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HHA Exam
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Allentown
Altoona
Berwick
Clarks Summit/Scranton
Gettysburg
Harrisburg
Honesdale
Johnstown
Lancaster
Lansdale
Lebanon
Lehighton
Lewistown
Mansfield
Milford
Montrose
Plains/Wilkes Barre
Pottsville
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Sayre
State College
Selinsgrove
Tannersville/Stroudsburg
Williamsport
York
Observing and Reporting
1. Your client Mr. Salvadore is diabetic and tells you that he is sick and tired of taking his insulin andwatching his diet, so he stopped taking his insulin yesterday without telling anyone. You should:
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1 point
a. Scold him for being so foolish.
b. Ignore him, as he is acting a little confused today.
c. Inform your supervisor immediately.
d. Mention this information to your supervisor at the end of the day when giving report.
2. When you arrive at your client’s home for your scheduled visit, no one responds when you knock on thedoor and the door is locked. You should:
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1 point
a. Call the office to get instructions from your supervisor.
b. Leave and go see your next scheduled client early.
c. Call the police.
d. Take a coffee break and then see your next scheduled client on time.
3. While bathing Mrs. Hopkins, an 81 year old client who lives with her son and daughter-in-law, younotice several “black and blue” marks on her back and arms. When you ask her how she got them, shetells you her son has a nasty temper and often “gets rough” with her. She asks you not to tell anyonebecause she doesn’t want him to get in trouble. You should:
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1 point
a. Honor your client’s wishes and respect her privacy.
b. Confront her son about his abusive behavior.
c. Talk to her daughter-in-law to try to get her son to stop.
d. Give a detailed report of your findings to your supervisor as soon as possible.
4. While checking your client’s vital signs, you get an abnormal reading or measurement (ex. bloodpressure). You should:
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1 point
a. Recheck it and if it is still abnormal, record and report it immediately.
b. Record your first reading because you never make mistakes.
c. Make up a “normal reading” because you’re not sure how to take vital signs.
d. Just record your findings, your supervisor will see them when she reviews your paperwork.
5. Examples of observations/findings that should be reported to your supervisor include all of the followingexcept:
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1 point
a. Blood in your client’s Foley catheter bag.
b. Your client refused his personal care service today.
c. Your client has a good appetite and ate his entire lunch.
d. Your client’s wife told you he fell out of bed last night.
Infection Control
6. You must wash your hands:
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1 point
a. Before and after giving care to your client.
b. After using the bathroom.
c. Anytime hands are visibly soiled.
d. All of the above.
7. When washing your hands, you should do all of the following except:
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1 point
a. Make the water as hot as you can tolerate and scrub vigorously.
b. Use warm water, soap, and clean towels.
c. Wet the hands thoroughly by holding them under running water, and then apply soap.
d. Use firm, rubbing, and circular movements to wash the palm, back, and wrist of each hand.
8. Disposable gloves should be worn in each situation below except:
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1 point
a. To protect the hands when the HHA is likely to handle any body substance.
b. While changing bed linens that are soiled with feces.
c. While preparing a light lunch for your client.
d. While emptying your client’s Foley catheter bag.
9. Signs and symptoms of infection that should be reported to your supervisor include:
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1 point
a. Localized swelling and redness.
b. Pain or tenderness with touch or movement.
c. Foul smelling wound drainage.
d. All of the above.
10. Whether a microorganism causes an infection depends on a number of factors. Factors thatincrease a client’s susceptibility to infection include:
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1 point
a. Age, heredity, and immunization status.
b. Level of stress, current medical therapy, and preexisting disease processes.
c. Past or recent surgical interventions.
d. All of the above.
Basic Elements in Body Function and Abnormalities
11. Your client, 92 year old Mrs. Stevens has a history of hypertension and is taking medications to controlher blood pressure. When assisting her out of bed from a lying position, you should:
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1 point
a. Explain the transfer to her, grab her by the arms, and pull her up.
b. Explain the transfer to her, slowly assist her to a sitting position, and allow her to dangle her feet for a few moments before assisting her to a standing position
Take her by surprise and move as quickly as possible so she doesn’t get dizzy.
Explain the transfer to her, and then allow her to get out of bed on her own while you prepare her breakfast
12. Placing your client on a regular bedpan is best accomplished by:
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1 point
a. Asking him to bend his knees and lift his buttocks, placing the pan underneath them, raising the head of the bed, and providing privacy
b. Grabbing his legs and pulling them up over his head, placing the pan underneath them, and providing privacy.
c. Rolling him on his side and pushing the pan underneath him, and providing privacy.
d. Bedpans are only for use in hospitals and nursing homes and shouldn’t be used in homecare.
13. When communicating with Mr. Nigel, who is hard of hearing, you should:
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1 point
a. Reduce background noise, ex. turn off the television or radio.
b. Speak clearly at a moderate rate and in a normal tone of voice.
c. Address him directly, making sure he can see your face easily.
d. All of the above.
14. When caring for a client with an indwelling Foley catheter, it is important to remember all of thefollowing are true except:
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1 point
a. The drainage bag should always be positioned at a level below the client’s bladder.
b. The drainage bag should rest securely on the floor.
c. To prevent tension on the catheter, the catheter should be securely taped to the thigh or abdomen.
d. Always wear gloves when empting the drainage bag.
15. You know that dehydration is a common problem among the elderly and infirm because:
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1 point
a. Their ability to swallow, confusion, and/or depression may limit fluid intake.
b. Doctors don’t order enough fluids.
c. They may intentionally limit fluid intake to avoid “wetting accidents.”
d. Both a and c.
Maintenance of a Clean, Safe Environment
16. Which of the following clients are at an increased risk for falling:
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1 point
a. Mrs. Landers, an elderly widow who lives alone in her own home. She has a history of glaucoma, for which she takes eye drops twice daily. She reports difficulty in focusing, loss of vision, and inability to adjust to darkness.
b. Mr. Chicoman, who suffered a stroke one month ago and has been discharged home to his apartment, which has several cluttered traffic areas and unanchored rugs.
c. Miss. Kelly, a stylish 79 year old client who lives with her daughter since breaking her hip two years ago after falling down the stairs. She insists on wearing high-heeled shoes because they are more fashionable.
d. All of the above
17. Hazards are a concern for client and staff safety. Which of the following is a home hazard thatshould be recognized and corrected?
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1 point
a. Decorative throw rugs in the kitchen and hallway.
b. Wide stairways.
c. Large bedrooms with heavy sturdy furniture.
d. Grab bars in the bathroom.
18. Back injuries are a common occurrence among home care workers. Choose the scenario which putsthe worker’s back at risk:
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1 point
a. Transferring a max assist client from bed to wheelchair using a hoyer lift, adjusting the hospital bed to your comfort level, using proper body mechanics when rolling the client from side to side to position the sling.
b. Transferring a client into the bed from a wheelchair by lifting with your legs, avoiding twisting motions, and holding the client close to your body.
c. Transferring an obese stroke client alone from a wheelchair kept close to the bed while lifting with your knees and back.
d. Contacting the agency when a client is too large for you to move by yourself, to send in someone to assist you with the transfers and scheduling a second caregiver on days for bathing and ambulation of the patient.
19. When it comes to personal safety:
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1 point
a. Always trust your instincts.
b. Try to be a hero.
c. Do not worry about it.
d. Always get involved in domestic arguments.
20. While traveling you should never:
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1 point
a. Avoid the use of a luxury car.
b. Keep your automobile well maintained and full of gas.
c. Check under the car and in the back seat before entering the car.
d. Plan to visit clients in “questionable areas” at night.
Recognizing Emergencies and Emergency Procedures
21. You walk into a client’s home and you find they have cut themselves on a kitchen knife and arebleeding profusely, you should:
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1 point
a. Apply direct pressure, elevate and call 911.
b. Tell the client to remain calm while you examine the cut.
c. Run to the neighbor’s house to get help.
d. Rinse the wound with salt water solution and call the nurse.
22. You walk into Mrs. Smith’s residence and she tells you she cannot breath you should:
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1 point
a. Tell her to remain calm, watch her to be sure she is breathing while you call 911.
b. Try to give her a breathing treatment.
c. Run to the neighbor’s house to get help.
d. Give her a glass of cold water and some mayonnaise to help her breathing.
23. Your client is having a seizure. You should never:
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1 point
a. Clear the area of objects that can harm the client.
b. Hold or restrain the client or attempt to place anything into the client’s mouth.
c. Place the client on their side after the seizure is over to prevent choking.
d. Cushion the head with a pillow or blanket.
24. Your diabetic client is at home fatigued, sweating and stating she does not feel good. You shouldfirst:
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1 point
a. Give them a glass of milk and graham crackers with peanut butter.
b. Give them a big glass of water.
c. Call 911 and run to the neighbor’s house to get help.
d. Give them a shot of insulin.
25. Extreme temperatures are a problem with clients in the home. Home clients are susceptible tohypothermia and heatstroke. You should never:
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1 point
a. Immediately call EMS.
b. Remove all the sweat soaked clothing from a person suffering from heatstroke and fan and apply cool water to their body.
c. Remove a hypothermic patient out of the cold environment and place into a warmer environment.
d. Run hot water over the skin of a person suffering from hypothermia.
Physical, Emotional, and Developmental Needs
26. Which of the following statements are true?
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1 point
a. The elderly require more medications because their systems become immune after a lifetime of taking medications.
b. Children just take half of the amount of medicine an adult does.
c. The elderly require lots of sleep because their bodies are tired.
d. The elderly are affected more easily than younger people to medications, nutritional deficits and trauma.
27. Mrs. Jones is 81years old and lives in a retirement community. She is socially active and has aboyfriend named Jim who is 86 years old. The HHA comes into the home to give her abath and she asks her if she has ever heard of Viagra. The best response from the aide would be:
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1 point
a. Are you kidding, you are too old to have sex.
b. Tell me about Viagra and what you would like to know.
c. Viagra is not for women, it is for men so you never mind.
d. Did your boyfriend say he wanted that because he is a dirty old man?
28. Which person is most likely to conform to interests of their friends?
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1 point
a. A two year old playing in a sandbox.
b. A 17 year old hanging out in a parking lot with other teens.
c. An 81 year old playing bridge with a group.
d. A college student getting ready for final exams.
29. The social and emotional aspect of young adults includes everything below except:
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1 point
a. Seeks closeness with others.
b. Sets career goals and/or family goals.
c. Chooses lifestyle and community.
d. Begins to develop a sense of self.
30. It is important to recognize and understand age specific milestones because:
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1 point
a. They are exactly the same with every person and you will always know how to act.
b. They are skills you use to give care that meets each client’s unique needs.
c. They are something that everyone foolishly follows.
d. They can help you understand your client’s unique language.
Adequate Nutrition and Fluid Intake
31. Not taking in enough fluids can cause all of the following except:
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1 point
a. Constipation.
b. Kidney problems.
c. Delayed healing of wounds.
d. Soft supple skin.
32. Adults need to drink at least:
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1 point
a. Three gallons of water a day.
b. 8 glasses of water per day or 64 ounces.
c. 4 glasses per day or 32 ounces.
d. One glass of fluid per day or 8 ounces.
33. All of the following conditions require increased fluids in people except:
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1 point
a. Diarrhea/vomiting.
b. Excessive sweating/ hot days.
c. Multiple wounds/ decubitus ulcers.
d. People that go for dialysis or have fluid restrictions.
34. As you get older some changes occur, they are:
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1 point
a. Decrease in taste, decrease interest in food.
b. Enhanced taste.
c. Increased appetite for foods you never liked.
d. Desire to eat very large meals often.
35. Teenagers’ bodies are changing and they require nutrition, the problem with teenagers and nutritionis:
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1 point
a. Incidence of dieting among teenagers or eating disorders.
b. Desire for quick fast foods and junk foods.
c. Not concerned with nutrition because they feel invincible and live in the moment.
d. All of the above.
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