Deck 23: Assisting With Exercise and Activity
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Deck 23: Assisting With Exercise and Activity
1
Bedrest is ordered for the following reasons except
A) To promote hypotension
B) To reduce physical activity
C) To promote healing
D) To reduce pain
A) To promote hypotension
B) To reduce physical activity
C) To promote healing
D) To reduce pain
To promote hypotension
2
The doctor ordered strict bedrest for a resident. Which is correct?
A) The person can perform some activities of daily living.
B) Everything is done for the person.
C) The person can use the bedside commode.
D) The person can use the bathroom.
A) The person can perform some activities of daily living.
B) Everything is done for the person.
C) The person can use the bedside commode.
D) The person can use the bathroom.
Everything is done for the person.
3
Abduction is
A) Moving a body part away from the midline of the body
B) Moving a body part toward the midline of the body
C) Straightening a body part
D) Bending a body part
A) Moving a body part away from the midline of the body
B) Moving a body part toward the midline of the body
C) Straightening a body part
D) Bending a body part
Moving a body part away from the midline of the body
4
A contracture is
A) A decrease in size or wasting away of tissue
B) The lack of joint mobility caused by abnormal shortening of a muscle
C) The loss of muscle strength as a result of inactivity
D) A drop in blood pressure when the person stands
A) A decrease in size or wasting away of tissue
B) The lack of joint mobility caused by abnormal shortening of a muscle
C) The loss of muscle strength as a result of inactivity
D) A drop in blood pressure when the person stands
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5
Flexion is
A) Moving a body part away from the midline of the body
B) Moving a body part toward the midline of the body
C) Straightening a body part
D) Bending a body part
A) Moving a body part away from the midline of the body
B) Moving a body part toward the midline of the body
C) Straightening a body part
D) Bending a body part
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6
Bending the foot down at the ankle is
A) Pronation
B) Plantar flexion
C) Supination
D) Dorsiflexion
A) Pronation
B) Plantar flexion
C) Supination
D) Dorsiflexion
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7
Pronation is turning the joint
A) Outward
B) Inward
C) Downward
D) Upward
A) Outward
B) Inward
C) Downward
D) Upward
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8
The act of walking is
A) Trochanter
B) Ambulation
C) Orthosis
D) Range of motion
A) Trochanter
B) Ambulation
C) Orthosis
D) Range of motion
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9
Extension is
A) Bending a body part
B) Straightening a body part
C) Bending the toes and foot up at the ankle
D) Rotating the foot in a circular motion
A) Bending a body part
B) Straightening a body part
C) Bending the toes and foot up at the ankle
D) Rotating the foot in a circular motion
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10
External rotation is
A) Turning the joint outward
B) Turning the joint inward
C) Turning the joint downward
D) Turning the joint upward
A) Turning the joint outward
B) Turning the joint inward
C) Turning the joint downward
D) Turning the joint upward
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11
Atrophy is
A) A decrease in size or wasting away of tissue
B) The lack of joint mobility caused by abnormal shortening of a muscle
C) The loss of muscle strength as a result of inactivity
D) A drop in blood pressure when the person stands
A) A decrease in size or wasting away of tissue
B) The lack of joint mobility caused by abnormal shortening of a muscle
C) The loss of muscle strength as a result of inactivity
D) A drop in blood pressure when the person stands
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12
Rotation is
A) Turning the joint outward
B) Turning the joint inward
C) Turning the joint downward
D) Turning the joint in any direction
A) Turning the joint outward
B) Turning the joint inward
C) Turning the joint downward
D) Turning the joint in any direction
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13
Orthostatic hypotension is
A) A decrease in size or wasting away of tissue
B) The lack of joint mobility caused by abnormal shortening of a muscle
C) The loss of muscle strength as a result of inactivity
D) An abnormally low blood pressure when the person suddenly stands
A) A decrease in size or wasting away of tissue
B) The lack of joint mobility caused by abnormal shortening of a muscle
C) The loss of muscle strength as a result of inactivity
D) An abnormally low blood pressure when the person suddenly stands
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14
Dorsiflexion is
A) Bending a body part
B) Straightening a body part
C) Bending the toes and foot up at the ankle
D) Moving the foot down at the ankle
A) Bending a body part
B) Straightening a body part
C) Bending the toes and foot up at the ankle
D) Moving the foot down at the ankle
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15
Another name for permanent plantar flexion is
A) Footdrop
B) Postural hypotension
C) Fainting
D) Orthosis
A) Footdrop
B) Postural hypotension
C) Fainting
D) Orthosis
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16
Footdrop is
A) Bending a body part
B) Straightening a body part
C) A toe-up motion of the foot at the ankle
D) The foot falling down at the ankle
A) Bending a body part
B) Straightening a body part
C) A toe-up motion of the foot at the ankle
D) The foot falling down at the ankle
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17
Adduction is
A) Moving a body part away from the midline of the body
B) Moving a body part toward the midline of the body
C) Straightening a body part
D) Bending a body part
A) Moving a body part away from the midline of the body
B) Moving a body part toward the midline of the body
C) Straightening a body part
D) Bending a body part
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18
Supination is turning the joint
A) Outward
B) Inward
C) Downward
D) Upward
A) Outward
B) Inward
C) Downward
D) Upward
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19
Internal rotation is turning the joint
A) Outward
B) Inward
C) Downward
D) Upward
A) Outward
B) Inward
C) Downward
D) Upward
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20
Hyperextension is
A) Bending a body part
B) Straightening a body part
C) Excessively straightening a body part
D) Briefly losing consciousness
A) Bending a body part
B) Straightening a body part
C) Excessively straightening a body part
D) Briefly losing consciousness
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21
You are delegated range-of-motion exercises. Which is incorrect?
A) Exercise the joints the nurse advises.
B) Support the part being exercised.
C) Move the joint slowly, smoothly, and gently.
D) Force each joint through its full range of motion.
A) Exercise the joints the nurse advises.
B) Support the part being exercised.
C) Move the joint slowly, smoothly, and gently.
D) Force each joint through its full range of motion.
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22
The following are signs and symptoms of postural hypotension except
A) Dizziness and weakness
B) A drop in blood pressure
C) Contractures
D) Fainting
A) Dizziness and weakness
B) A drop in blood pressure
C) Contractures
D) Fainting
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23
You can perform range-of-motion exercises to the neck only if
A) There is a doctor's order
B) The resident asks you to
C) You are supervised by a physical therapist
D) Allowed by your agency and the nurse instructs you to do so
A) There is a doctor's order
B) The resident asks you to
C) You are supervised by a physical therapist
D) Allowed by your agency and the nurse instructs you to do so
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24
Handgrips prevent contractures of the
A) Thumb, fingers, and wrist
B) Hands and forearm
C) Elbow
D) Fingers and elbow
A) Thumb, fingers, and wrist
B) Hands and forearm
C) Elbow
D) Fingers and elbow
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25
The doctor ordered bedrest for a resident. Which is correct?
A) The person can perform some activities of daily living.
B) Everything is done for the person.
C) The person can use the bedside commode.
D) The person can use the bathroom.
A) The person can perform some activities of daily living.
B) Everything is done for the person.
C) The person can use the bedside commode.
D) The person can use the bathroom.
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26
A hip abduction wedge is placed
A) Under the person from the hip to the knee
B) Under the mattress
C) Between the person's legs
D) At the foot of the mattress
A) Under the person from the hip to the knee
B) Under the mattress
C) Between the person's legs
D) At the foot of the mattress
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27
The doctor ordered a foot-board for a resident. The foot-board prevents
A) Plantar flexion
B) The hips and legs from external rotation
C) Contractures of the thumb, fingers, and wrist
D) The mattress from sagging
A) Plantar flexion
B) The hips and legs from external rotation
C) Contractures of the thumb, fingers, and wrist
D) The mattress from sagging
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28
Active range-of-motion exercises are done
A) By the person
B) By a health team member
C) By the person with your help
D) With a trapeze
A) By the person
B) By a health team member
C) By the person with your help
D) With a trapeze
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29
The doctor ordered bed-boards for a resident. Bed-boards prevent
A) Plantar flexion
B) The hips and legs from external rotation
C) Contractures of the thumb, fingers, and wrist
D) The mattress from sagging
A) Plantar flexion
B) The hips and legs from external rotation
C) Contractures of the thumb, fingers, and wrist
D) The mattress from sagging
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30
Active-assistive range-of-motion exercises are done
A) By the person
B) By a health team member
C) By the person with your help
D) With a trapeze
A) By the person
B) By a health team member
C) By the person with your help
D) With a trapeze
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31
Passive range-of-motion exercises are done
A) By the person
B) By a health team member
C) By the person with your help
D) With a trapeze
A) By the person
B) By a health team member
C) By the person with your help
D) With a trapeze
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32
The doctor ordered a bed cradle for a resident. The bed cradle
A) Keeps the mattress from sagging
B) Is a more comfortable bed
C) Keeps the hips abducted
D) Keeps top linens off the feet and toes
A) Keeps the mattress from sagging
B) Is a more comfortable bed
C) Keeps the hips abducted
D) Keeps top linens off the feet and toes
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33
When delegated range-of-motion (ROM) exercises, you need the following information from the nurse and the care plan except
A) The kind of ROM ordered
B) Which joints to exercise
C) How to use body mechanics
D) How many times to repeat each exercise
A) The kind of ROM ordered
B) Which joints to exercise
C) How to use body mechanics
D) How many times to repeat each exercise
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34
Bedrest places the person at risk for the following except
A) Contractures
B) Muscle atrophy
C) Blood clots
D) Pronation
A) Contractures
B) Muscle atrophy
C) Blood clots
D) Pronation
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35
The following are signs and symptoms of orthostatic hypotension except
A) Dizziness and weakness
B) Pressure ulcers
C) A drop in blood pressure
D) Spots before the eyes
A) Dizziness and weakness
B) Pressure ulcers
C) A drop in blood pressure
D) Spots before the eyes
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36
A resident is on bedrest with bathroom privileges. When the person moves from a lying to sitting or standing position, he is at risk for the following except
A) Contractures
B) Dizziness
C) Orthostatic hypotension
D) Fainting
A) Contractures
B) Dizziness
C) Orthostatic hypotension
D) Fainting
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37
The doctor ordered trochanter rolls for a patient. Trochanter rolls prevent
A) Plantar flexion
B) The hips and legs from external rotation
C) Contractures of the thumb, fingers, and wrist
D) The mattress from sagging
A) Plantar flexion
B) The hips and legs from external rotation
C) Contractures of the thumb, fingers, and wrist
D) The mattress from sagging
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38
Which exercise is not done to the shoulder?
A) Flexion
B) Extension
C) Supination
D) Hyperextension
A) Flexion
B) Extension
C) Supination
D) Hyperextension
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39
Which will not prevent complications from bedrest?
A) Postural hypotension
B) Frequent position changes
C) Good alignment
D) Range-of-motion exercises
A) Postural hypotension
B) Frequent position changes
C) Good alignment
D) Range-of-motion exercises
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40
Orthostatic hypotension is prevented by
A) Measuring blood pressure
B) Counting the pulse and respirations
C) Slowly changing positions
D) Preventing contractures
A) Measuring blood pressure
B) Counting the pulse and respirations
C) Slowly changing positions
D) Preventing contractures
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41
When helping a person walk, you walk
A) In front of the person
B) In back of the person
C) To the side and slightly behind the person
D) Where the person chooses
A) In front of the person
B) In back of the person
C) To the side and slightly behind the person
D) Where the person chooses
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42
A person wears a brace. You must
A) Check the brace tips to make sure they are not wet or torn
B) Keep the skin under the brace clean and dry
C) Make sure the person wears loose clothing
D) Make sure the brace is held on the strong side
A) Check the brace tips to make sure they are not wet or torn
B) Keep the skin under the brace clean and dry
C) Make sure the person wears loose clothing
D) Make sure the brace is held on the strong side
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43
Which exercises are not done to the wrist?
A) Flexion and extension
B) Radial flexion and ulnar flexion
C) Hyperextension
D) Abduction and adduction
A) Flexion and extension
B) Radial flexion and ulnar flexion
C) Hyperextension
D) Abduction and adduction
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44
Which exercises are not done to the hip?
A) Flexion and extension
B) Hyperextension and opposition
C) Abduction and adduction
D) Internal and external rotation
A) Flexion and extension
B) Hyperextension and opposition
C) Abduction and adduction
D) Internal and external rotation
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45
How far should you walk a person?
A) As far as the person can tolerate
B) As far as directed by the nurse and the care plan
C) Down the hall and back to the room
D) As far as the person chooses
A) As far as the person can tolerate
B) As far as directed by the nurse and the care plan
C) Down the hall and back to the room
D) As far as the person chooses
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46
How do you flex the toes?
A) Pull them together
B) Spread them apart
C) Curl them
D) Straighten them
A) Pull them together
B) Spread them apart
C) Curl them
D) Straighten them
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47
Which exercises are done to the ankle?
A) Dorsiflexion and plantar flexion
B) Abduction and adduction
C) Internal and external rotation
D) Radial and ulnar flexion
A) Dorsiflexion and plantar flexion
B) Abduction and adduction
C) Internal and external rotation
D) Radial and ulnar flexion
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48
A resident is unsteady. When assisting the person with ambulation, you need to apply a
A) Gait belt
B) Walking aid
C) Supportive device
D) Brace
A) Gait belt
B) Walking aid
C) Supportive device
D) Brace
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49
Which exercises are done to the forearm?
A) Pronation and supination
B) Flexion and extension
C) Abduction and adduction
D) Internal and external rotation
A) Pronation and supination
B) Flexion and extension
C) Abduction and adduction
D) Internal and external rotation
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50
When ambulating, a person needs to wear
A) Slippers
B) Non-skid shoes
C) Whatever the person chooses
D) Athletic shoes
A) Slippers
B) Non-skid shoes
C) Whatever the person chooses
D) Athletic shoes
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51
Which statement about canes is incorrect?
A) The cane is held on the weak side.
B) The cane tip is about 6 to 10 inches to the side of the foot.
C) The grip is level with the hip.
D) The cane is moved forward first.
A) The cane is held on the weak side.
B) The cane tip is about 6 to 10 inches to the side of the foot.
C) The grip is level with the hip.
D) The cane is moved forward first.
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52
Which walking aid provides support for weak body parts?
A) Canes
B) Crutches
C) Walkers
D) Braces
A) Canes
B) Crutches
C) Walkers
D) Braces
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53
A patient uses crutches. You do the following except
A) Teach the person how to use them
B) Check the crutch tips to see if they are worn down or wet
C) Make sure the bolts are tight
D) Have the person wear street shoes with non-skid soles
A) Teach the person how to use them
B) Check the crutch tips to see if they are worn down or wet
C) Make sure the bolts are tight
D) Have the person wear street shoes with non-skid soles
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54
Which statement about recreational activities is incorrect?
A) A good activity program improves the person's quality of life.
B) Independence and well-being are promoted.
C) Recreational activities are mentally stimulating.
D) The person must attend at least one activity each day.
A) A good activity program improves the person's quality of life.
B) Independence and well-being are promoted.
C) Recreational activities are mentally stimulating.
D) The person must attend at least one activity each day.
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55
Which walking aids allow attachments?
A) Canes
B) Crutches
C) Walkers
D) Braces
A) Canes
B) Crutches
C) Walkers
D) Braces
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56
A person uses a wheeled walker. Which is correct?
A) The walker is held on the strong side.
B) The person moves the feet first.
C) The walker is moved first.
D) The walker is moved about 8 to 12 inches in front of the person.
A) The walker is held on the strong side.
B) The person moves the feet first.
C) The walker is moved first.
D) The walker is moved about 8 to 12 inches in front of the person.
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57
You are performing passive range-of-motion exercises. Which action will not promote comfort?
A) Exposing only the part being exercised
B) Supporting the part being exercised
C) Providing for privacy
D) Moving the joint quickly and forcefully
A) Exposing only the part being exercised
B) Supporting the part being exercised
C) Providing for privacy
D) Moving the joint quickly and forcefully
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58
Which exercises are done to the knee?
A) Flexion and extension
B) Abduction and adduction
C) Internal and external rotation
D) Radial and ulnar flexion
A) Flexion and extension
B) Abduction and adduction
C) Internal and external rotation
D) Radial and ulnar flexion
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59
Which exercises are done to the elbow?
A) Pronation and supination
B) Flexion and extension
C) Abduction and adduction
D) Internal and external rotation
A) Pronation and supination
B) Flexion and extension
C) Abduction and adduction
D) Internal and external rotation
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60
Which will not promote activity, exercise, and well-being?
A) Encouraging the person to be as active as possible
B) Focusing on the person's disabilities
C) Telling the person when you notice he or she is making progress
D) Telling the person you are proud of what he or she did
A) Encouraging the person to be as active as possible
B) Focusing on the person's disabilities
C) Telling the person when you notice he or she is making progress
D) Telling the person you are proud of what he or she did
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