Q.1 Which of the following is the correct body mechanics principle when lifting a patient?
Bend at the waist and lift with your back
Keep feet close together and lift quickly
Bend your knees and keep your back straight
Twist your torso while lifting
Explanation - Bending your knees and keeping your back straight reduces the risk of back injury and allows for safe lifting.
Correct answer is: Bend your knees and keep your back straight
Q.2 Which device is commonly used to transfer a patient safely from bed to stretcher?
Gait belt
Slide board
Walker
Cane
Explanation - A slide board allows smooth transfer of patients with limited mobility between surfaces while minimizing strain.
Correct answer is: Slide board
Q.3 The purpose of proper positioning of a patient in bed includes:
Preventing pressure ulcers
Promoting circulation
Facilitating respiratory function
All of the above
Explanation - Correct positioning prevents complications such as pressure ulcers, improves circulation, and aids breathing.
Correct answer is: All of the above
Q.4 Which position is recommended for a patient with respiratory distress?
Supine
Prone
Fowler's
Trendelenburg
Explanation - Fowler's position elevates the head and chest, promoting lung expansion and easing breathing.
Correct answer is: Fowler's
Q.5 What is the correct sequence for using a gait belt to assist a patient to stand?
Place belt around waist, grasp under belt, pull patient forward
Place belt around chest, push patient forward
Wrap belt around legs, pull patient up
Do not use a gait belt for standing
Explanation - Placing the belt around the waist and lifting carefully helps stabilize the patient and prevents falls.
Correct answer is: Place belt around waist, grasp under belt, pull patient forward
Q.6 Which position is most suitable for a patient to prevent hip contractures after a hip replacement?
Supine with legs straight
High Fowler's
Abduction pillow between legs
Trendelenburg
Explanation - Using an abduction pillow maintains proper hip alignment and prevents dislocation or contractures.
Correct answer is: Abduction pillow between legs
Q.7 When assisting a patient to walk, the nurse should:
Walk behind the patient and hold the gait belt
Walk in front of the patient and pull forward
Walk beside the patient with hand on gait belt
Push the patient from behind
Explanation - Walking beside the patient provides support and ensures safety while allowing the patient some independence.
Correct answer is: Walk beside the patient with hand on gait belt
Q.8 What is the primary risk of improper patient positioning in bed?
Fatigue
Pressure ulcers
Headache
Nausea
Explanation - Prolonged pressure on bony prominences can lead to skin breakdown and pressure ulcers.
Correct answer is: Pressure ulcers
Q.9 Which of the following positions is used to improve drainage from the mouth in unconscious patients?
Prone
Side-lying
Supine
Trendelenburg
Explanation - The side-lying position helps prevent aspiration and facilitates drainage of secretions.
Correct answer is: Side-lying
Q.10 A patient is at risk of deep vein thrombosis. Which nursing action supports mobility safely?
Encourage passive range-of-motion exercises
Keep the patient strictly in bed
Avoid leg exercises
Position in Trendelenburg
Explanation - Passive exercises promote circulation and reduce the risk of blood clots in immobilized patients.
Correct answer is: Encourage passive range-of-motion exercises
Q.11 Which principle is important when repositioning a patient to prevent musculoskeletal injury to the nurse?
Lift with the back, keep knees straight
Use smooth, coordinated movements and lift with legs
Twist while lifting
Pull quickly to reposition
Explanation - Using proper body mechanics reduces risk of nurse injury and ensures safe patient handling.
Correct answer is: Use smooth, coordinated movements and lift with legs
Q.12 Which type of exercise helps maintain muscle tone in patients unable to ambulate?
Active range-of-motion
Passive range-of-motion
Aerobic exercise
Strength training
Explanation - Passive exercises are performed by the nurse on the patient’s joints to maintain mobility and prevent contractures.
Correct answer is: Passive range-of-motion
Q.13 Which bed position helps relieve pressure on the sacrum and promote comfort for patients on prolonged bed rest?
Flat supine
High Fowler's
30-degree lateral tilt
Trendelenburg
Explanation - A 30-degree lateral tilt reduces pressure on the sacrum and helps prevent pressure ulcers.
Correct answer is: 30-degree lateral tilt
Q.14 What is the safest method to lift a heavy patient from bed to wheelchair?
Manual lifting alone
Using a mechanical lift
Pulling with sheets
Two nurses pulling from opposite sides
Explanation - Mechanical lifts reduce risk of injury to both patient and nurse during transfers.
Correct answer is: Using a mechanical lift
Q.15 A nurse notices a patient is sliding down in bed repeatedly. What is an appropriate intervention?
Place a pillow under the knees
Reposition patient in proper alignment and use a footboard
Leave patient as is
Elevate the head to 90 degrees
Explanation - Proper positioning and a footboard help maintain body alignment and prevent sliding.
Correct answer is: Reposition patient in proper alignment and use a footboard
Q.16 Which of the following is a benefit of early mobilization for hospitalized patients?
Prevents muscle atrophy
Reduces risk of pneumonia
Enhances circulation
All of the above
Explanation - Early mobilization supports multiple systems and prevents complications related to immobility.
Correct answer is: All of the above
Q.17 When moving a patient up in bed, the nurse should:
Pull at the shoulders only
Lift the patient without assistance
Use a friction-reducing device and coordinate movement
Push quickly at the hips
Explanation - Friction-reducing devices make movement easier and safer for both nurse and patient.
Correct answer is: Use a friction-reducing device and coordinate movement
Q.18 Which type of patient requires a prone position for therapeutic reasons?
Patient with respiratory distress to improve oxygenation
Patient with spinal cord injury
Patient with recent abdominal surgery
Patient with pressure ulcers on the back
Explanation - Prone positioning can improve oxygenation in certain respiratory conditions, such as ARDS.
Correct answer is: Patient with respiratory distress to improve oxygenation
Q.19 Which precaution is essential when using a wheelchair to transport a patient?
Lock the wheels before transfer
Push the wheelchair backward only
Remove footrests permanently
Lift the patient into the wheelchair
Explanation - Locking the wheels ensures stability and safety during patient transfers.
Correct answer is: Lock the wheels before transfer
Q.20 The nurse instructs the patient to pivot on the stronger leg while transferring. This is an example of:
Safe transfer technique
Improper body mechanics
Passive range-of-motion
Immobilization
Explanation - Pivoting on the stronger leg helps maintain balance and reduces strain on both nurse and patient.
Correct answer is: Safe transfer technique
Q.21 Which assistive device is most appropriate for a patient with partial weight-bearing status?
Walker
Crutches
Cane
Gait belt
Explanation - Crutches support mobility while keeping weight off the affected leg.
Correct answer is: Crutches
Q.22 Why is it important to change a patient’s position every 2 hours?
To prevent boredom
To maintain social interaction
To prevent pressure injuries and improve circulation
To allow nurses to rest
Explanation - Frequent repositioning prevents skin breakdown and promotes overall circulation.
Correct answer is: To prevent pressure injuries and improve circulation
Q.23 Which type of patient positioning supports digestive processes after abdominal surgery?
Supine
Semi-Fowler's
Prone
Trendelenburg
Explanation - Semi-Fowler's position promotes gastric emptying and reduces abdominal pressure.
Correct answer is: Semi-Fowler's
Q.24 Which principle should guide the nurse when assisting a patient with limited mobility to stand?
Hold under the arms and pull quickly
Provide support at the waist or use a gait belt
Let patient stand independently immediately
Push from behind
Explanation - Supporting at the waist or using a gait belt stabilizes the patient and prevents falls.
Correct answer is: Provide support at the waist or use a gait belt