CNA Certification (Written Exam)Restorative SkillsMedium
A CNA is preparing to assist a resident with a transfer from the bed to a wheelchair. The resident has moderate weakness and requires a gait belt. Before initiating the transfer, what is the most critical safety check for the CNA to perform regarding the wheelchair?
- AAdjusting the wheelchair height to match the bed.
- BConfirming the resident's call light is within reach.
- CChecking that the wheels are locked.
- DEnsuring the footrests are in the down position.
Show answer & explanationAnswer & explanation
Correct answer: C. Checking that the wheels are locked.
Locking the wheelchair wheels is the most critical safety step before any transfer. An unlocked wheelchair can roll away during the transfer, leading to a fall and serious injury for both the resident and the CNA.
Why the other options are wrong
- A. Adjusting wheelchair height isn't a standard feature of most facility wheelchairs and is less critical than locking the wheels; bed height adjustment is more common.
- B. While important for general safety and resident needs, ensuring the call light is within reach is a post-transfer safety measure, not critical *before* initiating the transfer itself.
- D. Footrests should be swung out of the way or removed to prevent tripping during the transfer, not in the down position.
Wheelchair Transfer Safety
Before any bed-to-chair transfer, always ensure the wheelchair wheels are locked to prevent movement and falls.
- Prevents unexpected rolling.
- Reduces risk of falls and injury.
- Non-negotiable safety step.
Memory trick: Locks engaged, resident saved!