Ch.17 Assisting With Repositioning And + Test Bank + Answers

Test Generator Questions, Chapter 17, Assisting With Repositioning and Transferring

Format:  Multiple Response

Chapter Number:  17

Client Needs:  Physiological Integrity: Basic Care and Comfort

Cognitive Level:  Understand

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  360, Assisting With Repositioning

1. Which situation(s) contributes to a person’s inability to reposition without help? Select all that apply.

A) Pain

B) Fever

C) Nausea

D) Surgery

E) Paralysis

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  360, Assisting With Repositioning

2. The nursing assistant is caring for a client on bedrest. Which observation should the nursing assistant report to the nurse immediately? The client:

A) ate 75% of their lunch and drank all their fluids.

B) has a newly developed reddened area on the coccyx.

C) repositions with assistance of one every 2 hours.

D) has performed leg exercises once a shift.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  360, Assisting With Repositioning

3. Which statement(s) is true regarding the complications of immobility? Select all that apply.

A) Pressure ulcers are a rare complication of immobility.

B) Contractures lead to a loss of motion of the joints that may be permanent.

C) Decreased filling of the lungs with air allows fluids and mucus to collect.

D) Hot, reddened, painful areas form in the lower legs.

E) Breathing problems can occur when a person is immobile for a long time.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  8

Page and Header:  360, Assisting With Repositioning

4. The nursing assistant is caring for a client diagnosed with a stroke with right-sided paralysis (cannot move right side). While repositioning the client to their left side, what is the best action to take?

A) Use a pillow under the left arm.

B) Administer a hand roll for the left hand.

C) Place a rolled sheet under the client to stay on their left side.

D) Support the left leg with a pillow.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  360, Assisting With Repositioning

5. The nursing assistant is helping the client with discomfort in their abdomen after surgery to a comfortable position to decrease strain on their abdominal muscles. What is the best position for the nursing assistant to use?

A) Supine with pillows under the knees

B) High Fowlers with foot of bed slightly elevated

C) Left lateral position

D) Right lateral position

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  360, Assisting With Repositioning

6. The nursing assistant is caring for a resident with a diagnosis of chronic lung disease experiencing pain with a pressure ulcer on their coccyx. What is the best position for the nursing assistant place the resident to promote comfort?

A) High Fowlers

B) Prone position

C) Sims position with head of bed elevated for comfort

D) Dorsal recumbent position

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  360, Assisting With Repositioning

7. In what position would a nursing assistant place a resident who needs assistance with eating?

A) Prone

B) Supine

C) Lateral

D) High Fowlers

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  360, Assisting With Repositioning

8. The nursing assistant is caring for an unconscious client who needs to be repositioned. Which means of moving a resident best helps minimize the risk of shearing and friction?

A) Using a lift sheet and assist of two.

B) Pulling up the client with assist of two.

C) Pushing the client over in bed before placing a support.

D) Dragging the client to their side before turning to their side.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  7

Page and Header:  360, Assisting With Repositioning

9. The logrolling procedure involves positioning the person:

A) in one fluid motion so that the head, torso, and legs move as one unit and the body is kept in alignment.

B) turning the head to one side and with the knee on that side bent sharply and supported by a pillow.

C) to a stretcher or a wheelchair using a transfer or a gait belt and the assistance of one or more nursing assistants.

D) by resting their feet flat on the floor or on the footrests of the wheelchair. Knees are bent at approximately 90 degrees, and the calves of legs do not touch the chair.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1, 3

Page and Header:  367, Assisting With Transferring

10. When assisting a non–weight-bearing person with transferring, the nursing assistant will:

A) allow the person to put their arms around the assistant’s neck for support.

B) use the transfer belt to help with lifting the person to a standing position.

C) have the person dangle on the edge of the bed before the transfer occurs.

D) place their hands under the person’s arms to hold the person up when walking.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  367, Assisting With Transferring

11. Before helping a person to transfer from the bed to stretcher, the nursing assistant will:

A) obtain the doctor’s permission for the transfer.

B) plan the transfer in advance by getting help if necessary.

C) lower the bed to its lowest position with side rails down.

D) allow the person to try the transfer independently before offering assistance.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  367, Assisting With Transferring

12. When a person has been lying in bed for a long time, they may experience what condition when suddenly standing up?

A) Dizziness

B) Shock

C) Seizure

D) Stroke

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  367, Assisting With Transferring

13. The nursing assistant is caring for a client who needs to be transferred from the bed to the chair using a transfer belt. What step should the nursing assistant modify to prepare the transfer belt correctly?

A) Step 1: Apply the transfer belt over the skin.

B) Step 2: Place the buckle off-center in the front.

C) Step 3: Tighten the belt snuggly so it does not slip down.

D) Step 4: Ensure fingers may be slipped between belt and waist.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  367, Assisting With Transferring

15. When assisting a person to walk, the nursing assistant will grasp the transfer belt:

A) with a tight overhand grasp.

B) with a loose overhand grasp.

C) in the front with a firm grasp

D) with an underhand grasp.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  367, Assisting With Transferring

15. The nursing assistant is helping a resident with mild left-sided weakness to ambulate in the hall. What is the best method for the nursing assistant to use?

A) Walk slightly behind and to the right of the resident.

B) Have the resident use the rail in the hall with their left hand.

C) Ensure that the transfer belt is loose and at the waist.

D) Grasp the transfer belt with an underhand grasp.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  6

Page and Header:  367, Assisting With Transferring

16. Which procedure should be followed when using a mechanical lift?

A) Attach the sling to the bar with the short side attached to the bottom of the sling.

B) Lower the lift until the person and the sling are clear of the bed.

C) Lower the lift so that it can be positioned below the person.

D) The legs of the lift must be spread and locked.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  367, Assisting With Transferring

17. The nursing assistant will best prepare a resident for a transfer by:

A) promising them that everything will be all right.

B) assuring them that this is a safe, simple procedure.

C) letting them know this is done many times each day.

D) explaining to them exactly what will happen during the move.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  360, Assisting With Repositioning

18. Proper body alignment is most important to the resident experiencing problems with breathing because it:

A) supports effective lung functioning.

B) relieves strain on the joints.

C) prevents contractures.

D) supports physical comfort.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  360, Assisting With Repositioning

19. Two nursing assistants need to move the resident up in bed and observe that the lift sheet was crumpled underneath the lower part of the resident’s buttocks. What action should the nursing assistants take next to prevent shearing?

A) Roll the resident side to side and place the lift sheet where it should be.

B) Use the lifting sheet to lift the resident up toward the head of the bed.

C) Place the pillow against the headboard to pad it before moving the resident.

D) Pull the lifting sheet out from underneath since it is in the wrong place.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  360, Assisting With Repositioning

20. The risk for complications of immobility can best be decreased by:

A) repositioning the person at least every 2 hours.

B) offering to spend time with the person to occupy them.

C) being sure there is enough help when positioning a resident.

D) allowing the person to dangle at the bedside before being transferred.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  360, Assisting With Repositioning

21. The nursing assistant helps to reduce an immobile client’s risk for developing skin ulcers by:

A) keeping their skin clean and moist.

B) repositioning them every 3 hours.

C) checking their skin with each repositioning.

D) encouraging them to move around as much as possible.