Question 1

The nurse is admitting a patient who has been diagnosed as having had a stroke.The physician writes orders for "ROM as needed." The nurse understands that

Accepted Answer

A)  The nurse will have to move all the patient's extremities. 
B)  The patient is unable to move his extremities. 
C)  Further assessment of the patient is needed. 
D)  The patient needs to restrict his mobility as much as possible.

Question 2

The director of a nursing home has decided to institute ergonomic programs in the facility because these programs increase employee satisfaction and have been shown to

Accepted Answer

A)  Be ineffective in reducing injury. 
B)  Be cost neutral in budgeting. 
C)  Enhance recruitment. 
D)  Decrease retention rates.

Question 3

The nurse needs to reposition a 300-lb patient.Which of the following strategies is most likely to prevent back injury?

Accepted Answer

A)  Turn the patient alone using the lift pad and applying pillows. 
B)  Put the bed in Trendelenburg and pull from the head of the bed. 
C)  Assess and obtain the number of people needed to help. 
D)  Bend at the waist and pull the lift pad using the arms.

Question 4

Joints are the connections between bones.The joint that is freely movable is known as the _____ joint.

Accepted Answer

A)  Synostotic 
B)  Cartilaginous 
C)  Fibrous 
D)  Synovial

Question 5

When creating a plan of care for a patient who is experiencing alterations in mobility,the nurse

Accepted Answer

A)  Cannot delegate interventions to nursing assistive personnel. 
B)  Is solely responsible for modifying ADLs. 
C)  Consults other health care team members to help plan therapy. 
D)  Consults wound care specialists only when wounds are apparent.

Question 6

During voluntary movement,impulses descend from the motor strip to the spinal cord.Impulses stimulate muscles by way of

Accepted Answer

A)  Ligaments. 
B)  Tendons. 
C)  Neurotransmitters. 
D)  Cartilage.

Question 7

The nurse is caring for a patient with the diagnosis of Impaired physical mobility.The nurse needs to be alert for which of the following potential complications?

Accepted Answer

A)  Pulmonary emboli 
B)  Pneumonia 
C)  Impaired skin integrity 
D)  Somnolence 
E)  Increased socialization

Question 8

Without balance control,the center of gravity is displaced,thus creating risk for falls and subsequent injuries.Balance is enhanced by

Accepted Answer

A)  Maintaining a narrow base of support. 
B)  Creating a high center of gravity. 
C)  Disregarding body posture. 
D)  Keeping a low center of gravity.

Question 9

The patient is unable to move himself and needs to be pulled up in bed.For this repositioning to be done safely,the nurse must understand that

Accepted Answer

A)  The procedure can be done by one person if the bed is in the flat position. 
B)  Side rails should be in the up position to prevent the patient from falling out. 
C)  The pillow should be placed under the patient's head and shoulders. 
D)  Assistive devices or additional nurses should be used.

Question 10

Of the following nursing goals,which is the most appropriate for a patient who has had a total hip replacement?

Accepted Answer

A)  The patient will walk 1000 feet using her walker by the time of discharge. 
B)  The patient will ambulate by the time of discharge. 
C)  The patient will ambulate briskly on the treadmill by the time of discharge. 
D)  The nurse will assist the patient to ambulate in the hall.

Question 11

While performing passive ROM exercises,the nurse stands at the side of the bed closest to the joint being exercised and

Accepted Answer

A)  Forces the joint just a bit beyond the point of resistance. 
B)  Moves the joint until the patient complains of pain. 
C)  Repeats each movement twice. 
D)  Carries out movements slowly and smoothly.

Question 12

The nurse is caring for a patient with a spinal cord injury and notices that the patient's hips have a tendency to rotate externally when the patient is supine.To help prevent injury secondary to this rotation,the nurse can use

Accepted Answer

A)  A trochanter roll. 
B)  The trapeze bar. 
C)  Hand rolls. 
D)  Hand-wrist splints.

Question 13

What is meant by "concentric tension" of muscles?

Accepted Answer

A)  Increased muscle contraction results in movement. 
B)  The speed and direction of movement are controlled. 
C)  Tension causes no shortening or active movement. 
D)  Tension does not result in isotonic contraction.

Question 14

The nurse is working on an orthopedic rehabilitation unit that requires lifting and positioning of patients.The nurse is aware that the rate of occupational injury and illness in the hospital setting

Accepted Answer

A)  Is the same as in the private industry sector. 
B)  Is higher than in the nursing home setting. 
C)  Is about 4.4%. 
D)  Has decreased in recent years.

Question 15

To prevent injury,the nurse should not begin a task (e.g.,moving a bed from one room to another,lifting heavy objects)until the task can be completed safely.To prevent injury

Accepted Answer

A)  Keep the weight as far from the body as possible. 
B)  Keep the knees still to prevent loss of balance. 
C)  Tighten abdominal muscles and tuck the pelvis. 
D)  Bend at the waist to move weight forward.

Question 16

The nurse is evaluating the body alignment of a patient in the sitting position.In this position

Accepted Answer

A)  The body weight is directly on the buttocks only. 
B)  Both feet are supported on the floor with ankles flexed. 
C)  The edge of the seat is in contact with the popliteal space. 
D)  The arms hang comfortably at the sides.

Question 17

The nurse must assess the patient for hazards of immobility by performing a head-to-toe physical assessment.When assessing the respiratory system,the nurse should

Accepted Answer

A)  Assess the patient at least every 4 hours. 
B)  Inspect chest wall movements during the expiratory cycle only. 
C)  Auscultate the entire lung region to assess lung sounds. 
D)  Focus auscultation on the upper lung fields.

Question 18

When assessing the body alignment of a patient while he or she is standing,the nurse is aware that

Accepted Answer

A)  When observed posteriorly, the hips and shoulders form an "S" pattern. 
B)  When observed laterally, the spinal curves align in a reversed "S" pattern. 
C)  The arms should be crossed over the chest or in the lap. 
D)  The feet should be close together with toes pointed out.

Question 19

The nurse is caring for a patient who has had a recent stroke and is paralyzed on his left side.He has no respiratory or cardiac issues,but he cannot walk.He becomes extremely frustrated when he cannot button his shirt and cannot feed himself because he was left-handed.He has shown no signs of dysphagia,but he has been eating very little and has lost 2 lbs.He asks the nurse,"How can I go home like this? I'm not getting better.I can't ask my wife to take care of me like a baby." Of the following list of health care team members,which member would the nurse need to consult?

Accepted Answer

A)  Physical therapy 
B)  Occupational therapy 
C)  Respiratory therapy 
D)  Cardiac rehabilitation 
E)  Psychology services

Question 20

In preparing to create a nursing diagnosis for a patient who is immobile,it is important for the nurse to understand that

Accepted Answer

A)  Physiological issues should be the major focus. 
B)  Psychosocial issues should be the major focus. 
C)  Developmental issues should be the major focus. 
D)  All dimensions are important to health.

Exam 47: Mobility and Immobility