NSG 6435 Exam queries and answers
graded A+
When transferring a patient between a bed and a chair, what position must the bed be in, WHY is
this important? - ANS✅✅Bed in the LOWEST position so that the patients feet will rest flat on the
floor, Ensure that the bed wheels are in the LOCKED position.
Provides patient safety.
If transferring a patient from a bed to a wheelchair, place the wheelchair _____ to the bed as close
to the bed as possible. - ANS✅✅parallel
Which side of the bed should a nurse place a wheelchair when performing transfer from the bed if
the patient has unilateral weakness? WHY? - ANS✅✅Place on the side of the bed that allows the
patient to move toward whichever side is stronger.
*Be sure the wheelchair wheels are locked and the the footplate is raised*
If a patient has an injury/weakness to the RIGHT lower extremity, on which side of patient should
the nurse place the wheelchair that the patient will transfer to? - ANS✅✅The LEFT, this allows the
patient to use the unaffected leg most effectively and safely.
For patients who have difficulty walking, place the wheelchair at a _____ degree angle to bed during
a transfer from a bed to a wheelchair. - ANS✅✅45 degree angle
This helps the patient to pivot easier and requires less body rotation.
What device can a nurse use to transfer a patient from a bed to wheelchair if the patient is unable to
stand? - ANS✅✅a sliding board
What must a nurse assess a patient for before attempting to stand the patient from the sitting
position to standing position to transfer? - ANS✅✅ortostatic hypotension
What is the proper dress for a patient who is going to ambulate or is being transferred to from a
bed? - ANS✅✅Ensure the patient is dressed -(robe, clothes, or gown)
Ensure NONskid slippers, shoes, or socks.
Ensure a transfer belt is in place if facility requires.
,Where should the nurse stand when attempting to aid a patient from the sitting position to the
standing position? - ANS✅✅directly in front of with knees bent, leaning forward from the hips.
How should a nurse perform a rotation type movement while transferring a patient? -
ANS✅✅Pivot, do no twist/rotate. This helps to prevent strain on the back/knees.
What is the proper lifting and lower technique for a nurse to do while helping a patient to sit or
stand? - ANS✅✅Broad stance with one foot between the patients feet.
Keep back straight
lean forward at the hips.
Bend at the knees
Allow the LEG muscles to do the lifting, not the back.
When transferring a patient from a bed to a stretcher, in what position should the bed in? -
ANS✅✅as flat as possible
The bed should be slightly HIGHER than the stretcher (1/2 in)
Can a stretcher be used to transfer an infant, toddler, or newborn to another area? - ANS✅✅No, it
is recommended that a high top crib be used, or wheelchair with a safety strap to ensure the patient
doesn't roll or fall.
How often should a patient be repositioned? - ANS✅✅Every 2 hours.
On which side of the body should a patient hold an assistive device such as a cane? - ANS✅✅on
the stronger side
In what position should the patient hold a cane? (how far away from the body?) - ANS✅✅6 inches
to the side and 6inches in front of the foot
This allows the elbow to be slightly flexed
How far should a patient advance the cane when beginning to ambulate? - ANS✅✅1 foot
, Explain how a nurse would instruct a patient to use a cane that provides maximum support? -
ANS✅✅Hold on stronger side -( 6 inches in front of and to side of foot)
Move cane forward 1 foot
Move WEAK/AFFECTED side
Move stronger side forward ahead of cane and weak side
REPEAT
What is a handy phrase that can be used to provide teaching of stair climbing with a cane or
crutches? - ANS✅✅"Up with the good leg, and down with the bad leg."
Cane first
Patient ascends first with the stronger side
Bring weaker side up to that level next.
*Perform this pattern in reverse to descend stairs*
Where should crutches be placed upon standing? - ANS✅✅6 inches to the side of the feet and 6
inches in front of feet.
(looks like a triangle)
When using crutches, where should the weight be borne? - ANS✅✅on the ARMS, not on the
axillae area.
(having the elbow flexed aids with this)
When assisting a patient using crutches, where should the nurse stand to ensure patient safety? -
ANS✅✅slightly behind the client on the client's weak side
What is the most simple and safest gait for a patient to use with crutches? - ANS✅✅Four-point
gait
Explain the four point gait method for crutch walking. - ANS✅✅right crutch is positioned first,
followed by moving the left foot and then the left crutch is moved forward, followed by the right
foot
explain the three point gait method for crutch walking. - ANS✅✅Both crutches and involved leg
advance together
graded A+
When transferring a patient between a bed and a chair, what position must the bed be in, WHY is
this important? - ANS✅✅Bed in the LOWEST position so that the patients feet will rest flat on the
floor, Ensure that the bed wheels are in the LOCKED position.
Provides patient safety.
If transferring a patient from a bed to a wheelchair, place the wheelchair _____ to the bed as close
to the bed as possible. - ANS✅✅parallel
Which side of the bed should a nurse place a wheelchair when performing transfer from the bed if
the patient has unilateral weakness? WHY? - ANS✅✅Place on the side of the bed that allows the
patient to move toward whichever side is stronger.
*Be sure the wheelchair wheels are locked and the the footplate is raised*
If a patient has an injury/weakness to the RIGHT lower extremity, on which side of patient should
the nurse place the wheelchair that the patient will transfer to? - ANS✅✅The LEFT, this allows the
patient to use the unaffected leg most effectively and safely.
For patients who have difficulty walking, place the wheelchair at a _____ degree angle to bed during
a transfer from a bed to a wheelchair. - ANS✅✅45 degree angle
This helps the patient to pivot easier and requires less body rotation.
What device can a nurse use to transfer a patient from a bed to wheelchair if the patient is unable to
stand? - ANS✅✅a sliding board
What must a nurse assess a patient for before attempting to stand the patient from the sitting
position to standing position to transfer? - ANS✅✅ortostatic hypotension
What is the proper dress for a patient who is going to ambulate or is being transferred to from a
bed? - ANS✅✅Ensure the patient is dressed -(robe, clothes, or gown)
Ensure NONskid slippers, shoes, or socks.
Ensure a transfer belt is in place if facility requires.
,Where should the nurse stand when attempting to aid a patient from the sitting position to the
standing position? - ANS✅✅directly in front of with knees bent, leaning forward from the hips.
How should a nurse perform a rotation type movement while transferring a patient? -
ANS✅✅Pivot, do no twist/rotate. This helps to prevent strain on the back/knees.
What is the proper lifting and lower technique for a nurse to do while helping a patient to sit or
stand? - ANS✅✅Broad stance with one foot between the patients feet.
Keep back straight
lean forward at the hips.
Bend at the knees
Allow the LEG muscles to do the lifting, not the back.
When transferring a patient from a bed to a stretcher, in what position should the bed in? -
ANS✅✅as flat as possible
The bed should be slightly HIGHER than the stretcher (1/2 in)
Can a stretcher be used to transfer an infant, toddler, or newborn to another area? - ANS✅✅No, it
is recommended that a high top crib be used, or wheelchair with a safety strap to ensure the patient
doesn't roll or fall.
How often should a patient be repositioned? - ANS✅✅Every 2 hours.
On which side of the body should a patient hold an assistive device such as a cane? - ANS✅✅on
the stronger side
In what position should the patient hold a cane? (how far away from the body?) - ANS✅✅6 inches
to the side and 6inches in front of the foot
This allows the elbow to be slightly flexed
How far should a patient advance the cane when beginning to ambulate? - ANS✅✅1 foot
, Explain how a nurse would instruct a patient to use a cane that provides maximum support? -
ANS✅✅Hold on stronger side -( 6 inches in front of and to side of foot)
Move cane forward 1 foot
Move WEAK/AFFECTED side
Move stronger side forward ahead of cane and weak side
REPEAT
What is a handy phrase that can be used to provide teaching of stair climbing with a cane or
crutches? - ANS✅✅"Up with the good leg, and down with the bad leg."
Cane first
Patient ascends first with the stronger side
Bring weaker side up to that level next.
*Perform this pattern in reverse to descend stairs*
Where should crutches be placed upon standing? - ANS✅✅6 inches to the side of the feet and 6
inches in front of feet.
(looks like a triangle)
When using crutches, where should the weight be borne? - ANS✅✅on the ARMS, not on the
axillae area.
(having the elbow flexed aids with this)
When assisting a patient using crutches, where should the nurse stand to ensure patient safety? -
ANS✅✅slightly behind the client on the client's weak side
What is the most simple and safest gait for a patient to use with crutches? - ANS✅✅Four-point
gait
Explain the four point gait method for crutch walking. - ANS✅✅right crutch is positioned first,
followed by moving the left foot and then the left crutch is moved forward, followed by the right
foot
explain the three point gait method for crutch walking. - ANS✅✅Both crutches and involved leg
advance together
