59. CCA Practice Quiz: Preventing Bed Rest and Immobility Complications Through Positioning and Exercise

Bed rest and immobility questions often ask you to separate related terms, restrictions, devices, and exercise types. You will also work through applied questions about safe ROM, position changes, activity programs, reporting, documentation, and CCA workplace responsibilities. Expect a mix of direct knowledge, comparisons, procedures, and judgment questions.

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#1. Which option correctly matches extension, flexion, and hyperextension?

Correct answer: C. Extension straightens, flexion bends, hyperextension straightens excessively.

Explanation: Extension means straightening, flexion means bending, and hyperextension means excessive straightening.

Why A is wrong: It reverses extension and flexion and mislabels hyperextension.
Why B is wrong: Hyperextension is not inward rotation.
Why D is wrong: Turning upward and downward describe supination and pronation.

#2. Which description best explains proper footboard use and the problem it helps prevent?

Correct answer: B. The soles rest flush against the board in standing-like alignment to help prevent nonreversible footdrop.

Explanation: Footdrop is permanent plantar flexion and is nonreversible. Proper footboard positioning keeps the soles flush against the board, maintains standing-like foot alignment, and also helps keep linens off the feet.

Why A is wrong: Proper placement does not leave the feet away from the board.
Why C is wrong: The goal is to prevent persistent plantar flexion.
Why D is wrong: The footboard supports foot position and also helps lift linens from the feet.

#3. Why are activity programs important in long-term-care facilities?

Correct answer: D. They support joint and muscle movement, circulation, social contact, and mental stimulation.

Explanation: Recreational activities exercise joints and muscles and stimulate circulation. They also create social opportunities and mental stimulation. In most provinces, activity programs form part of long-term-care licensing requirements.

Why A is wrong: Recreational activity does not replace prescribed ROM.
Why B is wrong: The benefits are broader than entertainment.
Why C is wrong: Physical, social, and mental benefits are all described.

#4. Which finding best matches progression of orthostatic hypotension?

Correct answer: A. Dizziness, weakness, or spots before the eyes, followed in some cases by syncope

Explanation: Dizziness, weakness, and spots before the eyes are associated with the blood-pressure drop. Syncope means a brief loss of consciousness or fainting, and slow position changes help reduce the risk.

Why B is wrong: This fits contracture more closely.
Why C is wrong: This relates to foot positioning.
Why D is wrong: This fits deconditioning or muscle atrophy more closely.

#5. Which group consists of examples of active-ROM play for children?

Correct answer: B. Kicking a soft ball, pat-a-cake movements, wastebasket basketball, and finger or hand video games

Explanation: Play promotes active ROM in children. Kicking a soft object, movement games such as pat-a-cake, simple basketball, and finger or hand video games all fit the examples.

Why A is wrong: These activities do not match the supplied movement-focused examples.
Why C is wrong: These are positioning supports rather than play activities.
Why D is wrong: These are monitoring and reporting activities.

#6. Which statement best describes deconditioning?

Correct answer: A. Loss of muscle size, strength, and function from inactivity or immobility, with older clients affected more quickly

Explanation: Deconditioning involves loss of muscle size, strength, and function from inactivity or immobility. It occurs at any age, although older clients become deconditioned more quickly.

Why B is wrong: This describes contracture rather than deconditioning.
Why C is wrong: This describes syncope associated with orthostatic hypotension.
Why D is wrong: This describes footdrop.

#7. In Nova Scotia, a CCA encounters dizziness during care that includes position changes. Which approach best reflects the CCA role?

Correct answer: C. Collect permitted data, follow reporting and escalation directions, and stay within employer-defined procedures.

Explanation: Nova Scotia CCA practice includes vital-sign measurement, data collection, and documentation within Care Plan Application. Reporting and escalation follow directions identified by a regulated health care professional, while employer scope and procedures govern workplace duties.

Why A is wrong: The CCA does not independently create reporting, escalation, or future-care directions.
Why B is wrong: Required reporting directions still apply when observations occur.
Why D is wrong: Entry-level competency does not override employer-defined scope.

#8. Which statement about an unexercised joint at risk for contracture is most accurate?

Correct answer: A. Contracture might develop within 48 to 72 hours and become fixed and irreversible.

Explanation: An unmoved and unexercised muscle and joint might develop contracture within 48 to 72 hours. The shortened muscle becomes fixed, deformed, unable to stretch, and the contracture is irreversible.

Why B is wrong: Contracture formation is not described as dependent on prior muscle wasting.
Why C is wrong: The absence of pain does not make a contracture reversible.
Why D is wrong: A contracted muscle becomes fixed and deformed.

#9. A client performs part of a joint movement but needs help completing it. Which ROM type fits?

Correct answer: B. Active-assistive ROM

Explanation: Active-assistive ROM uses as much client participation as possible. The support worker assists with the part the client is unable to perform.

Why A is wrong: Passive ROM does not involve client participation.
Why C is wrong: Active ROM is completed independently.
Why D is wrong: This is not a ROM classification.

#10. Which care approach best combines measures used to reduce bed-rest complications?

Correct answer: C. Encourage permitted limb movement, maintain alignment, reposition at least every two hours, and follow ROM directions.

Explanation: Prevention includes movement according to the care plan, good body alignment, repositioning at least every two hours, and care-plan-directed ROM exercises.

Why A is wrong: Repositioning is scheduled according to the care plan, not only in response to discomfort.
Why B is wrong: Correct positioning and planned repositioning remain important.
Why D is wrong: ROM is part of prevention when included in the care plan.

#11. What is the main purpose of a bed board?

Correct answer: A. Support the mattress to reduce sagging and help position the bed sections

Explanation: A bed board sits under the mattress and prevents sagging. Its sections also support raising the head and foot of the bed.

Why B is wrong: A bed cradle or footboard serves this purpose.
Why C is wrong: A trochanter roll addresses outward rotation.
Why D is wrong: Hand rolls or splints address hand positioning.

#12. Which description best matches bed rest with commode privileges?

Correct answer: A. Selected ADLs and bedside-commode use are permitted, with assistance determined by the care plan.

Explanation: Commode privileges permit specified ADLs and use of a bedside commode. The care plan identifies whether assistance is required.

Why B is wrong: This fits strict bed rest more closely.
Why C is wrong: Bathroom use fits bathroom privileges.
Why D is wrong: Activity permissions come from the care plan.

#13. Which statement best describes the possible extent of contractures?

Correct answer: C. They affect many joints, including the limbs, neck, and spine, and might cause permanent deformity and disability.

Explanation: Common contracture sites include the fingers, wrists, elbows, toes, ankles, knees, and hips. The neck and spine are also affected, and permanent deformity and disability might result.

Why A is wrong: The possible sites and consequences are broader.
Why B is wrong: Contractures are not limited to the spine and hips.
Why D is wrong: Upper-limb joints are common sites as well.

#14. Which approach best protects privacy and follows ROM instructions?

Correct answer: A. Exercise only instructed joints and expose only the body part being exercised.

Explanation: ROM is limited to the joints identified in the instructions. Only the body part being exercised should be exposed.

Why B is wrong: Nearby joints are not automatically included.
Why C is wrong: Only instructed joints are exercised.
Why D is wrong: The worker does not independently decide which joints require exercise.

#15. A resident wants to attend an activity but needs help getting there and joining in. What is the support worker’s role?

Correct answer: D. Provide the needed assistance with attendance and participation.

Explanation: Residents might need help getting to activities and taking part. The support worker provides assistance as needed.

Why A is wrong: Assistance needs do not require replacing the resident’s choice.
Why B is wrong: The resident’s need for help does not remove access to the activity.
Why C is wrong: The worker does not rank the value of the resident’s chosen activity.

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