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Introduction
This 2025 Georgia PCA (Patient Care Assistant) Competency simulation delivers 100
original, scenario-based items that mirror the current Georgia Department of
Community Health (DCH) examination blueprint:
• Basic nursing skills & personal care
• Vital signs & measurements
• Patient safety & infection control
• Communication & interpersonal skills
• Rights of residents & ethical care
• Emergency procedures & first aid
• Georgia-specific regulations & reporting
All content is aligned with 2025 DCH PCA standards, OBRA resident-rights
provisions, and Georgia Rules 111-8-1. No question duplicates proprietary DCH
material.
Question 1
Mrs. Johnson, an 82-year-old resident, refuses her morning bath. As a PCA, your first
action is to:
A. Document the refusal and notify the nurse
B. Persuade her by explaining the benefits
C. Proceed with the bath for her hygiene
D. Leave and try again at lunchtime
Answer: A. Document the refusal and notify the nurse
Solution: Residents have the right to refuse care (OBRA §483.10(c)(6)). Documenting
and reporting ensures legal compliance and allows the nurse to reassess.
Question 2
While counting respirations, you notice the resident’s chest rise 18 times in 30 seconds.
,The respiratory rate is:
A. 18 breaths/min
B. 36 breaths/min
C. 9 breaths/min
D. 24 breaths/min
Answer: B. 36 breaths/min
Solution: 18 rises in 30 s × 2 = 36 breaths/min. 18 (A) is half-minute count; 9 (C) is
divided by 2 incorrectly.
Question 3
The correct site for an adult pulse oximeter sensor is:
A. Earlobe
B. Index finger
C. Chest
D. Ankle
Answer: B. Index finger
Solution: Finger probes are standard for adults; earlobe (A) is used if fingers are
edematous or cold.
Question 4
A resident’s BP is 88/52 mmHg. The PCA should first:
A. Re-check in 15 minutes
B. Offer oral fluids
C. Report to nurse immediately
D. Elevate legs
Answer: C. Report to nurse immediately
Solution: Systolic <90 mmHg is hypotension; PCAs do not intervene medically—
immediate nurse notification is required.
Q5–Q100 (Continue in identical format – one block per item)
Q5
While assisting with ambulation, the resident becomes dizzy. You should:
A. Lower to nearest chair and call nurse
B. Continue walking to build endurance
C. Offer water
D. Apply oxygen
, Answer: A. Lower to nearest chair and call nurse
Solution: Safety first; PCAs do not diagnose or apply oxygen (D).
Q6
Which action violates a resident’s rights?
A. Closing curtains during care
B. Using restraints without physician order
C. Knocking before entering
D. Allowing family visitation
Answer: B. Using restraints without physician order
Solution: GA Rule 111-8-1-.13(3) – restraints require physician order and consent.
Q7
The normal oral temperature range for an adult is:
A. 35.0–36.0 °C
B. 36.1–37.2 °C
C. 37.3–38.0 °C
D. 38.1–39.0 °C
Answer: B. 36.1–37.2 °C
Solution: Standard adult range; 37.3 °C+ (C) is low-grade fever.
Q8
When using a mechanical lift, the PCA must:
A. Operate alone to save time
B. Check sling straps and battery
C. Lift manually if equipment fails
D. Document after shift
Answer: B. Check sling straps and battery
Solution: Pre-use safety check is mandatory; operating alone (A) is unsafe.
Q9
A resident’s Foley bag is empty at 0800 and contains 450 mL at 1600. Output is:
A. 450 mL
B. 0 mL
C. 225 mL
D. 900 mL