Deck 6: Professional Responsibilities and Safety

Question 1

The appropriate time for labeling a patient specimen is:

A)Before the blood is drawn
B)After all blood has been collected for the day
C)Immediately after collection
D)None of the above

Answer 1

Immediately after collection

Question 2

Phil is in his patient's room; he has introduced himself, properly identified the patient, and is now explaining the venipuncture procedure. He says, "Your doctor has requested a blood test; the lab will contact your doctor with the results. I will draw a small sample from your vein so the lab can run the test. You may feel a small pinch." Why is Phil telling the patient this?

A)Phil is informing the patient of the procedure, which is required for informed consent.
B)Phil is trying to frighten the patient.
C)By explaining the procedure, Phil is getting implied consent from the patient.

Answer 2

Phil is informing the patient of the procedure, which is required for informed consent.

Question 3

While in the lab, Phil is asked to call the nursing station to inform the nursing staff of an elevated lab result of a patient. Phil is hesitant to do this because he believes it may be a breach of confidentiality. Is Phil correct?

Answer 3

False

Question 4

Phil has returned to a patient's room for another blood draw. The patient has several visitors in the room. After introducing himself and properly identifying the patient, Phil makes conversation by congratulating the patient, as the previous blood draw confirmed the patient's pregnancy. What, if anything, has Phil done wrong?

A)Phil has not done anything wrong.
B)Phil has breached the patient's right to confidentiality.
C)Phil has violated the Patient Bill of Rights.
D)Both B and C.

Question 5

Chain of custody refers to which of the following?

A)Handcuffs, used to control people who are arrested
B)The process an arrested person follows when in jail.
C)The order of laboratory supervisors, similar to chain of command.
D)The process for maintaining control of a specimen, from the actual collection to final disposition, used under special circumstances such as work place, sports, or law enforcement testing.

Question 6

Phil is working in the outpatient lab. A patient has come in for a drug screening of urine. Phil places a tamper-proof urine collection cup in the bathroom designated for drug screening. After receiving the urine from the patient, Phil immediately examines the color of the urine, as well as noting the temperature. He notes his observations and initiates the chain of custody form. Why did Phil examine the color and temperature of the urine sample?

A)Phil is a curious fellow.
B)Phil is checking for evidence of tampering.
C)Phil is checking for signs of dehydration.
D)Phil is determining if drugs are present.

Question 7

An amendment created to ensure accurate laboratory results was passed in 1988 and enacted in 1992; it applies to every American clinical laboratory. What is the name of this amendment?

A)Patient Bill of Rights
B)Clinical Laboratory Improvement Amendment
C)HIPPA

Question 8

All of the following are considered requirements for a quality specimen except:

A)Right patient, right specimen, right tube, right test, right label.
B)Non-hemolyzed specimen.
C)Non-clotted specimen (when anticoagulant additive is used)
D)Specimen transported to lab within two hours of collection.

Question 9

Kendra is in a patient's room. She has introduced herself and properly identified the patient. Kendra keeps her body erect and relaxed, with her arms at her sides, while explaining the procedure about to be performed. When the patient asks questions, Kendra maintains eye contact, does not interrupt, and paraphrases the patient's question before answering. What form(s) of communication is Kendra using?

A)Negative body language.
B)Active listening.
C)Non-verbal communication
D)B and C

Question 10

The purpose of an incident report is:

A)To get your story in before the patient does.
B)Report an incident.
C)Tell on a co-worker anonymously.
D)Admit wrong doing in writing.

Question 11

The supervisor is orienting newly hired patient care technicians to the policies of the facility and their job responsibilities. The supervisor reminds them that they can refuse to perform a task for any the following reasons except:

A)The task is beyond the legal limits of your role.
B)The task is not in your job description.
C)You do not like the task.
D)A nurse is not available to supervise you.

Question 12

Which of the following statements is true about implementing an advanced directive?

A)The directive is applicable to a client who can understand and make choices.
B)The physician has evaluated the wishes as expressed in the document to determine what the client may want or not want.
C)The relatives will be given the legal right to decide for the client's condition.
D)Advance directives mean do not resuscitate orders (DNRs).

Question 13

Anita overheard a co-worker saying that the nurse assigned to their floor is having an illicit affair with a physician. Anita then informs the supervisor of this information. Which of the following statements best describe the situation?

A)Anita is doing her part in protecting a co-worker from gossip.
B)Anita is eavesdropping and wants to clarify the whole matter with the supervisor.
C)Anita wants the supervisor to intervene in this scandalous situation to protect the reputation of the her employer.
D)Anita is participating in a gossip and is acting unprofessionally.

Question 14

If the agency wishes to do a background check on the newly hired patient care technician, who is the correct authority to provide such information?

A)Previous employer
B)The patient care technician Registry
C)The Omnibus Budget Reconciliation Act of 1987
D)The National Council for State Boards of Nursing

Question 15

Kristine (RN) is orienting Shella, the new certified patient care technician, to the unit. Kristine mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, Shella is aware that she should:

A)Speak loudly and slowly.
B)Stand close to the client and speak slowly.
C)Ask an interpreter to facilitate communication.
D)Speak to the client and family together to increase the chances that the topic will be understood.

Question 16

Which of the following statements is true about implementing an advanced directive?

A)The directive is applicable to a client who can understand and make choices.
B)The physician has evaluated the wishes as expressed in the document to determine what the client may want or not want.
C)The relatives will be given the legal right to decide for the client's condition.
D)Advance directives mean do not resuscitate orders (DNRs).

Question 17

The supervisor is orienting newly hired patient care technicians to the policies of the facility and their job responsibilities. The supervisor reminds them that they can refuse to perform a task for any the following reasons except:

A)The task is beyond the legal limits of your role.
B)The task is not in your job description.
C)You do not like the task.
D)A nurse is not available to supervise you.

Question 18

Anita overheard a co-worker saying that the nurse assigned to their floor is having an illicit affair with a physician. Anita then informs the supervisor of this information. Which of the following statements best describe the situation?

A)Anita is doing her part in protecting a co-worker from gossip.
B)Anita is eavesdropping and wants to clarify the whole matter with the supervisor.
C)Anita wants the supervisor to intervene in this scandalous situation to protect the reputation of the her employer.
D)Anita is participating in a gossip and is acting unprofessionally.

Question 19

Kristine (RN) is orienting Shella, the new certified patient care technician, to the unit. Kristine mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, Shella is aware that she should:

A)Speak loudly and slowly.
B)Stand close to the client and speak slowly.
C)Ask an interpreter to facilitate communication.
D)Speak to the client and family together to increase the chances that the topic will be understood.

Question 20

You are resigning from your work as a patient care technician. What is the most appropriate action for you to take?

A)Call the agency and inform the employer that you will not be reporting for work the next day.
B)Call the agency and submit a resignation letter afterwards.
C)Find somebody to replace you and recommend him/her to the Human Resource Department.
D)Write a resignation letter indicating your reason for leaving, last date you will work, and gratitude to the employer for the opportunity to work in the agency.

Question 21

It's a busy day in the ward, and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Terramycin ointment and gave instructions to apply it to Mrs. Harris' eyes. How would you respond to this?

A)Ask the nurse to demonstrate it to you for a clearer and better understanding of the procedure.
B)As assistant to the nurse, follow the nurse's request and apply the ointment to Mrs. Harris' eyes.
C)Ask the nurse to be with you during the application of the ointment.
D)Politely refuse the nurse's request, and explain your job limitations as a patient care technician.

Question 22

An elderly client is admitted to the unit for the first time. Which of the following actions ensures the safety of the client?

A)Keep unnecessary furniture out of the way.
B)Keep lights on all the time.
C)Keep side rails up at all times.
D)Keep all equipment out of view.

Question 23

Which of the following interventions promotes client safety?

A)Asses the client's ability to ambulate and transfer from a bed to a chair.
B)Demonstrate the signal system to the client.
C)Check to see that the client is wearing his identification band.
D)All of the above.

Question 24

When performing oral care on an unconscious client, which of the following prevents aspiration of fluids into the lungs?

A)Put the client on a side-lying position with the head of bed lowered.
B)Keep the client dry by placing a towel under the chin.
C)Wash hands and observe appropriate infection control.
D)Clean the client's mouth with oral swabs in a careful and an orderly progression.

Question 25

When performing oral care on an unconscious client, which of the following prevents aspiration of fluids into the lungs?

A)Put the client on a side-lying position with the head of bed lowered.
B)Keep the client dry by placing a towel under the chin.
C)Wash hands and observe appropriate infection control.
D)Clean the client's mouth with oral swabs in a careful and an orderly progression.