Home Health Aide Competency Evaluation Written Exam

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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.

1. Reinforce a dressing.

1 point

True

False

Clear selection

2. Apply a hot pack

1 point

True

False

Clear selection

3. Give an enema *

1 point

True

False

4. Administer medication *

1 point

True

False

5. Change a sterile dressing *

1 point

True

False

6. Assist with change of a colostomy bag
*

1 point

True

False

7. Give a rectal suppository *

1 point

True

False

8. Give a tube feeding *

1 point

True

False

9. Give insulin

1 point

True

False

Clear selection

10. Cut nails

1 point

True

False

Clear selection

Choose one correct answer for each question below

11. As a home health aide, you:

1 point

work alone

work as part of the health care team

may become the leader of the health care team

will never get any further training after orientation

Clear selection

12. When you work in the home, you will be:

1 point

responsible for making decisions without any help

working under the supervision of a professional supervisor

away from your office and have no way to contact your employer

responsible for calling the physician with information

Clear selection

13. As a home health aide, it is your responsibility to:

1 point

plan the client's care

do only the tasks that the registered nurse or therapist assigns to you

try to do your best, but not ask for any help

compare assignments with your co-workers

Clear selection

II. COMMUNICATION

Mark the following True or False

14. In the home, it is important to be a good listener *

1 point

True

False

15. Always tell the patient what you are going to do before starting a procedure

1 point

True

False

Clear selection

16. You only communicate through words

1 point

True

False

Clear selection

Choose one correct answer for each question below

17. Which of the following is important in communicating with people?

1 point

courtesy

tact

listening

all of the above

Clear selection

18. Body language is

1 point

a way of communicating feelings by using the body, facial expressions and the eyes

only used by clients to tell their doctors what is causing them problems

only used by persons who are deaf or mute

the newest dance craze

Clear selection

19. Aide care for a conscious patient should be preceded by

1 point

asking the patient for his permission to go ahead with the procedure

telling the patient you would like to have his cooperation

giving an explanation of what is going to be done

explanation to the patient that the doctor ordered this done

Clear selection

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?

1 point

Tell Mr. Conway how she feels

Find out if other aides have felt this way

Try to pretend that Mr. Conway is someone she likes

Talk with the agency supervisor about the situation

Clear selection

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?

1 point

ask the other aides who care for the patient if they took the five dollars

ask the patient why the aide is being accused

offer to give the patient five dollars

notify the agency supervisor

Clear selection

III. OBSERVATION, REPORTING AND DOCUMENTATION

Mark the following True or False

22. If you do not chart a task that you do for a patient, legally, it was not done.

1 point

True

False

Clear selection

23. If the patient has a new area of skin breakdown, and the nurse in coming in two days, you do not need to report the skin breakdown to your supervisor.

1 point

True

False

Clear selection

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.

1 point

True

False

Clear selection

Choose one correct answer for each question below

25. The patient tells you he has not moved his bowels in three days. What should you do?

1 point

Tell him not to worry about it

Tell him to take a laxative

Report it to the nursing supervisor

Pretend you didn't hear him

Clear selection

26. Which of these actions is the home health aide permitted to take in relation to drug administration?

1 point

Recording and reporting the patient's reaction to the medication

Handing out non-prescription medications if the patient asks for them

Adjusting the dosage of medications given to the patient

Adjusting the times medications are given to fit into the patient's activities schedule

Clear selection

27. When a patient complains of pain, what should the home health aide do FIRST?

1 point

Ask the patient to describe the pain

Call the patient's doctor

Offer the patient some warm tea

Change the patient's position

Clear selection

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?

1 point

"The pills are very expensive"

"These pills are a different shape from the pills I used to take"

"I have a rash on my stomach since I've been taking these pills"

"I can't take these pills unless I have really cold water to drink"

Clear selection

29. Mrs. Rand, who has diabetes and takes insulin regularly, tells the home health aide that she feels nervous and jittery. What should the aide do immediately?

1 point

Take her temperature

Find out when she has her next doctor's appointment

Have her lie down in bed

Give her a glass of orange juice

Clear selection

IV. READING AND RECORDING TEMPERATURE, PULSE AND RESPIRATIONS

Mark the following True or False

30. Always report a pulse rate if the beats per minute are under 60 or over 100

1 point

True

False

Clear selection

31. The temperature of an unconscious patient should be taken orally since they are not moving about.

1 point

True

False

Clear selection

32. Recording a patient's TPR or vital signs is not important as long as you remember what they are.

1 point

True

False

Clear selection

Choose one correct answer for each question below.

33. For which, if any, of these body areas is 99.6 degrees F a normal temperature

1 point

Axilla

Mouth

Rectum

None of the above

Clear selection

34. When taking a patient's pulse, you should take it for

1 point

15 seconds

One full minute

5 seconds

Two minutes

Clear selection

35. When a patient's respirations are being counted, it is best that the patient

1 point

tries to breath evenly

tries to breathe as deeply as he can

sits up straight

not be aware that the respirations are being counted

Clear selection

V. INFECTION CONTROL

Mark the following True or False

36. Hand washing is the single best way to decrease the transfer of pathogens.

1 point

True

False

Clear selection

37. Gloves should be worn when handling items soiled by body fluids.

1 point

True

False

Clear selection

38. The catheter drainage bag must be lower than the bladder, but not on the floor.

1 point

True

False

Clear selection

Choose one correct answer for each question below.

39. During a visit, you need to wash your hands after removing gloves

1 point

before you give physical care to the patient

after you pet the dog

before you leave the patient's home

all of the above

Clear selection

40. In what situation should gloves be used?

1 point

The patient is vomiting

The patient has been incontinent of stool

The patient has drainage wound

All of the above

Clear selection

VI. BODY FUNCTIONS AND CHANGES

Mark the following True or False

41. Diarrhea can cause dehydration and other serious complications and should be reported

1 point

True

False

Clear selection

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.

1 point

True

False

Clear selection

43. It's normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach, or legs.

1 point

True

False

Clear selection

Choose one correct answer for each question below.

44. If you notice the patient's catheter is not draining, the first thing you should do is:

1 point

call your supervisor

empty the drainage bag

check the tubing to see if it is kinked

do nothing, this is the nurse's problem

Clear selection

45. Which of the following is not recommended for promoting good daily bowel habits

1 point

plenty of water

laxatives

exercise

well balanced meals

Clear selection

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?

1 point

Tell the patient he must be getting better

Wait 15 minutes and take the pulse again

Inform the supervisor right away

Just record the pulse in the normal way

Clear selection

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?

1 point

Give Mrs. Amos an enema

Tell Mrs. Amos to wait another day

Suggest that Mrs. Amos take a laxative first

Contact the agency supervisor to discuss the situation

Clear selection

VII. MAINTAINANCE OF A CLEAN, SAFE ENVIRONMENT

Mark the following True or False

48. A bedside call bell needs to be available so the bed bound patient can summon assistance.

1 point

True

False

Clear selection

49. Bedrails should never be used to secure vest restraints.

1 point

True

False

Clear selection

50. Smoking in bed is fine for anyone who is not confused.

1 point

True

False

Clear selection

Choose one correct answer for each question below.

51. Part of your duties as a home health aide are to assure a safe home environment. This includes:

1 point

proper infection control with good handwashing

electrical and fire safety

moving things which may cause the patient to fall

all of the above

Clear selection

52. A patient is receiving oxygen through a nasal cannula. What safety precautions should the home health aide take?

1 point

keep the television set at least 5 feet from the oxygen tank

do not permit the patient to drink soda

allow no smoking in the patient's room

do not use any lotions that contain oil in the patient's room

Clear selection

VIII. EMERGENCY PROCEDURES

Mark the following True or False

53. For an injury with profuse bleeding, apply pressure and call for assistance.

1 point

True

False

Clear selection

54. If the patient begins to have a seizure, your first responsibility is to prevent the patient from injuring himself.

1 point

True

False

Clear selection

55. If the patient falls and complains of pain in his hip, you should help him to get up and walk to the bed.

1 point

True

False

Clear selection

Choose one correct answer for each question below.

56. A patient is choking on some object that is caught in his airway. before first aid measure are applied, find out:

1 point

if the patient's pulse rate is over 80

if the patient can swallow clear fluids

if the patient can speak or cough

what medications the patient has taken in the last 24 hours

Clear selection

57. While giving a bath on a shower chair, the patient suddenly gasps and becomes unresponsive. The home health aide should

1 point

call for family assistance and continue with the bath

leave the patient and call 911

lower the patient to the floor, call for the family to call 911, determine if CPR is needed and initiate it if indicated

tell the family to stay with the patient while you call 911 and the supervisor

Clear selection

58. For which of these emergencies is a knowledge of pressure points essential?

1 point

health stroke

burns

food poisoning

bleeding

Clear selection

59. The telephone numbers of all the following are important to a patient. Which number MUST the home health aide have next to the telephone?

1 point

the patient's clergyman

the drugstore

the emergency medical squad

the next door neighbor

Clear selection

IX. HUMAN DEVELOPMENT

Mark the following True or False

60. Every patient is the same and has the same needs and wants.

1 point

True

False

Clear selection

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.

1 point

True

False

Clear selection

62. You may use the telephone in the patient's home without asking permission.

1 point

True

False

Clear selection

Choose one correct answer for each question below

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?

1 point

"Mrs. Collier is doing as well as can be expected"

"I am sorry but I cannot discuss Mrs. Collier"

"Yes, it's too bad, but she's very ill"

"How did you know about Mrs. Collier and her illness"

Clear selection

64. Which of these statements about the elderly is true? *

1 point

They cannot change

They can learn new things

They want to become dependent on others

They do no enjoy meeting new people

65. When working with persons who are disabled, the general goal of care is to

1 point

provide constant supervision

provide total care

promote maximum self care and independence within the limits of the person's ability

promote the complete return of the person's abilities

Clear selection

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?

1 point

insist that Mrs. Amos eat at this time

tell Mrs. Amos to let the aide know when she wants to eat, and remind her that it is important to have lunch

tell Mrs. Amos that is she does not eat by herself she will have to be fed

tell Mrs. Amos that it took a lot of time to prepare the food and that she should eat it while it is fresh

Clear selection

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

1 point

do not like to be told what to do

are usually sicker than adults

enjoy human contact more than adults

cannot explain how they feel

Clear selection

X. PERSONAL CARE

Mark the following True or False

68. It is important to keep a patient covered during a bedbath except for the part being washed

1 point

True

False

Clear selection

69. Massaging of bony prominences helps to prevent skin breakdown by increasing the blood supply to the area.

1 point

True

False

Clear selection

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.

1 point

True

False

Clear selection

Choose one correct answer for each question below.

71. Which of the following is most appropriate practice to promote good skin care in the elderly?

1 point

keep the skin clean and well moisturized

apply alcohol to bare areas of the skin

wash daily with scented soaps

all of the above

Clear selection

72. If dentures are not worn when sleeping, where should you store them?

1 point

wrap in a washcloth

put in a sterile container

wrap in a gauze pad

place in a clean container in clean water

Clear selection

73. Why is it important that a patient have good mouth care?

1 point

bacteria in the mouth can cause tooth decay and gum infections

the saliva in the mouth is the source of stomach juices

Poor oral hygiene causes more saliva to be made

pool oral hygiene interferes with the sense of smell

Clear selection

74. An elderly male patient occasionally wets his trousers. What should the home health aide do?

1 point

give him fluids with his meals only

avoid giving his coffee and tea

tell him if he urinates on himself he will have to be put in diapers

encourage him to go to the bathroom at least every two hours

Clear selection

75. In giving foot care to a patient who has diabetes, the home health aide may take which of these actions?

1 point

Clean under the toenails

cut the toenails

soak the patient's feet for more than 5 minutes in a basin of warm water

put lotion on the patient's feet after drying them

Clear selection

XI. SAFE TRANSFER TECHNIQUES AND AMBULATION

Mark the following True or False

76. Always transfer a patient towards his good side.

1 point

True

False

Clear selection

77. There is no need to be near an object to pick it up, just reach.

1 point

True

False

Clear selection

78. It's best to use a gait belt if a patient is unsteady.

1 point

True

False

Clear selection

Choose one correct answer for each question below.

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

1 point

raise himself on his elbows

separate his legs widely

arch his back

flex his knees and push with his heels

Clear selection

80. Before helping a patient into or out of a wheelchair, which of these actions are necessary?

1 point

Have the brakes unlocked and leave the foot pieces down

lock the brakes and fold the foot pieces up

have the brake unlocked and the foot pieces up

lock the brakes and leave the foot pieces down

Clear selection

81. When assisting a patient to walk with his walker, you should

1 point

clear a pathway and remove all safety hazards

stay close to the patient's side

stand on the other side of the room

A and B

Clear selection

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'm dizzy". What should the aide do?

1 point

Rub the patient's feet

help the patient to a standing position and see if the dizziness goes away

put a cool compress on the patient's head

support the patient in a sitting position and wait a minute or so to see if the dizziness goes away

Clear selection

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 aid to assist the patient by walking in which of these positions?

1 point

directly in front of the patient

directly in back of the patient

on the patient's left side

on the patient's right side

Clear selection

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?

1 point

place the foot support of the wheelchair so that he can step up on them

have a blanket draped in the wheelchair

have the brakes on the wheelchair in a locked position

place a pillow on the seat of the wheelchair

Clear selection

XII. NORMAL RANGE OF MOTION

Mark the following True or False

85. Passive range of motion exercises are for the prevention of contractures in patients with paralyzed limbs.

1 point

True

False

Clear selection

86. During range of motion exercises, if you feel resistance or the patient complains of pain, you should continue anyway.

1 point

True

False

Clear selection

87. It's best to have a pillow between the legs of a patient with a new hip replacement.

1 point

True

False

Clear selection

Choose one correct answer for each question below.

88. To prevent bedsores in the elderly, you should

1 point

change the patient's position every two hours if they are unable to do so themselves

get the patient out of bed if they are allowed to do so

ensure adequate nutrition with special emphasis on protein intake

all of the above

Clear selection

89. The home health aide should be sure to take which of these actions when caring for a newborn baby?

1 point

support the baby's head and neck when picking the baby up

clean the inside of the baby's ears with cotton swabs

use petroleum jelly to keep the area around the baby's naval moist

hold the baby only at feeding and bathing times

Clear selection

90. Which of these statements describes good body mechanics?

1 point

carry heavy objects as far away from the body as possible

bend the knees when lifting an object off the floor

bend over at the waist when lifting an object from the floor

lift rather than push a heavy object

Clear selection

91. When caring for a patient who is on bed rest, what should the aide do to prevent bedsores?

1 point

keep the top sheets well tucked in

keep the bottom sheet free of wrinkles

use only sheets that are 100% cotton on the patient's bed

use only woolen blankets to cover the patient

Clear selection

92. Physical therapy has started range of motion exercise. Which of these statements about exercise is true? *

1 point

if a patient cannot talk, do not explain the exercises to the patient

during exercise, all joints should be moved in all directions

when the patient does not assist when the joint is moved through its range of motion, the exercise is called active excercise

it is important to support the body parts above and below the joints when they are moved during exercise

XIII. NUTRITION

Mark the following True or False

93. Soy sauce is good to spice up a low salt diet

1 point

True

False

Clear selection

94. A regular diet is a well balanced diet with no restrictions.

1 point

True

False

Clear selection

95. Bread and potatoes are a good source of protein.

1 point

True

False

Clear selection

Choose one correct answer for each question below.

96. Foods on a liquid diet would include

1 point

chicken, eggs, and toast

chopped and strained foods

broth, tea and jello

lightly seasoned foods

Clear selection

97. Foods that are high in vitamin C include

1 point

oranges, tomatoes, and watermelons

potatoes, raisins, and bananas

liver, beef, and chicken

cheese, milk, and cottage cheese

Clear selection

98. If there is 50cc left in a glass and the glass holds 150cc you should record the intake as

1 point

90cc

120cc

100cc

50cc

Clear selection

99. Which of these fluids is highest in protein?

1 point

vegetable broth

lemonade

tomato juice

eggnog

Clear selection

100. Milk is a good source of calcium. Which of these foods is also high in calcium?

1 point

cheese

banana

orange juice

raisins

Clear selection

101. When patients do not have enough fluids, they may develop which of these problems?

1 point

diarrhea

swelling

constipation

dandruff

Clear selection

102. If a patient is to have a fluid intake record kept, the right time to record the patient's fluid is

1 point

when the fluids are served to the patient

when the patient has drank the fluids

every 2 hours

after each meal

Clear selection

103. Patients on low salt diets are usually allowed to have which of these foods?

1 point

hard cheeses

canned soups

raisins

olivies

Clear selection

XIV. CULTURAL DIFFERENCES IN FAMILIES

Choose one correct answer to the question below

104. Patients sometimes express religious beliefs with which the home health aide does not agree. in dealing with these situations, which of these understanding should the aide use as a guide?

1 point

patients have a right to their own beliefs, which should be respected

patients should be told not to discuss their beliefs with aides

aides should explain their beliefs to patients

aides should pretend to have the same beliefs that patients have

Clear selection

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