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Washington State HCA Knowledge Test Sample

Module 1: Course Introduction

1. How many hours of training are required to become a certified Home Care Aide?
A. 60
B. 75
C. 100
D. 120
✅ Answer: B

2. How many days do you have to complete HCA training from your hire date?
A. 90
B. 100
C. 120
D. 150
✅ Answer: C

3. How many days do you have to take the HCA exam after hire?
A. 120
B. 200
C. 260
D. 365
✅ Answer: B (260 days if limited English)

4. What is continuing education (CE)?
A. Training for instructors
B. Yearly training to keep your skills current
C. A requirement for supervisors
D. Extra courses for higher pay
✅ Answer: B

5. How many CE hours are required each year?
A. 6
B. 8
C. 10
D. 12
✅ Answer: D

6. What does professionalism include?
A. Being late but respectful
B. Wearing casual clothing
C. Dressing appropriately and showing respect
D. Working independently
✅ Answer: C

7. What is the purpose of the Learner’s Guide?
A. Homework assignments only
B. Personal diary
C. Workbook to use during class and skills practice
D. To be left at home
✅ Answer: C

8. Who should keep track of your training certificates?
A. Your friend
B. The Department of Health
C. You
D. Your instructor
✅ Answer: C

9. If you need help with reading or English, what should you do?
A. Stay silent
B. Skip class
C. Ask your instructor for help
D. Wait until the test
✅ Answer: C

10. Which is NOT one of the five major learning goals in HCA training?
A. Understand client rights
B. Provide unauthorized care
C. Use communication skills
D. Promote health and safety
✅ Answer: B

11. A good way to succeed in this course is to:
A. Sleep in class
B. Talk to classmates during lectures
C. Be engaged, ask questions, and take notes
D. Memorize the entire textbook
✅ Answer: C

12. What should you do if you miss a class due to an emergency?
A. Skip the rest of training
B. Make it up later with your instructor
C. Ask a classmate to take notes
D. Don’t tell anyone
✅ Answer: B

13. What are the 4 required training components?
A. Orientation, homework, test, report
B. Orientation, core competencies, practice, population-specific
C. Skills lab, CE, nutrition, CPR
D. CPR, skills, labs, bathing
✅ Answer: B

14. Where can you find more information about the HCA exam?
A. Google
B. DSHS intranet
C. prometric.com
D. Home Depot
✅ Answer: C

15. How often do you need to renew your certification?
A. Every 6 months
B. Every year by your birthday
C. Every 5 years
D. Never
✅ Answer: B

🔹 Module 2: Person-Centered Care

16. What does “person-centered care” mean?
A. Telling clients what to do
B. Making choices for the client
C. Focusing on the client’s preferences, values, and choices
D. Following the same plan for all clients
✅ Answer: C

17. What is “discovery”?
A. Reporting a problem
B. Diagnosing a disease
C. Learning about a client over time
D. Following orders only
✅ Answer: C

18. The best source of info about what a client wants is:
A. The client’s family
B. The internet
C. The client
D. The care team
✅ Answer: C

19. What is “Important TO” a person?
A. What keeps them healthy
B. Their medical record
C. Things that make them happy or fulfilled
D. What the doctor says
✅ Answer: C

20. What is “Important FOR” a person?
A. Things that keep them safe and healthy
B. Their favorite shows
C. Their hair color
D. Their schedule
✅ Answer: A

21. What happens if you ignore what is “Important TO” a client?
A. They feel heard
B. They feel supported
C. They may be unhappy or uncooperative
D. They stay safe
✅ Answer: C

22. “Unconditional positive regard” means:
A. Only accepting good behavior
B. Supporting a person regardless of what they say or do
C. Being neutral
D. Avoiding difficult clients
✅ Answer: B

23. Which of the following uses person-first language?
A. Schizophrenic woman
B. Stroke victim
C. Person with a disability
D. Demented resident
✅ Answer: C

24. What is “power with” a client?
A. Telling them what to do
B. Giving orders politely
C. Sharing decision-making and control
D. Letting them do unsafe things
✅ Answer: C

25. Why is using person-first language important?
A. It's shorter
B. It helps you remember medical terms
C. It respects the client as a person first
D. It’s required by law
✅ Answer: C

26. What is a client’s right even if a choice involves some risk?
A. To make informed decisions
B. To be controlled
C. To be told what to do
D. To be judged
✅ Answer: A

27. What should you do if a client prefers a risky choice?
A. Punish them
B. Let them do it without question
C. Educate them on the risks and report serious concerns
D. Argue with them
✅ Answer: C

28. Which of these shows respect for dignity?
A. Barging into a room
B. Ignoring requests
C. Knocking and offering choices
D. Rushing the client
✅ Answer: C

29. What does cultural humility mean?
A. Memorizing facts about every culture
B. Respecting each client and learning about them as individuals
C. Avoiding cultural conversations
D. Focusing only on rules
✅ Answer: B

30. Bias is:
A. A neutral thought
B. Always a conscious choice
C. An automatic preference or judgment
D. Only in politics
✅ Answer: C

31. What’s one way to reduce implicit bias?
A. Avoid talking to people
B. Use stereotypes
C. Practice mindfulness and self-awareness
D. Assume you know best
✅ Answer: C

32. If a client wants to wear cultural clothing, what should you do?
A. Tell them to wear a uniform
B. Ignore it
C. Respect and support their choice
D. Report them
✅ Answer: C

33. LGBTQ clients may:
A. Always disclose their identity
B. Never face discrimination
C. Experience bias in long-term care
D. Have no rights
✅ Answer: C

34. Which of these is an inclusive practice?
A. Avoiding conversations
B. Asking and using correct pronouns
C. Assuming everyone is straight
D. Using old-fashioned terms
✅ Answer: B

35. What should you do if a client’s gender identity differs from their birth sex?
A. Avoid care
B. Disrespect their pronouns
C. Use the name/pronouns they prefer
D. Ask others what to do
✅ Answer: C

36. Which of the following is a sign of implicit bias?
A. Encouraging client choice
B. Making assumptions based on appearance
C. Asking how the client wants help
D. Respecting the care plan
✅ Answer: B

37. Why is intersectionality important?
A. It's not relevant in care
B. It shows how overlapping identities impact experiences
C. It only applies to race
D. It’s a training tool only
✅ Answer: B

38. Which is an example of respecting client autonomy?
A. Doing tasks without asking
B. Ignoring care preferences
C. Encouraging the client to make decisions
D. Following the same routine daily
✅ Answer: C

39. Supporting a person’s self-determination means:
A. Controlling their decisions
B. Letting them fail
C. Helping them take charge of their care
D. Telling them what’s best
✅ Answer: C

40. Which of these supports building a strong relationship?
A. Being distant
B. Always saying yes
C. Listening, being honest, and solving problems together
D. Sharing personal details
✅ Answer: C

41. Why is “tailoring your care” important?
A. So it’s easier for you
B. To match the textbook exactly
C. Because every person is unique
D. To save time
✅ Answer: C

42. What is one way to promote healthy communication?
A. Talk over the client
B. Listen actively
C. Correct their opinions
D. Focus only on body language
✅ Answer: B

43. Which of the following best supports a client’s independence?
A. Doing everything for them
B. Helping only if asked
C. Supporting them to do what they can themselves
D. Ignoring them
✅ Answer: C

44. What’s an example of valuing a person?
A. Complaining about their needs
B. Accepting them as they are
C. Avoiding conversations
D. Telling them to change
✅ Answer: B

45. What should you do before entering a client’s room?
A. Just go in
B. Knock, wait, and ask permission
C. Peek in first
D. Call their name loudly
✅ Answer: B

46. What does the term “scope of practice” mean?
A. Everything you personally want to do
B. What is legally and professionally allowed in your role
C. Any task assigned by anyone
D. Doctor-level tasks
✅ Answer: B

47. If a client doesn’t want care right now, what is a respectful response?
A. “Too bad, it’s time!”
B. “Okay, when would be better for you?”
C. “I’ll just do it quickly.”
D. Ignore them
✅ Answer: B

48. Which best describes person-centered care?
A. Rule-based
B. Client-driven and flexible
C. Always strict
D. One-size-fits-all
✅ Answer: B

49. How can you best support a client from another culture?
A. Assume their preferences
B. Avoid conversation
C. Ask them about their needs and preferences
D. Do what you’re used to
✅ Answer: C

50. Who do you report serious concerns to in the care team?
A. Another client
B. A friend
C. Your supervisor or case manager
D. Social media
✅ Answer: C

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