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EXAM DESCRIPTION
PCT PATIENT HYGIENE AND MOBILITY EXAM – PROFESSIONAL CERTIFICATION PRACTICE
ASSESSMENT
LEVEL: PATIENT CARE TECHNICIAN (PCT) / ALLIED HEALTH CLINICAL SUPPORT LEVEL
ALIGNED WITH: PATIENT CARE TECHNICIAN TRAINING STANDARDS COMMONLY USED IN
PROGRAMS ALIGNED WITH THE NATIONAL HEALTHCAREER ASSOCIATION (NHA) AND
COMPARABLE HEALTHCARE WORKFORCE CERTIFICATION BODIES.
THIS COMPREHENSIVE 140-QUESTION PRACTICE EXAMINATION IS DESIGNED TO PREPARE
CANDIDATES FOR THE PATIENT HYGIENE AND MOBILITY COMPETENCY AREA OF PATIENT
CARE TECHNICIAN CERTIFICATION AND CLINICAL TRAINING PROGRAMS. THE ASSESSMENT
MIRRORS THE STRUCTURE AND RIGOR EXPECTED IN PROFESSIONAL ALLIED HEALTH
EXAMINATIONS AND ALIGNS WITH THE CORE COMPETENCIES OUTLINED IN COMMON PCT
CURRICULA.
THE EXAM EVALUATES KNOWLEDGE AND APPLIED CLINICAL DECISION-MAKING ACROSS
ESSENTIAL TOPICS INCLUDING INFECTION CONTROL, PERSONAL HYGIENE CARE, BATHING
PROCEDURES, ORAL AND PERINEAL CARE, GROOMING, SKIN INTEGRITY ASSESSMENT,
PRESSURE INJURY PREVENTION, PATIENT POSITIONING, SAFE PATIENT HANDLING,
AMBULATION TECHNIQUES, MOBILITY ASSISTANCE DEVICES, FALL PREVENTION,
ERGONOMICS, DOCUMENTATION, PROFESSIONAL ETHICS, AND PATIENT DIGNITY. FORMAT:
PRINTABLE / DIGITAL DOWNLOAD / PDF-COMPATIBLE
1. A patient care technician is preparing to provide a complete bed bath for a
bedridden patient. What is the FIRST step in this procedure?
A. Gather bathing supplies
B. Remove the patient’s gown
C. Fill the basin with water
D. Perform hand hygiene
Rationale: Hand hygiene is the first and most critical infection-control step before
any patient contact.
, 2. A patient reports feeling dizzy while standing during assisted ambulation.
What should the PCT do FIRST?
A. Encourage the patient to keep walking
B. Assist the patient to sit or lie down immediately
C. Notify the physician immediately
D. Leave to get help
Rationale: Preventing falls is the priority; the patient must be safely seated or
lying down immediately.
3. Which piece of equipment is most appropriate when transferring a weak
patient from bed to wheelchair?
A. Cane
B. Walker
C. Gait belt
D. Crutches
Rationale: A gait belt provides secure support and reduces injury risk during
transfers.
4. Which of the following positions is best for promoting lung expansion in
patients with breathing difficulty?
A. Supine
B. Fowler’s position
, C. Prone
D. Sims position
Rationale: Fowler’s position elevates the head of the bed, improving respiratory
expansion.
5. When performing perineal care for a female patient, the correct direction for
cleaning is:
A. Back to front
B. Circular motion
C. Front to back
D. Side to side
Rationale: Cleaning front to back prevents fecal bacteria from entering the urinary
tract.
6. A PCT notices redness over a patient's sacral area during hygiene care. What
should be done FIRST?
A. Apply lotion
B. Massage the area
C. Report the finding to the nurse
D. Cover with gauze
Rationale: Early skin breakdown must be reported immediately to prevent pressure
injury progression.
, 7. Which mobility device requires the MOST upper body strength?
A. Cane
B. Walker
C. Crutches
D. Wheelchair
Rationale: Crutches require significant upper-body strength to support body
weight.
8. When assisting a patient with oral hygiene who cannot swallow safely,
which item should be used?
A. Regular toothbrush
B. Mouthwash
C. Foam swab (toothette)
D. Dental floss
Rationale: Foam swabs reduce choking risk in patients with impaired swallowing.
9. A patient who cannot reposition independently should generally be
repositioned at least every:
A. 1 hour
B. 2 hours
C. 4 hours
D. 6 hours