CPCT MCQ 4 — Questions and Answers
Question 1: A patient is on a 1,500 mL fluid restriction for 24 hours. They have already consumed 900 mL by 2 PM. How much fluid may the patient have for the rest of the day?
- 400 mL
- 500 mL
- 600 mL (Correct answer)
- 700 mL
Correct answer: 600 mL
1,500 mL minus 900 mL consumed equals 600 mL remaining for the rest of the day.
Question 2: Which Fowler's position places the head of the bed at 30–45 degrees?
- High Fowler's
- Low Fowler's
- Semi-Fowler's (Correct answer)
- Reverse Trendelenburg
Correct answer: Semi-Fowler's
Semi-Fowler's position elevates the head of the bed to 30–45 degrees and is commonly used to reduce aspiration risk.
Question 3: A patient's pulse oximetry reading drops to 91% on room air. The PCT should FIRST:
- Apply supplemental oxygen at 2 L/min via nasal cannula
- Encourage the patient to take deep breaths and reassess
- Notify the nurse immediately (Correct answer)
- Reposition the probe on a different finger and reassess
Correct answer: Notify the nurse immediately
An SpO2 of 91% is below the normal threshold and requires immediate nurse notification before any intervention.
Question 4: Under HIPAA, a PCT may share a patient's protected health information (PHI) with:
- The patient's adult sibling who calls requesting an update
- A nurse on the same care team treating that patient (Correct answer)
- A medical student rotating on a different unit
- A hospital administrator conducting a staffing review
Correct answer: A nurse on the same care team treating that patient
PHI may be shared with members of the care team directly involved in treating the patient (treatment exception).
Question 5: Which of the following is a correct technique when performing passive range-of-motion exercises?
- Move each joint rapidly through its full range to stimulate muscle tone
- Support the limb proximally and distally and move slowly to the point of resistance (Correct answer)
- Stop the exercise only if the patient verbally reports pain
- Perform each movement once and move to the next joint
Correct answer: Support the limb proximally and distally and move slowly to the point of resistance
Supporting the limb above and below the joint while moving slowly to the point of resistance prevents injury.
Question 6: When obtaining a patient's weight using a standing scale, which action ensures accuracy?
- Weigh the patient fully clothed including shoes for consistency
- Zero the scale before the patient steps on and have them remove shoes (Correct answer)
- Allow the patient to hold the scale rail for stability during measurement
- Record weight from the previous measurement if the patient refuses
Correct answer: Zero the scale before the patient steps on and have them remove shoes
Zeroing the scale and removing footwear ensures an accurate weight measurement free from clothing or equipment artifacts.
Question 7: A diabetic patient reports feeling shaky, sweaty, and confused. The PCT suspects hypoglycemia. The FIRST action should be:
- Give the patient a glass of orange juice immediately
- Perform a bedside glucose check and notify the nurse (Correct answer)
- Ask the patient when they last ate and document the response
- Administer the patient's prescribed insulin per the MAR
Correct answer: Perform a bedside glucose check and notify the nurse
Confirming hypoglycemia with a glucose check and immediately notifying the nurse is the priority before any intervention.
CPCT MCQ 4
A patient is on a 1,500 mL fluid restriction for 24 hours.
They have already consumed 900 mL by 2 PM.
How much fluid may the patient have for the rest of the day?