Home Health Aide Certification Practice Test #4 2

Question 1

An aide is providing care for a patient with active tuberculosis (TB). Which precaution is required?

Accepted Answer

Airborne precautions — an N95 respirator (fit-tested) must be worn, and the patient should wear a surgical mask when others are present

Answer

Tuberculosis is transmitted via airborne droplet nuclei. Airborne precautions, including N95 respirators, are required. Surgical masks are not sufficient for TB protection for the aide.

Question 2

When a patient's family disagrees with the care plan, the aide should:

Accepted Answer

Continue following the established care plan and report the family's concerns to the supervisor, who can facilitate a care conference

Answer

The care plan is a legal document established by the supervising clinician. The aide cannot unilaterally modify it. Family concerns are legitimate and should be escalated through proper channels.

Question 3

Edema (swelling) in a patient's lower extremities should be documented by noting:

Accepted Answer

Location, degree (pitting or non-pitting, severity scale 1+–4+), onset, and associated symptoms such as pain or skin changes

Answer

Precise edema documentation — location, pitting quality, severity, and onset — gives the care team the data needed to assess fluid balance, medication effectiveness, and systemic condition changes.

Question 4

A patient with Alzheimer's disease asks the same question five times in ten minutes. The aide should:

Accepted Answer

Answer calmly and patiently each time, using a gentle, reassuring tone — repetition is a symptom of the disease, not deliberate behavior

Answer

Repetitive questioning in Alzheimer's stems from memory loss, not intention. Each patient interaction should be treated as if it is the first time, with patience and emotional reassurance.

Question 5

Which statement about a patient's advance directive is correct?

Accepted Answer

The aide should be aware of the patient's advance directive and ensure it is accessible for emergency responders

Answer

Advance directives must be accessible at all care settings, including the home. The aide should know its location (typically posted or filed where emergency responders can see it) and communicate it to 911 if activated.

HHA Practice Test

HHA Practice Test

Home Health Aide Certification Practice Test #4 2