happy Saturday everyone Welcome to our video on the patient care technician or PCT practice test this is Nurse Unice I look forward to working with you today and we will get started in a few seconds I see some of you all are already in the chat saying hello so hi Jan all right so here we go everybody let's get started question number one a patient with diabetes has a blood glucose reading a 55 milligrams per decaler what is the most appropriate action by the PCT is it a document the reading and wait for the next meal tray to arrive B give eight give the patient 8 ounces of orange juice C notify the nurse immediately and prepare a carbohydrate source or D recheck the blood glucose in 30 minutes and what do we think team and for those of you all who do not understand the difference between C and A and Patient Care Tech the CNA certification gives you the um the back knowledge it gives you the core knowledge on how to take care of patients while a patient care technician actually is the more advanced level it's the person who works in a hospital you're taught um how to perform sterile techniques such as cathet catheterization also how to draw blood and perform EKG so um PCT is a higher level CNA all right and so with that being said revealing the answer in three to and ah so let's make sure I had it right it would be C I have the wrong letter there it's C notify the nurse immediately and prepare for a carbohydrate source so I see that some of you all put B let me see what the response was for b um whenever you have a patient with a low blood sugar um as a CNA you can anticipate that the nurse is going to ask for you to get some type of juice but you shouldn't get the juice without the nurse telling you to do so plus eight ounces of juice is too much normally it's going to be 4 ounces followed by food that has a protein Source such as a turkey sandwich so the correct response is um C I have the wrong letter there a glucose level 55 is considered hypoglycemic which you all were aware this requires immediate intervention the PCT should report to the nurse and then once the nurse gives her Direction provide a fast acan carbohydrate if requested because remember if the person's unresponsive the nurse would not be asking a CNA to go get a snack the nurse is going to start an IV and give dexr or sugar intravenously all right let's see how we do on this one all right so if you're not aware at Florida Training Academy we've partner with career step and we offer online PCT classes for those who are in the United States financing is available and you can get more information by visiting um our website which is fling.com or to speak to a career advisor directly you can call the number shown on the screen all right so question number two what should you do if a patient has a hairy chest before placing the EKG electrodes and so um is it a place the electrodes over the hair B shave the hair where the electrod will be placed C ask the patient to shave the hair later or D apply extra Jael on the electrodes and there's a question in the chat asking if this test is for CNAs if you are a CNA who desires to work in the hospital then yes this practice test is going to help you also all right so let's see what the answers are let's see what your responses are all right I see B's and I see some D's so everybody revealing the answer in three two and and yes you would be able to shave the chest it's going to be b um do not just rip the hair off so you're going to have a small um little shaver that you can use and you can shave the hair to ensure that the electrodes are um contact the skin and that's going to help ensure an accurate reading question number three what might cause artifact on an EKG tracing all right what's going to cause that irregular you know Rhythm activity it's not the patient heart something that we may have done so is it a patient movement B incorrect lead placement c electrical interference or D all of the above and you're welcome all right so our patient's a little wiggle worm and you're trying to get a EKG so everybody revealing the correct response in three 2 N yes Cosmic yes Mara it is D it is all of the above so there are so many fact that can cause artifact so that's why we try to have the patients lay as still as possible but what if the room is extremely cold and your patient shivering so keep all of that in mind once you are PCT and you have to do these additional tasks make sure the room is warm make sure your hands are warm try to get the patient to stay still and make sure you're not hitting the tubing or the wiring and then also make sure that you have the um electrodes in the correct position and your hospital will train you how to do so question number four what is the first step in performance a vena puncture so now you've been tasked with drawing blood what's the first step do you want to insert the needle first apply the tourniquet clean the puncture site or identify the patient what do you do first and we're going all the way to 25 questions on this Saturday so thank you all for joining us and looks like immacula and Mara does anyone else have a response we'll wait about five more seconds in three two and one I see two I see Felicia and yes you're right you're going to identify that patient first so proper patient identification is the first step to ensure the correct patient is being drawn question number five during a catheterization procedure the nurse accidentally touches a nonsterile surface with her sterile gloves what should the PCT PCT do a ignore it as contamination is unlikely to cause infection B notify the nurse and assist in replacing the gloves C continue with the procedure and ensure sterile draping D ask the nurse to double glove and proceed yes so you are part of the healthc Care team you're going to be in the room when procedures are being done if you see something that is um that could harm the patient what must you do I know this one's tricky I don't see any responses yet revealing the answer in five four three two and you all are torn between double gloving and also torn between notifying the nurse look you all nurses are human they make mistakes so you're going to do B notify the nurse and assist in replacing the gloves and you could do it really nicely hey Unice I see that um your hand touched her leg um do you want me to get you some new gloves you just offer um because of of course if that nurse continues with the catherization process and she has contaminated her gloves she could be introducing bacteria into the patient which could lead to an infection so you're not doing it mean you're just being very precise and exact and she may say oh my god I didn't even notice yes get me some new gloves so contaminated gloves compromise sterility the glove should be replaced immediately to prevent infection during the procedure also team double gloving is never a response according to the CDC so I know they may have done it during covid but if you ever take a CNA test double gloving is never a correct answer all right so question number six how long should a tourniquet be left on a patient's arm is it 1 minute 20 seconds two minutes or as long as it takes to collect the specimen and this is totally off topic but it's going to be about 20° in FL Florida so let me know where you are located and what the temperature is in your city or state all right everybody revealing the correct response let's see what we have all right so you all yes I see a couple of correct answers so you can leave the tourniquet on for up to one minute so a tourniquet should not be left on longer than that because it can cause hemoc concentration so when you're trying to locate the vein you can put the tourniquet on and then once you locate or find a good van you can take the tourniquet off get all your supplies clean the site and then reapply your tourniquet um immediately before you attempt your Vena puncture but you're not supposed to leave the tourniquet on that entire time so it's okay to release your tourniquet and put it back on again oh Missouri 24 Kelly that is cold all right so question number seven a PCT forgets to document a patient abnormal Vital Signs until the end of the shift what is the potential outcome of late documentation is it a improved patient outcomes B accurate reflection of patient care C delayed intervention and potential harm or D no significant impact on patient care you forgot to document an abnormal Vital sign what is the outcome and that is correct team I am so proud of you Felicia Merlin and also Mar I see your answers um so yes you are correct it is C and the image I have here is of one of us nursing administrators writing you up so timely documentation is critical to ensure abnormal findings are addressed promptly preventing adverse outcomes so you will get written up if you don't document and of course worse than that your patient could be negatively impacted so make sure you communicate and document timely question number eight a PCT in nursing school is asked by a patient to insert an IV without RN supervision I mean you're so good you're like the best PCT there is they know that you are in nursing school and Mara is like hey would you go ahead and start the IV for me what is the most appropriate response a insert the IV since the patient requested it B attempt the IV insertion to gain experience C notify the nurse after attempting a procedure or D explain that the task is outside of the PCT scope of practice all right revealing the answer in three two and so far the only person that I saw got it right oh it's two people the dynamite Trio and PK you all you can draw blood as a patient care Tech but you cannot start an IV so inserting an IV is outside scope of practice for a PCT even though you're in nursing school if you're in nursing school your clinical nurse the nurse who oversees you during your clinical placement she is the one You' be starting IV with so at no point should you be starting IVs unsupervised even if you are the best tech on the floor um let that nurse get up and do her job so that you can do yours all right so um anytime that you are um a student RM must super Vis you and again while you're working in the hospital you're not working as a nursing student you are there as a patient care Tech and by law you don't start IVs all right so make sure you know your state rules and regulations for your certifications question number nine what is the primary purpose of a tracheostomy is it a to provide nutrition B to deliver medications C to maintain an open Airway or D to assist with nutrition tracheo what is the primary purpose all right revealing the answer in three two and Ario and PK and Felicia yes you have it it is C it is to ensure an open Airway so a tracheostomy is a surgical procedure performed to create an opening in a trachea allowing era to bypass obstructions or assist patients with severe respiratory issues remember that if a person who has a tracheostomy goes into a cardiac arrest CPR with the tra would not be mouth to mouth or back to mouth it would be back to the actual sto or back to the tracheostomy tube so just keep that in mind question number 10 a patient's IV is swollen red and warm to touch what complication does this most likely indicate is it a infiltration b fitis c hypovolemia or D dehydration yes we're teaching you these medical terms so you sound knowledgeable so that you don't go up and say the wrong terms and everybody's looking at you like oh my God you went to YouTube University so immacula and Kelly and Felicia yes it is fitis that is right so the answer is B swelling radness and warmth at an IV site are classic signs of fitis an inflammation of the vein that must be addressed by notifying the nurse that nurse is going to come in there she's going to stop that fluid discontinue that IV hopefully um Elevate that arm and if necessary apply maybe a warm compress because that is definitely can turn into infection right now it could just start off as irritation but um we want to make sure that nurse is made aware of it and for those of you all who sometimes have confused patients I need for you to listen to your confused patients because your confused patients may not be confused all the time and if you're confused patient is saying hey my arm is hurting I need for you to stop take a moment look at the arm because otherwise the arm could look like this and you're going to feel like crap later because you never listen to your confused person who was telling you they were in pain they may be confused about everything I'm sorry some things but they may not be confused you know all the time so even a a clock that isn't set correctly is right twice a day so your confused patient may be correct about what they're feeling I just need you to assess it all right question number 11 a patient with CHF reports sudden weight gain and shortness of breath CHF is congestive heart failure after notifying the nurse what is the next step so we have a patient who is short of breath they've gained some weight more than likely it's fluid weight so fluid overload do you want to a assist the patient into a high position B encourage the patient to ambulate to improve circulation C provide a large glass of water to help flush excess fluids or D document the symptoms and leave the [Music] room your job as a CNA and a patient care Tech is so vital because the hospitals are underst staffed and a lot of new nurses are training new nurses so I need for my CNAs to be vigilant to know what to do until that nurse gets into the room and to know when to call the nurse so the correct response for question number 11 is and everybody has it and your nurse goes wow Applause it is hey you're going to assist that patient into a high fers position now this isn't the best image but it's the one that I found this patient's kind of slouched so if the patient had the strength maybe put an extra pillow behind him or get another CNA to help sit him up some but you know this is better than laying flat sitting in a high fou position can relieve shortness of breath and improve oxygenation because it's going to help Force the excess fluid that is buil up into the lungs into the base of the lungs the PCT should stay with the patient and monitor closely until the nurse can get into the room all right question number 12 what is the purpose of humidification in tracheostomy care so what does that humidifier do when a patient's asking this needs to be humidified what are they really saying is it a um does humidification provide nutrition does it B assist with breathing does it C deliver medications or D prevents the drying of the airway when a person is requesting humidified oxygen or if you leave the tra collar off of the patient and they're breathing in dry air what's going to be the outcome yes Felicia Kelly Merlin longa and raah yes it is d look at these lips you all they're going to end up getting chapped like that all dried but remember they have an open Airway they have a tracheostomy we don't need that getting dried out so humidification prevents drying of the airway and when you see those tra collars that is providing moisture it's providing humidity so make sure you put it back on your patient question 13 what should you do if a tracheostomy tube becomes dislodged dislodged means it comes out what do you do a reinsert it immediately B call for medical assistance C leave it out and monitor the patient D cover the stom with a bandage and I know freaking out wasn't one of the options but yeah while you're you know mildly freaking out what what are you doing this is a lot it's a lot your first time experiencing something like this but if you chose B yes you're pressing that code button you're screaming you're getting that nurse in the room because we have to put that bike in as soon as possible and that's not something a CNA or PCT would be tasked to do that would be a nurse's responsibility so medical assistant should be called immediately if the tracheotomy tube becomes dislodged there should be operators and other devices at the bedside there should also be an emergency tra that is one size smaller so that if something does become dislodged your nurse would be able to reinsert a new tra at the bed side question 14 what is a common reason for placing a gastric tube now this isn't something you do but you need to know why a patient would have it is it a to administer medications B to provide nutrition C to relieve gastric distension or D all of the above so you're working on the medical surgical unit today and your patient has a gastric tube what might be a reason that this person has a tube going into their stomach all right I see varying answers I see a lot of D's and you all are right it is D so it's all of the above gastric tubes can be used for all of those purposes because if someone's vomiting we're going to you know we can connect it to suction depending on what type of tube they have we can instead of having the fluids come out their mouth you know um all project out and just you know everywhere we can connect the tube to suction and then just gradually slowly suck out this excess gastric secretions Etc so it can remove gas it can remove fluids we can do the reverse we can connect the feeding tube to it so they can get some nutrition and plus your nurse can push medications through it so the answer is all of the above question 15 a patient reports severe chest pain and their skin appears clammy and pale clammy is kind of sweaty after notifying the ner what should you do a leave the room to obtain the vital signs equipment B retrieve the patient's medication from the bedside C move the patient to a different room for privacy or D provide emotional reinsurance and ensure the patient remains still severe chest pain they're pale they're sweaty what do you do while you're waiting for the nurse to come yeah yes you have the right answers it is D I need for you to remain calm you remain calm the calmer you are the calmer that patient will be let them know the nurse is on the way and then when the nurse gets in the room that is when you could leave to go get the equipment for the vital signs do not leave this patient alone because it could progress to cardiac arrest so keeping the patient calm and still can help reduce cardiac stress while you're waiting for the nurse and you can also ask the patient to practice some deep breathing exercises if it doesn't make their shortness of breath worse question 16 a patient's urinary catheter is not draining and the patient reports lower abdominal discomfort what should the PCT do first is it a irrigate the catheter with sterile saline B check for kinks in a tubing and reposition a catheter C notify the nurse and wait for further instructions or D replace a catheter with a new one right what do we do when someone has a catheter that is not draining all right revealing the answer in five 4 3 2 and hold up looks like I had one person who had it I do apologize it looks like it's Felicia and and I can't see the other person um nathara you all the first thing you want to do if a cath is not draining it's just make sure your patient isn't laying on it make sure it's not kinked so the first correct response is going to be B the PCT should Ure that there are no mechanical issues before notifying the nurse if the problem persists that is when the nurse should be um informed for further intervention whenever you are assessing a patient's medical equipment you start from the patient so if a patients um if they don't have any drainage in their bag or if there appears to be a problem because it's not drain any urine you start at the at the at their genitals and you trace that tube all the way down to make sure there are no Kinks so just don't start at the actual drainage bag and then try to work your way up um more than likely maybe their leg is on top of the catheter and you can use a securing device to make sure that that catheter does not go under that patient um in the future whenever you are securing a catheter it goes on the upper part of the thigh and not on the hip and if you don't have any commercialized stabilizing devices like a statlock you can use tape all right so let's see what our next question is we're on question number 12 oh excuse me question number 17 so a patient with dementia becomes agitated and starts yelling at the staff and the other patients notice all of these questions are what should the CNA do first okay because I need you to be think thinking your answer for everything can't be to notify the nurse if you notify the nurse for everything the nurse is going to be like oh my God don't put me with her anymore she doesn't think so your patient with dementia is agitated and she's yelling what do you do is it a notify the nurse can to ask for help to restrain the patient B leave the patient to calm down on their own and monitor from a distance C redirect the patient to a quieter area and speak calmly to De deescalate the situation or D administer a sedative described for agitation a dementia person is yelling what do you want to do and everybody has it right we never want to leave somebody who is upset alone you know especially if they have dementia because hey they could fall they can become upset so it is going to be see let's try to redirect let's figure out what's going on Miss Mary why are you yelling can you tell me what's going on Miss Mary she did what oh I'm going to solve that right now is there anything else you need Miss so deescalation techniques such as redirecting and calmon communication are appropriate First Steps the nurse should be notified if the agitation continues or escalates your job as a CNA as a patient care tag is to use these soft tones like what I'm using right now because if everybody's yelling if everybody's talking loud no one's being heard so I usually talk really low unless the person has a hearing issue I'll talk really low to make sure that they know that I am not trying to escalate I am trying to to resolve whatever their issue is and that I am on their side our next question team is question number 18 and this one is a scenario based question you will not have too many scenario based questions on your examination but I am also I cheat I'm not just preparing you for your CNA or PCT test I'm preparing you for nursing school all right so a nurse on a busy cardiac unit is caring for a patient who is vomiting at the same time another patient in the Next Room calls out complaining of chest pain what should the PCT do so your nurse is caring for somebody who's vomiting blood and now another patient has chest pain this is a heavy a busy shift is it a notify the nurse about the patient with chest pain and wait for further instructions B assist the nurse with the patient vomiting blood and ignore the patient with chest pain temporarily C immediately attend to the patient with chest pain assess their condition and inform the nurse ored inform another staff member about the situation stay with the patient complain of chest pain and monitor them until the nurse can respond oh what do you think yeah this is going to happen there may be two codes on the floor at the same time what do you do when your nurse is busy I'm seeing some correct responses coming through and for everybody who chose D you are right go find the charge nurse go find another nurse excuse me call the charg nurse because you can't leave your patient but you have to inform somebody else so that they can go get another nurse to come in to assist you because you can't bother your nurse who's in there right now with a patient who's vomiting blood so both situations are critical and so the PCT should act as a team player by informing another staff member about the situation um more than likely a nurse is going to be that other staff member um and ensuring the patient with chest pain is not left alone monitoring the patient for worsening symptoms and providing reinsurance is essential while the nurse manages the first emergency this ensures both patients receive attention properly so you're going to stay there until another nurse can assist you and if another nurse isn't available there should be a charge nurse there should be a do um but it's going to get taken care of you just stay calm and your nurse will be there as soon as she can question number 19 what should a CNA do if a patient with a tracheostomy shows signs of respiratory distress is it a increase the oxygen flow rate B suction of tracheostomy tube C call for immediate medical assistance or D remove the tracheostomy tube and the reason I chose this image is because Lord if all this happened on your 112 hour shift this is going to be how you look you had a patient was vom in blood a patient with chest pain and now the patient with a tracheostomy shows signs of respiratory distress this is actually what a 12-hour shift is like in a hospital especially if you're one of those just very eager people who want to work in the ER or the ICU it is nonstop so what do you think the best response say team and Felicia says see and so you are absolutely correct everybody the answer for this one is C anytime a trosy and they have issues you're going to get that nurse in the room stay with your resident though so you're going to call for immediate assistance um immediate medical assistance is necessary for signs of respiratory distress so get the nurse in the room and my computer's going a little bit slow so I do apologize if there is a lag question number 20 what is the first action a PCT should take if a patient begins to bleed excessively during photomy so you went in to draw blood on the patient and didn't realize that they had Hein IV infusing that's an anti-coagulant it's a blood thinner and now they are bleeding excessively what do you do a apply a tourniquet above the sight B call for medical assistance C apply direct pressure to the sight or D remove the needle and bandage the sight all right everybody has the right answer you all are great caregivers great Lifesavers so the first thing you have to do is stop the bleeding so look you're GNA apply some pressure and then you could press the button and call the nurse but I need for you to control that bleeding while you're waiting for the nurse to come into that room so apply direct pressure and then I have like the coband so once you use your 44 gaues you can wrap it with coband and the wonderful thing about the self- adherent tape is that it sticks to itself it doesn't stick to your patient skin because our older patients have really fragile skin that's easy to tear and if you wrap that much tape around their arm whenever we remove the tape we can cause worsening of the bleeding because we can literally take their skin off if it becomes adhered to that tape and I hope you're learning something and if you are give the video a thumbs up cuz we are on question number 21 what is a critical aspect of caring for a patient with a gastric tube is it a monitoring for signs of infection B ensuring the tube is secure C checking for proper tube placement or D all of the above remember you're the PCT you're going to see things and if you see something say something what are you monitoring for when a patient has a gastric tube is it a b C or D and you all are everywhere on this one all right revealing the answer in three two and all of the above because if it starts to protrude if it looks like you know there's more tubing there than there was previously that could be a sign that the tube has come out um so all aspects are critical and gastric tube care again monitoring for infection was one let's see what the others were um ensuring the tube is secure so we have that tape there otherwise when a person's turning they can actually turn on that tube they can disconnect their GBE or if they have fluids let's say they're getting a tube Feen when they turn on it it can olude it or worse for you it can disconnect and now you have tube feting all over the patient all over the bed and now you have more work to clean up all right and so our next question team is question number 22 let's get you to the right spot ah too many computer issues today there we go question 22 when performing photomy what should you do if a patient feels faint a continue the procedure quickly B have the patient lie down C offer the patient water D stop the procedure and call for help help so if you've never seen this patient before if you don't know anything about this patient hey how are you doing I'm Nancy I'm your PCT today um I have an order to draw your blood um is it okay if I draw your blood do your little hand hygiene get all your supplies hey um do you have any problems have you ever had any problems when anyone Drew draws your blood um is there an arm that you prefer askes all those questions and that way he can say oh yeah last time I fainted or I bleed so you can make sure you have enough bandages there and so everybody what should you do if a patient feels faint you are going to do D you're going to stop the procedure and call for help additional medical support may be needed to stabilize the patient so think about the reason why you are even drawing blood on a patient in the hospital you may be drawing blood because their um electrolytes are out of balance maybe they're dehydrated they have so many other medical issues and so there is a possibility that the patient may faint not because of your poor or your very good photomy technique but just because of their health conditions okay so be alert be aware and just be prepared if it happens stop the procedure have your gses there and you can resume after the patient is stabilized question 23 a patient with a surgical drain is scheduled to ambulate ambulate means to walk what should the PCT do before assisting the patient is it a secure the tubing into the patient's gown with tape or a clip B notify the nurse and then ask them to secure the tubing C remove the drain tubing entirely to prevent dislodgement or D ask the patient to avoid movement until the nurse addresses the tubing yes Telly um Kelly they don't call you a CNA in the hospital they'll call you a patient care Tech and patient care tests can perform um photomy they can insert urinary catheters they can o do EKGs just depends on the facility and what the facility's needs are but again they do not um start IVs so that's that's a nurse's pra that's a nurse's um job duty all right everybody revealing the answer in three two and yes it is a you just want those tubes just hanging y'all we have little pins everywhere so just make sure that when you put them back in the bed you take the pen out otherwise when they roll over on their gown the pen could actually you know um be um unleash and it can actually stick the patient so securing the tub and prevents accidental dislodgment during ambulation as with and is within the PCT scope of practice so the nurse should still be notified if the tubin appears damaged or improperly placed but yes you will usually pin up those tubes and if you don't know how to pin them just tape them up and before you get the person out of bed just ask the nurse to come and check to make sure that she feels that this is secure enough enough CU you're going to be walking with this patient and you don't want that tube to fall or to pull on that patient surgical site question 24 a PCT notices that a patient's wound drainage from a JP drain and you'll see that on the next page has changed from Clear yellow to bright red what is the most appropriate action a empty the drain and record the output as usual B reposition a drain tubing to ensure proper flow C notify the nurse and continue monitoring the patient D flush the drain with saline to clear any blockage now what do you know about color changes when something goes from Clear yellow to bright red what does that indicate is that something that you can you know maybe document later or is that's something you need to communicate ASAP all right revealing the answer in three three two and yes it is C so that is a sign of active bleeding so this is an example of a um Jackson Pratt or a JP um suction bulb and so what will happen is these will be placed during surgery and then gradually throughout the shift it's just going to gradually suck or evacuate whatever drainage or blood is within that cavity and so your job is to empty this whenever it's half full but you're also going to be monitoring to make sure that that um if there are any changes in the color or if you're emptying out if you're emptying this three times in your one shift your nurse won't know if you won't tell her so if you don't tell her she doesn't know that wow this patient has more blood being evacuated than normal so usually you may empty this maybe twice per shift but anything more than that please let your nurse be made aware of so going back to our best response which is a a sudden change to bright red drainage could indicate active bleeding which requires immediate attention from the nurse all right team we have did it we are on question 25 a patient again we're on our surgical patients I probably need to do a whole another video on surgical patients so a patient has a Jackson Pratt that JP drain we just saw in place and the bulb is fully expanded and filled with drainage what should the CNA do first is it a notify the nurse and document the finding b compress the bub and repply suction C empty the drain measure and record the output and reapply suction or is it D ensure the tubing is not kinked or obstructed and then notify the nurse now you have made my heart smile young lady all right so I'm trying to show it all right I am so proud of you good day nurse units I passed my CNA exam for the first time I wrote in New York my questions were all similar to ones I found on your live videos thank you so much you are so welcome I am so proud of you and congratulations what a way to start the new year all right team let's see what we have for question number 25 revealing the answer in three two and it is C you have it correct long all right so let's see we're going to empty the drain measure and record the output and then reapply suction so the rationale a fully expanded bulb filled with drainage indicates it needs to be emptied and reset to maintain proper function this action is within the PCT scope of practice after completing these steps the PCT should notify the nurse if the output is excessive or abnormal and again I want to apologize to you all because there's such a delay on my side I can't really show your um show some of your comments but everybody we have um concluded our video I am so proud of you thank you all for studying with me on a Saturday again if you're interested in PCT classes we have online classes that include an externship at a site near you so even though we're located in Florida if you're within the United States you can take our PCT classes from anywhere just call us at 877 22571 51 to speak to one of our career advisors and I see so many more people Felicia has a test date coming up don't be nervous you did so well on this test today and you all you're very welcome we are so close to having 1 million subscribers can you believe it um initially I was starting off I've been creating videos for 12 years but I keep them private so that only my students had access to them and then shortly after the p mic I started making my videos public so we're talking in less than three years we have 850,000 subscribers on YouTube so I need you all to keep studying um keep liking our videos keep sharing our videos worldwide because I am here to make sure that I help God's people take care of God's people one CNA license one nursing license at a time and so I think that's my Ministry and that's what I was put on this Earth to do so I hope that you find what your purpose is and I hope that I can help you um not only find that purpose but to help you share that purpose with the rest of the world so everybody I love you happy Saturday stay warm and I will see you in the next video