NHA PCT Exam: Practice Test
1. 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 aftercompletion of
the 24-hr collection.
The final voiding of the 24-hr period was discarded. The patient should ensurethat ever
void during the 24-period is included in the specimen.
The patient cleaned the meatus prior to each void. The patient should performthis 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 in- tegrity of the
specimen.: 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 followingcondition
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.
2. -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 informationis kept
confidential. However, sharing a patient's information with a medical interpreter is
necessary to provide effective care and is therefore allowed byHIPAA regulations.
, NHA PCT Exam: Practice Test
-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 infor- mation.
This applies to the patient's employer, even if the patient sustained an injury at
work.: 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
3. -Wipe the catheter with sterile gauze: The technician should discard thecatheter
because it touched a nonsterile surface.
-Continue the procedure: The technician should discard the catheter becauseit
touched a nonsterile surface.
-Rinse the catheter with povidone iodine: The technician should discard thecatheter
because it touched a nonsterile surface.
-Obtain another sterile kit: The technician should obtain another sterile kit anddiscard
the catheter because it touched a nonsterile surface.: A pct is assistinga 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
4. Dehydration: With dehydration, urine output decreases and the urine is
concentrated, taking on a dark yellow color. The technician should report thisfinding
and the amount of urine output over the past 4 hr to the nurse.
Frequent urination: Frequent urination can indicate a urinary tract infection.
, NHA PCT Exam: Practice Test
This patient might have voided frequently, but the characteristics and volumeof 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 about183 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 is recording a pt's output and
notes that the pt voided a small amount of dark yellow urine. The pt isflushed and reports dry
mouth. The tech should identify that these findings indicatewhat?
Dehydration Frequent
urination Adequate
fluid intakeUrinary
incontinence
5. The right to refuse treatment: The technician should recognize that, accord-ing 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 treat-ment.
The right to personal safety: The technician should recognize that, accordingto 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 didnot violate the
patient's right to personal safety.
The right to information about one's condition: The right to information aboutone's
condition: The technician should recognize that, according to the Pa- tients' Bill of
Rights, a patient's health care team is required to share informa-tion 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.
, NHA PCT Exam: Practice Test
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 tosuggest
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 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
6. Attend bloodborne pathogen training: The technician should attend blood- borne
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 nursingsupervisor and
the employee health and human resources departments.
Document the event in the pts medical record: Although the technician should
document the event, this should be done in the form of an incident report. The
technician should not document the event in the patient's medical record.
Recap the needle and dispose of it: The technician should never recap the needle,
because it can lead to further needlestick injuries. The needle shouldalso be retained
by the technician and not discarded. The needle can be usedfor bloodborne pathogen
testing if necessary.: A pct received a needlestick injury while performing a venipuncture
for a pt. Which of the following actions shouldthe 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
7. Speak to the patient in a raised voice.: The technician should not use araised
voice to speak to the patient. If the patient uses a hearing aid, the
1. 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 aftercompletion of
the 24-hr collection.
The final voiding of the 24-hr period was discarded. The patient should ensurethat ever
void during the 24-period is included in the specimen.
The patient cleaned the meatus prior to each void. The patient should performthis 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 in- tegrity of the
specimen.: 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 followingcondition
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.
2. -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 informationis kept
confidential. However, sharing a patient's information with a medical interpreter is
necessary to provide effective care and is therefore allowed byHIPAA regulations.
, NHA PCT Exam: Practice Test
-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 infor- mation.
This applies to the patient's employer, even if the patient sustained an injury at
work.: 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
3. -Wipe the catheter with sterile gauze: The technician should discard thecatheter
because it touched a nonsterile surface.
-Continue the procedure: The technician should discard the catheter becauseit
touched a nonsterile surface.
-Rinse the catheter with povidone iodine: The technician should discard thecatheter
because it touched a nonsterile surface.
-Obtain another sterile kit: The technician should obtain another sterile kit anddiscard
the catheter because it touched a nonsterile surface.: A pct is assistinga 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
4. Dehydration: With dehydration, urine output decreases and the urine is
concentrated, taking on a dark yellow color. The technician should report thisfinding
and the amount of urine output over the past 4 hr to the nurse.
Frequent urination: Frequent urination can indicate a urinary tract infection.
, NHA PCT Exam: Practice Test
This patient might have voided frequently, but the characteristics and volumeof 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 about183 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 is recording a pt's output and
notes that the pt voided a small amount of dark yellow urine. The pt isflushed and reports dry
mouth. The tech should identify that these findings indicatewhat?
Dehydration Frequent
urination Adequate
fluid intakeUrinary
incontinence
5. The right to refuse treatment: The technician should recognize that, accord-ing 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 treat-ment.
The right to personal safety: The technician should recognize that, accordingto 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 didnot violate the
patient's right to personal safety.
The right to information about one's condition: The right to information aboutone's
condition: The technician should recognize that, according to the Pa- tients' Bill of
Rights, a patient's health care team is required to share informa-tion 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.
, NHA PCT Exam: Practice Test
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 tosuggest
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 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
6. Attend bloodborne pathogen training: The technician should attend blood- borne
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 nursingsupervisor and
the employee health and human resources departments.
Document the event in the pts medical record: Although the technician should
document the event, this should be done in the form of an incident report. The
technician should not document the event in the patient's medical record.
Recap the needle and dispose of it: The technician should never recap the needle,
because it can lead to further needlestick injuries. The needle shouldalso be retained
by the technician and not discarded. The needle can be usedfor bloodborne pathogen
testing if necessary.: A pct received a needlestick injury while performing a venipuncture
for a pt. Which of the following actions shouldthe 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
7. Speak to the patient in a raised voice.: The technician should not use araised
voice to speak to the patient. If the patient uses a hearing aid, the
