ANNUAL PCT EXAM WITH
QUESTIONS AND ANSWERS WRITTEN
CORRECTLY
You have been asked by the charge nurse to cannulate the new AV fistula of a patient, but the patient
comes into treatment 15 min late and it's time to take your break. Can you ask a fellow PCT to cannulate
the patient? - ANSWER✔✔✨---No. A task delegated by the licensed nurse to a non-licensed
teammate cannot be redelegated by this teammate.
Poor or incomplete documentation: - ANSWER✔✔✨---will open an attack on your care in the event
of an adverse patient outcome.
What is the purpose of professional boundaries? - ANSWER✔✔✨---They keep the relationship
between you and your patient appropriate and safe.
Discussing personal problems with your patients: - ANSWER✔✔✨---is considered unprofessional
behavior.
Attempting to remove a large amount of fluid weight gain from the patient: - ANSWER✔✔✨---can
lead to hypovolemia during the treatment which is associated with an increased mortality rate.
When sodium loading occurs during the dialysis treatment: - ANSWER✔✔✨---It leads to an increase
in thirst and larger fluid weight gains with hypertension between treatments and can contribute to
headaches after the treatment.
During data collection, a patient mentions her bowel movements have been looking quite dark the last
two days and asks if this could be caused by something she ate. You: - ANSWER✔✔✨---inform the
nurse to assess the patient prior to treatment initiation.
, How long prior to initiating the hemodialysis treatment should the initial loading dose of heparin be
administered through the venous fistula needle or venous port of the central venous catheter (CVC) to
anticoagulated the patient? - ANSWER✔✔✨---At least 3 to 5 minutes prior to treatment initiation.
Are patients allowed to take over the counter medications? - ANSWER✔✔✨---They do not require a
physician order but should be approved by the nephrologist.
Prior to each medication preparation, the medication preparation surface should be disinfected with
what? - ANSWER✔✔✨---1:100 Bleach solution or approved disinfectant
An opened multidose vial may be kept for how many days? - ANSWER✔✔✨---28
What is NOT an acceptable assignment for a PCT working in a facility that cares for patients with
Hepatitis B infection (HBV+)? - ANSWER✔✔✨---Caring for HBV+ and susceptible patients at the
same time
What is the standard on fingernails? - ANSWER✔✔✨---Fingernail length should not exceed more
than 1/4 inch and traditional nail polish that is not chipped may be worn.
To make a 1:10 bleach solution for cleaning gross blood spills, you would combine: - ANSWER✔✔✨-
--1 part bleach with 9 parts water
Cleaning blood pressure cuffs between patients: - ANSWER✔✔✨---Removes microorganisms such
as MRSA or VRE that may be colonized in a patient's axillary area.
Cleaning and disinfecting priming buckets after each treatment is needed for what reason? -
ANSWER✔✔✨---It is required to decrease gram-negative bacterial growth which may occur in
solutions such as water.
The foot rest of a patient chair is torn and the inner foam is exposed. Can it still be used for patient
treatments? - ANSWER✔✔✨---No, because the surface can no longer allow for effective cleaning
and provides a potential for microbial growth.
QUESTIONS AND ANSWERS WRITTEN
CORRECTLY
You have been asked by the charge nurse to cannulate the new AV fistula of a patient, but the patient
comes into treatment 15 min late and it's time to take your break. Can you ask a fellow PCT to cannulate
the patient? - ANSWER✔✔✨---No. A task delegated by the licensed nurse to a non-licensed
teammate cannot be redelegated by this teammate.
Poor or incomplete documentation: - ANSWER✔✔✨---will open an attack on your care in the event
of an adverse patient outcome.
What is the purpose of professional boundaries? - ANSWER✔✔✨---They keep the relationship
between you and your patient appropriate and safe.
Discussing personal problems with your patients: - ANSWER✔✔✨---is considered unprofessional
behavior.
Attempting to remove a large amount of fluid weight gain from the patient: - ANSWER✔✔✨---can
lead to hypovolemia during the treatment which is associated with an increased mortality rate.
When sodium loading occurs during the dialysis treatment: - ANSWER✔✔✨---It leads to an increase
in thirst and larger fluid weight gains with hypertension between treatments and can contribute to
headaches after the treatment.
During data collection, a patient mentions her bowel movements have been looking quite dark the last
two days and asks if this could be caused by something she ate. You: - ANSWER✔✔✨---inform the
nurse to assess the patient prior to treatment initiation.
, How long prior to initiating the hemodialysis treatment should the initial loading dose of heparin be
administered through the venous fistula needle or venous port of the central venous catheter (CVC) to
anticoagulated the patient? - ANSWER✔✔✨---At least 3 to 5 minutes prior to treatment initiation.
Are patients allowed to take over the counter medications? - ANSWER✔✔✨---They do not require a
physician order but should be approved by the nephrologist.
Prior to each medication preparation, the medication preparation surface should be disinfected with
what? - ANSWER✔✔✨---1:100 Bleach solution or approved disinfectant
An opened multidose vial may be kept for how many days? - ANSWER✔✔✨---28
What is NOT an acceptable assignment for a PCT working in a facility that cares for patients with
Hepatitis B infection (HBV+)? - ANSWER✔✔✨---Caring for HBV+ and susceptible patients at the
same time
What is the standard on fingernails? - ANSWER✔✔✨---Fingernail length should not exceed more
than 1/4 inch and traditional nail polish that is not chipped may be worn.
To make a 1:10 bleach solution for cleaning gross blood spills, you would combine: - ANSWER✔✔✨-
--1 part bleach with 9 parts water
Cleaning blood pressure cuffs between patients: - ANSWER✔✔✨---Removes microorganisms such
as MRSA or VRE that may be colonized in a patient's axillary area.
Cleaning and disinfecting priming buckets after each treatment is needed for what reason? -
ANSWER✔✔✨---It is required to decrease gram-negative bacterial growth which may occur in
solutions such as water.
The foot rest of a patient chair is torn and the inner foam is exposed. Can it still be used for patient
treatments? - ANSWER✔✔✨---No, because the surface can no longer allow for effective cleaning
and provides a potential for microbial growth.
