Multiple Choice Test Template

Stand By Me Home Care (Nevada) Competency Test for Personal Care Attendants

Based on The Competency Testing Requirements of NAC 449.3976 – 3
Introduction:
The purpose of this Competency Test is to assess your knowledge, skills, and abilities in order to determine your capacity to provide effective and safe care to our clients. In addition to evaluating your ability to perform basic caregiving tasks and responsibilities, this test has been designed to assess your understanding of various principles and best practices in personal care.

Instructions:
All questions in ALL sections must be answered.
Answer the questions by ticking the box you believe contains the correct answer.
Please respond to the questions to the best of your ability.

Score Guide:
There are a total of 50 questions, and each question is worth 2 points, making a perfect score total 100 points. Candidates must score a minimum of 90 points, which equates to 45 questions answered correctly, to be considered successful. Any questions or sections answered incorrectly by successful candidates will require additional training from the Supervisor or Administrator before the candidate is hired or assigned any clients.
Unsuccessful candidates (those who score 88 points or below) will be required to undergo additional training before being allowed to retake the test.
Name

First NameLast Name
Date

MonthDayYear
Date
The written documentation of Personal care services provided to the clients of the agency; and Verification of time records
1. Which of the following sentences is FALSE about the written documentation of personal careservices provided to clients by an agency?*

Accurate documentation of personal care services ensures continuity of care.Accurate documentation of personal care services ensures compliance with regulatory requirements.Accurate documentation of personal care services allows an Attendant to document services that were not provided as long as the client is okay with it.
2. What key details should be included in the written documentation of personal care services?*

The client’s name, date, and time of service.Description of services provided by the Personal Care Attendant.Personal Care Attendant’s name and signature.Any observations or changes in the client’s condition.All of the above
3. Which of the following is likely to be a consequence of inaccurate or delayed verification of time records?*

Billing and payroll accuracies.Billing and payroll errors.
The rights of clients, including, without limitation, training in methods to protect client confidentiality pursuant to state and federal regulations
4. Which of the following is NOT a fundamental right of clients receiving personal care services?*

The right to be treated with dignity and respect.The right to participate in care decisions.The right to privacy and confidentiality.The right to abuse Personal Care Attendants and other agency employees
5. Which of the following is NOT a method to protect client confidentiality pursuant to state and federal regulations?*

Only sharing client information with authorized individuals.Using secure communication methods.Discussing clients in public areas as long as you don’t mention full names.
6. Violations of confidentiality can result in legal penalties and damage to an agency’s reputation:*

TrueFalse
The special needs of elderly persons and persons with disabilities, including, without limitation, training in the sensory, physical and cognitive changes related to the aging process
7. Which of the following factors can be attributed to physical changes or disabilities as a person ages?*

Loss of muscle mass and strength.Decreased bone density.None of the above.All of the above.
8. As a person ages, he or she must experience changes in their vision/eyesight:*

TrueFalse
9. Which of the following tasks best describes supporting a person with a decreased sense of taste?*

Continuously going through their fridge, freezer, and pantry to check for expired foods and drinks.Encouraging and supporting their participation in community events.
10. Which of the following is not a sign of cognitive disability in the elderly?*

Memory lossConfusionImpaired judgmentEmotional balance
Communication skills, including, without limitation, active listening, problem solving, conflict resolution, and techniques for communicating through alternative modes with persons with communication or sensory impairments
11. As a Personal Care Attendant, good communication allows you to understand the unique preferences, likes, and dislikes of your clients, ensuring care is tailored to meet these individual needs:*

TrueFalse
12. Which of the following is NOT a component of active listening in caregiving?*

Concentrating fully, understanding, and responding to what is being said.Maintaining eye contact, using verbal and non-verbal cues, paraphrasing, and asking clarifyingquestions.Physically turning away from the client as they speak as a sign of respect.
13. Which of the following strategies would you use to solve a problem that involves a client who has refused to take a bath?*

Ignoring the issue since it’s not life-threatening.Forcing the client to bathe before it gets too cold.Identifying the issue, gathering relevant information, and considering possible solutions.
14. As a Personal Care Attendant, which of the following strategies would you apply when faced with a conflict in the workplace?*

Remaining calm and involving a supervisor or senior official.Ignoring the issue.Being disrespectful if the other party is being disrespectful to set boundaries.
15. For a client who may not be able to verbalize their needs, concerns, or physical and emotional state effectively, slouched or hunched shoulders may indicate:*

UnhappinessJoy and comfort
16. For a client who has a visual impairment of any kind, which of the following communication means would you use to enhance communication?*

A combination of gestures and verbal descriptions.Non-verbal cues and visual aids to reinforce messages.
17. What are the basic steps to take when responding to a medical emergency requiring first aid?*

Assess the scene for safety, check the victim’s condition, including consciousness and breathing, call for emergency help if needed, and provide appropriate first aid.Provide appropriate first aid, call 911, and check the victim’s condition.
18. What are the key steps in performing cardiopulmonary resuscitation (CPR) on an adult?*

Check for responsiveness, call 911, check for breathing, and begin chest compressions.Begin chest compression immediately and call 911 if you get no response.
19. The Heimlich Maneuver/Abdominal Thrust is a first aid technique used when a person is choking:*

TrueFalse
Duties and responsibilities of attendants and the appropriate techniques for providing personal care services

Recognizing and responding to emergencies, including, without limitation, fires and medical emergencies; Dealing with adverse behaviors;
20. As a Personal Care Attendant, which of the following tasks and responsibilities do not match your job description?*

Personal hygiene.Dressing and mobility assistance.Trimming or cutting toenails.Meal preparation and feeding assistance.Light housekeeping and laundry.
21. Which of the following is NOT an appropriate technique for assisting a client with bathing and hygiene?*

Ensuring privacy and dignity by closing doors and using towels.Encouraging client participation to promote independence.Lifting a client alone even when they are too heavy to promote privacy.
Recognizing and responding to emergencies, including, without limitation, fires and medical emergencies
22. Which of the following is a sign of a possible fire in a client’s home?*

SmokeBurning smellPopping/ crackling soundsSmoke alarms going offNone of the aboveAll of the above
23. When responding to a fire, what does the acronym RACE mean?*

Run, Away, Cautiously, or ExitRescue, Alarm, Contain, Extinguish or Excavate
24. Which of the following is a sign of a medical emergency that requires immediate attention?*

EarthquakeFireUnresponsiveness/unconsciousness
25. How would you respond to a client who is being unkind and abusive, but not violent?*

Staying calm and composed, and calling the Supervisor.Calling the police.
Nutrition and hydration, including, without limitation, special diets and meal preparation and service
26. Nutrition can be described as:*

The process through which the body absorbs nutrients from foods or drinks.The process of eating healthy foods and drinks.
27. Good nutrition for all age groups, despite the presence of any disabilities or chronic illnesses, is crucial for not only maintaining health, but preventing diseases, and promoting overall wellbeing:*

TrueFalse
28. Staying adequately hydrated is a key principle of good nutrition:*

TrueFalse
29. Which of the following statements is NOT true about hydration?*

Staying adequately hydrated means drinking plenty of clean water throughout the day, but individual needs may vary.Hydration includes drinking plenty of fluids, including the unlimited intake of sugary drinks, such as sodas, high-caffeine drinks, and other sugary beverages.
30. A soft or pureed diet is best suited for:*

Clients with blood sugar issues.Clients with difficulty chewing or swallowing.
31. Which of the following is NOT a key consideration when preparing and serving meals for clients?*

Ensuring food is safely prepared by washing hands, cooking at proper temperatures, and preventing cross-contamination.Discouraging client participation to save time.Serving meals in a comfortable setting to make eating enjoyable.Monitoring food intake and reporting any loss of appetite or difficulty eating.
Bowel and bladder care, including, without limitation, routine care associated with toileting, routine maintenance of an indwelling catheter drainage system such as emptying the bag and positioning, routine care of colostomies such as emptying and changing the bag, signs and symptoms of urinary tract infections, and common bowel problems, including, without limitation, constipation and diarrhea
32. Which of the following is NOT an advisable routine or habit associated with toileting?*

Providing privacy and dignity while assisting with toileting.Ensuring your safety and the client’s safety when helping them to and from the toilet/bathroom.Encouraging regular toileting schedules to prevent accidents.Observing and only documenting severe or serious changes in bowel movements or urination.
33. Which of the following is NOT in your job description as a Personal Care Attendant when it comes to routine maintenance of an indwelling catheter drainage system?*

Ensuring proper positioning of the drainage bag below the bladder level to prevent backflow.Emptying the drainage bag.Inserting and irrigating the catheter.
34. Which of the following is NOT in your job description as a Personal Care Attendant when it comes to routine care of colostomies?*

Emptying the colostomy bag.Changing the colostomy bag as per the instructions of your Supervisor.Colostomy irrigation.
35. Which of the following signs and symptoms are likely to indicate a urinary tract infection?*

Frequent urination.Feeling the need to urinate urgently.Lower abdominal or back pain.Burning or pain while urinating.Cloudy, dark, or foul-smelling urine.Fever, chills, or confusion.None of the above.All of the above
36. When a client complains of constipation, which of the following actions would you take as their care provider?*

Encouraging hydration and fiber-rich foods.Prescribing a laxative and notifying your Supervisor if it doesn’t work.
37. For a client with diarrhea, which of the following actions would you take as their care provider?*

Reporting the issue immediately to your Supervisor.Prescribing an over-the-counter medication like Loperamide.
Skincare, including, without limitation, interventions that prevent pressure sores, routine inspections of the skin and reporting skin redness, discoloration or breakdown to the client or a representative of the client and to the administrator of the agency or his designee;
38. Routine skin inspection helps prevent pressure sores, infections, and other skin issues by detecting problems early:*

TrueFalse
39. As a Personal Care Attendant, which of the following skin conditions must you report to your Supervisor and the client or their representative?*

Redness or discoloration.Breaks, sores, or open wounds.Swelling, warmth, or unusual texture.None of the above.All of the above
Methods and techniques to prevent skin breakdown, contractures and falls
40. Which of the following is a good strategy to prevent skin breakdown in your clients?*

Ensuring the skin is kept moisturized but not overly wet.Repositioning the client frequently.All of the above.None of the above.
41. Which of the following is NOT in your job description as a Personal Care Attendant when preventing contractures in your clients?*

Encouraging proper nutrition.Encouraging range-of-motion exercises and gentle stretching.Providing specialized services to increase the range of motion of a client
42. Which of the following measures will NOT help prevent falls in your clients?*

Ensuring proper lighting and removing tripping hazards (loose rugs, cords, clutter).Discouraging your clients from using assistive devices.
Body mechanics, mobility and transfer techniques, including, without limitation, simple nonprescribed range of motion
43. Which of the following is NOT a key principle of proper body mechanics?*

Maintaining a stable base of support by standing with feet shoulder-width apart.Bending at the waist when lifting or helping a client.
44. Which of the following statements is TRUE about assisting a client with mobility and ambulation when using a device like a walker or cane?*

Ensure the device is properly adjusted to the client’s height and in good condition.Always stand on the client’s stronger side for support.
45. When transferring a client from a bed to a wheelchair, which of the following precautions should you take before transferring the client?*

Ensuring the brakes of the wheelchair are locked and that the wheelchair is close to the bed.Ensuring that the client has a firm hold around your neck for maximum safety.
46. What is the purpose of range of motion exercises?*

They help maintain joint flexibility, reducing the risk of contractures in clients who are bedridden or have limited mobility.They help restore paralyzed limbs.
47. As a Personal Care Attendant, you are allowed to perform prescribed/specialized range of motion exercises:*

TrueFalse
48. Which of the following tasks is not in your scope of work as a Personal Care Attendant?*

Washing dishes.Sanitizing frequently.Repairing the fridge.
49. Which of the following is NOT an essential health and safety procedure to follow when maintaining a clean and safe environment for your clients?*

Keeping the home clean and sanitized to prevent infection and maintain hygiene.Removing clutter, ensuring walkways are clear, and checking for risks like loose rugs or poor lighting.Avoiding any task that may involve transferring a client while cleaning or sanitizing their home for safety purposes.
50. How can you ensure your own safety while working in a client’s home?*

Using personal protective equipment to reduce exposure.Informing your Supervisor about any safety concerns.Being mindful of your surroundings and avoiding working in unsafe areas.All of the above.None of the above
Dear Candidate,

Thank you for taking the time to complete the Competency Test. We appreciate your effort and dedication to demonstrating your knowledge and skills.

We will review your results and reach out to you if you are eligible to move forward to the next step in the process.

Thank you once again, and we wish you the best!

Best regard,

Adminstrator
Stand By Me Home Care
Should be Empty:

Stand By Me Home Care (Nevada) Competency Test for Personal Care Attendants

The written documentation of Personal care services provided to the clients of the agency; and Verification of time records

The rights of clients, including, without limitation, training in methods to protect client confidentiality pursuant to state and federal regulations

The special needs of elderly persons and persons with disabilities, including, without limitation, training in the sensory, physical and cognitive changes related to the aging process

Communication skills, including, without limitation, active listening, problem solving, conflict resolution, and techniques for communicating through alternative modes with persons with communication or sensory impairments

Duties and responsibilities of attendants and the appropriate techniques for providing personal care services

Recognizing and responding to emergencies, including, without limitation, fires and medical emergencies

Nutrition and hydration, including, without limitation, special diets and meal preparation and service

Skincare, including, without limitation, interventions that prevent pressure sores, routine inspections of the skin and reporting skin redness, discoloration or breakdown to the client or a representative of the client and to the administrator of the agency or his designee;

Methods and techniques to prevent skin breakdown, contractures and falls

Body mechanics, mobility and transfer techniques, including, without limitation, simple nonprescribed range of motion