PCCM1 Exam 1 2023/2024, Complete Solution With
Questions And Answers, Verified Solution
According to standard isolation precautions for airborne transmission, what is
the recommended architecture for a patient's room?
Private isolation room with a closed door
When is protective eye wear important?
during times when blood splashes or sprays of other body fluids are likely
What are the most common modes of transmission of pathogenic
microorganisms?
contact, droplet, airborne
What are the five elements in the cycle of infection?
reservoir, exit, transmission, infection, and susception
What is the most important activity that caregivers should perform before and
after contact with a patient to control infection?
hand hygiene
In applying an alcohol-based hand rub, what is the appropriate step to take after
rubbing the product briskly over all surfaces of the hands?
continue to rub until hands are dry
What is the recommended length of time for hand washing with ordinary soap
and water?
15-30 seconds
Does the size of the blood pressure cuff affect the pulse oximeter reading?
no
Is the respiration of 23 bpm WNL?
No
Orthostatic hypotension (OH) is classified as a decrease in systolic blood
pressure of greater than what?
20
Does a BP of 180/100 warrant immediate medical attention?
yes
What pain scale might you use with a 5 year old child?
faces
To determine how much to inflate the BP cuff, find the occlusion point then inflate
the cuff how many mm/Hg?
20
When fitting the BP cuff, what percentage of the arm should the length of the
bladder cover?
80%
Does a patient with the following stat line need supplemental oxygen? pulse 80
bpm O2 sat 88%?
Yes
At what level is the approximate center of gravity (COG) of a standing person?
The second sacral segment
,What muscle group is most important for movements and lifts that require extra
effort?
core stabilizers
What is the ideal plum line for the posterior view?
midline between calcanei, through gluteal cleft, midline through thorax/spine
What is the ideal plum line for the anterior view?
between feet, through trunk, midline through face and nose
What is the ideal plum line for the lateral view?
slightly anterior to lateral malleolus, slightly anterior to midline through the knee, approx.
through greater trochanter, through mid acromion, through lobe of the ear
How could one increase their base of support (BOS)?
Placing the feet farther apart in an AP stance
What posture is recommended for performing activities below the waist, such as
removing clothes from the front loading dryer?
sitting, stooping, or kneeling
In an attempt to lift an object, which two measures are recommended for proper
body mechanics?
increasing your base of support and positioning your COG near the objects COG
The difference between a Deep Squat Lift and a Power Lift is:
A Deep Squat Lift requires a full squat and a Power Lift requires only a partial squat
What area of the spine is host to most injuries cause by lifting?
lumbar
Following a total hip replacement, what device is often used for proper
positioning?
An adduction pillow to prevent excessive hip adduction
Your patient is a 49-year-old man who sustained a spinal cord injury in a skiing
accident. He is unable to move below the level of his umbilicus. You are
positioning him in the bed following your treatment. Which of the following
describes the most appropriate positioning for this patient?
In a three-quarters supine position with pillows behind him and between his legs
In general, how frequently should a dependent patient's positioned be changed?
At least every 2 hours
Which areas are especially prone to pressure sores in a patient who is wheelchair
dependent?
Ischial tuberosities and olecranon processes
Which areas of the side-lying patient are at greatest risk for pressure sores?
Lateral ears, lateral ribs, greater trochanters, and humeral epicondyles
Your patient is a 64-year-old man who had a stroke and has severe right upper-
extremity weakness as a result. His right hand has become very edematous.
Which of the following is the best position for the patient's right arm to aid in the
management of his edema?
With the hand on a pillow, higher than the heart, while he is supine
Following a total knee replacement, in what position is it important to keep the
affected extremity at rest?
Knee extension
, Your patient is a 55-year-old man who just had a transtibial amputation secondary
to a work-related accident. You are working with him on functional mobility just
after his surgery. Which of the following represents the best positioning for this
patient?
Have him spend some time in prone each day to encourage extension of the affected
hip and knee
What is a potential adverse effect of the placement of a small bolster behind the
knees of a supine patient?
Iliopsoas and hamstring contractures
The most important action when assisting a patient to move around in bed is
Let the patient help as much as possible when permitted
When performing a dependent transfer with a patient from supine to prone, how
should the arm over which the patient will roll be positioned?
adducted, externally rotated, elbow straight, and hand tucked under the pelvis, palm up
What level of assistance is used if a patient requires only verbal cues to perform
an activity safely and within an acceptable time frame?
Standby assistance
When coordinating a lifting activity with others, how should directions be given?
As brief, concise, and action-oriented commands
During an upward movement transfer of a supine patient, how should the
patient's lower extremities be positioned?
With the hips and knees flexed and feet flat on the bed
When assisting a patient using only verbal cues to perform an activity safely and
within an acceptable time frame, what level of assistance has been provided?
Standby assistance
In general, how frequently should the patient's position be changed when
immobile in bed?
at least every 2 hours
When a patient is able to do 25% to 49% of a transfer they are considered to
require
Maximum assistance
When rolling a pt. from supine to prone, towards the patient's left side, the left UE
should be positioned
overhead in full shoulder flexion, if the patient has the range
What is included in informed consent?
PT introduction
Confirm patient
Explain procedure
benefits of procedure
possible side effects
alternatives
ask patient if they are ok with procedure
Cycle of infection: Reservoir
microorganisms require a place where they can grow and reproduce
Cycle of infection: Exit
microorganisms require a means by which they can leave the host
Questions And Answers, Verified Solution
According to standard isolation precautions for airborne transmission, what is
the recommended architecture for a patient's room?
Private isolation room with a closed door
When is protective eye wear important?
during times when blood splashes or sprays of other body fluids are likely
What are the most common modes of transmission of pathogenic
microorganisms?
contact, droplet, airborne
What are the five elements in the cycle of infection?
reservoir, exit, transmission, infection, and susception
What is the most important activity that caregivers should perform before and
after contact with a patient to control infection?
hand hygiene
In applying an alcohol-based hand rub, what is the appropriate step to take after
rubbing the product briskly over all surfaces of the hands?
continue to rub until hands are dry
What is the recommended length of time for hand washing with ordinary soap
and water?
15-30 seconds
Does the size of the blood pressure cuff affect the pulse oximeter reading?
no
Is the respiration of 23 bpm WNL?
No
Orthostatic hypotension (OH) is classified as a decrease in systolic blood
pressure of greater than what?
20
Does a BP of 180/100 warrant immediate medical attention?
yes
What pain scale might you use with a 5 year old child?
faces
To determine how much to inflate the BP cuff, find the occlusion point then inflate
the cuff how many mm/Hg?
20
When fitting the BP cuff, what percentage of the arm should the length of the
bladder cover?
80%
Does a patient with the following stat line need supplemental oxygen? pulse 80
bpm O2 sat 88%?
Yes
At what level is the approximate center of gravity (COG) of a standing person?
The second sacral segment
,What muscle group is most important for movements and lifts that require extra
effort?
core stabilizers
What is the ideal plum line for the posterior view?
midline between calcanei, through gluteal cleft, midline through thorax/spine
What is the ideal plum line for the anterior view?
between feet, through trunk, midline through face and nose
What is the ideal plum line for the lateral view?
slightly anterior to lateral malleolus, slightly anterior to midline through the knee, approx.
through greater trochanter, through mid acromion, through lobe of the ear
How could one increase their base of support (BOS)?
Placing the feet farther apart in an AP stance
What posture is recommended for performing activities below the waist, such as
removing clothes from the front loading dryer?
sitting, stooping, or kneeling
In an attempt to lift an object, which two measures are recommended for proper
body mechanics?
increasing your base of support and positioning your COG near the objects COG
The difference between a Deep Squat Lift and a Power Lift is:
A Deep Squat Lift requires a full squat and a Power Lift requires only a partial squat
What area of the spine is host to most injuries cause by lifting?
lumbar
Following a total hip replacement, what device is often used for proper
positioning?
An adduction pillow to prevent excessive hip adduction
Your patient is a 49-year-old man who sustained a spinal cord injury in a skiing
accident. He is unable to move below the level of his umbilicus. You are
positioning him in the bed following your treatment. Which of the following
describes the most appropriate positioning for this patient?
In a three-quarters supine position with pillows behind him and between his legs
In general, how frequently should a dependent patient's positioned be changed?
At least every 2 hours
Which areas are especially prone to pressure sores in a patient who is wheelchair
dependent?
Ischial tuberosities and olecranon processes
Which areas of the side-lying patient are at greatest risk for pressure sores?
Lateral ears, lateral ribs, greater trochanters, and humeral epicondyles
Your patient is a 64-year-old man who had a stroke and has severe right upper-
extremity weakness as a result. His right hand has become very edematous.
Which of the following is the best position for the patient's right arm to aid in the
management of his edema?
With the hand on a pillow, higher than the heart, while he is supine
Following a total knee replacement, in what position is it important to keep the
affected extremity at rest?
Knee extension
, Your patient is a 55-year-old man who just had a transtibial amputation secondary
to a work-related accident. You are working with him on functional mobility just
after his surgery. Which of the following represents the best positioning for this
patient?
Have him spend some time in prone each day to encourage extension of the affected
hip and knee
What is a potential adverse effect of the placement of a small bolster behind the
knees of a supine patient?
Iliopsoas and hamstring contractures
The most important action when assisting a patient to move around in bed is
Let the patient help as much as possible when permitted
When performing a dependent transfer with a patient from supine to prone, how
should the arm over which the patient will roll be positioned?
adducted, externally rotated, elbow straight, and hand tucked under the pelvis, palm up
What level of assistance is used if a patient requires only verbal cues to perform
an activity safely and within an acceptable time frame?
Standby assistance
When coordinating a lifting activity with others, how should directions be given?
As brief, concise, and action-oriented commands
During an upward movement transfer of a supine patient, how should the
patient's lower extremities be positioned?
With the hips and knees flexed and feet flat on the bed
When assisting a patient using only verbal cues to perform an activity safely and
within an acceptable time frame, what level of assistance has been provided?
Standby assistance
In general, how frequently should the patient's position be changed when
immobile in bed?
at least every 2 hours
When a patient is able to do 25% to 49% of a transfer they are considered to
require
Maximum assistance
When rolling a pt. from supine to prone, towards the patient's left side, the left UE
should be positioned
overhead in full shoulder flexion, if the patient has the range
What is included in informed consent?
PT introduction
Confirm patient
Explain procedure
benefits of procedure
possible side effects
alternatives
ask patient if they are ok with procedure
Cycle of infection: Reservoir
microorganisms require a place where they can grow and reproduce
Cycle of infection: Exit
microorganisms require a means by which they can leave the host
