Deck 18: Assisting With Exercise

Question 1

When a resident refuses to take a regular evening walk saying, "I just don't feel like it today," the nursing assistant would:

A) get a mechanical lift and lift the resident out of bed.
B) immediately report to the nurse what the resident said.
C) consult with the doctor about the resident's change in attitude.
D) be sure to have the resident dangle at the bedside before getting up.

Answer 1

immediately report to the nurse what the resident said.

Question 2

The nursing assistant replies to a resident who doesn't want to walk that walking will:

A) please the physician.
B) help the resident to be independent.
C) keep the resident from getting sick.
D) help the resident live a lot longer.

Answer 2

help the resident to be independent.

Question 3

The resident diagnosed with a stroke has right-sided paralysis. The nursing assistant (NA) is assigned to perform passive range of motion (ROM) to the right side and active ROM to the left side twice daily. What is the appropriate action for the nursing assistant to take?

A) Remove the pillows and supports from under the right arm supporting the right arm through all the ROM exercises.
B) Face the resident and force the joints to go through their full ROM during the exercises.
C) Assist the resident through ROM on the right side as the resident tries to move their right side.
D) Explain that the resident can perform their own ROM exercises on the left side as the NA does the right side.

Answer 3

Remove the pillows and supports from under the right arm supporting the right arm through all the ROM exercises.

Question 4

The nursing assistant is assigned to perform passive range-of-motion (ROM) exercises for an unconscious client. Which action should the nursing assistant take first?

A) Raise the bed to the nursing assistant's waist.
B) Examine the client's care plan and Kardex.
C) Face the client to observe the client's face.
D) Cover the resident with a blanket.

Question 5

The nursing assistant is providing passive ROM to the right shoulder when the resident suddenly develops the following signs and symptoms: grimacing with movement, a loud popping sound in the shoulder, and resistance to movement. What action should the nursing assistant take first?

A) Continue the ROM with the right shoulder joint as tolerated at least one more time.
B) Stop immediately and place the right arm on pillows and supports.
C) Tell the nurse that the resident does not tolerate the ROM.
D) Move on to another area of the body as ordered to perform passive ROM.

Question 6

While performing active range-of-motion (ROM) exercises with a resident, the nursing assistant observes the resident's respiration rate increase from 12 to 22 breaths per minute and the heart rate increase from 70 to 90 beats per minute. The joints go through their appropriate motions and the resident remains calm. What action would the nursing assistant take next?

A) Tell the nurse that the respirations increased above the normal range.
B) Stop the ROM exercises and allow the resident time to rest.
C) Chart that the client tolerated the active passive ROM.
D) Ask if the resident is experiencing pain.

Question 7

The nursing assistant performs the same range-of-motion exercises:

A) on all assigned clients.
B) on both the right and left wrist.
C) just prior to breakfast and dinner.
D) regardless of the resident's medical condition.

Question 8

It is true that range-of-motion exercises:

A) put the joint through its normal range of movement.
B) are prescribed for only older clients and residents.
C) always require the help of the nursing assistant.
D) usually cause some degree of pain.

Question 9

The role of the nursing assistant related to range-of-motion exercises is to:

A) discuss the need for such exercises with the physician.
B) determine when the exercises are no longer needed.
C) establish the times when the exercises are done.
D) help the client or resident with the exercises.

Question 10

It is most important for the nursing assistant to check the resident's plan of care before performing range-of-motion exercises because the:

A) nursing assistant could be fired if the plan is not checked.
B) exercises may have been changed or even stopped.
C) resident's wishes are recorded in the plan of care.
D) care plan is a part of the resident's medical record.

Question 11

What term is used to identify the action that happens when the resident moves their legs together?

A) Abduction
B) Adduction
C) Pronation
D) Dorsiflexion

Question 12

How should the nursing assistant support the resident's head while performing forward and backward flexion and extension of the neck? Select all that apply.

A) Placing one hand on the back of the head.
B) Placing one hand under the chin.
C) Keeping one hand on the resident's temple.
D) Keeping hands on both sides of the head while gently moving the head side to side.
E) Putting one hand on top of head and have the clients try to get their chin to touch the breastbone. Add extra force if needed.

Question 13

The nursing assistant is supporting a person's arm by putting one hand under the elbow and the other under the wrist. As the nursing assistant moves the person's arm away from the side of the body, it is slightly bent at the elbow. The nursing assistant then gently moves the person's forearm up so that it forms a right angle with the mattress and then turns the hand so the palm is facing the end of the bed. What action has the nursing assistant completed on the person's elbow?

A) Flexion
B) Extension
C) Pronation
D) Supination

Question 14

While recovering from the repair of a broken hip, a resident is using a walker to get around. Which observations should the nursing assistant report to the charge nurse?

A) Handgrips are at the level of the resident's hip.
B) Resident lifts the walker up and then takes one step before placing the walker on the floor 24 inches in front of the body.
C) The resident moves one leg forward and then the other, stepping into the frame of the walker.
D) The resident uses the top of the frame for support between steps in order to breathe.

Question 15

The nursing assistant is getting a resident out of bed to walk. After allowing the resident to dangle for a few minutes, the nursing assistant proceeds to help the resident to stand. What is the intervention the nursing assistant should use to safely ambulate this resident using a cane?

A) Place a transfer belt on the resident to help with support.
B) Cancel the walk if the resident is reporting wanting to stay in bed.
C) Examine the walking cane and repair any end that appears cracked or worn.
D) Guide the resident to move the strongest leg forward first, followed by the weaker leg.

Question 16

The nursing assistant prepares to perform passive range-of-motion (ROM) exercises on the right wrist of an assigned resident. The resident's left arm is in a sling and casted from below the elbow to the wrist. The care plan states to provide passive ROM to all joints. What action should the nursing assistant take next?

A) Check the care plan for today's date and perform ROM as scheduled.
B) Perform passive ROM on the right arm and not the left arm.
C) Ask the resident to wiggle the fingers on the left hand.
D) Ask the nurse to clarify what ROM should be provided.

Question 17

The nursing assistant observes a client using a walker. The client tilts the walker on two of its legs placing it 2 feet away and then walks toward the walker. What action would the nursing assistant take?

A) Tell the nurse that the client is using the walker incorrectly.
B) Help the client sit in the bedside chair and take away the walker.
C) No further action is necessary because the client is using the walker correctly.
D) Teach the client the correct way to use the walker and monitor usage.

Question 18

The nursing assistant is observing a resident with slight right-sided weakness ambulating in the hall using a cane. The resident is holding the cane on the right side in front of the body and placing weight on it while moving with the right leg first and then the left leg. What action should the nursing assistant take?

A) Take no further action because the resident is using the cane correctly.
B) Explain that the resident needs to use the cane on the left side.
C) Chart the distance the resident walked and how well the resident tolerated it.
D) Ask the resident to move the left leg first and then the right leg.

Question 19

The experienced nursing assistant (NA) is helping to orient a new NA to the unit. The new NA is observed ambulating a resident who has slight left-sided weakness in the hall using a transfer belt and a walker. The NA observes the NA grasping the transfer belt overhanded while standing slightly behind and to the left side of the resident. The resident advances the walker 18 inches solidly on the floor and walks 1 foot at a time into it. What action should the observing NA take?

A) Instruct the new NA to use an underhand grasp with the transfer belt.
B) Explain that the new NA should be on the resident's right side.
C) Take no action because the task is being performed correctly.
D) Help the resident to use the walker properly.

Question 20

A nursing assistant observes a student nurse transfer a client from the bed to ambulate using a walker. At which step should the nursing assistant intervene?

A) Step 1: The nursing student places the bed at a comfortable working height at waist level.
B) Step 2: The nursing student helps the client to dangle their feet on the side of the bed.
C) Step 3: The nursing student places nonslip slippers on the client's feet.
D) Step 4: The nursing student proceeds to help the client to a standing position.