Home Health Aide Exam
2025–2026 Practice Examination
100 Multiple-Choice Questions with Answers & Rationales
Personal Care • Client Safety • Home Health Documentation
Original study resource aligned to core HHA competencies. This is not an official or leaked
certification examination.
Page 1 of 29
,Table of Contents
Section 1: HHA Role, Scope of Practice & Legal/Ethical Responsibilities 3
Section 2: Personal Care & Activities of Daily Living 7
Section 3: Safety, Fall Prevention & Home Environment 11
Section 4: Infection Control & Standard Precautions 15
Section 5: Nutrition, Hydration & Elimination 19
Section 6: Vital Signs, Observation & Reporting 23
Section 7: Communication, Client Rights & Emergency Response 27
Page 2 of 29
, Section 1: HHA Role, Scope of Practice & Legal/Ethical
Responsibilities
Q1: A client asks the aide to double the prescribed pain medicine because the usual
dose did not help. What should the aide do?
A. Give an extra dose if the client agrees
B. Explain that medication changes are outside the aide’s role and promptly contact the
supervisor [CORRECT]
C. Ask a family member to decide
D. Skip the next scheduled dose
Correct Answer: B
Rationale: The aide must not change medication dosage and should promptly report the concern
through the agency’s chain of supervision. The other choices involve unauthorized medication
decisions or unsafe delay.
Q2: The written care plan says to assist a client with a walker and standby help. The
client says, “Today, just lift me under the arms.” What is best?
A. Follow the care plan and contact the supervisor if the transfer seems unsafe
[CORRECT]
B. Lift as requested to respect preference
C. Ask the client to hold your neck
D. Try the lift once, then document it
Correct Answer: A
Rationale: Follow the authorized plan and seek supervisor guidance before changing the transfer
method. Improvised lifting risks injury and exceeds the aide’s authority.
Q3: An aide notices a coworker signing a visit record before providing care. What
should the aide do?
A. Ignore it because it is not the aide’s client
B. Report the concern promptly to the supervisor using agency procedures [CORRECT]
C. Change the coworker’s record
D. Post about it in the staff chat
Correct Answer: B
Rationale: Falsified documentation is a serious safety and legal concern and should be reported
through proper channels. Altering records or sharing details broadly is inappropriate.
Page 3 of 29
2025–2026 Practice Examination
100 Multiple-Choice Questions with Answers & Rationales
Personal Care • Client Safety • Home Health Documentation
Original study resource aligned to core HHA competencies. This is not an official or leaked
certification examination.
Page 1 of 29
,Table of Contents
Section 1: HHA Role, Scope of Practice & Legal/Ethical Responsibilities 3
Section 2: Personal Care & Activities of Daily Living 7
Section 3: Safety, Fall Prevention & Home Environment 11
Section 4: Infection Control & Standard Precautions 15
Section 5: Nutrition, Hydration & Elimination 19
Section 6: Vital Signs, Observation & Reporting 23
Section 7: Communication, Client Rights & Emergency Response 27
Page 2 of 29
, Section 1: HHA Role, Scope of Practice & Legal/Ethical
Responsibilities
Q1: A client asks the aide to double the prescribed pain medicine because the usual
dose did not help. What should the aide do?
A. Give an extra dose if the client agrees
B. Explain that medication changes are outside the aide’s role and promptly contact the
supervisor [CORRECT]
C. Ask a family member to decide
D. Skip the next scheduled dose
Correct Answer: B
Rationale: The aide must not change medication dosage and should promptly report the concern
through the agency’s chain of supervision. The other choices involve unauthorized medication
decisions or unsafe delay.
Q2: The written care plan says to assist a client with a walker and standby help. The
client says, “Today, just lift me under the arms.” What is best?
A. Follow the care plan and contact the supervisor if the transfer seems unsafe
[CORRECT]
B. Lift as requested to respect preference
C. Ask the client to hold your neck
D. Try the lift once, then document it
Correct Answer: A
Rationale: Follow the authorized plan and seek supervisor guidance before changing the transfer
method. Improvised lifting risks injury and exceeds the aide’s authority.
Q3: An aide notices a coworker signing a visit record before providing care. What
should the aide do?
A. Ignore it because it is not the aide’s client
B. Report the concern promptly to the supervisor using agency procedures [CORRECT]
C. Change the coworker’s record
D. Post about it in the staff chat
Correct Answer: B
Rationale: Falsified documentation is a serious safety and legal concern and should be reported
through proper channels. Altering records or sharing details broadly is inappropriate.
Page 3 of 29
