Clinical Knowledge
A client has a pulse of 48 beats per minute. What should the HCA do?
Report the finding to the nurse
When providing perineal care for a female client, the HCA should clean:
Front to back
Before transferring a client from a bed to a wheelchair, what should you do FIRST?
Lock the wheelchair brakes
A client with dementia repeatedly asks the same question. What is the BEST response?
Respond calmly and repeat the information as needed
A client with dysphagia begins coughing repeatedly while eating. What should you do?
Stop feeding and report the concern
A medication ordered PRN should be given:
As needed
A client has dentures. Which action is safest when cleaning them?
Place a towel in the sink to protect them if dropped
Which is an example of good body mechanics?
Keeping your back aligned and using your legs
A client becomes agitated during bathing. What should the HCA do?
Speak calmly and offer reassurance
Where should an indwelling catheter drainage bag be kept?
Below the level of the bladder
Which finding could be a sign of infection in an older adult?
Sudden confusion
Which finding should be reported when providing skin care?
You find a client lying on the floor after a fall. The client says their hip hurts. What should you do?
Leave them where they are and call for assistance--nurse
A client says, “I don't want to get dressed yet. I want to wait until after breakfast.” This demonstrates:
Autonomy
A client has dark yellow urine. This may indicate:
Dehydration
A client is wearing a transdermal medication patch. Before applying a new patch, the HCA should:
Remove the old patch
A client has weakness on their right side and needs help getting dressed. Which side should be dressed first?
Weak side
Before using a mechanical lift, the HCA should:
Check that they are trained and that the equipment is safe
Which approach best supports a client's independence?
Allowing the client to do what they can safely do themselves
A client's neighbour asks you about their medical condition. What should you do?
Explain that you cannot share confidential information
A client receiving oxygen wants to light a cigarette. What is the MOST important response?
Explain that smoking is unsafe around oxygen and Remove the oxygen while they smoke
A client is able to feed themselves but has difficulty using regular utensils because of arthritis in their hands. What should the HCA do?
Encourage independence while providing appropriate support.
A client begins to lose their balance while you are assisting with walking. What is the BEST action?
Guide the client safely toward the floor while protecting them
A client with dementia asks repeatedly when their deceased spouse is coming home. Which response is MOST therapeutic?
“You seem to really miss them. Tell me about them.”
A client tells you that their daughter will not give them food unless they give her their pension cheque. This may be a sign of:
Financial abuse