Nokea
Which assistive device would you use after a patient had fallen to help him or her return to bed?
- A. A slide board
- B. A slide sheet
- C. A transfer belt
- D. A battery-operated lift
Correct Answer: D
Rationale: A battery-operated lift safely assists a fallen patient back to bed, minimizing injury risk.
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Describe a patient who is most at risk for skin breakdown as a result of immobility and being confined to a wheelchair.
- A. A young patient with no comorbidities
- B. An elderly patient with diabetes and poor nutrition
- C. A patient with frequent repositioning
- D. A patient with good skin integrity
Correct Answer: B
Rationale: Elderly patients with diabetes and poor nutrition are at high risk due to impaired healing and circulation.
How will you provide stability as you assist a patient to stand before you begin ambulation?
- A. Place a gait belt around the patient's shoulders.
- B. Place your feet in front of the patient's feet and your knees against the patient's knees.
- C. Have the patient use a walker to stand but not while he or she ambulates.
- D. Place a rolled blanket in front of the patient's feet to prevent slipping.
Correct Answer: B
Rationale: Positioning feet and knees against the patient's provides stability and prevents falls during standing.
If a patient is able to bear partial weight but not full weight, which type of assistive device would you select to transfer him from the bed to the wheelchair?
- A. Slide board
- B. Transfer belt
- C. Mechanical lift
- D. Cane
Correct Answer: B
Rationale: A transfer belt supports partial weight-bearing patients during safe transfers.
When you care for your assigned patient with paralysis of both legs, you are concerned about skin breakdown. Which nursing interventions would you use?
- A. Reposition him every 4 hours while he is in bed.
- B. Inspect bony prominences for redness every 2 hours. If found, massage around the area but not on it.
- C. Dry skin thoroughly but gently after cleansing it with mild soap.
- D. Pat bony prominences with fluffy towels to relieve pressure points.
- E. Provide adequate nutrition so that the tissue can repair itself.
Correct Answer: B,C,E
Rationale: Repositioning every 2 hours (not 4) prevents pressure ulcers; inspecting bony prominences and providing nutrition support skin integrity. Massaging red areas can worsen damage, and patting with towels doesn't relieve pressure effectively.
A newly admitted patient with a diagnosis of right-sided weakness resulting from cerebrovascular attack puts on her light and asks for assistance to the bathroom. You have not yet assessed this patient's transfer abilities. What will you do?
- A. Ask the certified nursing assistant (CNA) assigned to the patient to carefully assist her to the bedside commode.
- B. Tell the CNA that the patient has right-sided weakness but can transfer with minimal assistance.
- C. Ask the CNA to accompany you and together transfer the patient to the bedside commode.
- D. Ask the CNA to assist the patient with a bed pan until you have time to get an order for a lift for her.
Correct Answer: C
Rationale: Assessing transfer abilities with assistance ensures safety, as the patient's capabilities are unknown.