CSCC Nurs 1871 Exam 2 UPDATED
ACTUAL Questions and CORRECT
Answers
Which positioning aid increases cervical flexion? - CORRECT ANSWER A thick pillow under a
patient's head increases cervical flexion, which is not desirable. Therefore, thin pillows should be placed
under the head. A thin pillow under bony prominences does not protect skin and tissue from damage
caused by pressure. Therefore, thick pillows should be placed under bony prominences. A trapeze bar
allows the patient to pull with the upper extremities to raise the trunk off the bed. The trochanter roll
prevents external rotation of the hips when a patient is in a supine position.
increased cervical flexion is observed when the patient is placed in which position? - CORRECT
ANSWER Increased cervical flexion may occur if a patient is placed in the supported Fowler's
position, because the pillow at the head is too thick and the head thrusts forward. Patients positioned in
the Sims' position may experience lack of foot support. Patients positioned in the prone position may
suffer from neck hyperextension. Patients positioned in the side-lying position may suffer from lateral
flexion of the neck.
The nurse is positioning a postoperative patient to place the major portion of the body weight on the hip
and shoulder. In which position does the nurse place the patient? - CORRECT ANSWER In a side-
lying position, most of the body's weight is dependent on the hip and shoulder. In the Sims' position, the
patient places the weight on the anterior ileum, humerus, and clavicle. In prone position, the major portion
of the body weight rests on the chest. In the supported Fowler's position, the major weight of the body
rests on the back.
While caring for a patient with immobility, the nurse positions the patient in the supported supine
position. The nurse places pillows under the pronated forearms keeping the upper arms parallel to the
patient's body. What is the reason for this nursing action? - CORRECT ANSWER While
positioning the patient in the supported supine position, the nurse places pillows under the pronated
forearms, and keeps the upper arms parallel to the patient's body to reduce the internal rotation of the
shoulder and prevent extension of the elbows. Placing the hand rolls in the patient's arms helps reduce the
extension of the fingers and abduction of the thumb. Placing pillows under the upper shoulders, neck, or
head helps in maintaining the correct body alignment and prevents flexion contractures of the cervical
spine. Placing a small rolled towel under the lumbar area of the back provides support to the lumbar
spine.
,Which trouble areas should be assessed for correction when the patient is placed in the position depicted
in the image? - CORRECT ANSWER The image depicts the supported Fowler's position. The
trouble areas in this position include the sacrum and heels. Unprotected pressure points at the ears are the
trouble areas in side-lying position. Unprotected pressure points at the knees and humerus are the trouble
points in Sims' position.
The nurse is caring for different patients. Which patient's condition may benefit from logrolling? -
CORRECT ANSWER Patients with a spinal cord injury often need to keep the spinal column in
straight alignment to prevent further injury. Therefore, logrolling would be beneficial for this patient to
prevent further injury. A patient with head injury would benefit from the semi-Fowler's position. A patient
with a hand injury and a patient with an abdominal surgery are placed in the supine position.
The nurse is caring for patients on a medical-surgical unit. The nurse plans the patients' care and instructs
the nursing assistant to assist in repositioning patients every 2 hours. Which patients are at the greatest
risk for complications if not repositioned properly? Select all that apply. - CORRECT
ANSWER Patients who are at the greatest risk for complications if not properly repositioned are
those who are unconscious, frail, or paralyzed. The 20-year-old unconscious patient is at risk for
pulmonary and cardiac complications, and at risk for deteriorated skin condition. The 90-year-old frail
patient would be unable to change position independently. The 40-year-old paraplegia patient would be
unable to move independently and is at risk of complications. The 65-year-old patient with visual
impairment and the 30-year-old patient with cholecystitis can move by themselves. These patients are not
at risk for developing complications.
While helping a patient move up in bed, the nurse turns the patient from side to side to place the
drawsheet under the patient. What is the reason for this nursing action? - CORRECT
ANSWER While helping a patient move up in bed, the nurse turns the patient from side to side to
place the drawsheet under the patient, extending from the shoulders to the thighs to support the patient's
body weight and to reduce the friction during movement. Returning the patient to the supine position to
achieve even distribution of the patient's weight makes lifting and positioning easier. Removing the pillow
from under the head and shoulders and placing it at the head of the bed helps keep the patient from
striking his/her head against the head of the bed. The nurse should fanfold the drawsheet on both sides,
with each nurse grasping firmly near the patient to provide strong handles to grip the drawsheet without
slipping.
Which nursing action prevents tension on the spinal column and adduction of the hips while logrolling the
patient? - CORRECT ANSWER Placing small pillows between the patient's knees helps prevent
tension in the spinal column and adduction of the hips. Crossing the patient's arms across the chest
prevents injury to the arms. Placing the patient in the supine position on the side of the bed prepares the
, patient for turning onto the side. Fanfolding, or rolling the drawsheet alongside the patient, provides
strong handles to grip the drawsheet.
Which positioning of the patient by the nurse will help prevent flexion contracture of the cervical
vertebrae? - CORRECT ANSWER The supported Fowler's position prevents the flexion
contracture of the cervical vertebrae. The prone position would be beneficial for patients with acute
respiratory distress. The 30-degree lateral position, or side-lying position, prevents pressure from bony
prominences on the back. The semi-prone position prevents foot drop.
The nurse has placed a patient in the Sims' position. Which areas would bear the maximum weight of the
body? - CORRECT ANSWER In the Sims' position, the major portion of weight is placed on the
clavicle and humerus. Pressure points such as the elbows are unprotected in the supine position. The
knees are unprotected pressure points in the prone position. The ankles are unprotected pressure points in
the side-lying position.
Side-Lying Position - CORRECT ANSWER In the side-lying (or lateral) position the patient rests
on the side with the major portion of body weight on the dependent hip and shoulder.
The following trouble points are common in the side-lying position: - CORRECT ANSWER •
Lateral flexion of the neck
• Spinal curves out of normal alignment
• Shoulder and hip joints internally rotated, adducted, or unsupported
• Lack of foot support
• Lack of protection for pressure points at the ear, shoulder, anterior iliac spine, trochanter, and ankles
• Excessive lateral flexion of the spine if the patient has large hips and a pillow is not placed superior to
the hips at the waist
Supported Fowler's Position.
In the supported Fowler's position the head of the bed is elevated 45 to 60 degrees, and the patient's knees
are slightly elevated without pressure to restrict circulation in the lower legs. - CORRECT
ANSWER common trouble areas for a patient in the supported Fowler's position:
• Increased cervical flexion because the pillow at the head is too thick and the head thrusts forward
• Extension of the knees, allowing the patient to slide to the foot of the bed
ACTUAL Questions and CORRECT
Answers
Which positioning aid increases cervical flexion? - CORRECT ANSWER A thick pillow under a
patient's head increases cervical flexion, which is not desirable. Therefore, thin pillows should be placed
under the head. A thin pillow under bony prominences does not protect skin and tissue from damage
caused by pressure. Therefore, thick pillows should be placed under bony prominences. A trapeze bar
allows the patient to pull with the upper extremities to raise the trunk off the bed. The trochanter roll
prevents external rotation of the hips when a patient is in a supine position.
increased cervical flexion is observed when the patient is placed in which position? - CORRECT
ANSWER Increased cervical flexion may occur if a patient is placed in the supported Fowler's
position, because the pillow at the head is too thick and the head thrusts forward. Patients positioned in
the Sims' position may experience lack of foot support. Patients positioned in the prone position may
suffer from neck hyperextension. Patients positioned in the side-lying position may suffer from lateral
flexion of the neck.
The nurse is positioning a postoperative patient to place the major portion of the body weight on the hip
and shoulder. In which position does the nurse place the patient? - CORRECT ANSWER In a side-
lying position, most of the body's weight is dependent on the hip and shoulder. In the Sims' position, the
patient places the weight on the anterior ileum, humerus, and clavicle. In prone position, the major portion
of the body weight rests on the chest. In the supported Fowler's position, the major weight of the body
rests on the back.
While caring for a patient with immobility, the nurse positions the patient in the supported supine
position. The nurse places pillows under the pronated forearms keeping the upper arms parallel to the
patient's body. What is the reason for this nursing action? - CORRECT ANSWER While
positioning the patient in the supported supine position, the nurse places pillows under the pronated
forearms, and keeps the upper arms parallel to the patient's body to reduce the internal rotation of the
shoulder and prevent extension of the elbows. Placing the hand rolls in the patient's arms helps reduce the
extension of the fingers and abduction of the thumb. Placing pillows under the upper shoulders, neck, or
head helps in maintaining the correct body alignment and prevents flexion contractures of the cervical
spine. Placing a small rolled towel under the lumbar area of the back provides support to the lumbar
spine.
,Which trouble areas should be assessed for correction when the patient is placed in the position depicted
in the image? - CORRECT ANSWER The image depicts the supported Fowler's position. The
trouble areas in this position include the sacrum and heels. Unprotected pressure points at the ears are the
trouble areas in side-lying position. Unprotected pressure points at the knees and humerus are the trouble
points in Sims' position.
The nurse is caring for different patients. Which patient's condition may benefit from logrolling? -
CORRECT ANSWER Patients with a spinal cord injury often need to keep the spinal column in
straight alignment to prevent further injury. Therefore, logrolling would be beneficial for this patient to
prevent further injury. A patient with head injury would benefit from the semi-Fowler's position. A patient
with a hand injury and a patient with an abdominal surgery are placed in the supine position.
The nurse is caring for patients on a medical-surgical unit. The nurse plans the patients' care and instructs
the nursing assistant to assist in repositioning patients every 2 hours. Which patients are at the greatest
risk for complications if not repositioned properly? Select all that apply. - CORRECT
ANSWER Patients who are at the greatest risk for complications if not properly repositioned are
those who are unconscious, frail, or paralyzed. The 20-year-old unconscious patient is at risk for
pulmonary and cardiac complications, and at risk for deteriorated skin condition. The 90-year-old frail
patient would be unable to change position independently. The 40-year-old paraplegia patient would be
unable to move independently and is at risk of complications. The 65-year-old patient with visual
impairment and the 30-year-old patient with cholecystitis can move by themselves. These patients are not
at risk for developing complications.
While helping a patient move up in bed, the nurse turns the patient from side to side to place the
drawsheet under the patient. What is the reason for this nursing action? - CORRECT
ANSWER While helping a patient move up in bed, the nurse turns the patient from side to side to
place the drawsheet under the patient, extending from the shoulders to the thighs to support the patient's
body weight and to reduce the friction during movement. Returning the patient to the supine position to
achieve even distribution of the patient's weight makes lifting and positioning easier. Removing the pillow
from under the head and shoulders and placing it at the head of the bed helps keep the patient from
striking his/her head against the head of the bed. The nurse should fanfold the drawsheet on both sides,
with each nurse grasping firmly near the patient to provide strong handles to grip the drawsheet without
slipping.
Which nursing action prevents tension on the spinal column and adduction of the hips while logrolling the
patient? - CORRECT ANSWER Placing small pillows between the patient's knees helps prevent
tension in the spinal column and adduction of the hips. Crossing the patient's arms across the chest
prevents injury to the arms. Placing the patient in the supine position on the side of the bed prepares the
, patient for turning onto the side. Fanfolding, or rolling the drawsheet alongside the patient, provides
strong handles to grip the drawsheet.
Which positioning of the patient by the nurse will help prevent flexion contracture of the cervical
vertebrae? - CORRECT ANSWER The supported Fowler's position prevents the flexion
contracture of the cervical vertebrae. The prone position would be beneficial for patients with acute
respiratory distress. The 30-degree lateral position, or side-lying position, prevents pressure from bony
prominences on the back. The semi-prone position prevents foot drop.
The nurse has placed a patient in the Sims' position. Which areas would bear the maximum weight of the
body? - CORRECT ANSWER In the Sims' position, the major portion of weight is placed on the
clavicle and humerus. Pressure points such as the elbows are unprotected in the supine position. The
knees are unprotected pressure points in the prone position. The ankles are unprotected pressure points in
the side-lying position.
Side-Lying Position - CORRECT ANSWER In the side-lying (or lateral) position the patient rests
on the side with the major portion of body weight on the dependent hip and shoulder.
The following trouble points are common in the side-lying position: - CORRECT ANSWER •
Lateral flexion of the neck
• Spinal curves out of normal alignment
• Shoulder and hip joints internally rotated, adducted, or unsupported
• Lack of foot support
• Lack of protection for pressure points at the ear, shoulder, anterior iliac spine, trochanter, and ankles
• Excessive lateral flexion of the spine if the patient has large hips and a pillow is not placed superior to
the hips at the waist
Supported Fowler's Position.
In the supported Fowler's position the head of the bed is elevated 45 to 60 degrees, and the patient's knees
are slightly elevated without pressure to restrict circulation in the lower legs. - CORRECT
ANSWER common trouble areas for a patient in the supported Fowler's position:
• Increased cervical flexion because the pillow at the head is too thick and the head thrusts forward
• Extension of the knees, allowing the patient to slide to the foot of the bed
