PCE Written Exam Questions
PCE Written Exam Questions and
Answers
What are the four ethical principles
1. Justice
2. Autonomy
3. Beneficence
4. Non-malfeasance
How do you manage adverse outcomes during controlled acts?
1. must know what to do if performing a controlled act results in an adverse
outcome
2. must have written instructions that describe how to manage any reasonably
foreseeable adverse outcomes
What are some physiotherapy restricted activities?
tracheal suctioning, spinal manipulation, acupuncture (dry needling), treating a
wound below the dermis, assessing or rehabilitating pelvic musculature,
administering a substance by inhalation
What restricted physiotherapy acts can be delegated?
tracheal suctioning, treating a wound below the dermis and administering a
substance by inhalation (O2)
What should you ensure when delegating restricted activities?
1. the individual has the knowledge, skills and judgement to do the act
2. they know when they can do the activity, with whom and other limitations
3. they know how to manage adverse outcomes and has written instructions that
describe how to manage any foreseeable adverse outcomes
What restricted activities can NOT be delegated?
1. acupuncture
2. communicating a diagnosis
PCE Written Exam Questions
,PCE Written Exam Questions
3. spinal manipulation
4. internal assessment or rehabilitation of pelvic musculature
What are the components of informed consent?
1. information with regards to the treatment
2. the nature of the treatment
3. benefits
4. risks and side effects
5. consequences of not receiving the proposed treatment
6. alternative options
What are the components of consent?
1. capacity
2. voluntariness
3. disclosure
4. understanding
What is the hierarchy under the health care consent act for the SDM?
1. legal guardian
2. attorney for personal care
3. representative from the consent and capacity board
4. spouse/partner
5. parent or adult child
6. parent with right of access
7. brother or sister
8. any other relative
9. public guardian and trustee
In what scenario would it be appropriate to break patient confidentiality?
if there is imminent risk of harm or danger, duty to warn overrules ones duty to
maintain confidentiality
1. there is clear risk to a person or group of people
2. there is risk of serious bodily harm or death
3. the danger is imminent
PCE Written Exam Questions
,PCE Written Exam Questions
What does lock-box mean?
its a concept that describes the right of a patient to withhold or withdraw consent to
the collection, use, or disclosure of their personal health information
How long do you need to keep records for?
patient records must be kept for a minimum 10 years after discharge OR 10 years
after patient would have turned 18
How can you ensure the support personnel has the knowledge, skills and
judgement to deliver safe and effective patient care?
1. review the roles and responsibilities with the support personnel
2. verify the support personnel's knowledge
3. learn about the support personnel's training and experience in order to ensure
that it is adequate
4. watch the support personnel perform the task or the assigned care
5. train adn educate the support personnel as needed
What are the common types of mandatory reports?
1. sexual abuse
2. incompetence
3. incapacity
4. holding out as a physiotherapist
5. child abuse or neglect
6. abuse or neglect in a LTC or retirement home
7. privacy breaches
8. disclosure to prevent harm
9. termination of employment
What does the PT need to do if a conflict of interest is unavoidable?
1. disclose and discuss the situation with the patient prior to providing the service
in question
2. inform the patient of practical alternatives if available
3. document the discussion in the patient's charts/records
What are the 6 keys to effective communication?
PCE Written Exam Questions
, PCE Written Exam Questions
1. courtesy
2. clarity
3. listening
4. consider culture
5. get on the same page
6. body language
What are the components of inspection?
1. vital signs
2. mechanism of ventilation
3. thoracic shape
4. head, neck, extremities
5. speech, cough, sputum
What are the three ranges the rate of HR can be?
1. Bradycardia: <60bpm
2. Normal: 60-100 bpm
3. Tachycardia: >100 bpm
What are the three ranges of respiratory rate?
1. Bradypnea: <12 breaths/min
2. Eupnea: 12-20 breaths/min
3. Tachypnea: >20 breaths/min
What are the BP values?
Hypotension: <90/60
Normal: 120/80
Hypertension: >140/90
Orthostatic hypotension: drop of SBP by 20 mmHg from going from lying to
upright*
What is a normal breathing pattern?
Diaphragmatic >70%, lateral costals <30%
PCE Written Exam Questions
PCE Written Exam Questions and
Answers
What are the four ethical principles
1. Justice
2. Autonomy
3. Beneficence
4. Non-malfeasance
How do you manage adverse outcomes during controlled acts?
1. must know what to do if performing a controlled act results in an adverse
outcome
2. must have written instructions that describe how to manage any reasonably
foreseeable adverse outcomes
What are some physiotherapy restricted activities?
tracheal suctioning, spinal manipulation, acupuncture (dry needling), treating a
wound below the dermis, assessing or rehabilitating pelvic musculature,
administering a substance by inhalation
What restricted physiotherapy acts can be delegated?
tracheal suctioning, treating a wound below the dermis and administering a
substance by inhalation (O2)
What should you ensure when delegating restricted activities?
1. the individual has the knowledge, skills and judgement to do the act
2. they know when they can do the activity, with whom and other limitations
3. they know how to manage adverse outcomes and has written instructions that
describe how to manage any foreseeable adverse outcomes
What restricted activities can NOT be delegated?
1. acupuncture
2. communicating a diagnosis
PCE Written Exam Questions
,PCE Written Exam Questions
3. spinal manipulation
4. internal assessment or rehabilitation of pelvic musculature
What are the components of informed consent?
1. information with regards to the treatment
2. the nature of the treatment
3. benefits
4. risks and side effects
5. consequences of not receiving the proposed treatment
6. alternative options
What are the components of consent?
1. capacity
2. voluntariness
3. disclosure
4. understanding
What is the hierarchy under the health care consent act for the SDM?
1. legal guardian
2. attorney for personal care
3. representative from the consent and capacity board
4. spouse/partner
5. parent or adult child
6. parent with right of access
7. brother or sister
8. any other relative
9. public guardian and trustee
In what scenario would it be appropriate to break patient confidentiality?
if there is imminent risk of harm or danger, duty to warn overrules ones duty to
maintain confidentiality
1. there is clear risk to a person or group of people
2. there is risk of serious bodily harm or death
3. the danger is imminent
PCE Written Exam Questions
,PCE Written Exam Questions
What does lock-box mean?
its a concept that describes the right of a patient to withhold or withdraw consent to
the collection, use, or disclosure of their personal health information
How long do you need to keep records for?
patient records must be kept for a minimum 10 years after discharge OR 10 years
after patient would have turned 18
How can you ensure the support personnel has the knowledge, skills and
judgement to deliver safe and effective patient care?
1. review the roles and responsibilities with the support personnel
2. verify the support personnel's knowledge
3. learn about the support personnel's training and experience in order to ensure
that it is adequate
4. watch the support personnel perform the task or the assigned care
5. train adn educate the support personnel as needed
What are the common types of mandatory reports?
1. sexual abuse
2. incompetence
3. incapacity
4. holding out as a physiotherapist
5. child abuse or neglect
6. abuse or neglect in a LTC or retirement home
7. privacy breaches
8. disclosure to prevent harm
9. termination of employment
What does the PT need to do if a conflict of interest is unavoidable?
1. disclose and discuss the situation with the patient prior to providing the service
in question
2. inform the patient of practical alternatives if available
3. document the discussion in the patient's charts/records
What are the 6 keys to effective communication?
PCE Written Exam Questions
, PCE Written Exam Questions
1. courtesy
2. clarity
3. listening
4. consider culture
5. get on the same page
6. body language
What are the components of inspection?
1. vital signs
2. mechanism of ventilation
3. thoracic shape
4. head, neck, extremities
5. speech, cough, sputum
What are the three ranges the rate of HR can be?
1. Bradycardia: <60bpm
2. Normal: 60-100 bpm
3. Tachycardia: >100 bpm
What are the three ranges of respiratory rate?
1. Bradypnea: <12 breaths/min
2. Eupnea: 12-20 breaths/min
3. Tachypnea: >20 breaths/min
What are the BP values?
Hypotension: <90/60
Normal: 120/80
Hypertension: >140/90
Orthostatic hypotension: drop of SBP by 20 mmHg from going from lying to
upright*
What is a normal breathing pattern?
Diaphragmatic >70%, lateral costals <30%
PCE Written Exam Questions
