10. CCA Practice Quiz: Safe Application of Anti-Embolic Stockings and Elastic Bandages

Safe stocking and bandage care involves more than remembering steps. You need to separate related procedures, recognize what to observe, and apply role limits in short situations. The questions mix direct knowledge, comparisons, procedure reasoning, safety judgment, reporting, and role judgment, so pay attention to details that change what the best response should be.

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#1. Which two closing actions directly restore client safety after stocking application?

Correct answer: C. Place the call bell within reach and return the bed to its lowest position

Explanation: The call bell gives the client a safe way to contact staff. Returning the bed to its lowest position reduces injury risk.

Why A is wrong: These are completion or equipment-care steps rather than the paired safety actions.
Why B is wrong: Both actions oppose the stated post-procedure setup.
Why D is wrong: These belong to earlier positioning and access needs.

#2. Why should the area under an elastic bandage be clean and dry?

Correct answer: B. Moisture may support pathogens and contribute to skin infection

Explanation: Moisture under the bandaged area provides conditions that support pathogens and skin infection. The area is therefore checked for cleanliness and dryness before wrapping.

Why A is wrong: Tightening the bandage is not the purpose.
Why C is wrong: Skin cleanliness does not replace circulation monitoring.
Why D is wrong: Bandage removal follows its own schedule.

#3. Why is the bed rail nearest the worker lowered before the procedure?

Correct answer: C. To avoid working over a raised rail

Explanation: A raised rail interferes with the worker’s access to the client. Lowering the nearby rail provides workable access.

Why A is wrong: Laundry is unrelated to this step.
Why B is wrong: The rail position is not a circulation intervention.
Why D is wrong: Foot exposure occurs through positioning and linen adjustment.

#4. Which sequence describes a serious complication of a deep-leg blood clot?

Correct answer: D. The clot breaks loose, travels through the bloodstream, and lodges in the lungs

Explanation: A thrombus may form in a deep leg vein, break loose, travel through the bloodstream, and lodge in a distant vessel. If it reaches the lungs, severe respiratory problems or death may result.

Why A is wrong: Stocking looseness is not the identified complication of a travelling thrombus.
Why B is wrong: The serious progression involves travel through the bloodstream to a distant vessel.
Why C is wrong: Movement into the foot is not the described progression.

#5. Which method safely secures the end of an elastic bandage?

Correct answer: D. Use Velcro, tape, or a clip while preventing pressure on the clip

Explanation: The bandage is secured using Velcro, tape, or a clip as appropriate. The wrapped area should not press against a clip because pressure may injure underlying tissue.

Why A is wrong: Pressure on the clip is specifically avoided.
Why B is wrong: A securing device should not create pressure beneath the wrapped area.
Why C is wrong: Velcro is itself an appropriate securing method when present.

#6. Which statement correctly compares a stocking that is too tight with one that is too large?

Correct answer: A. A tight stocking constricts circulation, while an oversized stocking does not effectively support venous return

Explanation: Proper sizing matters in both directions. A stocking that is too tight restricts circulation, while one that is too large does not provide the intended support for venous blood flow.

Why B is wrong: The major distinctions are circulation restriction and reduced effectiveness.
Why C is wrong: Excessive tightness is not presented as beneficial.
Why D is wrong: The effects are reversed.

#7. Which sequence correctly follows exposure of the area for elastic bandaging?

Correct answer: C. Ensure the area is clean and dry, orient the roll, start at the smallest part, make two turns, then spiral upward

Explanation: Skin preparation comes first. The bandage is then oriented correctly, anchored at the smallest part with two turns, and continued upward in overlapping spiral turns.

Why A is wrong: Wrapping does not begin before skin preparation and anchoring.
Why B is wrong: Cleaning and roll orientation occur before anchoring.
Why D is wrong: The area is checked before the bandage is applied.

#8. What does an asterisk beside certain procedure steps indicate?

Correct answer: C. The step might not apply in community settings

Explanation: Steps marked with an asterisk are identified as steps that do not always apply in community settings.

Why A is wrong: The notation does not restrict the step to hospitals.
Why B is wrong: The notation is tied to setting rather than client preference alone.
Why D is wrong: The notation does not assign the step to a supervisor.

#9. A bandage becomes damp and wrinkled after application. Which guideline applies?

Correct answer: D. Reapply the bandage and continue circulation monitoring

Explanation: A loose, wrinkled, moist, or soiled bandage should be reapplied. Colour and temperature of the extremity are checked every hour.

Why A is wrong: A moist and wrinkled bandage meets the stated criteria for reapplication.
Why B is wrong: The guideline calls for reapplication rather than correcting only one visible wrinkle.
Why C is wrong: Circulation monitoring does not depend solely on reported discomfort.

#10. Which set reflects the quality-of-life principles promoted during these procedures?

Correct answer: B. Dignity, independence, individualized care, preferences, privacy, and safety

Explanation: These six principles guide advocacy for the client’s quality of life during both procedures.

Why A is wrong: Efficiency, speed, and routine are not part of the identified six principles.
Why C is wrong: Diagnosis and efficiency do not belong to the identified set.
Why D is wrong: Scheduling and productivity are not included.

#11. Which group of findings should be reported and recorded after applying anti-embolic stockings?

Correct answer: D. Skin colour and temperature, swelling, skin breakdown, and sensory complaints

Explanation: Post-application observations include skin colour and temperature, leg and foot swelling, signs of skin breakdown, and complaints of pain, tingling, or numbness.

Why A is wrong: These are procedure or equipment details rather than the stated observation set.
Why B is wrong: These do not match the specified post-application findings.
Why C is wrong: These items do not represent the required observation group.

#12. Which supplies should be collected before applying an elastic bandage?

Correct answer: D. The directed elastic bandage and tape or clips unless the bandage uses Velcro

Explanation: The elastic bandage is selected as directed by the care plan. Tape or metal clips are collected unless the bandage has Velcro, and collecting supplies before starting avoids leaving the client unnecessarily.

Why A is wrong: The bandage is not chosen without direction.
Why B is wrong: A compression stocking is not the listed supply for this procedure.
Why C is wrong: Needed equipment is collected before the procedure begins.

#13. Which set contains only quality-of-life principles identified for these procedures?

Correct answer: A. Dignity, preferences, and privacy

Explanation: Dignity, preferences, and privacy all belong to the identified quality-of-life principles. The distractors each add a workflow concept that is not part of the listed set.

Why B is wrong: Efficiency is not one of the identified principles.
Why C is wrong: Speed is not one of the identified principles.
Why D is wrong: Productivity is not one of the identified principles.

#14. Which three sources of direction are specifically named for safe anti-embolic stocking application?

Correct answer: D. Employer policy, manufacturer instructions, and the client’s care plan

Explanation: Safe stocking application requires the worker to know and follow all three named sources of direction. None replaces the others.

Why A is wrong: Coworker advice is not one of the three identified sources.
Why B is wrong: Room routine is not one of the stated sources.
Why C is wrong: Coworker preference does not replace employer policy.

#15. Why are anti-embolic stockings applied before the client gets out of bed?

Correct answer: C. Sitting or standing promotes leg swelling and makes application harder

Explanation: Stockings are applied in the morning before the client gets out of bed. Sitting or standing allows the legs to swell, which makes the stockings harder to put on.

Why A is wrong: Warming the stockings is not the reason for morning application.
Why B is wrong: The client is not directed to stay supine for the entire day.
Why D is wrong: The purpose is to apply them before swelling develops, not to remove them before sitting.

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