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PCT Certification Exam (CPCT/A) Practice Test Bank 2026/2027: 150+ Questions with Rationales | Patient Care Technician

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Pass your Patient Care Technician (CPCT/A) certification exam on the first attempt with this comprehensive practice test bank for the 2026/2027 edition. This resource features over 150 high-yield questions with detailed rationales covering all content domains tested on the NHA CPCT/A exam. Content organized by clinical topic and includes: Section 1: Patient Care & Safety (25 Qs) – gait belt use, fall risk assessment, OSHA guidelines, chain of command, objective documentation, CHF edema, pediatric pain assessment (FACES scale), walker technique, EKG electrode placement for amputees, abuse screening, ostomy care (stoma assessment), Holter monitor instructions, wheelchair transport, post-hip arthroplasty infection signs, pacemaker EKG adjustments, CPR compression-to-ventilation ratio (30:2), post-fall assessment, seizure recognition, confused patient management, NPO definition, cold compress duration (15-20 min), NG tube bleeding, fall assistance technique Section 2: Infection Control & PPE (20 Qs) – sterile vs. clean definition, alcohol-based hand rub concentration (60-95%), handwashing duration (20 seconds), PPE components, blood spill bleach concentration (1:10), C. diff hand hygiene (soap and water required), contact precautions (MRSA, C. diff), airborne precautions (TB, N95 respirator), dialysis infection risk, WHO Five Moments for hand hygiene, sharps disposal, dedicated handwashing sinks, contaminated vs. dirty definition, needlestick protocol (wash first) Section 3: Dialysis & Kidney Disease (35 Qs) – nephron function, ESRD (GFR 15 mL/min), erythropoietin (EPO), leading cause of CKD (diabetes), hyperkalemia (most life-threatening), normal urine output (1500 mL/day), uremia definition, maximum ultrafiltration rate (13 mL/hr/kg), dialysis replaces 15% of kidney function, three treatment goals of dialysis, dialyzer components, dialysate composition (RO water + acid + bicarbonate), diffusion vs. ultrafiltration, normal saline for priming, target weight (dry weight), vascular access assessment (look, listen, feel), CVC hub scrubbing (15 seconds), whistling bruit (outflow stenosis), needle site rotation to prevent aneurysms, 15-gauge needle for BFR 400 mL/min, blanching for anesthetic spray, Urea Reduction Ratio (URR), chlorine limit (0.1 ppm), reverse osmosis (RO) water purification, chloramine exposure causes hemolysis, water hardness testing (end of day), missed dialysis and hyperkalemia, kidney endocrine functions, pyrogenic reaction timing, cherry-red blood (hemolysis), seizure during dialysis, air embolism position (left lateral Trendelenburg), anaphylaxis during dialysis (do not return blood), bleach residual limit (0.5 ppm) Section 4: EKG & Cardiac Monitoring (20 Qs) – P wave (atrial depolarization), V1 electrode placement (right sternal border, 4th ICS), atrial arrhythmias (PAC, PAT), wandering baseline artifact (poor electrode contact), Holter monitor diary, normal PR interval (0.12-0.20 sec), running out of EKG paper, V4 placement (5th ICS, left MCL), tremor artifact reduction (trunk electrodes), QRS complex (ventricular depolarization), chest hair removal for EKG, normal QRS duration (0.06-0.10 sec), 60-cycle artifact (electrical interference), T wave (ventricular repolarization), female breast electrode placement (on chest wall, NOT over breast tissue), atrial fibrillation (no P waves, irregularly irregular), pediatric BP cuff for thin adults, talking during BP measurement (falsely elevates reading), radial pulse site, counting respirations while appearing to take pulse Section 5: Phlebotomy & Laboratory (25 Qs) – light blue tube (sodium citrate for coagulation), lavender tube (EDTA for CBC), normal WBC count (5,000-10,000), HbA1c reflects 3-4 month glucose, hemoglobinuria indicates bleeding, urine analysis within 30 minutes, residual alcohol falsely elevates glucose, bleeding time test, blood culture antisepsis (chlorhexidine or povidone-iodine), capillary order of draw (blood smears first), glucose 45 mg/dL (report immediately), venipuncture angle (15-30 degrees), finger stick site (side of fingertip), bleeding not stopping after 5 minutes on anticoagulants, needlestick protocol (report supervisor immediately), catheter urine specimen (port aspiration), normal postprandial glucose (180 mg/dL), median cubital vein first choice, hematoma management (firm pressure), underfilled coagulation tube (discard and recollect), newborn capillary puncture (heel), fecal occult blood testing (avoid red meat, NSAIDs, vitamin C), glucometer "LO" (below range), proper patient identification (active methods, not calling from doorway), suffix "-itis" (inflammation of) Section 6: Legal, Ethical & Professional Standards (10 Qs) – HIPAA confidentiality (elevator conversation), patient refusal of treatment, objective documentation, family information (refer to nurse), medication error reporting, REM (Risk Event Management) in dialysis, REM report content (factual only, no opinions), following facility policies (liability protection), V-tags (deficiency citations), impaired coworker reporting Section 7: Vital Signs & Patient Assessment (15 Qs) – post-treatment BP (90 or 140 mmHg abnormal), SpO2 89% (report immediately), normal respiratory rate (12-20), fever (100.8°F), normal pulse rate (60-100), severe pain (8/10 – report immediately), edematous arm BP (use larger cuff or other extremity), lethargic (drowsy but awakens to verbal stimuli), auscultation definition, capillary refill 4 seconds (abnormal, poor perfusion), unsteady patient weight (wheelchair scale), low BP (90/60 – assess symptoms), dialysis central line infections, chemotherapy fever (100.8°F requires immediate reporting), fall prevention (bed lowest position with brakes locked) Updated for NHA CPCT/A exam blueprint. Each question includes the correct answer and a clear rationale explaining the "why." Perfect for Patient Care Technician students, PCT certification candidates, nursing assistants, and healthcare students preparing for the NHA CPCT/A exam.

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PCT CERTIFICATION EXAM PATIENT CARE
TECHNICIAN (CPCT/A) PRACTICE TEST BANK
150+ QUESTIONS | 100% VERIFIED ANSWERS |
2026/2027 EDITION




## SECTION 1: PATIENT CARE & SAFETY (Questions 1-25)


**1. A PCT is preparing to transfer a patient from a bed to a wheelchair
using a gait belt. Which action should the technician take?**
- A) Secure the gait belt around the patient's chest
- **B) Secure the gait belt around the patient's waist** ✔
- C) Place the gait belt over the patient's clothing only
- D) Hold the gait belt from behind the patient's back


**Rationale:** The gait belt should be secured snugly around the
patient's waist (over clothing or a gown) to provide stability during
transfer. It should never be placed around the chest as this can restrict
breathing or cause injury .


---

,2|Page


**2. A PCT is caring for four patients. Which patient is at the greatest
risk for a fall?**
- A) A 45-year-old patient with controlled diabetes
- B) A 30-year-old patient post-appendectomy
- **C) An 86-year-old patient who is 4 hours post-operative** ✔
- D) A 50-year-old patient with hypertension


**Rationale:** The elderly patient who is immediately post-operative is
at highest fall risk due to anesthesia effects, pain medications, altered
mental status, and age-related mobility changes .


---


**3. A PCT should recognize that which agency provides guidelines to
ensure safe work environments?**
- A) CDC
- **B) OSHA** ✔
- C) FDA
- D) HIPAA


**Rationale:** The Occupational Safety and Health Administration
(OSHA) is responsible for establishing and enforcing workplace safety
standards to protect healthcare workers and patients .

,3|Page




---


**4. A PCT is concerned about a coworker's unethical behavior. To
whom should the technician report this concern?**
- A) Human Resources only
- **B) The charge nurse** ✔
- C) Another coworker
- D) The patient's family


**Rationale:** The chain of command should be followed. The charge
nurse is the immediate supervisor who can address the concern
appropriately or escalate as needed .


---


**5. Which of the following is an example of appropriate documentation
in a patient's electronic health record?**
- A) "Patient seems upset about something"
- **B) "The patient had a large, dark brown bowel movement at 1100"**

- C) "Patient is difficult and uncooperative"
- D) "I think the patient is in pain"

, 4|Page




**Rationale:** Documentation must be objective, factual, and specific.
Observable, measurable data with exact times is appropriate. Subjective
opinions or vague statements are not acceptable .


---


**6. A PCT is caring for a patient with congestive heart failure. Which
finding should be reported to the nurse immediately?**
- A) Dry cough
- **B) Swelling in the legs and feet** ✔
- C) Heart rate of 78 bpm
- D) Blood pressure of 118/76 mmHg


**Rationale:** New or worsening edema in a CHF patient indicates
fluid retention and possible worsening heart failure, requiring immediate
intervention .


---


**7. A PCT is caring for a 4-year-old patient reporting right arm pain.
Which method should be used to measure pain intensity?**
- A) Numeric rating scale (0-10)

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