PCT Exam Study Guide Flashcards

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1
Q

A PCT is preparing to obtain a 12-lead EKG for a patient who had a left arm amputation. In which of the following locations should the tech attach the left arm lead?

A: right sternal border
B: on the amputation site
C: anterior axillary line
D: left deltoid

A

C: anterior axillary line

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2
Q

A PCT should recognize that which of the following statements regarding preparation for blood cultures is correct?

A: I will cleanse the area with 70% ethyl alcohol
B: I will cleanse the area with sodium hypochlorite
C: I will cleanse the area with chlorhexidine gluconate
D: I will cleanse the area with sterile saline

A

C: I will cleanse the area with chlorhexidine gluconate

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3
Q

A PCT is preparing a patient for hospital discharge. The patient states “I am afraid to go back home to my partner.” Which of the following responses by the tech is appropriate?

A: would you like me to speak with a police officer
B: if your partner is abusing you at home, would you tell me immediately
C: your partner loves you, and you have no reason to be afraid
D: can you tell me if something happened that made you feel unsafe?

A

D: can you tell my if something happened that made you feel unsafe

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4
Q

Which of the following blood specimens should a PCT keep chilled during transfer to the lab?

A: ammonia
B: bilirubin
C: glucose
D: potassium

A

A: ammonia

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5
Q

A PCT enters a patient’s room and is approached by visitors requesting test results. Which of the following responses by the technician is appropriate.

A: the doctor needs to give you that information
B: the lab values were all within the expected reference range
C: I am sorry, I can’t give you that information
D: I’ll ask the nurse to give you that information

A

C: I am sorry, I can’t give you that information

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6
Q

A PCT is caring for a new patient. The technician shoudl recognize that which of the following procedures requires medical aseptic or clean technique?

A: assisting to apply a sterile dressing
B: inserting a urinary catheter
C: changing bed linens
D: cleaning an operating room

A

C: changing bed linens

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7
Q

A PCT should identify that which of the following patient requires contact precautions?

A: patient with rotavirus
B: patient with TB
C: patient with measles
D: patient with influenza

A

A: patient with rotavirus

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8
Q

Which of the following can reduce abnormal marks on an EKG tracing that are caused by patient movement or muscle tremors?

A: speed control
B: calibration
C: artifact filter
D: gain control

A

C: artifact filter D

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9
Q

A PCT is caring for a number of patients following shift change. Which of the following patients should the technician assess first?

A: patient with a temperature of 99.1F
B: patient who is disoriented
C: patient who is comatose
D: patient who is incontinent

A

B: patient who is disoriented

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10
Q

A PCT is assisting a patient to perform passive range of motion. Which of the following actions should the technician take?

A: position the patients bed at the lowest level
B: instruct patient to flex head
C: place patient in high-fowler’s
D: move patients arm away from the side of the body

A

D: move patients arm away from the side of the body

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11
Q

Which of the following organizations for identifying and preventing spread of infectious diseases?

A: CDC
B: OSHA
C: FDA
D: HIOSH

A

A: CDC

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12
Q

A PCT is preparing to obtain and process a urine drug test for a patient. Which of the following actions should the technician plan to take?

A: seal the specimens lid with the label with the chain of custody form
B: check the specimens temp within 10 minutes of receiving the specimen
C: ship the specimen to a testing laboratory the next day
D: instruct patient to flush toilet following voiding

A

A: seal the specimens lid with the label with the chain of custody form B

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13
Q

A PCT is performing a 12 lead EKG for a patient who has tachycardia. Which of the following paper speeds should the technician expect the provider to prescribe?

A: 50 mm/sec
B: 25 mm/sec
C: 5 mm/sec
D: 10 mm/sec

A

A: 50 mm/sec

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14
Q

A PCT is caring for a patient who has colon cancer. Which of the following findings should the technician expect?

A: blood in stool
B: small lymph nodes
C: weight gain
D: indigestion

A

A: blood in stool B

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15
Q

A PCT obtains a stool specimen from a patient. Which of the following actions should a technician take when labeling the specimen?

A: apply the label to the side of specimen container
B: apply label to lid of specimen container
C: apply label to seal the lid on a specimen container
D: apply label to outside of sealed biohazard bag that holds specimen container

A

A: apply the label to side of specimen container B

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16
Q

A PCT should recognize that health care facilities are required by which of the following entities to keep safety data sheets available?

A: OSHA
B: TJC
C: CLIA
D: CLSI

A

A: OSHA

17
Q

A PCT is caring for a patient who has a two piece colostomy system in place. Which of the following actions should the technician take when providing ostomy care?

A: apply pressure for 30 seconds when applying the skin barrier wafer
B: cut the skin barrier wafer to be .25 in larger than the stoma
C: verify that the stoma is moist and reddish pink color
D: cleanse the skin around the stoma with hot soapy water

A

C: verify that the stoma is moist and reddish pink color

18
Q

A PCT should recognize that which of the following scenarios requires an aseptic dressing change?

A: changing the surgical wound dressing of a patient who is one day post opp
B: change a patient’s triple lumen catheter dressing
C: changing the dressing of the patient who has a deep wound drain
D: change the dressing of a patient who has superficial decubiti

A

D: change the dressing of a patient who has superficial decubiti

19
Q

A PCT should identify that which of the following patients requires droplet precautions

A: patient with influenza
B: patient with scabies
C: patient who has pediculosis
D: patient who has hepatitis A

A

A: patient with influenza

20
Q

A PCT is caring for a patient who is terminally ill. Which of the following actions should the technician take?

A: a courage patient to remain optimistic
B: determine how patient’s family is coping
C: evaluate patient;s mental health
D: inform nurse if patient expresses feelings of grief

A

C: evaluate patient’s mental health

21
Q

A PCT is performing an EKG for a pediatric patient. In which of the following locations should the technician place lead V6

A: on anterior axillary line
B: on midaxillary line
C: halfway between leads V2 and V4
D: on fourth intercostal space, left sternal border

A

B: on midacillary line C

22
Q

A PCT is preparing to open a sterile package. Which of the following actions should the technician take first

A: perform hand hygiene
B: remove the seal
C: place item in center of work surface
D: grasp outer surface of outermost

A

C: place item in center of work surface D

23
Q

A PCT is preparing to assist in performing an EKG for a toddler. Which of the following leads can be placed in mirror image to typical placement to prevent crowding of electrodes

A: Lead V2
B: Lead V4
C: Lead V3
D: Lead V5

A

C: Lead V3

24
Q

A PCT is transferring a patient from a bed to a wheelchair. In which of the following positions should the PCT stand during the transfer

A: facing the patient
B: behind wheelchair
C: on patients weak side
D: with one leg between patients legs

A

A: facing the patient B

25
Q

A PCT should identify that a bed scale should be used for a patient who has which of the following conditions

A: fractured ankle
B: above the ankle amputation
C: total knee dislocation
D: venous stasis ulcers

A

C: total knee dislocation

26
Q

A PCT should identify that which of the following rhythms should be reported to a nurse bc it indicates that a patient might become unresponsive

A: sinus tachycardia
B: ventricular tachycardia
C: juctional tachycardia
D: premature atrial complexes

A

B: ventricular tachycardia D

27
Q

A PCT is obtaining a blood specimen for coagulation testing, which additive is needed

A: sodium citrate
B: EDTA
C: heparin
D: potassium isolate

A

A: sodium citrate

28
Q

what is the angle of needle for antecubital venipuncture

A: 5-10
B: 15-30
C: 40-45
D: 50-60

A

B: 15-30

29
Q

a PCT is getting ready to dispose of a dressing that is heavily soiled and leaking fluid. Which location should this dressing be disposed of?

A: toilet
B: biohazard bag
C: moisture-resistant bad
D: trash can

A

B: biohazard bad

30
Q

A PCT is caring for a patient who had a CVA and is nonambulatory. which of the following findings should be reported immediately

A: skin discoloration that subsides
B: chronic loss of feeling in one extremity
C: one episode of incontinense
D: change in size and shape of pressure ulcer

A

D: change in size and shape of pressure ulcer

31
Q

A PCT is preparing to perform passive range of motion on a patients knee, which exercise should the tech perform?

A: abduction
B: extension
C: inversion
D: external rotation

A

B: extension

32
Q

A PCT is massaging to stimulate circulation on a patients knee who is immobile. Which area should the tech massage

A: patients back
B: patients lower legs
C: reddened areas
D: bony prominences

A

B: patients lower legs C

33
Q

A PCT should expect to find more solid stool if the stoma is located in…

A: the ileum
B: ascending colon
C: sigmoid colon
D: cecum

A

B: ascending colon C

34
Q

which of the following will prevent hemolysis

A: small volume tube with 21 gauge butterfly needle
B: large volume with 23 gauge butterfly needle
C: large volume syringe with 25 gauge needs
D: small volume syringe with 25 gauge needle

A

B: large volume with 23 gauge butterfly needle

35
Q

A PCT is caring for a patient who has. large wound on the upper though that is draining purulent fluid. The tech should identify that this wound will most likely heal by which of the following process

A: the edges will be easily approximated and a small scar will form
B: granulation tissue will fill the wound and a large scar will form
C: it will be kept open to drain the fluid and will be sutured at a later date
D: the wound will be covered with a nonocculusive dressing

A

B: Granulation tissue will fill the wound and a large scar will form