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Question | Answer |
---|---|
What temperature should bath water not exceed? | 105F (41C) |
What degree should the CPCT have the bed after meals to prevent the risk for aspiration? | 45 degrees |
When should the CPCT notify the nursing staff about no bowel movements? | If they have not have had a bowel movement in over three days |
What should the CPCT record? | Everything the patient eats and drinks, total daily urine, fecal, and vomit volume. |
What is passive movement? | Moving the joint through its full ROM without assistance from the patient |
What is active movement? | Patient performs the motions independently |
A CPCT can not do what with sterile dressings? | Cannnot remove any sterile dressings without specific direction from a nurse or physician |
when should the CPCT reposition? | Every two hours to minimize the risk of developing pressure sores |
another name for anti-embolitic stocking | TED hose |
What is edema? | Inappropriate accumulation of fluid in body tissue |
What is the name of the pain scale? | wong-baker FACES |
Which of the following statements made by the CPCT about taking a patient's blood pressure demonstrates the need for further teaching? | "I will use the arm with the dialysis shunt" |
In which of the following situations should the CPCT place the patient in the lithotomy position? | Rectal exam |
Which of the following statements made by the CPCT demonstrates the need for further teaching? | "I will leave the room during the examination to ensure privacy" |
Which of the following test results should the CPCT report to the nurse immediately? | Temperature 32.7 C (90.9 F) |
Which of the following most frequently causes the spread of infection in healthcare facilities? | Healthcare workers' hands |
A CPCT is assisting a patient who is ambulating. The patient states that, "I feel so dizzy and weak," and her knees buckle. Which of the following actions by the CPCT is most appropriate? | Guide the patient to a seated or lying position on the floor. |
While caring for an 87-year-old female patient, a CPCT notices the IV infusion pump is cracked. Which of the following actions should the CPCT take? | Ensure that the bio engineering performs maintenance on the pump |
During a mercury thermometer exchange, someone drops a mercury thermometer and it shatters on the floor. How should the CPCT intervene? | Use a gloved hand to pick up the glass. Use a paper towel to pick up the mercury. |
A patient has endometerial cancer and has been placed in isolation because of her radiation implants. The patient states that she is lonely and needs extra attention. which of the following actions should the CPCT take when caring for this patient? | Organize all care in short periods. Promise to return |
A CPCt is caring for his neighbor's mother. The neighbor asks the CPCT if her mother is undergoing physical therapy. Which of the following responses by the CPCT is appropriate | "i'm sorry, but I cannot discuss patients" |
A CPCT is caring for a patient who is agitated. The best way to handle this patient is to | speak softly and clearly |
A CPCT's patient's blood pressure is 80/38 mm Hg, heart rate 112/ min, respirations 26/ min. The CPCT tells the nurse, but she is busy. The CPCT retakes the vital signs and finds they are now blood pressure 78/30 mm Hg, heart rate 120/min. The CPCT's next | call the charge nurse of the floor and report the patient's vital signs |
A CPCT enters the nurse's station to find a nurse lying on the floor. Which of the following actions should the CPCT take first? | Shout her name to see if she is conscious |
Two nurses are in an elevator going to lunch. A CPCT overhears them talking about a patient. Which of the following responses is appropriate? | "You shouldn't talk about patients in public places." |
A CPCT is inserting a urinary catheter. He creates a sterile field between the legs of the patient, but the patient moves his leg onto the sterile field, touching everything. Which of the following actions should the CPCT take next? | remove the sterile field, get a new catheter set, and start over |
A CPCT enters a room with contact isolation and finds a doctor standing at the beside without a gown or gloves. Which of the following actions should the CPCT take next? | Give the doctor a gown and gloves |
A CPCT is teaching a family member how to change a patient's dressings. Which of the following actions by the family member indicates a need for further teaching? | The family member does not wash her hands after removing the dirty dressing |
To prevent back strain or injury, a CPCT should perform which of the following actions when changing the dressing on a patient's abdomen? | Raise the bed to a working height |
A patient has a viral infection that is spread through by touch. The CPCT should take which of the following precautions when working with this patient? | Contact precautions |
When you work in the home you will be: | working under the supervision of a professional supervisor |
As Personal Care Assistant, it is your responsibility to: | Do only the tasks that the registered nurse or therapist assigns to you |
Mrs. Rand, who has diabetes and takes insulin regularly, tells the Personal Care Assistant that she feels very nervous and jittery. What should the PCA do immediately? | Give her a glass of orange juice |
Always report a pulse if the beats per minute are under 60 or over 100. | True |
Mrs. Morris has not had a bowel movement for three days. She has always given herself an enema if she does not have a bowel movement for that length of time. Mrs. Morris asks the Personal Care Assistant to give her an enema. What should the PCA do? | Contact the agency supervisor to discuss the situation |
Smoking in bed is fine for anyone who is not confused. | False |
When working with people that are disabled, the general goal of care is to: | promote maximum self-care and independence within the limits of the person’s ability |
When giving the patient a bath, if the water is too hot, it can injure (burn) the person’s skin. If it is too cold, it can chill the person. Therefore you should test the water temperature before beginning the bath by: | Finding out if the water is warm ( not hot or cold) to the touch on the inside of your wrist. |
A patient lying on his back has slid down in bed and needs help in moving up again. To start this, the patient should, if possible: | Flex his knees and push with his heels |
The loss of fatty tissue is a normal part of the aging process that makes the elderly more likely to develop which of the following conditions: | Pressure ulcers |
A patient is near death and does not respond to verbal request. The patient is incontinent of urine and feces. When providing the care of this patient, the nursing assistant should assume that the patient: | Can Hear |
Skin care is provided to patients to increase circulation | True |
If a patient in on fluid I & O, solid stool is also measure for output | False |
A Patient with a colostomy drainable pouch should have their appliance changed daily for proper skin care | false |
The second set in CPR is to check for pulse | false |
An overhead bar and trapeze is frequently used with recovering stroke patients | True |
The purpose of the Heimlich maneuver is to induce a bowel movement. | false |
Patient on oxygen and being transported to X-ray, may be transported without oxygen as long as oxygen is immediately hooked up upon arrival the X-ray department | false |
Emesis is included in the calculation of fluid I & O. | true |
Normal respirations for an adult are 30-45 breath per minute | false |
A paraplegic patient can be taught to transfer themselves from the bed to a chair with the aid of a transfer board | true |
In figuring calculations one ounce is 45cc's | false |
A nurse aide should give an unconscious client oral hygiene at LEAST every | 2 hours |
You have been assigned to administer a S.S.E. to Mr. Taylor. It has been several months since you have performed this procedure. To refresh your memory, you should refer to the | policy and procedure manual |
The BEST razor to use when shaving a diabetic client is | an electric razor |
When transferring a client to a different unit, the MOST important information the nurse aide needs from the nurse is the | name and room number |
Which of the following would not be a pathogen? | Vectors |
Varicella-zoster is the cause of what? | Chickenpox |
HIV is the causative agent of | AIDS |
Vectors include | insects |
Some types of E. Coli are normal flora of | Colon |
The most important way to stop spread of infection is through | Hand Hygiene |
In putting on PPE, the first article you put on is | gown |
Which of the following is not an OSHA standard? | Employers must have written airborne exposure control plan in the workplace |
While standard precautions apply to all potentially infectious situations, EPs are chosen based on | the potential means of transmission of the disease airborne transmisson |
10% bleach used as a cleaning agent should be made fresh every | day |
The continuous link in the chain of infection are, in order | source, means of transmission, and susceptible host |
The purpose of a PE for highly immunosuppressed patients is to | prevent transmission of infection to the patient |
Phlebotomy skills would not include | Handling patient correspondence |
The monitoring system for institutions that train phlebotomists is known as | Accreditation |
Once phlebotomists are certified, continuing education programs allow them to earn | CEU's |
Informed consent means | Patients must be informed of intended treatments and their risks before they are performed |
Which is not a required personal characteristic of a professional phlebotomist? | Sense of Humor |
When a patient in the hospital refuses to have blood drawn, the phlebotomist should | Notify the patient's nurse to ensure that the physician or other ordering practitioner is notified promptly |
OSHA stands for | Occupational Safety and health Administration |
When mixing acids and water, you should | add acid to water |
Chemicals should | be labeled properly |
The first action to take in the event of a fire is to | Pull the fire alarm |
In the event of electric shock, the first thing you should do is | Break contract between the source and the victim |
Class C fires involve | electrical equipment |
Which of the following does the NFPA symbol warn about? | Protective equipment |
The first thing to do when giving breathing aid to a victim is | Determine whether a victim is conscious |
Safety equipment in the lab may include | PPE, an emergency shower, an eye wash station |
An MSDS provides information on | Chemicals |
Reaction to latex products may include | irritant contact dermatitis, allergic contact dermatitis, anaphylaxis |
The yellow diamond in the NFPA label indicates | Reactivity warning |
Hepato refers to | Liver |
Cyan- refers to | blue |
Hemi- means | half |
-tomy means | to cut |
Anti- means | against |
Leuko- refers to | white |
The term to define the overall the body is | homeostasis |
The functional unit of the nervous system is | neuron |
ATP id found in which part of the cell | Mitochondria |
Which type of muscle tissue is involved in homeostasis? | Smooth |
Blood is considered to be which type of tissue | Connective |
Which is not a lab test that assess for well being of muscle disorders? | C & S |
Which is not a lab test that assesses for disorders of the integumentary system | BUN |
Hepatitis involves the | liver |
Which lab tests is not useful in the assessment of liver problems? | AST, GGT, ALP |
_______ promotes the breakdown of glycogen back to glucose | glucagon |
In which system does hematopoiesis occur? | Digestive |
The functional unit of the kidney is known as | nephron |
Microbiology may perform the following lab tests for urologic disorders | C & S |
ABG's typically test for | Respiratory disorders |
Which hormone regulates water reabsorption by the kidney? | ADH |
The hormone that can be detected by early pregancy tests is | HCG |
Thyroxine is otherwise known as | T4 |
Hormones are produced by which body system | endocrine |
Which blood vessels are a single cell in thickness? | capillaries |
Veins and arteries are composed of how many layers? | 3 |
A characteristic of arteries is | they have a thick muscle layer lining the lumen |
An average adult has _______ L of blood. | 5 to 6 |
Plasma consitutes _______ % of total blood volume | 55 |
another name for a white blood cell (WBC) is | leukocyte |
The main function of leukocytes is to | protect the body against infection |
Which leukocyte is known as a phagocyte? | neutrophil |
Platelets remain in the circulation for | 9 to 12 days |
Which cellular component is responsible for the transport of hemoglobin? | RBC's |
Which lab test does not assist in diagnosing HIV infection? | APTT |
A group of inherited disorders marked by increased bleeding times is known as | hemophilias |
Which organ is not included in the lymphatic system? | liver |
Helper T cells are needed to make | antibodies |
Which hormone regulates water reabsorption by the kidney? | ADH |
Which of the following is not anticoagulant? | EDTA |
The most common antiseptic used in routine venipuncture is | Isopropyl alcohol |
How many times may a needle be used before discarding it? | 1 |
Which of the following indicates the largest-sized needle? | 16 guage |
Complete clotting of a blood sample ina a SST (gold or red-gray) tube takes _______ minutes at room temperature | 60 |
Serum contains | Polygel |
Which color coded tube does not contain any additives? | Red, glass tube |
EDTA prevent coagulation in blood tubes by | Binding Calcium |
Tubes with Gray tops are used for | Glucose tolerance tests |
Tubes with green tops may contain | Sodium Heparin |
The smaller the gauge number, the | Larger the lumen diameter |
Blood banks use a _______ gauge needle to collect blood from donors for transfusion | 16-18 |
Blood Collection tubes containing an anticoagulant should be | inverted gently and repeatedly after blood collection |
Tubes containing the SPS anticoaguant are used for | Blood culture analysis |
Blood Collected in lavender topped tubes is used for which tubes | CBC |
Blood collected in gray-topped tubes is used for which test? | FBS |
Blood Collected in light blue topped tubes is used in which test? | Coagulation |
Which is not the purpose of the requisition? | Filling insurance claims |
Which vein is often the only one that can be palpated in an obese patient? | cephalic |
Upon entering a patients room, you should first | Introduce yourself |
Which vein lies close to the brachial artery? | basilic |
At what angle should a veinpuncture needle penetrate the skin? | 15-30 degrees |
Which information must attach on the patient's ID band and the requisition? | DOB, ID number, Patient's name |
When should the tourniquet be removed from the arm in a venipuncture procedure | Before the needle is withdrawn |
Tourniquet should be placed _______ inches above the venipuncture site | 2 to 3 |
The following can occur if the tourniquet is left on the patient too long | Hematoma |
Hematomas can be caused by | removing the needle before removing the tourniquet |
An increase in the ration of formed elements to plasma is called | hemoconcentration |
Small red spots on the skin are referred to as | petechiae |
If you are asked to perform a venipuncture on a patient who is not wearing an ID band, you should | Ask the patient's nurse to attach a new ID band before proceeding |
Which vein is the first choice for venipuncture? | Median Cubital |
During the venipuncture procedure, the tourniquent should stay on no longer than | 1 minute |
Dermal punctures are performed on | capillaries |
Which of the following has a higher value in capillary blood as opposed to venous blood? | Hemoglobin |
Good candidates for dermal collection include patients who | Require frequent collection, are obese, are severely dehydrated |
Dermal puncture may be appropriate in elderly patients because | their veins tend to be small and fragile |
An infant heel warming device should be applied for approximately | 3-5 minutes |
The depth of the heel puncture should not be more than | 2.0 mm |
Which finger is most widely used for capillary collection? | ring (fourth digit) |
In performing a dermal puncture, the puncture should be | perpendicular to the whorls of the fingerprint |
The location for heel sticks is the | Medial or lateral borders of the plantar surface |
In a dermal puncture, which test is collected first? | Blood smear |
Which test cannot be collected by dermal puncture? | Blood cultures |
Which medication does not interfere with the BT test? | Acetaminophen |
At what level does the blood pressure cuff remain during the BT test? | 20 mm Hg |
A normal BT result is | 2-10 seconds |
How frequently is the blood wicked during a BT test? | Every 30 seconds |
If a stat test is ordered and the patient is not in his or her room, you should | locate the patient |
Which lab department may require special patient ID? | blood bank |
Collapsed veins can be caused by | too large a needle for the vein, too much vacuum asserted on the vessel, the plunger being pulled too quickly |
Which of the following could be a cause of hemolysis? | Vigorously mixing the tubes |
To avoid reflux of an anticoagulant, you should do all of the following except: | Keep the patient's arm elevated above the heart |
Conditions that may alter the quality of a specimen or cause harm to the patient during a blood draw including the following | Edematous tissue, mastectomies, hematomas |
When performing a butterfly draw using the hand vein, | place the tourniquet on the patient's wrist |
Povidine-iodine is not recommended for | Dermal puncture |
Hemolysis is | Destruction of blood cells |
Which test result is not affected by patient position | blood alcohol |
Lymphostasis is | lack of lymph fluid movement |
To enhance vein prominence, you can | Tap the antecubital area with the index and middle finger |
Hemoconcentration is | Alteration of the ratio of elements in the blood |