14. CCA Practice Quiz: Pressure Injuries, Risks, Signs, Prevention, and Care

Pressure-injury questions often ask you to separate close terms, compare stages and equipment, and choose the best response in care situations. You will see direct knowledge, comparisons, application, observation, reporting, procedure, safety, and role judgment. The goal is to check how well you recognize the tested ideas and apply them in CCA situations.

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Results

You passed, great job!

You showed solid understanding across the pressure-injury risks, prevention, equipment, stages, and CCA role decisions tested in this attempt. If any questions felt uncertain, review those areas, then try another attempt for a different selection from the question bank.

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Review the explanations, look at the questions you missed, then try again. Mistakes show you what to study next.

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#1. What determines how often a client should be repositioned?

Correct answer: A. The care plan, with schedules varying by client, including examples such as every 2 hours or every 15 minutes

Explanation: Repositioning schedules are client-specific and belong in the care plan. Some clients require repositioning at least every 2 hours, while others require it every 15 minutes.

Why B is wrong: The schedule is not identical for every client.
Why C is wrong: Fifteen minutes is an example for some clients, not a universal schedule.
Why D is wrong: Mattress type does not replace the client-specific repositioning schedule.

#2. Which description best explains friction and its effect on skin?

Correct answer: C. Skin rubs against another surface, becomes scraped, and develops an entry route for microbes

Explanation: Friction is resistance created when skin rubs another surface. Scraping damages the skin, and the resulting wound provides a route of entry for microbes. Healing depends on good blood flow and avoiding infection.

Why A is wrong: This describes shearing.
Why B is wrong: This describes pressure.
Why D is wrong: This describes a high-risk skin-fold environment.

#3. Which comparison correctly describes pressure-injury risk related to body build?

Correct answer: D. Obese clients face skin-to-skin friction risk, while thin clients face bony-area contact risk

Explanation: Skin-to-skin friction raises risk in obese clients. In thin clients, two bony areas such as the knees or ankles might contact each other directly.

Why A is wrong: It reverses the body-build mechanisms.
Why B is wrong: These factors do not describe the specific body-build comparison.
Why C is wrong: Both groups face broader pressure-injury risks than these restricted descriptions suggest.

#4. Which approach matches the described care for a large breast and moist skin folds?

Correct answer: C. Use cloth or gauze to reduce moisture and friction when no bra is worn, and consult before trying barrier cream

Explanation: Cloth or gauze under a large breast helps reduce moisture and friction when a bra is not worn. Barrier cream is used on washed and dried skin in some situations, with consultation before trying it.

Why A is wrong: Barrier cream follows washing and drying rather than replacing those steps.
Why B is wrong: The cloth or gauze example applies when a bra is not worn, and consultation matters before trying barrier cream.
Why D is wrong: Moisturizer in a skin fold conflicts with the moisture-control guidance.

#5. Which group contains pressure-injury risk factors related to health and awareness?

Correct answer: B. Poor nutrition, altered awareness, reduced pain or pressure sensation, circulatory problems

Explanation: Poor nutrition, altered mental awareness, reduced ability to sense pain or pressure, and circulatory problems all increase pressure-injury risk.

Why A is wrong: Only altered awareness matches the full risk grouping.
Why C is wrong: Poor nutrition matches, but the remaining characteristics do not.
Why D is wrong: Altered awareness matches, but the other characteristics do not.

#6. In Nova Scotia, which action best reflects a CCA observational point of care assessment of skin integrity?

Correct answer: C. Make ongoing observations before, during, and after care, and escalate changes needing attention to the supervisor in line with the care plan

Explanation: The CCA’s observational point of care assessment involves ongoing observation before, during, and after care. Skin integrity is included, and concerns needing attention are escalated to the supervisor in alignment with the care plan.

Why A is wrong: Comprehensive evaluation and care-planning decisions belong outside the CCA observational role described here.
Why B is wrong: Observation occurs throughout care rather than only afterward.
Why D is wrong: Ongoing observation remains part of the CCA role.

#7. Which sequence best explains how pressure over a bony prominence damages tissue?

Correct answer: C. Tissue is squeezed, blood flow falls, oxygen and nutrients decrease, and tissue dies

Explanation: Pressure squeezes tissue between the bone and another hard surface. Reduced blood flow deprives cells of oxygen and nutrients, which leads to tissue death.

Why A is wrong: It combines separate skin-risk factors without the pressure mechanism.
Why B is wrong: Friction and pressure are different mechanisms, and the sequence does not match pressure-related tissue damage.
Why D is wrong: Skin-fold contact does not describe compression between a bony prominence and another surface.

#8. Which statement best describes pressure points?

Correct answer: A. Bony prominences that bear body weight in certain positions

Explanation: Pressure points are bony prominences that support body weight in particular positions. Their location and weight-bearing role increase their importance in pressure-injury prevention.

Why B is wrong: This describes why skin folds face increased risk.
Why C is wrong: This describes a setting where friction occurs.
Why D is wrong: This describes the mechanism of shearing.

#9. Which description best matches a Stage 3 pressure injury?

Correct answer: B. Skin is gone, underlying tissue is exposed and damaged, and drainage might occur

Explanation: Stage 3 includes loss of skin with exposed and damaged underlying tissue. Drainage might be present.

Why A is wrong: This matches Stage 1.
Why C is wrong: This matches Stage 2.
Why D is wrong: Exposed muscle and bone belong to Stage 4.

#10. Which description best identifies high-risk skin-fold areas and their risk?

Correct answer: B. Under breasts, abdominal folds, legs or buttocks, and between toes stay warm and moist, which raises infection risk

Explanation: Skin folds often stay warm and moist because of perspiration and limited exposure to air. Added moisture from lotions increases infection risk in these areas, and infection contributes to pressure-sore development.

Why A is wrong: These are mainly bony areas, and the stated moisture mechanism does not match skin folds.
Why C is wrong: This combines bony sites with an unsupported moisture relationship.
Why D is wrong: It does not identify the listed skin-fold areas or their moisture-related risk.

#11. Which description correctly explains bed-cradle use and top-sheet handling?

Correct answer: D. The frame keeps top sheets off the legs and feet, with sheet placement adjusted for warmth, preference, and drafts

Explanation: A bed cradle is a frame placed over the client so top sheets do not press on the legs and feet. Sheets might be folded back when the client is too warm, tucked and mitered at the bottom when preferred, and tucked at the sides to reduce drafts and chilling.

Why A is wrong: The cradle supports the top bedding rather than the mattress.
Why B is wrong: Raising the heels describes other equipment, and sheet handling depends on the situation.
Why C is wrong: Elbow protection is a separate device purpose.

#12. How should pillows or other directed devices support heel pressure relief?

Correct answer: A. Keep the heels off the bed, with support under the lower legs from mid-calf to ankle

Explanation: Heel pressure relief keeps the heels off the bed. Directed pillows or devices go under the lower legs from mid-calf to ankle.

Why B is wrong: Direct pressure under the heel conflicts with keeping the heel off the bed.
Why C is wrong: The described support area extends from mid-calf to ankle.
Why D is wrong: Toe support does not match the stated placement.

#13. Which massage approach matches pressure-injury prevention guidance?

Correct answer: C. Give a back massage after repositioning, avoid bony and reddened areas, and massage around redness instead

Explanation: A back massage follows repositioning. Bony areas and pressure points are not massaged, and reddened areas are never rubbed or massaged. The skin around a reddened area is the area identified for massage.

Why A is wrong: Bony areas and pressure points are specifically excluded.
Why B is wrong: Reddened areas are not rubbed or massaged.
Why D is wrong: The guidance includes a back massage after repositioning and still excludes pressure points.

#14. How should a previously healed pressure-injury area be treated during prevention?

Correct answer: B. Recognize continuing redevelopment risk, watch it closely, and keep following prevention measures

Explanation: An area with a previous pressure injury remains at risk even after healing. It deserves particular attention together with continued preventive measures.

Why A is wrong: Healing does not remove the ongoing risk.
Why C is wrong: Prevention continues after healing.
Why D is wrong: Previously injured areas still deserve special attention.

#15. Which description best matches shearing?

Correct answer: D. Skin stays against a surface while deeper tissues move downward

Explanation: Shearing occurs when skin remains against a surface while deeper tissue moves downward. This movement tears and damages tissue.

Why A is wrong: This describes pressure.
Why B is wrong: This describes a form of friction.
Why C is wrong: This describes an effect of skin damage, not shearing itself.

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