Comprehensive Guide to Preparing for the Patient Care Technician (PCT) NHA Exam

WHICH OF THE FOLLOWING STATEMENTS MADE BY THE CPCT ABOUT TAKING A PATIENTS BLOOD PRESSURE DEMONSTRATES THE NEED FOR FURTHER TEACHING? - CORRECT ANSWERA. "I WILL APPLY THE CUFF TO THE UPPER ARM." **B. "I WILL USE THE ARM WITH THE DIALYSIS SHUNT." C. "I WILL LOCATE THE BRACHIAL ARTERY WITH MY FINGERS." D. "I WILL HAVE THE PATIENT SIT WHILE I TAKE THE BLOOD PRESSURE." WHICH OF THE FOLLOWING POSITIONS IS ILLUSTRATED IN THE FIGURE ABOVE? - CORRECT ANSWERA. TRENDELENBERG B. PRONE **C. FOWLER'S D. RECOVERY IN WHICH OF THE FOLLOWING SITUATIONS SHOULD THE CPCT PLACE THE PATIENT IN THE LITHOTOMY POSITION? - CORRECT ANSWERA. NASAL EXAM B. HEAD PAIN C. STOMACH ACHE **D. RECTAL EXAM WHICH OF THE FOLLOWING STATEMENTS MADE BY THE CPCT DEMONSTRATES THE NEED FOR FURTHER TEACHING? - CORRECT ANSWERA. "I WILL USE THE HAND SANITIZER BEFORE AND AFTER THE EXAMINATION." B. "I WILL PLACE INSTRUMENTS NEAR THE EXAMINATION TABLE." **C. "I WILL LEAVE THE ROOM DURING THE EXAMINATION TO ENSURE PRIVACY." D. "I WILL ASSIST THE DOCTOR BY DRAWING BLOOD AND URINE SAMPLES." WHICH OF THE FOLLOWING TEST RESULTS SHOULD THE CPCT REPORT TO THE NURSE IMMEDIATELY? - CORRECT ANSWERA. BLOOD PRESSURE 102/62 MM HG B. PULSE RATE 104/MIN **C. TEMPERATURE 32.7 DEGRESS C (90.9 DEGRESS F) D. RESPIRATIONS 18/MIN WHICH OF THE FOLLOWING MOST FREQUENTLY CAUSES THE SPREAD OF INFECTION IN HEALTH CARE FACILITIES? - CORRECT ANSWERA. OTHER PATIENTS B. FAMILY MEMBERS **C. HEALTH CARE WORKERS' HANDS D. HEALTH CARE EQUIPMENT A CPCT IS ASSISTING A PATIENT WHO IS AMBULATING. THE PATIENT STATES, "I FEEL SO DIZZY AND WEAK," AND HER KNEES BUCKLE. WHICH OF THE FOLLOWING ACTIONS BY THE CPCT IS MOST APPROPRIATE? - CORRECT ANSWER**A. GUIDE THE PATIENT TO A SEATED OR LYING POSITION ON THE FLOOR. B. GRAB THE PATIENT UNDER THE ARMS AND HOLD HER UP WHILE CALLING FOR HELP. C. RELEASE THE TRANSFER BELT. PLACE A WHEELCHAIR BEHIND THE PATIENT. D. INSTRUCT THE PATIENT TO GRAB THE RAIL IN THE HALLWAY WHILE CALLING FOR HELP. WHILE CARING FOR AN 87-YEAR-OLD FEMALE PATIENT, A CPCT NOTICES THE IV INFUSION PUMP IS CRACKED. WHICH OF THE FOLLOWING ACTIONS SHOULD THE CPCT TAKE? - CORRECT ANSWERA. COMPLETE THE INFUSION B. AFTER DISCONTINUING ITS USE, PLACE THE PUMP IN THE UTILITY ROOM. **C. ENSURE THAT BIOENGINEERING PERFORMS MAINTENANCE ON THE PUMP. D. MONITOR THE PUMP AND SEE IF THE CRACK WORSENS. DURING A MERCURY THERMOMETER EXCHANGE, SOMEONE DROPS A MERCURY THERMOMETER AND IT SHATTERS ON THE FLOOR. HOW SHOULD THE CPCT INTERVENE? - CORRECT ANSWERA. HAVE THE PERSON PICK UP THE THERMOMETER AND PLACE IT INTO A PLASTIC BAG. **B. USE A GLOVED HAND TO PICK UP THE GLASS. USE A PAPER TOWEL TO PICK UP THE MERCURY. C. NOTIFY THE HAZMAT TEAM. CLEAR THE AREA IMMEDIATELY. D. PUT ON GLOVES, A GOWN, A MASK BEFORE PICKING UP THE SPILL. A PATIENT HAS ENDOMETRIAL CANCER AND HAS BEEN PLACED IN ISOLATION BECAUSE OF HER RADIATION IMPLANTS. THE PATIENT STATS THAT SHE IS LONELY AND NEEDS EXTRA ATTENTION. WHICH OF THE FOLLOWING ACTIONS SHOULD THE CPCT TAKE WHEN CARING FOR THIS PATIENT? - CORRECT ANSWERA. LIMIT CONTACT AND HAVE FAMILY MEMBERS BATHE THE PATIENT. **B. ORGANIZE ALL CARE IN SHORT PERIODS. PROMISE TO RETURN. C. MAKE FREQUENT VISITS TO THE ROOM AND TALK WITH THE PATIENT. D. PREVENT ALL VISITORS FROM ENTERING THE ROOM. A CPCT IS CARING FOR HIS NEIGHBOR'S MOTHER. THE NEIGHBORS ASK THE CPCT IF HER MOTHER IS UNDERGOING PHYSICAL THERAPY. WHICH OF THE FOLLOWING RESPONSES BY THE CPCT IS APPROPRIATE? - CORRECT ANSWERA. "SHE IS A FAMILY MEMBER, SO I CAN LET YOU KNOW AFTER I RETURN TO WORK." B. "I CAN CALL THE STAFF AND GET THE ANSWER FOR YOU." **C. "I'M SORRY, BUT I CANNOT DISCUSS PATIENTS." D. "WHY DON'T YOU CALL TOMORROW AND ASK FOR THAT INFORMATION." A CPCT IS CARING FOR A PATIENT WHO IS AGITATED. THE BEST WAY TO HANDLE THIS PATIENT IS TO... - CORRECT ANSWERA. SPEAK LOUDER. B. PUT THE PATIENT INTO A CHAIR. **C. SPEAK SOFTLY AND CLEARLY. D. ASK THE PATIENT TO BE QUIET. A CPCT'S PATIENT'S BLOOD PRESSURE IS 80/38 MM HG, HEART RATE 112/MIN, RESPIRATIONS 26/MIN. THE CPCT TELLS THE NURSE, BUT SHE IS BUSY. THE CPCT RETAKES THE VITAL SIGNS AND FINDS THEY ARE NOW BLOOD PRESSURE 78/30 MM HG, HEART RATE 120/MIN, RESPIRATIONS 28/MIN. THE CPCT'S NEXT ACTION SHOULD BE TO... - CORRECT ANSWER**A. CALL THE CHARGE NURSE OF THE FLOOR AND REPORT THE PATIENT'S VITAL SIGNS. B. REPORT THESE FINDINGS TO THE NURSE. C. PROP THE PATIENT UP AND CHECK HIM OR HER AGAIN LATER. D. CALL THE DOCTOR TO REPORT THE VITAL SIGNS. A CPCT ENTERS THE NURSE'S STATION TO FIND A NURSE LYING ON THE FLOOR. WHICH OF THE FOLLOWING ACTIONS SHOULD THE CPCT TAKE FIRST? - CORRECT ANSWER**A. SHOUT HER NAME TO SEE IF SHE IS CONSCIOUS. B. FEEL FOR A PULSE. C. BEING CPR IMMEDIATELY. D. GIVE TWO BREATHS AND BEGIN CPR TWO NURSES ARE IN AN ELEVATOR GOING TO LUNCH. A CPCT OVERHEARS THEM TALKING ABOUT A PATIENT. WHICH OF THE FOLLOWING RESPONSE IS APPROPRIATE? - CORRECT ANSWERA. "TELL ME ABOUT THAT PATIENT. I THINK I KNOW HER." **B. "YOU SHOULDN'T TALK ABOUT PATIENTS IN PUBLIC PLACES." C. ASK QUESTIONS ABOUT THE CARE BEING GIVEN. D. IGNORE WHAT IS BEING SAID. A CPCT IS INSERTING A URINARY CATHETER. HE CREATES A STERILE FIELD BETWEEN THE LEGS OF THE PATIENT, BUT THE PATIENT MOVES HIS LEGS ONTO THE STERILE FIELD, TOUCHING EVERYTHING. WHICH OF THE FOLLOWING ACTIONS SHOULD THE CPCT TAKE NEXT? - CORRECT ANSWER**A. REMOVE THE STERILE FIELD, GET A NEW CATHETER SET, AND START OVER. B. REMOVE ONLY THE ITEMS THE PATIENT'S FOOT TOUCHED AND BEING THE INSERTION. C. CONTINUE TO DO THE CATHETERIZATION AND MAKE SURE TO TELL THE DOCTOR WHAT HAPPENED. D. ASK A COWORKER TO RETRIEVE THE CONTAMINATED ITEMS AND CONTINUE WITH THE PROCEDURE. A CPCT ENTERS A ROOM WITH CONTACT ISOLATION AND FINDS A DOCTOR STANDING AT THE BEDSIDE WITHOUT A GOWN OR GLOVES. WHICH OF THE FOLLOWING ACTIONS SHOULD THE CPCT TAKE NEXT? - CORRECT ANSWERA. REMIND HIM THAT THE PATIENT IS IN CONTACT ISOLATION. B. ASK IF THE PATIENT HAS BEEN REMOVED FROM ISOLATION.