CCS CCS Mobility & Physical Activity Support 2 — Questions and Answers
Question 1: Which sign during exercise or activity should prompt a care specialist to stop and report to the supervising clinician?
- Mild perspiration
- Slightly increased breathing rate
- Chest pain or pressure during activity (Correct answer)
- Client reports feeling warm
Correct answer: Chest pain or pressure during activity
Chest pain or pressure during physical activity is a medical emergency and activity must be stopped immediately with the supervising clinician notified.
Question 2: When transferring a client from a bed to a wheelchair, where should the wheelchair be positioned?
- At the foot of the bed, facing away
- On the client's stronger side at a 45-degree angle to the bed (Correct answer)
- On the client's weaker side directly parallel to the bed
- Across the room to encourage the client to walk
Correct answer: On the client's stronger side at a 45-degree angle to the bed
Positioning the wheelchair on the client's stronger side at a 45-degree angle allows the client to use their stronger limb to pivot safely during the transfer.
Question 3: Which of the following is a key safety check before assisting a client to walk with a walker?
- Confirm the walker tips are worn down for grip
- Check that all four rubber tips are intact and the walker is the correct height (Correct answer)
- Remove the walker's rubber tips on smooth floors
- Adjust the walker height to be above the client's waist
Correct answer: Check that all four rubber tips are intact and the walker is the correct height
Intact rubber tips prevent slipping, and correct walker height (handles at wrist level when arms hang naturally) ensures safe posture and weight distribution.
Question 4: Range-of-motion (ROM) exercises are performed by a care specialist primarily to:
- Build muscle mass in immobile clients
- Prevent joint stiffness and maintain flexibility in clients with limited mobility (Correct answer)
- Replace physical therapy sessions entirely
- Increase the client's walking speed
Correct answer: Prevent joint stiffness and maintain flexibility in clients with limited mobility
ROM exercises maintain joint flexibility, prevent contractures, and improve circulation in clients who have limited mobility.
Question 5: A client is prescribed passive range-of-motion exercises. What is the care specialist's role in this activity?
- Encourage the client to move their own limbs with verbal cues only
- Move the client's limbs through their range of motion for them (Correct answer)
- Have the client resist movement to build strength
- Document exercises without performing them
Correct answer: Move the client's limbs through their range of motion for them
Passive ROM means the care specialist moves the client's limbs for them because the client cannot do so independently.
Question 6: What is the most important reason for locking wheelchair brakes before assisting a client to transfer?
- To prevent the client from self-propelling
- To keep the wheelchair stationary and prevent it from rolling during transfer (Correct answer)
- To signal to others that a transfer is in progress
- To protect the wheelchair's wheels from wear
Correct answer: To keep the wheelchair stationary and prevent it from rolling during transfer
Locking the wheelchair brakes keeps it stationary during the transfer, preventing it from rolling and causing the client to fall.
CCS CCS Mobility & Physical Activity Support 2
Which sign during exercise or activity should prompt a care specialist to stop and report to the supervising clinician?