Direct Caregiver / Aide Competency Test
An Answered Prayer, LLC 206 6th St., McKeesport PA Phone: 412-405-9792

This test consists of 143 questions. You must answer a minimum of 100 questions correctly in order to pass this test.

If your first attempt is less than 100 questions answered correctly, you may try again. You are permitted only 2 tries to pass the test.
Email address *
First and Last Name *
Your answer
The date you are taking this test *
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PLEASE ANSWER THE FOLLOWING QUESTIONS.
What is the role of the Caregiver / Aide?
Select True or False for Questions 1 through 10.
1. Reinforce a dressing *
1 point
2. Apply a hot pack *
1 point
3. Give an enema *
1 point
4. Administer medication *
1 point
5. Change a sterile dressing *
1 point
6. Assist with changing of the colostomy bag *
1 point
7. Give a rectal suppository *
1 point
8. Give a tubal feeding *
1 point
9. Give insulin *
1 point
10. Cut Nails *
1 point
Choose one correct answer for each question.
11. As an aide, you *
1 point
12. When you work in the home, you will be *
1 point
COMMUNICATION
13. In the home, it is important to be a good listener *
1 point
14. Always tell the client what you are going to do before starting a procedure *
1 point
15. You only communicate through words *
1 point
16. Which of the following is important when communicating with people *
1 point
17. Body language is: *
1 point
18. Aide care for a conscious client should be preceded by: *
1 point
19. Miss Ferris, an 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 Farris do because she feels this way? *
1 point
20. A client accuses an aide of stealing five dollars. The aide has not taken the client’s money, but the client does not believe this. What should the aide do? *
1 point
CONFIDENTIALITY
21. Which of the following confidentiality practices is not okay? *
1 point
22. Which of the following methods would an aide not use to share information about a client’s status with the other members of the Care Team? *
1 point
23. HIPAA privacy rules are always followed even if the state's law is more stringent. *
1 point
24. The minimum necessary rule means that only necessary information should be shared even if the client has given authorization. *
1 point
CONSUMER CONTROL & THE INDEPENDENT LIVING PHILOSOPHY
25. Every client is the same and has the same needs and wants. *
1 point
26. It is all right to use any item in the home without asking as long as it is for the client’s personal care. *
1 point
27. You may use the telephone in the client’s home without asking for permission. *
1 point
28. A neighbor has asked you some questions about the client you are presently taking care of. “Mrs. Collier is dying, isn’t she?” How will you answer her? *
1 point
29. Which of these statements about the elderly is true? *
1 point
30. When working with a person who is disabled, the general goal of care is to: *
1 point
31. 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 aide do? *
1 point
32. A client hands his Care Aide $25.00 for “all the little extras” she does for him. What should the Care Aide do? *
1 point
33. A client is very committed to his religion & likes to discuss his beliefs with his Care Aide. The Care Aide does not share his beliefs. How should a Care Aide help him? *
1 point
34. A client is temporarily paralyzed from the waist down. A Care Aide should provide support with his activities of daily living by: *
1 point
RECOGNIZING CHANGES IN THE CLIENT THAT NEED TO BE ADDRESSED
35. A client is reacting to his illness by turning away from others. A Care Aide can help him through this withdrawal reaction by: *
1 point
36. A client is only eating one meal a day, how should you address this change in eating habits? *
1 point
BASIC INFECTION CONTROL
37. Hand washing is the single best way to decrease the transfer of pathogens. *
1 point
38. Gloves should be worn when handling items soiled by body fluids. *
1 point
39. The catheter drainage bag must be lower than the bladder, but not on the floor. *
1 point
40. During a visit, you need to wash your hands after removing gloves: *
1 point
41. In what situation should gloves be used? *
1 point
42. Which of the following will help prevent germs from spreading? *
1 point
43. Which of the following would a Care Aide not do to prevent transmitting germs? *
1 point
44. The basics of good housekeeping do not include: *
1 point
45. If a client has the flu, you should use the following Additional Precautions: *
1 point
46. You should use Standard Precautions when: *
1 point
47. When disposing of a needle or other sharp object, always: *
1 point
48. When changing a bed or handling linens, the correct Standard Precautions procedure is to: *
1 point
49. If a client has an infected wound, use the following Additional Precautions: *
1 point
UNIVERSAL PRECAUTIONS
50. It is important to understand and follow your employer’s policies regarding bloodborne pathogens. *
1 point
51. The relative risk of exposure to bloodborne pathogens is great. However, once exposed the diseases are not that serious *
1 point
52. AIDS is caused by which virus? *
1 point
53. Personal protective equipment is an important line of defense against exposure to bloodborne pathogens. *
1 point
54. Universal Precautions means treating bodily fluids as if they are known to be infectious. *
1 point
55. Hand washing is an important part of disease prevention *
1 point
56. Contaminated waste should immediately be placed in the nearest wastebasket. *
1 point
57. An incident report should only be completed if you do not know whose blood you were exposed to. *
1 point
58. Which of the following statements about used sharp objects is not correct? *
1 point
59. An example of a blood-borne disease is: *
1 point
60. When handling household waste, which of the following is not correct: *
1 point
61. A doctor phones to report he has ordered a new medication for a client. He states it must be administered as soon as the pharmacy delivers it. The Care Aide is the only person with the client. There is no family locally & the client is unable to give the medication to himself. What should a Care Aide do? *
1 point
HANDLING OF EMERGENCIES
62. For an injury with profuse bleeding, apply pressure and call for assistance. *
1 point
63. If the client begins to have a seizure, your first responsibility is to prevent the client from injuring himself. *
1 point
64. If the client falls and complains of pain in his hip, you should help him to get up and walk to the bed. *
1 point
65. A client is choking on some object that is caught in his airway. Before first-aid measures are applied, find out: *
1 point
66. While giving a bath on a shower chair, the client suddenly gasps and becomes unresponsive. The aide should: *
1 point
67. For which of these emergencies is knowledge of pressure points essential? *
1 point
68. The telephone numbers of all of the following are important to a client. Which number must the aide have next to the telephone? *
1 point
69. An Aide finds her frail client wedged between the wall and his wheel-less bed. He is unresponsive. What should the Care Aide do? *
1 point
70. A client starts vomiting while lying in bed. Which of the following would a Care Aide not do? *
1 point
OBSERVATION, REPORTING, AND DOCUMENTATION
71. If you do not chart a task that you do for a client, legally, it was not done. *
1 point
72. If the client 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. *
1 point
73. A rapid pulse and shortness of breath in a client usually indicates the client is excited and does not need to be reported to the nurse. *
1 point
74. The client tells you he has not moved his bowels in three days. What should you do? *
1 point
75. Which of these actions is the aide permitted to take in relation to drug administration? *
1 point
76. When a client complains of pain, what should the aide do first? *
1 point
77. A client’s prescription for heart pills has recently been changed. The aide should notify the agency supervisor immediately if the client makes which of these comments? *
1 point
78. Mrs. Rand, who has diabetes and takes insulin regularly, tells the aide that she feels very nervous and jittery. What should the aide do immediately? *
1 point
79. A client asks to read an aide’s notes after she has written them. What should the aide do? *
1 point
INSTRUMENTAL ACTIVITIES OF DAILY LIVING (IADL)
80. What would be considered an instrumental activity of daily living?
1 point
81. Meal preparation and basic communication skills are IADL *
1 point
82. What is the ultimate goal of IADL *
1 point
DEALING WITH DIFFICULT BEHAVIORS
83. A client comes from a culture that believes bathing should only be done weekly. He is incontinent of both stool and urine and should be bathed daily. How should an Aide handle this situation? *
1 point
84. An Aide is assisting a client to prepare for an appointment. He insists on wearing his favorite shirt, which is stained and frayed. What should the Aide do? *
1 point
85. Which of the following would an Aide not do when dealing with a difficult client? *
1 point
RECOGNIZING AND REPORTING ABUSE OR NEGLECT
86. If you know of or suspect, abuse or neglect of a person, you should first: *
1 point
87. Some causes of abuse and neglect are: *
1 point
88. Threatening a person with punishment for not doing what you tell them to is: *
1 point
89. Exploitation is a form of abuse that involves: *
1 point
90. Improper use of bedrails or other restraints is considered: *
1 point
PERSONAL CARE
91. When bathing a client, which of the following activities would an Aide not do? *
1 point
92. What is the most effective way to prevent a client’s skin from breaking down and decubitus ulcers from forming? *
1 point
93. Always transfer a client towards his good side. *
1 point
94. There is no need to be near an object to pick it up, just reach. *
1 point
95. It’s best to use a gait belt if a client is unsteady. *
1 point
96. A client lying on his back has slid down in bed and needs help in moving up again. To start this, the client should, if possible: *
1 point
97. Before helping a client into or out of a wheelchair, which of these actions are necessary? *
1 point
98. When assisting a client to walk with his walker, you should: *
1 point
99. A client who has been on bed rest is to get up in a chair. The aide helps the client to sit on the edge of the bed. The client says, “I am dizzy.” What should the aide do? *
1 point
100. The client has had a stroke and has a right-sided weakness. The client can walk with little assistance. It is best for the aide to assist the client by walking in which of these positions?
1 point
101. Mr. Stone is 76 years old, needs help with bathing, and has a faulty 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
102. A client’s risk of injury can be reduced by: *
1 point
103. When applying a transfer belt onto a client, the Aide should: *
1 point
104. An Aide is with a client, who starts to fall. The Care Aide should: *
1 point
105. An Aide is caring for a bed-ridden client who needs to be turned often. Since she is working alone, the Aide should not: *
1 point
106. Soy sauce is good to spice up a low salt diet. *
1 point
107. A regular diet is a well-balanced diet with no restrictions. *
1 point
108. Bread and potatoes are a good source of protein. *
1 point
109. Foods on a liquid diet would include: *
1 point
110. Foods that are high in vitamin C include: *
1 point
111. Milk is a good source of calcium. Which of these foods is also high in calcium? *
1 point
112. Clients on low salt diets are usually allowed to have which of these foods? *
1 point
113. Which would an Aide not do when trying to get a senior to eat properly? *
1 point
114. Which of the following is a safe way to handle food? *
1 point
115. When assisting a client with his medication an Aide does not? *
1 point
116. Diarrhea can cause dehydration and other serious complications and should be reported. *
1 point
117. If a person complains of pain, it is important to have the client describe the pain and then report it to the nurse and record it in your notes. *
1 point
118. It’s normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach or legs. *
1 point
119. If you notice the client’s catheter is not draining, the first thing you should do is: *
1 point
120. Which of the following is not recommended for promoting good daily bowel habits: *
1 point
121. 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 aide to give her an enema. What should the aide do? *
1 point
122. Which of the following does not cause urinary incontinence? *
1 point
123. Constipation may be caused by: *
1 point
124. When caring for clients with indwelling catheters, a Care Aide does not: *
1 point
125. It is important to keep a patient covered during a bath except for the part being washed. *
1 point
126. Massaging of bony prominences helps to prevent skin breakdown by increasing the blood supply to the area. *
1 point
127. 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
128. Which of the following is the most appropriate practice to promote good skincare in the elderly: *
1 point
129. If dentures are not worn when sleeping, where should you store them? *
1 point
130. Why is it important that a patient has good mouth care? *
1 point
131. An elderly male patient occasionally wets his trousers. What should the aide do? *
1 point