NCLEX-Style Questions on SPHM

A nurse is assisting a patient who is post-operative and weak, and needs to move from the bed to a chair. Which of the following actions demonstrates proper body mechanics?

• Twisting at the waist to lift the patient.

• Keeping the patient far away from the body while lifting.

• Adjusting the bed to waist level.

• Maintaining a narrow base of support with feet close together.

A healthcare facility is implementing a Safe Patient Handling and Mobility (SPHM) program. Which of the following is the primary goal of this program?

• To reduce the amount of time nurses spend on patient handling tasks.

• To minimize the risk of musculoskeletal disorders (MSDs) among healthcare workers.

• To increase the number of patients each nurse can care for.

• To eliminate the need for assistive devices in patient handling.

A nurse is preparing to transfer a patient who weighs over 300 lbs from the bed to a chair. According to OSHA guidelines, which of the following is the most appropriate action?

• Request assistance from another nurse.

• Use SPHM technology like a mechanical lift.

• Encourage the patient to do as much as possible on their own.

• Use a gait belt to help lift the patient.

Which of the following is the MOST important reason for healthcare facilities to implement Safe Patient Handling and Mobility (SPHM) programs?

• To increase patient satisfaction scores.

• To reduce the risk of healthcare worker injuries.

• To shorten patient hospital stays.

• To improve communication between healthcare team members.

A physical therapist recommends a walker for a patient with impaired balance. Which instruction should the nurse include when teaching the patient how to use the walker?

• Lift or slide the walker forward before each step.

• Hold the walker with one hand while using the other hand for support.

• Take small, rapid steps while using the walker.

• Lean forward and place your weight on the walker while walking.

When assisting a patient with descending stairs using crutches, which leg should the patient lead with?

• The stronger leg.

• The weaker leg.

• Alternate legs with each step.

• It doesn't matter which leg goes first.

A nurse is using a gait belt to assist a patient with ambulation. Which of the following actions is INCORRECT?

• Placing the gait belt snugly around the patient's waist.

• Ensuring that two fingers can fit between the belt and the patient's body.

• Using the gait belt to lift the patient.

• Walking on the patient's weaker side.

An occupational therapist is consulted for a patient with mobility issues. What is the primary role of the occupational therapist in this situation?

• Assessing mobility levels and recommending assistive devices.

• Assessing functional mobility and recommending environmental modifications.

• Ordering mobility restrictions based on the patient's condition.

• Training staff on SPHM policies.

A patient is being transferred from a bed to a stretcher. Which tool is most appropriate to use for this task to ensure safe patient handling?

• Gait belt.

• Slide sheets.

• Walker.

• Crutches.

Which of the following is an example of proper body alignment?

• Twisting the spine while lifting an object.

• Maintaining a stable center of gravity.

• Reaching far away from the body to grab an object.

• Bending at the waist to pick something up.