1
DOMAIN 1: HCA ROLE AND RESPONSIBILITY (Q1–20)
1. An HCA in Alberta is considered an unregulated care provider. What does this mean?
A. The HCA can independently perform all nursing procedures
B. The HCA works under the supervision of a regulated health professional and follows a
care plan
C. The HCA is licensed by the CLHA
D. The HCA can prescribe medications
Answer: B — HCAs work under the supervision of a regulated health professional and
deliver care according to an established care plan.
2. Which task is generally outside the HCA scope of practice unless specific delegation and
training have been provided?
A. Assisting a client with a bed bath
B. Measuring blood pressure
C. Administering a subcutaneous injection
D. Assisting with oral hygiene
Answer: C — Administering injections is a restricted activity under Alberta legislation. HCAs
may only perform this if specifically delegated and trained.
3. An HCA observes that a client's condition has changed significantly. What is the FIRST
action?
A. Document the change and continue with the shift
B. Wait until the end of the shift to report
C. Report the change immediately to the supervising nurse
D. Ask another HCA for their opinion
Answer: C — Any significant change in a client's condition must be reported immediately.
4. Which principle requires an HCA to protect a client's personal health information?
A. Beneficence
B. Non-maleficence
C. Confidentiality
D. Veracity
Answer: C — Confidentiality is the ethical and legal obligation to protect private information.
5. An HCA is offered money by a client's family. What is the MOST appropriate response?
A. Accept the gift because refusing is impolite
B. Accept and share with the team
C. Politely decline and explain it is against policy
D. Accept only if less than $20
Answer: C — Accepting money can blur professional boundaries and violate employer
policies.
, 2
6. Which is an example of professional boundary crossing?
A. Addressing a client by their preferred name
B. Sharing personal problems with a client
C. Explaining a procedure before performing it
D. Listening to a client's concerns
Answer: B — Sharing personal problems with a client crosses professional boundaries.
7. What is the primary purpose of the Health Professions Act (HPA)?
A. To provide funding for healthcare facilities
B. To regulate health professions and establish standards of practice
C. To establish HCA training requirements
D. To set client care standards
Answer: B — The HPA regulates health professions in Alberta.
8. What is informed consent?
A. The client's right to receive all medical information
B. The client's right to accept or refuse care after understanding risks and benefits
C. The family's right to make decisions
D. The HCA's right to provide care without asking
Answer: B — Informed consent means clients accept or refuse care after adequate
information.
9. What are advance directives?
A. Instructions for the HCA on tasks
B. Documents outlining a client's wishes for future healthcare decisions
C. Hospital policies
D. Medication administration records
Answer: B — Advance directives express a client's wishes regarding future healthcare.
10. A client refuses to take their medication. What should the HCA do?
A. Force the medication
B. Hide it in food
C. Respect the refusal and notify the nurse
D. Tell the client they must take it
Answer: C — Clients have the right to refuse treatment; the HCA must respect this and
report.
11. What is the HCA's legal responsibility regarding suspected abuse?
A. HCAs are not required to report
B. HCAs are mandated reporters
C. Only nurses can report
D. HCAs should investigate first
, 3
Answer: B — HCAs have a legal obligation to report suspected abuse, neglect, or
exploitation.
12. Which is an example of person-centered care?
A. Completing tasks as quickly as possible
B. Following the care plan without client input
C. Involving the client in care decisions and respecting preferences
D. Making decisions for the client
Answer: C — Person-centered care respects the client's uniqueness, rights, and choices.
13. A resident tells you they feel sick but asks you not to tell anyone. What is your
response?
A. Promise to keep it a secret
B. Ignore it since they said not to tell
C. Explain you must report health concerns to the nurse, then report it
D. Tell the family instead
Answer: C — HCAs have a duty to report changes in condition; be honest with the client.
14. Which competency involves working collaboratively as part of the healthcare team?
A. Domain 1: HCA Role and Responsibility
B. Domain 3: Collaborative Care
C. Domain 6: Safety
D. Domain 4: Communication
Answer: B — Collaborative Care refers to working with the client, family, and team to
achieve common goals.
15. What is cultural humility?
A. Knowing all cultural practices
B. A willingness to self-reflect and learn from others
C. Ignoring cultural differences
D. Treating everyone the same
Answer: B — Cultural humility involves respect, empathy, and openness to the client's view.
16. Which is a component of "fitness to practice" for an HCA?
A. Having the physical, mental, and emotional health required for safe care
B. Having a car
C. Living close to the facility
D. Having 10 years of experience
Answer: A — Fitness to practice means having the required health to provide safe,
competent care.
17. Which domain refers to providing care that promotes the client's health, safety,
independence, and comfort?
A. Domain 1: HCA Role and Responsibility
DOMAIN 1: HCA ROLE AND RESPONSIBILITY (Q1–20)
1. An HCA in Alberta is considered an unregulated care provider. What does this mean?
A. The HCA can independently perform all nursing procedures
B. The HCA works under the supervision of a regulated health professional and follows a
care plan
C. The HCA is licensed by the CLHA
D. The HCA can prescribe medications
Answer: B — HCAs work under the supervision of a regulated health professional and
deliver care according to an established care plan.
2. Which task is generally outside the HCA scope of practice unless specific delegation and
training have been provided?
A. Assisting a client with a bed bath
B. Measuring blood pressure
C. Administering a subcutaneous injection
D. Assisting with oral hygiene
Answer: C — Administering injections is a restricted activity under Alberta legislation. HCAs
may only perform this if specifically delegated and trained.
3. An HCA observes that a client's condition has changed significantly. What is the FIRST
action?
A. Document the change and continue with the shift
B. Wait until the end of the shift to report
C. Report the change immediately to the supervising nurse
D. Ask another HCA for their opinion
Answer: C — Any significant change in a client's condition must be reported immediately.
4. Which principle requires an HCA to protect a client's personal health information?
A. Beneficence
B. Non-maleficence
C. Confidentiality
D. Veracity
Answer: C — Confidentiality is the ethical and legal obligation to protect private information.
5. An HCA is offered money by a client's family. What is the MOST appropriate response?
A. Accept the gift because refusing is impolite
B. Accept and share with the team
C. Politely decline and explain it is against policy
D. Accept only if less than $20
Answer: C — Accepting money can blur professional boundaries and violate employer
policies.
, 2
6. Which is an example of professional boundary crossing?
A. Addressing a client by their preferred name
B. Sharing personal problems with a client
C. Explaining a procedure before performing it
D. Listening to a client's concerns
Answer: B — Sharing personal problems with a client crosses professional boundaries.
7. What is the primary purpose of the Health Professions Act (HPA)?
A. To provide funding for healthcare facilities
B. To regulate health professions and establish standards of practice
C. To establish HCA training requirements
D. To set client care standards
Answer: B — The HPA regulates health professions in Alberta.
8. What is informed consent?
A. The client's right to receive all medical information
B. The client's right to accept or refuse care after understanding risks and benefits
C. The family's right to make decisions
D. The HCA's right to provide care without asking
Answer: B — Informed consent means clients accept or refuse care after adequate
information.
9. What are advance directives?
A. Instructions for the HCA on tasks
B. Documents outlining a client's wishes for future healthcare decisions
C. Hospital policies
D. Medication administration records
Answer: B — Advance directives express a client's wishes regarding future healthcare.
10. A client refuses to take their medication. What should the HCA do?
A. Force the medication
B. Hide it in food
C. Respect the refusal and notify the nurse
D. Tell the client they must take it
Answer: C — Clients have the right to refuse treatment; the HCA must respect this and
report.
11. What is the HCA's legal responsibility regarding suspected abuse?
A. HCAs are not required to report
B. HCAs are mandated reporters
C. Only nurses can report
D. HCAs should investigate first
, 3
Answer: B — HCAs have a legal obligation to report suspected abuse, neglect, or
exploitation.
12. Which is an example of person-centered care?
A. Completing tasks as quickly as possible
B. Following the care plan without client input
C. Involving the client in care decisions and respecting preferences
D. Making decisions for the client
Answer: C — Person-centered care respects the client's uniqueness, rights, and choices.
13. A resident tells you they feel sick but asks you not to tell anyone. What is your
response?
A. Promise to keep it a secret
B. Ignore it since they said not to tell
C. Explain you must report health concerns to the nurse, then report it
D. Tell the family instead
Answer: C — HCAs have a duty to report changes in condition; be honest with the client.
14. Which competency involves working collaboratively as part of the healthcare team?
A. Domain 1: HCA Role and Responsibility
B. Domain 3: Collaborative Care
C. Domain 6: Safety
D. Domain 4: Communication
Answer: B — Collaborative Care refers to working with the client, family, and team to
achieve common goals.
15. What is cultural humility?
A. Knowing all cultural practices
B. A willingness to self-reflect and learn from others
C. Ignoring cultural differences
D. Treating everyone the same
Answer: B — Cultural humility involves respect, empathy, and openness to the client's view.
16. Which is a component of "fitness to practice" for an HCA?
A. Having the physical, mental, and emotional health required for safe care
B. Having a car
C. Living close to the facility
D. Having 10 years of experience
Answer: A — Fitness to practice means having the required health to provide safe,
competent care.
17. Which domain refers to providing care that promotes the client's health, safety,
independence, and comfort?
A. Domain 1: HCA Role and Responsibility
