When transferring a patient from the bed to the wheelchair, the nurse will do which of the following?

Ensure that the wheelchair is unlocked and can easily move.

Keep a narrow base of support when assisting the patient.

Position the bed so the patient’s feet are flat on the floor.

Limit the patient’s movement during the transfer.

Answer and Explanation

The Correct Answer is C

Choice A reason: This is incorrect because the wheelchair must be locked before transfer to prevent movement and ensure patient safety. An unlocked wheelchair increases the risk of falls and injury.

Choice B reason: This is incorrect because a wide base of support, not a narrow one, is essential for stability during transfers. A narrow base increases the risk of losing balance.

Choice C reason: This is the correct action because positioning the bed so the patient’s feet are flat on the floor ensures stability and proper body mechanics during transfer. It reduces the risk of falls and helps the patient maintain balance.

Choice D reason: This is incorrect because limiting the patient’s movement is not appropriate. Patients should be encouraged to participate in transfers to the extent possible, which promotes independence and safety.

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Correct Answer is B

Explanation

Choice A reason: This instruction is inappropriate because using one washcloth for the entire body increases the risk of cross-contamination and infection. Different washcloths should be used for different areas, especially the face and perineal region, to maintain hygiene and prevent spread of microorganisms.

Choice B reason: This is the correct instruction because massaging reddened areas can worsen tissue damage and increase the risk of pressure injuries. UAPs should be taught to avoid massaging compromised skin and instead report any findings to the nurse. This demonstrates safe and evidence-based practice.

Choice C reason: This instruction is unsafe because UAPs should not disconnect IV tubing. Handling IV lines requires nursing knowledge and skill to prevent infection, dislodgement, or medication errors. This task is outside the UAP’s scope of practice.

Choice D reason: This instruction is incorrect because the patient’s face should be washed with plain water, not soap, to avoid irritation of sensitive facial skin. Soap can cause dryness or discomfort.

A. “The patient is experiencing new onset dyspnea and chest pain.” B. “The patient has a history of heart failure.” C. “I will send the patient to the ED via 911.” D. “The patient is currently alert and oriented.”

Correct Answer is A

Explanation

Choice A reason: The “S” in ISBAR stands for Situation, which describes the immediate problem or concern. Reporting new onset dyspnea and chest pain directly communicates the urgent situation requiring physician attention.

Choice B reason: A history of heart failure belongs in the “Background” section of ISBAR, not the situation. Background provides context but does not describe the current issue.

Choice C reason: Stating that the patient will be sent to the ED is part of “Recommendation,” not situation. Recommendation outlines the next steps or requests.

Choice D reason: Reporting that the patient is alert and oriented is part of “Assessment,” not situation. Assessment describes the patient’s current status after evaluation.

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When transferring a patient from the bed to the wheelchair, the nurse will do which of the following?

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Naxlex Comprehensive Predictor Exams

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