test practice Flashcards

1
Q

Which of the following actions should the CPCPT take when preparing to transfer a patient from a bed to a chair

A

elevating the bed to a position equal to the height of the stretcher

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2
Q

A CPCT is assisting a patient to take self administered medications. The CPCT should recognize that which of the following medications should no be crushed?

A

enteric-coated

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3
Q

A CPCT is changing a patient’s bedding and is accidentally stuck with a needle. Which of the following actions should the CPCT take first?

A

milk the site

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4
Q

When should the code on glucose covettes be compared to the code on the glucometer?

A

when a patient is being tested

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5
Q

A CPCT is assisting with the care of a patient who is receiving a blood transfusion. Which of the following vital signs should the CPCT report first?

A

an elevated temperature

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6
Q

A CPCT is caring for a patient who is to receive continuous tube feedings. The CPCT should place the patient into which of the following positions?

A

semi-fowlers

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7
Q

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

A

“I will cleanse the area with chlorexidine gluconate.”

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8
Q

The CPCT is monitoring a patient who has severe hypertension. Which of the following findings related to the patient’s condition should the CPCT report to the nurse immediately?

A

the patient’s lower limbs show pitting edema

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9
Q

A CPCT is drawing blood from a patient and observes red spots. Which of the following is an appropriate action to take?

A

apply more pressure to the site

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10
Q

Which of the following is a consequence of mislabeling a blood bank specimen?

A

a transfusion reaction

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11
Q

A patient presents alert and oriented, but a CPCT finds that all the waveforms are negative in lead 1. The technician should check the cable connections for which of the following limb electrodes?

A

right arm and left arm

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12
Q

The choice to perform a capillary puncture is best determined by which of the following factors?

A

test ordered

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13
Q

Which of the findings on the tracing below should the CPCT be most concerned with?

A

the ST segment elevation

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14
Q

A CPCT is measuring an adult patient’s blood pressure electronically. Which of the following reading should be reported to the nurse?

A

90/50 mm Hg

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15
Q

Which of the following findings should a CPCT report to a nurse?
A) a 1-year-old patient who has a pulse race of 50 BPM
B) a 12-year-old patient who has a pulse rate of 76 BPM
C) a 40-year-old patient who has a pulse rate of 88 BPM
D) a 89-year-old patient who has a pulse rate of 85 BPM

A

A) a 1-year-old patient who has a pulse race of 50 BPM

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16
Q

A CPCT is caring for a new patient. Which of the following procedures should the CPCT recognize as requiring aseptic technique?

A

waste management

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17
Q

A CPCT is caring for a number of patients following a shift change. Which of the following patient’s should the CPCT asses first?
A) a patient with a temperature of 37.3°C (99.2°F)
B) a patient who is disoriented
C) a patient who is comatose
D) a patient who is imcontinent

A

a patient who is disoriented

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18
Q
A CPCT is caring for several adult patients. Which of the following should the CPCT report to the nurse first?
A) blood pressure of 139/88 mm Hg
B) apical pulse of 84 BPM
C) respiration rate of 22/min
D) temperature of 38.5°C ( 100.5°F)
A

temperature of 38.5° C (100.5°F)

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19
Q

While working with the automated Laboratory Information System, correct input of data is most critical because incorrect data may…

A

be reported to a health care provider

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20
Q

The CPCT is to determine the pulse rate of a patient who has atrial fibrillation. Which of the following methods should be used?

A

manually, using apical area

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21
Q

A CPCT is assisting with the care of a patient who is 8 hours postoperative following the repair of a fractured femur. The CPCT is checking vital signs every four hours and notices changes in his vital signs. Which of the following values should be reported to the nurse?

A

temperature 37.3°C (99.2°F), pulse 95, respirations 18, and blood pressure 180/101 mm Hg

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22
Q

A CPCT is measuring a patient’s blood pressure. The CPCT should recognize that which of the following situations could result in an inaccurate reading?

A

the arm is lower than the heart

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23
Q

To prevent needle sticks during venipuncture, OSHA guidelines require…

A

disposing of needles in a sharps container

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24
Q

A CPCT observes that a patient has a productive hacking cough. She offers the patient the emesis basin and tissues. On visualization, the CPCT notices streaks of red-tinged sputum. Which of the following actions should the CPCT take?

A

ask the patient what they ate or drank last

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25
Q

The CPCT is assisting in the care of s patient who had a would left to heal by way of granulation. How often should this wound be redressed?

A

every 24 hours

26
Q

The CPCT has orders to collect blood cultures, CBC, PTT, and an iron panel. He forgets to draw the PTT. Which of the following actions should the CPCT take?

A

keep the collected specimens and draw the PTT

27
Q

The CPCT is caring for a patient whose daughter is visiting. She asks about the patient’s room mate. Which of the following responses is appropriate?

A

“you can ask the patient about his condition.”

28
Q

A CPCT is collecting a patient’s sputum specimen. Which of the following actions by the CPCT is contraindicated?

A

having the patient use an alcohol-based mouthwash

29
Q

During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient?

A

syncope

30
Q

A CPCT is collecting a urine specimen and accidentally spills it on the floor. Which of the following actions should the CPCT take to clean the spill?

A

use a disinfectant that contains bleach

31
Q

A CPCT is assisting with the care of a patient who is on strict I&O. How often should the CPCT record the patient’s I&O?

A

every shift

32
Q

The CPCT is to collect a 2 hour PP glucose by dermal puncture. Upon entering the room, she sees the patient pushing away the overhead table with the lunch tray still on it. Which of the following actions should the CPCT take?

A

ask the patient if he has eaten within the past 2 hours

33
Q

A CPCT is caring for a patient who is at risk for skin breakdown. Which of the following products should the CPCT use to prevent skin breakdown?

A

barrier cream

34
Q

A CPCT is manually transferring a patient who has a right-side weakness from the bed to the wheelchair. which of the following methods should the CPCT used to promote proper body mechanics?

A

grasp back of the transfer belt, have patient stand using stronger side while lifting legs and keeping back straight

35
Q

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

A

changing the dressing of a patient who has a superficial decubiti

36
Q

Before applying wrist restraints to a patient, a CPCT should take which of the following actions?

A

check with the nurse for a restraint order

37
Q

A CPCT is instructed to measure a patient’s pulse manually. Which of the following actions should the CPCT take?

A

locate the radial artery, feel for the pulse with the index and middle fingers, and count pulses felt for one full minute

38
Q

The CPCT needs to draw a GTT on a patient and notices an empty breakfast plate on the bedside table. Which of the following actions should the CPCT take?

A

ask the patient is he has had anything to eat or drink

39
Q

Two CPCTs are transferring a deceased patient from a bed to a more gurney. To avoid injury, the CPCTs should use which of the following body mechanics?

A

use a draw sheet to lift the patient

40
Q

A CPCT detects a U wave, and a patient reports chest pain and discomfort. Which of the following is an appropriate action for the technician to take?

A

notify the patient’s physician

41
Q

The CPCT is obtaining a patient’s apical pulse. The CPCT should measure this pulse at which of the following locations?

A

the 5th intercostal space

42
Q

A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of the following should the CPCT do first?

A

call for help and begin CPR

43
Q

A CPCT is collecting a stool specimen from a newly admitted patient. The CPCT should recognize that which of the following findings could be a sign of an upper gastrointestinal disorder?

A

black, tarry stool

44
Q

A technician is performing an EKG in a hospital setting. The patient becomes unresponsive, stops breathing, and does not have a pulse. Which of the following would be the first appropriate step?

A

start chest compressions

45
Q

A CPCT should recognize that a patient must avoid deep-breathing and coughing exercises after which of the following surgeries?

A

eye surgery

46
Q

An EKG has a 2 mm ST elevation in leads 1, AVL, V5, and V6. What type of infarction would this represent?

A

lateral infarction

47
Q

CPCT is transferring a patient using a Hoyer lift from my bed to wheelchair. As the patient is being transferred, the CPCT should place him into which of the following positions?

A

fowler’s

48
Q

is CTCT enters a patient’s room and is approached by visitors requesting test results. Which of the following responses by the CPCT is appropriate?

A

“I’m sorry, but i can’t give you that information.”

49
Q

A CPCT is caring for a patient who had a CVA and is nonambulatory. Which of the followinf findings should the CPCT report to the nurse immediately?

A

change in size and shape of pressure ulcer

50
Q

Which of the following EKG findings differentiates accelerated idioventricular rhythm him from junctional rhythm?

A

accelerated idioventricular rhythm has wide QRS complexes

51
Q

A CPCT is caring for a patient who is hepatitis B. Which of the following precautions should the CPCT take?

A

standard

52
Q

A CPCT is performing osteomyelitis care for a patient. Which of the following findings should the CPCT report to the nurse?

A

the stoma is leaking around the wafer

53
Q

A CPCT observes a hematoma developing at the site of a venous blood draw. The CPCT should…

A

release the tourniquet and stop the draw

54
Q

A CPCT is caring for a patient who is to undergo a blood transfusion. The CPCT should recognize that which of the following vital signs should be reported to the nurse immediately?

A

temperature is 102°F (38.8°C)

55
Q

The CPCT is to perform a venous blood draw on a 91-year-old patient. The CPCT should use which of the following methods?

A

butterfly needle and syringe

56
Q

Some older-adult or obese patients may not have accessible antecubital veins. In this situation, the CPCT may use which of the following?

A

dorsal veins

57
Q

What action should the CPCT take to verify the quality of venipuncture supplies before beginning a blood draw?

A

inspect the integrity of the needle’s seal

58
Q

a patient care technician is caring for a patient who has died. which of the following actions should the technician take

A

position a pillow under the patient’s head

59
Q

In which of the following situations should the CPCT place the patient in the lithotomy position?

A

Rectal exam

60
Q

a patient care technician is performing a 12-lead ekg for a patient. in which of the following locations should the technician place the v4 lead?

A

fifth intercostal space at the midclavicular line

61
Q

Which of the following actions should the CPCPT take when preparing to transfer a patient from a bed to a chair?

A

elevating the bed to a position equal to the height of the stretcher.