HCA Written Actual Exam V2 ACTUAL
EXAM 2026/2027 | Version V2 | Healthcare
Assistant 9 Clinical Domains | Verified Q&A
| Pass Guaranteed - A+ Graded
Domain 1: Role & Professional Responsibilities (Questions 1–8)
Q1: A healthcare assistant is caring for a resident who asks the HCA to read the resident's advance
directive document. What should the HCA do?
A. Read the document to the resident as requested
B. Explain that the HCA cannot interpret legal documents and notify the nurse [CORRECT]
C. Tell the resident that advance directives are not valid in this facility
D. Take the document home to review with the HCA's own attorney
Correct Answer: B
Rationale: HCAs can honor advance directives but cannot provide legal interpretation. The supervising
nurse should be notified to address the resident's request and provide appropriate explanation or
referral.
Q2: An HCA witnesses a medication error by another staff member. The appropriate action is:
A. Correct the error independently
B. Report to the supervising nurse immediately [CORRECT]
C. Wait to see if the resident has adverse effects
D. Confront the staff member who made the error
Correct Answer: B
Rationale: Medication errors require immediate reporting to the supervising nurse for assessment and
intervention. HCAs do not correct errors independently or investigate. Timely reporting protects
resident safety and ensures proper documentation.
,Q3: A resident offers the HCA $20 for providing excellent care. The HCA should:
A. Accept the money as a token of appreciation
B. Politely decline and explain professional boundaries [CORRECT]
C. Accept but donate it to charity
D. Ask for more money
Correct Answer: B
Rationale: Accepting money creates a dual relationship and boundary violation. HCAs should politely
decline gifts of significant value, explaining that quality care is their professional duty. Small homemade
items may be acceptable per facility policy.
Q4: An HCA is asked by a family member to provide detailed medical information about their loved
one's condition. The HCA should:
A. Provide all information to be helpful
B. Refer the request to the resident or supervising nurse [CORRECT]
C. Refuse to speak with family members
D. Share only negative information
Correct Answer: B
Rationale: HIPAA requires maintaining confidentiality. Information can only be shared with authorized
individuals or with resident permission. Direct family inquiries to the nurse or resident for proper
information disclosure.
Q5: Delegation from an RN to an HCA is appropriate when:
A. The task requires nursing assessment and judgment
B. The task is within the HCA's training and competency [CORRECT]
C. The RN is too busy to complete the task
D. The task involves sterile technique
Correct Answer: B
Rationale: Delegation requires that tasks are within the HCA's scope of practice, training, and
demonstrated competency. Tasks requiring nursing judgment, assessment, or sterile technique remain
with licensed personnel.
Q6: An HCA discovers they have inadvertently violated a resident's privacy by discussing their condition
in a public area. The HCA should:
A. Ignore it and hope no one noticed
B. Report the incident to the supervising nurse [CORRECT]
, C. Apologize to everyone who overheard
D. Document it in the resident's chart
Correct Answer: B
Rationale: Privacy breaches require reporting to the supervising nurse for assessment of impact and
necessary follow-up. The nurse will determine if additional steps are needed including incident reporting
or resident notification.
Q7: An HCA is asked to perform a task they have not been trained to do. The appropriate response is:
A. Attempt the task carefully
B. Decline and inform the delegating nurse of training needs [CORRECT]
C. Ask another HCA to do it instead
D. Complete it quickly to avoid trouble
Correct Answer: B
Rationale: HCAs must only perform tasks within their training and competency. Declining untrained
tasks protects resident safety and the HCA from liability. The nurse can then provide training or delegate
to appropriate staff.
Q8: Professional boundaries include all EXCEPT:
A. Maintaining confidentiality
B. Accepting expensive gifts from residents [CORRECT]
C. Avoiding dual relationships
D. Using appropriate social media policies
Correct Answer: B
Rationale: Accepting expensive gifts violates professional boundaries. Boundaries include maintaining
confidentiality, avoiding dual relationships (social, romantic, financial), and following social media
policies that protect resident privacy.
Domain 2: Infection Control & Standard Precautions (Questions 9–17)
Q9: The correct order for donning PPE when entering a contact isolation room is:
A. Gloves, gown, mask, goggles
B. Gown, mask, goggles, gloves [CORRECT]
C. Mask, gloves, gown, goggles
D. Goggles, gown, mask, gloves
EXAM 2026/2027 | Version V2 | Healthcare
Assistant 9 Clinical Domains | Verified Q&A
| Pass Guaranteed - A+ Graded
Domain 1: Role & Professional Responsibilities (Questions 1–8)
Q1: A healthcare assistant is caring for a resident who asks the HCA to read the resident's advance
directive document. What should the HCA do?
A. Read the document to the resident as requested
B. Explain that the HCA cannot interpret legal documents and notify the nurse [CORRECT]
C. Tell the resident that advance directives are not valid in this facility
D. Take the document home to review with the HCA's own attorney
Correct Answer: B
Rationale: HCAs can honor advance directives but cannot provide legal interpretation. The supervising
nurse should be notified to address the resident's request and provide appropriate explanation or
referral.
Q2: An HCA witnesses a medication error by another staff member. The appropriate action is:
A. Correct the error independently
B. Report to the supervising nurse immediately [CORRECT]
C. Wait to see if the resident has adverse effects
D. Confront the staff member who made the error
Correct Answer: B
Rationale: Medication errors require immediate reporting to the supervising nurse for assessment and
intervention. HCAs do not correct errors independently or investigate. Timely reporting protects
resident safety and ensures proper documentation.
,Q3: A resident offers the HCA $20 for providing excellent care. The HCA should:
A. Accept the money as a token of appreciation
B. Politely decline and explain professional boundaries [CORRECT]
C. Accept but donate it to charity
D. Ask for more money
Correct Answer: B
Rationale: Accepting money creates a dual relationship and boundary violation. HCAs should politely
decline gifts of significant value, explaining that quality care is their professional duty. Small homemade
items may be acceptable per facility policy.
Q4: An HCA is asked by a family member to provide detailed medical information about their loved
one's condition. The HCA should:
A. Provide all information to be helpful
B. Refer the request to the resident or supervising nurse [CORRECT]
C. Refuse to speak with family members
D. Share only negative information
Correct Answer: B
Rationale: HIPAA requires maintaining confidentiality. Information can only be shared with authorized
individuals or with resident permission. Direct family inquiries to the nurse or resident for proper
information disclosure.
Q5: Delegation from an RN to an HCA is appropriate when:
A. The task requires nursing assessment and judgment
B. The task is within the HCA's training and competency [CORRECT]
C. The RN is too busy to complete the task
D. The task involves sterile technique
Correct Answer: B
Rationale: Delegation requires that tasks are within the HCA's scope of practice, training, and
demonstrated competency. Tasks requiring nursing judgment, assessment, or sterile technique remain
with licensed personnel.
Q6: An HCA discovers they have inadvertently violated a resident's privacy by discussing their condition
in a public area. The HCA should:
A. Ignore it and hope no one noticed
B. Report the incident to the supervising nurse [CORRECT]
, C. Apologize to everyone who overheard
D. Document it in the resident's chart
Correct Answer: B
Rationale: Privacy breaches require reporting to the supervising nurse for assessment of impact and
necessary follow-up. The nurse will determine if additional steps are needed including incident reporting
or resident notification.
Q7: An HCA is asked to perform a task they have not been trained to do. The appropriate response is:
A. Attempt the task carefully
B. Decline and inform the delegating nurse of training needs [CORRECT]
C. Ask another HCA to do it instead
D. Complete it quickly to avoid trouble
Correct Answer: B
Rationale: HCAs must only perform tasks within their training and competency. Declining untrained
tasks protects resident safety and the HCA from liability. The nurse can then provide training or delegate
to appropriate staff.
Q8: Professional boundaries include all EXCEPT:
A. Maintaining confidentiality
B. Accepting expensive gifts from residents [CORRECT]
C. Avoiding dual relationships
D. Using appropriate social media policies
Correct Answer: B
Rationale: Accepting expensive gifts violates professional boundaries. Boundaries include maintaining
confidentiality, avoiding dual relationships (social, romantic, financial), and following social media
policies that protect resident privacy.
Domain 2: Infection Control & Standard Precautions (Questions 9–17)
Q9: The correct order for donning PPE when entering a contact isolation room is:
A. Gloves, gown, mask, goggles
B. Gown, mask, goggles, gloves [CORRECT]
C. Mask, gloves, gown, goggles
D. Goggles, gown, mask, gloves
