CPCA Mobility & Transfer Techniques 2 — Questions and Answers
Question 1: How often should a bedridden client be repositioned to prevent pressure ulcers?
- Every 8 hours during waking hours only
- Every 4-6 hours on a regular schedule
- Every 1-2 hours (Correct answer)
- Once daily unless the client requests a change
Correct answer: Every 1-2 hours
Clients should be repositioned every 1-2 hours to relieve pressure on bony prominences and prevent pressure ulcers from forming.
Question 2: Range of motion exercises performed by a personal care aide who moves the client's limbs without the client's active effort are called:
- Active ROM exercises
- Passive ROM exercises (Correct answer)
- Resistive ROM exercises
- Isometric ROM exercises
Correct answer: Passive ROM exercises
When the aide moves the client's limbs through the full range of motion without the client actively participating, the exercises are classified as passive ROM.
Question 3: A personal care aide notices that a client's leg is unusually stiff and difficult to move during range of motion exercises. What should the aide do?
- Force the limb through the full range of motion
- Skip that limb and complete exercises on the other limbs only
- Stop the exercises and report the observation to the supervisor (Correct answer)
- Apply heat to the limb and then continue exercising
Correct answer: Stop the exercises and report the observation to the supervisor
Unusual stiffness or resistance during ROM exercises could indicate a medical problem and should be reported to a supervisor immediately rather than forcing movement.
Question 4: Which of the following is the correct technique when assisting a client to ambulate (walk)?
- Hold the client tightly around the waist from directly behind
- Walk ahead of the client and pull them forward by the hand
- Walk slightly behind and to the weaker side, holding the gait belt (Correct answer)
- Have the client hold onto the aide's neck for support while walking
Correct answer: Walk slightly behind and to the weaker side, holding the gait belt
Walking slightly behind and to the weaker side while holding the gait belt gives the aide the best position to provide support and prevent falls.
Question 5: A client begins to fall while being assisted to walk. The personal care aide should:
- Try to hold the client fully upright and prevent any falling
- Step away immediately and call for help loudly
- Guide the client to the floor in a controlled manner to minimize injury (Correct answer)
- Grab the client's arm firmly to stop the fall abruptly
Correct answer: Guide the client to the floor in a controlled manner to minimize injury
Guiding the client to the floor in a controlled manner reduces the risk of serious injury compared to attempting to stop the fall abruptly, which can injure both the client and aide.
Question 6: When using a wheelchair for client transport, which safety measure must be performed before the client sits down or stands up?
- Remove the footrests so the client's feet can touch the floor
- Lock the wheelchair brakes to prevent the chair from rolling (Correct answer)
- Push the wheelchair as quickly as possible to minimize transfer time
- Keep the client's hands on the outer wheels to help steer
Correct answer: Lock the wheelchair brakes to prevent the chair from rolling
Locking the wheelchair brakes before any transfer is the most critical safety measure because it prevents the chair from rolling unexpectedly.
Question 7: The logrolling technique is used when:
- A client must be turned in bed while keeping the spine in alignment (Correct answer)
- Transferring a client from a wheelchair to the toilet
- Assisting a client to sit up from a lying position quickly
- Helping a client ambulate after recent surgery
Correct answer: A client must be turned in bed while keeping the spine in alignment
Logrolling keeps the spine in alignment by moving the entire body as one unit, which is critical for clients with spinal injuries or conditions.
CPCA Mobility & Transfer Techniques 2
How often should a bedridden client be repositioned to prevent pressure ulcers?