Question 1

The nurse is teaching the client how to walk with crutches.Which gait requires considerable skill,strength,and coordination?

Accepted Answer

A) Three-point gait 
B) Swing-to gait 
C) Swing-through gait 
D) Two-point alternate gait 
A) Three-point gait 
B) Swing-to gait 
C) Swing-through gait 
D) Two-point alternate gait C

Question 2

The nurse assists a client from the bed into a wheelchair.Which items will the nurse include when documenting this transfer in the medical record?

Accepted Answer

A) The number of assistants required for the transfer 
B) The education provided to the unlicensed assistive personnel (UAP)who assisted 
C) Any education provided to the client and family 
D) A description of the positioning aides that were used 
E) The client's tolerance of the transfer 
A) The number of assistants required for the transfer 
B) The education provided to the unlicensed assistive personnel (UAP)who assisted 
C) Any education provided to the client and family 
D) A description of the positioning aides that were used 
E) The client's tolerance of the transfer A,C,D,E

Question 3

The nurse is caring for a client who has an order for Lofstrand crutches to assist with mobility.The client asks what the crutch looks like.Which description of the crutch by the nurse is the most accurate?

Accepted Answer

A) It rests just under the axilla with a hand bar. 
B) It has a cuff for the upper arm. 
C) It extends to the forearm and has a metal cuff around the forearm to stabilize the wrist. 
D) It has a rubber tip to prevent slippage on a floor surface. 
A) It rests just under the axilla with a hand bar. 
B) It has a cuff for the upper arm. 
C) It extends to the forearm and has a metal cuff around the forearm to stabilize the wrist. 
D) It has a rubber tip to prevent slippage on a floor surface. C

Question 4

The nurse assists the client to ambulate for the first time,and documents the distance,pace,and support required.What item is also appropriate for the nurse to include in the documentation for this client?

Accepted Answer

A) Activity tolerance 
B) Client's sense of security 
C) Use of a gait belt 
D) Where the client walked 
A) Activity tolerance 
B) Client's sense of security 
C) Use of a gait belt 
D) Where the client walked

Question 5

The client needs to ambulate using a walker.Which activity could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

Accepted Answer

A) Documenting that the UAP cannot ambulate a client who requires assistive devices 
B) Teaching the client how to use the walker 
C) Evaluating the client's ability to use the walker properly 
D) Ambulating using the walker once the client demonstrates adequate skill 
A) Documenting that the UAP cannot ambulate a client who requires assistive devices 
B) Teaching the client how to use the walker 
C) Evaluating the client's ability to use the walker properly 
D) Ambulating using the walker once the client demonstrates adequate skill

Question 6

The nurse is transporting the client in a wheelchair,and comes to a downward incline.Which action by the nurse will allow for safely transporting the client down the incline?

Accepted Answer

A) Applying the brakes on one of the chair's wheels 
B) Pushing the wheelchair forward while pulling back on the handles 
C) Positioning the nurse's body between the wheelchair and the bottom of the incline and walking backwards down the slope 
D) Zigzagging sideways down the incline so the wheelchair is always pointing at a 45° angle to the slope 
A) Applying the brakes on one of the chair's wheels 
B) Pushing the wheelchair forward while pulling back on the handles 
C) Positioning the nurse's body between the wheelchair and the bottom of the incline and walking backwards down the slope 
D) Zigzagging sideways down the incline so the wheelchair is always pointing at a 45° angle to the slope

Question 7

The nurse is planning to delegate ambulation of the client to the unlicensed assistive personnel (UAP).In order to provide proper instructions to the UAP,which action by the nurse is the most appropriate?

Accepted Answer

A) Ambulating the client first and then having the UAP ambulate the client 
B) Quizzing the UAP to assure appropriate understanding of how to ambulate the client 
C) Assessing the client's ability to ambulate 
D) Observing the client ambulating 
A) Ambulating the client first and then having the UAP ambulate the client 
B) Quizzing the UAP to assure appropriate understanding of how to ambulate the client 
C) Assessing the client's ability to ambulate 
D) Observing the client ambulating

Question 8

The nurse is teaching the client who requires maximum support secondary to generalized weakness to walk with a walker.Which technique used by the nurse is the most appropriate?

Accepted Answer

A) Move the walker ahead while moving the weak leg forward,bearing weight on the strong leg. 
B) Move the walker ahead while moving the strong leg forward,bearing weight on the weak leg and the arms. 
C) Move the walker ahead,then move the right foot up to the walker while body weight is borne by the left leg and both arms,then move the left foot,bearing weight on the right leg and both arms. 
D) Walk forward and push the walker ahead before taking the next step. 
A) Move the walker ahead while moving the weak leg forward,bearing weight on the strong leg. 
B) Move the walker ahead while moving the strong leg forward,bearing weight on the weak leg and the arms. 
C) Move the walker ahead,then move the right foot up to the walker while body weight is borne by the left leg and both arms,then move the left foot,bearing weight on the right leg and both arms. 
D) Walk forward and push the walker ahead before taking the next step.

Question 9

Which method is most appropriate for the nurse to use when teaching a client to walk with a cane?

Accepted Answer

A) Holding the cane on the stronger side of the body and moving the cane forward,then moving the weak leg forward 
B) Holding the cane on the weaker side and moving the weak leg forward,then following with the cane 
C) Holding the cane on the stronger side,stepping forward with the weak leg,and then moving the cane forward as the stronger leg moves forward 
D) Holding the cane on the weaker side,stepping forward with the weak leg,and then moving the cane forward as the stronger leg moves forward 
A) Holding the cane on the stronger side of the body and moving the cane forward,then moving the weak leg forward 
B) Holding the cane on the weaker side and moving the weak leg forward,then following with the cane 
C) Holding the cane on the stronger side,stepping forward with the weak leg,and then moving the cane forward as the stronger leg moves forward 
D) Holding the cane on the weaker side,stepping forward with the weak leg,and then moving the cane forward as the stronger leg moves forward

Question 10

The nurse is ambulating with a client who is moderately weak.Which action by the nurse is appropriate when applying support?

Accepted Answer

A) Interlocking the nurse's forearm with the client's closest forearm 
B) Wrapping the arm closest to the client around the client's waist 
C) Holding on to the client's waistband located on the robe 
D) Holding the client under the axilla 
A) Interlocking the nurse's forearm with the client's closest forearm 
B) Wrapping the arm closest to the client around the client's waist 
C) Holding on to the client's waistband located on the robe 
D) Holding the client under the axilla

Question 11

The client is recovering from a fractured left femur,and has just had the cast removed.Which technique is the most appropriate for the nurse to use when assisting this client to ambulate?

Accepted Answer

A) Standing on the client's left side 
B) Standing on the client's right side 
C) Standing behind the client and holding the client's belt 
D) Standing in front of the client and having the client lean on the nurse's shoulders 
A) Standing on the client's left side 
B) Standing on the client's right side 
C) Standing behind the client and holding the client's belt 
D) Standing in front of the client and having the client lean on the nurse's shoulders

Question 12

The nurse is assisting the client into a wheelchair.When seating the client in the chair,which action by the nurse is the most appropriate?

Accepted Answer

A) Unlocking the wheels 
B) Positioning the calf supports and lowering the footplate 
C) Applying the seat belt 
D) Asking the client to sit far back in the chair 
A) Unlocking the wheels 
B) Positioning the calf supports and lowering the footplate 
C) Applying the seat belt 
D) Asking the client to sit far back in the chair

Question 13

The nurse is caring for a client who is recovering from cerebrovascular accident (CVA)and is unable to move the right side of the body.Which term will the nurse use when documenting this client's condition?

Accepted Answer

A) Quadriplegia 
B) Paraplegia 
C) Hemiplegia 
D) Paralysis 
A) Quadriplegia 
B) Paraplegia 
C) Hemiplegia 
D) Paralysis

Question 14

The nurse is assisting the client to ambulate in the hall when the client suddenly complains of dizziness.Which action by the nurse is the priority?

Accepted Answer

A) Escorting the client back to the room and into bed 
B) Calling for help to escort the client back to the room 
C) Assisting the client to sit on the nearest chair with the head between the legs,and going to find assistance 
D) Assisting the client to a horizontal position on the floor if no chair is available 
A) Escorting the client back to the room and into bed 
B) Calling for help to escort the client back to the room 
C) Assisting the client to sit on the nearest chair with the head between the legs,and going to find assistance 
D) Assisting the client to a horizontal position on the floor if no chair is available

Exam 11: Mobilizing the Client

The nurse is teaching the client how to walk with crutches.Which gait requires considerable skill,strength,and coordination?

The nurse assists a client from the bed into a wheelchair.Which items will the nurse include when documenting this transfer in the medical record?

The nurse is caring for a client who has an order for Lofstrand crutches to assist with mobility.The client asks what the crutch looks like.Which description of the crutch by the nurse is the most accurate?

The nurse assists the client to ambulate for the first time,and documents the distance,pace,and support required.What item is also appropriate for the nurse to include in the documentation for this client?

The client needs to ambulate using a walker.Which activity could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

The nurse is transporting the client in a wheelchair,and comes to a downward incline.Which action by the nurse will allow for safely transporting the client down the incline?

The nurse is planning to delegate ambulation of the client to the unlicensed assistive personnel (UAP).In order to provide proper instructions to the UAP,which action by the nurse is the most appropriate?

The nurse is teaching the client who requires maximum support secondary to generalized weakness to walk with a walker.Which technique used by the nurse is the most appropriate?

Which method is most appropriate for the nurse to use when teaching a client to walk with a cane?

The nurse is ambulating with a client who is moderately weak.Which action by the nurse is appropriate when applying support?

The client is recovering from a fractured left femur,and has just had the cast removed.Which technique is the most appropriate for the nurse to use when assisting this client to ambulate?

The nurse is assisting the client into a wheelchair.When seating the client in the chair,which action by the nurse is the most appropriate?

The nurse is caring for a client who is recovering from cerebrovascular accident (CVA)and is unable to move the right side of the body.Which term will the nurse use when documenting this client's condition?

The nurse is assisting the client to ambulate in the hall when the client suddenly complains of dizziness.Which action by the nurse is the priority?

Foundational Skills

Vital Signs

Health Assessment

Diagnostic Testing

Client Hygiene

Bed-Making

Infection Control

Heat and Cold Therapy

Pain Management

Positioning the Client

Fall Prevention and Restraints

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Assisting With Mechanical Ventilation

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Ulcer Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

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