Care Aide Competency Test

1. Which of the following activities is a Care Aid permitted to perform?

a. Take telephone orders from a doctor b. Assist client with transferring, repositioning and walking c. Give medications d. Perform procedures that require sterile techniques

2. When documenting information in a client’s file, which of the following is correct?

a. Chart procedures before they are completed b. Cross out incorrect information and initial the correction c. Use an eraser for corrections to keep notations neat d. Document an observation that a Team Member saw

3. A client’s risk of injury can be reduced by:

a. Decreased vision b. Use of medication c. Decreased awareness d. Wearing anti-slip foot-ware

4. When applying a transfer belt onto a client, a Care Aide should:

a. Have the client stand up first b. Apply the belt directly over the client’s clothing c. Place the belt around the client’s chest d. Ensure the belt is tight, even if it makes breathing difficult

5. Which of the following is considered a "healthy" type of grief for a dying client to experience:

a. Complicated grief b. Anticipatory grief c. Unresolved grief d. Inhibited grief

6. A client asks to read A Care Aide’s notes after she has written them. What should a Care Aide do?

a. Advise him the notes are only for the agency workers who are involved in his care. b. Advise him the notes are only to be viewed by agency & community resources. involved in his care c. Advise him that she and the Supervisor are the only ones permitted to see the notes. d. Allow him to read the notes.

7. Which would a Care Aide not do when trying to get a senior to eat properly?

a. Serve three large meals a day b. Serve snacks between meals c. fFavor the food with herbs and spices d. Serve food which the senior enjoys

8. Which of the following is a safe way to handle food?

a. Thaw food in the refrigerator. b. Ensure meat is cooked enough by smelling it. c. Use the same cutting board for meat, & vegetables. d. Leave cooked food out of refrigerator overnight.

9. Which of the following does not cause urinary incontinence?

a. Underwear that is too tight b. Urinary tract infection c. Certain medications d. Conditions of nervous system

10. Constipation may be caused by:

a. Too much fiber in a diet b. Too little fiber in a diet c. Drinking too much water d. Certain medications

11. What does a Care Aide not usually document after observing a stool specimen?

a. Amount in each bowel movement b. Color of feces c. Consistency & shape of feces d. Temperature of feces

12. Immobility can cause a number of problems for a client. Which of the following is an emotional consequence of immobility?

a. Depression b. Delirium c. Diversion d. Dementia

13. When caring for clients with indwelling catheters, a Care Aide does not:

a. Ensure urine is draining freely into the drainage bag; b. Tape catheter to the inside of the thigh c. Clean catheter and give peri-care weekly d. Document the color & amount of urine in collection bag

14. When assisting a client with his medication a Care Aide does not?

a. Loosen and remove container lids. b. Count out the required number of tablets & give them to client. c. Watch client while he pours medication into spoon/hand or cup. d. Bring prefilled syringes to client, according to the care plan.

15. An example of a blood-borne disease is:

a. Hepatitis B b. Mumps c. Pneumonia d. Measles

16. A Care Aide is with a client, who starts to fall. The Care Aide should:

a. Try to stop the fall by grabbing hold of his arms. b. Allow him to fall and hope he lands safely. c. Ease him gently to the floor, as the Care Aide bends her knees & straightens back d. Lower him slowly to the floor, as Care Aide leans over from the waist.

17. A Care Aide is caring for a bed-ridden client who needs to be turned often. Since she is working alone, the Care Aide should not:

a. Adjust the height of the bed to avoid reaching, twisting or bending. b. Lower bed rails on both sides of the bed. c. Ensure turning sheet is under the client. d. Move him in several small movements instead of one motion.

18. When dressing a client with an injured arm, a Care Aide should:

a. Decide what the client should wear. b. Put clothing on the injured arm first. c. Put clothing on the uninjured arm first. d. Dress him herself so dressing does not take as long.

19. To be an active and effective Team Member a Care Aide would not:

a. Provide input and offer opinions b. Try to solve problems c. Consult with other team players d. Be unwilling to compromise

20. When handling household waste, which of the following is not correct:

a. Place soiled bandages/disposable sheets and disposable gloves directly into waste containers. b. Keep wastes in separate packaging during collection, storage and transportation. c. Sort all wastes into correct categories at the spot where they are produced. d. Wash hands for 15 seconds with soap and water after contact with waste.

21. Which of the following confidentiality practices is not okay?

a. The client’s personal information may be shared with others, as long as the client consents. b. The client’s personal information may be shared with another Agency Care Aide who is not involved with his care. c. The personal information of clients should be kept secure and private. d. The client’s personal information should only be used for the purpose in which it is intended.

22. When bathing a client, which of the following activities would a Care Aide not do?

a. Ensure privacy and water is at comfortable temperature b. Wash from the cleanest area to the dirtiest area c. Wash from the dirtiest area to the cleanest area d. Use soap first, followed by a through rinsing

23. A client is reacting to his illness by turning away from others. A Care Aide can help him through this withdrawal reaction by:

a. Avoiding the client and allowing him to be alone b. Scheduling family activities along with care and rest periods c. Making decisions for him so he doesn’t have to bother d. Ignoring his being undressed and dishevelled appearance

24. What is most the most effective way to prevent a client’s skin from breaking down and decubitus ulcers from forming? :

a. Change his position every 2 hours b. Change his position every 4 hours c. Allow knees to remain in contact with each other d. Allow his body to rest directly on the mattress

25. A client’s Care Plan states he is to do his range-of-motion exercises t.i.d. At what times during the day should these exercises be scheduled?

a. 10:00 am; 2:00 pm; 6:00 pm & 10:00 pm b. 10:00 am & 3:30 pm c. 9:00 am d. 10:00 am; 2:00 pm & 7:00 pm

26. A number of measures can be used to determine if a non-verbal client is experiencing pain or discomfort. Which of the following behaviors does not suggest pain?

a. Holding the affected body part b. Maintaining one position and refusing to move c. Restlessness, irritability, moaning d. Constant coughing

27. A Care Aide finds her frail client wedged between the wall and his wheel-less bed. He is unresponsive. What should the Care Aide do?

a. Call for assistance. b. Try to move the bed away from the wall. c. Grab hold of his body and try to pull him out. d. Place a blanket over him.

28. 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 a Care Aide handle this situation?

a. Bathe him daily, or more frequently, to deal with the incontinency. b. Bathe him weekly, as he requests. c. Suggest wash only “dirty areas”, as needed between regular weekly bath d. Advise him to obtain another Care Aide.

29. Which of the following would a Care Aide not do to prevent transmitting germs?

a. Wear masks, eye protection &/or face shields during procedures that are likely to cause splashes. b. Wash gloves thoroughly before re-using them. c. Wash hands between tasks and procedures on the same client. d. Wash hands after removing her gown.

30. A Care 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 Care Aide do?

a. Let him wear the shirt. b. Tell him he can’t wear it and remove it from his sight. c. Phone the Supervisor for instructions d. Insist that he wear a shirt that she chooses.

31. Which of the following is not an effective listening technique?

a. Being able to understand gestures, words and behavior; b. Being unsympathetic and judgmental c. Being a good listener; d. Recognizing when to stop listening and when to start providing suitable replies

32. A client hands his Care Aide $25.00 for “all the little extras” she does for him. What should the Care Aide do?

Accept the money but tell him it is a one-time only gift. b. Thank him for the thought, but don’t accept the money. c. Accept the money and donate it to charity. d. Don’t accept the money and tell his family about the gesture.

33. Which of the following will help prevent germs from spreading?

a. Going to work with an undiagnosed rash b. Keeping immunizations up-to-date c. Washing hands thoroughly at the beginning and end of shift d. Rubbing eyes with hands

34. A Care Aide observes a co-worker sneaking a drink of alcohol while on duty. As a Care Aide, what should her first step be?

a. Notify the supervisor. b. Advise the co-worker that she saw her take a drink. c. Follow her company’s policy for reporting suspected alcohol abuse. d. Let other employees know that she saw her consume alcohol.

35. An individual, hired as a companion, is not permitted to:

a. Converse and play games with the client. b. Help client to keep in touch with friends and the outside world. c. Assist client with range of motion exercises. d. Transport client to appointments, run errands and shop

36. Which of the following is not a vital sign?

a. Blood Pressure b. Temperature c. Pulse d. Pain radiating down left arm

37. Which of the following methods would a Care aide not use to share information about a client’s status with the other members of the Health Care Team?

a. Progress notes b. Texting c. Shift change reports d. Follow-up reports

38. A client asks his Care Aide for the name and phone number of the Supervisor so he can complain about another Care Aide. What should a Care Aide do?

a. Try to find out what his complaint is. b. Advise him the supervisor is not available. c. Suggest he wait a day or so to see if he changes his mind. d. Give him the Supervisor’s name and phone number.

39. The basics of good housekeeping do not include:

a. Overlooking greasy or wet surfaces b. Keeping work areas neat and orderly c. Maintaining halls and floors free of slip and trip hazards d. Removing waste materials

40. A client starts vomiting while lying in bed. Which of the following would a Care Aide not do?

a. Lay him on his back in a flat position. b. Turn his head & body over to one side. c. Place a kidney basin under his chin. d. Help him rinse out his mouth with water.

41. Which of the following signs or symptoms should a Care Aide be alert for if a client is wearing an anti-embolism stocking on one leg?

a. Lack of feeling or tingling in the leg without the stocking b. Lack of feeling or tingling in the leg wearing the stocking c. Headaches and/or nausea d. Difficulty putting weight on the leg not wearing the stocking

42. Which of the following would a Care Aide not do when dealing with a difficult client?

a. Change whatever she can with herself. b. Show an interest in him. c. Let him know he us the one with a problem, d. Find out why he is having a problem,

43. Aphasia often develops after a stroke or brain injury. What would a Care Aide not do, when trying to communicate with a client who has aphasia?

a. Use body language to interpret what the he is trying to say. b. Advise him that she don’t understand what he is trying to say. c. Be patient and give him enough time to try & communicate. d. Stop trying to figure him out and go on to something else.

44. 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?

a. Let him talk about his beliefs. b. Let him talk, then tell him what her religious beliefs are. c. Ask him to change the subject from religion. d. Tell him she won’t come again if he talks about religion.

45. Rehabilitation begins with the prevention of:

a. Frustration& anger b. Illness & injury c. Bowel & bladder problems d. Contractures & pressure sores

46. When communicating with seniors who have dementia, a Care Aide should not:

a. Speak to them in a normal tone and volume of voice. b. Ask more than one question at a time. c. Keep eye contact and smile – avoid frowning. d. Talk while she walks with those who pace back and forth

47. 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?

a. Write the order down exactly as the doctor stated it. b. Give the medication to the client as soon as it is delivered. c. Put the medication on the counter and leave it for somebody else to deal with. d. Contact the Supervisor.

48. A person who has an infection may exhibit one or more of a combination of symptoms. Which of the following symptoms does not suggest an infection is present?

a. Redness,&, inflammation b. Discharge & fever c. Nausea, vomiting d. Low temperature

49. A client is temporarily paralyzed from the waist down. A Care Aide should provide support with his activities of daily living by:

a. Doing all his ADLs for him b. Asking a male nurse to do all his ADLs for him c. Postponing any of his ADLs until he recovers d. Encouraging him to do as much of his self-care as possible

50. Which of the following statements about used sharp objects is not correct?

a. Sharp objects should not be recapped, bent, sheared or broken. b. Sharp objects should be uncapped when they are carried. c. Sharp objects should be discarded in puncture-proof containers. d. Sharp objects should be picked up by mechanical means.

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