National Physical Therapy Examination (NPTE) Practice Exam

When teaching a caregiver to move a wheelchair onto a curb without a ramp, what is the best technique?

1. With the patient facing backward, pull large wheels onto the curb first

2. With the patient facing forward, approach the curb diagonally

3. With the patient facing forward, raise both wheels simultaneously

4. With the patient facing backward, tilt the chair back and push

The correct answer is: With the patient facing forward, approach the curb diagonally

When teaching a caregiver to move a wheelchair onto a curb without a ramp, approaching the curb diagonally while having the patient face forward is the best technique. This method allows the caregiver to effectively leverage the angles created by the curb and the wheelchair's casters (front wheels) for a smoother and safer transition. By positioning the wheelchair at an angle, the caregiver can use their body weight to assist in lifting the large wheels (back wheels) while ensuring that the casters remain on the ground until the last moment. This strategy minimizes the risk of tipping the wheelchair and provides greater control during the maneuver, making it safer for both the caregiver and the patient. In comparison to the other techniques, facing forward while approaching diagonally allows for better visibility and coordination between the caregiver and the patient. The other techniques, such as those that involve tilting the chair back or pulling backward, increase the risk of tipping the chair and may require more strength and coordination, which can be challenging. Balancing the chair’s weight while moving it onto a curb without a ramp is critical for safety, making the diagonal approach the most effective choice.