356 Chapter 17 Safe Resident Handling, Moving, and Transfers _______________________________________________________

Mosby’s Textbook for Long-Term Care Nursing Assistants, 6th edition

Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Sorrentino

CHAPTER 17: TEST BANK

Date: Name:

1. Moving the person from one place to another is A. A transfer B. Logrolling C. Lifting D. Handling

2. What is it called when two surfaces rub together? A. Friction B. Shearing C. Ergonomics D. Pressure

3. A resident is turned as a unit, in alignment, with one motion. This is A. Body mechanics B. Logrolling C. Ergonomics D. Safety

4. A resident has slid down in bed. Her skin sticks to the bed while her muscles move down. This is A. Shearing B. Friction C. Ergonomics D. Logrolling

5. When you have to turn, re-position, or transfer a person, you must use A. A transfer belt B. A lift sheet C. A mechanical lift D. Your body correctly

6. Older persons have fragile bones and joints. To prevent injury when moving these persons, do all of the following except A. Move the person as quickly as possible B. Always have help C. Move the person carefully D. Keep the person in good alignment

7. Friction and shearing can lead to A. Back injuries B. Infection and pressure ulcers C. Poor posture and body mechanics D. Difficulty breathing

8. You can reduce friction and shearing by A. Rolling the person B. Using a transfer belt C. Positioning the person in Fowler’s position D. Sliding the person

9. To prevent work-related injuries, OSHA recommends that A. You work alone when possible B. You hold the person under the arms during transfers C. Manual lifting be eliminated whenever possible D. You schedule harder tasks late in your shift

10. For safe resident handling, moving, and transfers, the nurse and health team determine all of the following except A. The resident’s dependence level B. What procedure to use C. The equipment needed D. If family is available to help

11. Before moving a person in bed, you need all of the following information from the nurse and the care plan except A. How to use body mechanics B. What procedure to use C. Position limits or restrictions D. If the person uses bed rails

12. Good planning before moving or lifting a person in bed involves all of the following except A. Deciding how you will move the person B. Asking a co-worker to help you C. Planning how to protect drainage tubes D. Doing necessary recording before you complete the task

13. You need to move a resident up in bed. To prevent a work-related injury, you A. Raise the side rail B. Use a transfer belt C. Raise the bed for body mechanics D. Lower the bed to the floor

14. Before moving a person up in bed, you need to A. Put non-skid footwear on the person B. Lock the bed wheels C. Apply a transfer belt D. Raise the head of the bed

15. Before moving, positioning, or transferring a person, you need to A. Explain to the person what you are going to do B. Apply a transfer belt C. Ask a co-worker to help you D. Move the person to the middle of the bed

16. Some underpads are used as assist devices. For a safe lift, the underpad must A. Be strong enough to support the person’s weight B. Extend from the person’s shoulders to above the knees C. Be 2 feet wide D. Be a disposable, single-use underpad

17. A resident is recovering from spinal surgery. You need to move the person to the side of the bed. What procedure is the best to use? A. Moving the person in segments B. Using an assist device C. Logrolling D. Moving the person with the assistance of 2 staff members

_____________________________________________________ Chapter 17 Safe Resident Handling, Moving, and Transfers 357

Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Sorrentino

Mosby’s Textbook for Long-Term Care Nursing Assistants, 6th edition

18. When moving a person in segments, you first move the A. Legs and feet B. Middle of the body C. Upper part of the body D. Head

19. A resident is recovering from spinal surgery. You need to re-position the person onto her right side. Which procedure is preferred? A. Moving the person in segments B. Using a trapeze C. Logrolling D. Using a mechanical lift

20. A resident is 90 years old and has arthritis. You need to move the resident to the side of the bed. Which method is best? A. A mechanical lift B. Moving the person in segments C. The method the person wants to use D. The method you are most comfortable with

21. How many workers are needed to logroll a person safely? A. At least 1 B. 2 or 3 C. 3 or 4 D. At least 4

22. When a person is logrolled, the person is A. Moved in segments B. Moved with the spine straight C. Turned toward you D. Turned away from you

23. To dangle means to A. Hang in the air B. Sit on the side of the bed C. Use a mechanical lift D. Be transferred to a stretcher

24. The nurse asks you to dangle a resident. Before you do so, you need all of the following information except A. Which side is strong and which side is weak B. How long the person needs to dangle C. How to use good body mechanics D. What observations to report and record

25. Problems with sitting and balance often occur after illness, injury, surgery, and bedrest. A. True B. False

26. You assist a resident to dangle. When the person complains of dizziness, you should A. Call for help B. Tell the person to take deep breaths C. Help the person lie down D. Have the person move the legs back and forth and in

circles 27. The nurse asks you to transfer a resident to a wheelchair.

Before transferring the person, the nurse and care plan should tell you all of the following except A. What procedure to use B. What are the resident’s areas of weakness C. What equipment is needed D. How to protect the person’s privacy

28. For a bed to wheelchair transfer, the person needs to wear A. Slippers B. Socks C. Panty hose D. Non-skid footwear

29. To prevent falls during transfers, the wheelchair, bed, shower chair, and stretcher wheels must A. Be fully inflated B. Be locked C. Not squeak D. Be clean

30. A resident has weakness on her left side. You are transferring her from the bed to the wheelchair. Where should you position the wheelchair? A. Next to the bed on her left side B. Next to the bed on her right side C. At the foot of the bed D. At the head of the bed

31. When are stand and pivot transfers used? A. If the person requests it B. If the person is not able to assist C. If a mechanical lift is not available D. As directed by the person’s care plan

32. When transferring a person, first move the A. Person’s strong side B. Person’s weak side C. Side closest to you D. Person’s right side

33. A transfer belt is not needed to transfer a resident from the bed to a chair. For the transfer, how should you hold onto the person? A. Have the person put her arms around your waist. B. Have the person put her arms around your neck. C. Place your hands under the person’s arms and around her

shoulder blades. D. Hold the person’s weak arm while she supports herself

with her strong arm. 34. You are going to transfer a resident from the wheelchair

back to bed. Where should you position the wheelchair? A. On the person’s strong side B. On the person’s weak side C. Where it was when the person was transferred from the

bed to the wheelchair D. Wherever the person prefers

35. A mechanical lift is used to transfer a resident to the wheelchair. What must you do before using the lift? A. Clean it. B. Read the manufacturer’s instructions. C. Apply a transfer belt. D. Apply an assist device.

36. Which type of lift sling is used for a person with extra large thighs? A. A standard full sling B. An extended length sling C. A bathing sling D. An amputee sling

358 Chapter 17 Safe Resident Handling, Moving, and Transfers _______________________________________________________

Mosby’s Textbook for Long-Term Care Nursing Assistants, 6th edition

Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Sorrentino

37. How many workers are needed to safely transfer a person using a mechanical lift? A. Just 1 B. At least 2 C. At least 3 D. At least 4

38. The nursing center has a new mechanical lift. Which statement is correct? A. If you used the old model, you know how to use the new

one. B. All mechanical lifts are the same. C. You need to be trained in its use. D. The new one is safer to use.

39. You are going to transfer a resident from the wheelchair to the toilet. Which statement is incorrect? A. The person needs an elevated toilet seat. B. The person uses the grab bars by the toilet for support. C. The wheelchair is positioned in front of the toilet. D. The wheelchair brakes are locked.

40. After transferring a person to the toilet, you should A. Close the bathroom door and stay in their room near the

bathroom B. Close the bathroom door and leave the room C. Stay in the bathroom with the person D. Leave the room

41. After the resident finishes eliminating, before transferring back to the wheelchair, you need to A. Assist with wiping, perineal care, flushing, and hand

washing B. Apply a transfer belt and position the wheelchair for a safe

transfer C. Ask what the person observed about the urine and/or

bowel movement D. Practice hand hygiene

42. Stretchers are used to transfer all of the following persons except those who A. Are incontinent B. Cannot sit up C. Must stay in a lying position D. Are seriously ill

43. How many workers are needed for safe stretcher transfers? A. Just 1 B. 2 or 3 C. 3 or 4 D. At least 4

44. When are the safety straps applied during a stretcher transfer? A. When the stretcher is positioned next to the bed B. After the person’s ID bracelet is checked C. Before the person is transferred to the stretcher D. After the person is transferred to the stretcher

45. When can you leave a person on a stretcher unattended? A. After the safety straps are on B. After the side rails are raised C. After the person is transported D. Never

46. Which is used to transfer a person from the bed to a stretcher? A. An assist device B. Transfer belt C. Mechanical lift D. Pillows

47. A resident has slid down in the wheelchair. The person can follow directions and assist with re-positioning. Which action is unsafe? A. You lock the wheelchair wheels. B. You position the person’s feet flat on the floor. C. You apply a transfer belt. D. You stand behind the wheelchair.

48. A resident has slid down in the wheelchair. The person cannot assist with re-positioning. To safely re-position the person A. A mechanical lift is used B. 1 worker is needed C. 2 workers and an assist device are needed D. At least 3 workers are needed