Question 1

Which action, when demonstrated by the patient with osteoporosis, would indicate to the nurse that teaching was effective?

Accepted Answer

A)  Taking a calcium supplement every day and increasing her phosphorus intake
B)  Participating in an aerobic barbell strength class at the gym three times a week
C)  Using a wheelchair to reduce the risk of spontaneous fractures to her legs and feet
D)  Seeking healthcare by scheduling a follow-up examination with bone density testing B

Question 2

The patient with a spinal cord injury is experiencing autonomic dysfunctions. Which is an important aspect of care to assist in managing these dysfunctions?

Accepted Answer

A)  Hold the patient upright if she begins to fall until assistance arrives.
B)  Ask the patient to assist with turning by holding the siderails of the bed.
C)  Place the patient in a high-back reclining wheelchair which can be lowered.
D)  Ask the patient if a transfer belt would be helpful to support assisted walking. C

Question 3

Which of the following body systems must interact to produce mobility and locomotion? Select all that apply.

Accepted Answer

A)  Digestive system
B)  Muscles
C)  Skeleton
D)  Nervous system
E)  Endocrine system B,C,D

Question 4

The nurse is instructing a patient about the need to replace fluid before, during, and after exercise to avoid dehydration. On what basis should she teach the patient to determine the amount of fluid to consume? Select all that apply.

Accepted Answer

A)  Duration of exercise
B)  Environmental temperature
C)  Level of fitness
D)  Degree of thirst
E)  Intensity of exercise

Question 5

A woman with a high-risk pregnancy with triplets is in preterm labor; she is on strict bedrest for 5 days. During this time, she has not had a bowel movement, although she normally passes stool daily. She describes feeling bloated and uncomfortable. What information should the nurse give the patient when explaining constipation?

Accepted Answer

A)  Immobility often causes constipation.
B)  A low-fiber diet will resolve the problem.
C)  A stool softener daily will relieve the problem.
D)  Use of a bedpan results in bloating and constipation.

Question 6

A healthy 32-year-old man wants to start a fitness program to increase his muscle tone and muscle strength. Based on the U.S. Department of Health and Human Services recommendations, which advice should the nurse offer him?

Accepted Answer

A)  Exercising once weekly for 20 to 30 minutes is essential to increase strength.
B)  Thirty minutes of moderate physical activity three times a week is appropriate.
C)  Moderately intense exercise for 1 hour three times a week will be adequate.
D)  Moderate physical activity 150 to 300 minutes or more per week is needed.

Question 7

When caring for a patient with osteoporosis, which of the following is the most important action to take to minimize progression of the disease?

Accepted Answer

A)  Take a calcium supplement twice a day.
B)  Start a weight-bearing exercise program.
C)  Avoid strenuous activity that puts stress on bones.
D)  Schedule regular healthcare checkups.

Question 8

A nurse is caring for a 25-year-old male quadriplegic patient. Which of the following treatments would the nurse perform to decrease the risk of joint contracture and promote joint mobility?

Accepted Answer

A)  Active range of motion (ROM) 
B)  Passive ROM
C)  Turning the patient every 2 hours
D)  Administering glucosamine supplements

Question 9

Identify the most appropriate nursing diagnosis for promoting the safety of a frail, elderly patient after hip replacement surgery who also has a history of emphysema.

Accepted Answer

A)  Activity Intolerance related to injury
B)  Impaired Mobility related to weakness
C)  Risk for Injury related to medical condition
D)  Ineffective Breathing Pattern related to illness

Question 10

The nurse providing care to the patient with a fracture explains how bones heal. Which type of cells will the nurse indicate repairs damaged bone and builds new bone to keep the skeleton strong?

Accepted Answer

A)  Amphiarthroses
B)  Articular cartilage
C)  Osteoblasts
D)  Osteoclasts

Question 11

The nurse assessing the mobility of a patient with Parkinson's disease might expect to observe which type of gait?

Accepted Answer

A)  Antalgic
B)  Propulsive
C)  Scissors
D)  Steppage

Question 12

When encouraging a fitness program for healthy older adults, what must the nurse consider?

Accepted Answer

A)  Older adults should engage in 75 to 150 minutes of moderate physical activity per week.
B)  More than 150 minutes of moderate-intensity physical activity can be harmful to bones.
C)  Structured fitness programs achieve greater health benefits for older adults.
D)  Older adults at risk for falling should do activities that maintain or improve balance.

Question 13

A frail, elderly man is admitted to the hospital after a fall at home resulted in a left hip fracture. After surgery, he is to begin ambulating with a walker but must avoid weight bearing on his left lower leg. What is the best intervention to help him use his walker?

Accepted Answer

A)  Aerobic exercise with deep breathing
B)  Quadriceps and gluteal repetitions
C)  Isometric toning of lower legs
D)  Arm resistance training

Question 14

A patient has started a fitness program. Which program features illustrate that he has started a well-rounded program? Select all that apply.

Accepted Answer

A)  Flexibility training
B)  Balance exercises
C)  Resistance training
D)  Aerobic conditioning
E)  Isotonic exercises

Question 15

The nurse is helping the patient to perform leg exercises after surgery to prevent thrombophlebitis. Which type of muscle is the patient using for these exercises?

Accepted Answer

A)  Skeletal
B)  Smooth
C)  Cardiac
D)  Slow-twitch fibers

Question 16

Which of the following patients would you expect to be at risk for decreased activity? Select all that apply.

Accepted Answer

A)  Older adult who walks at the mall for physical activity
B)  Someone living in a skilled nursing facility
C)  Healthy adult who works as a computer programmer
D)  Obese child who enjoys video games
E)  The patient with impaired arterial circulation

Question 17

The patient who is on extended bedrest and experiencing constipation requests a fiber supplement. Which statement by the nurse is most appropriate?

Accepted Answer

A)  "I will need to see if you have any allergies before I order a fiber supplement for you."
B)  "That is a good choice to manage constipation. I will contact the physician."
C)  "A fiber supplement won't be very effective; we need to get you moving soon."
D)  "A stool softener could be used in place of a fiber supplement. Let's try that medication now."

Question 18

Which type of exercise is performed by using specialized apparatuses that use resistance at a constant, preset speed?

Accepted Answer

A)  Isokinetic
B)  Isometric
C)  Isotonic
D)  Isomorphic

Question 19

Which type of joint are the sutures between cranial bones?

Accepted Answer

A)  Diarthroses
B)  Synovial
C)  Amphiarthroses
D)  Synarthroses

Question 20

A nurse is assessing a healthy older adult patient for an exercise program to be offered at the local hospital. During the evaluation, the nurse notes the following vital signs: pulse (P) = 72 beats/min; respiratory rate (RR) = 16 breaths/min; blood pressure (BP) = 132/70 mm Hg. After 3 minutes of moderate-intensity running on the treadmill, the patient becomes short of breath and states, "I have to stop. I can't do this anymore." The nurse measures his vital signs again: P = 152 beats/min; RR = 40 breaths/min; BP = 172/98 mm Hg. She instructs him to rest. Vital signs return to baseline after 15 minutes. The nurse should recognize his symptoms as associated with which of the following?

Accepted Answer

A)  Anxiety
B)  Orthostatic hypotension
C)  Limited activity tolerance
D)  Respiratory distress

Exam 32: Physical Activity Immobility