16. CCA Practice Quiz: Wound Healing, Complications, Drainage, and Observation

Wound healing questions often ask you to separate close terms, compare complications, and decide what observations or reporting matter in a CCA role. You will work through healing phases and methods, drainage and drainage systems, wound observations, complications, and role boundaries. Expect direct knowledge, comparisons, observation, application, and judgment questions.

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#1. What is hemorrhage?

Correct answer: A. Excessive loss of blood within a short period

Explanation: Hemorrhage means excessive blood loss over a short period. It occurs internally or externally and becomes life-threatening if bleeding does not stop.

Why B is wrong: A collection of blood under the skin and tissues is a hematoma.
Why C is wrong: Insufficient blood supply to organs and tissues describes shock.
Why D is wrong: Separation along a surgical suture line describes dehiscence.

#2. What affects the amount of drainage produced during injury and early wound healing?

Correct answer: A. Wound size and location, plus the presence of bleeding or infection

Explanation: Fluid and cells escape from tissues during injury and the inflammatory phase. Drainage amount ranges from small to large depending on wound size, wound location, bleeding, and infection.

Why B is wrong: Those factors do not match the stated influences on drainage amount.
Why C is wrong: The drainage amount is linked with additional wound factors.
Why D is wrong: Dressing coverage alone does not determine the stated amount.

#3. What is dehiscence?

Correct answer: A. Separation of wound layers along a surgical suture line

Explanation: Dehiscence is the rupture or sudden separation of wound layers along a surgical suture line. The separation ranges from the skin layer to deeper tissues.

Why B is wrong: Protrusion of abdominal organs describes evisceration.
Why C is wrong: Collected blood beneath the skin and tissues is a hematoma.
Why D is wrong: Thick coloured drainage describes purulent drainage.

#4. Which description best matches a Penrose drain?

Correct answer: B. An open rubber tube that drains onto a dressing

Explanation: A Penrose drain is an open rubber tube that allows drainage onto a dressing. A physician inserts a drain when large amounts of drainage are expected, and an open Penrose drain acts as a potential portal for microbes.

Why A is wrong: That describes a feature of closed drainage systems.
Why C is wrong: A collecting receptacle is associated with closed drainage.
Why D is wrong: Hemovac and Jackson-Pratt are examples of closed suction systems.

#5. Which change best describes the maturation phase of wound healing?

Correct answer: C. Scar tissue strengthens, then becomes thinner and paler.

Explanation: During maturation, scar tissue gains strength. It starts red and raised, then gradually becomes thinner and paler than the surrounding skin.

Why A is wrong: Bleeding control and scab formation occur during the inflammatory phase.
Why B is wrong: Rapid cell multiplication occurs during the proliferative phase.
Why D is wrong: Separated wound edges describe secondary intention.

#6. Which drainage pattern best matches purulent drainage?

Correct answer: B. Thick and yellow, green, or brown

Explanation: Purulent drainage is thick and is yellow, green, or brown. It might have a foul odour and might indicate infection.

Why A is wrong: Clear watery drainage is serous.
Why C is wrong: Thin watery blood-tinged drainage is serosanguineous.
Why D is wrong: Bloody drainage is sanguineous.

#7. Which observation belongs specifically to wound location assessment?

Correct answer: C. Where the wound is and whether more than one wound exists

Explanation: Wound location assessment includes identifying the body area and determining whether the client has more than one wound. Other observations describe wound appearance, odour, or surrounding tissues.

Why A is wrong: Tissue swelling belongs to surrounding-skin and tissue observation.
Why B is wrong: Wound-edge status belongs to wound appearance.
Why D is wrong: Drainage odour is assessed separately.

#8. After blood seepage through a cast is reported, what might the CCA be instructed to do?

Correct answer: D. Mark the seepage outline and report any further drainage.

Explanation: The CCA might receive instructions to mark the outline of blood seepage through the cast or dressing and report further drainage. The client is also monitored for blood-loss signs such as low blood pressure and a high pulse rate.

Why A is wrong: Cast replacement and direct wound measurement are not identified as the CCA’s instructed task.
Why B is wrong: The CCA observes and reports rather than selecting treatment.
Why C is wrong: Removing the covering is not the described response.

#9. Which comparison correctly matches the two stated ways a nurse measures wound drainage?

Correct answer: D. Dressings by amount and saturation, closed systems by fluid in the collecting receptacle

Explanation: Drainage on dressings is judged through the number and size of affected dressings, the amount and type of drainage, saturation, location, and layers involved. With closed drainage, the amount in the collecting receptacle is measured.

Why A is wrong: Suction pressure and wound size are not the two stated drainage-measurement methods.
Why B is wrong: Skin colour and dressing thickness do not describe these measurement approaches.
Why C is wrong: Wound depth and odour strength are different observations.

#10. Which group of findings most strongly points to internal hemorrhage?

Correct answer: D. Shock, vomiting blood, coughing blood, and loss of consciousness

Explanation: Internal hemorrhage is hidden inside tissues or body cavities. Shock, vomiting blood, coughing up blood, and loss of consciousness are warning signs.

Why A is wrong: Those findings fit inflammation during early wound healing.
Why B is wrong: Drainage, pain, tenderness, and fever fit wound infection.
Why C is wrong: Wound separation and a popping sensation fit dehiscence.

#11. Which statement best describes sanguineous drainage?

Correct answer: A. It is bloody drainage, and a large amount raises concern for hemorrhage.

Explanation: Sanguineous drainage is bloody. Its amount and colour matter, and a large amount raises suspicion of hemorrhage.

Why B is wrong: That description fits serous drainage.
Why C is wrong: That description fits serosanguineous drainage.
Why D is wrong: That description fits purulent drainage.

#12. A wound is hidden beneath a fresh cast or bulky dressing. What observation remains part of the CCA’s responsibility?

Correct answer: C. Observe the wound area and report blood seeping through the cast or dressing.

Explanation: A hidden wound still requires observation of the surrounding area. Blood seeping through a freshly applied cast or dressing needs reporting to the nurse.

Why A is wrong: A hidden wound does not remove the responsibility to observe the area.
Why B is wrong: The CCA reports visible concerns even when the wound itself is covered.
Why D is wrong: Marking seepage occurs only if the CCA receives that instruction.

#13. Which statement gives the broadest accurate description of wound contamination?

Correct answer: B. Contamination occurs during or after injury or surgery, and trauma often produces contaminated wounds.

Explanation: Wound contamination occurs during or after injury or surgery. Trauma often causes contaminated wounds, while surgical wounds become contaminated either during or after surgery.

Why A is wrong: It is accurate but does not include surgical contamination.
Why C is wrong: It identifies one valid time for surgical contamination but omits other possibilities.
Why D is wrong: It identifies another valid time but remains incomplete.

#14. Which description best matches healing by secondary intention?

Correct answer: D. A contaminated wound is cleaned, left gaping, and heals naturally over time.

Explanation: Secondary intention is used for contaminated and infected wounds. Dead tissue is removed, the wound edges remain apart, healing takes longer, a larger scar forms, and infection risk is high.

Why A is wrong: Immediate closure with wound edges together describes primary intention.
Why B is wrong: Open healing followed by later closure describes tertiary intention.
Why C is wrong: Scar strengthening describes maturation rather than a type of wound closure.

#15. Which pair contains one medication-related healing risk and one disease-related healing risk?

Correct answer: C. Warfarin use and diabetes

Explanation: Warfarin is a medication associated with prolonged bleeding, while diabetes is a medical condition associated with increased infection risk. Both factors affect wound healing in different ways.

Why A is wrong: Smoking and poor diet are lifestyle factors.
Why B is wrong: Age and wound location affect healing, but neither is a medication.
Why D is wrong: Circulatory disease is a medical condition, while smoking is a lifestyle factor.

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