Basic Nursing Skills Patient Mobility & Positioning 3

Question 1

The Sim's position (semi-prone) is used for which nursing procedure?

Accepted Answer

Enema administration

Answer

Sim's position (left lateral with upper knee flexed) relaxes the sigmoid colon, facilitating enema administration and rectal examinations.

Question 2

A patient with a hip replacement should be instructed to avoid which movement to prevent dislocation?

Accepted Answer

Hip flexion beyond 90 degrees

Answer

After total hip replacement, hip flexion greater than 90 degrees can dislocate the prosthetic joint — patients must not bend the hip past 90 degrees.

Question 3

The nurse is using a mechanical lift (Hoyer lift) to transfer a patient. What is the priority safety check before the lift?

Accepted Answer

Check the weight limit of the lift and verify correct sling size

Answer

Before using a mechanical lift, the nurse must verify the lift's weight capacity and confirm the correct sling size for the patient's weight and body type to prevent equipment failure.

Question 4

What is the recommended knee angle when a patient is seated in a wheelchair to prevent pressure injury on the ischial tuberosities?

Accepted Answer

Approximately 90 degrees of flexion

Answer

A 90-degree knee angle with feet supported distributes weight evenly, reduces ischial pressure, and maintains proper wheelchair positioning.

Question 5

The nurse is ambulating a patient who begins to fall. The correct nursing response is to:

Accepted Answer

Lower the patient gently to the floor using the gait belt while protecting the head

Answer

If a patient begins to fall, the nurse should use the gait belt to gently guide the patient to the floor while protecting their head — trying to fully prevent the fall risks injury to both patient and nurse.

Basic Nursing Skills Practice Test

Basic Nursing Skills Practice Test

Basic Nursing Skills Patient Mobility & Positioning 3