1. A nurse is caring for a client who has been sitting in a chair for 1 hr.
Which of the following complications is the greatest risk to the client?
a) Decreased subcutaneous fat
b) Muscle atrophy
c) Pressure ulcer
d) Fecal impaction Ans✓✓✓ c
1. A nurse is caring for a client who is receiving enteral tub feedings due
to dysphagia. Which of the following bed positions should the nurse use
for safe care of this client?
a) Supine
b) Semi-Fowler's
c) Semi- Prone
d) Trendelenburg Ans✓✓✓ b
1. A nurse is instructing a patient who has decreased leg strength on
the left side how to use a cane. Which action indicates proper cane use
by the patient?
a) The patient keeps the cane on the left side of the body.
b) The patient slightly leans to one side while walking.
c) The patient keeps two points of support on the floor at all times.
,d) After the patient places the cane forward, he or she then moves the
right leg forward to the cane. Ans✓✓✓ c
1. A patient is to sit up in a chair for breakfast 1 day after abdominal
surgery per the health care provider's orders. Which of the following
would you select to ensure a safe transfer while facilitating cooperation
from the patient? (Select all that apply.)
1. Offer pain medication 30 minutes before transferring patient.
2. Assess presence of weakness, dizziness, and muscle strength.
3. Determine need for safe patient-handling device.
4. Tell the NAP to transfer patient to the chair.
5. Follow orders to transfer patient even though he or she is refusing.
Ans✓✓✓ 1,2,3
1. An older adult has limited mobility as a result of a total knee
replacement. During assessment you note that the patient has difficulty
breathing while lying flat. Which of the following assessment data
support a possible pulmonary problem related to impaired mobility?
(Select all that apply.)
a) B/P = 128/84
b) Respirations 26/min on room air
c) HR 114
d) Crackles over lower lobes heard on auscultation
, e) Pain reported as 3 on scale of 0 to 10 after medication Ans✓✓✓ b,c
1. The nurse teaches a patient ROM exercises for the shoulder. For
abduction, how high is the patient taught to raise the arm?
a) 120 degrees
b) 140 degrees
c) 180 degrees
d) 220 degrees Ans✓✓✓ c
Raising the arm above the head achieves 180-degree abduction.
1. Two assistive personnel ask the nurse for assistance to transfer a
patient from the bed to a stretcher using the three-person lift
technique. What is the most appropriate response from the nurse?
a) "As long as we use proper body mechanics, no one will get hurt."
b) "Since the patient weighs only 100 pounds, you can handle the
transfer yourselves."
c) "Please find the slide board for us to use."
d) "Which one of you wants to be at the patient's head?" Ans✓✓✓ c
10. A patient on prolonged bed rest is at an increased risk to develop
this common complication of immobility if preventive measures are not
taken: