NHA PCT Review Test with complete solutions

NHA PCT Review Test with complete solutions A CPCT should recognize that which of the following scenarios requires an aseptic dressing change? -changing the surgical wound dressing of a patient 1 day post-op -changing a patient's triple lumen catheter dressing -changing the dressing of a patient who has a deep wound drain When observing a patient's skin integrity, a CPCT should recognize that the first sign of breakdown is -hematoma -melanoma -cyanosis While working with the automated Laboratory Information System, correct input of data is most critical because incorrect data may -cause a system error -lead to a quality assurance issue -remain in the patient file indefinitely A CPCT is caring for a patient who has an order for tobramycin (Tobrex) level to be drawn 1 hr after dose. The medication has been ordered for 1100. Which of the following actions should the CPCT take? -draw the blood at 1100 -check with the laboratory -ask the patient Before applying wrist restraints to a patient, a CPCT should take which of the following actions? -measure the patient's blood pressure -measure the patient's 02 saturation -drain the patient's foley catheter 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? -the cuff deflates too quickly -the cuff inflates too quickly -the arm is at the level of the heart A CPCT is caring for a new patient. Which of the following procedures should the PCT recognize as requiring aseptic technique? -patient identification -documentation -intact skin care Identify the arrhythmia in the tracing below. -junctional tachycardia -sinus tachycardia -accelerated idioventricular rhythm Which of the following is a consequence of mislabeling a blood bank specimen? -a HIPAA violation -a medical transcription error -a pharmaceutical reaction Which of the following statements made by a CPCT, regarding preparation of a peripheral blood smear, indicates the need for further teaching? -"I will make sure the drop of blood is spread on the lower slide within seconds." -"My smear should occupy 2/3 of the total slide area." -"My smear should be spread almost to the edges of the slide." A CPCT is caring for several adult patients. Which of the following findings should the CPCT report to the nurse first? -blood pressure 139/88 mm Hg -apical pulse of 84 bpm -respiration rate of 22/min 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? -administer oxygen to the patient -slow down the test -stop the exercise portion of the test - A CPCT is caring for a new patient. Which of the following statments made by the patient indicates a need for further teaching, regarding HIPAA? -"If my mother calls my doctor to ask about my condition, she will have to provide proof of who she is." -Because of a language barrier, my provider can share my health information with his interpreter." -"If I am unconscious and need medical attention, my doctor can share my health information with my son." A CPCT is caring for four patients. Which of the following findings should the CPCT report to the nurse? -a patient is identified with vertigo and a blood glucose of 90 mg/dL -a patient is identified with tinnitus and blood glucose of 70 mg/dL -a patient is identified with fatigue and a blood glucose of 120 mg/dL 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? -high-fowler's -supine -prone A CPCT is working in a facility when the fire alarm goes off. Which of the following actions should the CPCT take first? -consult the fire safety routes -announce a code over the intercom system -extinguish the fire A CPCT is drawing five blood collection tubes. When should the tourniquet be released? -after the draw is complete -after the last tube -3 to 4 min Which of the following procedural steps for a finger stick should the CPCT do first? -cleanse the site with an antiseptic wipe -select the appropriate part of the third or fourth finger -position the blade of the lancet across the lines of the fingertip Which of the following findings should a CPCT report to a nurse? - 12-year-old patient w/pulse of 76 bpm - 40-year-old patient w/pulse of 88 bpm - 89-year-old patient w/ pulse of 85 bpm A CPCT is assisting with the care of a patient who is receiving a blood transfusion. Which of the following vital signs should the CPCT report first? -a drop in blood pressure -an elevated blood pressure -a drop in temperature A CPCT is to determine the pulse rate of a patient who has atrial fibrillation. Which of the following methods should the CPCT use? -manually, using the radial artery -electronically, using a pulse oximeter -electronically, using an EKG machine 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? -medication reaction -improper positioning -constrictive dressing A CPCT should recognize that which of the following agencies ensures safe work environments? -CDC -FDA -DOH When a CPCT is distributing laboratory results to ordering physicians, which results have priority? -lead -basal metabolic panel -ferritin