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HCA COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS
(COMPLETE SOLUTIONS) EXAM GRADE A+
"Bradypnea is slow breathing - CORRECT ANSWER Respirations are fewer than 12 per
minute"
"Apnea is lack of or absence of breathing - CORRECT ANSWER Sleep apnea and periodic
apnea of newborns are other types of apnea"
"Kussmaul respirations - CORRECT ANSWER Deep and rapid respirations characteristic of
diabetic acidosis"
"Hypoventilation - CORRECT ANSWER Respirations are slow, shallow, and sometimes
irregular"
"Hyperventilation - CORRECT ANSWER Respirations are rapid and deeper than normal"
"Dyspnea - CORRECT ANSWER Is difficult, laboured, or painful breathing"
"Cheyne - CORRECT ANSWER Stokes Respirations gradually increase in rate and depth, and
then become shallow and slow"
"The healthy adult produces how much unrine a day - CORRECT ANSWER 1500 mL"
"What should the support worker do when caring for clients with chest tubes - CORRECT
ANSWER keep connecting tube coiled on bed, turn and reposition the client, observe chest
drainage."
"when caring for clients with chest tubes what should the support worker never do - CORRECT
ANSWER raise the drainage system above chest level"
"miss pyer is breathing very slow and cannot get enough Air into her lungs what is this called -
CORRECT ANSWER respiratory depression"
"Recca a support worker is providing care to his resident who has a history of asthma and is
having an asthma attack what should he do - CORRECT ANSWER Call for help"
"when a client is sensitive to a substance his or her body reacts with signs and symptoms what
are these called - CORRECT ANSWER an allergy"
"what did the term flatulence mean - CORRECT ANSWER the excessive formation of gas or
air in the stomach and intestines"
"what is a sign of fecal impaction - CORRECT ANSWER liquid feces seeping from the anus"
"a colostomy is a surgically created opening between what - CORRECT ANSWER the colon
and the abdominal wall"
"is the larnax part of the digestive system true or false - CORRECT ANSWER false"
"what does flatus mean - CORRECT ANSWER gas or air passed through the anus"
"A client with diarrhea is at risk for - CORRECT ANSWER dehydration"
"what can occur if Constipation is not relieved - CORRECT ANSWER fecal impaction"
"the resting phase, heart chambers fill with blood.- - CORRECT ANSWER diastole (the
relaxation phase)"
"the working phase, the heart contracts. - CORRECT ANSWER -systole (the contraction
phase)"
"With heart failure what is going on with the heart- - CORRECT ANSWER the heart is not
pumping normally"
"The heart has four chambers. what do they do - CORRECT ANSWER Upper chambers
receive blood and are called atria. •The right atrium receives blood from body tissues. •The left atrium receives blood from the lungs . Lower chambers pump blood and are called ventricles. •The right ventricle pumps blood to the lungs for oxygen. •The left ventricle pumps blood to all parts of the body."
"The heart is hollow and has three layers: - CORRECT ANSWER Pericardium (outer layer)
Myocardium (the thick, muscular part of the heart)
"Samoa - CORRECT ANSWER All of the following have "shadow" senator's or representatives
that may lobby but not vote on the US congressional floors except:"
"The amount of change to quantity available based upon price - CORRECT ANSWER
Economic elasticity in health care refers to ___."
"True - CORRECT ANSWER For-profit and not-for-profit companies seek to earn enough
revenues to cover up expenses and the cost of capital; however, for-profit companies return excess revenue to their investors whereas not-for-profit companies put excess revenue back into the company"
"The government allows the procedure, and the individual can afford it - CORRECT ANSWER
Access to health care in the united states is available provided the following two factors are met by an individual:"
"False - CORRECT ANSWER Interest groups have major powers to pass laws based upon how
much funding they donate to politicians, the number of persons that they license in the industry, and the access they have to media outlets"
When providing culturally appropriate care, the following is what would need to be done -
CORRECT ANSWER Identify the consumers preferences, believes, and values, and respect
them."
"Promote a consumer's dignity, privacy, and independence by - CORRECT ANSWER Using
the word help" "If a person who is not on the care team asks you to share a consumer's confidential information,
what should you say? - CORRECT ANSWER I am sorry, but I am NOT allowed to share that
information with out my consumers permission." "If confidential information about the consumer must be shared with another care team member
- CORRECT ANSWER Only share what is needed in the consumer's best interest"
"If the consumer puts themselves in immediate danger and I am concerned my first step is -
CORRECT ANSWER Call 911"
"If the consumer asks for help, with something that will put them in danger you should -
CORRECT ANSWER Explain why you are concerned and generate options together that
balance the consumer' choice with personal safety"
All of the following are considered healthy lifting practices except - CORRECT ANSWER
Squat as low as possible to pick up an object"
"Which of the following words would not be considered age - appropriate? - CORRECT
ANSWER Diapers"
"True or False: Fred has fallen four times this month, which is unusual for him. However, there is
no need to notify his physician because this is a normal part of aging - CORRECT ANSWER
False"
"A group of older adults that is at increased risk of dehydration is - CORRECT ANSWER Older
adults with dementia" "True or False: Sheets that fit too tight and recliners that clients are unable to get out of are
considered restraints - CORRECT ANSWER True"
"What steps should you take if you suspect your client is being abused? - CORRECT ANSWER
Ensure you and your client are safe, call law enforcement if necessary, report to APS, document"
"Referring to Mrs. Terry as a "stroke victim" - CORRECT ANSWER Is not a good example of
person-centered language"
"What does the acronym RACE stand for in the context of a fire? - CORRECT ANSWER
Rescue, Alert, Contain, Extinguish" "Which of the following communication methods are likely to result in misinterpretation of
intended communication? - CORRECT ANSWER High pitch, loud volume, and fast speed of
speech" "If a client's last days come before a person-centered care plan can be completed the care facility
should - CORRECT ANSWER As the client's representative what the client would want"
"What does PPE stand for? - CORRECT ANSWER Personal Protective Equipment"
"A meaningful life for a client is determined by - CORRECT ANSWER The client"
"If a client starts to fall during assistance with ambulation, the best thing a care team member
can do is to - CORRECT ANSWER Bend her knees and lower the client to the floor"
"True or False: There are components of assisting with self-administration of medications that you may not be able to do if your facility policy and procedure or state rules and regulations do
not allow it - CORRECT ANSWER True"
"True or False: Staff who report abuse are protected from retaliation - CORRECT ANSWER
True"
"Which of the following is NOT an example of changes of condition? - CORRECT ANSWER
Wanting to eat breakfast early" "A client who determines their preferred schedules, activities, types of clothing to wear, and food
to eat is exercising their right to _____________ - CORRECT ANSWER Self-Determination"
"True or False: You do not need to ask for permission to talk about a client's personal health
information if he or she shares a room - CORRECT ANSWER False"
"Which of the following is true about person-centered care - CORRECT ANSWER Person-
centered care values the person over the task and emphasizes the importance of getting to know clients as individuals"
"Complicated grief occurs when - CORRECT ANSWER A person's grief is prolonged or he or
she gets stuck in grief"
"Which of the following statements concerning over the-counter medications is FALSE? -
CORRECT ANSWER A person cannot take too many prn medications"
"Diversity is the respect for and the appreciation of which of the following? - CORRECT
ANSWER Ethnicity, age, nationality, ethnicity, gender, disability, sexual orientation, education,
and religious differences"
"Making sure a dementia patient receives enough nutrition is one way to - CORRECT
ANSWER offer small meals and snacks that match their limited attention span"
"A resident who has not been discharged insists she is going home. What should the nurse aide
do? - CORRECT ANSWER notify the charge nurse immediately"
"If the client is doing tasks assigned to the home care aide, the home care aide should report this
to the supervisor - CORRECT ANSWER true"
"Proper body mechanics include bending at the knees - CORRECT ANSWER true"
"Diversity is the respect for and the appreciation of which of the following? - CORRECT
ANSWER Ethnicity, age, nationality, ethnicity, gender, disability, sexual orientation, education,
and religious differences" "True or False: It is not the role of a caregiver to comfort, guide, and care for others who are in
distress with his or her own values and beliefs - CORRECT ANSWER False"
"Which tactic has the potential to create miscommunication? - CORRECT ANSWER Waiting
to be reminded to do a task" "True or False: There is never any situation in which protected health information is mandatory
to disclose - CORRECT ANSWER False"
"True or False: Care plans are formal documents that need to be written, updated, and followed
with every client - CORRECT ANSWER True"
"True or False: Self-determination is defined as a client's right to make choices and decisions for
him or herself that allows them to have control over the way they live - CORRECT ANSWER
True"
"The most common form of chemical restraint is - CORRECT ANSWER Psychoactive
medications"
"Unethical behavior is defined by - CORRECT ANSWER Violating a client's rights by forcing
them to take medication, receive care they do not want, or participate in activities they are not interested in"
"Consult the care plan to learn about - CORRECT ANSWER Details of the care the client is to
receive"
"When assisting with medications, it is permissible to leave medication with a client -
CORRECT ANSWER It is never acceptable to leave a medication with a client"
"Nurse delegation - CORRECT ANSWER Is a process where an RN delegates specific tasks to a
home care aid, NAC, or NAR" "Which of the following is the most comfortable position for a client with a respiratory problem?
CORRECT ANSWER Fowlers"
"Nasal cannula - CORRECT ANSWER you can eat while wearing it"
"Partial rebreather mask - CORRECT ANSWER block the intake of the atmospheric air only
partially. Use of such masks result in patient breathing about 40% to 60% concentration of oxygen."
"Nonrebreather mask - CORRECT ANSWER it is designed to prevent mixing of atmospheric
air or the air exhaled by the patient with the oxygen. This type of mask allows up to 90% concentration of oxygen to be delivered"
"Venturi mask - CORRECT ANSWER This type of mask increases the supply of total oxygen
for breathing, but the concentration of oxygen supplied is only about 24% to 28%"
"Thrombus - CORRECT ANSWER Is a blood clot"
"The entire system from mouth to anus is how long - CORRECT ANSWER 30 feet (9 meters)
long"
"Accessory organs are - CORRECT ANSWER the teeth, tongue, salivary glands, liver, gall
bladder, and pancreas."
"Each nephron - CORRECT ANSWER is the basic working unit of the kidney."
"what is the major cause of chronic obstructive pulmonary disease - CORRECT ANSWER
smoking"
"What is the correct term for respirations that are greater than 24 per minute - CORRECT
ANSWER tachypnea"
"What is the correct term for absence of breathing - CORRECT ANSWER apnea"
"respiratory arrest occurs when - CORRECT ANSWER breathing has stopped"
"where in the body is oxygen and carbon dioxide exchanged - CORRECT ANSWER during
inhalation and exhalation"
"what does the pulmonary function test do - CORRECT ANSWER measures the amount of air
moving into and out of the lungs"
"what is the correct term for respirations that are slow shallow and sometimes irregular -
CORRECT ANSWER bradypnea"
"what is difficult labored or painful breathing called - CORRECT ANSWER dyspnea"
"what position is when the client is sitting up in bed and leaning over a table in order to breathe
easier - CORRECT ANSWER orthopneic position"
"what is another term for bloody sputum - CORRECT ANSWER hemoptysis"
"the amount of hemoglobin that contains oxygen is referred to as - CORRECT ANSWER
oxygen concentration"
"carbon dioxide released from a car is considered to be what - CORRECT ANSWER a
pollutant"
"part of a lung has a collapsed what is the condition called - CORRECT ANSWER Atecectasis"
"What is the correct term for reduced amount of oxygen in the blood - CORRECT ANSWER
hypoxemia"
"a radioisotope is administered for what reason - CORRECT ANSWER lung scan"
"what is mucus from the respiratory tract that is expectorated through the mouth called -
CORRECT ANSWER sputum"
"a client has a red heart and hot area along the course of a vein the support worker knows This
condition is - CORRECT ANSWER phlebitis"
"When respirations gradually increase in rate and depths and then becomes shallow and slow, it
is called - CORRECT ANSWER Chreyne Stokes respirations"
"what substance gives red blood cells their color - CORRECT ANSWER hemoglobin"
"Harry has heart failure what does this mean - CORRECT ANSWER the heart cannot pump
blood normally"
"a support worker has assisted the client to use an incentive spirometer what is the next step -
CORRECT ANSWER coughing"
"what is the largest artery in the body - CORRECT ANSWER the aorta"
"what is a disease in which stomach contents flow back from the stomach into the esophagus -
CORRECT ANSWER gastroesophageal reflux disease"
"what does the term defecation mean - CORRECT ANSWER the process of excreting feces
from rectum through the anus" "the client complaints of Constipation the support worker would expect the client's stools to be
what - CORRECT ANSWER hard and dry"
"what is the usual position for defecation - CORRECT ANSWER sitting or squatting"
"what kind of foods are needed for normal fecal elimination - CORRECT ANSWER fruits and
vegetables"
"what is the first step when emptying an ostomy pouch - CORRECT ANSWER the drain at the
bottom is opened"
"what is fecal incontinence - CORRECT ANSWER inability to control the passage of feces and
gas through anus"
"what is an enema - CORRECT ANSWER the introduction of a fluid into the rectum and lower
colon"
"What is the term that describes movement of feces through intestines - CORRECT ANSWER
peristalsis"
"what fluids increases peristalsis - CORRECT ANSWER warm fluids"
"where is chime produced - CORRECT ANSWER stomach"
"Constipation is - CORRECT ANSWER the passage of a hard dry stool"
"Phlebitis is - CORRECT ANSWER inflammation of vein, presents as purple veins, pain, warm
and red"
"John needs to urinate what should the support worker provide - CORRECT ANSWER a
urinal"
"how is the human immunodeficiency virus spread - CORRECT ANSWER exchange of blood
semen vaginal secretions or breast milk"
"the urinary system removes what - CORRECT ANSWER waste products from the blood"
"what is the goal of bladder training - CORRECT ANSWER gaining control of urination"
"Lou Gehrig's disease is known as which of the following - CORRECT ANSWER amyotrophic
lateral sclerosis"
"how was the catheter kept in the bladder - CORRECT ANSWER an inflated balloon near the
catheter tip" "the support worker has transferred the client to the commando the client has finished voiding
what step is next - CORRECT ANSWER assist with hand washing"
"miss galloways having with her ovaries removed due to cancer what hormone would need
replacement after surgery - CORRECT ANSWER estrogen"
"what does the term for loss of urine in response to sudden urgent need to void - CORRECT
ANSWER urge incontinence"
"miss fowler's experiencing increased heart rate and high blood pressure what hormones could
cause this - CORRECT ANSWER epinephrine and norepinephrine"
"the resident experiences a loss of urine with exercise and certain movement the support worker
knows this is called - CORRECT ANSWER stress incontinence"
"Maggie has low levels of thyroid hormone she can expect to have the following changes in her
body - CORRECT ANSWER slowed body process slowed movements and weight gain"
"hematuria is what - CORRECT ANSWER blood in the urine,"
"influenza is caused by what - CORRECT ANSWER a virus"
"a persistent autoimmune disease that can affect any part of the body is called - CORRECT
ANSWER lupus"
"nocturia means - CORRECT ANSWER frequency to urinate at night"
"unless directed otherwise urinary drainage bags are emptied - CORRECT ANSWER at the
end of every shift"
"The department of health and human services, the department of defense, and the department
of veterans affairs - CORRECT ANSWER The most significant health agencies under
executive control are ___."
"True - CORRECT ANSWER The Constitution gives states the primary responsibility for
protecting citizens' public health, which may account for the wide variety of organizations and differences in priorities of different health care"
"A block grant requiring federal congressional review - CORRECT ANSWER Children's
Health Insurance Plan (CHIP) is"
"Even with their family members suspected abuse should be - CORRECT ANSWER Reported
as soon as possible to adult protective services at DSHS"
"Abandonment - CORRECT ANSWER Deserting or leaving a vulnerable adult or child
without basic life necessities."
"Adult Protective Services - CORRECT ANSWER Are who you contact in any suspicion of
abuse"
"Self neglect - CORRECT ANSWER When a consumer truth is not to eat or drink anything"
"Punctuality - CORRECT ANSWER Because not showing up for work could be considered
abandonment and the consumer depends on you for personal care"
"Physical restraint - CORRECT ANSWER Intentionally putting a tray table in front of a
consumer so they cannot get up"
"Talking - CORRECT ANSWER Is a better alternative than applying physical restraint to a
consumer"
"An HCA'S one basic job is - CORRECT ANSWER Observe and report any changes in baseline
of consumer"
"Limited assistance - CORRECT ANSWER Consumers need of some assistance with
movement between rooms but can mostly do the task on their own"
"Maintain healthy professional boundaries by - CORRECT ANSWER Using the care plan as a
guide to assist the consumer"
"Care plan purpose - CORRECT ANSWER Tell you what your job is and how to provide care"
"Where can you find a consumer's baseline - CORRECT ANSWER Care plan"
"Maintain good eye contact - CORRECT ANSWER Help you connect to the consumer"
"Only share consumer information with - CORRECT ANSWER People listed in the care plan"
"Be objective - CORRECT ANSWER When documenting and reporting consumers behavior or
changes and baseline"
"Difficult situations - CORRECT ANSWER Are best handled when you remain calm and
balanced"
"Active listening - CORRECT ANSWER Means you stop what you are doing and focus on the
speaker"
"Reassurance is always good - CORRECT ANSWER When you're trying to clear up a
misunderstanding"
"The goal of problem solving is - CORRECT ANSWER To work with the consumer to find a
solution that best resolves the problem"
"Standard precautions are used because - CORRECT ANSWER You want to prevent the
spread of infection"
"effective hand washing - CORRECT ANSWER Is the most important procedure for
prevention of the spread of infection from germs and viruses"
"Contaminated bed linens - CORRECT ANSWER Should be placed in a bag until ready to
wash" "Gary is a man who weighs 250 pounds and you are a 130-pound care team member. He usually can walk and transfer to the toilet independently, but today he doesn't feel well and is complaining about feeling dizzy. When you arrive, he asks you to help him get to the bathroom.
You should - CORRECT ANSWER Get another direct care staff person to assist you so Gary
will have two people in case he gets dizzy" "As a care team member, you are always on time and complete all duties and tasks as assigned.
You keep your obligations and promises. This quality is called - CORRECT ANSWER
Dependability"
"The Global Deterioration Scale (GDS) aids caregivers in comprehending how dementia patients
deteriorate over time. Which of the seven stages is devoid of dementia symptoms? - CORRECT
ANSWER stage 2"
"All of the following are clues to aggressive behavior EXCEPT - CORRECT ANSWER depressed
mood"
"A client's confidential information can be legally shared with the client's family members -
CORRECT ANSWER false"
"When talking with a client who has difficulty hearing, the home care aide should expect that
background noise can affect the client's hearing - CORRECT ANSWER true"
"A home care aide's job responsibilities are always defined by the doctor - CORRECT
ANSWER false"
"A client who is confined to a bed should have a pillow placed directly behind the knees -
CORRECT ANSWER false"
"Gloves can be disinfected and reused - CORRECT ANSWER false"
"A client's legal rights are important because they protect a client's freedom and dignity -
CORRECT ANSWER true"
"Relationship problems, difficulty making decisions, and/or changes in sleep patterns could be
signs of stress - CORRECT ANSWER true"
"Good self-care practices by the home care aide include making other people's needs more
important - CORRECT ANSWER false"
