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How can you be certain that the wheels of a stretcher are locked before transferring a patient?
- A. Press the foot lock and announce loudly that the wheels are locked.
- B. Physically attempt to move the stretcher, even if you have locked the wheels.
- C. Bend down on one knee to ensure that the red lever is up and the green one is down.
- D. Assign one person to hold the stretcher in place while the patient is transferred.
Correct Answer: B
Rationale: Physically attempting to move the stretcher confirms that the wheels are locked, ensuring safety during patient transfer.
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When you assist a patient to a left lateral position, where will you place the additional pillows?
- A. Under the knees
- B. Between the knees and ankles and at the back
- C. At the right lateral thigh
- D. At the soles of the feet and at the back
Correct Answer: B
Rationale: Pillows between knees and ankles and at the back maintain alignment and comfort in the left lateral position.
You and an unlicensed assistive personnel (UAP) are preparing to turn an immobile patient from her back to her right side. Which of the following actions will you take first?
- A. Place a pillow between her knees and ankles.
- B. Cross the patient's left leg over her right leg.
- C. Move the patient to the left side of the bed.
- D. Externally rotate the patient's right shoulder.
Correct Answer: C
Rationale: Moving the patient to the left side of the bed first provides space for safe turning to the right side.
Which position will you use for a patient in severe respiratory distress?
- A. Lithotomy
- B. Dorsal recumbent
- C. Orthopneic
- D. Semi-Fowler's
Correct Answer: C
Rationale: The orthopneic position maximizes chest expansion, aiding breathing in severe respiratory distress.
To perform perineal care, you will place the patient in which position?
- A. Dorsal recumbent
- B. Trendelenburg
- C. Reverse Trendelenburg
- D. Sims'
Correct Answer: A
Rationale: The dorsal recumbent position provides optimal access for perineal care while maintaining patient comfort.
When you prepare to turn a patient who has had spinal surgery, you will plan to
- A. Have a total of three health-care staff assist with the turn.
- B. Have the patient assist by using a trapeze bar.
- C. Have each person turn a section of the patient's body at a separate time.
- D. Logroll the patient.
- E. Have one person at the patient's head to direct the turn.
Correct Answer: A,D,E
Rationale: Logrolling with three staff, one directing at the head, ensures spinal alignment and safety post-surgery.