PCT Practice Test Questions and Answers 100% Verified

PCT Practice Test Questions and Answers 100% Verified Pct should recognize this scenario requires an aseptic dressing change changing 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 redness While working with the automated Laboratory Information System, correct input of data is critical because incorrect data may 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 check with the nurse to verify when the meds were given Before applying restraints, the PCT should check with the nurse for a restraint order Something goes wrong when the PCT is taking a blood pressure, what is it? the arm is lower than the heart Which requires an aseptic technique? waste management A consequence of of mislabeling a blood bank transfusion a transfusion reaction Which is wrong in a peripheral blood smear? PCT says "I will press down on the spreader slide while preparing the smear." PCT should report what to a nurse immediately? a temperature of 101.3 degrees Fahrenheit During a stress test, the patient appears to be hyperventilating. What should the PCT do? check the patient's respiratory rate Which requires further teaching, regarding HIPAA? "If necessary, my doctor can release my test results at his own discretion." A PCT should report these findings A patient identifies with polyuria and a blood glucose of 200 mg/dL During tube feeding, a patient should be placed in semi-fowler's Fire alarms go off, what should the PCT do FIRST contain the fire by closing fire doors A tourniquet should be removed when? 1 min after application For a fingerstick, what should the PCT do FIRST? confirm the patient's identity A PCT should report a 1 y.o. with a pulse of 50 bpm A patient receives a blood transfusion. What should the PCT report? an elevated temperature PCT is determining the pulse rate of a patient who has atrial fibrillation. Which method should the PCT use? Manually, using the apical area Patient has swelling at the peripheral IV site, what caused it? catheter infiltration Which laboratory results have priority over others? 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? "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? 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? 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? 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 Use a draw sheet to lift the patient When should the code on glucose curvettes be compared to the code on the glucometer? When a patient is tested (ensures that they get the most accurate results) Which statement regarding skin preparation for blood cultures is correct? "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? 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? 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? 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? 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? Barrier cream A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. What should the PCT do FIRST? 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? 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? 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? 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? "As an adult, I don't need to use spacers with my inhaler." To prevent any needle sticks during venipuncture, OSHA guidelines require disposing of needles in a sharps container Which of the following actions is appropriate when labeling specimens? labeling 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? The 5th intercostal space What EKG differentiates accerlerated idioventricular rhythm from junctional rhythm? 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? 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 Median cubital PCT is caring for a patient with congestive heart failure. What finding should be reported to the nurse immediately? Swelling in the hands and feet PCT is caring for a patient who has diabetes mellitus. PCT should know which of the following is a sign of hyperglycemia? Frequent urination PCT is preapring to draw blood. The patient extends his arm and turns his head away. What form of consent does this indicate? Implied consent PCT observes that a patient has a productive hacking cough. She offers the patient the emesis basin and tissues. PCT notices streaks of red-tinged sputum, What should the PCT do? Ask the patient what he/she drank last The choice to perform capillary puncture is best determined by what? The test ordered PCT should recognize that a patient must avoid deep-breathing and coughing after which surgery? Eye surgery Industry standard states that needle insertion in the antecubital area should be at a 15 to 30 degree angle A PCT is collecting a stool specimen from a newly admitted patient. The PCT should recognize that which could be a sign of an upper gastrointestinal disorder? Black, tarry stool PCT is transferring a nonambulatory patient from a bed to a wheelchair. What should the PCT do? Lock the wheels of the wheelchair and bed PCT is performing a venous blood draw on a 91 y.o. patient. The PCT should use which method? Butterfly needle and syringe PCT has orders to collect blood cultures, CBC, PTT, and an icon panel. He forgets to draw for the PTT. What should the PCT do? Keep the specimens collected and draw the PTT PCT is providing palltive care to a patient. The patient's family expresses feelings of anger and hopelessness. What action should the PCT take? Listen when the family is ready to talk PCT is in the cafeteria during lunch. A visitor appears to be in respiratory distress, having swollen lips and tongue. What should the PCT do? Ask the person if she has any allergies PCT should recognize that a chain of custody is used for which reason? To guarantee the identification and integrity of samples A patient presents alert and oriented, but a PCT finds that all the waveforms are negative in lead 1. The tech should check the cable connections for which limb electrode? Right arm and left arm A PCT is manually transferring a patient who has a right side weakness from the bed to the wheelchair. What method should the PCT use to promote proper body mechanics? Grasp the transfer belt, have pt stand using stronger side while lifting with legs and keeping back straight A PCT is collecting a patient's sputum specimen. Which action is incorrect? Having pt use an alcohol-based mouthwash Some older adult or obese patients may not have accessible antecubital veins. In this situation, the PCT may use which? Dorsal veins A PCT is assisting a patient to take their medicine. The PCT should know that which medicine should not be crushed? Enteric-coated Which method is best to prevent internal or external bleeding from the venipuncture site after the needle has been removed? Apply pressure to prevent leakage of blood into the tissues During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur? Syncope (pt may be faint) PCT makes a mistake while taking a blood pressure. What should the PCT do? Release all of the air from the cuff before retesting A PCT is transferring a patient using a Hoyer lift from the bed to a wheelchair. As the patient is being transferred, the PCT should place him into which position? Fowler's A PCT detects a U wave, and a patient reports chest pain and discomfort. What should the tech do? Notify the patient's physician A PCT must invert anticoagulant tubes to prevent which of the following? Clotting A PCT is assisting in the care of a patient who has a wound left to heal by granulation. How often should it be redressed? Every 24 hrs A PCT is caring for a patient who has hepatitis B. What type of precautions should the PCT take? Standard What action should a PCT take when discharging a patient? Escort the patient using a wheelchair The PCT needs to draw a GTT on a patient and notices an empty breakfast plate on the bedside table. What should the PCT do? Ask the patient if he has had anything to eat or drink (patient must fast before the GTT is drawn) A PCT is caring for a patient whose daughter is visiting. She asks about the health of the pt's roommate. How should the PCT respond? "You can ask the patient about his condition." A PCT is assisting with the care of a patient who is on strict I&O (intake & output). How often should the PCT record the patient's I&O? Every shift What should the PCT do when preparing to transferring a patient from a bed to a stretcher? Elevating the bed to a position equal to the height of the stretcher The PCT is monitoring a patient who has severe hypertension. What finding related to the patient's condition should the PCT report to the nurse immediately? The patient's lower limbs show pitting edema A PCT is planning care for a patient who is on contact precautions. When entering the patient's room, what should the PCT apply? Gown What tube should be collected first for dermal samples Lavender top A PCT is performing ostomy care for a patient. What finding should the PCT report to the nurse immeditely? The stoma is leaking around the wafer. A PCT is caring for a patient who had a CVA and is nonambulatory. What finding should the? PCT report to the nurse immediately? Change in size and shape of pressure ulcer A PCT is changing a patient's bedding and is accidentally stuck with a needle. What should the PCT do FIRST? Milk the affected site What action should the PCT take to verify the quality of venipuncture supplies before beginning a blood draw? Inspect the integrity of the needle's seal A PCT is caring for a patient who is nonambulatory. Before manually lifting the patient, what factor should the PCT consider FIRST? The patient's ability assist What abnormality is association with large U waves on the EKG? Decreased potassium level A PCT observes a hematoma developing at the site of a venous blood draw. The PCT should release the tourniquet and stop the draw A PCT receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which should be drawn FIRST? O2 levels A PCT enters a patient's room and is approached by visitors requesting test results. What response by the PCT is appropriate? "I'm sorry but I cannot give you that information." A PCT is measuring an adult patient's blood pressure electronically. What finding should be reported to the nurse? 130/81 mmHg