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Home Care Aide (HCA) Sample Exam Questions

Section 1: Client Care

Which position is best for a client who has difficulty breathing?
a) Supine
b) Prone
c) Fowler's position
d) Lateral
Answer: c) Fowler's position


How often should bed linens be changed?
a) Weekly
b) Daily if soiled
c) Monthly
d) Only when the client requests it
Answer: b) Daily if soiled


What is the first step when assisting a client with a bed bath?
a) Fill the basin with warm water.
b) Explain the procedure to the client.
c) Start washing the client’s face.
d) Apply soap to the washcloth.
Answer: b) Explain the procedure to the client.


How should you dress a client with a weak right arm?
a) Dress the weak arm first.
b) Dress the strong arm first.
c) Have the client dress themselves.
d) Avoid helping with dressing.
Answer: a) Dress the weak arm first.


When assisting a client with ambulation, where should you stand?
a) Behind the client.
b) On the client’s weaker side.
c) On the client’s stronger side.
d) In front of the client.
Answer: b) On the client’s weaker side.


What should you do if a client refuses care?
a) Force the care.
b) Document the refusal and inform the supervisor.
c) Ignore the refusal.
d) Offer bribes to cooperate.
Answer: b) Document the refusal and inform the supervisor.


Which is the correct method to measure liquid intake?
a) Estimate the amount consumed.
b) Use a measuring cup or graduated container.
c) Record the amount left over.
d) Guess based on observation.
Answer: b) Use a measuring cup or graduated container.


What is the best way to help a client with memory loss?
a) Provide written instructions.
b) Repeat instructions frequently and keep routines consistent.
c) Ignore repeated questions.
d) Expect immediate understanding.
Answer: b) Repeat instructions frequently and keep routines consistent.


When feeding a client, what should you do first?
a) Offer a drink.
b) Sit them up in a comfortable position.
c) Start feeding immediately.
d) Ask what they want to eat.
Answer: b) Sit them up in a comfortable position.


If a client complains of pain, what should you do?
a) Ignore the complaint.
b) Provide medication.
c) Report it to the supervisor or nurse.
d) Tell them it’s normal.
Answer: c) Report it to the supervisor or nurse.

Section 2: Infection Control

How long should you wash your hands?
a) 10 seconds
b) 20 seconds
c) 30 seconds
d) 5 seconds
Answer: b) 20 seconds


What is the most effective way to prevent infection?
a) Wear gloves at all times.
b) Wash hands frequently.
c) Use hand sanitizer only.
d) Avoid touching clients.
Answer: b) Wash hands frequently.


When should gloves be removed?
a) After completing the task.
b) At the end of the shift.
c) Once they are visibly dirty.
d) After touching clean surfaces.
Answer: a) After completing the task.


Which of the following requires immediate handwashing?
a) After touching clean linens.
b) After eating.
c) After removing gloves.
d) Before putting on gloves.
Answer: c) After removing gloves.


What should you do with soiled linens?
a) Place them on the floor.
b) Fold them neatly before placing in the laundry.
c) Roll them away from your body and place them in a laundry bag.
d) Shake them out to remove debris.
Answer: c) Roll them away from your body and place them in a laundry bag.

Section 3: Safety and Emergencies

If a client begins choking, what is the first step?
a) Perform abdominal thrusts.
b) Call 911.
c) Encourage coughing.
d) Offer water.
Answer: c) Encourage coughing.


In case of a fire, what is your priority?
a) Rescue the client.
b) Extinguish the fire.
c) Alert the fire department.
d) Gather client belongings.
Answer: a) Rescue the client.


How should you respond if a client has a seizure?
a) Hold the client down.
b) Place a soft object under their head.
c) Offer water.
d) Move them to a chair.
Answer: b) Place a soft object under their head.


What is the purpose of using a gait belt?
a) To help lift clients.
b) To keep clients seated.
c) To prevent falls during transfers.
d) To tie clothing securely.
Answer: c) To prevent falls during transfers.


When should you call 911 for a client?
a) If they feel dizzy.
b) If they are unresponsive.
c) If they refuse care.
d) If they have a fever.
Answer: b) If they are unresponsive.

Section 4: Dementia and Mental Health

How can you help a client with dementia who is agitated?
a) Redirect their attention.
b) Restrain them.
c) Argue with them.
d) Ignore them.
Answer: a) Redirect their attention.


What is the best way to communicate with someone experiencing confusion?
a) Use simple sentences and repeat as needed.
b) Speak loudly.
c) Give multiple instructions at once.
d) Avoid talking to them.
Answer: a) Use simple sentences and repeat as needed.


What is an early sign of depression in clients?
a) Increased appetite.
b) Withdrawal from activities.
c) Excessive talking.
d) Excitement.
Answer: b) Withdrawal from activities.

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