# The nurse observes a bed-to-chair transfer for a dependent client. Which actions require follow-up? Highlight the actions that increase injury risk during patient handling.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=497297&lang=en  
> language: en  
> subject: Mobility/Immobility  
> category: BCC

## Question

The nurse observes a bed-to-chair transfer for a dependent client. Which actions require follow-up? Highlight the actions that increase injury risk during patient handling.

| Transfer step | Observed care action |
| --- | --- |
| Preparation | Explain each transfer step and confirm the client agrees before movement begins |
| Mobility | Manually lift the full weight of a dependent client |
| Assessment | Choose transfer equipment without checking current ability |
| Environment | Lock all bed and chair wheels and clear clutter from the entire movement path |
| Lines | Secure every tube, drain, and catheter before initiating the planned transfer |
| Body support | Pull upward under both arms to raise the client |
| Equipment | Use the prescribed sling and verify every attachment point matches the lift |
| Staffing | Proceed despite fewer trained helpers than the plan requires |
| Tolerance | Stop the transfer and reassess when the client reports sudden dizziness |

## Explanation

Manually lifting a dependent client, using equipment without assessment, pulling under the arms, and transferring with too few trained helpers require follow-up. Mobility equipment and staffing should match the client’s current ability.

## In-depth explanation

Quick answer
Highlight the manual full-weight lift, device selection without current assessment, pulling under the arms, and proceeding without enough trained helpers. These practices expose the client and staff to falls, skin injury, and musculoskeletal injury.

Why this is correct
Safe patient handling uses a current client assessment, appropriate assistive technology, trained staff, and enough help for the task. Mechanical or friction-reducing equipment reduces high-risk manual handling while supporting mobility and dignity.[2]

Easy analogy or mental picture
Think of moving a fragile package with a rated lift: assess the load, choose the right device, secure the path, and use trained operators. A person is not cargo, so comfort, consent, ability, and dignity remain central.

Memory hook
Assess ability, choose equipment, clear the path, use trained help.

NCLEX decision rule
When a client needs transfer help, think current ability before movement; check weight-bearing, cognition, lines, environment, equipment fit, and trained staffing before beginning.

Why the other choices are wrong
Explaining the transfer, locking equipment, protecting lines, using the prescribed sling, and pausing when the client becomes dizzy all support safe mobility. Speed or caregiver strength never substitutes for the planned handling method.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]VA: Safe Patient Handling and MobilityU.S. Department of Veterans Affairs

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