Home Health Aide Competency Test Written Examination
I. ROLE OF THE HOME HEALTH AIDE
An aide may perform
certain duties. Mark the following true
or false for tasks you may legally perform as a home health aide. T=True
F=False
- Reinforce a dressing...............
- Apply a hot pack...............
- Give an enema................
- Administer medication.............
- Change a sterile dressing...............
- Assist with change of a colostomy bag................
- Give a rectal suppository..............
- Give a tubal feeding...............
- Give insulin.............
- Cut Nails.............
# CHOOSE ONE CORRECT
ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
11. As a home health aide, you:
A. work
alone.
B. work
as part of the health care team.
C. may
become the leader of the health care team.
D. will
never get any further training after orientation.
12. When you work in the home, you will be:
A. responsible
for making decisions without any help.
B. working
under the supervision of a professional supervisor.
C. away
from your office and have no way to contact your employer.
D. responsible
for calling the physician with information.
13. As home
health aide, it is your responsibility to:
A.
plan the client’s care.
B. do only the tasks that the registered nurse
or therapist assigns to you.
C. try to do your best, but not ask for any
help.
D. compare assignments with your co-workers.
II. COMMUNICATION
Mark
the following true or false. T=True F=False
14. In the home, it is important to be a good
listener.................
15. Always tell the patient what you are going to
do before starting a procedure.............
16. You only communicate through words.............
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
17. Which of the following is important in
communicating with people:
A. courtesy.
B. tact.
C. listening.
D. all of the above.
18.
Body language is:
A. a way of communicating feelings by using the
body, facial expressions and the eyes.
B. only used by clients to tell their doctors
what is causing them problems.
C. only used by persons who are deaf and mute.
19.
Aide care for a conscious patient should be preceded by:
A. asking the patient for his permission to go
ahead with the procedure.
B. telling the patient you would like to have his
cooperation.
C. giving an explanation of what is going to be
done.
D. explanation to the patient that the doctor
ordered this done.
20.
Miss Ferris, a home health aide, is assigned to care for Mr.
Conway. Miss Ferris
notices that she feels very angry when she
is with Mr. Conway. What should
Miss
Ferris do because she feels this way?
A. Tell Mr. Conway how she is feeling.
B. Find out if other aides have felt this way.
C. Try to pretend that Mr. Conway is someone she
likes.
D. Talk with the agency supervisor about the situation.
21. A patient accuses a home health aide of
stealing five dollars. The aide has not
taken
the
patient’s money, but the patient does not believe this. What should the aide do?
A. Ask the other aides who care for the patient
if they took the five dollars.
B. Ask the patient why the aide is being accused.
C. Offer to give the patient five dollars.
D. Notify the agency supervisor.
III. OBSERVATION, REPORTING AND
DOCUMENTATION
Mark
the following true or false. T=True F=False
.............22. If you do not chart a task that you do for a
patient, legally, it was not done.
.............23. If the patient has a new
area of skin breakdown, and the nurse is coming in two
days, you do not need to report the skin breakdown to your supervisor.
.............24.
A rapid pulse and shortness of breath in a patient usually indicates the
patient is
excited and does not need to be
reported to the nurse.
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
25.
The patient tells you he has not moved his bowels in three days. What should you do?
A. Tell him not to worry about it.
B. Tell him to take a laxative.
D. Pretend you didn’t hear him.
26.
Which of these actions is the home health aide permitted to take in
relation to drug
administration?
A. Recording and reporting the patient’s reaction
to the medication.
B. Handing out nonprescription medications to the
patient who asks for them.
C. Adjusting the dosage of medications given to
the patient.
D. Adjusting the times medications are given to
fit into the patient’s activities schedule.
27.
When a patient complains of pain, what should the home health aide do first?
A. Ask the patient to describe the pain.
B. Call the patient’s doctor.
C. Offer the patient some warm tea.
D. Change the patient’s position.
28.
A patient’s prescription for heart pills has recently been changed. The home health
aide should notify the agency supervisor
immediately if the patient makes which of
these comments?
A. “The pills are very expensive.”
B. “These pills are different shape from the
pills I used to take.”
C. “I have a rash on my stomach since I’ve been
taking these pills.”
D. “I can’t take these pills unless I have really
cold water to drink.”
29.
Mrs. Rand, who has diabetes and takes insulin regularly, tells the home
health aide
that she feels very nervous and jittery. What should the aide do immediately?
A. Take
her temperature.
B. Find out when she has her next doctor’s
appointment.
C. Have her lie down in bed.
D. Give her a glass of orange juice.
IV. READING
RESPIRATIONS
Mark the following true or false. T=True F=False
..............30. Always report a pulse rate if the beats per
minute are under 60 or over 100.
..............31. The temperature of an unconscious patient
should be taken orally since they are
not moving about.
..............32. Recording a patient’s “TPR” or vital signs is
not important as long as you
remember what they were.
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
33.
For which, if any, of these body areas is 99.6 degrees F. a normal
temperature?
A. Axilla.
B. Mouth.
C. Rectum.
D. None of the above.
34.
When taking a patient’s pulse, you should take it for:
A. 15 seconds.
C. 5 seconds.
D. two minutes.
35.
When a patient’s respirations are being counted, it is best that the patient:
A. tries to breath evenly.
B. tries to breathe as deeply as he can.
C. sits up straight.
D. not be aware that the respirations are being
counted.
V. INFECTION CONTROL
Mark
the following true or false. T=True F=False.
36. Hand washing is the single best way to
decrease the transfer of pathogens.............
37. Gloves should be worn when handling items
soiled by body fluids.............
38. The catheter drainage bag must be lower than
the bladder, but not on the floor..............
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
39.
During a visit, you need to wash your hands after removing gloves:
A. before you give physical care to the patient.
B. after you pet the dog.
C. before you leave the patient’s home.
D. all of the above.
40.
In what situation should gloves be used?
A. The patient is vomiting.
B. The patient has been incontinent of stool.
C. The patient has drainage wound.
VI. BODY FUNCTIONS AND CHANGES
Mark
the following true or false. T=True F=False
...........41. Diarrhea can cause dehydration and other
serious complications and should be
reported.
...........42. If a person complains of pain, it is
important to have the patient describe the pain
and then report it to the nurse and record
it in your notes.
...........43. It’s normal for most people to complain of
pressure, swelling, or bloating in their
ankles, feet, stomach or legs.
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER
44.
If you notice the patient’s catheter is not draining, the first thing you
should do is:
A. call your supervisor.
B. empty the drainage bag.
C. check the tubing to see if it is kinked.
D. do nothing, this is the nurse’s problem.
45. Which
of the following is not recommended for promoting good daily bowel habits:
A. plenty of water.
B. laxatives.
C. exercise.
D. well balanced meals.
46.
The patient’s pulse has been between 90 and 110 beats per minute since
his first aide
visit.
Now you find it to be 58 beats per minute. What should you do next?
B. Wait 15 minutes and take the pulse again.
C. Inform the supervisor right away.
D. Just record the pulse in the normal way.
47.
Mrs. Amos has not had a bowel movement for three days. She has always given herself
an
enema if she does not have a bowel movement for that long a time. Mrs. Amos asks
the
home health aide to give her an enema.
What should the aide do?
A. Give
Mrs. Amos an enema.
B. Tell Mrs. Amos to wait another day.
C. Suggest that Mrs. Amos take a laxative first.
D. Contact the agency supervisor to discuss the
situation.
VII. MAINTAINANCE OF A CLEAN,
SAFE ENVIRONMENT
Mark
the following true or false. T=True F=False
............48. A bedside call bell needs to be available so
the bed bound patient can summon
assistance.
............49. Bedrails should never be used to secure vest
restraints.
............50. Smoking in bed is fine for anyone who is not
confused.
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER
51.
Part of your duties as a home health aide are to assure safe home
environment. This includes:
B. electrical and fire safety.
C. moving things which may cause the patient to
fall.
D. all of the above.
52.
A patient is receiving oxygen through a nasal cannula. What safety precautions should
the
home health aide take?
A. Keep the television set at least 5 feet from
the oxygen tank.
B. Do not permit the patient to drink soda.
C. Allow no smoking in the patient’s room.
D. Do not use any lotions that contain oil in the
patient’s room.
VIII. EMERGENCY PROCEDURES
Mark
the following true or false. T=True F=False
...........53. For an injury with profuse bleeding, apply
pressure and call for assistance.
...........54. If the patient begins to have a seizure, your
first responsibility is to prevent the
patient from injuring himself.
..........55. If the patient falls and complains of pain in
his hip, you should help him to get up
and walk to the bed.
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
56.
A patient is choking on some object that is caught in his airway. Before first-aid
measures
are applied, find out:
A. if the patient’s pulse rate is over 80.
B. if the patient can swallow clear fluids.
C. if the patient can speak or cough.
D. What medications the patient has taken in the
past 24 hours.
57.
While giving a bath on a shower chair, the patient suddenly gasps and
becomes
unresponsive.
The home health aide should:
A. call for family assistance and continue with
the bath.
B. leave the patient and call 911.
C. lower
the patient to the floor, call for the family to call 911, determine if CPR is
needed
and initiate it if indicated.
D. tell the family to stay with the patient while
you call 911 and the supervisor.
58.
For which of these emergencies is a knowledge of pressure points
essential?
A. Health stroke.
B. Burns.
C. Food poisoning.
D. Bleeding.
59.
The telephone numbers of all of the following are important to a
patient. Which
number must the home health aide have
next to the telephone?
A. The patient’s clergyman.
B. The drugstore.
C. The emergency medical squad.
D. The next-door neighbor.
IX. HUMAN DEVELOPMENT
Mark
the following true or false. T=True F=False
...........60. Every patient is the same and has the same
needs and wants.
...........61. It is all right to use any item in the home
without asking as long as it is for the
patient’s personal care.
...........62. You may use the telephone in the patient’s
home without asking permission.
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
63.
A neighbor has asked you some questions about the patient you are
presently taking
care of.
“Mrs. Collier is dying, isn’t she?” How will you answer her?
A. “Mrs. Collier is doing as well as can be
expected.”
B. “I am sorry, but I cannot discuss Mrs. Collier.”
C. “Yes, it’s too bad, but she’s very ill.”
D. “How did you know about Mrs. Collier and her
illness?”
64.
Which of these statements about the elderly is true?
A. They cannot change.
B. They can learn new things.
C. They want to become dependent on others.
D. They do not enjoy meeting new people.
65. When
working with person who are disabled, the general goal of care is to:
A. provide constant supervision.
B. provide total care.
C. promote
maximum self-care and independence within the limits of the person’s
ability.
D. promote the complete return of the person’s
abilities.
66.
It is Mrs. Amos’s usual time for lunch, but she says she is not hungry
yet. This is the
first time that Mrs. Amos has made this type
of statement. What should the home
health aide do?
A. Insist that Mrs. Amos eat at this time.
B. Tell
Mrs. Amos to let the aide know when she wants to eat, and remind her that it is
important that she have lunch.
C. Tell Mrs. Amos that if she does not eat by
herself, she will have to be fed.
D. Tell Mrs. Amos that it took a lot to time to
prepare the food and that she should eat
it while it is fresh.
67.
The ability to make observations is even more important when working
with infants
and young children than it is when working
with adults. The chief reason for
this is
that infants and young children:
A. do not like to be told what to do.
B. are usually sicker than adults.
C. enjoy human contact more than adults.
D. cannot explain how they feel.
X. PERSONAL CARE
Mark
the following true or false. T=True F=False
............68. It is important to keep a patient covered
during a bedbath except for the part
being washed.
...........69. Massaging of bony prominences helps to
prevent skin breakdown by increasing
the blood supply to the area.
...........70. When giving peri-care to a patient after a
BM, wash using a front to back motion
in order not to spread fecal material to
other areas.
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
71.
Which of the following is most appropriate practice to promote good skin
care in the
elderly:
A. keep the skin clean and well moisturized.
C. wash daily with scented soaps.
D. all of the above.
72.
If dentures are not worn when sleeping, where should you store them?
A. Wrap in a washcloth.
B. Put in a sterile container.
C. Wrap in a guaze pad.
D. Place in a clean container in clean water.
73.
Why is it important that a patient have good mouth care?
A. Bacteria in the mouth can cause tooth decay
and gum infections.
B. The saliva in the mouth is the source of
stomach juices.
C. Poor oral hygiene causes more saliva to be
made.
D. Poor oral hygiene interferes with the sense of
smell.
74.
An elderly male patient occasionally wets his trousers. What should the home health
aide do?
A. Give
him fluids with his meals only.
B. Avoid giving his coffee and tea.
C. Tell him if he urinates on himself he will
have to be put in diapers.
D. Encourage him to go to the bathroom at least
every two hours.
75.
In giving foot care to a patient who has diabetes, the home health aide
may take which
of these actions?
A. Clean under the toenails.
B. Cut the toenails.
C. Soak the patient’s feet for more than 5
minutes in a basin of warm water.
D. Put lotion on the patient’s feet after drying
them.
XI. SAFE TRANSFER TECHNIQUES AND
AMBULATION
Mark
the following true or false. T=True F=False
_____76. Always transfer a patient towards his good
side.
_____77. There is no need to be near an object to pick
it up, just reach.
_____78. It’s best to use a gait belt if a patient is
unsteady.
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
79.
A patient lying on his back has slid down in bed and needs help in
moving up again.
To start this, the patient should, if
possible:
A. raise himself on his elbows.
B. separate his legs widely.
C. arch his back.
D. flex his knees and push with his heels.
80.
Before helping a patient into or out of a wheelchair, which of these
actions are
necessary?
A. Have the brakes unlocked and leave the foot
pieces down.
C. Have the brake unlocked and the foot pieces
up.
D. Lock the brakes and leave the foot pieces
down.
81.
When assisting a patient to walk with his walker, you should:
A. clear a pathway and remove all safety hazards.
B. stay close to the patient’s side.
C. stand on the other side of the room.
D. A and B.
82.
A patient who has been on bed rest is to get up in a chair. The home health aide helps
the patient to sit on the edge of the
bed. The patient says, “I am
dizzy.” What should
the aide do?
A. Rub the patient’s feet.
B. Help the patient to a standing position and
see if the dizziness goes away.
C. Put a cool compress on the patient’s head.
D. Support the patient in
a sitting position and wait a minute or so to see if the dizziness
goes away.
83. Patient has had a stroke and has a right-sided
weakness. The patient can walk with a
little assistance. It is best for the home health aide to assist
the patient by walking in
which of these positions?
A. Directly in front of the patient.
B. Directly in back of the patient.
C. On the patient’s left side.
D. On the patient’s right side.
84.
Mr. Stone is 76 years old, needs help with bathing, and has a foley
catheter in place.
He has great difficulty walking and uses a
wheelchair. When helping Mr. Stone from
the bed to the wheelchair, which of these
actions is essential.
B. Have a blanket draped in the wheelchair.
C. Have the brakes on the wheelchair in a locked
position.
D. Place a pillow on the seat of the wheelchair.
XII. NORMAL RANGE
Mark
the following true or false. T=True F=False
...........85. Passive range of motion exercises are for the
prevention of contractures in
patients with paralyzed limbs.
...........86. During range of motion exercises, if you feel
resistance or the patient complains
of pain, you should continue anyway.
...........87. It’s best to have a pillow between the legs
of a patient with a new hip
replacement.
# CHOOSE
ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
88.
To prevent bedsores in the elderly, you should:
A. change the patient’s position every two hours
if they are unable to do so themselves.
B. get the patient out of bed if they are allowed
to do so.
C. ensure adequate nutrition with special
emphasis on protein intake.
D. all of the above.
89.
The home health aide should be sure to take which of these actions when
caring for a
newborn baby?
A. Support the baby’s head and neck when picking
the baby up.
B. Clean the inside of the baby’s ears with
cotton swabs.
C. Use petroleum jelly to keep the area around
the baby’s naval moist.
D. Hold the baby only at feeding and bathing
times.
90.
Which of these statements describes good body mechanics?
A. Carry heavy objects as far away from the body
as possible.
B. Bend the knees when lifting an object off the
floor.
C. Bend over at the waist when lifting an object
from the floor.
D. Lift rather than push a heavy object.
91.
When caring for a patient who is on bed rest, what should the aide do to
prevent
bedsores?
A. Keep the top sheets well tucked in.
B. Keep the bottom sheet free of wrinkles.
C. Use only sheets that are 100% cotton on the patient’s
bed.
D. Use only woolen blankets to cover the patient.
92.
Physical therapy has started range of motion exercise. Which of these statements
about exercise is true?
A. If a patient cannot talk, do not explain the
exercises to the patient.
B. During exercise, all joints should be moved in
all directions.
C. When
the patient does not assist when the joint is moved through its range of
motion, the exercise is called
active exercise.
D. It
is important to support the body parts above and below the joints when they are
moved during exercises.
XIII. NUTRITION
Mark
the following true or false. T=True F=False
93. Soy sauce is good to spice up a low salt
diet.................
94. A regular diet is a well balanced diet with
no restrictions.....................
95. Bread and potatoes are a good source of
protein..................
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ONE CORRECT ANSWER FOR EACH QUESTION BELOW AND CIRCLE THE CORRESPONDING LETTER.
96.
Foods on a liquid diet would include:
A. chicken, eggs and toast.
B. chopped and strained foods.
D. lightly seasoned foods.
97.
Foods that are high in vitamin C include:
A. oranges, tomatoes and watermelon.
B. potatoes, raisins and bananas.
C. liver, beef and chicken.
D, cheese, milk and cottage cheese.
98.
If there is 50cc left in glass and the glass holds 150cc you should
record the intake as:
A. 90cc.
B. 120cc.
C. 100cc.
D. 50cc.
99.
Which of these fluids if highest in protein?
A. Vegetable broth.
B. Lemonade.
C. Tomato juice.
D. Eggnog.
100.
Milk is a good source of calcium.
Which of these foods is also high in calcium?
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