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Exam (elaborations)

PCT Practice Test With 100% Correct Answers 2022

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Pct should recognize this scenario requires an aseptic dressing change - ANSWERchanging the dressing of a pt who has a superficial decubiti When observing a pt's skin, a PCT should recognize that this is the first sign of breakdown - ANSWER-redness While working with the automated Laboratory Information System, correct input of data is critical because incorrect data may - ANSWER-be reported to the health care provider A PCT is caring for a pt who has an order for Tobramycin level to be drawn 1 hr after each dose. The meds have been ordered at 1100. The PCT should - ANSWER-check with the nurse to verify when the meds were given Before applying restraints, the PCT should - ANSWER-check with the nurse for a restraint order Something goes wrong when the PCT is taking a blood pressure, what is it? - ANSWER-the arm is lower than the heart Which requires an aseptic technique? - ANSWER-waste management A consequence of of mislabeling a blood bank transfusion - ANSWER-a transfusion reaction Which is wrong in a peripheral blood smear? - ANSWER-PCT says "I will press down on the spreader slide while preparing the smear." PCT should report what to a nurse immediately? - ANSWER-a temperature of 101.3 degrees Fahrenheit During a stress test, the patient appears to be hyperventilating. What should the PCT do? - ANSWER-check the patient's respiratory rate Which requires further teaching, regarding HIPAA? - ANSWER-"If necessary, my doctor can release my test results at his own discretion." A PCT should report these findings - ANSWER-A patient identifies with polyuria and a blood glucose of 200 mg/dL During tube feeding, a patient should be placed in - ANSWER-semi-fowler's Fire alarms go off, what should the PCT do FIRST - ANSWER-contain the fire by closing fire doors A tourniquet should be removed when? - ANSWER-1 min after application For a fingerstick, what should the PCT do FIRST? - ANSWER-confirm the patient's identity A PCT should report - ANSWER-a 1 y.o. with a pulse of 50 bpm A patient receives a blood transfusion. What should the PCT report? - ANSWER-an elevated temperature PCT is determining the pulse rate of a patient who has atrial fibrillation. Which method should the PCT use? - ANSWER-Manually, using the apical area Patient has swelling at the peripheral IV site, what caused it? - ANSWER-catheter infiltration Which laboratory results have priority over others? - ANSWER-presurgical Patient does not understand why they need an ambulatory monitor 48 hrs after having an EKG done. How can the PCT explain it to them? - ANSWER-"Your doctor wants to monitor your heart over a longer period of time." A PCT is instructed to measure a patient's pulse manually. Which of these actions should the PCT take? - ANSWER-Locate radial artery, feel for the pulse with index and middle fingers, and count pulses felt for one full min PCT is caring for a patient who is 8 hr postop following a repair of a fractured femur. Which set of vital signs should the technician report? - ANSWER-Temp 99.1 degrees Fahrenheit, Pulse 95/min, Respiratory rate 18/min, and a bp of 180/101 mmHg (the patient's temp and bp are well out of the normal range) A PCT is drawing blood from a patient and notices red spots. Which action should the PCT 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) Two PCTs are transferring a deceased patient from a bed to a morgue gurney. To avoid injury, the PCTs should - ANSWER-Use a draw sheet to lift the patient When should the code on glucose curvettes be compared to the code on the glucometer? - ANSWER-When a patient is tested (ensures that they get the most accurate results) Which statement regarding skin preparation for blood cultures is correct? - ANSWER-"I will cleanse the area with chlorhexidine gluconate." A PCT is collecting a urine specimen and accidentally spills it on the floor. How should the PCT clean it? - ANSWER-Using a disinfectant that contains bleach A tech is performing an EKG. Patient becomes unresponsive, stops breathing, and does not have a pulse. What should the PCT do? - ANSWER-Start chest compressions The PCT 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. What should the PCT do? - ANSWER-Report the patient's pain to the charge nurse. PCT is caring for s patient who has anxiety during venipuncture. How should the PCT respond? - ANSWER-Explain the procedure before beginning venipuncture A PCT is caring for a patient who is at risk for skin breakdown. What product should the PCT use to prevent skin breakdown? - ANSWER-Barrier cream A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. What should the PCT do FIRST? - ANSWER-Call for help and begin CPR PCT is to collect a 2 hr PP (postprandial a.k.a. after eating) glucose by dermal puncture. Upon entering the room, she sees the patient pushing away the overbed table with the lunch tray still on it. What should the PCT do? - ANSWER-Ask the patient if he has eaten within the past 2 hrs A PCT is caring for a number of patients after a shift change. Which patient should the PCT assist FIRST? - ANSWER-A patient who is disoriented (pt could be a danger to themself or to others) An EKG has a 2 mm ST elevation in leads 1, AVL, V5, and V6. What type of infarction would this be? - ANSWER-Lateral infarction (these leads observe the lateral heart) PCT is caring for a patient who has a new prescription for Albuterol administered via inhaler. Which statement 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 any needle sticks during venipuncture, OSHA guidelines require - ANSWERdisposing of needles in a sharps container Which of the following actions is appropriate when labeling specimens? - ANSWERlabeling specimens at the time of collection in front of the patient PCT is obtaining a patient's apical pulse. PCT should measure the pulse where? - ANSWER-The 5th intercostal space What EKG differentiates accerlerated idioventricular rhythm from junctional rhythm? - ANSWER-Accerlerated idioventricular rhythm has wide QRS complexes PCT is taking a patient's oximetry reading. The PCT cannot get the reading to appear on the monitor. What could be the cause? - ANSWER-The patient has a BP of 84/62 mmHg with cold hands and fingers When collecting a multi venous sample, what site should the PCT attempt to draw from FIRST - ANSWER-Median cubital PCT is caring for a patient with congestive heart failure. What finding should be reported

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