HOSA HOME HEALTH AIDE EXAM Actual
Exam 2026/2027 Complete Questions and
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Section 1: HOSA Home Health Aide
Q1: When assisting a client with a bed bath, the home health aide should:
A. Use hot water to ensure the client gets warm
B. Wash from the dirtiest areas to the cleanest areas
C. Expose only the body part being washed to maintain privacy and warmth [CORRECT]
D. Use the same washcloth for the entire body to save time
Correct Answer: C
Rationale: Exposing only the body part being washed maintains client dignity, privacy, and
warmth during the bed bath procedure, which is essential for comfort and preventing chilling.
Q2: A home health aide is measuring a client's blood pressure. The first sound heard through the
stethoscope is the:
A. Diastolic pressure
B. Pulse pressure
C. Systolic pressure [CORRECT]
D. Mean arterial pressure
Correct Answer: C
Rationale: The first Korotkoff sound heard through the stethoscope when the cuff pressure is
released represents the systolic blood pressure, which is the pressure in the arteries when the
heart contracts.
Q3: When transferring a client from bed to wheelchair using a pivot transfer, the home health
aide should:
A. Pull the client quickly to save time
B. Position the wheelchair on the client's weaker side
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C. Lock the wheelchair wheels and use a transfer belt for safety [CORRECT]
D. Have the client hold onto the aide's neck for support
Correct Answer: C
Rationale: Locking the wheelchair wheels prevents the chair from moving during transfer, and
using a transfer belt provides a secure grip point for the aide while supporting the client safely
without risking injury to either person.
Q4: A client with diabetes has a blood sugar reading of 45 mg/dL. The home health aide should
immediately:
A. Administer insulin as prescribed
B. Provide 15 grams of fast-acting carbohydrate and recheck in 15 minutes [CORRECT]
C. Have the client exercise to raise blood sugar
D. Wait 30 minutes and recheck without intervention
Correct Answer: B
Rationale: A blood glucose of 45 mg/dL indicates hypoglycemia, which requires immediate
treatment with 15 grams of fast-acting carbohydrate (such as glucose tablets, juice, or regular
soda) followed by rechecking the blood sugar in 15 minutes to ensure it returns to normal range.
Q5: The home health aide is instructed to use Standard Precautions when providing care. This
means:
A. Only wearing gloves when the client is known to have an infection
B. Treating all blood, body fluids, and mucous membranes as potentially infectious [CORRECT]
C. Wearing a gown and mask for all client interactions
D. Using special precautions only for clients with HIV
Correct Answer: B
Rationale: Standard Precautions require treating all blood, body fluids, secretions, excretions
(except sweat), non-intact skin, and mucous membranes as potentially infectious, regardless of
the client's diagnosed condition.
Q6: When documenting client care, the home health aide should:
A. Use pencil so errors can be easily erased
B. Document only abnormal findings to save time
C. Record objective facts and observations immediately after care is provided [CORRECT]
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D. Wait until the end of the shift to document all care at once
Correct Answer: C
Rationale: Documentation should occur immediately after care is provided to ensure accuracy,
using ink to prevent alterations, and should include both normal and abnormal objective
observations rather than opinions or delayed recollections.
Q7: A client refuses to take their prescribed medication. The appropriate action for the home
health aide is to:
A. Hide the medication in food without telling the client
B. Report the refusal to the nurse or supervisor and document appropriately [CORRECT]
C. Force the client to take the medication for their own good
D. Ignore the refusal and try again tomorrow
Correct Answer: B
Rationale: Clients have the right to refuse treatment or medication; the home health aide must
respect this right while promptly reporting the refusal to the supervising nurse and documenting
the incident according to agency policy.
Q8: The home health aide is assisting a client with range of motion exercises. The proper
technique includes:
A. Moving the joint quickly to improve circulation
B. Supporting the joint above and below while moving it through its full range of motion
[CORRECT]
C. Continuing exercises even if the client reports pain
D. Moving the joint beyond its normal range to increase flexibility
Correct Answer: B
Rationale: Proper range of motion exercises require supporting the joint proximal and distal to
the movement to prevent injury, moving slowly through the full available range without causing
pain, and never forcing beyond normal anatomical limits.
Q9: When providing perineal care for a female client, the home health aide should:
A. Wash from the anal area toward the vaginal area
B. Use the same washcloth for the entire perineal area