CPCT Basic Patient Care Procedures 2 — Questions and Answers
Question 1: What is the minimum frequency for repositioning an immobile patient to prevent pressure injuries?
- Every 1 hour
- Every 2 hours (Correct answer)
- Every 4 hours
- Every 6 hours
Correct answer: Every 2 hours
Immobile patients should be repositioned at least every 2 hours to relieve pressure over bony prominences and prevent pressure ulcers.
Question 2: When providing oral care to an unconscious patient, the patient should be positioned in which manner?
- Flat supine with head hyperextended
- Side-lying (lateral) with the head turned to the side (Correct answer)
- High Fowler's position at 90°
- Prone position
Correct answer: Side-lying (lateral) with the head turned to the side
A side-lying position with the head turned toward the dependent side allows secretions and water to drain out, reducing aspiration risk.
Question 3: A patient has a Stage 2 pressure injury on the sacrum. Which action is MOST appropriate for the PCT?
- Massage the reddened area vigorously to increase circulation
- Apply a moisturizing lotion and document that it has healed
- Report the wound to the nurse and reposition the patient off the area (Correct answer)
- Cover with a regular adhesive bandage and continue care
Correct answer: Report the wound to the nurse and reposition the patient off the area
Stage 2 wounds require immediate nursing assessment, appropriate wound care, and pressure offloading through repositioning.
Question 4: The Braden Scale is used to assess a patient's risk for:
- Falling
- Developing pressure injuries (Correct answer)
- Malnutrition
- Deep vein thrombosis
Correct answer: Developing pressure injuries
The Braden Scale evaluates sensory perception, moisture, activity, mobility, nutrition, and friction/shear to predict pressure injury risk.
Question 5: When performing perineal care on a female patient, the cleaning direction should be:
- Back to front
- Front to back (urethra to anus) (Correct answer)
- Circular motion from the center out
- Side to side only
Correct answer: Front to back (urethra to anus)
Front-to-back cleaning prevents introducing fecal bacteria from the rectal area into the urethral meatus, reducing UTI risk.
Question 6: Which sign indicates that a nasogastric tube feeding is being tolerated poorly?
- Gastric residual volume of 30 mL
- Abdominal distension and nausea (Correct answer)
- Normal bowel sounds
- Urine output of 50 mL/hour
Correct answer: Abdominal distension and nausea
Abdominal distension, nausea, and vomiting are signs of feeding intolerance that must be reported to the nurse promptly.
CPCT Basic Patient Care Procedures 2
What is the minimum frequency for repositioning an immobile patient to prevent pressure injuries?