CPCT Exam #1 With 100% Correct And Verified Answers 2024, Exams of Advanced Education

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CPCT Exam #1 With 100% Correct And

Verified Answers 2024

Which of the following actions should the CPCT take when preparing to transfer the patient from a bed to a stretcher? - Correct Answer-Elevating the bed to a position equal to the height of the stretcher During a stress test, a CPCT notices the patient appears to be hyperventilating. Which of the following is an appropriate course of action for the technician - Correct Answer- Check the respiratory rate: will allow CPCT to confirm hyperventilation. Ventricular tachycardia - Correct Answer- A CPCT is assisting with a patient to take self-administered medications. The CPCT should recognize that which of the following medications should not be crushed? - Correct Answer-Enteric-coated: This medication is used for sustained preparations. When a CPCT is distributing laboratory results to ordering physicians, which results have the priority? - Correct Answer-Presurgical: they may alter how the surgery is performed. A CPCT is changing a patients' bedding and is accidentally stuck with a needle. Which of the following actions should the CPCT take first? - Correct Answer-Milk the affected site: Report the incident to his or her supervisor, complete an incident report, and take that report to the occupational health facility. A CPCT should recognize that a chain of custody is used for which of the following reasons? - Correct Answer-To guarantee the identification and integrity of samples. Industry standards states that the needle insertion in the antecubital area should be at _______. - Correct Answer-15 to 30 degree angle. Which of the following tubes should be collected first for dermal samples? - Correct Answer-Lavender Top: This minimizes platelet clumping and microclot forming. When should the code of the glucose cuvettes be compared to the code on the glucometer? - Correct Answer-When the patient is tested: to ensure the most accurate results. A CPCT makes a mistake while measuring a patients' blood pressure. What should the CPCT do? - Correct Answer-Release all of the air from the cuff before retesting. A CPCT is caring for a new patient. Which of the following statements made by the patient indicates a need for further teaching, regarding HIPAA? - Correct Answer-"If

necessary, my doctor can release my test results at his own discretion.": The doctor needs the patient's permission to release any test results. A CPCT is caring for a patient who is to receive continuous tube feedings. The CPCT should place the patient into which of the following positions? - Correct Answer-Semi- Fowler's: This position is used to help avoid aspiration because of the angle; therefore, the CPCT should recognize that this position will be the most effective for these feedings. A CPCT should recognize that which of the following statements regarding skin preparation for blood cultures is correct? - Correct Answer-"I will cleanse the area with chlorhexidine gluconate.": This is the appropriate antiseptic. The CPCT is monitoring a patient who has severe hypertension. Which of the following findings related to the patient's condition should the CPCT report to the nurse immediately? - Correct Answer-The patient's lower limbs showing pitting edema: Minor swelling is an expected finding should be immediately, but pitting edema is more critical. A CPCT informs the nurse concerning swelling at the peripheral IV site. The CPCT should recognize that which of the following is the most likely cause of this finding? - Correct Answer-Catheter infiltration: Infiltration occurs when I.V. fluid or medications leak into the surrounding tissue. Infiltration can be caused by improper placement or dislodgment of the catheter. Patient movement can cause the catheter to slip out or through the blood vessel lumen. Premature atrial complex - Correct Answer-The third complex occurs early and is preceded by a wave of P wave indicating a premature atrial complex. A CPCT is drawing blood from a patient and observes red spots. Which of the following is an appropriate action for the CPCT to take? - Correct Answer-Apply more pressure to the site: The development of petechiae is a sign of reduced platelet function and carries an increased risk of bleeding. Which of the following is a consequence of mislabeling a blood blank specimen? - Correct Answer-A transfusion reaction: an undetected error could cause a fatal transfusion reaction. A CPCT is taking a patient's pulse oximetry reading. The CPCT cannot get the reading to appear on the monitor. Which of the following cause be the cause? - Correct Answer- The patient has a BP of 84/62 mm Hg with cold hands and fingers: Low BP and cold hands and fingers indicate poor circulation causing problems on a pulse oximetry readout. A CPCT is caring for a patient who is non-ambulatory. Before manually lifting the patient, which of the following factors should the CPCT consider first? - Correct Answer- The patient's ability to assist.

Pacemaker spikes - Correct Answer- A patient presents alert and orientated, but a CPCT finds that all of the waveforms are negative in Lead I. The technician should check the cable connections for which of the following limb electrodes? - Correct Answer-Right arm and left arm: The right and left arm electrodes form Lead I. The cable connections are probably reversed, causing entirely negative waveforms. A CPCT is caring for a patient with congestive heart failure. Which of the following findings should be reported to the nurse immediately? - Correct Answer-Swelling in the legs and feet: Signs of edema should be monitored and reported to the nurse immediately. The choice to perform a capillary puncture is best determined by which of the following factors? - Correct Answer-Test ordered: The test ordered by the physician indicates whether a capillary puncture is preferred over a venous puncture. Which of the following actions is appropriate when labeling specimens? - Correct Answer-Labeling specimens at the time of collection in front of the patient. ST segment elevation - Correct Answer-ST elevations are signs of an acute myocardial infarction. Should show EKG to patient's provider immediately. A CPCT is working in a facility when the fire alarm goes off. Which of the following actions should the CPCTT take first? - Correct Answer-Contain the fire by closing the doors: help to contain the fire. Atrial fibrillation - Correct Answer-AF is characterized by absence of P waves and irregularly irregular rhythm, and a ventricular rate of 60 to 100/min. A CPCT is measuring an adult patient's blood pressure electronically. Which of the following readings should the technician report to the nurse? - Correct Answer-130/ mm Hg: Outside the expected range. A CPCT is planning care for a patient who is on contact precautions. When entering the patient's room, the CPCT should apply which of the following? - Correct Answer-Gown: Contact precautions include a gown and gloves. Which of the following findings should a CPCT report to a nurse? - Correct Answer-A 1 year old patient who has a pulse of 50 BPM: 1 year old is expected to have a 80- BPM, should be reported to a nurse. A CPCT is caring for a new patient. Which of the following procedures should the CPCT recognize as requiring aseptic technique? - Correct Answer-Waste Management

A CPCT is caring for a number of patients following a shift change. Which of the following should the CPCY assess first? - Correct Answer-A patient who is disoriented: could be a danger to themselves or to other patients. A CPCT is caring for several adult patients. Which of the following patient findings should the technicians report to the nurse immediately? - Correct Answer-Temperature 38.5 C (101.3 F): outside the expected reference range and should be reported. A CPCT must invert anticoagulant tubes to prevent which of the following? - Correct Answer-Clotting: Prevention While working with the automated Laboratory Information System, correct input of data is most critical because incorrect data may ______. - Correct Answer-be reported to the health care provider: The health care provider may choose a treatment option based on erroneous test results which will most likely endanger patient safety and wellbeing. A CPCT is to determine the pulse rate of a patient who has atrial fibrillation. Which of the following methods should the CPCT use? - Correct Answer-Manually, using the apical area: This is the most reliable and accurate method of determining pulse rate in a patient who has atrial fibrillation. A CPCT is assisting with the care of a patient who is 8 hours postoperative following repair of a fractured femur. The technician is checking the client's vital signs every 4 hours and notices changes in his vital signs. Which of the following findings should the technician report to the nurse? - Correct Answer-Temperature 37.3 C (99.1 F), pulse rate 95/min, respiratory rate 18/min, and blood pressure 180/101 mm Hg: Temperature and Blood pressure are outside of expected range. A CPCT is measuring a patient's blood pressure. The CPCT should recognize that which of the following situations could result in an inaccurate reading? - Correct Answer-The arm is lower than the heat: the reading will be erroneously high. Which of the following statements made by a CPCT, regarding preparation of a peripheral blood smear, indicates the need for further teaching? - Correct Answer-"I will press down on the spreader slide to fix the cells on the lower side." :The CPCT should never press down on the spreader side while preparing the smear. Anterior wall - Correct Answer-ST segment elevation is present in leads VI through V4. Which of the following is the best method to prevent internal or external bleeding from the venipuncture site after the needle is removed? - Correct Answer-Apply pressure to prevent leakage of blood into the tissues: reduces the change of a hematoma forming. A patient has difficulty understanding why she needs an ambulatory monitor after having an EKG 48 hr prior. Which of the following is an appropriate explanation by the CPCT? - Correct Answer-"Your doctor wants to study your heart over a longer period of

time.": Usually the patient wears the monitor between 24 to 48 hr. It allows the technician to see an EKG recorded during the patient's normal daily activities. To prevent any needle sticks during venipuncture, OSHA guidelines require ______. - Correct Answer-disposing of needles in a sharps container. A CPCT observes that a patient has a productive hacking cough. She offers the emesis basin and tissues. On visualization, the CPCT notices streaks of red-tinged sputum. Which of the following actions should the CPCT take? - Correct Answer-Ask the patient what he ate or drank last. A CPCT is assisting in the care of a patient who has a wound left to a heal by way of granulation. How often should this wound be redressed? - Correct Answer-24 hr A CPCT has orders to collect blood cultures, CBC, PTT, and an iron panel. He forgets to draw for the PTT. Which of the following actions should the CPCT take? - Correct Answer-Keep the specimens collected and draw the PTT. A CPCT is caring for a patient whose daughter is visiting. The daughter asks about the health of the patient's roommate. Which of the following statements by the CPCT is an appropriate response? - Correct Answer-"You can ask the patient about his condition": The CPCT protects PHI by not giving out any information and referring the requesting party to the patient. A CPCT is collecting a patient's sputum specimen. Which of the following actions by the CPCT is contraindicated? - Correct Answer-Having the patient use an alcohol-based mouthwash During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? - Correct Answer-Syncope: The patient may faint, and precautions should be taken. A CPCT is collecting a urine specimen and accidentally spills it on the floor. Which of the following actions should the CPCT take to clean the spill? - Correct Answer-Use a disinfectant that contains bleach. A CPCT is caring for four patients. Which of the following findings should the CPCT report to the nurse? - Correct Answer-A patient is identified with polyuria and a blood glucose of 200 mg/dL: Top of the expected reference range and experiencing polyuria. These findings may indicate diabetes mellitus or hyperglycemia. A CPCT is assisting with the care of a patient who is on strict I&O. How often should the CPCT record the patient's I&O? - Correct Answer-Every Shift The CPCT is to collect a 2 hr PP glucose by dermal puncture. Upon entering the room, she sees the patient pushing away the overbed tables with the lunch tray still on it.

Which of the following actions should the CPCT take? - Correct Answer-Ask the patient if he has eaten within the past 2 hr. A CPCT is caring for a patient who is at risk for skin breakdown. Which of the following products should the CPCT use to prevent skin breakdown? - Correct Answer-Barrier cream A CPCT is drawing five blood collection tubes. At which of the following times should the technician release the tourniquet? - Correct Answer-Within 1 min of application: most accurate results A CPCT is manually transferring a patient who has a right-side weakness from the bed to the wheelchair. Which of the following methods should the CPCT use to promote proper body mechanics? - Correct Answer-Grasp back of the transfer belt, have the patient stand using stronger side while lifting legs and keeping back straight: Transfer belt should be applied snuggly for safety. Lift should be performed keeping back straight and bend use legs to lift. A CPCT should recognize that which of the following scenarios requires an aseptic dressing change? - Correct Answer-Change the dressing of a patient who has a superficial decubiti. Before applying wrist restraints to a patient, a CPCT should take which of the following actions? - Correct Answer-Check with the nurse for a restraint order: verification. A CPCT is instructed to measure a patient's pulse manually. Which of the following actions should the CPCT take? - Correct Answer-Locate the radial artery, feel for the pulse with index and middle fingers, and count pulse for one full minute: measuring pulse for one min is more accurate. When collecting a multi-draw venous sample, which of the following sites should the CPCT attempt to draw from first? - Correct Answer-Median cubital: most preferred vessel because of its size and location. A CPCT needs to draw a GTT on a patient and notices an empty breakfast place on the bedside table. Which of the following actions should the CPCT take? - Correct Answer- Ask the patient if he has had anything to eat or drink; The patient may not understand the term fasting and could have eaten, but the CPCT should not assume that the plate is the patient's. Asking the patient reconfirms patient status. Two CPCTs are transferring a deceased patient from a bed to a morgue gurney. To avoid injury, the CPCTs should use which of the following body mechanics? - Correct Answer-Use a draw sheet to lift the patient: This is the most effective method because it distributes the weight evenly.

Which of the following abnormalities is associated with large U waves on the EKG? - Correct Answer-Decreased potassium levels A CPCT detects a U wave, and a patient reports chest pain and discomfort. Which of the following is an appropriate action for the technician to take? - Correct Answer-Notify the patient's physician. A CPCT is obtaining a patient's apical pulse. The CPCT should measure this pulse at which of the following locations? - Correct Answer-The 5th intercostal space. A CPCT receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which of the following should be drawn first? - Correct Answer-O2 levels: Infant may cry due to the draw so every attempt must be made to collect O2 levels as close to resting as possible. A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of the following should the CPCT do first? - Correct Answer-Call for help and begin CPR: cardiac arrest A CPCT is collecting a stool specimen from a newly admitted patient. The CPCT should recognize that which of the following findings could be a sign of upper gastrointestinal disorder? - Correct Answer-Black, tarry stool: Upper gastrointestinal tract problem A CPCT is providing palliative care to a patient. The patient's family expresses feelings of anger and hopelessness. Which of the following actions should the CPCT take? - Correct Answer-Listen when the family is ready to talk: Showing empathy and offering support is the most appropriate coping mechanism in this situation. A CPCT is caring for a patient who has anxiety during venipuncture. Which of the following should the CPCT recognize as an appropriate response? - Correct Answer- Explain the procedure before beginning the venipuncture: Explanation of the procedure is required before performing venipuncture and will help alleviate anxiety. A technician is performing an EKG in a hospital setting. The patient becomes unresponsive, stops breathing, and does not have a pulse. Which of the following would be the first appropriate step? - Correct Answer-Start chest compressions Atrial premature contraction - Correct Answer-The P waves occur regularly, except for one occurrence of a premature P wave followed by a narrow QRS complex. A CPCT should recognize that a patient must avoid deep-breathing and coughing exercises after which of the following surgeries? - Correct Answer-Eye surgery A CPCT is caring for a patient who has an order for tobramycin (Tobrex) level to be drawn 1 hr after dose. The medication has been ordered for 1100. Which of the

following actions should the CPCT take? - Correct Answer-Check with the nurse: The CPCT should verify with the nurse the exact time the medication was given. Which of the following actions should a CPCT take when discharging a patient? - Correct Answer-Escort the patient using a wheelchair: The CPCT is permitted to escort the patient to the exit using a wheelchair. An EKG has a 2 mm ST elevation in lead I, AVL, V5, and V6. What type of infarction would this represent? - Correct Answer-Lateral infarction A CPCT is caring for an adult patient who has a new prescription for albuterol sulfate (Albuterol) to be administered via an inhaler. Which of the following statements by the patient indicated a need for further teaching? - Correct Answer-"As an adult, I don't need to use spacers with my inhaler.": Spacers are recommended for all age groups to enhance medication delivery. A CPCT is transferring a patient using Hoyer lift from a bed to a wheelchair. As the patient is being transferred, the CPCT should place him into which of the following positions? - Correct Answer-Fowler's: to properly align the patient with the chair. A COCT enters a patient's room and is approached by visitors requesting test results. Which of the following responses by the CPCT is appropriate? - Correct Answer-"I'm sorry, but I can't give you that information." A CPCT is caring for a patient who has a CVA and is non-ambulatory. Which of the following findings should the CPCT report to the nurse immediately? - Correct Answer- Change in size and shape of pressure ulcer When observing a patient's skin integrity, a CPCT should recognize that the first sign of breakdown is - Correct Answer-redness. Which of the following EKG findings differentiates accelerated idioventricular rhythm from junctional rhythm? - Correct Answer-Accelerated idioventricular rhythm has wide QRS complexes. A CPCT is preparing a patient for hospital discharge. The patient states, "I'm afraid to go back home to my husband." Which of the following responses by the CPCT is appropriate? - Correct Answer-"Can you tell me if something happened that made you feel unsafe?": This statement allows the patient to elaborate on the statement, so the CPCT can gather information to determine if domestic abuse is present and should be reported. The CPCT is caring for a patient who is unable to void her bladder and is crying in pain. Her attending physician has not yet made rounds and her primary nurse is unavailable. Which of the following actions should the CPCT take? - Correct Answer-Report the patient's pain to the charge nurse.

A CPCT is assisting with the care of a patient who has diabetes mellitus. The CPCT should know that which of the following is a sign of hyperglycemia? - Correct Answer- Frequent urination A CPCT is caring for a patient who has hepatitis B. Which of the following precautions should the CPCT take? - Correct Answer-Standard A CPCT is performing ostomy care for a patient. Which of the following findings should the CPCT report to the nurse? - Correct Answer-The stoma is leaking around the wafer: The wafer should be fitted around the stoma to prevent leakage. A CPCT observes a hematoma developing at the site of a venous blood draw. The CPCT should - Correct Answer-release the tourniquet and stop the draw: Once the hematoma begins, the draw has to be aborted to prevent damage. A CPCT is caring for a patient who is to undergo a blood transfusion. The technician should recognize that which of the following vital signs should be reported to the nurse immediately? - Correct Answer-Temperature 38.8 C (101.8 F): outside of expected reference range and can be an indication of infection. The CPCT is to perform a venous blood draw on a 91-year-old patient. The CPCT should use which of the following methods? - Correct Answer-Butterfly needle and syringe: Some older adults still have veins that can be drawn by routine venipuncture needles and tubes. Some older-adult or obese patients may not have accessible antecubital veins. In this situation, the CPCT may use which of the following? - Correct Answer-Dorsal veins: may be only accessible site. A CPCT is preparing to transfer an non-ambulatory patient from a bed to a wheelchair. Which of the following steps should the CPCT take? - Correct Answer-Locking the wheels of the wheelchair and the bed: Moving dependent patients can result in injury if the wheels on the bed and transfer devices are not locked. A CPCT is in the cafeteria during lunch. A visitor appears ti be in respiratory distress. The visitor's lips and tongue are swollen. Which of the following actions should the CPCT take? - Correct Answer-Ask the person if she has any allergies. What action should the CPCT take to verify the quality of venipuncture before beginning a blood draw? - Correct Answer-Inspect the integrity of the needle's seal: Inspecting the needle's seal helps assure sterility of the needle. A CPCT is preparing to draw blood from a patient in a hospital. The patient extends his arm and turns his head away. Which of the following forms of consent does this indicate? - Correct Answer-Implied consent: by extending his arm.

Which of the following procedural steps for a finger stick should the CPCT do first? - Correct Answer-Confirm the correct identity of the patient: this should happen before any preparation can occur. A CPCT should recognize that which of the following agencies ensures safe work environments? - Correct Answer-OSHA.