Home Health Aide Competency Test 3

Mr. Nelson is to use a rigid walker (walker that does not have wheels) when he walks. When he uses the walker, the home health aide should be sure that Mr. Nelson:

Moves both feet forward together while leaning on the walker

Lifts the walker and moves it forward

Does not bend his elbows.

Does not place any weight on his hands while leaning on the walker.

Correct! Wrong!

What is the advantage of fiber in the diet?

Helps build strong bones and teeth

Is used to make red blood cells.

Helps prevent constipation

Helps regulate the body’s fluid balance

Correct! Wrong!

A client suddenly complains of intense, squeezing pain in the chest that goes down the arm. The client is sweating profusely. The home health aide should:

Massage the client’s chest and arm

Telephone for emergency help immediately

Place the client in a sidelying position.

Apply warm compresses to the client’s chest

Correct! Wrong!

A client has had a stroke and has a rightsidedweakness. The client can walk with a little assistance. It is best for the home health aide to assist the client by walking in which of these positions?

Directly in front of the client

Directly in back of the client

On the client’s left side

On the client’s right side

Correct! Wrong!

A home health aide is assigned to a family in which the mother; Mrs. Roth, has recently been discharged from a mental health unit. It is essential for the aide to notify the agency supervisor if Mrs. Roth makes which of these comments?

“I overslept today because I forgot to set my alarm clock.”

“This morning I couldn’t remember my neighbor’s first name.”

“I’m as hungry as a bear.”

“Even, though I shut the radio off, I still hear a voice telling me what to do.”

Correct! Wrong!

If a client stops breathing, what should be done first?

Remove any materials from the client’s mouth or nose.

Place the client’s legs higher than the client’s chest.

Try to stimulate the client’s pain sensation by pinching the client’s arm.

Apply even, firm pressure to the client’s neck veins

Correct! Wrong!

A client’s circulation is generally improved when the client’s:

Clothing is kept free of dirt

Liquid intake is increased.

Room temperature is kept around 70.0 F. (21.1 C)

Activity is increased

Correct! Wrong!

Mrs. Rand, who has diabetes and takes insulin regularly, tells the home health aide that she feels very nervous and jittery. What should the aide do immediately?

Take her temperature

Find out when she has her next doctor’s appointment

Have her lie down in bed

Give her a glass of orange juice

Correct! Wrong!

Why is it important that a client have good mouth care?

Bacteria in the mouth can cause tooth decay and gum infections

The saliva in the mouth is the source of stomach juices.

Poor oral hygiene causes more saliva to be made.

Poor oral hygiene interferes with the sense of smell.

Correct! Wrong!

For which of these emergencies is knowledge of pressure points essential?

Bleeding

Burns

Food poisoning

Heat stroke

Correct! Wrong!

The home health aide is helping Mrs. Elden with her bed bath. Mrs. Elden prefers to wash her genital and rectal areas herself. Which of these measures should the aide take?

Have Mrs. Elden use cold water only in washing her genitals.

Have Mrs. Elden use no soap when washing her rectal area.

Remind Mrs. Elden to wash from the vaginal area toward the rectal area.

Remind Mrs. Elden not to wash in between the labia of her genitals.

Correct! Wrong!

Which temperature is considered MOST accurate?

Oral

Axillary

Grooin

Rectal

Correct! Wrong!

When taking a client’s temperature by mouth (orally), which of the following temperature readings should be reported to the nursing supervisor?

97.6

98.6

100.2

99.5

Correct! Wrong!

The home health aide is taking care of a terminally ill client who is unconscious. Which of these measures should the aide take?

Keep the client’s room dimly lit.

Give the client only clear liquids to drink

Explain to the client what you are doing

Support the client in a sitting position.

Correct! Wrong!

Physical therapy is started for a client. Which of these statements about range of motion exercises is true?

It is important to support the body parts above and below the joints when they are moved during exercises.

If a client cannot talk, do not explain the exercises to the client

During exercises, all joints should be moved in all directions

When the client does not assist when the joint is moved through its range of motion, the exercise is called active exercise

Correct! Wrong!

When caring for a client who is on bed rest; what should the aide do to prevent bedsores?

Keep the top sheets well tucked in.

Keep the bottom sheet free of wrinkles.

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

Use only woolen blankets to cover the client.

Correct! Wrong!

You can measure respiration accurately by

Counting each rise and fall of the chest as one respiration

Counting each rise and fall of he chest separately

Count the number of breaths for 60 seconds and multiply by two.

Telling the client what you are doing

Correct! Wrong!

Why is the thumb NOT used for taking a client’s pulse?

The flat part of the thumb is less sensitive than the flat parts of other fingertips.

The thumb can place too much pressure on the client’s pulse.

The thumb’s pulse may be felt instead of the client’s pulse.

The thumb’s tip is in a more awkward position than the other fingertips.

Correct! Wrong!

Home Health Aide Competency Test 3

Mr. Nelson is to use a rigid walker (walker that does not have wheels) when he walks. When he uses the walker, the home health aide should be sure that Mr. Nelson:

What is the advantage of fiber in the diet?

A client suddenly complains of intense, squeezing pain in the chest that goes down the arm. The client is sweating profusely. The home health aide should:

A client has had a stroke and has a right­sided­weakness. The client can walk with a little assistance. It is best for the home health aide to assist the client by walking in which of these positions?

A home health aide is assigned to a family in which the mother; Mrs. Roth, has recently been discharged from a mental health unit. It is essential for the aide to notify the agency supervisor if Mrs. Roth makes which of these comments?

If a client stops breathing, what should be done first?

A client’s circulation is generally improved when the client’s:

Mrs. Rand, who has diabetes and takes insulin regularly, tells the home health aide that she feels very nervous and jittery. What should the aide do immediately?

Why is it important that a client have good mouth care?

For which of these emergencies is knowledge of pressure points essential?

The home health aide is helping Mrs. Elden with her bed bath. Mrs. Elden prefers to wash her genital and rectal areas herself. Which of these measures should the aide take?

Which temperature is considered MOST accurate?

When taking a client’s temperature by mouth (orally), which of the following temperature readings should be reported to the nursing supervisor?

The home health aide is taking care of a terminally ill client who is unconscious. Which of these measures should the aide take?

Physical therapy is started for a client. Which of these statements about range of motion exercises is true?

When caring for a client who is on bed rest; what should the aide do to prevent bedsores?

You can measure respiration accurately by

Why is the thumb NOT used for taking a client’s pulse?

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A client has had a stroke and has a rightsidedweakness. The client can walk with a little assistance. It is best for the home health aide to assist the client by walking in which of these positions?