NHA PCT Review Guide_ Class 2022.
A CPCT should recognize that which of the following scenarios requires an aseptic dressing
change?
-changing the surgical wound dressing of a patient 1 day post-op
-changing a patient's triple lumen catheter dressing
-changing the dressing of a patient who has a deep wound drain
-changing the dressing of a patient who has a superficial decubiti
✅- changing the dressing of a patient who has a superficial decubiti
When observing a patient's skin integrity, a CPCT should recognize that the first sign of
breakdown is
-hematoma
-redness
-melanoma
-cyanosis ✅- redness
While working with the automated Laboratory Information System, correct input of data is most
critical because incorrect data may
-cause a system error
-be reported to the health care provider
-lead to a quality assurance issue
-remain in the patient file indefinitely ✅- be reported to a health care provider
A CPCT is caring for a patient who has an order for tobramycin (Tobrex) level to be drawn 1 hr
after dose. The medication has been ordered for 1100. Which of the following actions should the
CPCT take?
-draw the blood at 1100
-check with the nurse
-check with the laboratory
-ask the patient ✅- check with the nurse
Before applying wrist restraints to a patient, a CPCT should take which of the following actions?
-check with the nurse for restraint order
,-measure the patient's blood pressure
-measure the patient's 02 saturation
-drain the patient's foley catheter ✅- check with the nurse for restraint order
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?
-the cuff deflates too quickly
-the cuff inflates too quickly
-the arm is lower than the heart
-the arm is at the level of the heart ✅- the arm is lower than the heart
A CPCT is caring for a new patient. Which of the following procedures should the PCT
recognize as requiring aseptic technique?
-patient identification
-documentation
-waste management
-intact skin care ✅- waste management
Identify the arrhythmia in the tracing below.
-junctional tachycardia
-ventricular tachycardia
-sinus tachycardia
-accelerated idioventricular rhythm ✅- ventricular tachycardia
(wide QRS complex at 150 bpm)
Which of the following is a consequence of mislabeling a blood bank specimen?
-a HIPAA violation
-a transfusion reaction
-a medical transcription error
-a pharmaceutical reaction ✅- a transfusion reaction
Which of the following statements made by a CPCT, regarding preparation of a peripheral blood
smear, indicates the need for further teaching?
-"I will press down on the spreader slide to fix the cells on the lower slide."
-"I will make sure the drop of blood is spread on the lower slide within seconds."
, -"My smear should occupy 2/3 of the total slide area."
-"My smear should be spread almost to the edges of the slide." ✅- "I will press down on the
spreader slide to fix the cells on the lower slide."
A CPCT is caring for several adult patients. Which of the following findings should the CPCT
report to the nurse first?
-blood pressure 139/88 mm Hg
-apical pulse of 84 bpm
-respiration rate of 22/min
-temperature of 38.5 C (100.5 F) ✅- temperature of 38.5 C (100.5 F)
During a stress test, a CPCT notices the patient appears to be hyperventilating. Which of the
following is an appropriate course of action for the technician?
-administer oxygen to the patient
-slow down the test
-stop the exercise portion of the test
-check the patient's respiratory rate ✅- check the patient's respiratory rate
A CPCT is caring for a new patient. Which of the following statments made by the patient
indicates a need for further teaching, regarding HIPAA?
-"If my mother calls my doctor to ask about my condition, she will have to provide proof of who
she is."
-"If necessary, my doctor can release my test results at his own discretion."
-Because of a language barrier, my provider can share my health information with his
interpreter."
-"If I am unconscious and need medical attention, my doctor can share my health information
with my son." ✅- "If necessary, my doctor can release my test results at his own discretion."
A CPCT is caring for four patients. Which of the following findings should the CPCT report to
the nurse?
-a patient is identified with polyuria and a blood glucose of 200 mg/dL
-a patient is identified with vertigo and a blood glucose of 90 mg/dL
-a patient is identified with tinnitus and blood glucose of 70 mg/dL
-a patient is identified with fatigue and a blood glucose of 120 mg/dL ✅- a patient is identified
with polyuria and a blood glucose of 200 mg/dL
A CPCT should recognize that which of the following scenarios requires an aseptic dressing
change?
-changing the surgical wound dressing of a patient 1 day post-op
-changing a patient's triple lumen catheter dressing
-changing the dressing of a patient who has a deep wound drain
-changing the dressing of a patient who has a superficial decubiti
✅- changing the dressing of a patient who has a superficial decubiti
When observing a patient's skin integrity, a CPCT should recognize that the first sign of
breakdown is
-hematoma
-redness
-melanoma
-cyanosis ✅- redness
While working with the automated Laboratory Information System, correct input of data is most
critical because incorrect data may
-cause a system error
-be reported to the health care provider
-lead to a quality assurance issue
-remain in the patient file indefinitely ✅- be reported to a health care provider
A CPCT is caring for a patient who has an order for tobramycin (Tobrex) level to be drawn 1 hr
after dose. The medication has been ordered for 1100. Which of the following actions should the
CPCT take?
-draw the blood at 1100
-check with the nurse
-check with the laboratory
-ask the patient ✅- check with the nurse
Before applying wrist restraints to a patient, a CPCT should take which of the following actions?
-check with the nurse for restraint order
,-measure the patient's blood pressure
-measure the patient's 02 saturation
-drain the patient's foley catheter ✅- check with the nurse for restraint order
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?
-the cuff deflates too quickly
-the cuff inflates too quickly
-the arm is lower than the heart
-the arm is at the level of the heart ✅- the arm is lower than the heart
A CPCT is caring for a new patient. Which of the following procedures should the PCT
recognize as requiring aseptic technique?
-patient identification
-documentation
-waste management
-intact skin care ✅- waste management
Identify the arrhythmia in the tracing below.
-junctional tachycardia
-ventricular tachycardia
-sinus tachycardia
-accelerated idioventricular rhythm ✅- ventricular tachycardia
(wide QRS complex at 150 bpm)
Which of the following is a consequence of mislabeling a blood bank specimen?
-a HIPAA violation
-a transfusion reaction
-a medical transcription error
-a pharmaceutical reaction ✅- a transfusion reaction
Which of the following statements made by a CPCT, regarding preparation of a peripheral blood
smear, indicates the need for further teaching?
-"I will press down on the spreader slide to fix the cells on the lower slide."
-"I will make sure the drop of blood is spread on the lower slide within seconds."
, -"My smear should occupy 2/3 of the total slide area."
-"My smear should be spread almost to the edges of the slide." ✅- "I will press down on the
spreader slide to fix the cells on the lower slide."
A CPCT is caring for several adult patients. Which of the following findings should the CPCT
report to the nurse first?
-blood pressure 139/88 mm Hg
-apical pulse of 84 bpm
-respiration rate of 22/min
-temperature of 38.5 C (100.5 F) ✅- temperature of 38.5 C (100.5 F)
During a stress test, a CPCT notices the patient appears to be hyperventilating. Which of the
following is an appropriate course of action for the technician?
-administer oxygen to the patient
-slow down the test
-stop the exercise portion of the test
-check the patient's respiratory rate ✅- check the patient's respiratory rate
A CPCT is caring for a new patient. Which of the following statments made by the patient
indicates a need for further teaching, regarding HIPAA?
-"If my mother calls my doctor to ask about my condition, she will have to provide proof of who
she is."
-"If necessary, my doctor can release my test results at his own discretion."
-Because of a language barrier, my provider can share my health information with his
interpreter."
-"If I am unconscious and need medical attention, my doctor can share my health information
with my son." ✅- "If necessary, my doctor can release my test results at his own discretion."
A CPCT is caring for four patients. Which of the following findings should the CPCT report to
the nurse?
-a patient is identified with polyuria and a blood glucose of 200 mg/dL
-a patient is identified with vertigo and a blood glucose of 90 mg/dL
-a patient is identified with tinnitus and blood glucose of 70 mg/dL
-a patient is identified with fatigue and a blood glucose of 120 mg/dL ✅- a patient is identified
with polyuria and a blood glucose of 200 mg/dL
