Differences (NUR 105) Examination All
Solved Correct 2025-2026 Edition.
Trochanter roll - Answer Which assistive device will prevent external rotation of the hip when
the patient is lying in the supine position?
Abductor pillow - Answer Which assistive device is used to prevent the internal rotation and
adduction of the femur?
Ankle roll - Answer Which assistive device can be placed under the patients’ lower legs to
prevent the heels from resting on bed surfaces?
Knee spling - Answer Which assistive device is used to stabilize the knee in an anatomically
correct position?
Footdrop - Answer Result of muscles fibers not being able to shorten and lengthen. A splint or
foot board is needed to prevent this.
monitoring the patient's pulse - Answer The nurse is assessing an older adult's tolerance for
activity while performing activities of daily living. Which is the most important nursing
assessment?
Assess patients ability to assist with the transfer - Answer In helping a patient move from the
bed to a wheelchair, the nurse should take which action first?
to maintain joint flexibility - Answer What is the theoretical basis for performing passive range
of motion exercises?
ineffective airway clearance related to bed rest. - Answer A patient who is immobile and has a
history of respiratory infections shows signs of lung congestion. What is the nursing diagnosis?
The skin of the feet is intact. - Answer What observation would indicate that the nurse's
application of heel protectors was effective?
,immobility - Answer Decreased calcium is a result of this rather than a cause of it.
decrease. - Answer Blood volume does not change markedly in immobility, but blood flow
does _____________
the effort needed for the heart to overcome valvular resistance and push blood out. - Answer
What does cardiac workload refers to
decreased. - Answer In immobility as the cardiovascular system weakens, workload is actually
______
the pressure of the bed against the body and the abdominal organs pushing against the
diaphragm. - Answer An immobile patient has difficulty expanding the lungs fully due to
Use a lift sheet to move patient up in bed. - Answer When caring for patient who is bedridden,
the nurse should implement which intervention to avoid the effects of shearing?
Homan's sign - Answer The patient is positioned in supine. The therapist maintains the leg in
extension and passively dorsiflexes the patient's foot. What is test produces a positive sign
indicated by pain in the calf and may be indicative of deep vein thrombosis?
plantar flexion - Answer What is the bending of the sole of the foot by curling the toes toward
the ground called?
Seepage of liquid stool - Answer What clinical manifestation is indicative of a fecal impaction?
flatulence - Answer What is result of the action of bacteria on the chyme in the large intestine
or swallowed air or gas that diffuses from the bloodstream into the intestines?
Tarry stools - Answer What is the result of action of certain meds or GI bleeding?
to regulate volume and composition of extracellular fluid - Answer What is primary function of
kidneys?
, Tap water is a hypotonic solution and can cause rapid fluid shift, fluid overload and water
intoxication - Answer What problem can be caused by administration of more than three
consecutive tap water enemas?
dry, hard stools - Answer What are the stools of a dehydrated infant like?
dietary intake (red meat) - Answer What can lead to false positive result when testing patient
stool specimen for blood?
measures body's ability to carry oxygen. - Answer What is hemoglobin level?
Manual replacement of the foreskin in an uncircumcised patient is essential to prevent this
condition - Answer In catheterizing a male patient, the nurse should implement which action
to prevent paraphimosis?
paraphimosis - Answer retraction of the skin of the prepuce causing painful swelling of the
skin of the glans penis that prevents the penis from being retracted
Neurological impairment (Impaired sensory nerves) - Answer What is a factor in development
of total urinary incontinence
stress incontinence - Answer urinary incontinence that occurs when involuntary pressure is
put on the bladder by coughing or laughing or sneezing or lifting or straining
Glomerular filtration rate (GFR) - Answer The quantity (per minute) of glomerular filtrate
formed per unit in all nephrons of both kidneys.
renal failure - Answer Decreased GFR is a indication of what?
urinary retention - Answer Constriction of renal arteries likely to cause what?
eat foods high in fiber like fresh fruit - Answer What dietary instruction should nurse teach
patient to prevent constipation?