PCA Patient Mobility & Transfers 3

Question 1

A patient has a doctor's order that reads 'NWB left leg.' What does this mean for the PCA during transfers?

Accepted Answer

The patient must not put any weight on the left leg at all

Answer

NWB (Non-Weight-Bearing) means absolutely no weight is to be placed on that limb during transfers or ambulation.

Question 2

When repositioning a patient up in bed using a draw sheet with a co-worker, both caregivers should:

Accepted Answer

Count to three and pull simultaneously on command

Answer

Coordinating with a count ensures both caregivers move at the same time, reducing friction, preventing shear injury, and protecting both workers.

Question 3

The PRIMARY purpose of locking wheelchair brakes before a transfer is to:

Accepted Answer

Prevent the wheelchair from rolling and causing the patient to fall

Answer

Locking the brakes prevents the wheelchair from rolling away from the patient as they shift their weight during the transfer, which could cause a fall.

Question 4

A PCA is using a gait belt to help a patient walk down a hallway. The correct position for the PCA is:

Accepted Answer

Walking slightly behind and to one side of the patient

Answer

Standing slightly behind and to the side allows the PCA to monitor the patient, react to stumbles, and control the gait belt without obstructing the patient's path.

Question 5

Which of the following is a contraindication to using a gait belt on a patient?

Accepted Answer

The patient has a colostomy or abdominal surgery incision in the belt area

Answer

A gait belt should not be placed over wounds, surgical incisions, colostomies, or feeding tubes as it can cause pain or injury to those areas.

(PCA) Personal Care Assistant Practice Test

(PCA) Personal Care Assistant Practice Test

PCA Patient Mobility & Transfers 3