NHA PCT EXAM: PRACTICE TEST QUESTIONS AND
ANSWERS, GRADED A+/ VERIFIED/
A pct in a clinic receives a urine sample form a pt who completed a 24 hr urine collection. The tech
should ensure that the following condition has been met?
The specimen was allowed to stand for 8 hr following the final ...
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1 NHA PCT EXAM: PRACTICE TEST QUESTIONS AND
ANSWERS, GRADED A+/ VERIFIED/
A pct in a clinic receives a urine sample form a pt who completed a 24 hr urine collection. The tech
should ensure that the following condition has been met?
The specimen was allowed to stand for 8 hr following the final collection.
The final voiding of the 24-hr period was discarded.
The patient cleaned the meatus prior to each void.
The specimen was refrigerated prior to being returned.
The specimen was allowed to stand for 8 hr following the final collection. The patient should bring the
specimen to the clinic as soon as possible after completion of the 24-hr collection.
The final voiding of the 24-hr period was discarded. The patient should ensure that every void during the
24-period is included in the specimen.
The patient cleaned the meatus prior to each void. The patient should perform this step when collecting
a clean-catch urine specimen. However, it is not necessary to complete this step for a 24-hr urine
collection.
The specimen was refrigerated prior to being returned. The patient should keep the specimen cool for
the entire collection period to preserve the integrity of the specimen.
A pct is teaching a pt about HIPAA regulations, which of the following client statements indicate an
understanding of the teaching?
-I do not need to give my provider permission to share my health info with my family members
-My provider is required to report if I receive a diagnosis of tuberculosis
-If I require an interpreter, my provider cannot share my health info with them
-If I am injured at work my employer has a right to see my health information
-I do not need to give my provider permission to share my health info with my family members: HIPAA
regulations require the patient to sign a consent form in order for the provider to give a third party
access to the patient's protected health information. This also applies to family members.
,-My provider is required to report if I receive a diagnosis of tuberculosis: HIPAA regulations require
providers to report instances of communicable diseases, including tuberculosis, to prevent an outbreak in
the community.
-If I require an interpreter, my provider cannot share my health info with them: HIPAA regulations
require that a patient's protected health information is kept confidential. However, sharing a patient's
information with a medical interpreter is necessary to provide effective care and is therefore allowed by
HIPAA regulations.
-If I am injured at work my employer has a right to see my health information: HIPAA regulations require
the patient to sign a consent form in order for the provider to give a third party access to the patient's
protected health information. This applies to the patient's employer, even if the patient sustained an
injury at work.
A pct is assisting a nurse to insert an indwelling urinary catheter for a pt. After setting up a sterile field,
the tech drops the catheter on clean sheets. Which of the following actions should the tech take?
-Wipe the catheter with sterile gauze
-Continue the procedure
-Rinse the catheter with povidone iodine
-Obtain another sterile kit
-Wipe the catheter with sterile gauze: The technician should discard the catheter because it touched a
nonsterile surface.
-Continue the procedure: The technician should discard the catheter because it touched a nonsterile
surface.
-Rinse the catheter with povidone iodine: The technician should discard the catheter because it touched
a nonsterile surface.
-Obtain another sterile kit: The technician should obtain another sterile kit and discard the catheter
because it touched a nonsterile surface.
A pct is recording a pt's output and notes that the pt voided a small amount of dark yellow urine. The pt
is flushed and reports dry mouth. The tech should identify that these findings indicate what?
Dehydration: With dehydration, urine output decreases and the urine is concentrated, taking on a dark
yellow color. The technician should report this finding and the amount of urine output over the past 4 hr
to the nurse.
Frequent urination: Frequent urination can indicate a urinary tract infection. This patient might have
voided frequently, but the characteristics and volume of urine indicate a different problem.
,Adequate fluid intake: Urine output should be approximately equal to fluid intake. Oral intake of fluids
should be at least 1,100 to 1,400 mL/day plus fluids from other sources such as food, for a total of 2,500
mL/day. Even at the minimum intake of 1,100 mL/day, the urine output for 4 hr should be about 183 mL,
with the standard minimally acceptable urine output being 30 mL/hr. Therefore, the patient does not
have an adequate fluid intake, or is losing excessive amounts of fluid through vomiting or diarrhea.
Urinary incontinence: Urinary incontinence is the inability to control urination. The characteristics of the
urine and the amount of urine the patient voids in a specific time frame are not indications of
incontinence.
A pct overhears the son of a pt who is terminally ill asking a nurse to keep the diagnosis secret from his
father, and the nurse agrees. The tech should recognize that the nurses actions is a violation of which of
the following parts of the Patients Bill of Rights?
The right to refuse treatment
The right to personal safety
The right to information about one's condition
The right to suggest alternatives to one's care plan
The right to refuse treatment: The technician should recognize that, according to the Patients' Bill of
Rights, a patient has the right to refuse treatment. However, this nurse's action did not violate the
patient's right to refuse treatment.
The right to personal safety: The technician should recognize that, according to the Patients' Bill of
Rights, a patient has the right to personal safety while receiving treatment by the health care team.
However, this nurse's action did not violate the patient's right to personal safety.
The right to information about one's condition: The right to information about one's condition: The
technician should recognize that, according to the Patients' Bill of Rights, a patient's health care team is
required to share information with patients about their diagnoses and treatment. By agreeing to keep
this patient's diagnosis a secret, the nurse is violating the patient's right to information about his
condition.
The right to suggest alternatives to one's care plan: The technician should recognize that, according to
the Patients' Bill of Rights, a patient has a right to suggest alternatives to their care plan or to request
transfer to another facility. However, this nurse's action did not violate the patient's right to suggest
alternatives to his care plan.
A pct received a needlestick injury while performing a venipuncture for a pt. Which of the following
actions should the tech take?
Attend bloodborne pathogen training
Complete an incident report
Document the event in the pts medical record
Recap the needle and dispose of it
, Attend bloodborne pathogen training: The technician should attend bloodborne pathogen training as a
preventative measure to receive education about needlestick injuries. However, this is not the action the
technician should take after receiving a needlestick injury.
Complete an incident report: The technician should complete an incident report concerning the
needlestick injury and report the event to the nursing supervisor and the employee health and human
resources departments.
Document the event in the pts medical record: Although the technician should document the event, this
should be done in the form of an incident report. The technician should not document the event in the
patient's medical record.
Recap the needle and dispose of it: The technician should never recap the needle, because it can lead to
further needlestick injuries. The needle should also be retained by the technician and not discarded. The
needle can be used for bloodborne pathogen testing if necessary.
A pct is assisting with the admission of a pt who has hearing loss. Which of the following actions should
the tech take when communicating with this pt?
Speak to the patient in a raised voice.
Sit next to the patient when speaking to her.
Write questions and instructions on a notepad for the patient.
Overenunciate words when speaking to the patient.
Speak to the patient in a raised voice.: The technician should not use a raised voice to speak to the
patient. If the patient uses a hearing aid, the technician should use a normal speaking voice to
communicate with the patient.
Sit next to the patient when speaking to her.: The technician should sit facing the patient when speaking
to her to give the patient a clear view of the technician's mouth, which allows for lip reading.
Write questions and instructions on a notepad for the patient.: The technician should use a notepad to
communicate important questions and instructions to a patient who has hearing loss so that the patient
can read the information.
Overenunciate words when speaking to the patient.: The technician should not overenunciate words
when speaking to the patient. The technician should avoid chewing gum or speaking very quickly or very
slowly to allow for lip reading.
A pct is caring for a 6 year old. Which of the following should the tech identify as potential indication of
child maltreatment?
Malnutrition
Outgoing temperament
Parent asks frequent questions about child care
Marital conflict between parents
Malnutrition: Malnutrition, poor hygiene, bruising, and other injuries are potential indications of child
maltreatment.
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