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NCCT PCT Exam questions with correct answers.
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NCCT PCT Exam questions with correctanswers.
Which of the following should the patient care technician do when initiating first aid for a patient with a
second-degree burn? (Select the two (2) correct answers.)
Apply moisturizing cream to the affected area.
Soak the affected area in Epsom salt.
Run cool water over affected area of intact skin.
Protect the burn from pressure or injury.
Drain large, intact blisters. ANS - Run cool water over affected area of intact skin., Protect the burn
from pressure or injury.
Rationale: Cool water should be ran over the affected area of intact skin, and the burn should be
protected from pressure injury. Oil or ointment application increases the risk of breaking blisters and
increases the potential for infection. Intact skin is a first line of defense in preventing infection, therefore
the blisters should not be broken or drained, and Epsom salt would not be used.
During a routine visit, a patient becomes very upset while discussing the recent death of a spouse and
suddenly faints. Which of the following actions should the patient care technician take NEXT?
Protect the patient from injury.
Activate EMS.
Notify the physician.
Draw blood for laboratory tests. ANS - Protect the patient from injury.
Rationale: Protecting the patient is the ultimate priority here. Quickly and carefully lay the patient flat
(in the supine position) with her head lower than her feet. Once you have tended to the patient, stay
with her to eliminate the potential for any injuries. Then call the physician or other medical personnel to
alert them to your situation. Fainting itself does not constitute a reason for activating EMS (that would
be necessary if the patient's heart and/or breathing stopped). Phlebotomy is the last consideration;
blood work is not the main concern at this time.
Which of the following actions by the patient care technician is correct when administering medication
to a patient sublingually?
Placing the medication between the gum and cheek
,Asking the patient to swallow the medication
Applying the medication directly to the skin
Placing the medication under the tongue ANS - Placing the medication under the tongue
Rationale: Sublingual medication is absorbed systemically through intact mucous membranes. Instruct
the patient to place the medication under the tongue, sit upright and swallow frequently until the
medication dissolves. Ex. Nitroglycerin tablets.
The medical abbreviation meaning both ears is
AU.
Bilat.
AD.
AS. ANS - AU.
Rationale: AU=both ears, AD=right ear, AS=left ear, Bilat=bilateral
The term oliguria is used to describe which of the following conditions?
Cystitis
Frequent urination
Low urine output
Renal calculi ANS - Low urine output
Rationale: The kidneys make more or less urine, depending on what the body needs to keep things in
balance. If a patient urinates too much or not enough, it can sometimes be a sign that something is
wrong. Oliguria is when someone urinates less than usual. For adults, that means less than 400 milliliters
of urine a day.
An adult patient presents with fever, muscular pain, and congestion. Which of the following is the
appropriate response for the patient care technician following the physician's orders?
Perform a rapid flu test
Place the patient in an exam room and provide a mask
Apply 10 liters of oxygen via non-rebreather
Administer acetaminophen (Tylenol) 650 mg po ANS - Administer acetaminophen (Tylenol) 650 mg po
,Rationale: Acetaminophen is known to relieve pain (an analgesic), reduce fever, and aid in relieving
nasal congestion. The patient care technician should administer 650 mg orally of acetaminophen
(Tylenol) since the patient is presenting with those three symptoms. A rapid flu test would not be the
appropriate action to take at this time because the patient needs relief of the current symptoms before
they worsen. The patient does not need to be placed in an exam room with a mask, nor does he/she
need a non-rebreather mask. He/she is not showing any signs of hypoxia or respiratory distress.
The patient care technician is obtaining a blood pressure measurement on a patient with a right-sided
mastectomy. At which of the following sites should the technician take the blood pressure?
Right lower leg
Left lower leg
Right upper arm
Left upper arm ANS - Left upper arm
Rationale: After axillary lymph node clearance in patients with breast cancer, some women experience
lymphoedema and recurrent infections. To obtain accuracy of blood pressure, it is recommended to use
the opposite arm of surgery site.
Which of the following terms describes a wound that is pus-producing?
Parietal
Percutaneous
Pyogenic
Parenteral ANS - Pyogenic
Rationale: The prefix pyo refers to pus, and the suffix -genic refers to the formation of, therefore
pyogenic means pus-producing. The term parietal refers to something that is attached to or is touching a
wall or cavity, and percutaneous means the skin was punctured. When something is delivered through
the parenteral route, it means it is not given through the intestinal tract, and is delivered somewhere
else in the body, like through a feeding tube.
A pulse oximetry monitor measures which of the following?
Pulse pressure
Respiratory rate
Oxygen saturation
Oxygen flow rate ANS - Oxygen saturation
, Rationale: A pulse oximetry monitor is a noninvasive measurement of the oxygen saturation of a
patient's arterial blood. Pulse pressure is the difference between the systolic and diastolic blood
pressure, respiratory rate is measured by counting the patient's breaths, and oxygen flow rate is the set
amount of oxygen that a patient is receiving while wearing a nasal cannula or oxygen mask.
An adult patient with vital signs of T 37.0 C, P 72, R 18, B/P 192/102 mm Hg indicates which of the
following conditions?
Orthostatic hypotension
Hypoxia
Tachycardia
Hypertension ANS - Hypertension
Rationale: These vital signs align with a patient experiencing hypertension (a.k.a. high blood pressure).
Both the systolic an asystolic readings are high. Postural hypotension (orthostatic hypotension) is low
blood pressure resulting when a patient stands after sitting or lying down. Tachycardia refers to a high
heart rate. A normal adult resting pulse rate is 60-100 beats per minute, so this patient is within normal
limits at 72. Hypoxia translates to low oxygen levels and that was not indicated in these vitals.
Metoprolol (Lopressor) 40mg tab po bid is prescribed for a patient with hypertension. The patient care
technician should help the patient take the medication
twice per day.
daily.
every other day.
after meals. ANS - twice per day.
Rationale: bid=twice a day pc= after meals For patient safety reasons, daily and every other day should
be written out on the prescription.
How should the stoma be cleaned when performing ostomy care?
From the stoma outward
Toward the stoma
Slow, concentric circles
Inside the stoma ANS - From the stoma outward
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