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Georgia Personal Care Assistant (PCA) — Competency Exam
Exam Year: 2025
Total Questions: 100 Multiple-Choice (A–D)
Sections: 7
Section 1: PCA Role, Scope of Practice & Supervision (Questions 1–15)
Section 2: Activities of Daily Living (ADLs) & Personal Care (Questions 16–30)
Section 3: Instrumental Activities of Daily Living (iADLs) & Homemaking (Questions 31–45)
Section 4: Infection Control, Standard Precautions & Safety (Questions 46–60)
Section 5: Vital Signs, Observation & Reporting Protocols (Questions 61–75)
Section 6: Patient Rights, Confidentiality & Ethical Conduct (Questions 76–90)
Section 7: Emergency Response, Communication & Special Populations (Questions 91–100)
Answers with rationales are provided beneath each question.
Aligned to the 2025 certification body of knowledge.
Page 1 of 35
,Table of Contents
Section 1: PCA Role, Scope of Practice & Supervision (Questions 1–15)3
Section 2: Activities of Daily Living (ADLs) & Personal Care (Questions 16–30)8
Section 3: Instrumental Activities of Daily Living (iADLs) & Homemaking (Questions 31–45)13
Section 4: Infection Control, Standard Precautions & Safety (Questions 46–60)18
Section 5: Vital Signs, Observation & Reporting Protocols (Questions 61–75)23
Section 6: Patient Rights, Confidentiality & Ethical Conduct (Questions 76–90)27
Section 7: Emergency Response, Communication & Special Populations (Questions
91–100)32
Page 2 of 35
,Section 1: PCA Role, Scope of Practice & Supervision (Questions
1–15)
Q1: A client asks the PCA to give an insulin injection because the family is running late. What
is the correct response?
A. Ask a neighbor who is a nursing student to give it
B. Give the injection because the family asked
C. Give the injection and record it in the care log
D. Explain that injections are outside the PCA scope and report the request to the
supervisor **[CORRECT]**
Correct Answer: D
Rationale: Medication administration, including injections, is a nursing service and outside
the Georgia PCA scope, so the request must be refused and reported. Performing the
injection, documenting it, or delegating to an unqualified neighbor endangers the client and
violates the rules.
Q2: Which task is within the Georgia PCA scope of practice?
A. Inserting a urinary catheter
B. Assisting a client with bathing and dressing **[CORRECT]**
C. Changing a sterile surgical dressing
D. Administering oral prescription medication
Correct Answer: B
Rationale: Personal care tasks such as bathing and dressing are core PCA duties under
Georgia private home care rules. Sterile dressing changes, medication administration, and
catheter insertion are nursing services.
Q3: A new PCA is assigned a task for which she has not been trained or had competency
determined. What should she do?
A. Ask the client to demonstrate the task
B. Practice on a family member first
C. Refuse the assignment and notify the supervisor that training and competency are
needed **[CORRECT]**
D. Attempt the task carefully
Correct Answer: C
Rationale: Georgia rules prohibit assigning a PCA to a task without completed training and
demonstrated competency. Attempting it, relying on the client, or practising on others
places the client at risk.
Page 3 of 35
, Q4: Which best describes the PCA's role within the care team?
A. The PCA supervises the nurse
B. The PCA works independently and sets the care plan
C. The PCA works under supervision and follows the client's service plan **[CORRECT]**
D. The PCA may change the service plan when convenient
Correct Answer: C
Rationale: PCAs perform assigned personal care under supervision and in accordance
with the service plan. Independent practice, supervising licensed staff, and unilateral plan
changes exceed the role.
Q5: How many hours of training must a new PCA complete before serving clients, with the
remainder completed within six months?
A. No required hours if experienced
B. 40 hours all before clients
C. 20 hours before clients and the remaining 20 within six months **[CORRECT]**
D. 10 hours before clients and 30 hours later
Correct Answer: C
Rationale: Georgia's 40-hour PCA training program requires 20 hours before serving
clients and the remaining 20 within six months of the start date. Ten, all-at-once, and
no-training interpretations do not match the rule.
Q6: A PCA is asked to decide whether a client's prescribed medication dose should be
increased because the client still reports pain. What is the correct action?
A. Adjust the dose and document the reason
B. Call the pharmacy and authorize a refill change
C. Advise the client to double the dose
D. Explain that dose decisions belong to the prescriber and report the pain to the
supervisor **[CORRECT]**
Correct Answer: D
Rationale: Medication decisions belong to licensed prescribers, and the PCA's duty is to
report the client's symptoms. Advising a dose change, authorizing a pharmacy change, or
altering the dose is unsafe and outside scope.
Page 4 of 35