Caregiver Competency Exam Aspire Home Care Personal Care Attendant Competency Test 52 Question Initial PCA Competency Exam (85% needed to pass) Name Email Address 1. Caregivers may assist with personal care 1. Caregivers may assist with personal care True False 2. Caregivers may apply a hot pack to clients 2. Caregivers may apply a hot pack to clients True False 3. Caregivers may give an enema 3. Caregivers may give an enema True False 4. Caregiver may assist with medications (Reminders) 4. Caregiver may assist with medications (Reminders) True False 5. Caregivers may change a sterile dressing 5. Caregivers may change a sterile dressing True False 6. Caregivers may assist with a change of colostomy bag 6. Caregivers may assist with a change of colostomy bag True False 7. Caregivers may give rectal suppository 7. Caregivers may give rectal suppository True False 8. Caregivers may give a tubal feeding 8. Caregivers may give a tubal feeding True False 9. Caregiver may give insulin 9. Caregiver may give insulin True False 10. Caregiver may cut client's nails 10. Caregiver may cut client's nails True False 11. As a caregiver, you 11. As a caregiver, you A. work alone. B. work as part of the health care team. C. may become the leader of the health care team. D. will never get any further training after orientation. 12. When you work in the home, you will be: 12. When you work in the home, you will be: A. responsible for making decisions without any help. B. working under the supervision of a professional supervisor. C. away from your office and have no way to contact your employer. D. responsible for calling the physician with information. 13. As a Caregiver, it is your responsibility to: 13. As a Caregiver, it is your responsibility to: A. plan the client’s care. B. do only the tasks that the service plan assigns to you. C. try to do your best, but not ask for any help. D. compare assignments with your co-workers. 14 .In the home, it is important to be a good listener. 14 .In the home, it is important to be a good listener. True False 15. Always tell the client what you are going to do before starting a task. 15. Always tell the client what you are going to do before starting a task. True False 16. As a caregiver, you only communicate through words. 16. As a caregiver, you only communicate through words. True False 17. Which of the following is important in communicating with people: 17. Which of the following is important in communicating with people: A. courtesy. B. tact. C. listening. D. all of the above. 18. Body language is 18. Body language is A. a way of communicating feelings by using the body, facial expressions and the eyes. B. only used by clients to tell their doctors what is causing them problems. C. only used by persons who are deaf and mute. D. the newest dance craze. 19. Caregiver care for a conscious client should be preceded by: 19. Caregiver care for a conscious client should be preceded by: A. asking the client for his permission to go ahead with the task. B. telling the client you would like to have his cooperation. C. giving an explanation of what is going to be done. D. explanation to the client that the doctor ordered this done. 20. Miss Ferris, a Caregiver, is assigned to care for Mr. Conway. Miss Ferris notices that she feels very angry when she is with Mr. Conway. What should Miss Ferris do because she feels this way? 20. Miss Ferris, a Caregiver, is assigned to care for Mr. Conway. Miss Ferris notices that she feels very angry when she is with Mr. Conway. What should Miss Ferris do because she feels this way? A. Tell Mr. Conway how she is feeling. B. Find out if other Caregivers have felt this way. C. Try to pretend that Mr. Conway is someone she likes. D. Talk with the agency supervisor about the situation. 21. A client accuses a Caregiver of stealing five dollars. The Caregiver has not taken the client’s money, but the client does not believe this. What should the Caregiver do? 21. A client accuses a Caregiver of stealing five dollars. The Caregiver has not taken the client’s money, but the client does not believe this. What should the Caregiver do? A. Ask the other Caregiver who care for the client if they took the five dollars. B. Ask the client why the Caregiver is being accused. C. Offer to give the client five dollars. D. Notify the agency supervisor. 22. If you do not chart a task that you do for a client, legally, it was not done. 22. If you do not chart a task that you do for a client, legally, it was not done. True False 23. If the client has a new area of skin breakdown, and the supervisory is coming in two days, you do not need to report the skin breakdown to your supervisor. 23. If the client has a new area of skin breakdown, and the supervisory is coming in two days, you do not need to report the skin breakdown to your supervisor. True False 24. Shortness of breath in a client usually indicates the client is excited and does not need to be reported to the supervisor. 24. Shortness of breath in a client usually indicates the client is excited and does not need to be reported to the supervisor. True False 25. The client tells you he has not moved his bowels in three days. What should you do? 25. The client tells you he has not moved his bowels in three days. What should you do? A. Tell him not to worry about it. B. Tell him to take a laxative. C. Report it to the supervisor. D. Pretend you didn’t hear him. 26. Which of these actions is the Caregiver permitted to take in relation to assisting with drug administration? 26. Which of these actions is the Caregiver permitted to take in relation to assisting with drug administration? A. Remind the client when medications are to be taken. B. Handing out nonprescription medications to the client who asks for them. C. Adjusting the dosage of medications given to the client. D. Adjusting the times medications are given to fit into the client’s activities schedule. 27. When a client complains of pain, what should the Caregiver do first? 27. When a client complains of pain, what should the Caregiver do first? A. Ask the client to describe the pain. B. Call the client’s doctor. C. Offer the client some warm tea. D. Change the client’s position. 28. A client’s prescription for heart pills has recently been changed. The Caregiver should notify the agency supervisor immediately if the client makes which of these comments? 28. A client’s prescription for heart pills has recently been changed. The Caregiver should notify the agency supervisor immediately if the client makes which of these comments? A. “The pills are very expensive.” B. “These pills are different shape from the pills I used to take.” C. “I have a rash on my stomach since I’ve been taking these pills.” D. “I can’t take these pills unless I have really cold water to drink.” 29. Mrs. Rand, who has diabetes and takes insulin regularly, tells the Caregiver that she feels very nervous and jittery. What should the Caregiver do immediately? 29. Mrs. Rand, who has diabetes and takes insulin regularly, tells the Caregiver that she feels very nervous and jittery. What should the Caregiver do immediately? A. Take her temperature. B. Find out when she has her next doctor’s appointment. C. Have her lie down in bed. D. Contact the supervisor. 30. Hand washing is the single best way to decrease the transfer of pathogens. 30. Hand washing is the single best way to decrease the transfer of pathogens. True False 31. Gloves should be worn when handling items soiled by body fluids. 31. Gloves should be worn when handling items soiled by body fluids. True False 32. The catheter drainage bag must be lower than the bladder, but not on the floor. 32. The catheter drainage bag must be lower than the bladder, but not on the floor. True False 33. During a visit, you need to wash your hands after removing gloves: 33. During a visit, you need to wash your hands after removing gloves: A. before you give physical care to the client. B. after you pet the dog. C. before you leave the client’s home. D. all of the above. 34. In what situation should gloves be used? 34. In what situation should gloves be used? A. The client is vomiting. B. The client has been incontinent of stool. C. The client has drainage wound. D. All of the above. 35. Diarrhea can cause dehydration and other serious complications and should reported. 35. Diarrhea can cause dehydration and other serious complications and should reported. True False 36. If a person complains of pain, it is important to have the client describe the pain and then report it to the supervisor and record it in your notes. 36. If a person complains of pain, it is important to have the client describe the pain and then report it to the supervisor and record it in your notes. True False 37. It’s normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach or legs. 37. It’s normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach or legs. True False 38. If you notice the client’s catheter is not draining, the first thing you should do is: 38. If you notice the client’s catheter is not draining, the first thing you should do is: A. call your supervisor. B. empty the drainage bag. C. check the tubing to see if it is kinked. D. do nothing, this is the nurse’s problem. 39. Which of the following is not recommended for promoting good daily bowel habits: 39. Which of the following is not recommended for promoting good daily bowel habits: A. plenty of water. B. laxatives. C. exercise. D. well balanced meals. 40. Mrs. Amos has not had a bowel movement for three days. She has always given herself an enema if she does not have a bowel movement for that long a time. Mrs. Amos asks the Caregiver to give her an enema. What should the Caregiver do? 40. Mrs. Amos has not had a bowel movement for three days. She has always given herself an enema if she does not have a bowel movement for that long a time. Mrs. Amos asks the Caregiver to give her an enema. What should the Caregiver do? A. Give Mrs. Amos an enema. B. Tell Mrs. Amos to wait another day. C. Suggest that Mrs. Amos take a laxative first. D. Contact the agency supervisor to discuss the situation. 41. A bedside call bell needs to be available so the bed bound client can summon assistance. 41. A bedside call bell needs to be available so the bed bound client can summon assistance. True False 42. Bedrails should never be used to secure vest restraints. 42. Bedrails should never be used to secure vest restraints. True False 43. Smoking in bed is fine for anyone who is not confused. 43. Smoking in bed is fine for anyone who is not confused. True False 44. Part of your duties as a Caregiver are to assure safe home environment. This includes: 44. Part of your duties as a Caregiver are to assure safe home environment. This includes: A. proper infection control with good hand washing. B. electrical and fire safety. C. moving things which may cause the client to fall. D. all of the above. 45. A client is receiving oxygen through a nasal cannula. What safety precautions should the Caregiver take? 45. A client is receiving oxygen through a nasal cannula. What safety precautions should the Caregiver take? A. Keep the television set at least 5 feet from the oxygen tank. B. Do not permit the client to drink soda. C. Allow no smoking in the client’s room. D. Do not use any lotions that contain oil in the client’s room. 46. For an injury with profuse bleeding, apply pressure and call for assistance. 46. For an injury with profuse bleeding, apply pressure and call for assistance. True False 47. If the client begins to have a seizure, your first responsibility is to prevent the client from injuring himself. 47. If the client begins to have a seizure, your first responsibility is to prevent the client from injuring himself. True False 48. If the client falls and complains of pain in his hip, you should help him to get up and walk to the bed. 48. If the client falls and complains of pain in his hip, you should help him to get up and walk to the bed. True False 49. A client is choking on some object that is caught in his airway. Before first-aid measures are applied, find out: 49. A client is choking on some object that is caught in his airway. Before first-aid measures are applied, find out: A. if the client’s pulse rate is over 80. B. if the client can swallow clear fluids. C. if the client can speak or cough. D. What medications the client has taken in the past 24 hours. 50. While assisting with a bath on a shower chair, the client suddenly gasps and becomes unresponsive. The Caregiver should: 50. While assisting with a bath on a shower chair, the client suddenly gasps and becomes unresponsive. The Caregiver should: A. call for family assistance and continue with the bath. B. leave the client and call 911. C. lower the client to the floor, call for the family to call 911, determine if CPR is needed and initiate it if indicated. D. tell the family to stay with the client while you call 911 and the supervisor. 51. For which of these emergencies is knowledge of pressure points essential? 51. For which of these emergencies is knowledge of pressure points essential? A. Health stroke. B. Burns. C. Food poisoning. D. Bleeding. 52. The telephone numbers of all of the following are important to a client. Which number must the Caregiver have next to the telephone? 52. The telephone numbers of all of the following are important to a client. Which number must the Caregiver have next to the telephone? A. The client’s clergyman. B. The drugstore. C. The emergency medical squad. D. The next-door neighbor. Submit