Prepping for the PACB Exam: Some Last Minute Advice, and Sample Question #4

If you have registered to take the March exam, but have not yet paid, you still have until tomorrow, March 16th to pay for the exam.

Find all registration and payment details here.

Last Minute Advice

Plan to arrive at least 30 minutes early for your exam.  We also suggest you do a test run to find your exam center and room a day or more prior to your exam date.

You don’t want to be late and you don’t want to be stressed. If you are at all unsure about the exact location of your exam, either of those could be the result.  Even if you are familiar with the address of the exam, finding the room ahead of time will give you more confidence as you travel to your location the day of your exam.

We wish all exam-takers the very best of luck. We are eager for you to succeed!


This is the fourth in a series of sample questions to help you understand how they were developed, and why one answer choice will be better than the others, even if the others seem plausible.

As stated on the Taking the Exam Page, the exam was built using the Competencies and Best Practices Document as well as the Ethics Statement.

Sample Question #4:

Your patient-client needs to be hospitalized for an elective procedure. You know the hospital she has been assigned to has a bad infection rate.  As her advocate, you:

  1. Show evidence of the hospital’s infection rate to your patient-client, then suggest other options like a discussion with her doctor, or finding another doctor who can perform the procedure at another hospital, letting her decide what she would like to do next.
  2. Help her get her paperwork together, make sure she has her insurance cards in hand, and drive her to the hospital on the day of admission.
  3. Discuss the hospital’s infection rate with her doctor, and ask him to make different arrangements for his patient / your client.
  4. Suggest that since the procedure is elective, and since infections are dangerous, she just forget about the whole thing.

Best answer:  A

Rationale:  Domain 5:f, of the Competencies and Best Practices states, “Promote safe care and the patient’s awareness of patient safety issues at all times, which may include but are not limited to diagnostic accuracy, and prevention of hospital-acquired infections, pharmaceutical and biologic drug or medical device errors, care coordination errors, radiologic (imaging) errors, and other potential health care related hazards and errors.”

That must be paired with Domain 2: e:  “Respect the right of clients to make their own decisions.”

Answers B, C, and D all violate those two tenets.

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