NURSING MODULE 3 REVIEW 220 QUESTIONS WITH
VERIFIED ANSWER 2026
Decreased peristalsis - CORRECT ANSWER 1. A client has been on prolonged bed
rest, and the nurse is observing for signs associated with immobility. In
assessment of the client, the nurse is alert to a(n):
1. Increased blood pressure
2. Decreased heart rate
3. Increased urinary output
4. Decreased peristalsis
Assess the extremities for unilateral swelling and muscle atrophy. - CORRECT
ANSWER 2. A 61-year-old client recently suffered left-sided paralysis from a
cerebrovascular accident (stroke). In planning care for this client, the nurse
implements which one of the following as an appropriate intervention?
1. Encourage an even gait when walking in place.
2. Assess the extremities for unilateral swelling and muscle atrophy.
3. Encourage holding the breath frequently to hyperinflate the client's lungs.
4. Teach the use of a two-point crutch technique for ambulation.
Even with the shoulders - CORRECT ANSWER 3. Two nurses are standing on
opposite sides of the bed to move the client up in bed with a drawsheet. Where
should the nurses be standing in relation to the client's body as they prepare for
the move?
1. Even with the thorax
2. Even with the shoulders
,3. Even with the hips
4. Even with the knees
Assess the situation for any potentially unsafe complications. - CORRECT ANSWER
4. A client is leaving for surgery and because of preoperative sedation needs
complete assistance to transfer from the bed to the stretcher. Which of the
following should the nurse do first?
1. Elevate the head of the bed.
2. Explain the procedure to the client.
3. Place the client in the prone position.
4. Assess the situation for any potentially unsafe complications.
Intermittent pressure is set at 40 mm Hg - CORRECT ANSWER 5. A client has
sequential compression stockings in place. The nurse evaluates that they are
implemented appropriately by the new staff nurse when the:
1. Initial measurement is made around the client's calves
2. Intermittent pressure is set at 40 mm Hg
3. Stockings are wrapped directly over the leg from ankle to knee
4. Stockings are removed every hour during application
Contracture of the sternocleidomastoid muscle with a head incline - CORRECT
ANSWER 6. The nurse assesses that the client has torticollis and that this may
adversely influence the client's mobility. This individual has a(n):
1. Exaggeration of the lumbar spine curvature
2. Increased convexity of the thoracic spine
,3. Abnormal anteroposterior and lateral curvature of the spine
4. Contracture of the sternocleidomastoid muscle with a head incline
Diminished breath sounds - CORRECT ANSWER 7. An immobilized client is
suspected of having atelectasis. This is assessed by the nurse upon auscultation
as:
1. Harsh crackles
2. Wheezing on inspiration
3. Diminished breath sounds
4. Bronchovesicular whooshing
Measure the calf and thigh circumferences - CORRECT ANSWER 8. The best
approach for the nurse to use to assess the presence of thrombosis in an
immobilized client is to:
1. Measure the calf and thigh circumferences
2. Attempt to elicit Homans' sign
3. Palpate the temperature of the feet
4. Observe for a loss of hair and skin turgor in the lower legs
Obtain a baseline blood pressure - CORRECT ANSWER 9. A client is getting up for
the first time after a period of bed rest. The nurse should first:
1. Assess respiratory function
2. Obtain a baseline blood pressure
3. Assist the client with sitting at the edge of the bed
4. Ask the client if he or she feels light-headed
, Encourage deep breathing and coughing every hour - CORRECT ANSWER 10. To
promote respiratory function in the immobilized client, the nurse should:
1. Change the client's position every 4 to 8 hours
2. Encourage deep breathing and coughing every hour
3. Use oxygen and nebulizer treatments regularly
4. Suction the client's secretions every hour
Apply external pressure - CORRECT ANSWER 11. Ant embolic stockings
(thromboembolic device [TED] hose) are ordered for the client on bed rest
following surgery. The nurse explains to the client that the primary purpose for
the TEDs is to:
1. Keep the skin warm and dry
2. Prevent abnormal joint flexion
3. Apply external pressure
4. Prevent bleeding
"Let's discuss the routine to see if there are any changes we can make." - CORRECT
ANSWER 12. To provide for the psychosocial needs of an immobilized client, an
appropriate statement by the nurse is which of the following?
1. "The staff will limit your visitors so that you will not be bothered."
2. "A roommate can be a real bother. You'd probably rather have a private room."
3. "Let's discuss the routine to see if there are any changes we can make."
4. "I think you should have your hair done and put on some makeup."
VERIFIED ANSWER 2026
Decreased peristalsis - CORRECT ANSWER 1. A client has been on prolonged bed
rest, and the nurse is observing for signs associated with immobility. In
assessment of the client, the nurse is alert to a(n):
1. Increased blood pressure
2. Decreased heart rate
3. Increased urinary output
4. Decreased peristalsis
Assess the extremities for unilateral swelling and muscle atrophy. - CORRECT
ANSWER 2. A 61-year-old client recently suffered left-sided paralysis from a
cerebrovascular accident (stroke). In planning care for this client, the nurse
implements which one of the following as an appropriate intervention?
1. Encourage an even gait when walking in place.
2. Assess the extremities for unilateral swelling and muscle atrophy.
3. Encourage holding the breath frequently to hyperinflate the client's lungs.
4. Teach the use of a two-point crutch technique for ambulation.
Even with the shoulders - CORRECT ANSWER 3. Two nurses are standing on
opposite sides of the bed to move the client up in bed with a drawsheet. Where
should the nurses be standing in relation to the client's body as they prepare for
the move?
1. Even with the thorax
2. Even with the shoulders
,3. Even with the hips
4. Even with the knees
Assess the situation for any potentially unsafe complications. - CORRECT ANSWER
4. A client is leaving for surgery and because of preoperative sedation needs
complete assistance to transfer from the bed to the stretcher. Which of the
following should the nurse do first?
1. Elevate the head of the bed.
2. Explain the procedure to the client.
3. Place the client in the prone position.
4. Assess the situation for any potentially unsafe complications.
Intermittent pressure is set at 40 mm Hg - CORRECT ANSWER 5. A client has
sequential compression stockings in place. The nurse evaluates that they are
implemented appropriately by the new staff nurse when the:
1. Initial measurement is made around the client's calves
2. Intermittent pressure is set at 40 mm Hg
3. Stockings are wrapped directly over the leg from ankle to knee
4. Stockings are removed every hour during application
Contracture of the sternocleidomastoid muscle with a head incline - CORRECT
ANSWER 6. The nurse assesses that the client has torticollis and that this may
adversely influence the client's mobility. This individual has a(n):
1. Exaggeration of the lumbar spine curvature
2. Increased convexity of the thoracic spine
,3. Abnormal anteroposterior and lateral curvature of the spine
4. Contracture of the sternocleidomastoid muscle with a head incline
Diminished breath sounds - CORRECT ANSWER 7. An immobilized client is
suspected of having atelectasis. This is assessed by the nurse upon auscultation
as:
1. Harsh crackles
2. Wheezing on inspiration
3. Diminished breath sounds
4. Bronchovesicular whooshing
Measure the calf and thigh circumferences - CORRECT ANSWER 8. The best
approach for the nurse to use to assess the presence of thrombosis in an
immobilized client is to:
1. Measure the calf and thigh circumferences
2. Attempt to elicit Homans' sign
3. Palpate the temperature of the feet
4. Observe for a loss of hair and skin turgor in the lower legs
Obtain a baseline blood pressure - CORRECT ANSWER 9. A client is getting up for
the first time after a period of bed rest. The nurse should first:
1. Assess respiratory function
2. Obtain a baseline blood pressure
3. Assist the client with sitting at the edge of the bed
4. Ask the client if he or she feels light-headed
, Encourage deep breathing and coughing every hour - CORRECT ANSWER 10. To
promote respiratory function in the immobilized client, the nurse should:
1. Change the client's position every 4 to 8 hours
2. Encourage deep breathing and coughing every hour
3. Use oxygen and nebulizer treatments regularly
4. Suction the client's secretions every hour
Apply external pressure - CORRECT ANSWER 11. Ant embolic stockings
(thromboembolic device [TED] hose) are ordered for the client on bed rest
following surgery. The nurse explains to the client that the primary purpose for
the TEDs is to:
1. Keep the skin warm and dry
2. Prevent abnormal joint flexion
3. Apply external pressure
4. Prevent bleeding
"Let's discuss the routine to see if there are any changes we can make." - CORRECT
ANSWER 12. To provide for the psychosocial needs of an immobilized client, an
appropriate statement by the nurse is which of the following?
1. "The staff will limit your visitors so that you will not be bothered."
2. "A roommate can be a real bother. You'd probably rather have a private room."
3. "Let's discuss the routine to see if there are any changes we can make."
4. "I think you should have your hair done and put on some makeup."
