Home Health Aide Competency Test #3 2

Question 1

A pediatric home health patient's parent requests that the aide perform a medical procedure outside the care plan. The aide should:

Accepted Answer

Decline politely, explain the scope of practice, and contact the supervisor so the care plan can be reviewed if medically warranted

Answer

Aides may not perform care outside their scope of practice regardless of family requests. The supervisor and care team update the care plan through appropriate channels if additional services are needed.

Question 2

Post-mortem care (care after death) in the home setting includes:

Accepted Answer

Treating the deceased with dignity — positioning body per family/cultural wishes, contacting the supervisor and appropriate authorities, and supporting the family

Answer

After a patient dies at home, the aide notifies the supervisor and on-call nurse immediately. The body is treated respectfully, and the supervisor coordinates death notification procedures and family support.

Question 3

Sundowning in a dementia patient refers to:

Accepted Answer

Increased confusion, agitation, and behavioral symptoms that worsen in the late afternoon and evening

Answer

Sundowning (late-day confusion) is a common dementia symptom attributed to disrupted circadian rhythms and fatigue. Structured routines, adequate lighting, and calming activities help manage it.

Question 4

An aide notices that a diabetic patient's wound on their foot is not healing and appears to be getting larger. The aide should:

Accepted Answer

Report the wound deterioration to the supervisor immediately — delayed wound healing in diabetics can lead to serious infection or amputation

Answer

Non-healing or worsening wounds in diabetic patients can rapidly progress to osteomyelitis or require amputation. Prompt reporting allows early medical intervention.

Question 5

Which of the following is included in an aide's documentation at the end of each visit?

Accepted Answer

All care provided, patient's response, any changes in condition, and vital signs if measured

Answer

Complete visit documentation includes all care performed, patient response, vital signs, any changes observed, and relevant communications — creating a complete clinical record for the care team.

HHA Practice Test

HHA Practice Test

Home Health Aide Competency Test #3 2