PCA COMPETENCY TEST (GEORGIA EXAM) QUESTIONS & ACCURATE ANSWERS

PCA COMPETENCY TEST (GEORGIA EXAM) QUESTIONS & ACCURATE ANSWERS “Reinforce a dressing. - CORRECT ANSWER True" "Apply a hot pack. - CORRECT ANSWER False" "Give an enema. - CORRECT ANSWER False" "Administer medication. - CORRECT ANSWER False" "Change a sterile dressing. - CORRECT ANSWER False" "Assist with change of a colostomy bag. - CORRECT ANSWER True" "Give a rectal suppository. - CORRECT ANSWER False" "Give a tubal feeding. - CORRECT ANSWER False" "give insulin - CORRECT ANSWER False" "Cut Nails - CORRECT ANSWER False" "Diarrhea can cause dehydration and other serious complications and should be reported. - CORRECT ANSWER True" "If a person complains of pain, it is important to have the patient describe the pain and then report it to the nurse and record it in your notes. - CORRECT ANSWER True" "It's normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach or legs. - CORRECT ANSWER False" "Ifyou notice the patient's catheter is not draining, the first thing you should do is: - CORRECT ANSWER C. Check the tubing to see if it is kinked ." "Which of the following is not recommended for promoting good daily bowel habits: - CORRECT ANSWER B. laxatives" "Mrs.Morris has not had a BM for 3 days.She has always given herself an enema if she doesn't have a bowel movement for a long time. Mrs. Morris ask the PCA to give her an enema. What should the PCA do? - CORRECT ANSWER D. Contact the agency supervisor to discuss the situation." "Bedrails should never be used to secure vest restraints - CORRECT ANSWER True" "Smoking in bed is a fine for anyone who is not confused. - CORRECT ANSWER False" "Part of your duty as a PCA are to assure a safe home environment. This includes: - CORRECT ANSWER All these above: Proper infection control with good hand washing, Electrical & fore safety, moving this which may cause the patient to fall." "A patient is receiving oxygen through a nasal cannula. What safety precautions should the PCA take? - CORRECT ANSWER Allow NO SMOKING in the room" "For an injury with profuse bleeding, apply pressure and call for assistance. - CORRECT ANSWER True" "It is Mrs. Morris's usual time for lunch, but she says she is not hungry yet. This is the first time that Mrs.Morris has made this type of statement. What should the home health PCA do? - CORRECT ANSWER Tell Mrs.Morris to let the PCA know when she wants to eat ,and remind her that it is important that she have lunch." "The ability to make observations is even more important when working with infants and young·children than it is when working with adults . The chief reason for this is that infants and young children: - CORRECT ANSWER D. Can not explain how they feel" "It is important to keep a patient covered during a bed bath except for the part being washed. - CORRECT ANSWER True" "Massaging of bony prominences helps to prevent skin breakdown by increasing the blood supply to the area. - CORRECT ANSWER True" "When giving peri-care to a patient after a BM ,washing using front to back motion in order not to spread fecal material to other areas. - CORRECT ANSWER True" "When giving the patient a bath, if the water is too hot, it can injure (burn)the person's skin. If it is too cold, it can chill the person. Therefore you should test the Water Temperature before beginning the bath by: - CORRECT ANSWER finding out if the water is warm (not hot or cold) to the touch on the inside of your wrist." "Which of the following is most appropriate practice to promote good skin care in the elderly? - CORRECT ANSWER keep the skin clean and well moisturized" "If dentures are not worn when sleeping,where should you store them? - CORRECT ANSWER Place in a clean container in clean water" "An elderly male patient occasionally wets his trousers. What should the home health PCA do? - CORRECT ANSWER Encourage him to go to the bathroom at least every two hours." "In giving foot care to a patient who has diabetes, the Personal Care Assistant may take which ofthese actions? - CORRECT ANSWER Soak the patients feet for more than 5 minutes In a basin of warm water" "Always transfer a patient towards his good side. - CORRECT ANSWER True" "The Personal Care Assistant should be sure to take which of these actions when caring for a newborn baby? - CORRECT ANSWER Support the baby's head and neck when picking the baby up." "Which of these statements describes good body mechanics? - CORRECT ANSWER Bend the knees when lifting an object off the floor." "When caring for a patient who is on bed rest, what should the PCA do to prevent bedsores? - CORRECT ANSWER Keep the bottom sheet free of wrinkles." "Soy sauce is good to spice up a low salt diet. - CORRECT ANSWER False" "A regular diet is a well balanced diet with no restrictions. - CORRECT ANSWER True" "Bread and potatoes are a good source of protein. - CORRECT ANSWER False" "Foods on a liquid diet would include - CORRECT ANSWER broth, tea and jello" "Foods that are high in vitamin C include: - CORRECT ANSWER oranges, tomatoes and watermelon" "Ifthere is 50cc left in glass and the glass holds 150cc you should record the intake as: - CORRECT ANSWER 100C" "Milk is a good source of calcium. Which of these foods is also high in calcium? - CORRECT ANSWER Cheese." "When patients do not have enough fluids, they may develop which of these problems? - CORRECT ANSWER Constipation" "If a patient is to have a fluid intake record kept, the right time to record the patient's fluid is: - CORRECT ANSWER when the patient has drank the fluids." "Patient on low salt diets are usually allowed to have which of these foods? - CORRECT ANSWER Raisins." "Patients sometimes express religious beliefs with which the Personal Care Assistant does not agree. In dealing with these situations, which of these understandings should the PCA use as a guide? - CORRECT ANSWER Patients have a right to their own beliefs, which should be respected" Activities Of Daily Living (ADL) - CORRECT ANSWER Personal Care Tasks Such As Bathing , Dressing ,Toileting Dressing Eating And Ambulating" "Body Mechanics - CORRECT ANSWER Process Of Using Proper Body Alignment When Moving A Recipient To Prevent Injury To The Personal Care Aid" "Decubitus - CORRECT ANSWER A Sore That Usually Develops Over A Bony Part Of the Body It is Also Known as A Bed sore OR a Pressure Sore" "Grooming - CORRECT ANSWER The Process Of Bushing The Recipient Teeth , Cleaning dentures , Combing or Brushing Hair , And Shaving" "Personal Care - CORRECT ANSWER Service Provided By Medicaid Provider Agency To Assist The Recipient With Activities Of Daily Living" "Plan Of Care (POC) - CORRECT ANSWER Those Activities And Services That A Recipient Needs. A Form Used By the Provider Agency To Develop a Plan For The Number Of Hours Days Of The Week And The Tasks The Personal Care Aid is Assist If Care" "Respite Care - CORRECT ANSWER A Service Provided To The Live In Primary Caregiver To Give Him/Her relief In the 24 Hour Responsibility Of Care" "Supervision - CORRECT ANSWER A Block Of Time Specified On The Plan Of Care To Allow The PCA To Be With Recipient To Ensure Safety" "Toileting - CORRECT ANSWER The Process Of Getting To And From The Toilet Room For Elimination Of Feces And Urine Transferring On And Off Toilet" "Transferring - CORRECT ANSWER The Process Of Moving Horizontally And/OR Vertically Between The Bed Chair Wheelchair And/OR Stretcher" "Universal (STANDARD) Precautions - CORRECT ANSWER The Technique Of Protecting Oneself From the Spread Ogpf Infectious Disease While Providing Care To The Recipient And Protecting the Recipient From Contracting A Disease From the Personal Care Provider" "Vital Signs - CORRECT ANSWER Blood Pressure , Pulse, Temperature, And Respiration (BP , T , P, R)" "Temperature (Oral) - CORRECT ANSWER 97.6-99.6" "Normal Adult Respiratory Rate - CORRECT ANSWER 16-20 Pre Min" "Blood Pressure Normal - CORRECT ANSWER 120-80" "As a Personal Care Assistant, you - CORRECT ANSWER work as part of the health care team." "When you work in the home, you will be: - CORRECT ANSWER working under the supervision of a professional supervisor." "As Personal Care Assistant, it is your responsibility to: - CORRECT ANSWER do only the tasks that the registered nurse or therapist assigns to you" "In the home, it is important to be a good listener. - CORRECT ANSWER True" "Always tell the patient what you are going to do before starting a procedure. - CORRECT ANSWER True" "You only communicate through words. - CORRECT ANSWER False" "Which of the following is important in communicating with people: - CORRECT ANSWER Courtesy, Tact , listening" "Body language is: - CORRECT ANSWER a way of communicating feelings by using the body, facial expressions and the eyes" "PCA care for a conscious patient should be preceded by: - CORRECT ANSWER giving an explanation of what is going to be done" "Miss Harris, a Personal Care Assistant, is assigned to care for Mr. Goodway. Miss Harris notices that she feels very angry when she is with Mr. Goodway. What should Miss Harris do because she feels this way? - CORRECT ANSWER Talk with the agency supervisor about the situation." "A patient accuses a Personal Care Assistant of stealing five dollars. The PCA has not taken the patient's money, but the patient does not believe this. What should the PCA do? - CORRECT ANSWER Notify the agency supervisor." "If you do not chart a task that you do for a patient, legally, it was not done. - CORRECT ANSWER True" "If the patient has a new area of skin breakdo� and the nurse is coming in two days, you do not need to report the skin breakdown to your supervisor. - CORRECT ANSWER False" "A rapid pulse and shortness of breath in a patient usually indicates the patient is excited and does not need to be reported to the nurse. - CORRECT ANSWER False" "The patient tells you he has not moved his bowels in three days: What should you do? - CORRECT ANSWER Report it to the nursing supervisor." "Which of these actions is the Personal Care Assistant permitted to take in relation to drug administration? - CORRECT ANSWER Recording and reporting the patient's reaction to the medication." "When a patient complains of pain, what should the Personal Care Assistant do first? - CORRECT ANSWER Ask the patient to describe the pain." "A patient's prescription for heart pills has recently been changed. The home health PCA should notify the agency supervisor immediately if the patient makes which of these comments? - CORRECT ANSWER "I have a rash on my stomach since I've been taking these pills."" "Mrs. Rand, who has diabetes and takes insulin regularly, tells the Personal Care Assistant that she feels very nervous and jittery. What should the PCA do immediately? - CORRECT ANSWER Give her a glass of orange juice" "Always report a pulse rate if the beats per minute are under 60 or over 100 - CORRECT ANSWER True" "The temperature of an unconscious patient should be taken orally since they are not moving about. - CORRECT ANSWER False" "Recording a patient's "TPR" or vital signs is not important as long as you remember what they were. - CORRECT ANSWER False" "For which, if any, of these body areas is 99.6 degrees F. a normal temperature? - CORRECT ANSWER Rectum" "When taking a patient's pulse, you should take it for: - CORRECT ANSWER one full minute." "When a patient's respirations are being counted, it is best that the patient: - CORRECT ANSWER not be aware that the respirations are being counted" "Hand washing is the single best way to decrease the transfer of pathogens. - CORRECT ANSWER True" "Gloves should be worn when handling items soiled by body fluids. - CORRECT ANSWER True" "The catheter drainage bag must be lower than the bladder, but not on the floor. - CORRECT ANSWER True" "During a visit, you need to wash your hands after removing gloves: - CORRECT ANSWER All of the above: before you give physical care to the patient.,after you pet the dog.,before you leave the patient's home" "In what situation should gloves be used? - CORRECT ANSWER All of the above:The patient is vomiting,The patient has been incontinent of stool.,The patient has drainage wound" "If the patient begins to have a seizure, your first responsibility is to prevent the patient from injuring himself - CORRECT ANSWER True" "If the patient falls and complains ofpain in his hip, you should help him to get up and walk to the bed. - CORRECT ANSWER False" "A patient is choking on some object that is caught in his airway. Before first-aid measures are applied, find out: - CORRECT ANSWER C. If the patient can speak or cough" "While giving a bath on a shower chair, the patient suddenly gasps and becomes unresponsive. ThePersonalCareAssistantshould: - CORRECT ANSWER lower the patient to the floor, call for the family call 911,determine if CPR is needed and initiate it ifindicated." "For which ofthese emergencies is a knowledge ofpressure points essential? - CORRECT ANSWER D. Bleeding." "The telephone numbers ofall ofthe following are important to a patient. Which number must the Personal Care Assistant have next to the telephone? - CORRECT ANSWER The emergency medical squad" "Every patient is the same and has the same needs and wants. - CORRECT ANSWER False" ". It is all right to use any item in the home without asking as long as it is for the patient's personal care. - CORRECT ANSWER False" "You may use the telephone in the patient's home without asking permission. - CORRECT ANSWER False" "A neighbor has asked you some questions about the patient you are presently taking care of. "Mrs. Cooler is dying, isn't she?" How will you answer her? - CORRECT ANSWER I am sorry,but I cannot discuss Mrs.Cooler."" "Which-of these statements about the elderly is true? - CORRECT ANSWER They can learn new things" "When working with person who are disabled, the general goal of care is to: - CORRECT ANSWER promote maximum self-care and Independence within the limits of the person's ability." "There is no need to be near an object to pick it up, just reach. - CORRECT ANSWER False" "It's best to use a gait belt if a patient is unsteady. - CORRECT ANSWER True" "A patient lying on his back has slid down in bed and needs help in moving up again. To start this, the patient should, ifpossible: - CORRECT ANSWER flex his knees and push with his heels" "Before helping a patient into or out ofa wheelchair, which ofthese actions are necessary? - CORRECT ANSWER Lock the brakes and fold the foot pieces up" "When assisting a patient to walk with his walker, you should: - CORRECT ANSWER A & B clear a pathway and remove all safety hazards , stay close to the patient's side" "A patient who has been on bed rest is to get up in a chair. The Personal Care Assistant helps the patient to sit on the edge ofthe bed. The patient says, "I am dizzy." What should the PCA do? - CORRECT ANSWER Support the patient in a sitting position and wait a minute or so to see if the dizziness goes away." "Patient has had a stroke and has a right-sided weakness. The patient can walk with a little assistance. It is best for the Personal Care Assistant to assist the patient by walking in which of these positions? - CORRECT ANSWER On the patient's right side." "Mr. Sticke is 76 years old, needs help with bathing, and has a foley catheter in place. He has great difficulty walking and uses a wheelchair. When helping Mr. Sticke from the bed to the wheelchair, which of these actions is essential. - CORRECT ANSWER Have the brakes Ol!- the wheelchair in a locked position." "Passive range of motion exercises are for the prevention of contractures in patients with paralyzed limbs. - CORRECT ANSWER True" "During range of motion exercises, if you feel resistance or the patient complains of pain, you should continue anyway. - CORRECT ANSWER False" "It's best to have a pillow between the legs of a patient with a new hip replacement. - CORRECT ANSWER True" "To prevent bedsores in the elderly, you should: - CORRECT ANSWER all of the above:change the patient's position every two hours if they are unable to do so themselves, get the patient out of bed if they are allowed to do e adequate nutrition with special emphasis on protein intake."