Hands-On Nursing Competency Test Please take the time to answer all of the following questions to the best of your ability. This test is used to form a baseline of general competency for applicants. It is not timed. If you have any questions or concerns regarding the test, please feel free to direct all inquires to either contact Steve or Terri at firstname.lastname@example.org or email@example.com. Name* First Last Email* Enter Email Confirm Email Phone* Confidentiality:1. Mrs. Davis, a home health aide, leaves the home of Mr. Leahy, a terminally ill client. A neighbor stops her and says, Mr. Leahy is very sick, isn’t he? I hear he is near death. What is it best for Mrs. Davis to say?*Yes, Mr. Leah is very ill.How do you know Mr. Leahy is so sick?I’m sorry, I can’t discuss Mr. Leahy.Mr. Leahy is doing as well as can be expected.2. Which is an example of confidential information?*Is a former bank president in townWas a professional athleteHas AIDSAll the above Consumer control and the independent living philosophy:1. A client is receiving oxygen through a nasal tube. What safety precautions should the home health aide take?*Keep the television set at least 5 feet from the oxygen tankDo not permit the client to drink sodaAllow no smoking in the client's roomDo not use any lotions that contain oil in the client’s care2. In communication with a client who is hard of hearing (HOH), the aide should?*Stand directly in front of the client so he/she can hear you speakSpeak in higher pitched tonesShout into the client’s earWhisper3. The home health aide encourages Mrs. Queely to assist with meal planning, to choose the clothing she is to wear and in general to plan her daily schedule. Why is this a good approach?*It keeps Mrs. Queely from complainingIt lessens the aide’s work loadIt shows Mrs. Queely how much she needs the aide’s help.It helps Mrs. Queely maintain a sense of control of her life. Instrumental activates of daily living (IADL’s):1. The telephone numbers of all the following are important to a client. Which number must the home health aide have next to the telephone?*The client’s clergyman.The drugstore.911The next-door neighbor2. When working with persons who are disabled, the general goal of care is to:*Provide constant supervisionProvide total carePromote maximum self-care and independence within the limits of the person’s ability.Promote the complete return of the person’s abilities.3. Part of your duties as a home health aide is to assure a safe home environment. This includes:*Proper infection control with good hand washingElectrical and fire safetyClear walkways; no throw rugs; stairs. Halls and exits free from clutterAll of the above Recognizing changes in the consumer that need to be addressed:1. The RN sees the client once a month for a catheter change, and the home health aide gives personal care three times a week. On this visit you notice blood in the catheter tubing. What should you do first?*Collect a urine sampleForce fluidsNotify your supervisorEmpty the drainage bag2. The client tells you he has had a red rash for three days. What should you do?*Tell him not to worry about itPut an antibiotic cream on itReport it to your supervisorTell him he may be allergic to fruit3. It is Mrs. Queely’s usual time for lunch, but she says she is not hungry yet. This is the first time that Mrs. Queely has made this type of statement. What should the home health aide do?*Insist that Mrs. Queely eat at this timeTell Mrs. Queely to let the aide know when she wants to eat, and remind her that it is important that she have lunchTell Mrs. Queely that if she does not eat by herself, she will have to be fed.Tell Mrs. Queely that it took a lot of time to prepare the food and that she should eat it while it is fresh. Basic Infection Control:1. During a visit, you need to wash your hands:*Before you give physical care to the clientAfter you empty a bedpanBefore you leave the client’s homeAll of the above2. When taking a client’s temperature by mouth (orally), which of the following temperature readings should be reported to the nursing supervisor?*97.698.6100.299.53. Signs of infection should be reported to the nursing supervisor. Which of the following would not be considered a sign of infection?*Elevated TemperatureIncreased appetiteRedness or swelling of an areaPain4. In what situations should gloves be used?*When emptying a urinary drainage bagWhen the client has been incontinent of stoolWhen the client has a draining woundAll of the above Universal Precautions:1. What is the main reason for covering your mouth or nose when coughing or sneezing?*To prevent the escape of bad odorsTo prevent the spread of germsTo avoid injury to the lining of the nose and mouthTo avoid getting clothing dirty.2. When soiled linen is removed from the client’s bed, it should be:*Shaken, then foldedFolded hem to hemHeld away from one’s clothesInspected for any tears3. In caring for a client with HIV/AIDS. You must practice which of the following Standard Precautions?*Wear gloves at all times when caring for the clientWear a gown when handling linens that contain body fluidsDispose of infectious wastes in a leak-proof containerAll of the above Handling of emergencies:1. 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 armTelephone for emergency help immediatelyPlace the client in a side lying positionApply warm compresses to the client’s chest2. If a client stops breathing, what should be done first?*Remove any materials from the client’s mouth or nosePlace the client’s legs higher than the client’s chestTry to stimulate the client’s pain sensation by pinching the client’s armApply even firm pressure to the client’s neck veins3. Which of these substances could be used to put out a fire in pan of bacon fat?*SugarVinegarBaking sodaWater Documentation:1. After arriving to care for Mr. Jones, he complains he has had severe cramping pains in the calf of his left leg for the last three hours. You call your supervisor to report this and then record on your progress notes:*States he has leg crampsComplains of painLeft leg hurts a lotStates he’s had severe cramping in the calf of his left leg for the last three hours2. One morning shortly after the home health aide arrives, Mr. O’Brien says, “I have had cramping pains in the calf of my right leg for the last two hours." In addition to reporting this complaint to the agency supervisor, what is the best way for the aide to write this on the chart?*Complains of painRight leg hurtsStates he has had cramping pains in the calf of his right leg for 2 hoursSays he has leg cramps.3. The principles of charting include:*If a task is not charted, it is assumed not to have beenIf you make a charting mistake, draw a line through the mistake and write errorYou may not chart activities performed by other personnelAll of the above Recognizing and reporting abuse or neglect:1. Types of abuse*PhysicalEmotionalFinancialAll the above2. Types of neglect*PhysicalEmotionalFinancialAll the above3. Who do you report SUSPECTED abuse too?*Call/Report to your supervisor or agencyCall familyCall doctorTell the client Dealing with difficult behaviors:1. The client with dementia:*Loses the ability to make judgmentsLoses the ability to perform self-careMay be angry, restless, or irritableAll of the above2. When basic psychological and physical needs of clients, no matter what age, are met, the client will feel:*AggressiveDiscouragedA sense of well-beingA sense of insecurity3. 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 clockThis morning I couldn’t remember my neighbor’s first name.I’m as hungry as a bearEven though I shut the radio off, I still hear a voice telling me what to do. Bathing, shaving, grooming & dressing:1. The home health aide is helping Mrs. Ragan with her bed bath. Mrs. Ragan prefers to wash her genital and rectal areas herself. Which of these measures should the aide take?*Have Mrs. Ragan use cold water only in washing her genitals.Have Mrs. Ragan use no soap when washing her rectal areaRemind Mrs. Ragan to wash from the vaginal area toward the rectal areaRemind Mrs. Ragan not to wash in between the labia of her genitals2. Mr. Walters was recently sent home from the hospital with an IV in his left arm. He is weak and needs assistance in bathing and dressing. Which procedure is incorrect when giving his care?*Wash the arm to taped area, but do not get the tape wetLower the IV bag below his waist, so that you can put his arm through the shirt sleeveKeep the IV tubing free of tanglesReport any complaint of pain in the arm with the IV3. When giving a bed bath, how often should the water be changed?*As often as needed to have warm, clean water at all timesOnce is all that is necessaryOnly after washing the perennial areaOnly after washing the front half of the client4. In giving foot care to a client who has diabetes, the home health aide should NOT take which of these actions?*Clean under the toenailsCut the toenailsSoak the client’s feet for more than 5 minutes in a basin of warm waterPut lotion on the client’s feet after drying them Hair, skin & mouth care:1. Why is it important that a client have good mouth care?*Bacteria in the mouth can cause tooth decay and gum infectionsThe saliva in the mouth is the source of stomach juicesPoor oral hygiene causes more saliva to be madePoor oral hygiene interferes with the sense of smell2. When caring for a client who is on bed rest; what should the aide do to prevent bedsores?*Keep the top sheets well tucked inKeep the bottom sheet free of wrinklesUse only sheets that are 100% cotton on the client’s bedUse only woolen blankets to cover the client3. Which of the following is the most appropriate practice to promote good skin care in the elderly?*Keep the skin clean and well-moisturizedApply alcohol to moist areas of the skinWash daily with scented soapsAll of the above4. Any change in the condition of a client’s skin should be:*Reported to the nursing supervisorTreated by rubbing with lotionCovered with a bandageReported to the doctor Assistance with ambulation and transferring:1. A client has had a stroke and has a right sided weakness. 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 clientDirectly in back of the clientOn the client’s left sideOn the client’s right side2. 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 walkerLifts the walker and moves it forwardDoes not bend his elbows.Does not place any weight on his hands while leaning on the walker3. Mr. Phillips is 76 years old, he needs help with bathing, and he has a Foley catheter in place. He has great difficulty walking and uses a wheelchair. He is on a low salt diet. When helping Mr. Phillips from the bed to the wheelchair, which of these actions is essential?*Have the brakes on the wheelchair in a locked positionPlace the foot supports of the wheel chair so that he can step up on themHave a blanket draped in the wheelchairPlace a pillow on the seat of the wheelchair Meal Preparation and feeding:1. If a client is to have a fluid intake record kept, the right time to record the client’s fluid is*When the fluids are served to the clientAfter they finish drinking the fluidsEvery 2 hoursAfter each meal2. Milk is a good source of calcium. Which of these foods is also high in calcium?*CheeseBananasOrange juiceRaisins3. Good source of protein is:*Green salad and cooked greensPotatoes and noodlesApples and orangesBeans, peanut butter, and eggs Toileting: 1. Mr. Phillips’s Foley catheter is attached to a drainage bag. The drainage bag should always be kept:*At the level of his bladderBelow the level of his bladder12 inches above the level of his bladder3 feet above the level of his bladder2. Urinary leg bags are used for:*Males onlyFemales onlyConfined to bedDecreased Urinary output.3. An elderly male client occasionally wets his trousers. What should the home health aide do?*Give him fluids with his meals onlyAvoid giving him coffee and teaTell him that if he urinates on himself he will have to be put in diapersEncourage him to go to the bathroom at least every 2 hours Assistance with self-administered medications:1. A client’s prescription for heart pills has recently been changed. The home health aide should notify the agency supervisor immediately if the client makes which of these comments?*The pills are very expensiveThese pills are a different shape from the pillsI have a rash on my stomach since I’ve been taking these pillsI can’t take these pills unless I have really cold water to drink2. Which statement is incorrect*The home health aide may get a pill bottle from a cabinet and bring the bottle to the client at the client’s requestThe home health aide should observe and document if the client takes his/her medicationIf the nurse or family forgets, the home health aide may take the right dose of medication out of the bottle & give it to the client with Alzheimer'sThe home health aide may help clients to remember to take their medications3. Which of these actions is the home health aide permitted to take in relation to drug administration?*Recording and reporting the client’s reaction to the medicationGiving nonprescription medications whenever the client asks for themAdjusting the dosage of medications given to the clientAdjusting the times medications are given to fit into the client’s activities scheduled Basic Math1. 5+2=*2. 10+7=*3. 150+275=*4. 10-2=*5. 175-44=*6. 974-973=*7. 5x2=*8. 10x0=*9. 1000x1=*10. 20 divided by 4 =*11. 100 divided by 10 =* Written Answer Questions1. Write out the following: 1,526*If you have 5 red balls, 3 green balls, 10 purple balls and you take 2 balls from each, how many red, green and purple balls do you have left?* This iframe contains the logic required to handle Ajax powered Gravity Forms.