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Domain 1: Patient Care (45 Questions)
Q1
A 78-year-old patient with right-sided weakness following a stroke requires assistance
with morning hygiene. The patient states, "I can do this myself" but struggles to lift the
washcloth to the left side of their face. Which action demonstrates the most
appropriate PCT response?
A. Allow the patient to complete the task independently to promote autonomy
B. Perform the entire bath for the patient to ensure thoroughness and efficiency
C. Offer to wash the left side while encouraging the patient to wash the right side
[CORRECT]
D. Call the nurse immediately because the patient is demonstrating noncompliance
Correct Answer: C
Rationale: This scenario demonstrates the principle of promoting patient independence
while ensuring safety and adequate care. The PCT should support the patient's
autonomy (right side unaffected) while providing necessary assistance (affected left
side). Option A is incorrect because it compromises patient hygiene and safety. Option
B promotes unnecessary dependence. Option D misinterprets patient autonomy as
noncompliance. NHA CPCT standards emphasize patient-centered care that balances
independence with appropriate assistance.
Q2
,When measuring oral temperature on an adult patient, the PCT notes the patient drank
hot coffee 10 minutes ago. Which action is most appropriate?
A. Proceed with oral temperature measurement as scheduled
B. Wait 15-30 minutes before taking oral temperature or use alternative site [CORRECT]
C. Take rectal temperature immediately to obtain accurate reading
D. Document that temperature cannot be obtained
Correct Answer: B
Rationale: Hot or cold beverages affect oral temperature accuracy for 15-30 minutes.
The PCT must either wait or use an alternative site (tympanic, temporal, axillary). Option
A yields inaccurate results. Option C is unnecessarily invasive without indication. Option
D is inappropriate when alternatives exist. NHA CPCT standards require accurate vital
sign measurement techniques.
Q3
A PCT is assisting a patient with a mechanical soft diet. Which food item is appropriate
for this diet?
A. Raw carrots
B. Whole grain toast with crusts removed [CORRECT]
C. Popcorn
D. Hard pretzels
Correct Answer: B
Rationale: Mechanical soft diets include foods that are soft, moist, and easily chewed.
Crustless toast meets these criteria. Raw carrots (A), popcorn (C), and hard pretzels (D)
are too hard or crunchy and pose choking risks. NHA CPCT standards require
understanding therapeutic diets and patient safety.
,Q4
When applying a condom catheter, which technique is correct?
A. Apply adhesive directly to the penile shaft
B. Leave 1-2 inches of space between the penis tip and catheter end [CORRECT]
C. Secure the catheter with tape wrapped tightly around the penis
D. Change the catheter every 24 hours regardless of condition
Correct Answer: B
Rationale: Leaving space prevents irritation and allows urine flow. Adhesive should
never touch skin directly (A). Tight tape (C) restricts circulation. Catheters are changed
per protocol or when soiled, not arbitrarily (D). NHA CPCT standards emphasize proper
technique to prevent skin breakdown and infection.
Q5
A patient is ordered strict intake and output (I&O). The patient consumes 8 oz of water,
6 oz of coffee, and 4 oz of juice at breakfast. What is the total intake in milliliters?
A. 180 mL
B. 360 mL
C. 540 mL [CORRECT]
D. 720 mL
Correct Answer: C
Rationale: 1 oz = 30 mL. Total intake: (8 + 6 + 4) × 30 = 18 × 30 = 540 mL. This tests
basic conversion skills essential for accurate I&O documentation per NHA CPCT
standards.
, Q6
When transferring a patient from bed to wheelchair using a pivot transfer, where should
the wheelchair be positioned?
A. At the foot of the bed
B. At a 45-degree angle to the bed on the patient's stronger side [CORRECT]
C. Parallel to the bed on either side
D. At the head of the bed facing away
Correct Answer: B
Rationale: The 45-degree angle on the stronger side allows safe pivoting with minimal
strain. Other positions create awkward angles increasing fall risk. NHA CPCT standards
emphasize proper body mechanics and patient safety during transfers.
Q7
A PCT discovers a patient has a stage 2 pressure injury on the coccyx. Which action is
most appropriate?
A. Massage the area to improve circulation
B. Position the patient off the area and report to the nurse [CORRECT]
C. Apply a heating pad to promote healing
D. Cleanse with hydrogen peroxide and cover with gauze
Correct Answer: B
Rationale: Pressure injuries require off-loading pressure and nursing assessment.
Massage (A) damages underlying tissue. Heat (C) increases metabolic demand.
Hydrogen peroxide (D) is cytotoxic and delays healing. NHA CPCT standards require
reporting skin changes promptly while implementing appropriate supportive measures.