Question 1

The nurse assists the patient with transferring from bed to chair by using a transfer belt.Which is the first instruction that the nurse gives to the patient after properly positioning him or her?

Accepted Answer

A)   "Place your arms around my neck to stand up."
B)   "Bend both knees slightly when standing up."
C)   "Hold the transfer belt for stability during transfer."
D)   "Rock to help stand while pushing up with your hands."

Question 2

The nurse is preparing to place a patient in the Sim's position.What action should the nurse take during the positioning?

Accepted Answer

A)   Place a pillow under both knees.
B)   Put a footboard against both feet.
C)   Insert a pillow under the flexed upper arm.
D)   Straighten the arms at the patient's sides.

Question 3

The nurse and an assistant are moving a dependent patient from the supine to the lateral position.Which should the nurse implement to begin repositioning?

Accepted Answer

A)   Support the upper arm and leg with pillows.
B)   Move the patient away from the center toward a side of the bed.
C)   Elevate the patient's head with two or three pillows.
D)   Wedge a pillow under the abdomen and chest.

Question 4

The nurse is teaching other caregivers about using a mechanical lift.What does the nurse include in the instructions focusing on patient safety?

Accepted Answer

A)   Place the base of the lift under the side of the bed.
B)   Use the longer chains to support the patient's torso.
C)   Ask the patient to hold the head up while in the sling.
D)   Instruct the patient to hold the chains during the transfer.

Question 5

A nurse has assessed several patients using the Banner Mobility Assessment Tool (BMAT) .Which actions by the nurse are appropriate for the patient's BMAT results? (Select all that apply.)

Accepted Answer

A)   Patient failed Sit and Shake: use sit-to-stand lift
B)   Patient failed Stretch and Point: assess patient's weight-bearing ability
C)   Patient is reluctant to participate: ask patient about ability to stand
D)   Patient passes Stand: ask patient to march in place
E)   Patient passes Walk: assess for stability and safety awareness

Question 6

While the nurse is attempting to transfer a patient to a standing position, the patient cannot get off the bed.Which is the initial intervention for the nurse to implement?

Accepted Answer

A)   Return the patient to a safe position on the bed.
B)   Put a second transfer belt on the patient.
C)   Get additional personnel to help with the transfer.
D)   Assess the patient for unknown weakness.

Question 7

The nurse successfully transfers a patient from the bed to the chair and back.What information does the nurse to include in the progress notes? (Select all that apply.)

Accepted Answer

A)   The visitors involved in assisting the patient to transfer
B)   Home care instructions for the patient about transferring
C)   The patient's blood pressure before and after each transfer
D)   A description of the patient's response to each transfer
E)   Presence of NAP needed for transfer purposes

Question 8

The nurse wants to transfer a patient from the bed to the chair by using a mechanical lift.The patient has difficulty following directions, and the nurse cannot find help.Which is the most important action for the nurse to implement?

Accepted Answer

A)   Assure the patient that the lift is safe.
B)   Use two safety chains on a canvas sling.
C)   Delay the transfer until help is found.
D)   Double-check the wheel locks on the lift.

Question 9

The patient with a hemiparesis is very hesitant to transfer from the bed to the chair.Which action does the nurse take first to accomplish the transfer?

Accepted Answer

A)   Explain how the transfer of the patient will be done safely.
B)   Ask questions about how the patient usually transfers.
C)   Document that the patient declined help for the transfer.
D)   State that the health care provider ordered a transfer.

Question 10

The nurse teaches the caregiver to maintain the patient's safety when transferring to a chair.Which teaching does the nurse include to address the weakness of the patient's right side?

Accepted Answer

A)   Place the chair to the patient's right side after sitting the patient on the edge of the bed.
B)   Place the chair to the patient's left side after sitting the patient on the edge of the bed.
C)   Place the chair wherever the patient wants it after sitting the patient on the edge of the bed.
D)   Place the chair wherever it's most convenient for the caregiver after sitting the patient on the edge of the bed.

Question 11

A nursing student is preparing to ambulate a patient using a transfer belt.Which action by the student requires intervention from the faculty member?

Accepted Answer

A)   Places the belt under the patient's arms.
B)   Ensures the belt fits snugly.
C)   Holds the belt with palms facing upward.
D)   Rocks back and forth with patient before standing.

Question 12

A patient who is weak but motivated after surgery is going to ambulate for the first time.Which nursing intervention is most likely to facilitate patient safety?

Accepted Answer

A)   Ask the patient if this weakness has occurred before.
B)   Obtain a full set of vital signs after ambulating the patient.
C)   Encourage the patient to hold onto a staff member in the hall.
D)   Assess the patient for any potential cause of weakness or dizziness before ambulating.Assist patient in changing positions slowly.

Question 13

A patient's physical mobility is impaired because of paralysis of both lower extremities.Which is the best method for the nurse to use to place the patient in semi-Fowler's position?

Accepted Answer

A)   Help the patient push up in bed by bending his or her knees.
B)   Raise the head of the bed (HO
B)   to 45 degrees and pull the patient to it.
C)   Roll the patient to one side using pillows to support his or her back.
D)   Pull the patient to the (HO
B)   using a drawsheet and then raise the HOB.

Question 14

While transferring a patient who has been bedridden for several weeks, the nurse notes that the patient becomes fatigued rapidly.What assessment data does the nurse expect to find to validate the patient's changing status?

Accepted Answer

A)   Increased pulse and increased respirations
B)   Decreased pulse and increased respirations
C)   Increased pulse and decreased respirations
D)   Decreased pulse and decreased respirations

Question 15

The patient's nurse is directing staff who are moving a patient onto a stretcher with a slide board.Two nurses are positioned on the side of the stretcher.Where is the third nurse positioned?

Accepted Answer

A)   On the side of the stretcher
B)   At the head of the bed
C)   At the foot of the bed
D)   On the side of the bed without the stretcher

Question 16

Which of the following patients are at higher risk of complications from improper positioning? (Select all that apply.)

Accepted Answer

A)   Post hip fracture who has osteoarthritis
B)   Has a COPD exacerbation
C)   A patient who is paraplegic
D)   Suffered a stroke last week
E)   The patient with Alzheimer disease A, C, D, E

Question 17

The nurse is caring for a patient after a motor vehicle crash and instructs the patient to avoid turning independently because the spine is unstable.What explanation of bed mobility does the nurse provide the patient?

Accepted Answer

A)   "We will use a ceiling lift to get you out of bed."
B)   "Several staff will logroll you to change position."
C)   "You have to remain on your back until your spine is stable."
D)   "Physical therapy will get you out of bed in the morning." B

Question 18

After 3 hours in the supine position, an older patient reports being stiff and too uncomfortable to move.Which intervention is most appropriate?

Accepted Answer

A)   Find an assistant to help move the patient to lateral position now.
B)   Express concern about the discomfort and encourage turning.
C)   Assess the patient's need for pain medication before repositioning.
D)   Explain how important repositioning is for preventing pneumonia.

Question 19

The nurse transfers the patient from the bed to the chair using a mechanical lift.Which should the nurse do before leaving the patient's room to ensure patient safety?

Accepted Answer

A)   Remove the sling from under the patient.
B)   Document patient response to the transfer.
C)   Secure the nurse call system within the patient's reach.
D)   Return the base of the lift to its original position. C

Question 20

The nurse is transferring a patient and he or she sustains an injury during the transfer.What steps must the nurse take? (Select all that apply.)

Accepted Answer

A)   Stay with the patient.
B)   Notify the health care provider.
C)   Complete an occurrence report per agency policy.
D)   Evaluate the incident.
E)   Provide supportive care to the patient.

Exam 17: Safe Patient Handling

The nurse assists the patient with transferring from bed to chair by using a transfer belt.Which is the first instruction that the nurse gives to the patient after properly positioning him or her?

Correct AnswerverifiedShow Answer

The nurse is preparing to place a patient in the Sim's position.What action should the nurse take during the positioning?

Correct AnswerverifiedShow Answer

The nurse and an assistant are moving a dependent patient from the supine to the lateral position.Which should the nurse implement to begin repositioning?

Correct AnswerverifiedShow Answer

The nurse is teaching other caregivers about using a mechanical lift.What does the nurse include in the instructions focusing on patient safety?

Correct AnswerverifiedShow Answer

A nurse has assessed several patients using the Banner Mobility Assessment Tool (BMAT) .Which actions by the nurse are appropriate for the patient's BMAT results? (Select all that apply.)

Correct AnswerverifiedShow Answer

While the nurse is attempting to transfer a patient to a standing position, the patient cannot get off the bed.Which is the initial intervention for the nurse to implement?

Correct AnswerverifiedShow Answer

The nurse successfully transfers a patient from the bed to the chair and back.What information does the nurse to include in the progress notes? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse wants to transfer a patient from the bed to the chair by using a mechanical lift.The patient has difficulty following directions, and the nurse cannot find help.Which is the most important action for the nurse to implement?

Correct AnswerverifiedShow Answer

The patient with a hemiparesis is very hesitant to transfer from the bed to the chair.Which action does the nurse take first to accomplish the transfer?

Correct AnswerverifiedShow Answer

The nurse teaches the caregiver to maintain the patient's safety when transferring to a chair.Which teaching does the nurse include to address the weakness of the patient's right side?

Correct AnswerverifiedShow Answer

A nursing student is preparing to ambulate a patient using a transfer belt.Which action by the student requires intervention from the faculty member?

Correct AnswerverifiedShow Answer

A patient who is weak but motivated after surgery is going to ambulate for the first time.Which nursing intervention is most likely to facilitate patient safety?

Correct AnswerverifiedShow Answer

A patient's physical mobility is impaired because of paralysis of both lower extremities.Which is the best method for the nurse to use to place the patient in semi-Fowler's position?

Correct AnswerverifiedShow Answer

While transferring a patient who has been bedridden for several weeks, the nurse notes that the patient becomes fatigued rapidly.What assessment data does the nurse expect to find to validate the patient's changing status?

Correct AnswerverifiedShow Answer

The patient's nurse is directing staff who are moving a patient onto a stretcher with a slide board.Two nurses are positioned on the side of the stretcher.Where is the third nurse positioned?

Correct AnswerverifiedShow Answer

Which of the following patients are at higher risk of complications from improper positioning? (Select all that apply.)

Correct AnswerverifiedA, C, D, E

The nurse is caring for a patient after a motor vehicle crash and instructs the patient to avoid turning independently because the spine is unstable.What explanation of bed mobility does the nurse provide the patient?

Correct AnswerverifiedB

After 3 hours in the supine position, an older patient reports being stiff and too uncomfortable to move.Which intervention is most appropriate?

Correct AnswerverifiedShow Answer

The nurse transfers the patient from the bed to the chair using a mechanical lift.Which should the nurse do before leaving the patient's room to ensure patient safety?

Correct AnswerverifiedC

The nurse is transferring a patient and he or she sustains an injury during the transfer.What steps must the nurse take? (Select all that apply.)

Correct AnswerverifiedShow Answer

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A, C, D, E

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B

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C

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