Wisconsin Certified Nursing Assistant (CNA) Practice Exam

What action should be avoided to prevent shearing and friction during patient transfers?

1. Using a transfer belt

2. Pulling the resident across the sheets

3. Ensuring the resident is dry

4. Using sliding sheets

The correct answer is: Pulling the resident across the sheets

To prevent shearing and friction during patient transfers, it is essential to avoid pulling the resident across the sheets. Shearing occurs when the skin is pulled in one direction while the underlying tissues are held in another, which can lead to skin damage and pressure injuries. When a patient is pulled across the sheets, it increases the risk of friction against the surface, which can contribute to skin tears and discomfort. Using proper techniques, such as a transfer belt or sliding sheets, helps to facilitate safer transfers by minimizing friction between the skin and the surface. Ensuring the resident is dry also plays a key role, as moisture can increase the risk of skin breakdown. Therefore, appropriate handling methods that promote smooth movement without dragging the patient's skin are vital in protecting their skin integrity during transfers.