Nurs 226 Quiz 2 Practice Questions – Nursing Leadership & Management Review
Guide
The nurse should perform passive range-of-motion (ROM) exercises on which patients? Select
all that apply.
a) Has septic joints
b) Has temporary loss of sensation
c) Is unconscious
d) Has plantar flexion of the foot
e) Has supination of the hand - ✔✔b) Has temporary loss of sensation
c) Is unconscious
Rationale: passive ROM exercises are the nurse moving the patient's limbs/joints when the pt is
physically unable to do so independently.
ROM exercises should not be done on septic joints due to the inflammation and pain assoc. w/
the condition.
D & E do not describe pathological conditions, just positions of the hand/foot; so performing
ROM exercises do not apply to these answers.
Which are complications of bed rest? Select all that apply.
a) Extremity contractures
b) Decreased dependency
c) Diarrhea
,d) Pneumonia
e) Pressure ulcers
f) Thrombi
g) Urinary calculi - ✔✔a) Extremity contractures
d) Pneumonia
e) Pressure ulcers
f) Thrombi
g) Urinary calculi
Rationale: 'extremity contractures' is loss of the ROM in an extremity due to tightening or
shortening of connective tissues, which can occur due to prolonged immobility.
A pt on bed rest will have increased dependency on others.
Constipation (not diarrhea) is a potential complication of bed rest due to slowed peristalsis.
A truck driver sees the primary care provider because of persistent back pain. The nurse
explains that which patient activity documented during the nursing history may contribute to
further back injury?
a) Lifting an object close to the body
b) Shifting positions often when sitting for prolonged periods
c) Providing back support with a pillow when sitting
d) Prolonged sitting or standing - ✔✔d) Prolonged sitting or standing
Which of the following could put a nurse or healthcare worker at risk for sustaining a back
injury?
, a) Lifting a box of IV supplied up and over the head to place on a shelf
b) Placing the feet 2 feet apart before sliding a patient up in bed
c) Raising the bed to waist level when starting an IV
d) Squatting to measure the chest tube drainage - ✔✔a) Lifting a box of IV supplied up and
over the head to place on a shelf
To maintain proper posture, it is important to
a) Avoid arching shoulders forward when sitting
b) Keep your knees locked whens standing upright
c) Keep your stomach muscles relaxed to prevent back spasms
d) Sleep on the softest mattress possible - ✔✔a) Avoid arching shoulders forward when sitting
A patient has been on bed rest for over 5 days. Which of these findings during the nurse's
assessment may indicate a complication of immobility?
a) Decreased peristalsis
b) Decreased heart rate
c) Increased blood pressure
d) Increased urinary output - ✔✔a) Decreased peristalsis
An older-adult patient has been bedridden for 2 weeks. Which of these complaints by the
patient indicates to the nurse that he or she is developing a complication of immobility?
a) Increase of appetite
b) Gum soreness
Guide
The nurse should perform passive range-of-motion (ROM) exercises on which patients? Select
all that apply.
a) Has septic joints
b) Has temporary loss of sensation
c) Is unconscious
d) Has plantar flexion of the foot
e) Has supination of the hand - ✔✔b) Has temporary loss of sensation
c) Is unconscious
Rationale: passive ROM exercises are the nurse moving the patient's limbs/joints when the pt is
physically unable to do so independently.
ROM exercises should not be done on septic joints due to the inflammation and pain assoc. w/
the condition.
D & E do not describe pathological conditions, just positions of the hand/foot; so performing
ROM exercises do not apply to these answers.
Which are complications of bed rest? Select all that apply.
a) Extremity contractures
b) Decreased dependency
c) Diarrhea
,d) Pneumonia
e) Pressure ulcers
f) Thrombi
g) Urinary calculi - ✔✔a) Extremity contractures
d) Pneumonia
e) Pressure ulcers
f) Thrombi
g) Urinary calculi
Rationale: 'extremity contractures' is loss of the ROM in an extremity due to tightening or
shortening of connective tissues, which can occur due to prolonged immobility.
A pt on bed rest will have increased dependency on others.
Constipation (not diarrhea) is a potential complication of bed rest due to slowed peristalsis.
A truck driver sees the primary care provider because of persistent back pain. The nurse
explains that which patient activity documented during the nursing history may contribute to
further back injury?
a) Lifting an object close to the body
b) Shifting positions often when sitting for prolonged periods
c) Providing back support with a pillow when sitting
d) Prolonged sitting or standing - ✔✔d) Prolonged sitting or standing
Which of the following could put a nurse or healthcare worker at risk for sustaining a back
injury?
, a) Lifting a box of IV supplied up and over the head to place on a shelf
b) Placing the feet 2 feet apart before sliding a patient up in bed
c) Raising the bed to waist level when starting an IV
d) Squatting to measure the chest tube drainage - ✔✔a) Lifting a box of IV supplied up and
over the head to place on a shelf
To maintain proper posture, it is important to
a) Avoid arching shoulders forward when sitting
b) Keep your knees locked whens standing upright
c) Keep your stomach muscles relaxed to prevent back spasms
d) Sleep on the softest mattress possible - ✔✔a) Avoid arching shoulders forward when sitting
A patient has been on bed rest for over 5 days. Which of these findings during the nurse's
assessment may indicate a complication of immobility?
a) Decreased peristalsis
b) Decreased heart rate
c) Increased blood pressure
d) Increased urinary output - ✔✔a) Decreased peristalsis
An older-adult patient has been bedridden for 2 weeks. Which of these complaints by the
patient indicates to the nurse that he or she is developing a complication of immobility?
a) Increase of appetite
b) Gum soreness
