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PCA Practice

100 Questions
PCA practice

Test of basic nursing skills.

Questions and Answers
  • 1. 
    As a Personal Care Assistant, 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

  • 2. 
    • A. 

      Responsible for making decision 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.

  • 3. 
    As Personal Care Assistant, it is your responsibility to:
    • A. 

      Plan the client’s care.

    • B. 

      Do only the tasks that the registered nurse or therapist assigns to you.

    • C. 

      Try to do your best, but not ask for any help.

    • D. 

      Compare assignments with your co-workers.

  • 4. 
    • A. 

      True

    • B. 

      False

  • 5. 
    True or False. Always tell the patient what you are going to do before starting a procedure.
    • A. 

      True

    • B. 

      False

  • 6. 
    • A. 

      True

    • B. 

      False

  • 7. 
    Which of the following is important when communicating with people:
    • A. 

      Courtesy

    • B. 

      Tact

    • C. 

      Listening

    • D. 

      All of the above

  • 8. 
    Body language is:
    • A. 

      A way of communicating feelings by using the body, facial expression and the eyes

    • B. 

      Only used by the 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

  • 9. 
    • A. 

      Asking the patient for his permission to go ahead with the procedure

    • B. 

      Telling the patient you would like to have his cooperation

    • C. 

      Giving an explanation of what is going to be done

    • D. 

      Explanation to the patient that the doctor’s order is done

  • 10. 
    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 Mrs. Harris do because she feels this way?
    • A. 

      Tell Mr. Goodway how she is feeling

    • B. 

      Find out if other PCAs have felt this way

    • C. 

      Try to pretend Mr. Goodway is someone she likes

    • D. 

      Talk with the agency supervisor about the situation

  • 11. 
    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?
    • A. 

      Ask the other PCAs who cares for the patient if they took the five dollars

    • B. 

      Ask the patient why the PCA is being accused

    • C. 

      Offer to give the patient five dollars

    • D. 

      Notify the agency supervisor

  • 12. 
    • A. 

      True

    • B. 

      False

  • 13. 
    • A. 

      True

    • B. 

      False

  • 14. 
    True or 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.
    • A. 

      True

    • B. 

      False

  • 15. 
    The patient 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 nursing supervisor

    • D. 

      Pretend you didn’t hear him

  • 16. 
    Which of these actions is the Personal Care Assistant permitted to take in relation to drug administration?
    • A. 

      Record and report the patient’s reaction to the medication

    • B. 

      Handing out nonprescription medications to the patient who asks for them

    • C. 

      Adjusting the dosage of medication given to the patient

    • D. 

      Adjusting the times medications are given to fit into the patient’s activities scheduled

  • 17. 
    When a patient complains of pain, what should the Personal Care Assistant do first?
    • A. 

      Ask the patient to describe the pain

    • B. 

      Call the patient’s doctor

    • C. 

      Offer the patient some warm tea

    • D. 

      Change the patient’s position

  • 18. 
    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:
    • A. 

      “The pills are very expensive.”

    • B. 

      “These pills are different shape from the pills I use 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.”

  • 19. 
    • A. 

      Take her temperature

    • B. 

      Find out when she has her next doctor’s appointment

    • C. 

      Have her lie down in bed

    • D. 

      Give her a glass of orange juice

  • 20. 
    True or False. Always report a pulse if the beats per minute are under 60 or over 100.
    • A. 

      True

    • B. 

      False

  • 21. 
    • A. 

      True

    • B. 

      False

  • 22. 
    True or False. Recording a patient’s TPR or vital signs is not important as long as you remember what they are.
    • A. 

      True

    • B. 

      False

  • 23. 
    For which, if any, of these body areas is 99.6 degrees F. a normal temperature?
    • A. 

      Axilla

    • B. 

      Mouth

    • C. 

      Rectum

    • D. 

      None of the above

  • 24. 
    When taking a patient pulse, you should take it for:
    • A. 

      15 seconds

    • B. 

      One full minute

    • C. 

      5 seconds

    • D. 

      Two minutes

  • 25. 
    When a patient’s respirations are being counted, it is best that the patient:
    • A. 

      Tries to breathe evenly

    • B. 

      Tries to breathe as deeply as he can

    • C. 

      Sits up straight

    • D. 

      Not be aware that the respirations are being counted

  • 26. 
    True or False. Hand washing is the single best way to decrease the number of pathogens.
    • A. 

      True

    • B. 

      False

  • 27. 
    True or False. Gloves should be worn when handling items soiled by body fluids. 
    • A. 

      True

    • B. 

      False

  • 28. 
    True or False. The catheter drainage bag must be lower than the bladder, but not on the floor. 
    • A. 

      True

    • B. 

      False

  • 29. 
    During a visit, you need to wash your hands after removing gloves:
    • A. 

      Before you give physical care to the patient

    • B. 

      After you pet the dog

    • C. 

      Before you leave the patient’s home

    • D. 

      All of the above

  • 30. 
    In what situation should gloves be used
    • A. 

      The patient is vomiting

    • B. 

      The patient has been incontinent of stool

    • C. 

      The patient has drainage wound

    • D. 

      All of the above

  • 31. 
    True or False. Diarrhea can cause dehydration and other serious complications and should be reported.
    • A. 

      True

    • B. 

      False

  • 32. 
    True or False. 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.
    • A. 

      True

    • B. 

      False

  • 33. 
    True or False. It's normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach or legs.
    • A. 

      True

    • B. 

      False

  • 34. 
    If you notice the patient’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

  • 35. 
    • A. 

      Plenty of water

    • B. 

      Laxatives

    • C. 

      Exercise

    • D. 

      Well balanced meals

  • 36. 
    Mrs. Morris 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 length of time. Mrs. Morris asks the Personal Care Assistant to give her an enema. What should the PCA do?
    • A. 

      Give Mrs. Morris an enema

    • B. 

      Tell Mrs. Morris to wait another day

    • C. 

      Suggest that Mrs. Morris take a laxative first

    • D. 

      Contact the agency supervisor to discuss the situation

  • 37. 
    True or False. Bedrails should never be used to secure vest restraints.
    • A. 

      True

    • B. 

      False

  • 38. 
    True or False. Smoking in bed is fine for anyone who is not confused.
    • A. 

      True

    • B. 

      False

  • 39. 
    Part or your duties as a Personal Care Assistant are to assure a 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 patient to fall

    • D. 

      All of the above

  • 40. 
    • A. 

      Keep the television set at least 5 feet from the oxygen tank

    • B. 

      Do not permit the patient to drink soda

    • C. 

      Allow no smoking in the patient’s room

    • D. 

      Do not use any lotions that contain oil in the patient’s room

  • 41. 
    True or False. For an injury with profuse bleeding, apply pressure and call for assistance.
    • A. 

      True

    • B. 

      False

  • 42. 
    True or False. If the patient begins to have a seizure, your first responsibility is to prevent the patient from injuring himself.
    • A. 

      True

    • B. 

      False

  • 43. 
    • A. 

      True

    • B. 

      False

  • 44. 
    A patient is choking on some object that is caught in his airway. Before first-aid measures are applied, find out:
    • A. 

      If the patient’s pulse is over 80

    • B. 

      If the patient can swallow clear liquids

    • C. 

      If the patient can speak or cough

    • D. 

      What medications the patient has taken in the last 24 hours

  • 45. 
    While giving a bath on a shower chair, the patient suddenly gasps and becomes unresponsive. The Personal Care Assistant should:
    • A. 

      Call for family assistance and continue the bath

    • B. 

      Leave the patient and call 911

    • C. 

      Lower the patient to the floor, call for the family to call 911, determine it CPR is needed, and initiate it if needed

    • D. 

      Tell the family to stay with the patient while you call 911 and the supervisor

  • 46. 
    For which of these emergencies is the knowledge of pressure points essential:
    • A. 

      Health stroke

    • B. 

      Burns

    • C. 

      Food poisoning

    • D. 

      Bleeding

  • 47. 
    The telephone numbers of all the following are important to a patient. Which number  must the Personal Care Assistant have next to the phone?
    • A. 

      The patient ‘s clergyman

    • B. 

      The drugstore

    • C. 

      The emergency medical squad

    • D. 

      The next-door neighbor

  • 48. 
    True or False. Every patient is the same and has the same needs and wants. 
    • A. 

      True

    • B. 

      False

  • 49. 
    True or False. It is alright to use any item in the home without asking as long as it is for the patient’s personal care.
    • A. 

      True

    • B. 

      False

  • 50. 
    True or False. You may use the telephone in the patient’s home without asking permission.
    • A. 

      True

    • B. 

      False

  • 51. 
    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?
    • A. 

      “Mrs. Cooler is doing as well as can be expected.”

    • B. 

      “I am sorry, but I cannot discuss Mrs. Cooler.”

    • C. 

      ”Yes, it’s too bad, but she is very ill.”

    • D. 

      “How did you know about Mrs. Cooler and her illness.”

  • 52. 
    Which of these statements about the elderly is true?
    • A. 

      They cannot change

    • B. 

      They can learn new things

    • C. 

      They want to become dependent on others

    • D. 

      They do not enjoy meeting new people

  • 53. 
    When working with people that are disabled, the general goal of care is to:
    • A. 

      Provide constant supervision

    • B. 

      Provide total care

    • C. 

      Promote maximum self-care and independence within the limits of the person’s ability

    • D. 

      Promote the complete return of the person’s abilities

  • 54. 
    It is Mrs. Morris’ 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?
    • A. 

      Insist that Mrs. Morris eat at this time

    • B. 

      Tell Mrs. Morris to let the PCA know when she wants to eat, and remind her that it is important that she have lunch

    • C. 

      Tell Mrs. Morris that if she doesn’t eat by herself, she will have to be fed

    • D. 

      Tell Mrs. Morris that it took a lot of time to prepare the food and she should eat it while it is fresh

  • 55. 
    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:
    • A. 

      Do not like to be told that to do

    • B. 

      Are usually sicker than adults

    • C. 

      Enjoy human contact more than adults

    • D. 

      Cannot explain how they feel

  • 56. 
    True or False. It is important to keep a patient covered during a bed bath except for the part being washed.
    • A. 

      True

    • B. 

      False

  • 57. 
    True or False. Massaging of bony prominences help to prevent skin breakdown by increasing the blood supply to the area.
    • A. 

      True

    • B. 

      False

  • 58. 
    True or False. When giving peri-care to a patient after a BM, wash using a front to back motion in order not to spread fecal material to other areas.
    • A. 

      True

    • B. 

      False

  • 59. 
    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:
    • A. 

      Adjusting both the hot and cold water so as to mid them

    • B. 

      Using the patient’s thermometer and read the temperature

    • C. 

      Asking the patient to tell you if it is too hot or too cold

    • D. 

      Finding out if the water is warm ( not hot or cold) to the touch on the inside of your wrist.

  • 60. 
    Which of the following is most important practice to promote good skin care in the elderly?
    • A. 

      Keep the skin clean and well moisturized

    • B. 

      Apply alcohol to bare areas of the skin

    • C. 

      Wash daily with scented soap

    • D. 

      All of the above

  • 61. 
    If dentures are not worn when sleeping, where should you store them?
    • A. 

      Wrap them in a wash cloth

    • B. 

      Put in a sterile container

    • C. 

      Wrap in a gauze pad

    • D. 

      Place in a clean container in clean water

  • 62. 
    An elderly male patient occasionally wets his trousers. What should the home health PCA do?
    • A. 

      Give him fluids with his meal

    • B. 

      Avoid giving him coffee and tea

    • C. 

      Tell him if he urinates on himself he will have to be put in diapers

    • D. 

      Encourage him to go to the bathroom at least every two hours

  • 63. 
    In giving foot care to a patient who has diabetes, the Personal Care Assistant may take which of these actions?
    • A. 

      Clean under the toenails

    • B. 

      Cut the toenails

    • C. 

      Soak the patient’s feet for more than 5 minutes in a basin of warm water

    • D. 

      Put lotion on the patient’s feet before drying them

  • 64. 
    • A. 

      True

    • B. 

      False

  • 65. 
    True or False. There is no need to be near an object to pick it up, just reach.
    • A. 

      True

    • B. 

      False

  • 66. 
    True or False. It is best to use a gait belt if a patient is unsteady.
    • A. 

      True

    • B. 

      False

  • 67. 
    A patient lying on his back has slid down in bed and needs help in moving up again. To start this, the patient should, if possible:
    • A. 

      Raise himself on his elbows

    • B. 

      Separate his legs widely

    • C. 

      Arch his back

    • D. 

      Flex his knees and push with his heels

  • 68. 
    Before helping a patient in or out of a wheelchair, which of these actions are necessary?
    • A. 

      Have the brakes unlocked and leave the foot pieces down

    • B. 

      Lock the brakes and fold the foot pieces up

    • C. 

      Have the brakes unlocked and the foot pieces up

    • D. 

      Lock the brakes and leave the foot pieces down

  • 69. 
    When assisting a patient to walk with his walker, you should:
    • A. 

      Clear a pathway and remove all safety hazards

    • B. 

      Stay close by the patient’s side

    • C. 

      Stand on the other side of the room

    • D. 

      A and B

  • 70. 
    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 of the bed. The patient says, “I am dizzy.” What should you do?
    • A. 

      Rub the patient's feet

    • B. 

      Help the patient to a standing position to see if the dizziness goes away

    • C. 

      Put a cold compress on the patient’s head

    • D. 

      Support the patient in a sitting position and wait a minute or so to see if the dizziness goes away

  • 71. 
    The 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?
    • A. 

      Directly in front or the patient

    • B. 

      Directly in back of the patient

    • C. 

      On the patient’s left side

    • D. 

      On the patient’s right side

  • 72. 
    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 are essential?
    • A. 

      Place the foot supports of the wheelchair so that he can step up on them

    • B. 

      Have a blanket draped in the wheelchair

    • C. 

      Have the breaks on the wheelchair in a locked position

    • D. 

      Place a pillow on the seat or the wheelchair

  • 73. 
    True or False. Passive range of motion exercise is for the prevention of contractures in patients with paralyzed limbs.
    • A. 

      True

    • B. 

      False

  • 74. 
    True or False. During range of motion exercises, if you feel resistance or the patient complains of pain, you should continue anyway.
    • A. 

      True

    • B. 

      False

  • 75. 
    True or False. It’s best to have a pillow between the legs or a patient with a new hip replacement.
    • A. 

      True

    • B. 

      False

  • 76. 
    To prevent bed sores in the elderly, you should:
    • A. 

      Change the patient’s position every two hours if they are unable to do so themselves

    • B. 

      Get the patient out of bed it they are allowed to do so

    • C. 

      Ensure adequate nutrition with special emphasis on protein intake

    • D. 

      All the above

  • 77. 
    The Personal Care Assistant should be sure to take which of these actions when caring for a new born baby?
    • A. 

      Support the baby’s head and neck when picking the baby up

    • B. 

      Clean the inside of the baby’s ears with cotton swabs

    • C. 

      Use petroleum jelly to keep the area around the baby’s navel moist

    • D. 

      Hold the baby only at feeding and bath times

  • 78. 
    Which or these statements describe good body mechanics?
    • A. 

      Carry heavy objects as far away from the body as possible

    • B. 

      Bend the knees when lifting an object off the floor

    • C. 

      Bend over at the waist when lifting an object off the floor

    • D. 

      Lift rather than push a heavy object

  • 79. 
    When caring for a patient who is on bed rest, what should the PCA do to prevent bed sores?
    • A. 

      Keep the top sheet well tucked in

    • B. 

      Keep the bottom sheet free of wrinkles

    • C. 

      Use only sheets that are 100% cotton on the patient’s bed

    • D. 

      Use only woolen blankets to cover the patient

  • 80. 
    True or False. Soy sauce is good to spice up a low salt diet. 
    • A. 

      True

    • B. 

      False

  • 81. 
    True or False. A regular diet is a well balanced diet with no restrictions. 
    • A. 

      True

    • B. 

      False

  • 82. 
    True or False. Bread and potatoes are a good source of protein.
    • A. 

      True

    • B. 

      False

  • 83. 
    Foods on a liquid diet would include:
    • A. 

      Chicken, eggs and toast

    • B. 

      Chopped and strained foods

    • C. 

      Broth, tea and jello

    • D. 

      Lightly seasoned foods

  • 84. 
    Foods that are high in vitamin C include:
    • A. 

      Oranges, tomatoes and watermelon

    • B. 

      Potatoes, raisins and bananas

    • C. 

      Liver, beef and chicken

    • D. 

      Cheese, milk and cottage cheese

  • 85. 
    If there is 50cc left in a glass and the glass holds 150cc you should record the intake as:
    • A. 

      90cc

    • B. 

      120cc

    • C. 

      100cc

    • D. 

      50cc

  • 86. 
    Milk is a good source of calcium. Which of these foods are also good in calcium?
    • A. 

      Cheese

    • B. 

      Bananas

    • C. 

      Orange juice

    • D. 

      Raisins

  • 87. 
    When patients do not have enough fluids, they may develop which of these problems?
    • A. 

      Diarrhea

    • B. 

      Swelling

    • C. 

      Constipation

    • D. 

      Dandruff

  • 88. 
    If a patient is to have a fluid intake record kept, the right time to record the patient’s fluid is:
    • A. 

      When the fluids are served to the patient

    • B. 

      When the patient has drank the fluids

    • C. 

      Every two hours

    • D. 

      After each meal

  • 89. 
    Patients on low salt diets are usually allowed to have which of these foods?
    • A. 

      Hard cheese

    • B. 

      Canned soups

    • C. 

      Raisins

    • D. 

      Olives

  • 90. 
    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?
    • A. 

      Patients have a right to their own beliefs, which should be respected

    • B. 

      Patients should be told not to discuss their beliefs with PCA

    • C. 

      PCAs should explain their beliefs to patients

    • D. 

      PCAs should pretend to have the same beliefs that patients have

  • 91. 
    True or False. A PCA is allowed to reinforce a dressing.
    • A. 

      True

    • B. 

      False

  • 92. 
    • A. 

      True

    • B. 

      False

  • 93. 
    True or False. A PCA is allowed to give an enema. 
    • A. 

      True

    • B. 

      False

  • 94. 
    True or False. A PCA is allowed to administer medication.
    • A. 

      True

    • B. 

      False

  • 95. 
    True or False. A PCA is allowed to change a sterile dressing.
    • A. 

      True

    • B. 

      False

  • 96. 
    True or False. A PCA is allowed to assist with change of a colostomy bag. 
    • A. 

      True

    • B. 

      False

  • 97. 
    True or False. A PCA is allowed to give a rectal suppository. 
    • A. 

      True

    • B. 

      False

  • 98. 
    True or False. A PCA is allowed to give a tubule feeding.
    • A. 

      True

    • B. 

      False

  • 99. 
    True or False. A PCA is allowed to give insulin.
    • A. 

      True

    • B. 

      False

  • 100. 
    • A. 

      True

    • B. 

      False