient and observes red spots. Which of the following is an appropriate action for the CPCT to take? - ANSWER-Apply more pressure to the site Two CPCT's Are transferring a deceased patient from a bed to mortgage Gurnee. To avoid injury, the CPCT's should use which of the following body mechanics? - ANSWER-Use draw sheet to lift patient When should the code on glucose curvettes be compared to the code on the glucometer? - ANSWER-when a patient is tested A CPCT Is collecting a urine specimen and accidentally spills it on the floor. Which of the following actions should the CPCT take to clean up the spill? - ANSWER-Use a disinfectant that contains bleach A CPCT should recognize that which of the following statements regarding skin preparation for blood culture is correct? - ANSWER-"I will cleanse the area with chlorhexidine gluconate." A CPCT Is performing an EKG in a hospital setting. The patient becomes unresponsive, stops breathing, and does not have a pulse. Which of the following would be the appropriate first step? - ANSWER-Start chest compressions The CPCT Is caring for a patient who is unable to void her bladder and is crying in pain. Her attending physician has not yet made rounds and her primary nurse is unavailable. Which of the following actions should the CPCT take? - ANSWER-Report the patients pain to charge nurse A CPCT is caring for a patient who has anxiety during venipuncture. Which of the following should the CPCT recognize as an appropriate response? - ANSWER-Explain the procedure before beginning the venipuncture A CPCT Is caring for a patient who is at risk for skin breakdown. Which of the following products should the CPCT use to prevent skin breakdown? - ANSWER-Barrier cream A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of the following should the CPCT do first? - ANSWER-Call for help and begin CPR The CPCT is to collect the 2 hr PP glucose by dermal puncture. Upon entering the room, she sees the patient pushing away the overbed table with lunch tray still on it. Which of the following should the CPCT take? - ANSWER-Ask patient if he has eaten within the past 2 hrs A CPCT is caring for a number of patients following a shift change. Which of the following patients should the CPCT assess first? - ANSWER-Patient who is disoriented An EKG has a 2mm ST elevation in leads 1, AVL, V5, and V6. what type of infraction would this represent? - ANSWER-Lateral infarction Which of the following findings on a tracing should the CPCT be most concerned with? - ANSWER-The ST segment elevation A CPCT Is caring for an adult patient who has a new prescription for albuterol to be administered via inhaler. Which of the following statements by the patient indicates a need for further teaching? - ANSWER-As an adult i don't need to use spacers with my inhaler To prevent needle sticks during venipuncture,OSHA guidelines require: - ANSWER-Disposing of needles in sharps container Which of the following action is appropriate when labeling specimens? - ANSWER-labeling the specimens at the time of collection and in front of the patient A CPCT Is obtaining a patient's apical pulse. The CPCT Should measure this post at which of the following locations? - ANSWER-5th intercostal space A CPCT Is taking a patient's pulse oximetry reading. The CPCT cannot get the reading to appear on the monitor. Which of the following could be the cause? - ANSWER-The patient has a blood pressure of 84/62 with cold hands and fingers Which of the following EKG findings differentiate accelerated idioventricular rhythm from junctional rhythm? - ANSWER-Accelerated idioventricular rhythm has wide QRS complexes When collecting a multi-draw venous sample, which of the following sites should the CPCT attempt first? - ANSWER-Median cubital Which of the following Occurs in the pricing below. - ANSWER-Premature junctional complex A CPCT is caring for a patient with congestive heart failure. which of the following immediately? - ANSWER-Swelling in legs and feet A CPCT Is assisting with the care of a patient with diabetes mellitus. The CPCT should know that which of the following is a sign of hyperglycemia? - ANSWER-Frequent urination [Show Less]
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NHA CPCT Study Guide Latest Updated
A patient care technician is making an open bed for a patient. Which of the following actions should the technician take? - ANSWER-Fanfold the top linens a... [Show More] t the foot of the bed (exp. this allows for easy access to the bed without the technician or patient needing to pull back the linens A patient care technician is observing a patient who is ambulating using a walker. Which of the following actions by the patient demonstrates correct technique? - ANSWER-The patient advances the walker 24.4-45.7 cm (10 to 18 in) in front of their legs (exp. patients should step into the perimeter of the walker and advance it 10-18 inches A patient care technician should identify that which of the following is the minimum preferred volume of urine for a routine urinalysis? - ANSWER-30 mL (exp. Although lab technicians prefer 50 mL for performing a routine urinalysis, 30 mL is the minimum preferred amount for a urinalysis A patient care technician is assigned to perform hourly, point-of-care glucose testing for a patient who has diabetes mellitus. Which of the following actions should the technician take? - ANSWER-Use the facility's glucometer to perform the glucose tests on the patient (exp. The facility's glucometer is tested more frequently for accuracy A patient care technician is assisting a nurse to apply a hand-wrist immobility splint for a patient who has left-sided paralysis due to a stroke. The technician should identify that the splint will secure the patient's hand in which of the following positions? - ANSWER-Wrist slight dorsiflexion (exp. A hand wrist splint helps with proper positioning and alignment by keeping the wrist in slight dorsiflexion and keeping the thumb slightly abducted in opposition to the fingers A patient care technician recently attended a seminar about hospice care. Which of the following statement's by the technician indicates an understanding of hospice care? - ANSWER-"The cost of hospice care is reimbursed by Medicare or Medicaid." (exp. the goal of hospice care is not curative in nature. Its aim is to relieve pain and control symptoms of the disease A patient care technician is teaching a patient about HIPAA regulations. Which of the following client statements indicates an understanding of teaching? - ANSWER-"My provider is required to report if I receive a diagnosis of tuberculosis" (exp. HIPAA regulations require providers to report instances of communicable diseases, including tuberculosis, to prevent an outbreak in the community A patient care technician is caring for a patient who has an ileostomy. Which of the following types of stool should the technician expect to observe in the ostomy pouch? - ANSWER-Liquid (exp. feces in the ileum is typically liquid and acidic, and can be irritating if it comes into contact with the surrounding skin A patient care technician is reinforcing teaching with a patient who has a new prescription for albuterol sulfate to be administered via an inhaler. Which of the following patient statements indicates an understanding of the teaching? - ANSWER-"I will shake the inhaler well before use." (exp. If a patient places the mouthpiece of the inhaler in her mouth, the medication can be lost inside of the mouth and will not reach the lungs. The technician should instruct the patient to hold the mouthpiece 1 in from the mouth during administration A patient care technician is caring for a patient who is postoperative following abdominal surgery and observes thin, watery, reddish drainage on the wound dressing. The technician should identify that which of the following terms is used to describe this type of drainage? - ANSWER-Serosanguineous A patient care technician in a clinic is receiving a urine specimen from a patient who completed a 24-hour urine collection. The technician should ensure that which of the following requirements have been met for this test? - ANSWER-The specimen was refrigerated prior to being returned (exp. the patient should keep the specimen cool for the entire collection period to preserve the integrity of the specimen A patient care technician is preparing to measure the pulse oximetry level of an adult patient who has decreased arterial blood flow. Which of the following locations is the best place to obtain this measurement for a patient who has this condition? - ANSWER-Forehead (exp. if a patient has decreased arterial blood flow, the forehead is the fastest and most accurate location to obtain a pulse oximetry reading A PCT is preparing to remove a patient's peripheral IV catheter. Which of the following actions should the technician plan to take? - ANSWER-Hold gauze over the site when removing the catheter (exp. gloves are needed but don't need to be sterile A PCT should recognize that which of the following is the purpose of CLIA? - ANSWER-To establish quality standards for laboratory testing on human specimens (exp. the purpose of the CLSI is to create and promote clinical and laboratory practices A PCT is assisting a nurse to perform an aseptic wound dressing change for a patient who has a stage IV pressure ulcer. Which of the following actions should the technician take? - ANSWER-Don new gloves after removing the soiled dressing (exp. sterile gloves are not necessary, gloves can be normal A patient care technician is caring for a patient who needs to have their urine output measured and recorded hourly. Which of the following instructions should the technician give to the patient? - ANSWER-"Void into the specimen collection device that I have left for you." (exp. the technician should give the patient a calibrated specimen container to accurately measure the amount of urine after each void A patient care technician accidentally drops a thermometer and mercury is spilled onto the floor. Which of the following actions should the technician take first? - ANSWER-Evacuate the room. (exp. mercury is dangerous and can be inhaled or absorbed through the skin A patient care technician is caring for a patient who has an indwelling urinary catheter. How often should the technician empty the drainage receptacle? - ANSWER-Every 8 hr (exp. prevents the backup of urine into the tubing or the patient's bladder A PCT has been monitoring a patient's intake and output for the past 24 hr. Which of the following findings should the technician report to the nurse immediately - ANSWER-Urine output 500 mL (exp. the expected reference range for urine output within a 24-hr period is 750 to 2000 mL A PCT should identify that which of the following incidents should be reported to The Joint Commission? - ANSWER-Sentinel Event (exp. sentinel events are unexpected occurrences that cause death or serious physical or psychological injury to a patient A PCT is in the cafeteria during lunch and sees a visitor that appears to be choking. Which of the following actions should the technician take first? - ANSWER-Ask the visitor if they are able to speak A PCT has just washed his hands and left the room of a patient when he hears another patient calling for help. The technician notes that the patient calling for help is in contact isolation. Which of the following actions should the technician take next? - ANSWER-Put on a gown and gloves A PCT is caring for a postpartum patient. For which of the following findings should the technician notify the nurse? - ANSWER-Headache with visual disturbances A PCT has obtained a specimen that must remain at body temperature when transported to the lab for processing. Which of the following actions should the technician take? - ANSWER-Place the specimen in a warming device Practice Test B - ANSWER- A PCT in a hospital is preparing to sterilize equipment that was soiled with blood. Which of the following methods should the technician use? - ANSWER-Autoclave A PCT is reviewing quality improvement tools. Which of the following tools attempts to improve safety and the quality of health care by eliminating unnecessary processes and redirecting resources to patient needs? - ANSWER-Lean Methodology A PCT should identify that which of the following terms is used when referring to infections that can be spread to patients? - ANSWER-Health-care associated infections [Show Less]
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