Questions and CORRECT Answers
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? - Correct Answer- 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? - Correct Answer- 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? - Correct Answer- 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?
- Correct Answer- Contractures
Which state pressure ulcer requires the nurse to measure the extent of undermining? - Correct
Answer- 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? - Correct Answer- 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? - Correct Answer- 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? - Correct Answer- 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? - Correct Answer- Dorsal flexion
A nurse is caring for a client with impaired mobility. Which position contributes most to the
formation of a hip flexion contracture? - Correct Answer- 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? -
Correct Answer- 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? - Correct Answer- 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? - Correct Answer-
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? - Correct Answer- Quadriplegia
A nurse is evaluating an ambulating client's balance. Which factor about the client is most
important for the nurse to assess? - Correct Answer- 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? - Correct
Answer- 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? - Correct Answer- 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