HHA - Home Health Aide Competency Test #2 1

Question 1

A home health aide notices that an elderly patient has not eaten or drunk anything in the past 24 hours and appears confused. The aide should:

Accepted Answer

Document the observation and immediately report it to the supervising nurse

Answer

Prepare a large meal to encourage the patient to eat

Answer

Assume the patient is tired and let them rest without disturbing them

Answer

Administer oral fluids forcefully to prevent dehydration

Question 2

When assisting a patient with a Foley catheter during personal care, the aide should:

Accepted Answer

Clean the catheter tubing from the insertion site outward using soap and water

Answer

Disconnect the drainage bag to make bathing easier

Answer

Position the drainage bag above the level of the bladder to improve flow

Answer

Clamp the tubing temporarily to prevent urine from spilling during movement

Question 3

A patient tells the home health aide, 'I don't want to take my medications today.' The aide should:

Accepted Answer

Respect the refusal, document it, and report it to the supervising nurse

Answer

Crush the medications into the patient's food without telling them

Answer

Insist the patient take the medications because they are prescribed

Answer

Contact the pharmacy to ask if the medications can be skipped

Question 4

While transferring a patient from the bed to a wheelchair, the patient begins to feel dizzy and weak. The aide should:

Accepted Answer

Lower the patient safely to the floor or back onto the bed and call for help

Answer

Complete the transfer quickly so the patient can sit down in the wheelchair

Answer

Ask the patient to grip the aide's neck tightly to stabilize themselves

Answer

Have the patient stand still and take deep breaths until the dizziness passes

Question 5

A home health aide is caring for a patient who is on a fluid restriction of 1,000 mL per day. The aide should:

Accepted Answer

Track all fluid intake including water, soup, and ice cream, and report totals to the nurse

Answer

Offer fluids freely since restricting fluids is the nurse's responsibility

Answer

Only count water and juice, since solid foods do not count toward fluid intake

Answer

Encourage the patient to drink extra fluids in the morning and none in the evening

Question 6

A patient with diabetes complains of shakiness, sweating, and feels 'funny' during the aide's visit. The aide should:

Accepted Answer

Give the patient a source of fast-acting sugar such as juice or glucose tablets if they are conscious and able to swallow, and notify the nurse

Answer

Encourage the patient to lie down and rest until the feeling passes

Answer

Wait to see if symptoms improve on their own before taking any action

Answer

Administer insulin as directed in the care plan to stabilize blood sugar