HCA MAIN EXAMINATION 2026 SET QUESTIONS AND
ANSWERS SCORED A+
✔✔If you need to share confidential information about a client to other care team
members, you must: - ✔✔share only the information that is in the best interest of the
client.
✔✔Home care aides can force a client to take their medication if it's important for their
health. - ✔✔False
✔✔Untreated injuries, health or dental problems are a sign of _____? - ✔✔neglect
✔✔There is a medical emergency, 911 has been called, and your client has advance
directives. Individual providers must: - ✔✔give the advance directives to the EMT when
they arrive.
✔✔If a client asks you to do something that may put their safety at risk, you should: -
✔✔explain your concerns and brainstorm with them a safe alternative.
✔✔Mr. Walker is living with Alzheimer's disease. He is always finding ways to get
outside and wander the neighborhood without anyone noticing. What is a creative way
to make sure Mr. Walker is safe without using restraints? - ✔✔Suggest the use of exit
alarms to notify the care team of when he goes outside.
✔✔Which of the following is NOT an advance directive? - ✔✔POLST Form
✔✔Placing a chair in front of a door to prevent a client from leaving their room is an
environmental restraint. - ✔✔True
✔✔If a client is in immediate danger, you need to call: - ✔✔law enforcement, 911.
✔✔What is a document that states a client does not want CPR if found without a
heartbeat? - ✔✔DNR
✔✔When trying to solve a problem, it is best to be creative and try different solutions
with every new problem. - ✔✔True
✔✔To support a client's independence with their personal care tasks, you should
encourage the client to: - ✔✔do as much as they can.
✔✔What is NOT an Activity of Daily Living? - ✔✔Purchasing toilet paper for a client.
✔✔A client's care plan has all of the information you need to do your job. - ✔✔False
,✔✔The best way to maintain a healthy, professional boundary between you and a client
is to view caregiving as your job - ✔✔True
✔✔To effectively observe changes in a client, compare their baseline to: - ✔✔what you
see, hear, smell and feel by touch.
✔✔Is the following observation objective or subjective? "Mrs. Jade was out of control all
afternoon." - ✔✔subjective
✔✔In most emergencies, your first response should be to: - ✔✔make sure the client is
safe.
✔✔Changes in a client's baseline should be reported when you: - ✔✔are concerned
with the changes you observed.
✔✔How a client wants personal care tasks to be performed are documented in a client's
care plan. Why is it important to review this information with the client? - ✔✔A client's
ability often changes, so it is important to make sure the care plan supports the client's
current needs.
✔✔When should you create and submit a report on a client? Select ALL that are true. -
✔✔You have worries or questions about changes in a client's condition.
✔✔Is assisting a client to use a bedpan an activity of daily living (ADL) or an
instrumental activity of daily living (IADL)? - ✔✔activity of daily living (ADL)
✔✔What level of assistance is required if you need to remind your client to choose and
wear weather appropriate clothing? - ✔✔supervision
✔✔What level of assistance is required if you are bathing your client and they are
unable to do any part for themselves? - ✔✔total dependence
✔✔Imagine that your client takes medicine for hypertension, but when you hand her the
pills, she often sets them down on the table next to her chair where she watches TV and
forgets to take them. What is your responsibility? - ✔✔Gently remind her to take her
medication.
✔✔Your client is very particular about how he wants to be supported and will often ask
for support that isn't included in the care plan. What is NOT your responsibility? -
✔✔Offer to notify your supervisor that he wishes to have a task added to his care plan.
✔✔If you see a client falling, you should not try to stop the fall. - ✔✔True
, ✔✔A transfer belt is only used if the client needs extensive help to transfer or walk. -
✔✔False
✔✔During a transfer, the client should not put their arms on your _____. - ✔✔neck
✔✔Home care aides can't do anything to help reduce the risk of a client falling. -
✔✔False
✔✔When helping a client to walk, you should walk slightly behind a client and on: -
✔✔their weaker side.
✔✔If a client has fallen and is injured: - ✔✔get medical help.
✔✔Proper body mechanics mean you lift with your _____. - ✔✔legs
✔✔When helping a client move from laying to sitting on the bed: - ✔✔make sure the
client is not too close to the edge of the bed.
✔✔Clients unsteady on their feet should wear _____. - ✔✔lace-up or velcro shoes with
a non-skid sole
✔✔When helping a client walk down stairs you should: - ✔✔walk in front of them
✔✔What is a transfer board? - ✔✔An assistive device that enables a person to slide
from one level surface to another.
✔✔Becoming less mobile can bring on feelings of helplessness, depression and anxiety
as a client's independence is reduced. - ✔✔True
✔✔Clients who use a wheelchair or are bedbound should be repositioned at least every
__ ? - ✔✔2 hours
✔✔Clients who use a wheelchair or are chair bound should shift their weight every ___
and reposition at least once every ___. - ✔✔15 minutes / 1 hour
✔✔Pressure ulcers can be caused when the skin is weakened by (select all that apply):
- ✔✔Irritation by urine or moisture on skin
✔✔When cleaning any surface with blood, always wear _____. - ✔✔gloves
✔✔Use Standard Precautions only if you think a client has a blood borne disease. -
✔✔False
ANSWERS SCORED A+
✔✔If you need to share confidential information about a client to other care team
members, you must: - ✔✔share only the information that is in the best interest of the
client.
✔✔Home care aides can force a client to take their medication if it's important for their
health. - ✔✔False
✔✔Untreated injuries, health or dental problems are a sign of _____? - ✔✔neglect
✔✔There is a medical emergency, 911 has been called, and your client has advance
directives. Individual providers must: - ✔✔give the advance directives to the EMT when
they arrive.
✔✔If a client asks you to do something that may put their safety at risk, you should: -
✔✔explain your concerns and brainstorm with them a safe alternative.
✔✔Mr. Walker is living with Alzheimer's disease. He is always finding ways to get
outside and wander the neighborhood without anyone noticing. What is a creative way
to make sure Mr. Walker is safe without using restraints? - ✔✔Suggest the use of exit
alarms to notify the care team of when he goes outside.
✔✔Which of the following is NOT an advance directive? - ✔✔POLST Form
✔✔Placing a chair in front of a door to prevent a client from leaving their room is an
environmental restraint. - ✔✔True
✔✔If a client is in immediate danger, you need to call: - ✔✔law enforcement, 911.
✔✔What is a document that states a client does not want CPR if found without a
heartbeat? - ✔✔DNR
✔✔When trying to solve a problem, it is best to be creative and try different solutions
with every new problem. - ✔✔True
✔✔To support a client's independence with their personal care tasks, you should
encourage the client to: - ✔✔do as much as they can.
✔✔What is NOT an Activity of Daily Living? - ✔✔Purchasing toilet paper for a client.
✔✔A client's care plan has all of the information you need to do your job. - ✔✔False
,✔✔The best way to maintain a healthy, professional boundary between you and a client
is to view caregiving as your job - ✔✔True
✔✔To effectively observe changes in a client, compare their baseline to: - ✔✔what you
see, hear, smell and feel by touch.
✔✔Is the following observation objective or subjective? "Mrs. Jade was out of control all
afternoon." - ✔✔subjective
✔✔In most emergencies, your first response should be to: - ✔✔make sure the client is
safe.
✔✔Changes in a client's baseline should be reported when you: - ✔✔are concerned
with the changes you observed.
✔✔How a client wants personal care tasks to be performed are documented in a client's
care plan. Why is it important to review this information with the client? - ✔✔A client's
ability often changes, so it is important to make sure the care plan supports the client's
current needs.
✔✔When should you create and submit a report on a client? Select ALL that are true. -
✔✔You have worries or questions about changes in a client's condition.
✔✔Is assisting a client to use a bedpan an activity of daily living (ADL) or an
instrumental activity of daily living (IADL)? - ✔✔activity of daily living (ADL)
✔✔What level of assistance is required if you need to remind your client to choose and
wear weather appropriate clothing? - ✔✔supervision
✔✔What level of assistance is required if you are bathing your client and they are
unable to do any part for themselves? - ✔✔total dependence
✔✔Imagine that your client takes medicine for hypertension, but when you hand her the
pills, she often sets them down on the table next to her chair where she watches TV and
forgets to take them. What is your responsibility? - ✔✔Gently remind her to take her
medication.
✔✔Your client is very particular about how he wants to be supported and will often ask
for support that isn't included in the care plan. What is NOT your responsibility? -
✔✔Offer to notify your supervisor that he wishes to have a task added to his care plan.
✔✔If you see a client falling, you should not try to stop the fall. - ✔✔True
, ✔✔A transfer belt is only used if the client needs extensive help to transfer or walk. -
✔✔False
✔✔During a transfer, the client should not put their arms on your _____. - ✔✔neck
✔✔Home care aides can't do anything to help reduce the risk of a client falling. -
✔✔False
✔✔When helping a client to walk, you should walk slightly behind a client and on: -
✔✔their weaker side.
✔✔If a client has fallen and is injured: - ✔✔get medical help.
✔✔Proper body mechanics mean you lift with your _____. - ✔✔legs
✔✔When helping a client move from laying to sitting on the bed: - ✔✔make sure the
client is not too close to the edge of the bed.
✔✔Clients unsteady on their feet should wear _____. - ✔✔lace-up or velcro shoes with
a non-skid sole
✔✔When helping a client walk down stairs you should: - ✔✔walk in front of them
✔✔What is a transfer board? - ✔✔An assistive device that enables a person to slide
from one level surface to another.
✔✔Becoming less mobile can bring on feelings of helplessness, depression and anxiety
as a client's independence is reduced. - ✔✔True
✔✔Clients who use a wheelchair or are bedbound should be repositioned at least every
__ ? - ✔✔2 hours
✔✔Clients who use a wheelchair or are chair bound should shift their weight every ___
and reposition at least once every ___. - ✔✔15 minutes / 1 hour
✔✔Pressure ulcers can be caused when the skin is weakened by (select all that apply):
- ✔✔Irritation by urine or moisture on skin
✔✔When cleaning any surface with blood, always wear _____. - ✔✔gloves
✔✔Use Standard Precautions only if you think a client has a blood borne disease. -
✔✔False
