CPCT REVIEW FOR EXAM 2026/2027 | 100% Correct Answers
with Complete Solutions | NHA Aligned | Certified Patient
Care Technician | Comprehensive Review | Pass Guaranteed
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Domain 1: Patient Care & Safety (20 Questions)
Q1: A 78-year-old patient with right-sided weakness following a stroke requires transfer
from bed to wheelchair. The CPCT applies a transfer belt and positions the wheelchair
on the patient's left side. What is the rationale for this positioning?
A. To allow the patient to use their dominant hand
B. To encourage the patient to use their unaffected left side for pivoting and
weight-bearing
C. To prevent the patient from seeing the wheelchair and becoming anxious
D. To make the transfer easier for the technician only
Correct Answer: B
Rationale: Positioning the wheelchair on the patient's unaffected side (left side for
right-sided weakness) allows the patient to use their stronger side for pivoting,
,weight-bearing, and controlling the movement. This maximizes patient participation,
maintains dignity, and ensures safety. The CPCT should stand on the patient's affected
side to provide support and prevent falls. Option A is incorrect—hand dominance is less
important than using the unaffected side for stability. Option C is illogical—patients
should see the destination. Option D is incorrect—positioning prioritizes patient safety
and function, not staff convenience.
Q2: A patient is on fall precautions with a yellow bracelet and sign at the door. Which
intervention is most critical for the CPCT to implement?
A. Keep the bed in the lowest position with brakes locked and call light within reach
B. Apply wrist restraints to prevent the patient from getting out of bed
C. Turn off all lights so the patient sleeps and doesn't fall
D. Remove the bedside table to create more space
Correct Answer: A
Rationale: Standard fall precautions include: bed in lowest position (reduces injury if fall
occurs), bed brakes locked (prevents bed movement), call light within reach (enables
patient to summon help), non-skid footwear, clutter-free environment, and frequent
rounding. Restraints (Option B) require specific orders and are last resort—freedom of
movement is a patient right. Option C creates hazards (patient can't see). Option D
removes needed equipment (patients need bedside tables for items).
,Q3: A CPCT is applying a wrist restraint to a confused patient per provider order. Which
safety check is essential?
A. Secure the restraint tightly to prevent any movement
B. Ensure two fingers can fit between the restraint and the patient's wrist, and check
circulation every 15 minutes
C. Apply the restraint to the bed frame at the patient's waist level
D. Leave the restraint in place for 24 hours before reassessment
Correct Answer: B
Rationale: Restraint safety requires: proper fit (two fingers between restraint and skin to
prevent neurovascular compromise), circulation checks every 15 minutes (color,
warmth, capillary refill, pulse, sensation, movement), release and reposition every 2
hours, and continuous monitoring. Option A causes injury. Option C is
incorrect—restraints attach to bed frame (movable part), not waist level specifically.
Option D violates policy—restraints require ongoing assessment and least-restrictive
alternatives.
, Q4: A patient requires passive range of motion (ROM) exercises for the left shoulder
following surgery. The CPCT supports the arm at the elbow and moves it in a full circle.
What error has occurred?
A. The CPCT should not support the arm
B. The movement should not go beyond 90 degrees of flexion post-shoulder surgery
without specific orders
C. Circular movements are contraindicated for shoulders
D. The patient should perform active ROM instead
Correct Answer: B
Rationale: Post-surgical ROM requires specific orders regarding limits. Shoulder surgery
often restricts movement to 90 degrees of flexion initially to protect the surgical site.
Moving beyond prescribed limits can cause injury, dislocation, or damage to repairs. The
CPCT must always check orders before performing ROM, especially post-operatively.
Option A is incorrect—support is needed for passive ROM. Option C is incorrect—circular
movements (circumduction) are normal shoulder motions when appropriate. Option D is
incorrect—passive ROM is indicated when the patient cannot move independently.
Q5: A patient is on bed rest with orders for "high Fowler's position." What is the correct
head-of-bed (HOB) elevation?
with Complete Solutions | NHA Aligned | Certified Patient
Care Technician | Comprehensive Review | Pass Guaranteed
- A+ Graded
Domain 1: Patient Care & Safety (20 Questions)
Q1: A 78-year-old patient with right-sided weakness following a stroke requires transfer
from bed to wheelchair. The CPCT applies a transfer belt and positions the wheelchair
on the patient's left side. What is the rationale for this positioning?
A. To allow the patient to use their dominant hand
B. To encourage the patient to use their unaffected left side for pivoting and
weight-bearing
C. To prevent the patient from seeing the wheelchair and becoming anxious
D. To make the transfer easier for the technician only
Correct Answer: B
Rationale: Positioning the wheelchair on the patient's unaffected side (left side for
right-sided weakness) allows the patient to use their stronger side for pivoting,
,weight-bearing, and controlling the movement. This maximizes patient participation,
maintains dignity, and ensures safety. The CPCT should stand on the patient's affected
side to provide support and prevent falls. Option A is incorrect—hand dominance is less
important than using the unaffected side for stability. Option C is illogical—patients
should see the destination. Option D is incorrect—positioning prioritizes patient safety
and function, not staff convenience.
Q2: A patient is on fall precautions with a yellow bracelet and sign at the door. Which
intervention is most critical for the CPCT to implement?
A. Keep the bed in the lowest position with brakes locked and call light within reach
B. Apply wrist restraints to prevent the patient from getting out of bed
C. Turn off all lights so the patient sleeps and doesn't fall
D. Remove the bedside table to create more space
Correct Answer: A
Rationale: Standard fall precautions include: bed in lowest position (reduces injury if fall
occurs), bed brakes locked (prevents bed movement), call light within reach (enables
patient to summon help), non-skid footwear, clutter-free environment, and frequent
rounding. Restraints (Option B) require specific orders and are last resort—freedom of
movement is a patient right. Option C creates hazards (patient can't see). Option D
removes needed equipment (patients need bedside tables for items).
,Q3: A CPCT is applying a wrist restraint to a confused patient per provider order. Which
safety check is essential?
A. Secure the restraint tightly to prevent any movement
B. Ensure two fingers can fit between the restraint and the patient's wrist, and check
circulation every 15 minutes
C. Apply the restraint to the bed frame at the patient's waist level
D. Leave the restraint in place for 24 hours before reassessment
Correct Answer: B
Rationale: Restraint safety requires: proper fit (two fingers between restraint and skin to
prevent neurovascular compromise), circulation checks every 15 minutes (color,
warmth, capillary refill, pulse, sensation, movement), release and reposition every 2
hours, and continuous monitoring. Option A causes injury. Option C is
incorrect—restraints attach to bed frame (movable part), not waist level specifically.
Option D violates policy—restraints require ongoing assessment and least-restrictive
alternatives.
, Q4: A patient requires passive range of motion (ROM) exercises for the left shoulder
following surgery. The CPCT supports the arm at the elbow and moves it in a full circle.
What error has occurred?
A. The CPCT should not support the arm
B. The movement should not go beyond 90 degrees of flexion post-shoulder surgery
without specific orders
C. Circular movements are contraindicated for shoulders
D. The patient should perform active ROM instead
Correct Answer: B
Rationale: Post-surgical ROM requires specific orders regarding limits. Shoulder surgery
often restricts movement to 90 degrees of flexion initially to protect the surgical site.
Moving beyond prescribed limits can cause injury, dislocation, or damage to repairs. The
CPCT must always check orders before performing ROM, especially post-operatively.
Option A is incorrect—support is needed for passive ROM. Option C is incorrect—circular
movements (circumduction) are normal shoulder motions when appropriate. Option D is
incorrect—passive ROM is indicated when the patient cannot move independently.
Q5: A patient is on bed rest with orders for "high Fowler's position." What is the correct
head-of-bed (HOB) elevation?
