MCQ Flashcards

A patient states they do not want a blood transfusion due to religious beliefs. The care team should:

Answer: Document the refusal, respect the patient's wishes, and notify the nurse and physician

Competent adult patients have the right to refuse any treatment; the refusal must be documented and communicated to the team.

When moving a patient up in bed using a draw sheet with one helper, the PCT should:

Answer: Count to three, then both workers slide the draw sheet toward the head of the bed simultaneously

Coordinating a simultaneous draw sheet pull with a verbal cue reduces shear force on the patient and protects both workers.

Which tube color is used for a complete blood count (CBC)?

Answer: Lavender/purple (EDTA)

The lavender/purple top tube contains EDTA, which preserves cell morphology and is required for CBCs.

A patient has a stage 2 pressure injury on their coccyx. Which action is within the PCT's scope of care?

Answer: Reposition the patient every 2 hours and report skin changes to the nurse

Repositioning to relieve pressure and reporting wound changes are PCT responsibilities; wound treatment requires nursing or physician orders.

The minimum time a PCT should count a patient's radial pulse before documenting it in a healthy adult is:

Answer: Either 30- or 60-second count depending on rhythm regularity

An irregular rhythm requires a full 60-second count; a regular rhythm may use a 30-second count multiplied by two.

Which sign or symptom should prompt a PCT to IMMEDIATELY stop a patient's tube feeding and notify the nurse?

Answer: Patient begins coughing forcefully and shows signs of respiratory distress

Coughing and respiratory distress during tube feeding suggest aspiration, a life-threatening emergency requiring immediate action.

When caring for a patient in contact precautions, the PCT should wear:

Answer: Gown and gloves when entering the room

Contact precautions require a gown and gloves upon entering the patient's room to prevent transmission via touch.