Exam Bank
SAUNDERS NCLEX-PN MOBILITY & POSITIONING: 50
HIGH-YIELD PRACTICE QUESTIONS WITH RATIONALES –
9TH EDITION TEST BANK
By Linda Anne Silvestri, PhD, RN, ANEF, FAAN – Paperback,
June 2026
Questions 1–50: Mobility & Positioning
1. Which of the following is the best way to prevent foot drop in a bedridden patient?
A. Keep the knees flexed at all times
B. Use a footboard or splint to maintain dorsiflexion ✅
C. Elevate the legs on pillows
D. Apply elastic stockings
Rationale: A footboard or splint helps maintain the foot in a neutral position and prevents
plantar flexion contractures (foot drop).
2. When transferring a patient from bed to wheelchair, the nurse should:
A. Lift the patient entirely with their arms
B. Lock the wheelchair brakes and use a gait belt ✅
C. Push the patient quickly to save time
D. Ask the patient to jump into the chair
Rationale: Locking brakes and using a gait belt ensures patient safety and prevents falls during
transfers.
3. A patient is at risk for pressure ulcers. The nurse should reposition the patient at least
every:
A. 1 hour
B. 2 hours ✅
C. 3 hours
D. 4 hours
Rationale: Repositioning every 2 hours helps prevent pressure ulcer development in immobile
patients.
, Exam Bank
4. Which of the following positions is best for a patient after abdominal surgery to reduce
tension on the incision?
A. Supine
B. Prone
C. Fowler’s with knees slightly flexed ✅
D. Side-lying
Rationale: Fowler’s position with knees slightly flexed reduces abdominal strain and promotes
comfort.
5. The nurse is assisting a patient to use a walker. The correct instruction is:
A. Move the walker and step with the weaker leg first
B. Move the walker, then the stronger leg, then the weaker leg ✅
C. Move the walker after stepping forward
D. Only step with the stronger leg
Rationale: The proper sequence is walker first, then the stronger leg, followed by the weaker leg
for safe ambulation.
6. Passive range-of-motion (ROM) exercises are indicated for:
A. Fully ambulatory patients
B. Patients unable to move joints independently ✅
C. Patients recovering from knee surgery with full weight-bearing
D. Patients who exercise daily
Rationale: Passive ROM maintains joint flexibility and prevents contractures in patients who
cannot move independently.
7. Which is the primary purpose of the Trendelenburg position?
A. Facilitate breathing
B. Promote venous return in hypotensive patients ✅
C. Prevent pressure ulcers
D. Reduce intracranial pressure
Rationale: Trendelenburg (head lower than feet) increases venous return to the heart in cases of
hypotension.
SAUNDERS NCLEX-PN MOBILITY & POSITIONING: 50
HIGH-YIELD PRACTICE QUESTIONS WITH RATIONALES –
9TH EDITION TEST BANK
By Linda Anne Silvestri, PhD, RN, ANEF, FAAN – Paperback,
June 2026
Questions 1–50: Mobility & Positioning
1. Which of the following is the best way to prevent foot drop in a bedridden patient?
A. Keep the knees flexed at all times
B. Use a footboard or splint to maintain dorsiflexion ✅
C. Elevate the legs on pillows
D. Apply elastic stockings
Rationale: A footboard or splint helps maintain the foot in a neutral position and prevents
plantar flexion contractures (foot drop).
2. When transferring a patient from bed to wheelchair, the nurse should:
A. Lift the patient entirely with their arms
B. Lock the wheelchair brakes and use a gait belt ✅
C. Push the patient quickly to save time
D. Ask the patient to jump into the chair
Rationale: Locking brakes and using a gait belt ensures patient safety and prevents falls during
transfers.
3. A patient is at risk for pressure ulcers. The nurse should reposition the patient at least
every:
A. 1 hour
B. 2 hours ✅
C. 3 hours
D. 4 hours
Rationale: Repositioning every 2 hours helps prevent pressure ulcer development in immobile
patients.
, Exam Bank
4. Which of the following positions is best for a patient after abdominal surgery to reduce
tension on the incision?
A. Supine
B. Prone
C. Fowler’s with knees slightly flexed ✅
D. Side-lying
Rationale: Fowler’s position with knees slightly flexed reduces abdominal strain and promotes
comfort.
5. The nurse is assisting a patient to use a walker. The correct instruction is:
A. Move the walker and step with the weaker leg first
B. Move the walker, then the stronger leg, then the weaker leg ✅
C. Move the walker after stepping forward
D. Only step with the stronger leg
Rationale: The proper sequence is walker first, then the stronger leg, followed by the weaker leg
for safe ambulation.
6. Passive range-of-motion (ROM) exercises are indicated for:
A. Fully ambulatory patients
B. Patients unable to move joints independently ✅
C. Patients recovering from knee surgery with full weight-bearing
D. Patients who exercise daily
Rationale: Passive ROM maintains joint flexibility and prevents contractures in patients who
cannot move independently.
7. Which is the primary purpose of the Trendelenburg position?
A. Facilitate breathing
B. Promote venous return in hypotensive patients ✅
C. Prevent pressure ulcers
D. Reduce intracranial pressure
Rationale: Trendelenburg (head lower than feet) increases venous return to the heart in cases of
hypotension.
