17. CCA Practice Quiz: Wound Dressings, Dressing Changes, and Support Worker Responsibilities

Wound dressing questions often ask you to separate close choices and apply care procedures in the right context. Expect comparisons, procedure-sequence questions, application, and role judgment. You will work with dressing purposes and materials, skin protection, infection prevention, observation, reporting, documentation, and CCA role boundaries without turning the quiz into a study lesson.

Start the Quiz!

 

Results

You passed, great job!

Your result shows strong understanding of the dressing-care material tested in this attempt. If any questions felt uncertain, review that area, then try another attempt for a different selection from the question bank.

You’re not there yet, but you’re getting practice.

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

Need a refresher before retaking it? Study this topic here.

#1. What should a Nova Scotia CCA do when an intervention exceeds their training or capabilities?

Correct answer: D. Contact the relevant health care provider

Explanation: When an intervention goes beyond the CCA’s training or capabilities, the relevant health care provider should be contacted. The CCA should not independently change or proceed with an intervention beyond those limits.

Why A is wrong: Client agreement does not remove the CCA’s training and capability limits.
Why B is wrong: Another CCA’s approval does not replace contact with the relevant health care provider.
Why C is wrong: The CCA should not independently redesign an intervention that exceeds their capabilities.

#2. Which situation meets the stated Nova Scotia conditions for delegation to a CCA?

Correct answer: D. The task is employer-approved, care-planned, person-specific, and supported by training, competency verification, and supervision

Explanation: Delegation requires several conditions to be met together. Employer approval, inclusion in the care plan, specificity to the person or situation, required training, verified competency, and supervision all matter.

Why A is wrong: Client request and previous observation do not satisfy the delegation conditions.
Why B is wrong: Workplace familiarity and coworker agreement do not replace the required conditions.
Why C is wrong: General instructional content and available supplies do not establish delegation.

#3. Which approach may help a child feel more comfortable with a dressing change?

Correct answer: A. Have the child practise applying and removing a dressing on a doll

Explanation: Practising with a doll may reduce fear and apprehension. A favourite toy and supportive caregiver involvement may also provide comfort.

Why B is wrong: The child does not need to be forced to look at the wound.
Why C is wrong: A favourite toy may help comfort the child.
Why D is wrong: A caregiver may hold the child so the wound remains accessible.

#4. Which action correctly begins removal of the old gauze dressing?

Correct answer: A. Start with the top dressing and keep the soiled surface out of the client’s sight

Explanation: The top dressing is removed first, and its soiled surface is kept away from the client’s view. This supports an orderly procedure and reduces unnecessary anxiety.

Why B is wrong: The top layer is removed first, and the soiled surface is kept out of view.
Why C is wrong: Dressing removal should be controlled and gentle.
Why D is wrong: The clean tray is opened after the soiled dressing is removed.

#5. Why is maintaining intact skin important?

Correct answer: B. Intact skin is the body’s first line of defence against pathogens

Explanation: Intact skin provides an important physical defence against pathogens. Preventing injury and breakdown is easier than dealing with a skin infection after damage occurs.

Why A is wrong: Skin condition still requires observation.
Why C is wrong: Intact skin does not guarantee that all infection is prevented.
Why D is wrong: Skin integrity does not replace hygiene.

#6. Which observation about a client’s dressing should be reported?

Correct answer: C. The dressing has become contaminated with bodily fluid

Explanation: Dressings should remain clean and free from bodily fluids such as urine or feces. Pertinent contamination or changes should be reported.

Why A is wrong: This describes the desired condition of the dressing.
Why B is wrong: Being free from bodily fluids is the desired condition.
Why D is wrong: A secure dressing describes appropriate maintenance rather than the problem tested.

#7. Which approach fits nail-care precautions for a client with diabetes?

Correct answer: C. Avoid nail care and report redness or an ingrown toenail

Explanation: Nail care should not be performed when the client has diabetes or when the care plan says to avoid it. Some clients require a professional with specialized foot-care training.

Why A is wrong: Diabetes itself triggers the stated nail-care precaution.
Why B is wrong: Another worker’s presence does not change the restriction.
Why D is wrong: Soaking does not remove the stated restriction on nail care.

#8. How are the small gauze squares prepared for wound cleansing?

Correct answer: A. Place several near the centre of the tray or wrapper using the supplied forceps

Explanation: Five or six small gauze squares are placed near the centre using the supplied forceps. The outer 2.5 cm of the wrapper is treated as contaminated.

Why B is wrong: The outer edge is regarded as contaminated.
Why C is wrong: The bed is not the clean preparation surface described.
Why D is wrong: Gloves from the contaminated removal phase have already been discarded.

#9. Which response best supports a client struggling emotionally with a serious wound?

Correct answer: A. Use compassionate communication and cooperate with the wider health care team

Explanation: A client may feel sad, angry, fearful, or concerned about appearance and function. Gentle, compassionate communication and cooperation with other involved professionals support adjustment and rehabilitation.

Why B is wrong: Emotional concerns should not be dismissed or isolated from team support.
Why C is wrong: Wounds can have major emotional and social effects.
Why D is wrong: Serious wounds can affect body image and self-esteem.

#10. Which statement best describes support-worker involvement with simple nonsterile dressings?

Correct answer: D. Some employers permit trained support workers to apply simple dry nonsterile dressings to simple wounds

Explanation: A supervisor may ask a support worker to assist with dressing changes, and some employers permit simple dry nonsterile dressing application to simple wounds. Permission still depends on role requirements and direction.

Why A is wrong: Permission is not automatic or universal.
Why B is wrong: Client preference does not establish the worker’s authorized role.
Why C is wrong: Previous experience alone does not establish authority.

#11. Why are old drainage and dried blood removed during wound cleansing?

Correct answer: A. They may provide a source for infection

Explanation: The small gauze squares are used to cleanse away old drainage and dried blood. Leaving this material behind may contribute to infection risk.

Why B is wrong: Tape adhesion is not the reason for leaving wound debris.
Why C is wrong: Old drainage and dried blood are not retained to manage moisture.
Why D is wrong: They do not function as a protective barrier.

#12. Which skin-care approach best reduces the risk of skin breakdown?

Correct answer: A. Keep skin clean and dry, avoid irritating powder, and pat the skin dry after rinsing

Explanation: Clean, dry skin is less likely to harbour pathogens. Thorough rinsing and gentle patting protect fragile skin, while powders and rough drying can create additional problems.

Why B is wrong: Powder may over-dry skin or irritate the airway, and firm rubbing can damage fragile skin.
Why C is wrong: Skin should be rinsed and dried appropriately after washing.
Why D is wrong: Rough towel drying can tear frail skin.

#13. After recognizing possible pain, which information is most useful to gather for reporting?

Correct answer: A. Location, amount, intensity, aggravating factors, and cause

Explanation: Pain reporting should include specific information about where the pain occurs, its amount and intensity, what worsens it, and its cause when this information is available. These details make the report more useful.

Why B is wrong: These details do not describe the pain itself.
Why C is wrong: Only the location directly matches the stated pain information.
Why D is wrong: Intensity fits, but the other details do not describe the required pain characteristics.

#14. Which wound-cleansing technique matches the procedure?

Correct answer: C. Use one long stroke down the middle from top to bottom and discard the used gauze

Explanation: Cleansing begins with a long top-to-bottom stroke down the middle. The used gauze is discarded after the stroke to limit pathogen spread.

Why A is wrong: Used gauze should not be returned to the wound.
Why B is wrong: Cleansing moves from the centre outward rather than from outside inward.
Why D is wrong: Back-and-forth scrubbing does not match the described stroke technique.

#15. What does edema mean?

Correct answer: B. Fluid accumulation causing tissue swelling

Explanation: Edema is swelling caused by accumulated fluid in the tissues. It is one of the abnormal skin findings that should be reported and recorded.

Why A is wrong: Localized tissue death describes necrotic tissue.
Why C is wrong: Skin loss from scraping describes an abrasion.
Why D is wrong: Separation of the skin layers describes a skin tear.

Previous
Finish