PCA Practice

100 Questions
PCA Practice

Test of basic nursing skills.

Please wait...
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. 
    • 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. 
    True or False. In the home, it is important to be a good listener.
    • 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. 
    True or False. You only communicate through words.
    • 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. 
    • 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. 
    PCA care for a conscious patient should be preceded by
    • 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. 
    • 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. 

      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. 
    True or False. If you do not chart a task that you do for a patient, legally, it was not done.
    • A. 

      True

    • B. 

      False

  • 13. 
    True or False. If the patient has a new area of skin breakdown, and the nurse is coming in two days, you do not need to report the skin breakdown to your supervisor.
    • 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. 
    • 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. 

      “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. 
    True or False. The temperature of an unconscious patient should be taken orally since they are not moving about.
    • 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. 
    Which of the following is not recommended for promoting good daily habits?
    • A. 

      Plenty of water

    • B. 

      Laxatives

    • C. 

      Exercise

    • D. 

      Well balanced meals

  • 36. 
    • 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. 
    • 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 patient is receiving oxygen through a nasal canella. Which safety precautions should the Personal  Care Assistant take:
    • 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. 
    True or False. If the patient falls and complains of pain in his hip, you should help him to get up and walk to bed.
    • 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. 
    • 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. 

      “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. 
    • 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. 
    • 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. 
    • 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. 
    • 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. 
    • 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. 
    • 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. 
    True or False. Always transfer a patient toward his good side. 
    • 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. 

      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. 
    • 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. 
    • 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. 
    True or False. A PCA is allowed to apply a hot pack.
    • 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. 
    True or False. A PCA is allowed to cut nails.
    • A. 

      True

    • B. 

      False