HCA - Health Care Assistant Certification Health Care Assistant Basic Nursing and Restorative Skills 1

Question 1

A resident must be repositioned every two hours to prevent pressure injuries. The resident is currently in the left lateral position. What is the correct next position?

Accepted Answer

Supine (flat on back) or right lateral position

Answer

Left lateral again to maintain comfort

Answer

Prone position to relieve sacral pressure

Answer

High Fowler's position with knees bent

Question 2

When performing passive range-of-motion exercises on a resident's shoulder, the resident reports sudden sharp pain. What should the HCA do first?

Accepted Answer

Stop the exercise immediately and report the pain to the nurse

Answer

Continue slowly — mild discomfort is expected during ROM

Answer

Apply ice to the shoulder and finish the remaining joints

Answer

Increase the range of movement to work through the stiffness

Question 3

A resident is being ambulated in the hallway with a gait belt. The resident begins to feel faint and their knees start to buckle. What is the correct HCA response?

Accepted Answer

Ease the resident gently to the floor using the gait belt to control the descent

Answer

Call for help loudly while holding the resident upright until staff arrive

Answer

Guide the resident quickly back to bed as fast as possible

Answer

Lower yourself to one knee and pull the resident onto your back

Question 4

Which observation should the HCA report to the nurse immediately when providing perineal care to a female resident with an indwelling urinary catheter?

Accepted Answer

There is cloudy, dark-colored urine with a foul odor in the drainage bag

Answer

The urine in the drainage bag is pale yellow

Answer

The resident states the catheter feels slightly uncomfortable

Answer

The drainage bag is half full and needs to be emptied

Question 5

A resident recovering from a hip replacement is on partial weight-bearing status. When assisting them to stand from a chair, where should the HCA position a standard walker?

Accepted Answer

Directly in front of the resident within easy arm's reach before they stand

Answer

Behind the resident so they can reach back and grab it

Answer

To the non-operative side so the operative leg can swing freely

Answer

Flat on the floor in front of the chair to mark where to step

Question 6

An HCA notices a resident's heels are resting directly on the mattress and the skin appears reddened. What is the most appropriate restorative nursing action?

Accepted Answer

Elevate the heels off the mattress by placing a pillow lengthwise under the calves

Answer

Apply a thick layer of lotion and leave the heels in contact with the mattress

Answer

Cover the heels with extra blankets to keep them warm and protected

Answer

Massage the reddened area vigorously to increase blood circulation