Home Health Aide Practice Test

When giving a bed bath, how often should the water be changed? A) as often as needed to have warm, clean water at all times B) just once C) only after washing the perineal area D) only after washing the front half of the patient

Which of the following items is used in the prevention and treatment of bedsores or pressure sores? A) rubber sheets B) air mattress C) emesis basin D) arm restraints

Proper feeding techniques include: A) Just one spoonful per bite B) Feed the patient slowly and make sure all food is swallowed C) Feed the patient while laying flat on the bed D) Allow the spoon to go to the back of the tongue

If a client is wearing anti-embolism stocking, what would be an important thing to assess for? A) Ultrasound for deep vein thrombosis B) Tingling or lack of sensation C) Bounding Pulses

When performing these health skills on a client it is always important to: A) Have consent from the client B) Wash your hands before and after C) Explain exactly what you are doing D) All of the above

What is not a sign or symptom of dehydration? A) Light-colored and diluted urine B) Weakness and thirst C) Dried mucous membranes D) Rapid pulse and low blood pressure

Which of the following is the most appropriate practice to promote good skin care in the elderly? A) keep the skin clean and well moisturized B) apply alcohol to moist areas of the skin C) wash daily with scented soaps D) all of the above

When taking a client's pulse, you should take it for how long? A) about 15 seconds B) one minute C) 30 seconds D) two minutes or more

Mr. Smith, a client with dementia, has become very agitated. Which of the following suggestions would be helpful? A) stay calm B) offer diversion and/or entertainment C) be agreeable D) all of the above

In giving foot care to a diabetic client, the home health aide should not do which of the following? A) clean under the toenails B) cut the toenails C) soak the feet for more than 5 minutes in a basin of warm water D) put lotion on the feet after drying them

Primary symptom for a urinary tract infections (UTI) is? A) yellowing of the skin B) pain or burning during urination C) high urination output D) chills

A client complains of intense pain in the chest that goes down the arm; and is sweating profusely. The home health aide should: A) call for emergency help immediately B) massage the chest and arm C) assist the client back to bed D) call your agency

What is a normal systolic blood pressure level? A) 80 B) 120 C) 140 D) 60-90

Urinary leg bags are used for: A) catheterized male clients B) catheterized clients who are up and out of bed C) catheterized clients who are confined to bed D) catheterized clients who have a decreased urinary output

As a home health aide, what can you do for a client's minor burn as an emergency procedure? A) Use cool water over the burned area B) Apply butter on the burned area C) Cover the area with a dry dressing D) All of the above

Before helping a client into or out of a wheelchair, which of these actions is necessary? A) have the brakes unlocked and leave the foot rests down B) lock the brakes and fold the foot rests up C) have the brakes unlocked and the foot rests up D) lock the brakes and leave the foot rests down

When a client has been drinking fluids, how long do you wait before taking an oral temperature? A) 10-15 minutes B) 35-45 minutes C) 5-10 minutes D) about an hour

96.6 degrees is a normal temperature if taken: A) by mouth B) by axilla C) by rectum D) by ear

Which of the following is a correct measurement of urinary output? A) 40 oz B) 2 cups C) 300 cc D) 1 quart

Which temperature should you report immediately? A) An oral temperature of 98.4 degrees F B) A rectal temperature of 99.6 degrees F C) An axillary temperature of 99.6 degrees F D) An oral temperature of 99.0 degrees F

Mr. and Mrs. Williams, both in their 70's, are distressed about changes that are affecting their lives. Which of the following would not be stressful? A) Positive relationships with family and friends B) A change in Social Security benefits C) One of them is diagnosed with a terminal illness D) Moving from their home to a retirement community

A client in your care is frustrated, upset and raising his voice in complaint. Which of the following is the best response? A) Walk away from the patient in an effort to show you won't tolerate their behavior B) Ask him/her to lower their voice in courtesy to others who are getting upset C) Report the incident to the supervising nurse D) Offer support and care using a comforting and calming manner

You may encounter clients who are anxious or feeling unsettled about either their circumstances or surroundings. The best response in dealing with anxiety is: A) Turn on the radio or television to distract the client from their immediate thoughts B) Open the shades to let in light and brighten the surroundings C) Leave the room so they can re-group and re-focus in private D) Speaking in a calm voice and exhibiting a calm and comforting demeanor

You notice a change in a client's mental condition. The best course of action is to: A) Report the change immediately to the nurse B) Try to use a sense of humor to lighten the mood of the client C) Ask the client if they have noticed a change in his or her personality D) Plan to spend extra time with this client as they may need more assistance than normal

Which of the following is NOT a sign of depression? A) Increased amount of time sleeping B) Withdrawal C) A decrease in appetite D) The resident's interest in doing social activities at the facility increases

A client in your care has just received news of a death in the family. What is the best way to assist them with the grieving process? A) Remind the client that death is inevitable B) Suggest that the client get their mind off of things by thinking of something pleasant C) Tell the client about an experience you had with death and what helped you cope with it D) Spend some time with the client, particularly offering support if they wish to talk about it

When caring for a dying client, the home health aide should: A) keep the room dark and quiet B) allow client to express his/her feelings C) change the subject if client talks about death D) contact a minister, priest or rabbi

Communication is defined as: A) exchanging information with others B) stating your feelings and facts C) writing or drawing D) giving your opinion

Clients sometimes express religious beliefs with which the HHA does not agree. In dealing with these situations, which should you use as a guide? A) clients have a right to their own beliefs, which should be respected B) clients should be told not to discuss their beliefs with aides C) should explain their beliefs to clients D) pretend to have the same beliefs that clients have

Your client catches you off guard with a comment that is sexual. Your best response would be: A) Let the client know that the comment is not acceptable to you B) Laugh and change the conversation to a different subject C) Make a humorous comment D) Walk away and pretend you did not hear it

Which of the 5 senses is the last a client loses when dying? A) Touch B) Sight C) Hearing D) Taste

Mr. Smith makes you uncomfortable because of sexual statements. How should you handle this situation? A) Tell him that it is unacceptable behavior and call your supervisor B) Tell him to keep his hands to himself C) Tell him that you will tell his family D) Push his hands away and tell him to "stop it"

A patient is trying to tell you something but it doesn't seem to make any sense. In this case you should: A) Watch the body language and facial expressions to help decipher what the patient is trying to say B) Ignore it since it probably is irrelevant C) Send for a nurse D) Smile, nod and act as if you understood

When speaking to a client who is hard of hearing and does not wear a hearing aide, you should: A) Face the client when speaking to him or her B) Speak as loud as you must in order to be heard C) Speak slowly and clearly D) All of the above

When a client, caregiver, or co-worker makes you angry, you should: A) tell him/her your true feeling B) respond sharply C) think before answering and respond tactfully D) leave the room

A client's family tries to tip you $50 for all the work you have done. A home health aide should: A) Split the tip (50/50) with the nurse B) Politely refuse the tip C) Take the money and thank them D) Donate the tip to charity

Another word for forcing a client to do something against their will is: A) Consequences B) Collusion C) Coercion D) Conspiracy

Choose the example below that would NOT be considered neglect: A) Forgetting to move an immobile resident enough to keep them from getting bed sores B) Leaving clutter on the floor where a resident walks C) Not staying on the floor once you've clocked in D) Forgetting to provide your resident with enough water in a timely manner

Which of the following could cause a home health aide to be charged with battery? A) Administering medications B) Using restraints on a patient without a physician's order C) Ignoring or delaying a response to a client's call for help D) Raising a hand to threaten a slap

A HHA threatens to slap a client if they don't stop yelling. This is classified as: A) Assault B) Battery C) Slander D) Libel

You observe a co-worker sexually harassing a client and choose to ignore it. This is an example of: A) Cease and assist B) Aiding and abetting C) Passive aggression D) Libel

A client's family is visiting when you arrive on duty and one of them hands you an envelope that contains a thank you card and money in appreciation for your care of their loved one. The best response is: A) Accept the gift and be sure this client gets extra attention so they know you are appreciative B) Accept the gift and then purchase a gift for the client's birthday C) Thank the family but tell them you must decline until you can check with your supervisor D) Accept the gift and then check with your fellow colleagues about how they handled similar situations

When a grease fire occurs, you can: A) use a fire extinguisher to put it out B) smother it with a lid C) pour baking soda on it D) all of the above

When working in a kitchen it is important to always practice good safety. Which of the following is not an appropriate safety measure? A) clean all spills immediately B) refrigerate warm food only after it has cooled C) keep drawers and cupboards tightly closed D) air dry dishes after washing them - no towel drying

Proper safety techniques when ambulating a client include: A) Monitoring client for fatigue / dizziness B) Move at a slow and controlled pace C) Ensuring client is wearing rubber-soled slippers D) Providing support using a gait belt E) All of the above

When transferring a client from a bed to a wheel chair best practices include: A) Record the move in case the client falls B) Assist the client into a sitting position at the side of the bed, then move C) Use a sheet to slide the client off the bed and onto the wheelchair D) Make sure the client as at the foot of the bed

Proper hand washing procedures include: A) Rinse with cold water for 1 minute B) Use warm water and soap from the hands to the wrist C) Lathering hands for at least 15 minutes D) Use alcohol wipes instead of washing hands is much more effective

In case of an emergency, the most important number to call is: A) a family member B) the doctor C) the emergency medical service D) your agency

You arrive at a client's home that lives alone. He does not answer the door when you knock and the door is locked. What do you do first? A) call the emergency medical service B) call the client's family C) call the agency and report your findings D) try to gain access through a window

It is important to share your personal life with the client so that they can know you better.? A) True B) False

Mr. Jones is on a low-cholesterol diet. This means that he should not eat? A) Pizza B) Steak C) Rice D) Peanut Butter

A nonsterile dressing is one that is:? A) Dry B) Wet C) Bactericidal D) Clean

When a client complains of pain, what should the health aide do first? A) Ask the client to describe the pain B) Change the client's position C) Offer the client a warm cup of milk D) Call the client's doctor

Which of the following are true about canes, walkers and crutches? A) They must have rubber tips to prevent slipping B) They must be fitted to the patient C) Clients must learn to use each D) All the above

A client accuses a home health aide of taking $10 without permission. The aide has not taken the money but the client refuses to believe her. What should the health aide do? A) Notify the health aide's supervisor B) Ask the client why the aide is being accused C) Ask other aides who care for the client if they took the $10 D) Offer to give the client $10

If a health aide has bad breathe or body odors, who is the least likely to be aware of it? A) The client's family B) The supervisor C) The client D) The aide

The term flex means:? A) Strain B) Protect C) Bend D) Twist

Which of the following are considered a system:? A) Epithelial B) Circulatory C) Digestive D) Respiratory

What is the primary reason for covering your mouth and nose when coughing or sneezing? A) To avoid getting snot sprayed all over other people B) To avoid injury to the inside of the nose and mouth C) To prevent the escape of bad smells D) To prevent the spread of germs

Abusers always know that they are being abusive.? A) True B) False

Symptoms of shock include:? A) Cool, moist skin and rapid, weak pulse B) Excessive thirst and frequent urination C) Increased Urinary output accompanied by severe pain D) Flushed skin and fever

Non-verbal communication can provide up to:? A) 60% of typical communication B) Is not communication C) 30% of typical communication D) 90% of typical communication

Learning requires the brain to:? A) Remove less used information to make space for new information B) Find unused neurons for recording C) Create new neurons and neural pathways D) Be sleeping

A routine urine specimen should be collected:? A) Anytime B) When the client first awakens C) Before a meal D) At 7:00 am

Babies and the very young are motivated mostly by ___________ needs:? A) Self-actualization B) Physiological C) Psychological D) Self-esteem

Sometimes a client may share religious beliefs and opinions which the home health aide does not agree with. What is the correct approach in dealing with such a situation? A) Aides should pretend to agree with the beliefs the client has B) Aides should patiently explain their beliefs to the client C) Clients should be told not to discuss their religious beliefs with health aides D) Clients have a right to their own religious belief, and these rights should be respected

We obtain data from the external world through:? A) Data banks B) Our brains C) Our Senses D) Study

Maintaining a wide base of support means:? A) Keep your feet apart B) Turn with the lower back C) Keep your feet close together D) Keep your knees and hips locked

Microbes are:? A) All of the above B) Are very small C) Are the most numerous life form on the planet D) Everywhere

The reason for covering a burn with a clean cloth before going to the hospital for treatment is to:? A) Relieve the pain B) Keep the victim from seeing the burn C) Prevent the victim from putting something harmful on the burn D) Keep the area free of germs

If you do not know how to do an assigned task, you should:? A) Call another health aide for help B) Ask the client how she prefers to have it done C) Call your supervisor and ask for help D) Follow the instructions in the procedures manual

A client who is unable to move needs to have his position changed every:? A) 4 hours B) 2 hours C) 8 hours D) 30 minutes

The first principle of health care is:? A) Do as you are told to do B) Love your neighbor as yourself C) Do good and heal D) Do no harm

Why is it important that a client have good mouth care? A) The saliva in the mouth is a source of stomach juices B) Bacteria in the mouth can cause tooth decay and gum infections C) Poor oral hygiene interferes with the sense of smell D) Poor oral hygiene causes more saliva to be made

According to Maslow, motivational needs change with changes in:? A) Randomly and differently for each person B) Health, family situations and finances C) Depend on how they are determined by governments D) Don't change

The basic types of pathogens include:? A) Bacteria, viruses, cancers, rodents B) Do as you are told to do C) Bacteria, viruses, fungi, parasites D) Bacteria, viruses, fungi, cancers

Another term for heart attack is:? A) Pulmonary Embolism B) Myocardial Infarction C) Schema D) Cerebrovascular Accident

Pathogens in food can be killed by? A) Irradiation B) All the above C) Cooking D) Saliva in the mouth and acid in the stomach

Good sources of protein are:? A) Potatoes and noodles B) Apples and oranges C) Green salad and cooked greens D) Beans, Peanut butter, and eggs

Customer service satisfaction...? A) Pertains only to the client in the home B) Will ensure the clients return for service and tell others about the agency C) Does not involve responsibility of the home care worker D) Does not effect agency policies for training its employees

Abuse may be:? A) Structural, levels 4 and 5 B) Always happens - it's part of dealing with uncertainty C) Financial, emotional or physical D) Never happens and shouldn't concern the caregiver

After Mrs. Thompson dies, her husband wishes to share his feelings and emotions. The aide should:? A) Tell him he should see a counselor B) Change the subject C) Listen to him and comfort him D) Tell him to speak to the aide's supervisor

Health care workers should wash their hands:? A) When necessary during the shift B) At least once during each shift C) At the beginning of the shift D) Between every procedure or client

ADL means:? A) All Dead and Living B) Association of Drugs and Licensing C) Is not communication D) Activities of Daily Living

Physiological needs include:? A) Food and water B) Psychological health C) Friends and family D) Exercise and nutrition

Non-pathogens are:? A) Viruses that cause infection and disease B) None of the options are correct C) Microbes that cause infection and disease D) Bacteria that cause infection and disease

Difficulty in breathing is called:? A) Cheyne-Stokes respiration B) Apnea C) Orthopnea D) Dyspnea

Meeting your client's Level 2 needs includes ensuring:? A) Nutrition, water and pain relief B) Safety and regular physician visits C) All of the above D) Hobbies and exercise

Which of the following may be an early warning sign of cancer? A) A sudden increase in weight B) A loss of hearing C) A sore that does not heal D) Difficulty in bending a joint

Meeting your client's Level 1 (physiological) needs includes ensuring:? A) Hobbies and exercise B) Safety and regular physician visits C) Good family relationships D) Nutrition, water and pain relief

When preparing for a lift or transfer:? A) Release all breaks to permit for easy movement B) Our senses C) Check the bed, chair, room and floor D) Keep extra furniture nearby for support

Useful techniques to control your nervousness or fear when in front of an audience include:? A) All of the above B) Focus on the listener (they have their own reasons for attending) C) Be prepared (know your material) D) Focus on the message (it's not about you)

Common problems facing the elderly population include:? A) Not being familiar with and not having the ability to learn new technology and new systems B) The fact that most elderly live in nursing homes and assisted-living facilities C) Living at home and receiving home health care means they will not live in poverty D) Remaining in their homes and maintaining their independence

A home health aide works in the home of their client Mrs. Thompson, who is terminally ill. One day a neighbor asks the health aide if Mrs. Thompson is very ill. How should the health aide response? A) "I'm sorry, I cannot discuss Mrs. Thompson" B) "How do you know Mrs. Thompson is so sick" C) "Yes, Mrs. Thompson is very ill" D) "Mrs. Thompson is doing as well as can be expected"

This pressure-sore-prevention device redistributes pressure on a timed automatic basis:? A) Water mattress B) Foam ring C) Eggcrate D) Air mattress

Making a stable center of gravity means:? A) Keeping the center of gravity low B) Bend at knees and hips C) Keeping your back straight D) Low center, straight back and bend with knees and hips

When you take vital signs:? A) You record and report only abnormal vital signs B) You understand they reflect the state of health of the body C) You understand that vital signs report all bodily functions D) You can estimate current readings if you know the previous readings

Signs of infection should be reported to a supervisor. Which of the following are not signs of infection? A) Pain B) Redness or swelling in an area C) Elevated temperature D) Increased appetite

Delirium in the elderly is always accompanied by fever.? A) True B) False

Which one of the following is a routine responsible of a home health aide? A) Providing respite care for the wife of a client with dementia B) Picking up a client's prescription at the drugstore C) Grocery shopping for the family D) Washing the windows of the home

One of your clients is turning 90 next week, and his family has invited you to attend his birthday party. What should you do? A) Accept the invitation, and take a card or a gift to the party B) Decline the invitation, but give the client a card or gift during your next scheduled visit C) Decline the invitation after thanking the family for inviting you. D) Accept the invitation, but avoid bringing a card of gift to the party.

You are scheduled to work today, but the weather is beautiful and your best friend is begging you to take the day off and go to the beach with her. What should you do? A) Ask your friend if she would be willing to go with you in the afternoon. You will take care of all your scheduled clients in the morning, and then you will be free to go. B) Call the case manager on your way to the beach and tell her that you will not be able to visit your clients today. This will allow the case manager to find another aide to cover for you. C) Tell your friend you are sorry, but you cannot go to the beach today. D) Call each of the clients who you are scheduled to visit and ask them if it would be okay if you came tomorrow instead

Why is documentation a very important responsibility of the home health aide? A) Documentation is the main way that the members of the home health care team communicate with each other about the care given to the client and the client's condition, and the home health aide has the most frequent contact with the client. B) Documentation provides information that is used to determine if a client is recovering or getting worse. C) Documentation of all care provided is needed to justify continued payment for home care services D) All of the above

Peggy is a home health aide. Today, while Peggy is helping a client, her son's teacher calls Peggy on her cell phone to tell her that her son has had an accident on the playground, and he needs to be picked up. What should Peggy do? A) Tell the client that she has a family emergency and she has to leave B) Tell the teacher that she will be there to pick up her son after her shift ends, in another 2 hours C) Call her supervisor and ask if there is another aide who could cover for her while she goes to pick up her son at school D) Take the client in the car with her to pick up her son