HOME HEALTH AIDE (HHA) CERTIFICATION
EXAM ACTUAL PREP QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS
1. A client with early-stage Alzheimer’s disease becomes agitated during
personal care. What is the most appropriate HHA response?
A. Restrain the client until they calm down
B. Speak firmly to gain compliance
C. Use a calm voice, redirect attention, and approach slowly
D. Leave the client alone until they calm down
Rationale: A calm, non-threatening approach with redirection helps reduce
agitation and ensures safety, aligning with dementia care best practices.
2. While assisting a client with ambulation, the HHA notices the client’s right
foot dragging and reports foot drop. What is the most likely cause?
A. Hypotension
B. Weakness or nerve damage in the lower extremity
C. Dehydration
D. Shortness of breath
Rationale: Foot drop is usually caused by weakness or peroneal nerve
damage; recognizing this helps prevent falls and triggers referral to
therapy.
3. An HHA notices that a client has a new, red, raised rash around the catheter
site. What is the first action?
A. Apply lotion to reduce redness
B. Clean the area and continue care
, C. Report immediately to the supervising nurse
D. Document and wait for the next visit
Rationale: New rashes near invasive devices may indicate infection or
irritation; prompt reporting is required to prevent complications.
4. When lifting a client from bed to wheelchair, the HHA should:
A. Bend at the waist and lift with arms
B. Bend knees and use legs, keeping the back straight
C. Ask the client to push off completely alone
D. Lift quickly to minimize strain
Rationale: Proper body mechanics prevent injury to both the HHA and
client, following OSHA and workplace safety guidelines.
5. A client refuses a bath, stating “I don’t feel like it today.” The HHA should:
A. Insist and complete the bath immediately
B. Offer alternatives or postpone while encouraging hygiene
C. Ignore hygiene for the day
D. Scold the client for noncompliance
Rationale: Respecting client autonomy while providing alternatives
maintains dignity and adherence to patient-centered care principles.
6. Which vital sign reading requires immediate notification of the nurse?
A. BP 120/80 mmHg
B. Temp 98.6°F
C. Pulse 72 bpm
D. Respiration 28 breaths/min with labored breathing
Rationale: Elevated, labored respiration indicates potential respiratory
distress; timely reporting is critical for client safety.
7. An HHA is assisting a client with diabetes who is experiencing confusion
and sweating. What is the priority action?
, A. Check blood pressure
B. Give a fast-acting carbohydrate and notify the nurse
C. Offer water only
D. Encourage the client to rest
Rationale: Confusion and diaphoresis may indicate hypoglycemia; prompt
carbohydrate administration prevents progression to severe hypoglycemia.
8. Proper hand hygiene before and after client care is important because it:
A. Saves time during care
B. Prevents transmission of infection
C. Increases client comfort
D. Reduces paperwork
Rationale: Hand hygiene is the single most effective method to prevent
healthcare-associated infections.
9. Which statement demonstrates correct understanding of HIPAA?
A. Sharing client info with a neighbor is acceptable if needed
B. Discussing client care in a public elevator is allowed
C. Client health information must remain confidential
D. Posting client photos on social media is safe if no name is visible
Rationale: HIPAA mandates that all client health information remains
confidential unless legally authorized.
10.A client has been ordered to use a walker. Which technique is correct for
safe ambulation?
A. Walker moves behind the client
B. HHA pulls the client forward by arms
C. Walker moves first; client steps into the frame
D. Client steps ahead, leaving the walker behind
, Rationale: Proper walker use promotes safety, stability, and reduces fall
risk.
11.A client’s care plan states, “Encourage fluid intake of 64 oz/day.” The HHA
notes only 40 oz consumed by evening. The next step is:
A. Wait until the next visit to report
B. Document intake and notify the nurse
C. Force fluids immediately
D. Ignore as long as the client appears okay
Rationale: Accurate documentation and reporting ensure that hydration
goals are met and prevent complications.
12.Which sign is NOT typical of hypoglycemia?
A. Confusion
B. Sweating
C. Tremors
D. Fruity breath odor
Rationale: Fruity breath is more characteristic of hyperglycemia or diabetic
ketoacidosis, not hypoglycemia.
13.An HHA is feeding a client with dysphagia. Which is appropriate?
A. Place food in the back of the mouth quickly
B. Feed lying flat in bed
C. Sit client upright at 90 degrees and provide small bites
D. Use a straw for all liquids
Rationale: Upright positioning and small bites reduce choking risk in clients
with swallowing difficulties.
14.During a home visit, the HHA finds the client’s living area cluttered and
unsafe. The HHA should:
A. Ignore it since safety is the client’s responsibility
EXAM ACTUAL PREP QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS
1. A client with early-stage Alzheimer’s disease becomes agitated during
personal care. What is the most appropriate HHA response?
A. Restrain the client until they calm down
B. Speak firmly to gain compliance
C. Use a calm voice, redirect attention, and approach slowly
D. Leave the client alone until they calm down
Rationale: A calm, non-threatening approach with redirection helps reduce
agitation and ensures safety, aligning with dementia care best practices.
2. While assisting a client with ambulation, the HHA notices the client’s right
foot dragging and reports foot drop. What is the most likely cause?
A. Hypotension
B. Weakness or nerve damage in the lower extremity
C. Dehydration
D. Shortness of breath
Rationale: Foot drop is usually caused by weakness or peroneal nerve
damage; recognizing this helps prevent falls and triggers referral to
therapy.
3. An HHA notices that a client has a new, red, raised rash around the catheter
site. What is the first action?
A. Apply lotion to reduce redness
B. Clean the area and continue care
, C. Report immediately to the supervising nurse
D. Document and wait for the next visit
Rationale: New rashes near invasive devices may indicate infection or
irritation; prompt reporting is required to prevent complications.
4. When lifting a client from bed to wheelchair, the HHA should:
A. Bend at the waist and lift with arms
B. Bend knees and use legs, keeping the back straight
C. Ask the client to push off completely alone
D. Lift quickly to minimize strain
Rationale: Proper body mechanics prevent injury to both the HHA and
client, following OSHA and workplace safety guidelines.
5. A client refuses a bath, stating “I don’t feel like it today.” The HHA should:
A. Insist and complete the bath immediately
B. Offer alternatives or postpone while encouraging hygiene
C. Ignore hygiene for the day
D. Scold the client for noncompliance
Rationale: Respecting client autonomy while providing alternatives
maintains dignity and adherence to patient-centered care principles.
6. Which vital sign reading requires immediate notification of the nurse?
A. BP 120/80 mmHg
B. Temp 98.6°F
C. Pulse 72 bpm
D. Respiration 28 breaths/min with labored breathing
Rationale: Elevated, labored respiration indicates potential respiratory
distress; timely reporting is critical for client safety.
7. An HHA is assisting a client with diabetes who is experiencing confusion
and sweating. What is the priority action?
, A. Check blood pressure
B. Give a fast-acting carbohydrate and notify the nurse
C. Offer water only
D. Encourage the client to rest
Rationale: Confusion and diaphoresis may indicate hypoglycemia; prompt
carbohydrate administration prevents progression to severe hypoglycemia.
8. Proper hand hygiene before and after client care is important because it:
A. Saves time during care
B. Prevents transmission of infection
C. Increases client comfort
D. Reduces paperwork
Rationale: Hand hygiene is the single most effective method to prevent
healthcare-associated infections.
9. Which statement demonstrates correct understanding of HIPAA?
A. Sharing client info with a neighbor is acceptable if needed
B. Discussing client care in a public elevator is allowed
C. Client health information must remain confidential
D. Posting client photos on social media is safe if no name is visible
Rationale: HIPAA mandates that all client health information remains
confidential unless legally authorized.
10.A client has been ordered to use a walker. Which technique is correct for
safe ambulation?
A. Walker moves behind the client
B. HHA pulls the client forward by arms
C. Walker moves first; client steps into the frame
D. Client steps ahead, leaving the walker behind
, Rationale: Proper walker use promotes safety, stability, and reduces fall
risk.
11.A client’s care plan states, “Encourage fluid intake of 64 oz/day.” The HHA
notes only 40 oz consumed by evening. The next step is:
A. Wait until the next visit to report
B. Document intake and notify the nurse
C. Force fluids immediately
D. Ignore as long as the client appears okay
Rationale: Accurate documentation and reporting ensure that hydration
goals are met and prevent complications.
12.Which sign is NOT typical of hypoglycemia?
A. Confusion
B. Sweating
C. Tremors
D. Fruity breath odor
Rationale: Fruity breath is more characteristic of hyperglycemia or diabetic
ketoacidosis, not hypoglycemia.
13.An HHA is feeding a client with dysphagia. Which is appropriate?
A. Place food in the back of the mouth quickly
B. Feed lying flat in bed
C. Sit client upright at 90 degrees and provide small bites
D. Use a straw for all liquids
Rationale: Upright positioning and small bites reduce choking risk in clients
with swallowing difficulties.
14.During a home visit, the HHA finds the client’s living area cluttered and
unsafe. The HHA should:
A. Ignore it since safety is the client’s responsibility
