Question 1

The nurse is caring for a patient with a traumatic injury to the cerebellum.Which assessment finding will be expected as a result?

Accepted Answer

A)  The patient sways from side to side when walking. 
B)  The patient's ligaments are weak and easily ruptured. 
C)  The patient has fine tremors with purposeful movement. 
D)  The patient's joints are reddened,swollen,and warm to touch. 
A)  The patient sways from side to side when walking. 
B)  The patient's ligaments are weak and easily ruptured. 
C)  The patient has fine tremors with purposeful movement. 
D)  The patient's joints are reddened,swollen,and warm to touch. A

Question 2

Which is the safest method for a patient with a left leg injury to navigate up a set of stairs?

Accepted Answer

A)  Sit down on the stairs and use the right leg to lift the body up each step. 
B)  Use a gait belt,the left handrail,and a crutch under the right arm. 
C)  Securely place both crutches on the next step and swing the body upward. 
D)  Bend the knee of the right leg when lifting the left leg up to the next step. 
A)  Sit down on the stairs and use the right leg to lift the body up each step. 
B)  Use a gait belt,the left handrail,and a crutch under the right arm. 
C)  Securely place both crutches on the next step and swing the body upward. 
D)  Bend the knee of the right leg when lifting the left leg up to the next step. A

Question 3

How does the nurse maintain a low center of gravity while transferring the patient from the bed to the chair?

Accepted Answer

A)  The nurse ties the gait belt loosely around the patient's waist. 
B)  The nurse stands with the knees slightly bent and legs spread apart. 
C)  The nurse bends at the waist when setting the patient's feet on the floor. 
D)  The nurse leans backward slightly when helping the patient to stand. 
A)  The nurse ties the gait belt loosely around the patient's waist. 
B)  The nurse stands with the knees slightly bent and legs spread apart. 
C)  The nurse bends at the waist when setting the patient's feet on the floor. 
D)  The nurse leans backward slightly when helping the patient to stand. B

Question 4

Which action by the patient indicates appropriate use of the walker?

Accepted Answer

A)  The patient leans over the walker when rising to a standing position. 
B)  The patient's elbows are bent at a 45-degree angle when holding onto the walker. 
C)  The patient ensures that the walker is locked in the open position before using it. 
D)  The patient looks down at the walker when walking to keep from kicking it. 
A)  The patient leans over the walker when rising to a standing position. 
B)  The patient's elbows are bent at a 45-degree angle when holding onto the walker. 
C)  The patient ensures that the walker is locked in the open position before using it. 
D)  The patient looks down at the walker when walking to keep from kicking it.

Question 5

Which nursing goals are appropriate for a patient with the nursing diagnosis of impaired walking related to neuromuscular weakness and deconditioning?

Accepted Answer

A)  The patient will be able to ambulate 25 feet in the hallway. 
B)  The patient will demonstrate correct use of a rollator walker. 
C)  The nurse will keep the patient's heels elevated off the mattress. 
D)  The patient will use the over-bed trapeze to reposition self every 2 hours. 
E)  The nurse will ensure that the floors are kept free of clutter or spills. 
A)  The patient will be able to ambulate 25 feet in the hallway. 
B)  The patient will demonstrate correct use of a rollator walker. 
C)  The nurse will keep the patient's heels elevated off the mattress. 
D)  The patient will use the over-bed trapeze to reposition self every 2 hours. 
E)  The nurse will ensure that the floors are kept free of clutter or spills.

Question 6

Which term best describes the relationship between the hamstring and quadriceps muscles?

Accepted Answer

A)  Synergistic 
B)  Ergonomic 
C)  Antigravity 
D)  Antagonistic 
A)  Synergistic 
B)  Ergonomic 
C)  Antigravity 
D)  Antagonistic

Question 7

Which action by the nurse demonstrates correct technique for repositioning the patient in bed?

Accepted Answer

A)  The nurse's knees are kept stiff to enhance lifting strength potential. 
B)  The nurse's abdominal muscles are relaxed to prevent back injury. 
C)  The nurse's pelvis is tucked inward to maintain balance during the procedure. 
D)  The nurse's torso twists with the patient to facilitate upper extremity muscle use. 
A)  The nurse's knees are kept stiff to enhance lifting strength potential. 
B)  The nurse's abdominal muscles are relaxed to prevent back injury. 
C)  The nurse's pelvis is tucked inward to maintain balance during the procedure. 
D)  The nurse's torso twists with the patient to facilitate upper extremity muscle use.

Question 8

Which action by the nurse demonstrates correct use of a gait belt?

Accepted Answer

A)  The patient holds on to the gait belt during transfer to the chair. 
B)  The gait belt is used to lift the patient whose legs are too weak to stand. 
C)  The gait belt is tied loosely around the patient's waist just above the hips. 
D)  The nurse follows behind the patient holding onto the gait belt during ambulation. 
A)  The patient holds on to the gait belt during transfer to the chair. 
B)  The gait belt is used to lift the patient whose legs are too weak to stand. 
C)  The gait belt is tied loosely around the patient's waist just above the hips. 
D)  The nurse follows behind the patient holding onto the gait belt during ambulation.

Question 9

Which exercise program should be avoided by a patient with osteoporosis?

Accepted Answer

A)  Yoga 
B)  Tai chi 
C)  Tennis 
D)  Water aerobics 
A)  Yoga 
B)  Tai chi 
C)  Tennis 
D)  Water aerobics

Question 10

Which instruction directs the patient to perform an isometric exercise?

Accepted Answer

A)  "Use the trapeze to lift your upper body off the bed." 
B)  "Tighten and hold your stomach muscles for 15 seconds." 
C)  "Close your fists and squeeze them tightly,release and repeat." 
D)  "Lift your buttocks off the bed by pushing against the mattress." 
A)  "Use the trapeze to lift your upper body off the bed." 
B)  "Tighten and hold your stomach muscles for 15 seconds." 
C)  "Close your fists and squeeze them tightly,release and repeat." 
D)  "Lift your buttocks off the bed by pushing against the mattress."

Question 11

Which action demonstrates correct use of crutches by a patient following a left leg injury?

Accepted Answer

A)  The handgrips are set so that the axillae fully support the patient's body weight. 
B)  The patient looks down at the floor when taking each step with the crutches. 
C)  The patient moves the crutches approximately 12 inches forward with each step. 
D)  The patient's elbows are flexed at a 45-degree angle when holding the handgrips. 
A)  The handgrips are set so that the axillae fully support the patient's body weight. 
B)  The patient looks down at the floor when taking each step with the crutches. 
C)  The patient moves the crutches approximately 12 inches forward with each step. 
D)  The patient's elbows are flexed at a 45-degree angle when holding the handgrips.

Question 12

Which equipment should the nurse utilize when ambulating a patient with a history of severe COPD?

Accepted Answer

A)  Penlight 
B)  Stethoscope 
C)  Pulse oximeter 
D)  Doppler ultrasound 
A)  Penlight 
B)  Stethoscope 
C)  Pulse oximeter 
D)  Doppler ultrasound

Question 13

Which task may be delegated to the nursing assistant?

Accepted Answer

A)  Determine the patient's need for a low-air-loss mattress overlay. 
B)  Assess the patient's legs for the presence of thromboembolism. 
C)  Teach the patient about the contractures and the benefits of resting hand splints. 
D)  Reposition the patient at least every 2 hours using pillows and foam wedges. 
A)  Determine the patient's need for a low-air-loss mattress overlay. 
B)  Assess the patient's legs for the presence of thromboembolism. 
C)  Teach the patient about the contractures and the benefits of resting hand splints. 
D)  Reposition the patient at least every 2 hours using pillows and foam wedges.

Question 14

Which assessment finding is expected for a patient who suffered a left-sided thrombotic stroke?

Accepted Answer

A)  Bilateral footdrop 
B)  Fine tremors of the hands 
C)  Curvature of the lumbar spine 
D)  Weakness of the right arm and leg 
A)  Bilateral footdrop 
B)  Fine tremors of the hands 
C)  Curvature of the lumbar spine 
D)  Weakness of the right arm and leg

Question 15

Which action is appropriate for transferring a hemiplegic patient from the bed to the wheelchair?

Accepted Answer

A)  The nurse ensures that the wheelchair brakes are locked before helping the patient to stand. 
B)  The patient's arms are placed around the nurse's neck before the patient is helped to stand. 
C)  The nurse secures the gait belt under the patient's arms and uses it to lift the patient to a standing position. 
D)  The nurse's legs are kept straight and close together to avoid tripping the patient during the transfer. 
A)  The nurse ensures that the wheelchair brakes are locked before helping the patient to stand. 
B)  The patient's arms are placed around the nurse's neck before the patient is helped to stand. 
C)  The nurse secures the gait belt under the patient's arms and uses it to lift the patient to a standing position. 
D)  The nurse's legs are kept straight and close together to avoid tripping the patient during the transfer.

Question 16

Which exercises are appropriate for a quadriplegic patient?

Accepted Answer

A)  Active range-of-motion exercises 
B)  Weight-bearing exercises 
C)  Aerobic exercises 
D)  Passive range-of-motion exercises 
A)  Active range-of-motion exercises 
B)  Weight-bearing exercises 
C)  Aerobic exercises 
D)  Passive range-of-motion exercises

Question 17

Which is an appropriate goal for a patient with the nursing diagnosis of sedentary lifestyle related to generalized weakness and fatigue?

Accepted Answer

A)  The patient will identify barriers that limit social interactions. 
B)  The patient will increase physical activity to 3500 steps daily. 
C)  The patient will use a pain rating scale to identify levels of discomfort. 
D)  The patient will verbalize the risks of continuing noncompliance with treatment. 
A)  The patient will identify barriers that limit social interactions. 
B)  The patient will increase physical activity to 3500 steps daily. 
C)  The patient will use a pain rating scale to identify levels of discomfort. 
D)  The patient will verbalize the risks of continuing noncompliance with treatment.

Question 18

The nurse is caring for a patient with right-sided hemiplegia after a stroke.Which is the appropriate goal for the diagnosis impaired transfer ability related to insufficient muscle strength?

Accepted Answer

A)  The patient will safely transfer from bed to chair with the assistance of one person. 
B)  The patient will verbalize feelings about physical limitations due to immobility. 
C)  The nurse will reposition the patient every 2 hours and pad bony prominences. 
D)  The nurse will utilize a gait belt around the patient's low back for all transfers. 
A)  The patient will safely transfer from bed to chair with the assistance of one person. 
B)  The patient will verbalize feelings about physical limitations due to immobility. 
C)  The nurse will reposition the patient every 2 hours and pad bony prominences. 
D)  The nurse will utilize a gait belt around the patient's low back for all transfers.

Question 19

Which is the priority intervention for a patient with the nursing diagnosis of impaired physical mobility related to muscle weakness and neuromuscular impairment?

Accepted Answer

A)  Allow the patient to decide when and how far to ambulate each day. 
B)  Utilize a walker,gait belt,and two nursing staff members for ambulation. 
C)  Suggest a variety of physical activities to encourage patient engagement. 
D)  Encourage the patient to use positive self-talk to gradually increase strength. 
A)  Allow the patient to decide when and how far to ambulate each day. 
B)  Utilize a walker,gait belt,and two nursing staff members for ambulation. 
C)  Suggest a variety of physical activities to encourage patient engagement. 
D)  Encourage the patient to use positive self-talk to gradually increase strength.

Question 20

The nurse has just completed teaching the patient about how to use crutches safely.Which statement by the nurse will help determine that the teaching was effective?

Accepted Answer

A)  "Now I want to see you walk using the crutches correctly." 
B)  "Here are written instructions in case you forget my directions." 
C)  "I will make a note in the chart that you were taught how to use crutches." 
D)  "Please let me know if you have any questions about how to use crutches." 
A)  "Now I want to see you walk using the crutches correctly." 
B)  "Here are written instructions in case you forget my directions." 
C)  "I will make a note in the chart that you were taught how to use crutches." 
D)  "Please let me know if you have any questions about how to use crutches."

Exam 28: Exercise and Activity

The nurse is caring for a patient with a traumatic injury to the cerebellum.Which assessment finding will be expected as a result?

Which is the safest method for a patient with a left leg injury to navigate up a set of stairs?

How does the nurse maintain a low center of gravity while transferring the patient from the bed to the chair?

Which action by the patient indicates appropriate use of the walker?

Which nursing goals are appropriate for a patient with the nursing diagnosis of impaired walking related to neuromuscular weakness and deconditioning?

Which term best describes the relationship between the hamstring and quadriceps muscles?

Which action by the nurse demonstrates correct technique for repositioning the patient in bed?

Which action by the nurse demonstrates correct use of a gait belt?

Which exercise program should be avoided by a patient with osteoporosis?

Which instruction directs the patient to perform an isometric exercise?

Which action demonstrates correct use of crutches by a patient following a left leg injury?

Which equipment should the nurse utilize when ambulating a patient with a history of severe COPD?

Which task may be delegated to the nursing assistant?

Which assessment finding is expected for a patient who suffered a left-sided thrombotic stroke?

Which action is appropriate for transferring a hemiplegic patient from the bed to the wheelchair?

Which exercises are appropriate for a quadriplegic patient?

Which is an appropriate goal for a patient with the nursing diagnosis of sedentary lifestyle related to generalized weakness and fatigue?

The nurse is caring for a patient with right-sided hemiplegia after a stroke.Which is the appropriate goal for the diagnosis impaired transfer ability related to insufficient muscle strength?

Which is the priority intervention for a patient with the nursing diagnosis of impaired physical mobility related to muscle weakness and neuromuscular impairment?

The nurse has just completed teaching the patient about how to use crutches safely.Which statement by the nurse will help determine that the teaching was effective?

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