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PCA Personal Care Assistant Certification Final Examination, 2026/2027 – 75-Question Direct Care Competency Assessment with Rationales

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This document covers the PCA Personal Care Assistant Certification Final Examination for the 2026/2027 academic cycle. It includes 75 comprehensive questions focused on direct patient care, safety, communication, infection control, and home care support competencies. The material supports exam preparation by reinforcing activities of daily living assistance, patient rights, emergency procedures, documentation, body mechanics, vital signs, professionalism, and compassionate caregiving practices aligned with state health department and home care association standards.

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Reinforce a dressing. - ANSWER-True
Apply a hot pack. - ANSWER-False
Give an enema. - ANSWER-False
Administer medication. - ANSWER-False
Change a sterile dressing. - ANSWER-False
Assist with change of a colostomy bag. - ANSWER-True
Give a rectal suppository. - ANSWER-False
Give a tubal feeding. - ANSWER-False
give insulin - ANSWER-False
Cut Nails - ANSWER-False
As a Personal Care Assistant, you - ANSWER-work as part of the health care team.
When you work in the home, you will be: - ANSWER-working under the supervision of a
professional supervisor.
As Personal Care Assistant, it is your responsibility to: - ANSWER-do only the tasks that
the registered nurse or therapist assigns to you
In the home, it is important to be a good listener. - ANSWER-True
Always tell the patient what you are going to do before starting a procedure. - ANSWER-
True
You only communicate through words. - ANSWER-False
Which of the following is important in communicating with people: - ANSWER-Courtesy,
Tact , listening
Body language is: - ANSWER-a way of communicating feelings by using the body, facial
expressions and the eyes
PCA care for a conscious patient should be preceded by: - ANSWER-giving an
explanation of what is going to be done
Miss Harris, a Personal Care Assistant, is assigned to care for Mr. Goodway. Miss
Harris
notices that she feels very angry when she is with Mr. Goodway. What should Miss

, Harris do because she feels this way? - ANSWER-Talk with the agency supervisor about
the situation.
A patient accuses a Personal Care Assistant of stealing five dollars. The PCA has not
taken
the patient's money, but the patient does not believe this. What should the PCA do? -
ANSWER-Notify the agency supervisor.
If you do not chart a task that you do for a patient, legally, it was not done. - ANSWER-
True
If the patient has a new area of skin breakdo� and the nurse is coming in two
days, you do not need to report the skin breakdown to your supervisor. - ANSWER-False
A rapid pulse and shortness of breath in a patient usually indicates the patient is
excited and does not need to be reported to the nurse. - ANSWER-False
The patient tells you he has not moved his bowels in three days: What should you do? -
ANSWER-Report it to the nursing supervisor.
Which of these actions is the Personal Care Assistant permitted to take in relation to
drug
administration? - ANSWER-Recording and reporting the patient's reaction to the
medication.
When a patient complains of pain, what should the Personal Care Assistant do first? -
ANSWER-Ask the patient to describe the pain.
A patient's prescription for heart pills has recently been changed. The home health
PCA should notify the agency supervisor immediately if the patient makes which of
these comments? - ANSWER-"I have a rash on my stomach since I've been taking these
pills."
Mrs. Rand, who has diabetes and takes insulin regularly, tells the Personal Care
Assistant
that she feels very nervous and jittery. What should the PCA do immediately? -
ANSWER-Give her a glass of orange juice
Always report a pulse rate if the beats per minute are under 60 or over 100 - ANSWER-
True
The temperature of an unconscious patient should be taken orally since they are
not moving about. - ANSWER-False
Recording a patient's "TPR" or vital signs is not important as long as you
remember what they were. - ANSWER-False
For which, if any, of these body areas is 99.6 degrees F. a normal temperature? -
ANSWER-Rectum
When taking a patient's pulse, you should take it for: - ANSWER-one full minute.
When a patient's respirations are being counted, it is best that the patient: - ANSWER-
not be aware that the respirations are being counted
Hand washing is the single best way to decrease the transfer of pathogens. - ANSWER-
True
Gloves should be worn when handling items soiled by body fluids. - ANSWER-True
The catheter drainage bag must be lower than the bladder, but not on the floor. -
ANSWER-True

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