INACE Patient Care and Safety

Question 1

What is the first action you should take if a patient falls?

Accepted Answer

Check for injuries before moving the patient.

Answer

If a patient falls, the immediate first action is to check for any injuries before attempting to move them. Moving an injured patient without assessing their condition could worsen potential fractures or other trauma. Once injuries are assessed and deemed safe, or medical help arrives, a plan for movement can be made.

Question 2

How should you assist a patient who is unsteady on their feet and at risk of falling?

Accepted Answer

Use a gait belt to provide support while walking.

Answer

When assisting a patient who is unsteady on their feet and at risk of falling, using a gait belt is the most appropriate and safest method. A gait belt provides a secure handhold for the caregiver, allowing them to support the patient's balance and prevent falls without grabbing their clothing or limbs, which could cause injury.

Question 3

What is the most appropriate action to take when you notice that a patient's bed rails are not raised during a bed transfer?

Accepted Answer

Raise the bed rails before attempting the transfer.

Answer

If you notice that a patient's bed rails are not raised during a bed transfer, the most appropriate action is to raise them before attempting the transfer. Bed rails serve as a safety measure, preventing accidental falls from the bed, especially during movement or when the patient is unattended. Ensuring they are up before a transfer enhances patient safety.

Question 4

When assisting a patient who is weak or bedridden, which of the following actions is necessary to prevent pressure ulcers?

Accepted Answer

Reposition the patient at least every 2 hours to relieve pressure.

Answer

To prevent pressure ulcers in weak or bedridden patients, it is essential to reposition them at least every 2 hours. Prolonged pressure on the same areas of the body restricts blood flow, leading to tissue damage and ulcer formation. Regular repositioning redistributes pressure, promoting circulation and skin integrity.

Question 5

Which of the following is the correct procedure for assisting a patient with an unsteady gait to walk?

Accepted Answer

Walk behind the patient, supporting them by holding their arm.

Answer

When assisting a patient with an unsteady gait to walk, the correct procedure is to walk slightly behind and to the side of the patient, providing support by holding their arm or using a gait belt. This position allows you to support them if they lose balance and prevents them from falling backward. Walking in front or having them hold your arm offers less effective support for an unsteady gait.

(INACE) Illinois Nurse Assistant Competency Exam Practice Test

(INACE) Illinois Nurse Assistant Competency Exam Practice Test

INACE Patient Care and Safety