10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CAC exam has 100 questions and runs 2 hours 30 minutes.
These 10 free CAC questions are organized by exam domain, so you can see how each part of the Certified Alzheimer Caregiver blueprint is tested. Reveal the answer and explanation under each question.
Yesterday, Ms. Morris, who has Alzheimer's disease, chatted through breakfast and followed her usual routine. This morning she drifts off, loses track of a one-step request, and briefly becomes alert before drifting off again. Her daughter calls this 'a good day because she is quieter.' What is the most important correction to that interpretation?
Correct answer: C - New, fluctuating inattention can signal delirium even when the person is quiet.
An intake history describes marked fluctuations in alertness and detailed visual hallucinations from early in an 18-month cognitive decline, together with increasing rigidity. A previous antipsychotic prescription caused a pronounced decline in alertness and mobility. This combination is particularly characteristic of:
Correct answer: B - Dementia with Lewy bodies
At an adult day center, Mrs. Vega repeatedly asks to phone her mother, who died many years ago. Each reminder of the death makes her cry as though hearing it for the first time. On her next request, which reply acknowledges her feelings without reinforcing the mistaken belief?
Correct answer: C - You miss her. I'm here with you; tell me about your mother.
At 7:40 a.m., Ms. Ortiz, who has Alzheimer's disease, takes three attempts to rise from her chair and holds the table to steady herself. Yesterday she stood without help. Her sleep medication was changed last night, and the caregiver has notified the nurse. Choose the most accurate description for the care record.
Correct answer: D - 7:40 a.m.: Three attempts to stand; held the table for support.
A resident has a do-not-resuscitate (DNR) order and no other treatment limitations. How does the order affect care for a new episode of painful constipation?
Correct answer: A - Constipation can be assessed and treated without revoking the DNR.
During a wash, Mr. Patel, who has dementia, is calm until the caregiver lifts his right arm to clean underneath it. He winces and swats at her hand. She pauses, and he settles as soon as his arm is lowered. A colleague recalls the same response during dressing. What should the team investigate before treating these episodes as generalized aggression?
Correct answer: B - Pain brought on by moving the shoulder
While folding towels, Ms. Chen, who has dementia, smiles and says the small dog beside her chair is asleep. No dog is present. Similar experiences have already been assessed by her clinician; today's alertness and behavior are unchanged. She is neither frightened nor trying to touch the dog. What response fits this situation?
Correct answer: B - Continue folding together while watching for distress or a change in behavior.
Mr. Brooks, who has Alzheimer's disease, can pull on clothing and fasten large buttons. Yet when his chosen outfit is laid out, he does not start dressing. This is his usual difficulty. Which adjustment best matches the assistance he needs?
Correct answer: A - Offer one garment at a time and cue the next step.
Mr. Ali cannot reliably describe pain. A trained caregiver records a PAINAD (Pain Assessment in Advanced Dementia) total of 2 at rest and 5 during repositioning, when he grimaces and pulls away. Which interpretation is supported by these observations?
Correct answer: D - Movement is associated with more observed pain behaviors and warrants assessment.
During lunch, a man with dementia stands, clutches his throat, and cannot speak, cough, or draw a breath. He remains conscious, and the trained caregiver can encircle his abdomen. A coworker is calling emergency services. Which choking-relief sequence should the caregiver start?
Correct answer: D - Give cycles of five back blows followed by five abdominal thrusts until relief or unresponsiveness.
The CAC exam also covers these domains. Drill them in the full free practice test:
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