NURS 210 - Exam 1 Practice Questions With Complete
Solutions
which outcome statement identifies a reasonable short-term goal
for a patient who is weak and has been immobilized in a supine
position for 2 weeks?
1. patient will ambulate with the assist of two caregivers three
times within 24 hours
2. patient will return to independent activities of daily living
within 2 weeks
3. patient will dangle at bedside with the assist of one caregiver
three times within 24 hours
4. patient will experience no falls within 1 month.
ANSWER:
3. patient will dangle at bedside with the assist of one caregiver
three times within 24 hours
which conditions are common effects of immobility? select all
that apply.
1. kidney stone formation
2. increased muscle tone
3. joint contractures
4. diarrhea
5. increased cardiac workload
ANSWER:
1. kidney stone formation
3. joint contractures
5. increased cardiac workload
,which metabolic changes result from immobility? select all that
apply
1. decreased calcium blood levels
2. negative nitrogen balance
3. decrease in BMR
4. decreased appetite
5. increased muscle mass due to muscle protein anabolism
ANSWER:
2. negative nitrogen balance
3. decreased BMR
4. decreased appetite
which physiologic changes are associated with immobility?
select all that apply
1. increased lung expansion
2. calcium imbalance
3. decreased BMR
4. increased cardiac workload
5. increased catabolism of protein
ANSWERS:
2. calcium imbalance
3. decreased BMR
4. increased cardiac workload
5. increased catabolism of protein
which factor indicates that additional caregiver assistance is
needed for the nurse to safely transfer a patient from the bed to
the stretcher?
1. the patient's BMI is 26
, 2. the patient speaks and understands english
3. the patient's behavior is unpredictable
4. the nurse transferring the patient is much stronger than the
patient
ANSWERS:
3. the patient's behavior is unpredictable
a patient on week-long bed rest is now performing isometric
exercises. which nursing diagnosis best addresses the safety
risks for this patient?
1. risk for depressed mood (ICNP)
2. impaired skin integrity (ICNP)
3. disturbed body image (ICNP)
4. risk for activity intolerance (ICNP)
ANSWERS:
4. risk for activity intolerance (ICNP)
the nurse has administered a narcotic analgesic to a patient for
pain relief immediately before ambulation. Before and during
ambulation, the nurse should closely monitor the patient for
which adverse effects of the medication? select all that apply.
1. sedation
2. respiratory depression
3. withdrawl
4. dizziness
5. confusion
ANSWERS:
1. sedation
Solutions
which outcome statement identifies a reasonable short-term goal
for a patient who is weak and has been immobilized in a supine
position for 2 weeks?
1. patient will ambulate with the assist of two caregivers three
times within 24 hours
2. patient will return to independent activities of daily living
within 2 weeks
3. patient will dangle at bedside with the assist of one caregiver
three times within 24 hours
4. patient will experience no falls within 1 month.
ANSWER:
3. patient will dangle at bedside with the assist of one caregiver
three times within 24 hours
which conditions are common effects of immobility? select all
that apply.
1. kidney stone formation
2. increased muscle tone
3. joint contractures
4. diarrhea
5. increased cardiac workload
ANSWER:
1. kidney stone formation
3. joint contractures
5. increased cardiac workload
,which metabolic changes result from immobility? select all that
apply
1. decreased calcium blood levels
2. negative nitrogen balance
3. decrease in BMR
4. decreased appetite
5. increased muscle mass due to muscle protein anabolism
ANSWER:
2. negative nitrogen balance
3. decreased BMR
4. decreased appetite
which physiologic changes are associated with immobility?
select all that apply
1. increased lung expansion
2. calcium imbalance
3. decreased BMR
4. increased cardiac workload
5. increased catabolism of protein
ANSWERS:
2. calcium imbalance
3. decreased BMR
4. increased cardiac workload
5. increased catabolism of protein
which factor indicates that additional caregiver assistance is
needed for the nurse to safely transfer a patient from the bed to
the stretcher?
1. the patient's BMI is 26
, 2. the patient speaks and understands english
3. the patient's behavior is unpredictable
4. the nurse transferring the patient is much stronger than the
patient
ANSWERS:
3. the patient's behavior is unpredictable
a patient on week-long bed rest is now performing isometric
exercises. which nursing diagnosis best addresses the safety
risks for this patient?
1. risk for depressed mood (ICNP)
2. impaired skin integrity (ICNP)
3. disturbed body image (ICNP)
4. risk for activity intolerance (ICNP)
ANSWERS:
4. risk for activity intolerance (ICNP)
the nurse has administered a narcotic analgesic to a patient for
pain relief immediately before ambulation. Before and during
ambulation, the nurse should closely monitor the patient for
which adverse effects of the medication? select all that apply.
1. sedation
2. respiratory depression
3. withdrawl
4. dizziness
5. confusion
ANSWERS:
1. sedation
