NHA PCT MIDTERM EXAM|QUESTIONS AND VERIFIED
ANSWERS|VERIFIED UPDATE 2026|GRADED A+
A pct in a clinic receives a urine sample form a pt who completed a 24 hr urine collection. The tech
should ensure that the following condition has been met?
The specimen was allowed to stand for 8 hr following the final collection.
The final voiding of the 24-hr period was discarded.
The patient cleaned the meatus prior to each void.
The specimen was refrigerated prior to being returned. - ANSWER The specimen was allowed to stand
for 8 hr following the final collection. The patient should bring the specimen to the clinic as soon as
possible after completion of the 24-hr collection.
The final voiding of the 24-hr period was discarded. The patient should ensure that every void during the
24-period is included in the specimen.
The patient cleaned the meatus prior to each void. The patient should perform this step when collecting
a clean-catch urine specimen. However, it is not necessary to complete this step for a 24-hr urine
collection.
The specimen was refrigerated prior to being returned. The patient should keep the specimen cool for
the entire collection period to preserve the integrity of the specimen.
A pct is teaching a pt about HIPAA regulations, which of the following client statements indicate an
understanding of the teaching?
-I do not need to give my provider permission to share my health info with my family members
-My provider is required to report if I receive a diagnosis of tuberculosis
,-If I require an interpreter, my provider cannot share my health info with them
-If I am injured at work my employer has a right to see my health information - ANSWER -I do not need
to give my provider permission to share my health info with my family members: HIPAA regulations
require the patient to sign a consent form in order for the provider to give a third party access to the
patient's protected health information. This also applies to family members.
-My provider is required to report if I receive a diagnosis of tuberculosis: HIPAA regulations require
providers to report instances of communicable diseases, including tuberculosis, to prevent an outbreak
in the community.
-If I require an interpreter, my provider cannot share my health info with them: HIPAA regulations
require that a patient's protected health information is kept confidential. However, sharing a patient's
information with a medical interpreter is necessary to provide effective care and is therefore allowed by
HIPAA regulations.
-If I am injured at work my employer has a right to see my health information: HIPAA regulations require
the patient to sign a consent form in order for the provider to give a third party access to the patient's
protected health information. This applies to the patient's employer, even if the patient sustained an
injury at work.
A pct is assisting a nurse to insert an indwelling urinary catheter for a pt. After setting up a sterile field,
the tech drops the catheter on clean sheets. Which of the following actions should the tech take?
-Wipe the catheter with sterile gauze
-Continue the procedure
-Rinse the catheter with povidone iodine
-Obtain another sterile kit - ANSWER -Wipe the catheter with sterile gauze: The technician should
discard the catheter because it touched a nonsterile surface.
-Continue the procedure: The technician should discard the catheter because it touched a nonsterile
surface.
,-Rinse the catheter with povidone iodine: The technician should discard the catheter because it touched
a nonsterile surface.
-Obtain another sterile kit: The technician should obtain another sterile kit and discard the catheter
because it touched a nonsterile surface.
A pct is recording a pt's output and notes that the pt voided a small amount of dark yellow urine. The pt
is flushed and reports dry mouth. The tech should identify that these findings indicate what?
Dehydration
Frequent urination
Adequate fluid intake
Urinary incontinence - ANSWER Dehydration: With dehydration, urine output decreases and the urine is
concentrated, taking on a dark yellow color. The technician should report this finding and the amount of
urine output over the past 4 hr to the nurse.
Frequent urination: Frequent urination can indicate a urinary tract infection. This patient might have
voided frequently, but the characteristics and volume of urine indicate a different problem.
Adequate fluid intake: Urine output should be approximately equal to fluid intake. Oral intake of fluids
should be at least 1,100 to 1,400 mL/day plus fluids from other sources such as food, for a total of 2,500
mL/day. Even at the minimum intake of 1,100 mL/day, the urine output for 4 hr should be about 183 mL,
with the standard minimally acceptable urine output being 30 mL/hr. Therefore, the patient does not
have an adequate fluid intake, or is losing excessive amounts of fluid through vomiting or diarrhea.
Urinary incontinence: Urinary incontinence is the inability to control urination. The characteristics of the
urine and the amount of urine the patient voids in a specific time frame are not indications of
incontinence.
A pct overhears the son of a pt who is terminally ill asking a nurse to keep the diagnosis secret from his
father, and the nurse agrees. The tech should recognize that the nurses actions is a violation of which of
the following parts of the Patients Bill of Rights?
The right to refuse treatment
, The right to personal safety
The right to information about one's condition
The right to suggest alternatives to one's care plan - ANSWER The right to refuse treatment: The
technician should recognize that, according to the Patients' Bill of Rights, a patient has the right to
refuse treatment. However, this nurse's action did not violate the patient's right to refuse treatment.
The right to personal safety: The technician should recognize that, according to the Patients' Bill of
Rights, a patient has the right to personal safety while receiving treatment by the health care team.
However, this nurse's action did not violate the patient's right to personal safety.
The right to information about one's condition: The right to information about one's condition: The
technician should recognize that, according to the Patients' Bill of Rights, a patient's health care team is
required to share information with patients about their diagnoses and treatment. By agreeing to keep
this patient's diagnosis a secret, the nurse is violating the patient's right to information about his
condition.
The right to suggest alternatives to one's care plan: The technician should recognize that, according to
the Patients' Bill of Rights, a patient has a right to suggest alternatives to their care plan or to request
transfer to another facility. However, this nurse's action did not violate the patient's right to suggest
alternatives to his care plan.
A pct received a needlestick injury while performing a venipuncture for a pt. Which of the following
actions should the tech take?
Attend bloodborne pathogen training
Complete an incident report
Document the event in the pts medical record
Recap the needle and dispose of it - ANSWER Attend bloodborne pathogen training: The technician
should attend bloodborne pathogen training as a preventative measure to receive education about
needlestick injuries. However, this is not the action the technician should take after receiving a
needlestick injury.
Complete an incident report: The technician should complete an incident report concerning the
needlestick injury and report the event to the nursing supervisor and the employee health and human
resources departments.
ANSWERS|VERIFIED UPDATE 2026|GRADED A+
A pct in a clinic receives a urine sample form a pt who completed a 24 hr urine collection. The tech
should ensure that the following condition has been met?
The specimen was allowed to stand for 8 hr following the final collection.
The final voiding of the 24-hr period was discarded.
The patient cleaned the meatus prior to each void.
The specimen was refrigerated prior to being returned. - ANSWER The specimen was allowed to stand
for 8 hr following the final collection. The patient should bring the specimen to the clinic as soon as
possible after completion of the 24-hr collection.
The final voiding of the 24-hr period was discarded. The patient should ensure that every void during the
24-period is included in the specimen.
The patient cleaned the meatus prior to each void. The patient should perform this step when collecting
a clean-catch urine specimen. However, it is not necessary to complete this step for a 24-hr urine
collection.
The specimen was refrigerated prior to being returned. The patient should keep the specimen cool for
the entire collection period to preserve the integrity of the specimen.
A pct is teaching a pt about HIPAA regulations, which of the following client statements indicate an
understanding of the teaching?
-I do not need to give my provider permission to share my health info with my family members
-My provider is required to report if I receive a diagnosis of tuberculosis
,-If I require an interpreter, my provider cannot share my health info with them
-If I am injured at work my employer has a right to see my health information - ANSWER -I do not need
to give my provider permission to share my health info with my family members: HIPAA regulations
require the patient to sign a consent form in order for the provider to give a third party access to the
patient's protected health information. This also applies to family members.
-My provider is required to report if I receive a diagnosis of tuberculosis: HIPAA regulations require
providers to report instances of communicable diseases, including tuberculosis, to prevent an outbreak
in the community.
-If I require an interpreter, my provider cannot share my health info with them: HIPAA regulations
require that a patient's protected health information is kept confidential. However, sharing a patient's
information with a medical interpreter is necessary to provide effective care and is therefore allowed by
HIPAA regulations.
-If I am injured at work my employer has a right to see my health information: HIPAA regulations require
the patient to sign a consent form in order for the provider to give a third party access to the patient's
protected health information. This applies to the patient's employer, even if the patient sustained an
injury at work.
A pct is assisting a nurse to insert an indwelling urinary catheter for a pt. After setting up a sterile field,
the tech drops the catheter on clean sheets. Which of the following actions should the tech take?
-Wipe the catheter with sterile gauze
-Continue the procedure
-Rinse the catheter with povidone iodine
-Obtain another sterile kit - ANSWER -Wipe the catheter with sterile gauze: The technician should
discard the catheter because it touched a nonsterile surface.
-Continue the procedure: The technician should discard the catheter because it touched a nonsterile
surface.
,-Rinse the catheter with povidone iodine: The technician should discard the catheter because it touched
a nonsterile surface.
-Obtain another sterile kit: The technician should obtain another sterile kit and discard the catheter
because it touched a nonsterile surface.
A pct is recording a pt's output and notes that the pt voided a small amount of dark yellow urine. The pt
is flushed and reports dry mouth. The tech should identify that these findings indicate what?
Dehydration
Frequent urination
Adequate fluid intake
Urinary incontinence - ANSWER Dehydration: With dehydration, urine output decreases and the urine is
concentrated, taking on a dark yellow color. The technician should report this finding and the amount of
urine output over the past 4 hr to the nurse.
Frequent urination: Frequent urination can indicate a urinary tract infection. This patient might have
voided frequently, but the characteristics and volume of urine indicate a different problem.
Adequate fluid intake: Urine output should be approximately equal to fluid intake. Oral intake of fluids
should be at least 1,100 to 1,400 mL/day plus fluids from other sources such as food, for a total of 2,500
mL/day. Even at the minimum intake of 1,100 mL/day, the urine output for 4 hr should be about 183 mL,
with the standard minimally acceptable urine output being 30 mL/hr. Therefore, the patient does not
have an adequate fluid intake, or is losing excessive amounts of fluid through vomiting or diarrhea.
Urinary incontinence: Urinary incontinence is the inability to control urination. The characteristics of the
urine and the amount of urine the patient voids in a specific time frame are not indications of
incontinence.
A pct overhears the son of a pt who is terminally ill asking a nurse to keep the diagnosis secret from his
father, and the nurse agrees. The tech should recognize that the nurses actions is a violation of which of
the following parts of the Patients Bill of Rights?
The right to refuse treatment
, The right to personal safety
The right to information about one's condition
The right to suggest alternatives to one's care plan - ANSWER The right to refuse treatment: The
technician should recognize that, according to the Patients' Bill of Rights, a patient has the right to
refuse treatment. However, this nurse's action did not violate the patient's right to refuse treatment.
The right to personal safety: The technician should recognize that, according to the Patients' Bill of
Rights, a patient has the right to personal safety while receiving treatment by the health care team.
However, this nurse's action did not violate the patient's right to personal safety.
The right to information about one's condition: The right to information about one's condition: The
technician should recognize that, according to the Patients' Bill of Rights, a patient's health care team is
required to share information with patients about their diagnoses and treatment. By agreeing to keep
this patient's diagnosis a secret, the nurse is violating the patient's right to information about his
condition.
The right to suggest alternatives to one's care plan: The technician should recognize that, according to
the Patients' Bill of Rights, a patient has a right to suggest alternatives to their care plan or to request
transfer to another facility. However, this nurse's action did not violate the patient's right to suggest
alternatives to his care plan.
A pct received a needlestick injury while performing a venipuncture for a pt. Which of the following
actions should the tech take?
Attend bloodborne pathogen training
Complete an incident report
Document the event in the pts medical record
Recap the needle and dispose of it - ANSWER Attend bloodborne pathogen training: The technician
should attend bloodborne pathogen training as a preventative measure to receive education about
needlestick injuries. However, this is not the action the technician should take after receiving a
needlestick injury.
Complete an incident report: The technician should complete an incident report concerning the
needlestick injury and report the event to the nursing supervisor and the employee health and human
resources departments.
