PCT EOPA extra

Question 1

Point of Care testing - Dermal Capillary collection

Answer 1

-most common type
-mainly for diabetes mellitus
-Wipe away first drop of blood
-random glucose test should be less than 200 mg/dl*

• Females: less than x>40 or 450<x greater than
• Males: less than x>50 or 450<x greater than

Lateral side of middle or ring (mainly ring finger), nondominant hand

Question 2

Proper Communication & Types

Answer 2

Effective: active listening, positive facial reactions, eye contact, good posture, etc.

Theraputic: accepting, processing, and repeating what a patient said, clarifying, encouraging conversation, focusing, persuading patient to express thoughts in detail but no probing/forcing, etc.

Dont: agree/disagree, offer approval, give false hope

Question 3

Anti-Embolism Stockings / Compression Hose

Answer 3

• AKA Anti embolism/Thromboembolic deterrent (TED)
• used to prevent blood clots from forming in deep veins of the legs and prevent buildup in the legs
• • They should be removed at least once per shift
• • Turned inside out before applying to make application easier

Question 4

Ambulation

Answer 4

• non weight bearing = mechanical lifts or transfer boards
• stand on patients’ weaker side when using gait belt
• if patient starts to fall, assist them to the floor or pull it close to you
• When using a walker hand grip should be hip level
• when assisting patient from bed to wheel chair, ideal stance is 12 feet(?) apart to reduce strain on lowr back
• patient should push off bed when prompted while moving from bed to wheel chair
• wheel chair should be placed on stronger side

Question 5

Respiratory care

Answer 5

• Turning, coughing, and deep breathing (TCDB) helps prevent respiratory complications
• feeling drowsy after pain meds and anesthetia can make it difficult for lungs to function
• patients should cough and take deep breaths frequently at least every 1 to 2 hours
• coughing is painful after abdominal surgery -> encourage patient to hold pillow against abdominal area to help reduce pain
• pulse ox on babies should be placed in big toe

Question 6

Movement

Answer 6

-Hyperextend the shoulder, place elbow straight and move their arm backwards behind their body
-Abduct the shoulder, move arm sideways above the head with the palm outward
-Circumduction the shoulder, move patients arm in a full circle
-Flexion the shoulder, raise the patients arm in a full circle
-Providing a splint for the wrist will put the wrist in slight dorsiflexion

Question 7

Informational

Answer 7

-HIPPA = providers can communicate about disease like tuberculosis if they feel there is an outbreak in the community, “for the greater good of the community” -> not protected information
-Hospice care is reimbursed by Medicare or Medicaid
-The letter U is on the Joint commissions list of DO NOT use list because it is easily read as other letters
-Lead methodology is a process of streamlining processes in the hospital
-documentation should only be made for activities that you have done with a patient and document as they happen, best to do it in front of the patient

Question 8

Equipment

Answer 8

when using a mechanical scale, make sure the scale is balanced to zero before measuring a patient

Question 9

pregnant women

Answer 9

-a patient that is postpartum (just had a baby) and has a headache with visual disturbances, it could indicate gestational hypertension and should be reported to the nurse
-sitz bath is used after birth or for patient with hemorrhoids

Question 10

care stuff

Answer 10

-heating pads are never left on overnight, should have a towel places between the pad and the patient, needs to be checked every 5 minutes
-oral intake of fluids should be at least 1100-1400 mL/day

Question 11

Fire

Answer 11

-PASS = pull the pin, aim, squeeze, sweep, point it at the base of the fire and sweep from side to side
-RACE = Rescue, activate, confine, extinguish

Question 12

Reporting

Answer 12

PCT wants to report unethical behavior of coworker, tell the charge nurse (bc its following chain of command)

Question 13

Wong-Baker FACES pain scale

Answer 13

for kids

Question 14

Walker ambulation stuff

Answer 14

The patient should advance the walker 10 to 18 inches with each step (25.4-47.5 cm)

Question 15

PCT cleans urine off of examination table, what container should the PCT use to dispose of the wash cloth

Answer 15

The technician should dispose of soiled linens, such as a urine-soiled washcloth, in an impermeable laundry bag.

Question 16

what ekg findings differ acc idioventricular from junctional rhythm

Answer 16

Acc idio has wider QRS compelx

Question 17

infant collection of dif types - order

Answer 17

O2 levels always go first,

Question 18

pallid =

Answer 18

pale

Question 19

St segment elevation, p wave then HIGH ASS spike of what would be a qrs complex and the rest of the wave is elevated in the air until it descends again for another p wave

Answer 19

myocardial infrection

Question 20

Bilirubin specimen

Answer 20

ultraviolet light must be turned off for this collection to maintain the integrity of it

Question 21

Avg Blood glucose levels

Answer 21

Fasting (before eating): 70 to 100 mg/dL (3.9 to 5.6 mmol/L)
After eating (1-2 hours): Less than 140 mg/dL (7.8 mmol/L) is considered normal
Pre-diabetes: Fasting blood glucose levels between 100 and 125 mg/dL (5.6 to 6.9 mmol/L
Diabetes: Fasting blood glucose levels of 126 mg/dL (7.0 mmol/L) or higher are indicative of diabetes

Question 22

Palliative care

Answer 22

Palliative care is a specialized form of medical care that focuses on improving the quality of life for people with serious or life-threatening illnesses

Question 23

epistaxis

Answer 23

nose bleed

Question 24

which one shows patient understands HIPPA

Answer 24

“my provider is required to report a diagnosis of tb”

Question 25

Adult cpr compression depth

Answer 25

5cm (2 in) (and its 100-120 compressions a min, 2 breaths that are a 1 second duration)

Question 26

incentive spirometry

Answer 26

medical device used to help patients, particularly those recovering from surgery, take deep breaths and expand their lungs. It encourages deep, slow inhalations by providing visual feedback of the amount of air inhaled.

Question 27

Cleaning for Venipuncture for patient with shellfish allergy

Answer 27

instead of povine iodine, use chlorohexodine-gluconate

Question 28

Large U wave for EKG

Answer 28

decreased potassium

Question 29

Passive range of motion (ROM)

Answer 29

dorsiflexion is considered ROM, on an ankle it would be: flexing the ankle so that the toes are pointed upward.

Question 30

Removal of IV catheter, what should PCT do

Answer 30

put gauze over the IV site when removing the catheter

Question 31

CLIA

Answer 31

To establish quality standards for laboratory testing on human specimens

Question 32

tube inversion

Answer 32

prevent clotting

Question 33

chain of custody is for..

Answer 33

To guarantee the identification and integrity of samples

Question 34

EKG leads

Answer 34

Lead I = LA, RA Lead II = RA,LL Lead III = LA,LL

Question 35

Urine 24hr range

Answer 35

urine output within a 24-hr period is 750 to 2,000 mL

Question 36

What to report to the Joint Commission (tjc)

Answer 36

sentinel events: are unexpected occurrences that cause death or serious physical or psychological injury to a patient.

Question 37

Specimen that has to be transported and remain at body temp

Answer 37

put specimen in warming device

Question 38

making open bed for a patient

Answer 38

Fanfold the top linens at the foot of the bed, This allows for easy access to the bed without the technician or patient needing to pull back the linens.

Question 39

PCT has conflict with another PCT

Answer 39

talk in private

Question 40

PCT is reviewing quality improvement tools, what tool improves patient saftey and quality of health care

Answer 40

Lean Methodology

Question 41

caring for ostomy

Answer 41

use toilet paper around stoma (one of the weird questions abt stomas)

Question 42

gait belt bs

Answer 42

patient can hold onto you w their arms

Question 43

taking pulse for atrial fib patient

Answer 43

manually using apical pulse sight

Question 44

patients daughter is visiting and is asking about health of patients room mate, what does pct do

Answer 44

"you can ask the patient about his condition"

Question 45

faciltiies infection control program is by who

Answer 45

TJC

Question 46

granulation healing wound

Answer 46

change dressing everyday

Question 47

imporving vertebral allignment with immobile patient

Answer 47

use bed board

Question 48

sequential compression devices (SCD) should be

Answer 48

removed every 8 hours

Question 49

oral care for dentures

Answer 49

replace upper denture before lower denture

Question 50

severe hypertension

Answer 50

legs show pitting edema

Question 51

patient recovering from abdominal surgery with deep breathing and coughing, what should pct expect

Answer 51

Cleared airway blockage of fluid and mucus

Question 52

swelling in IV site

Answer 52

catheter infiltration

Question 53

Ventricular Tachy pulse sight

Answer 53

cartoid

Question 54

pct cant get pulse ox reading on monitor, what could be the cause

Answer 54

86/62 blood preassure with cold hands and fingers

Question 55

when should pct compare code on glucose cuvettes with glucometer

Answer 55

when a pateint is tested

Question 56

patient risk for falls, at what time should u check and document patient

Answer 56

every 1 hr

Question 57

pct can prevent sentinel events by

Answer 57

Ensuring proper application of all safety reminder devices (SRDs)

Question 58

Patient who is on strict I&O (intake and outake), how often to you record it

Answer 58

Every 8 hours

Question 59

Mislabeled blood bank collection

Answer 59

Bad transfusion reaction

Question 60

transfering patient from bed to wheelchair using mechanical lift with a sling, as theyre being trasnfered, the PCT should place them in which of the following positions

Answer 60

fowlers

Question 61

Purpose of CLIA

Answer 61

To establish quality standards for laboratory testing on human specimens

Question 62

PCT is preparing to clean metal instruments that were used to remove staples from a surgical wound. What should the PCT do to destroy the micro-organisms and spores on the metal instruments

Answer 62

Place the instruments in an autoclave and steam them under pressure or moist heat.

Question 63

disinfection of materials

Answer 63

bleach solution (usually 1:10)

Question 64

PCT is helping nurse perform an aseptic wound dressing change for a patient who has stage IV pressure ulcer, what should the PCT do

Answer 64

Don new gloves after removing the soiled dressing (why its not "use sterile gloves to remove the dressing" bc apparently its not neccary for them to wear sterile gloves to remove a soiled wound dressing)

Question 65

pct is caring for 4 patients, which one should be reported to the nurse

Answer 65

blood glucose of 190, ig the range is 70-140 (bc the options of 90,100,130 were in the expected range)

Question 66

PCT is obtaining blood specimen, which of the following errors could cause hemolysis

Answer 66

transporting tubes horizontally

Question 67

PCT is transferring patient who had right side weakness from bed to wheelchair, what method should the technician ask to promote proper body mechanics

Answer 67

Grasp the back of the transfer belt and have the patient stand using stronger side while lifting with legs and keeping back straight.

Question 68

Oral suctioning

Answer 68

Limit suctioning to no more than 15 seconds at a time, The technician should apply suction for no longer than 15 seconds and repeat it after 1 to 2 min if necessary.

Question 69

cane

Answer 69

"Hold the cane on the stronger side of your body.", weak leg goes first then stronger leg, move can first then weak leg, can should be at hip/wrist level

Question 70

prevent health care associated infections

Answer 70

follow standard precautions when caring for a patient with surgical incisions

Question 71

Holter monitor duration

Answer 71

24-48 hours

Question 72

diabeties mel whatever sign of hyperglycemia

Answer 72

frequent urination, thrist

Question 73

Safteh data sheets made availabke by

Answer 73

osha

Question 74

apical pulse is

Answer 74

5th inc space

Question 75

bed scale is used for

Answer 75

total hip discolation, bascially ppl with limited immobility and cant stand

Question 76

reporting time for needle stick injuries

Answer 76

asap

Question 77

cream to prevent skin breakdown

Answer 77

barrier cream