Potter & Perry Fundamentals Exam 1: Practice Questions and Verified Answers

FUNDAMENTALS EXAM 1 (POTTER & PERRY
CHAPTER PRACTICE QUESTIONS) // AND 100%
VERIFIED ANSWERS

*AApatientAhasAbeenAonAbedArestAforAoverA4Adays.AOnAassessment,AtheAnurseAidentifiesAtheAfollowi
ngAasAaAsignAassociatedAwithAimmobility:*

A.ADecreasedAperistalsisA

B.ADecreasedAheartArate

C.AIncreasedAbloodApressure

D.AIncreasedAurinaryAoutputA-ACORRECTAANSWER-*Answer:AA*

Rationale:AImmobilityAdisruptsAnormalAmetabolicAfunctioning:AdecreasingAtheAmetabolicArate;Aalt
eringAtheAmetabolismAofAcarbohydrates,Afats,AandAproteins;AcausingAfluid,Aelectrolyte,AandAcalciu
mAimbalances;AandAcausingAgastrointestinalAdisturbancesAsuchAasAdecreasedAappetiteAandAslowin
gAofAperistalsis.

*AAnurseAisAcaringAforAanAolderAadultAwhoAhasAhadAaAfracturedAhipArepaired.AInAtheAfirstAfewAposto
perativeAdays,AwhichAofAtheAfollowingAnursingAmeasuresAwillAbestAfacilitateAtheAresumptionAofAacti
vitiesAofAdailyAlivingAforAthisApatient?*

A.AEncouragingAuseAofAanAoverheadAtrapezeAforApositioningAandAtransfer.A

B.AFrequentAfamilyAvisits

C.AAssistingAtheApatientAtoAaAwheelchairAonceAperAday

D.AEnsuringAthatAthereAisAanAorderAforAphysicalAtherapyA-ACORRECTAANSWER-*Answer:AA*

Rationale:ATheAtrapezeAbarAallowsAtheApatientAtoApullAwithAtheAupperAextremitiesAtoAraiseAtheAtru
nkAoffAtheAbed,AaidAinAtransferAfromAbedAtoAwheelchair,AorAperformAupper-
armAexercises.AItAincreasesAindependenceAandAmaintainsAupperAbodyAstrengthAtoAhelpAinAperform
ingAactivitiesAofAdailyAliving.

*AnAolder-
adultApatientAhasAbeenAbedriddenAforA2Aweeks.AWhichAofAtheAfollowingAcomplaintsAbyAtheApatient
AindicatesAtoAtheAnurseAthatAheAorAsheAisAdevelopingAaAcomplicationAofAimmobility?*



A.ALossAofAappetite

,B.AGumAsoreness

C.ADifficultyAswallowing

D.ALeft-ankleAjointAstiffnessA-ACORRECTAANSWER-*Answer:AD*

Rationale:APatientsAwhoseAmobilityAisArestrictedArequireArange-of-
motionA(ROM)AexercisesAdailyAtoAreduceAtheAhazardsAofAimmobility.ATemporaryAimmobilizationAre
sultsAinAsomeAmuscleAatrophy,AlossAofAmuscleAtone,AandAjointAstiffness.ATwoAweeksAofAjointAimmob
ilizationAwithoutAROMAcanAquicklyAresultAinAcontractures.

*TheAnurseAisAcaringAforAaApatientAwhoseAcalciumAintakeAmustAincreaseAbecauseAofAhighAriskAfacto
rsAforAosteoporosis.AWhichAofAtheAfollowingAmenusAshouldAtheAnurseArecommend?*

A.ACreamAofAbroccoliAsoupAwithAwholeAwheatAcrackers,Acheese,AandAtapiocaAforAdessertA

B.AHotAdogAonAwholeAwheatAbunAwithAaAsideAsaladAandAanAappleAforAdessert

C.ALow-fatAturkeyAchiliAwithAsourAcreamAwithAaAsideAsaladAandAfreshApearsAforAdessert

D.ATurkeyAsaladAonAtoastAwithAtomatoAandAlettuceAandAhoneyAbunAforAdessertA-
ACORRECTAANSWER-*Answer:AA*



Rationale:ATeachApatientAand/orAcaregiverAtheAcurrentArecommendedAdietaryAallowancesAforAcalc
iumAandAreviewAfoodsAhighAinAcalciumA(e.g.,AmilkAfortifiedAwithAvitaminAD,AleafyAgreenAvegetables,
Ayogurt,AandAcheese).



*AApatientAonAprolongedAbedArestAisAatAanAincreasedAriskAtoAdevelopAthisAcommonAcomplicationAo
fAimmobilityAifApreventiveAmeasuresAareAnotAtaken:*

A.AMyoclonus

B.APathologicalAfractures

C.APressureAulcersA

D.APruritusA-ACORRECTAANSWER-*Answer:AC*

Rationale:AImmobilityAisAaAmajorAriskAfactorAforApressureAulcers.AAnyAbreakAinAtheAintegrityAofAtheA
skinAisAdifficultAtoAheal.APreventingAaApressureAulcerAisAmuchAlessAexpensiveAthanAtreatingAone;Ath
ereforeApreventiveAnursingAinterventionsAareAimperative.

*ToApreventAcomplicationsAofAimmobility,AwhatAwouldAbeAtheAmostAeffectiveAactivityAonAtheAfirstA
postoperativeAdayAforAaApatientAwhoAhasAhadAabdominalAsurgery?*

A.ATurn,Acough,AandAdeepAbreatheAeveryA30AminutesAwhileAawake

,B.AAmbulateApatientAtoAchairAinAtheAhallA

C.APassiveArangeAofAmotionA4AtimesAaAday

D.AImmobilityAisAnotAaAconcernAtheAfirstApostoperativeAdayA-ACORRECTAANSWER-*Answer:AB*

Rationale:APreventionAofAcomplicationsAofAimmobilityAbeginsAwhenAtheApatientAbecomesAimmobil
ized.AEveryA30AminutesAisAnotAnecessaryAandAdisruptiveAtoAtheAhealingAprocess.AActiveApatientApar
ticipationAinAexercisesAisAmoreAbeneficialAtoApreventingAvenousAstasis.

*WhichAofAtheAfollowingAnursingAinterventionsAshouldAbeAimplementedAtoAmaintainAaApatentAair
wayAinAaApatientAonAbedArest?*

A.AIsometricAexercises

B.AAdministrationAofAlow-doseAheparin

C.ASuctioningAeveryA4Ahours

D.AUseAofAincentiveAspirometerAeveryA2AhoursAwhileAawakeA-ACORRECTAANSWER-*Answer:AD*

Rationale:AIncentiveAspirometryAopensAtheAairway,ApreventingAatelectasis.

*WhatAisAtheAcorrectAorderAinAwhichAelasticAstockingsAshouldAbeAapplied?

1.AIdentifyApatientAusingAtwoAidentifiers.A

2.ASmoothAanyAcreasesAorAwrinkles.A

3.ASlideAtheAremainderAofAtheAstockingAoverAtheApatient'sAheelAandAupAtheAlegA

4.ATurnAtheAstockingAinsideAoutAuntilAheelAisAreached.A

5.AAssessAtheAconditionAofAtheApatient'sAskinAandAcirculationAofAtheAlegs.A

6.APlaceAtoesAintoAfootAofAtheAstocking.A

7.AUseAtapeAmeasureAtoAmeasureApatient'sAlegsAtoAdetermineAproperAstockingAsize.*

A.A1,A5,A7,A4,A6,A2,A3

B.A1,A7,A5,A4,A6,A2,A3

C.A1,A5,A7,A4,A6,A3,A2A

D.A1,A5,A4,A7,A6,A3,A2A-ACORRECTAANSWER-*Answer:AC*

*WhichAofAtheAfollowingAareAphysiologicalAoutcomesAofAimmobility?*

A.AIncreasedAmetabolism

, B.AReducedAcardiacAworkload

C.ADecreasedAlungAexpansionA

D.ADecreasedAoxygenAdemandA-ACORRECTAANSWER-*Answer:AC*

Rationale:APhysiologicAoutcomesAofAimmobilityAincludeAdecreasedAmetabolism,AincreasedAcardiac
Aworkload,AdecreasedAlungAexpansion,AandAincreasedAoxygenAdemand.



*AnAolderAadultAhasAlimitedAmobilityAasAaAresultAofAaAtotalAkneeAreplacement.ADuringAassessmentA
youAnoteAthatAtheApatientAhasAdifficultyAbreathingAwhileAlyingAflat.AWhichAofAtheAfollowingAassess
mentAdataAsupportAaApossibleApulmonaryAproblemArelatedAtoAimpairedAmobility?A(SelectAallAthatA
apply.)*

A.AB/PA=A128/84

B.ARespirationsA26/minAonAroomAairA

C.AHRA114A

D.ACracklesAoverAlowerAlobesAheardAonAauscultationA

E.APainAreportedAasA3AonAscaleAofA0AtoA10AafterAmedicationA-ACORRECTAANSWER-*Answer:AB,AC,AD*

Rationale:APatientsAwhoAareAimmobileAareAatAhighAriskAforAdevelopingApulmonaryAcomplications.A
TheAmostAcommonArespiratoryAcomplicationsAareAatelectasisA(collapseAofAalveoli)AandAhypostaticA
pneumoniaA(inflammationAofAtheAlungAfromAstasisAorApoolingAofAsecretions).AUltimatelyAtheAdistri
butionAofAmucusAinAtheAbronchiAincreases,AparticularlyAwhenAtheApatientAisAinAtheAsupine,Aprone,A
orAlateralAposition.

*AAnurseAisAteachingAaAcommunityAgroupAaboutAwaysAtoAminimizeAtheAriskAofAdevelopingAosteopo
rosis.AWhichAofAtheAfollowingAstatementsAreflectAunderstandingAofAwhatAwasAtaught?A(SelectAallAt
hatAapply.)*

A.A"IAusuallyAgoAswimmingAwithAmyAfamilyAatAtheAYMCAA3AtimesAaAweek."A

B.A"IAneedAtoAaskAmyAdoctorAifAIAshouldAhaveAaAboneAmineralAdensityAcheckAthisAyear."A

C.A"IfAIAdon'tAdrinkAmilkAatAdinner,AI'llAeatAbroccoliAorAcabbageAtoAgetAtheAcalciumAthatAIAneedAinAmy
Adiet."A



D.A"I'llAcheckAtheAlabelAofAmyAmultivitamin.AIfAitAhasAcalcium,AIAcanAsaveAmoneyAbyAnotAtakingAanot
herApill."

E.A"MyAlactoseAintoleranceAshouldAnotAbeAaAconcernAwhenAconsideringAmyAcalciumAintake."A-
ACORRECTAANSWER-*Answer:AA,AB,AC*