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When you do pass the quiz and I am confident that you will, please download your certificate and keep it for your records. This test is a requirement that must be completed on or before November 02, 2026. No Extensions will be granted.
DCW Competency Quiz 2026
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1 / 100
Category: Registry Rules & Scope
Which of these is a DCW allowed to do with a client’s medications?
2 / 100
What are the consequences when a DCW does NOT keep their PA State mandated credentials up-to-date?
3 / 100
You have just come back from being off and your client’s pill box is empty. What do you do?
4 / 100
How do you remain active on the registry?
5 / 100
Direct Care Workers are allowed to do the following EXCEPT:
6 / 100
What is a registry?
7 / 100
Direct Care Workers are NOT allowed to do the following EXCEPT…
8 / 100
The Client’s Pill Box is filled by…
9 / 100
Independent Contractors are responsible for the following:
10 / 100
Category: Confidentiality & Boundaries
Which of these is okay to share on your personal social media?
11 / 100
Direct Care Workers are NOT permitted to do this when providing care for the client.
12 / 100
Your client tells you something private and asks you to promise not to tell anyone — but what she said makes you think she is not safe. What do you do?
13 / 100
You work with two clients who live in the same building. One asks how the other one is getting along. What do you say?
14 / 100
Your client notices you are short on gas money and offers to lend you $50 until payday. What do you do?
15 / 100
Your client hands you $100 for your birthday. What do you do?
16 / 100
Category: Abuse, Neglect & Reporting
Which of these makes you think a client may be having money taken from her?
17 / 100
You have made the report. What is your role now?
18 / 100
Your client lives alone. She has stopped bathing, the food in her refrigerator has spoiled, and she is not taking her medicine. No one else is involved — she tells you she is fine. Is this reportable?
19 / 100
You believe your client is being harmed by a family member. No one is in danger this minute. What number do you call in Pennsylvania?
20 / 100
A family member repeatedly calls your client stupid and worthless, and threatens to “put her in a home” whenever she asks for help. Is this reportable?
21 / 100
Your client tells you what has been happening to her, then begs you not to tell anybody. What do you do?
22 / 100
Your client’s son is the only person caring for her. He leaves for two weeks without telling anyone and without arranging any help. Under Pennsylvania law, what is this?
23 / 100
Category: Communication & Documentation
What is the proper protocol for calling out for your case?
24 / 100
It is the weekend and you are scheduled to work. You get sick and are unable to go to your assignment. What do you do?
25 / 100
The following are the best ways to communicate with a client who is a little hard of hearing EXCEPT…
26 / 100
How do you send in your timesheets to Silver Lining?
27 / 100
How do you reach the Payroll Department at Silver Lining?
28 / 100
What is the correct protocol for picking up a prescription for yourself when you are on a live-in assignment?
29 / 100
Category: Infection Control & Universal Precautions
Can shingles be prevented, and if so, how?
30 / 100
Who should get the shingles vaccine?
31 / 100
Bed Bugs cause skin irritation/rashes.
32 / 100
Scabies are spread by
33 / 100
Bed bugs can be found
34 / 100
Your client has shingles. What can happen to someone who has never had chickenpox or the chickenpox vaccine?
35 / 100
Can shingles cause long-term problems?
36 / 100
What role do antibiotics play in the development of C.diff infections?
37 / 100
What are the common symptoms of shingles?
38 / 100
What symptoms are most common in C.diff?
39 / 100
When must you wear gloves?
40 / 100
Category: Emergencies & Home Safety
A grease fire starts in a pan on the stove. What do you do?
41 / 100
Smoke is filling the kitchen and the fire is spreading. What is the right order of actions?
42 / 100
You and your client both start feeling headachy and dizzy at the same time on a winter day, and there is no illness going around. What do you do?
43 / 100
A tornado warning is issued while you are on shift. What do you do?
44 / 100
You called 911 for your client and they are now safe with the paramedics. What else must you do?
45 / 100
What does B.E. F.A.S.T. help you remember?
46 / 100
Your client’s sleeve catches fire at the stove. What should they do — and you help them do?
47 / 100
What should one do if someone thinks they are having a TIA?
48 / 100
It is your first day with a new client. What should you locate right away in case of an emergency?
49 / 100
Category: Falls, Body Mechanics & Transfers
Your client uses a walker. Which of these is a safe practice?
50 / 100
What conditions make you more likely to fall?
51 / 100
What type of exercise is good for an elderly client to improve balance and strengthen their legs to help prevent falls?
52 / 100
You are ready to help your client move from the bed to a wheelchair. What should you do with the wheelchair first?
53 / 100
What is NOT true about Falls?
54 / 100
Before your client stands up after lying in bed, what should they do first?
55 / 100
You are walking with your client and they begin to fall. What should you do?
56 / 100
Which things in a client’s home should you report — and fix, with the client’s permission — because they cause falls?
57 / 100
Category: Personal Care & ADLs
Elastic Stockings are used for…
58 / 100
What can you do to make your client feel attractive and dignified?
59 / 100
Which step is NOT proper protocol for putting Elastic Stockings on your client?
60 / 100
What does good daily mouth care look like?
61 / 100
Which of these are IADLs — the everyday household tasks a DCW helps with?
62 / 100
When putting on Elastic (Ted) Stockings, the Direct Care Worker should always…
63 / 100
When helping a female client clean up after toileting, which direction do you wipe?
64 / 100
The following are general principles for helping clients with their ADLs EXCEPT…
65 / 100
Your client says they need to use the bathroom. What do you do?
66 / 100
Category: Skin Care & Pressure Injuries
What can cause a bedsore?
67 / 100
A client wears oxygen through a nasal cannula all day. Where should you check the skin for a pressure sore?
68 / 100
What is a symptom of the 1st stage of a bedsore?
69 / 100
How can Bedsores be prevented?
70 / 100
Who is at risk for bedsores?
71 / 100
How are Bedsores diagnosed?
72 / 100
What is NOT true about bedsores?
73 / 100
What is a Bedsore?
74 / 100
Category: Nutrition, Hydration & Swallowing
What is one of the most common immediate causes of death in late-stage Alzheimer’s clients?
75 / 100
What is a good approach for feeding a client with Dysphagia?
76 / 100
What is NOT a sign of Dysphagia?
77 / 100
A Swallowing Study is performed by whom?
78 / 100
What thing should the DCW NOT do to prevent dehydration?
79 / 100
What is Dysphagia?
80 / 100
Hydration is very important to good health. Besides water, juice, soda, coffee, tea and milk some foods are also sources of water. What food is NOT a source of water?
81 / 100
What is NOT one of the 10 ways to make meals easier with Dysphagia?
82 / 100
Category: Dementia & Difficult Behaviors
If a client who has Alzheimer’s or is just confused goes to the bathroom everywhere, do the following EXCEPT…
83 / 100
When caring for an Alzheimer’s client, the Direct Care Worker should…
84 / 100
If a client repeats a word, phrase, question or activity the DCW should…
85 / 100
Activity therapy is…
86 / 100
When caring for an Alzheimer’s client, the Direct Care Worker should never…
87 / 100
Agitation means the following:
88 / 100
If a client is displaying inappropriate Sexual Behavior, the DCW should NEVER…
89 / 100
Which statement is NOT true about clients with Alzheimer’s?
90 / 100
What do you do if the client is having Hallucinations or Delusions?
91 / 100
Which statement is true about caring for a client with Alzheimer’s?
92 / 100
What is an appropriate response to a violent client?
93 / 100
Category: Recognizing & Reporting Changes
Parkinson’s disease progresses over time; clients will often need what?
94 / 100
What is a TIA?
95 / 100
How is Parkinson’s disease diagnosed?
96 / 100
Which symptom must be present for doctors to diagnose Parkinson’s disease?
97 / 100
All Parkinson’s clients will have the same symptoms.
98 / 100
What common symptoms are seen in PD? (Parkinson’s disease)
99 / 100
What is NOT a common warning signal that a TIA has occurred?
100 / 100
You notice your client’s ankles look more swollen than they did last week. What do you do?
Your score is
