Fundamentals Exam 1 (Potter & Perry Chapter Practice Questions)
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1. *A patient has been on bed rest for over 4 days. On *Answer: A*
assessment, the nurse identifies the following as a Rationale: Immo-
sign associated with immobility:* bility disrupts nor-
A. Decreased peristalsis mal metabolic
B. Decreased heart rate functioning: de-
C. Increased blood pressure creasing the meta-
D. Increased urinary output bolic rate; altering
the metabolism
of carbohydrates,
fats, and proteins;
causing fluid, elec-
trolyte, and cal-
cium imbalances;
and causing gas-
trointestinal dis-
turbances such
as decreased ap-
petite and slowing
of peristalsis.
2. *A nurse is caring for an older adult who has had a *Answer: A*
fractured hip repaired. In the first few postoperative Rationale: The
days, which of the following nursing measures will trapeze bar allows
best facilitate the resumption of activities of daily the patient to pull
living for this patient?* with the upper ex-
A. Encouraging use of an overhead trapeze for posi- tremities to raise
tioning and transfer. the trunk off the
B. Frequent family visits bed, aid in transfer
C. Assisting the patient to a wheelchair once per day from bed to wheel-
D. Ensuring that there is an order for physical therapy chair, or perform
upper-arm exer-
cises. It increas-
es independence
and maintains up-
per body strength
to help in per-
forming activities
of daily living.
, Fundamentals Exam 1 (Potter & Perry Chapter Practice Questions)
Study online at https://quizlet.com/_emeh74
3. *An older-adult patient has been bedridden for 2 *Answer: D*
weeks. Which of the following complaints by the pa- Rationale:
tient indicates to the nurse that he or she is develop- Patients whose
ing a complication of immobility?* mobility is
A. Loss of appetite restricted require
B. Gum soreness range-of-motion
C. Difficulty swallowing (ROM) exercises
D. Left-ankle joint stiffness daily to reduce the
hazards of
immobility.
Temporary
immobilization
results in some
muscle atrophy,
loss of muscle
tone, and joint
stiffness. Two
weeks of joint
immobilization
without ROM can
quickly result in
contractures.
4. *The nurse is caring for a patient whose calcium in- *Answer: A*
take must increase because of high risk factors for Rationale: Teach
osteoporosis. Which of the following menus should patient and/or
the nurse recommend?* caregiver the cur-
A. Cream of broccoli soup with whole wheat crackers, rent recommend-
cheese, and tapioca for dessert ed dietary al-
B. Hot dog on whole wheat bun with a side salad and lowances for cal-
an apple for dessert cium and review
C. Low-fat turkey chili with sour cream with a side foods high in calci-
salad and fresh pears for dessert um (e.g., milk for-
D. Turkey salad on toast with tomato and lettuce and tified with vitamin
honey bun for dessert D, leafy green veg-
etables, yogurt,
and cheese).
5.
, Fundamentals Exam 1 (Potter & Perry Chapter Practice Questions)
Study online at https://quizlet.com/_emeh74
*A patient on prolonged bed rest is at an increased *Answer: C*
risk to develop this common complication of immo- Rationale: Immo-
bility if preventive measures are not taken:* bility is a major risk
A. Myoclonus factor for pressure
B. Pathological fractures ulcers. Any break
C. Pressure ulcers in the integrity of
D. Pruritus the skin is difficult
to heal. Preventing
a pressure ulcer is
much less expen-
sive than treating
one; therefore pre-
ventive nursing in-
terventions are im-
perative.
6. *To prevent complications of immobility, what would *Answer: B*
be the most effective activity on the first postop- Rationale: Preven-
erative day for a patient who has had abdominal tion of complica-
surgery?* tions of immobil-
A. Turn, cough, and deep breathe every 30 minutes ity begins when
while awake the patient be-
B. Ambulate patient to chair in the hall comes immobi-
C. Passive range of motion 4 times a day lized. Every 30
D. Immobility is not a concern the first postoperative minutes is not nec-
day essary and disrup-
tive to the heal-
ing process. Ac-
tive patient partic-
ipation in exercis-
es is more bene-
ficial to preventing
venous stasis.
7. *Which of the following nursing interventions should *Answer: D*
be implemented to maintain a patent airway in a pa- Rationale: Incen-
tient on bed rest?* tive spirometry
A. Isometric exercises opens the airway,
B. Administration of low-dose heparin
, Fundamentals Exam 1 (Potter & Perry Chapter Practice Questions)
Study online at https://quizlet.com/_emeh74
C. Suctioning every 4 hours preventing atelec-
D. Use of incentive spirometer every 2 hours while tasis.
awake
8. *What is the correct order in which elastic stockings *Answer: C*
should be applied?
1. Identify patient using two identifiers.
2. Smooth any creases or wrinkles.
3. Slide the remainder of the stocking over the pa-
tient's heel and up the leg
4. Turn the stocking inside out until heel is reached.
5. Assess the condition of the patient's skin and cir-
culation of the legs.
6. Place toes into foot of the stocking.
7. Use tape measure to measure patient's legs to
determine proper stocking size.*
A. 1, 5, 7, 4, 6, 2, 3
B. 1, 7, 5, 4, 6, 2, 3
C. 1, 5, 7, 4, 6, 3, 2
D. 1, 5, 4, 7, 6, 3, 2
9. *Which of the following are physiological outcomes *Answer: C*
of immobility?* Rationale: Physio-
A. Increased metabolism logic outcomes of
B. Reduced cardiac workload immobility include
C. Decreased lung expansion decreased metab-
D. Decreased oxygen demand olism, increased
cardiac workload,
decreased lung
expansion, and in-
creased oxygen
demand.
10. *An older adult has limited mobility as a result of a *Answer: B, C, D*
total knee replacement. During assessment you note Rationale: Pa-
that the patient has difficulty breathing while lying tients who are im-
flat. Which of the following assessment data support mobile are at high
a possible pulmonary problem related to impaired risk for developing
mobility? (Select all that apply.)* pulmonary compli-
Study online at https://quizlet.com/_emeh74
1. *A patient has been on bed rest for over 4 days. On *Answer: A*
assessment, the nurse identifies the following as a Rationale: Immo-
sign associated with immobility:* bility disrupts nor-
A. Decreased peristalsis mal metabolic
B. Decreased heart rate functioning: de-
C. Increased blood pressure creasing the meta-
D. Increased urinary output bolic rate; altering
the metabolism
of carbohydrates,
fats, and proteins;
causing fluid, elec-
trolyte, and cal-
cium imbalances;
and causing gas-
trointestinal dis-
turbances such
as decreased ap-
petite and slowing
of peristalsis.
2. *A nurse is caring for an older adult who has had a *Answer: A*
fractured hip repaired. In the first few postoperative Rationale: The
days, which of the following nursing measures will trapeze bar allows
best facilitate the resumption of activities of daily the patient to pull
living for this patient?* with the upper ex-
A. Encouraging use of an overhead trapeze for posi- tremities to raise
tioning and transfer. the trunk off the
B. Frequent family visits bed, aid in transfer
C. Assisting the patient to a wheelchair once per day from bed to wheel-
D. Ensuring that there is an order for physical therapy chair, or perform
upper-arm exer-
cises. It increas-
es independence
and maintains up-
per body strength
to help in per-
forming activities
of daily living.
, Fundamentals Exam 1 (Potter & Perry Chapter Practice Questions)
Study online at https://quizlet.com/_emeh74
3. *An older-adult patient has been bedridden for 2 *Answer: D*
weeks. Which of the following complaints by the pa- Rationale:
tient indicates to the nurse that he or she is develop- Patients whose
ing a complication of immobility?* mobility is
A. Loss of appetite restricted require
B. Gum soreness range-of-motion
C. Difficulty swallowing (ROM) exercises
D. Left-ankle joint stiffness daily to reduce the
hazards of
immobility.
Temporary
immobilization
results in some
muscle atrophy,
loss of muscle
tone, and joint
stiffness. Two
weeks of joint
immobilization
without ROM can
quickly result in
contractures.
4. *The nurse is caring for a patient whose calcium in- *Answer: A*
take must increase because of high risk factors for Rationale: Teach
osteoporosis. Which of the following menus should patient and/or
the nurse recommend?* caregiver the cur-
A. Cream of broccoli soup with whole wheat crackers, rent recommend-
cheese, and tapioca for dessert ed dietary al-
B. Hot dog on whole wheat bun with a side salad and lowances for cal-
an apple for dessert cium and review
C. Low-fat turkey chili with sour cream with a side foods high in calci-
salad and fresh pears for dessert um (e.g., milk for-
D. Turkey salad on toast with tomato and lettuce and tified with vitamin
honey bun for dessert D, leafy green veg-
etables, yogurt,
and cheese).
5.
, Fundamentals Exam 1 (Potter & Perry Chapter Practice Questions)
Study online at https://quizlet.com/_emeh74
*A patient on prolonged bed rest is at an increased *Answer: C*
risk to develop this common complication of immo- Rationale: Immo-
bility if preventive measures are not taken:* bility is a major risk
A. Myoclonus factor for pressure
B. Pathological fractures ulcers. Any break
C. Pressure ulcers in the integrity of
D. Pruritus the skin is difficult
to heal. Preventing
a pressure ulcer is
much less expen-
sive than treating
one; therefore pre-
ventive nursing in-
terventions are im-
perative.
6. *To prevent complications of immobility, what would *Answer: B*
be the most effective activity on the first postop- Rationale: Preven-
erative day for a patient who has had abdominal tion of complica-
surgery?* tions of immobil-
A. Turn, cough, and deep breathe every 30 minutes ity begins when
while awake the patient be-
B. Ambulate patient to chair in the hall comes immobi-
C. Passive range of motion 4 times a day lized. Every 30
D. Immobility is not a concern the first postoperative minutes is not nec-
day essary and disrup-
tive to the heal-
ing process. Ac-
tive patient partic-
ipation in exercis-
es is more bene-
ficial to preventing
venous stasis.
7. *Which of the following nursing interventions should *Answer: D*
be implemented to maintain a patent airway in a pa- Rationale: Incen-
tient on bed rest?* tive spirometry
A. Isometric exercises opens the airway,
B. Administration of low-dose heparin
, Fundamentals Exam 1 (Potter & Perry Chapter Practice Questions)
Study online at https://quizlet.com/_emeh74
C. Suctioning every 4 hours preventing atelec-
D. Use of incentive spirometer every 2 hours while tasis.
awake
8. *What is the correct order in which elastic stockings *Answer: C*
should be applied?
1. Identify patient using two identifiers.
2. Smooth any creases or wrinkles.
3. Slide the remainder of the stocking over the pa-
tient's heel and up the leg
4. Turn the stocking inside out until heel is reached.
5. Assess the condition of the patient's skin and cir-
culation of the legs.
6. Place toes into foot of the stocking.
7. Use tape measure to measure patient's legs to
determine proper stocking size.*
A. 1, 5, 7, 4, 6, 2, 3
B. 1, 7, 5, 4, 6, 2, 3
C. 1, 5, 7, 4, 6, 3, 2
D. 1, 5, 4, 7, 6, 3, 2
9. *Which of the following are physiological outcomes *Answer: C*
of immobility?* Rationale: Physio-
A. Increased metabolism logic outcomes of
B. Reduced cardiac workload immobility include
C. Decreased lung expansion decreased metab-
D. Decreased oxygen demand olism, increased
cardiac workload,
decreased lung
expansion, and in-
creased oxygen
demand.
10. *An older adult has limited mobility as a result of a *Answer: B, C, D*
total knee replacement. During assessment you note Rationale: Pa-
that the patient has difficulty breathing while lying tients who are im-
flat. Which of the following assessment data support mobile are at high
a possible pulmonary problem related to impaired risk for developing
mobility? (Select all that apply.)* pulmonary compli-
