Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

What wheelchair modification is necessary for a sliding board transfer?

1. Elevated footrests

2. Non-removable armrest

3. Removable armrest

4. Adjustable back support

The correct answer is: Removable armrest

A sliding board transfer is a technique used for moving a person from one surface to another, typically from a wheelchair to a bed or a car seat. For this transfer to be safely and effectively performed, the wheelchair must have specific features that facilitate the movement. The correct modification is having a removable armrest. This feature allows for the user to more easily position themselves close to the surface they are transferring to, as it eliminates the obstruction that a non-removable armrest would present. With the armrest out of the way, it enables the individual to slide more smoothly onto the board, making the transfer safer and more comfortable. In contrast, modifications like elevated footrests may not contribute directly to the sliding action needed in the transfer, as they can inhibit leg movement or create additional height for the transfer. A non-removable armrest can act as a barrier, complicating the transfer process and possibly increasing the risk of injury. An adjustable back support, while beneficial for comfort and positioning, does not play a direct role in facilitating the sliding board transfer itself. Thus, the presence of a removable armrest is crucial in assisting the individual during this type of transfer, making it the most appropriate modification for a sliding board transfer.