NSG 312- Mobility LATEST EXAM 2024 GENUINE WITH
ANSWERS GRADED A+|HIGHLIGHTED ANSWERS
A client has a functional transection of the spinal cord at C7-8, resulting in spinal
shock. Which clinical indicators does the nurse expect to identify when assessing the
client immediately after the injury? Select all that apply - ANSWER: Flaccid paralysis
Lack of reflexes below the injury
Which statement by a client with multiple sclerosis indicates to the nurse that the
client needs further teaching? - ANSWER: I will take a hot bath to help relax my
muscles.
Considerations when caring for a client with a total hip replacement should include
which of the following? Select all that apply . - ANSWER: Pain control should include
regularly scheduled analgesics and may necessitate use of as needed medications as
well
Frequent neurovascular assessment should be done distal to the surgical site and
compared with the unaffected side.
When turning, client should be log rolled to prevent leg from falling forward or
backward.
The practitioner prescribes no weight-bearing on a leg that has been casted because
of a fracture of the femur. How should the nurse determine the appropriate length
of the crutches for this child? Select all that apply - ANSWER: The crutches should
reach 2 inches below the axillae.
The tips of the crutches should rest 6 inches outside the feet.
A client has a shoulder immobilizer after surgical repair of a fractured humerus.
What should be included in the nurse's instruction to the client about the
appropriate use of the immobilizer? - ANSWER: Release the wristband to exercise
the forearm and hand routinely.
A client who has an above-the-knee amputation is fitted with a prosthesis. The nurse
evaluates the client's response to the prosthesis. Which indicates that the prosthesis
fits the residual limb correctly? - ANSWER: Darkened skin areas surrounding the end
of the residual limb
A client is admitted to the ambulatory care unit for a muscle biopsy. In preparation
for discharge, what should the nurse teach the client to do? - ANSWER: Resume the
usual diet as soon as desired.
A client has a below-the-knee amputation and asks why the prosthesis is applied
immediately after surgery. The nurse informs the client that the primary reason is to:
- ANSWER: Encourage a normal walking pattern
, A client with cholelithiasis has a laser laparoscopic cholecystectomy. Postoperatively
it is most appropriate for the nurse to: - ANSWER: Ambulate the client when the
client is alert and oriented
A woman who has severe rheumatoid arthritis becomes depressed and is admitted
to the psychiatric unit. The nurse begins to work with her in one-on-one sessions to
help her cope with her depressive episode. The best long-term goal for this client is
that she will: - ANSWER: Decrease negative thinking about herself, others, and life.
A client, admitted to the hospital with a fractured hip, is scheduled for surgery for a
total hip replacement. In which position should the nurse place the client's affected
limb after surgery? - ANSWER: Abduction and extension
A client is brought to the emergency department triage by private car with an
obvious compound fracture of the right lower leg. What is the initial assessment the
triage nurse needs to perform? - ANSWER: Distal pulses right leg
Nursing care of a client with a fractured hip should include the assessment of pedal
pulses. The nurse should assess for which important characteristics of the pedal
pulses - ANSWER: Amplitude and symmetry
A high-protein diet is recommended for a client recovering from a fracture. The
nurse recalls that the rationale for a high-protein diet is to: - ANSWER: A high-protein
diet is recommended for a client recovering from a fracture. The nurse recalls that
the rationale for a high-protein diet is to:
A nurse teaches self-care to a client who had a cast applied for a fracture of the right
ulna and radius. The nurse instructs the client to notify the primary health care
provider immediately if the client experiences: - ANSWER: Increasing pain at the
injury site
A client who had an open reduction and internal fixation of a fractured ankle is being
discharged. Which behavior indicates the need for further instruction about the use
of crutches? - ANSWER: Leaning axillae on the crutches to support the body's weight
After an above-the-knee amputation of a right leg, a client reports pain in the right
foot. The nurse should inform the client that phantom limb pain is the result of: -
ANSWER: Nerve endings in the limb that are still intact and react to stimuli.
A nurse is assessing an infant with talipes equinovarus (clubfoot) who has had a
corrective boot cast applied. Which peripheral vascular assessment cannot be
performed while the cast is in place? - ANSWER: Pulse
A nurse is caring for a client who had a total hip replacement. What nursing action
should be incorporated into the plan of care to prevent thrombus formation? -
ANSWER: Encouraging the client to perform ankle exercises.
ANSWERS GRADED A+|HIGHLIGHTED ANSWERS
A client has a functional transection of the spinal cord at C7-8, resulting in spinal
shock. Which clinical indicators does the nurse expect to identify when assessing the
client immediately after the injury? Select all that apply - ANSWER: Flaccid paralysis
Lack of reflexes below the injury
Which statement by a client with multiple sclerosis indicates to the nurse that the
client needs further teaching? - ANSWER: I will take a hot bath to help relax my
muscles.
Considerations when caring for a client with a total hip replacement should include
which of the following? Select all that apply . - ANSWER: Pain control should include
regularly scheduled analgesics and may necessitate use of as needed medications as
well
Frequent neurovascular assessment should be done distal to the surgical site and
compared with the unaffected side.
When turning, client should be log rolled to prevent leg from falling forward or
backward.
The practitioner prescribes no weight-bearing on a leg that has been casted because
of a fracture of the femur. How should the nurse determine the appropriate length
of the crutches for this child? Select all that apply - ANSWER: The crutches should
reach 2 inches below the axillae.
The tips of the crutches should rest 6 inches outside the feet.
A client has a shoulder immobilizer after surgical repair of a fractured humerus.
What should be included in the nurse's instruction to the client about the
appropriate use of the immobilizer? - ANSWER: Release the wristband to exercise
the forearm and hand routinely.
A client who has an above-the-knee amputation is fitted with a prosthesis. The nurse
evaluates the client's response to the prosthesis. Which indicates that the prosthesis
fits the residual limb correctly? - ANSWER: Darkened skin areas surrounding the end
of the residual limb
A client is admitted to the ambulatory care unit for a muscle biopsy. In preparation
for discharge, what should the nurse teach the client to do? - ANSWER: Resume the
usual diet as soon as desired.
A client has a below-the-knee amputation and asks why the prosthesis is applied
immediately after surgery. The nurse informs the client that the primary reason is to:
- ANSWER: Encourage a normal walking pattern
, A client with cholelithiasis has a laser laparoscopic cholecystectomy. Postoperatively
it is most appropriate for the nurse to: - ANSWER: Ambulate the client when the
client is alert and oriented
A woman who has severe rheumatoid arthritis becomes depressed and is admitted
to the psychiatric unit. The nurse begins to work with her in one-on-one sessions to
help her cope with her depressive episode. The best long-term goal for this client is
that she will: - ANSWER: Decrease negative thinking about herself, others, and life.
A client, admitted to the hospital with a fractured hip, is scheduled for surgery for a
total hip replacement. In which position should the nurse place the client's affected
limb after surgery? - ANSWER: Abduction and extension
A client is brought to the emergency department triage by private car with an
obvious compound fracture of the right lower leg. What is the initial assessment the
triage nurse needs to perform? - ANSWER: Distal pulses right leg
Nursing care of a client with a fractured hip should include the assessment of pedal
pulses. The nurse should assess for which important characteristics of the pedal
pulses - ANSWER: Amplitude and symmetry
A high-protein diet is recommended for a client recovering from a fracture. The
nurse recalls that the rationale for a high-protein diet is to: - ANSWER: A high-protein
diet is recommended for a client recovering from a fracture. The nurse recalls that
the rationale for a high-protein diet is to:
A nurse teaches self-care to a client who had a cast applied for a fracture of the right
ulna and radius. The nurse instructs the client to notify the primary health care
provider immediately if the client experiences: - ANSWER: Increasing pain at the
injury site
A client who had an open reduction and internal fixation of a fractured ankle is being
discharged. Which behavior indicates the need for further instruction about the use
of crutches? - ANSWER: Leaning axillae on the crutches to support the body's weight
After an above-the-knee amputation of a right leg, a client reports pain in the right
foot. The nurse should inform the client that phantom limb pain is the result of: -
ANSWER: Nerve endings in the limb that are still intact and react to stimuli.
A nurse is assessing an infant with talipes equinovarus (clubfoot) who has had a
corrective boot cast applied. Which peripheral vascular assessment cannot be
performed while the cast is in place? - ANSWER: Pulse
A nurse is caring for a client who had a total hip replacement. What nursing action
should be incorporated into the plan of care to prevent thrombus formation? -
ANSWER: Encouraging the client to perform ankle exercises.
