When transferring a patient from a wheelchair into bed, which actions will the nurse take?

Instruct the patient to push off the locked wheelchair to stand

Hold the patient away from the nurse’s uniform

Secure the gait belt just below the patient’s hips

Raise the bed up above the nurse’s waist

Answer and Explanation

Correct Answer : A,C

Choice A reason: Instructing the patient to push off the locked wheelchair provides stability and safety during transfer. Locking the wheelchair prevents movement and reduces fall risk.

Choice B reason: Holding the patient away from the nurse’s uniform is not a therapeutic or safety-based action. The focus should be on secure handling, not uniform contact.

Choice C reason: Securing the gait belt just below the patient’s hips ensures proper leverage and support during transfer. It allows the nurse to guide movement safely and reduces strain on both patient and caregiver.

Choice D reason: Raising the bed above the nurse’s waist increases risk of injury to the nurse and makes transfer unsafe. The bed should be adjusted to a safe height for both patient and caregiver.

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Correct Answer is A

Explanation

Choice A reason: This is the correct explanation because contact isolation is designed to break the chain of infection. C-Diff spores are highly contagious and can spread through direct or indirect contact. Isolation prevents transmission to other patients, staff, and visitors by enforcing strict infection control measures such as gown and glove use.

Choice B reason: This statement is incorrect because contact isolation is not primarily to protect the patient from infection. The patient already has C-Diff; the purpose is to prevent spreading it to others.

Choice C reason: This statement is incorrect because isolation does not decrease the time needed for patient care. In fact, it often increases the time required due to additional precautions and PPE use.

Choice D reason: This statement is incorrect because both nurses and nursing assistants can provide care under contact isolation, as long as they follow proper infection control protocols. Restricting care to nurses only is unnecessary and impractical.

A. The patient received insulin, but they are not a diabetic or have an order B. The patient does not feel ready to be discharged to home C. The patient refuses to take a prescribed medication D. The patient has received the medication of another patient E. The patient fell out of bed

Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Administering insulin to a patient who is not diabetic or does not have an order is a medication error. Incident reports are required to document errors, analyze causes, and prevent recurrence.

Choice B reason: A patient not feeling ready for discharge is a subjective concern, not an incident. This should be addressed through care planning and communication, not an incident report.

Choice C reason: Patient refusal of medication is a patient right and does not constitute an incident. It should be documented in the chart but does not require an incident report.

Choice D reason: Administering another patient’s medication is a serious medication error that requires an incident report. This ensures accountability and corrective action.

Choice E reason: A patient falling out of bed is a safety event that must be documented in an incident report. Falls are tracked for quality improvement and prevention strategies.

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When transferring a patient from a wheelchair into bed, which actions will the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining contact isolation to a patient with C-Diff and the patient’s spouse. What explanation best describes the reasoning for using contact isolation?

Correct Answer is A

Explanation

Which of the following situations would warrant an incident report? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

When transferring a patient from a wheelchair into bed, which actions will the nurse take?

A nurse is caring for a 72-year-old client whose spouse died unexpectedly two days ago. The client is tearful and says, "I don't know how I'm going to live without him." Which of the following is the most therapeutic response by the nurse?

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A hospital is auditing the number of catheter-associated urinary tract infections (CAUTIs) in the hospital over the last two years. What is the primary reason for the hospital to perform this audit?

The student nurse is caring for a patient newly diagnosed with Clostridium Difficile (C-Diff). The student requires more education when they make which statement?

A nurse is doing infection control observations for the unit’s safety committee. Which of the following actions increase the transmission of infection? (Select all that apply)

The physician gives the LPN an order to administer a bag of Packed Red Blood Cells (PRBCs) to a patient with a low hemoglobin. According to the Nurse Practice Act, which action by the LPN is correct?

The UAP (Unlicensed Assistive Personnel) has just completed taking vital signs. She notifies the nurse of the results. Based on these results with adult patients, which patient would the nurse be most concerned about?