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
... [Show More] position 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]