Guide Patient Care Technician Certification Exam Review Questions (Exam Prep)

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Repetition is a key to success and using practice test questions allows you to reinforce your strengths and improve your weaknesses.

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Detailed answer explanations are included for each question. It may sound obvious, but you have to know which questions you missed and more importantly why you missed them to be able to avoid making the same mistakes again when you take the real test. That's why our Patient Care practice test questions include answer keys with detailed answer explanations.

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Our belief is simple: either this product helps you or you don't pay. Nasal flaring and retractions are signs of respiratory distress, not respiratory failure. In respiratory failure, you will see decreased respiratory effort with late bradypnea, diminished air movement, peripheral and central cyanosis, and decreased level of consciousness.

The gunshot wounds and symptoms would indicate that the young man has lost a significant amount of blood that has resulted in hypovolemia. The treatment of hypovolemia is a rapid infusion of a crystalloid intravenous solution. Severity of shock is often characterized by its effect on the systolic blood pressure.

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When the compensatory mechanisms work and maintain the systolic blood pressure, the shock is defined as "compensated". When the mechanisms can no longer support the blood pressure, shock is classified as "hypotensive" formally called "decompensated". Congestive heart failure is a common cause of cardiogenic shock. Acute myocardial infarction and other heart conditions can also cause cardiogenic shock. Dehydration can be a cause of hypovolemic shock. Spinal cord injury can cause neurogenic shock. Infection can cause septic shock. Given the history of the recent MVA and these classic symptoms, the prudent nurse should have a high degree of suspicion of a subarachnoid hemorrhage.

Assessment will show neurologic deficits and decreased eye movements. The nurse should prepare the patient for a CT scan of the brain. The Epworth Scale is a measure of sleepiness and is not part of the standard evaluation of a child's neurological exam.

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Pupillary size and response should also be checked. The goal for CT brain scan is 25 minutes after arrival to the Emergency Department.

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The assessment should occur within 10 minutes of arrival, diagnosis of ischemic stroke should be made within 45 minutes, and the administration of fibrinolytics should occur with 60 minutes. The goal for general assessment by an ED or stroke team physician is within 10 minutes of arrival to the ED. Within the same 10 minutes, an urgent CT without contrast should also be ordered.

The nurse should recognize that these signs and symptoms in a teenage boy may be indicative of testicular torsion. Although all of the treatments may be used, surgery is the definitive treatment for this condition. The symptoms of dysuria, urgency and frequency are classic indicators of a urinary tract infection. Urinary tract infections are very common in women and can almost always be treated on an outpatient basis with a course of antibiotics.

Given the patient symptoms, the nurse should suspect that the patient has pelvic inflammatory disease PID. With early antibiotic treatment, this infection can be treated on an outpatient basis. Without treatment, the infection can continue and cause scar tissue that may lead to infertility and ectopic pregnancies.

Risk is defined as an increased serum creatinine level at 1. AFR is classified as Loss if there is persistent ARF or if there is a complete loss of kidney function for more than 4 weeks. End-stage kidney disease is defined as a loss of kidney function for more than 3 months. The symptoms described in the scenario are classic signs of fetal alcohol syndrome caused by maternal consumption of alcohol during pregnancy. The other vitamin deficiencies can result in defects and delays in growth and development, but the particular facial deformities in this scenario are unique to FAS.

The nurse should recognize that these signs and symptoms indicate possible anaphylaxis following the fire ant bites. Antibiotics are not indicated for the initial treatment of anaphylaxis.

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They may be necessary at a future time if the ant bites become infected. Adrenaline, oxygen, and antihistamines will help reduce some of the symptoms the patient is experiencing. The nurse should also be prepared for emergency intubation if the respiratory problems increase and result in respiratory distress. The mechanism of injury and symptoms would indicate an anaphylactic reaction to the fire ant bites.

Since the child has respiratory symptoms, immediate treatment must be instituted with attention to airway maintenance. Epinephrine will act rapidly and should be given as soon as possible and every 10 to 15 minutes as needed. Steroids and antihistamines may be given, but act much more slowly than epinephrine.

According to the CDC and infection control personnel, hand hygiene is the single most important precaution to take to prevent hospital-acquired infections. The other interventions may be necessary for specific circumstances.

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However, hand hygiene is the most important intervention to prevent nosocomial infections. Isolation precautions should be based on all of these factors. In addition, ED personnel must consider risk factors for transmission of the agent in the infected patient. Room-sharing should only be considered if the patients have the same infection. Terminal clean should be instituted for any room that has been occupied by a potentially infectious patient.

Patients with hepatitis A rarely have pain so having scheduled pain medication would not be necessary. However, these patients do have nausea and fatigue necessitating medication and small meals for nausea and frequent rests for the fatigue. Emergent endoscopy is indicated for any obstruction: when a patient is unable to manage secretions, when a patient swallows a sharp-pointed object, or when a patient swallows a disk battery.

Any of these ingestions may constitute an emergency and the patient and family should be prepared for possible emergent endoscopy. Respiratory distress as evidenced by increased respiratory rate is a potentially life-threatening complication of pancreatitis.