Mobility Success Questions and Answers 2023 with
complete solution
A nurse turns a client's ankle so that the sole of the foot moves medially toward
the midline. Which word should the nurse use when documenting exactly what
was done during range-of-motion exercises?
Inversion
A nurse is transferring a client from a bed to a wheelchair. Which should the
nurse do to quickly assess the client's tolerance to this activity?
Determine if the client feels dizzy.
A nurse is transferring a client from the bed to a wheelchair using a mechanical
lift. Which is a basic nursing intervention associated with this procedure?
Ensure the client's feet are guarded when sitting on the mechanical lift.
A client has hemiplegia as a result of a brain attack (cerebrovascular accident).
Which complication of immobility that may be associated with this client is a
concern for the nurse?
Contractures
Which state pressure ulcer requires the nurse to measure the extent of
undermining?
Stage III
A client has a cast from the hand to above the elbow because of a fractured ulna
and radius. After the cast is removed, the nurse teaches the client active range-
of-motion exercises. Which client action indicates that further teaching is
necessary?
Keeps 90 elbow flexion after the procedure
Which word is most closely associated with nursing care strategies to maintain
functional alignment when clients are bedbound?
Support
A client with impaired mobility is to be discharged from the hospital within a
week. Which is an example of a discharge goal for this client?
The client will transfer independently to a chair by discharge.
A nurse is performing passive range-of-motion exercises for a client who is in the
supine position. Which motion occurs when the nurse bends the client's ankle so
that the toes are pointed toward the ceiling?
Dorsal flexion
A nurse is caring for a client with impaired mobility. Which position contributes
most to the formation of a hip flexion contracture?
Orthopneic
A client is diagnosed with a stage IV pressure ulcer with eschar. Which medical
treatment should the nurse anticipate the primary health-care provider will
prescribe for this client?
Debridement of the wound
A nurse raises a client's arm forward and upward over the head during range of
motion exercises. Which word should the nurse use when documenting exactly
what was done during this range-of-motion exercise?
, Flexion
A client with a history of thrombophlebitis should not have pressure exerted on
the popliteal space. In which position should the nurse avoid placing this client?
Contour
A nurse is caring for a variety of clients, each experiencing one of the following
problems. Which health problem places a client at the highest risk for
complications associated with immobility?
Quadriplegia
A nurse is evaluating an ambulating client's balance. Which factor about the
client is most important for the nurse to assess?
Posture
A client with a prescription for bedrest has diaphoresis. Which should the nurse
use to best limit the negative effects of perspiration on dependent skin surfaces
of the client?
Sheepskin
A nurse in a community center is conversing with a group of older adults who
voiced fears about falling. Which is the most common consequence associated
with older adults' fear of falling that the nurse should discuss with them?
Decreased physical conditioning
A nurse is teaching a class to nursing assistants about how to care for clients
who are immobile. Which should the nurse include about why immobilized people
develop contractures?
Muscles that flex, adduct, and internally rotate are stronger that weaker opposing
muscles.
A nurse turns the palm of a client's hand downward when performing range-of-
motion exercises. Which word should the nurse use when documenting exactly
what was done?
Pronation
Which nursing action is most effective in relation to the concept immobility can
lead to occlusion of blood vessels in areas where bony prominences rest on a
mattress?
Repositioning the client every 2 hours
A nurse plans to use a trochanter roll when repositioning a client. Where should
the nurse place the trochanter roll?
Alongside the ileum to mid-thigh
Which is the earliest nursing assessment that indicates damage to tissue
because of compression of soft tissue between a bony prominence and a
mattress?
Nonblanchable erythema
An emanciated client is a risk for developing a pressure ulcer. In which position
should the nurse avoid placing the client?
Side lying position
A nurse is making an occupied bed. Which is the easiest way for the nurse to
prevent plantar flexion?
Place a toe pleat in the top linens over the feet
complete solution
A nurse turns a client's ankle so that the sole of the foot moves medially toward
the midline. Which word should the nurse use when documenting exactly what
was done during range-of-motion exercises?
Inversion
A nurse is transferring a client from a bed to a wheelchair. Which should the
nurse do to quickly assess the client's tolerance to this activity?
Determine if the client feels dizzy.
A nurse is transferring a client from the bed to a wheelchair using a mechanical
lift. Which is a basic nursing intervention associated with this procedure?
Ensure the client's feet are guarded when sitting on the mechanical lift.
A client has hemiplegia as a result of a brain attack (cerebrovascular accident).
Which complication of immobility that may be associated with this client is a
concern for the nurse?
Contractures
Which state pressure ulcer requires the nurse to measure the extent of
undermining?
Stage III
A client has a cast from the hand to above the elbow because of a fractured ulna
and radius. After the cast is removed, the nurse teaches the client active range-
of-motion exercises. Which client action indicates that further teaching is
necessary?
Keeps 90 elbow flexion after the procedure
Which word is most closely associated with nursing care strategies to maintain
functional alignment when clients are bedbound?
Support
A client with impaired mobility is to be discharged from the hospital within a
week. Which is an example of a discharge goal for this client?
The client will transfer independently to a chair by discharge.
A nurse is performing passive range-of-motion exercises for a client who is in the
supine position. Which motion occurs when the nurse bends the client's ankle so
that the toes are pointed toward the ceiling?
Dorsal flexion
A nurse is caring for a client with impaired mobility. Which position contributes
most to the formation of a hip flexion contracture?
Orthopneic
A client is diagnosed with a stage IV pressure ulcer with eschar. Which medical
treatment should the nurse anticipate the primary health-care provider will
prescribe for this client?
Debridement of the wound
A nurse raises a client's arm forward and upward over the head during range of
motion exercises. Which word should the nurse use when documenting exactly
what was done during this range-of-motion exercise?
, Flexion
A client with a history of thrombophlebitis should not have pressure exerted on
the popliteal space. In which position should the nurse avoid placing this client?
Contour
A nurse is caring for a variety of clients, each experiencing one of the following
problems. Which health problem places a client at the highest risk for
complications associated with immobility?
Quadriplegia
A nurse is evaluating an ambulating client's balance. Which factor about the
client is most important for the nurse to assess?
Posture
A client with a prescription for bedrest has diaphoresis. Which should the nurse
use to best limit the negative effects of perspiration on dependent skin surfaces
of the client?
Sheepskin
A nurse in a community center is conversing with a group of older adults who
voiced fears about falling. Which is the most common consequence associated
with older adults' fear of falling that the nurse should discuss with them?
Decreased physical conditioning
A nurse is teaching a class to nursing assistants about how to care for clients
who are immobile. Which should the nurse include about why immobilized people
develop contractures?
Muscles that flex, adduct, and internally rotate are stronger that weaker opposing
muscles.
A nurse turns the palm of a client's hand downward when performing range-of-
motion exercises. Which word should the nurse use when documenting exactly
what was done?
Pronation
Which nursing action is most effective in relation to the concept immobility can
lead to occlusion of blood vessels in areas where bony prominences rest on a
mattress?
Repositioning the client every 2 hours
A nurse plans to use a trochanter roll when repositioning a client. Where should
the nurse place the trochanter roll?
Alongside the ileum to mid-thigh
Which is the earliest nursing assessment that indicates damage to tissue
because of compression of soft tissue between a bony prominence and a
mattress?
Nonblanchable erythema
An emanciated client is a risk for developing a pressure ulcer. In which position
should the nurse avoid placing the client?
Side lying position
A nurse is making an occupied bed. Which is the easiest way for the nurse to
prevent plantar flexion?
Place a toe pleat in the top linens over the feet
