Georgia PCA Competency Exam
2025 Practice Examination
100 Multiple-Choice Questions with Answers & Rationales
Personal Care • Home Safety • Scope of Practice
GACCP describes its written PCA test as 100 questions with 80 correct required to pass. This
document is independently authored practice material—not the official GACCP test or a
professor-verified exam. Verify current Georgia DCH rules, agency policy, and the client’s
service plan.
Reference: GACCP PCA Test overview, gaccp.org/PCA-Test • Georgia DCH Rule 111-8-65
Page 1 of 28
,Table of Contents
Section 1: PCA Role, Scope of Practice & Supervision 3
Section 2: Activities of Daily Living (ADLs) & Personal Care 7
Section 3: Instrumental Activities of Daily Living (iADLs) & Homemaking 11
Section 4: Infection Control, Standard Precautions & Safety 15
Section 5: Vital Signs, Observation & Reporting Protocols 18
Section 6: Patient Rights, Confidentiality & Ethical Conduct 22
Section 7: Emergency Response, Communication & Special Populations 26
Page 2 of 28
, Section 1: PCA Role, Scope of Practice & Supervision
Q1: A Georgia PCA is asked to perform a task not listed in the client’s service plan and
for which the PCA has not been trained. What should the PCA do?
A. Try it once if the client agrees
B. Ask a family member to supervise
C. Document it as completed
D. Decline the task and contact the supervisor for direction [CORRECT]
Correct Answer: D
Rationale: Georgia rules require PCAs to follow the service plan and not be assigned tasks without
training and demonstrated competency.
Q2: A client asks the PCA to inject insulin. What is the safest response?
A. Give the injection because the client asked
B. Ask the client’s neighbor to inject it
C. Explain that injections are nursing tasks and promptly contact the supervisor [CORRECT]
D. Prepare the dose and leave it at bedside
Correct Answer: C
Rationale: A PCA must not provide nursing services unless separately qualified and legally
authorized; contact the supervisor.
Q3: Which activity is generally within a PCA’s role when included in the service plan
and the PCA is competent?
A. Diagnosing a skin infection
B. Assisting with bathing and dressing [CORRECT]
C. Changing a sterile wound dressing
D. Adjusting oxygen flow
Correct Answer: B
Rationale: Personal care tasks include ADLs; diagnosis, skilled wound care, and clinical treatment
changes are nursing functions.
Q4: A PCA notices a new open area on the client’s heel. What should the PCA do?
A. Report the observation promptly to the supervisor and describe it objectively [CORRECT]
B. Apply an unapproved ointment
C. Wait until the next monthly visit
D. Diagnose a pressure injury and select treatment
Correct Answer: A
Rationale: PCAs report changes and observed problems; assessment and treatment decisions
belong to licensed clinicians.
Page 3 of 28
2025 Practice Examination
100 Multiple-Choice Questions with Answers & Rationales
Personal Care • Home Safety • Scope of Practice
GACCP describes its written PCA test as 100 questions with 80 correct required to pass. This
document is independently authored practice material—not the official GACCP test or a
professor-verified exam. Verify current Georgia DCH rules, agency policy, and the client’s
service plan.
Reference: GACCP PCA Test overview, gaccp.org/PCA-Test • Georgia DCH Rule 111-8-65
Page 1 of 28
,Table of Contents
Section 1: PCA Role, Scope of Practice & Supervision 3
Section 2: Activities of Daily Living (ADLs) & Personal Care 7
Section 3: Instrumental Activities of Daily Living (iADLs) & Homemaking 11
Section 4: Infection Control, Standard Precautions & Safety 15
Section 5: Vital Signs, Observation & Reporting Protocols 18
Section 6: Patient Rights, Confidentiality & Ethical Conduct 22
Section 7: Emergency Response, Communication & Special Populations 26
Page 2 of 28
, Section 1: PCA Role, Scope of Practice & Supervision
Q1: A Georgia PCA is asked to perform a task not listed in the client’s service plan and
for which the PCA has not been trained. What should the PCA do?
A. Try it once if the client agrees
B. Ask a family member to supervise
C. Document it as completed
D. Decline the task and contact the supervisor for direction [CORRECT]
Correct Answer: D
Rationale: Georgia rules require PCAs to follow the service plan and not be assigned tasks without
training and demonstrated competency.
Q2: A client asks the PCA to inject insulin. What is the safest response?
A. Give the injection because the client asked
B. Ask the client’s neighbor to inject it
C. Explain that injections are nursing tasks and promptly contact the supervisor [CORRECT]
D. Prepare the dose and leave it at bedside
Correct Answer: C
Rationale: A PCA must not provide nursing services unless separately qualified and legally
authorized; contact the supervisor.
Q3: Which activity is generally within a PCA’s role when included in the service plan
and the PCA is competent?
A. Diagnosing a skin infection
B. Assisting with bathing and dressing [CORRECT]
C. Changing a sterile wound dressing
D. Adjusting oxygen flow
Correct Answer: B
Rationale: Personal care tasks include ADLs; diagnosis, skilled wound care, and clinical treatment
changes are nursing functions.
Q4: A PCA notices a new open area on the client’s heel. What should the PCA do?
A. Report the observation promptly to the supervisor and describe it objectively [CORRECT]
B. Apply an unapproved ointment
C. Wait until the next monthly visit
D. Diagnose a pressure injury and select treatment
Correct Answer: A
Rationale: PCAs report changes and observed problems; assessment and treatment decisions
belong to licensed clinicians.
Page 3 of 28
