119. CCA Practice Quiz: Intravenous Therapy, Safety, and Support Worker Care

IV therapy questions often ask you to separate similar ideas and choose the best response in a care situation. This quiz focuses on IV terminology, catheter safety, complication recognition, supportive care, and Nova Scotia CCA role limits. Expect direct knowledge, comparison, application, safety, reporting, and role-judgment questions drawn from the larger question bank.

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#1. A client receiving an enteral feeding is able to walk. Which action best supports independence?

Correct answer: C. Encourage independence and use a portable IV pole to hold the feeding bag during walking.

Explanation: Independence is encouraged whenever possible. A portable IV pole holding the feeding bag supports walking during a feeding for a client who is able to ambulate.

Why A is wrong: This does not support the stated independence goal.
Why B is wrong: The client is described as able to walk during feeding with the stated equipment.
Why D is wrong: It does not support the client’s active independence.

#2. Which pair of needs best fits central venous therapy?

Correct answer: C. Large fluid volumes and long-term IV therapy

Explanation: Central venous sites support administration of large fluid amounts and long-term IV therapy. The other choices describe supportive care rather than reasons for central venous access.

Why A is wrong: These are care needs, not central-access indications.
Why B is wrong: These activities do not determine central venous use.
Why D is wrong: These supportive measures apply to care but do not define why central access is used.

#3. Which description best matches a PICC?

Correct answer: D. Inserted through a cephalic or basilic arm vein and advanced toward the subclavian vein or superior vena cava

Explanation: A PICC begins in a peripheral arm vein, such as the cephalic or basilic vein, then advances toward a central location.

Why A is wrong: Internal jugular insertion describes a central venous site rather than the stated PICC route.
Why B is wrong: This reverses the direction of the PICC pathway.
Why C is wrong: A PICC advances toward central circulation rather than remaining only peripheral.

#4. Which action set best matches the support worker’s IV role?

Correct answer: A. Assist with hygiene and activity needs without starting or maintaining the infusion

Explanation: The support worker helps with hygiene and activity while leaving IV initiation and maintenance outside the standard support-worker responsibility described here. The distinction separates supportive care from management of the infusion.

Why B is wrong: Adjusting the infusion moves beyond the stated support role.
Why C is wrong: Restarting an infusion is not part of the stated support-worker role.
Why D is wrong: Changing the IV solution is not part of the stated support-worker role.

#5. In Nova Scotia, when does extended practice or delegation support an intervention outside the standard CCA framework?

Correct answer: B. When required conditions such as employer approval, training, competency verification, documented instructions, and clinical oversight are met

Explanation: Extended practice or delegation is conditional rather than automatic. Several requirements work together, including employer approval, training, verified competency, documented instructions, and clinical oversight.

Why A is wrong: Employer approval alone does not satisfy the full framework.
Why C is wrong: Training alone does not satisfy all required conditions.
Why D is wrong: Personal confidence does not replace the formal requirements.

#6. Which two veins are central venous sites located close to the heart?

Correct answer: C. Subclavian and internal jugular

Explanation: The subclavian and internal jugular veins are central venous sites close to the heart. Cephalic and basilic veins are arm veins associated with PICC insertion.

Why A is wrong: Both are arm veins used for peripheral insertion of a PICC.
Why B is wrong: Only the subclavian vein belongs to the central-site pair.
Why D is wrong: Only the internal jugular vein belongs to the central-site pair.

#7. What does hyperalimentation provide?

Correct answer: D. A highly concentrated nutrient solution

Explanation: Hyperalimentation refers to giving a solution with a high concentration of nutrients.

Why A is wrong: Hydration does not define hyperalimentation.
Why B is wrong: Blood products are a separate IV therapy.
Why C is wrong: Medication administration does not define hyperalimentation.

#8. Which group contains only systemic IV complication signs?

Correct answer: B. Chest pain, nausea, confusion

Explanation: Chest pain, nausea, and confusion are systemic findings. The other choices mix systemic findings with local IV-site changes.

Why A is wrong: Pain at the IV site is local.
Why C is wrong: Leaking fluid is local.
Why D is wrong: Site swelling is local.

#9. During home care, which response best protects an IV catheter?

Correct answer: A. Avoid actions near the insertion point that might dislodge it, and report redness immediately.

Explanation: Care around the insertion site must protect the catheter from dislodgement. Redness around the site requires immediate reporting.

Why B is wrong: Redness does not need to progress to swelling before reporting.
Why C is wrong: The support worker should not reposition the catheter.
Why D is wrong: Delaying the report does not match the required response.

#10. Where is an IV most commonly placed?

Correct answer: D. Lower arm or back of the hand

Explanation: The lower arm and back of the hand are identified as the most common IV sites.

Why A is wrong: The internal jugular is a central venous site.
Why B is wrong: The subclavian is a central venous site.
Why C is wrong: The upper chest is not the stated common peripheral IV location.

#11. Which situation best describes infiltration?

Correct answer: C. IV fluid enters surrounding tissue after the needle or cannula leaves the vein.

Explanation: Infiltration occurs when IV fluid flows into the tissues surrounding the vein. Movement of the needle or cannula out of the vein creates this risk and also might stop normal flow.

Why A is wrong: This describes bleeding after dislodgement rather than infiltration.
Why B is wrong: Infiltration involves fluid entering tissue, not flow stopping with correct placement.
Why D is wrong: An irregular pulse is a systemic complication sign.

#12. In Nova Scotia, what should a CCA do when an intervention is beyond the CCA’s training or capabilities?

Correct answer: D. Stay within occupational standards and employer policies, and contact the relevant health care provider.

Explanation: A CCA does not move beyond occupational standards, employer policies, training, or capability. When an intervention exceeds those limits, the relevant health care provider is contacted.

Why A is wrong: Client agreement does not expand the CCA’s authorized role.
Why B is wrong: Another worker’s experience does not expand this CCA’s training or authority.
Why C is wrong: Independent decision-making does not replace the stated role limits.

#13. Which approach protects IV equipment while a client walks?

Correct answer: A. Protect the bag, tubing, and IV device, and roll the portable stand beside the client.

Explanation: Ambulation requires protection of the IV bag, tubing, and needle or cannula. A portable IV stand moves beside the client.

Why B is wrong: The entire IV setup needs protection.
Why C is wrong: Stretching the tubing increases the risk of pulling on the device.
Why D is wrong: The stand is rolled along with the client rather than pulled away from the setup.

#14. Which set contains settings where IV therapy is provided?

Correct answer: A. Hospital, outpatient, subacute, long-term care, and home care

Explanation: IV therapy occurs across hospital, outpatient, subacute, long-term care, and home care settings.

Why B is wrong: Dental clinics and pharmacies are not part of this specified set.
Why C is wrong: School and pharmacy settings do not match the specified set.
Why D is wrong: Dental clinic and school replace two of the identified care settings.

#15. Which description best matches a central venous catheter?

Correct answer: B. A long catheter inserted by a physician into a central vein, with the tip advanced to the superior vena cava or right atrium

Explanation: A central venous catheter is a long catheter inserted into a central vein by a physician. Its tip is advanced to the superior vena cava or right atrium.

Why A is wrong: This describes peripheral insertion followed by central advancement, as with a PICC.
Why C is wrong: This describes a common peripheral IV location.
Why D is wrong: This describes mobility equipment rather than vascular access.

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