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1. A client with limited mobility is unable to turn in bed without assistance.
Which is the safest method for a personal care aide to prevent skin
breakdown?
A. Encourage the client to shift weight independently every 2 hours
B. Apply lotion after each movement
C. Use a draw sheet to reposition the client every 2 hours
D. Massage bony areas daily
Rationale: Using a draw sheet to reposition the client helps prevent skin
breakdown by reducing friction and shear while maintaining proper body
alignment.
2. A client has diabetes and is experiencing dizziness and sweating. What is the
first action the personal care aide should take?
A. Call 911 immediately
B. Provide a fast-acting carbohydrate, such as juice or glucose tablet
C. Encourage the client to rest and monitor symptoms
D. Offer a high-protein snack
Rationale: Dizziness and sweating in a diabetic client are signs of hypoglycemia.
Immediate glucose intake is the first step to stabilize blood sugar.
, 3. During a home visit, a personal care aide notices a client’s medication bottle
is empty and the client reports skipping doses. What should the aide do first?
A. Refill the bottle from a neighbor
B. Notify the supervising nurse or healthcare provider
C. Ignore and continue care
D. Remind the client to order more medication next week
Rationale: The aide must report medication issues to the supervising professional
to ensure safe and effective care and prevent adverse events.
4. A client has difficulty swallowing (dysphagia). Which approach is most
appropriate when providing meals?
A. Give thin liquids freely
B. Offer thickened liquids and soft foods as directed by care plan
C. Encourage large bites to finish quickly
D. Allow the client to eat while lying flat
Rationale: Thickened liquids and soft foods reduce the risk of choking and
aspiration in clients with dysphagia.
5. A personal care aide is assigned to a client who recently had hip surgery.
Which action is essential to prevent dislocation?
A. Cross the legs when lying in bed
B. Allow the client to bend at the waist more than 90 degrees
C. Use abduction pillows and avoid crossing legs
D. Encourage independent use of the bedpan without support
Rationale: After hip surgery, proper positioning with abduction pillows and
avoiding hip flexion beyond 90 degrees prevents dislocation.
, 6. A client expresses sadness and says, “I feel like no one cares about me.”
What is the most appropriate response?
A. Ignore the comment
B. Offer a cheerful distraction
C. Listen actively and provide empathetic support
D. Tell the client to focus on positive thoughts
Rationale: Active listening and empathy validate the client’s feelings and support
emotional well-being.
7. When assisting a client with a bed bath, the aide notices redness on the
heels. What is the correct immediate action?
A. Apply lotion to the area
B. Report the skin changes to the nurse or supervisor
C. Rub the area gently
D. Cover with a bandage
Rationale: Redness may indicate early pressure injury; reporting ensures timely
assessment and intervention.
8. A client with limited hand strength struggles to hold utensils. Which
adaptive equipment is most appropriate?
A. Standard spoon and fork
B. Chopsticks
C. Built-up handle utensils
D. Finger foods only
Rationale: Built-up handle utensils increase grip, promoting independence in
eating for clients with limited hand strength.
, 9. While performing range-of-motion exercises, a client reports pain in the
shoulder joint. What is the correct response?
A. Increase repetitions to strengthen muscles
B. Stop the exercise and report the pain
C. Encourage the client to ignore mild discomfort
D. Apply lotion and continue exercises
Rationale: Pain during exercises may indicate injury or joint limitation. Exercises
should be stopped and reported to prevent harm.
10.A client is on a fluid restriction. Which beverage should the aide avoid
giving?
A. Water
B. Soup
C. Ice chips
D. Sugar-free gelatin
Rationale: Soup contains fluid, which counts toward the client’s total daily intake
and must be considered in fluid restriction plans.
11.A personal care aide notices a client has slurred speech and weakness on one
side. What is the immediate action?
A. Monitor and continue care
B. Call emergency services immediately
C. Help the client lie down and rest
D. Offer a snack and water
Rationale: Sudden weakness and slurred speech may indicate a stroke. Immediate
emergency intervention is critical.