COMPETENCY TEST

Welcome to your COMPETENCY TEST




ROLE OF THE PERSONAL CARE ASSISTANT

A PCA may perform certain duties. Mark the following true or false for tasks you my legally perform as a Personal Care Assistant. T=True   F=False

1. Reinforce a dressing

2. Apply a hot pack

3. Give an enema

4. Administer mediation

5. Change a sterile dressing

6. Assist with change of a colostomy bag

7. Give a rectal suppository

8. Give a tubal feeding

9. Give insulin

10. Cut nails

Choose one correct answer for each question below and circle the corresponding letter.

11- As a Personal Care Assistant, you:

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

13. As Personal Care Assistant, it is your responsibility to:




COMMUNICATION

Mark the following true or false.  

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

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

16. You only communicate through words

Choose one correct answer for each question below and circle the corresponding letter.

17. Which of the following is important in communication with people:

18. Body Language is:

19. PCA care for a conscious patient should be preceded by:

20. Miss Harris, a Personal Care Assistant, is assigned to care for Mr. Goodway. Miss Harris notices that she feels very angry when she is with Mr. Goodway. What should Miss Harris do because she feels this way?

21. A patient accuses a Personal Care Assistant of stealing five dollars. The PCA has not taken the patient’s money, but the patient does not believe this. What should the PCA do?




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

23. If the patient 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.

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.

Choose one correct answer for each question below and circle the corresponding letter.

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


26. Which of these actions is the Personal Care Assistant permitted to take in relation to drug administration?

27. When a patient complaints of pain, what should the Personal Care Assistant do first?

28. A patient’s prescription for her pills has recently been changed. The home health PCA should notify the agency supervisor immediately if the patient makes which of these comments?

29. Mr. Rand, who has diabetes and takes insulin regularly, tells the Personal Care Assistant that she feels very nervous and jittery. What should the PCA do immediately?




READING AND RECORDING TEMPERATURE, PULSE AND RESPIRATION'S

Mark the following true or false.

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

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

32. Recording a patient’s “TPR” or vital signs is not important as long as you remember what they were

Choose one correct answer for each question below and circle the corresponding letter.
33. For which, if any, of these body areas is 99.6 degrees F. a normal temperature?

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

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




INFECTION CONTROL

Mark the following true or false. T=True   F=False

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

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

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

Choose one correct answer for each question below and circle the corresponding letter.

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

40. In what situation should gloves be used?




BODY FUNCTIONS AND CHANGES

Mark the following true or false. T=True   F=False

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

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

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

Choose one correct answer for each question below and circle the corresponding letter.

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

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

46. Mrs. Morris 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. Morris asks the Personal Care Assistant to give her an enema. What should the PCA do?




MAINTENANCE OF A CLEAN, SAFE ENVIRONMENT

Mark the following true or false. T=True   F=False

47. Bedrails should never be used to secure vest restraints

48. Smoking in the bed is fine for anyone who is not confused

Choose one correct answer for each question below and circle the corresponding letter.

49. Part of your duties as a Personal Care Assistant are to assure a safe home environment. This includes:

50. A patient is receiving oxygen through a nasal cannula. What safety precautions should the Personal Care Assistant take?




EMERGENCY PROCEDURES

Mark the following true or false. T=True   F=False

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

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

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

Choose one correct answer for each question below and circle the corresponding letter.

54. A patient is choking on some object that is caught in his airway. Before first-aid measures are applied, find out:

55. While giving a bath on a shower chair, the patient suddenly gasps and becomes unresponsive. The Personal Care Assistant should:

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

57. The telephone numbers of all of the following are important to a patient. Which number must the Personal Care Assistant have next to the telephone?




HUMAN DEVELOPMENT

Mark the following true or false. T=True   F=False

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

59. It is all right to use any item in the home without asking as long as it is for the patient’s personal care

60. You may use the telephone in the patient’s home without asking permission

Choose one correct answer for each question below and circle the corresponding letter.

61. A neighbor has asked you some questions about the patient you are presently taking care of. “Mrs. Cooler is dying, isn’t she?” How will you answer her?

62. Which of these statements about the elderly is true?

63. When working with person who are disabled, the general goal of care is to:

64. It is Mrs. Morris’s usual time for lunch, but she says she is not hungry yet. This is the first time that Mrs. Morris has made this type of statement. What should the home health PCA do?

65. The ability to make observations is 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:




PERSONAL CARE

Mark the following true or false. T=True   F=False

66. It is important to keep a patient covered during a bed bath except for the part being washed

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

68. 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

Choose one correct answer for each question below and circle the corresponding letter

69. When giving the patient a bath, if the water is too hot, it can injure (burn) the person’s skin. If it is too cold, it can chill the person. Therefore you should test the water temperature before beginning the bath by:

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

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

72. And elderly male patient occasionally wets his trousers. What should the home health PCA do?

73. In giving foot care to a patient who has diabetes, the Personal Care Assistant may take which of these actions?




SAFE TRANSFER TECHNIQUES AND AMBULATION

Mark the following true or false. T=True   F=False

74. Always transfer a patient towards his good side

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

76. It’s best to use gait belt if a patient is unsteady

Choose one correct answer for each question below and circle the corresponding letter

77. 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:

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

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

80. A patient who has been on bed rest is to get up in a chair. The Personal Care Assistant helps the patient to sit on the edge of the bed. The patient says, “I am dizzy.” What should the PCA do?

81. Patient has had a stroke and has a right-sided weakness. The patient can walk with a little assistance. It is best for the Personal Care Assistant to assist the patient by walking in which of these positions?

82. Mr. Sticke 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. Sticke from the bed to the wheelchair, which of these actions is essential.




NORMAL RANGE OF MOTION

Mark the following true or false. T=True   F=False

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

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

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

Choose one correct answer for each question below and circle the corresponding letter

86. To prevent bedsores in the elderly, you should:

87. The Personal Care Assistant should be sure to take which of these actions when caring for a newborn baby?

88. Which of these statements describes good body mechanics?

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




NUTRITION

Mark the following true or false. T=True   F=False

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

91. A regular diet is a well-balanced diet with no restrictions

92. Bread and potatoes are a good source of protein

Choose one correct answer for each question below and circle the corresponding letter

93. Foods on a liquid diet would include:

94. Foods that are high in vitamin C include:

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

96. Milk is a good source of calcium. Which of these fool=ds is also high in calcium?

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

98. If a patient is to have a fluid intake record kept, the right time to record the patient’s fluid is:

99. Patient on low salt diets are usually allowed to have which of these foods?




CULTURAL DIFFERENCES IN FAMILIES

Choose one correct answer for each question below and circle the corresponding letter

100. Patients sometimes express religious beliefs with which the PCA des not agree. In dealing with these situations, which of these understandings should the PCA use as a guide?

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