Question 1

The nurse is caring for a patient who has just been treated for a broken leg.She needs to teach the patient how to use crutches.The crutch gait that is most appropriate for this patient is the:

Accepted Answer

A)   Four-point gait
B)   Three-point gait
C)   Two-point gait
D)   Swing-to gait B

Question 2

An appropriate technique for the nurse to use when performing range of motion (ROM)exercises is to:

Accepted Answer

A)   Repeat each action five times during the exercise
B)   Perform the exercises quickly and firmly
C)   Support the proximal portion of the extremity being exercised
D)   Continue the exercise slightly beyond the point of resistance A

Question 3

An appropriate procedure for the nurse to use when applying an elastic stocking is to:

Accepted Answer

A)   Remove the stockings every 24 hours
B)   Keep the top of the stockings rolled down slightly
C)   Turn the stocking inside out to apply from the toes up
D)   Wash stockings daily and dry in a dryer C

Question 4

When using a SCD,the nurse should:

Accepted Answer

A)   Apply powder to the patient's skin if redness and itching are present
B)   Leave a two-finger space between the patient's leg and the compression stocking
C)   Keep the patient connected to the compression device when transferring into and out of bed
D)   Remove the elastic stockings before putting on the sequential pneumatic compression stockings

Question 5

The patient had a stroke and is currently immobile.The nurse realizes that increasing mobility is critical because immobility can result in alterations in which of the following? (Select all that apply.)

Accepted Answer

A)   Cardiovascular function
B)   Pulmonary function
C)   Skin integrity
D)   Elimination
E)    None of above

Question 6

Factors that contribute to the development of DVT are: (Select all that apply.)

Accepted Answer

A)   Elevated sodium (Na+)  levels
B)   Hypercoagulability of the blood
C)   Venous wall damage
D)   Stasis of blood flow

Question 7

A nurse encourages a patient to prevent venous stasis by:

Accepted Answer

A)   Crossing the legs when sitting in a chair
B)   Wearing thigh-length nylon stockings or garters
C)   Elevating the legs on pillows while in bed
D)   Increasing early ambulation

Question 8

The patient has been using crutches for the past 2 weeks.When she comes for her follow-up examination,she complains of tingling and numbness in her hands and upper torso.Possible causes of these symptoms are:

Accepted Answer

A)   The patient's elbows are flexed 15 to 30 degrees when using the crutches
B)   Crutch pad is approximately 2 inches below the patient's axilla
C)   Patient holds the cane 4 to 6 inches to the side of her foot
D)   Hand grip does not allow for elbow flexion

Question 9

Virchow's triad (hypercoagulability of blood,venous wall damage,and stasis of blood flow)has been found to contribute to ________________.

Accepted Answer

The answer of Virchow's triad (hypercoagulability of blood,venous wall damage,and...

Question 10

The nurse is applying a CPM machine to the patient's leg.To do so,she must: (Select all that apply.)

Accepted Answer

A)   Provide analgesia 1 hour before starting the CPM
B)   Stop the CPM when in extension and place a sheepskin on the machine
C)   Align patient's joint with the CPM's mechanical joint
D)   Secure the patient's extremity tightly with Velcro straps

Question 11

The patient is an elderly gentleman who has been on bed rest for the past several days.When getting the patient up,the nurse should:

Accepted Answer

A)   Tell the patient not to move his legs when dangling
B)   Tell the patient to hold his breath while dangling
C)   Raise the head of the bed and allow a few minutes before dangling
D)   Have the patient stand without dangling

Question 12

When teaching the use of a three-point crutch gait,a nurse instructs the patient to:

Accepted Answer

A)   Move both crutches and the affected leg first, then the stronger leg
B)   Move the right crutch, left foot, left crutch, and right foot in sequence
C)   Move the left crutch and right foot, then move the right crutch and left foot
D)   Move both crutches, then lift and swing the legs forward as far as the crutches

Question 13

A nurse should be concerned when observing a patient performing isometric exercises if the patient is:

Accepted Answer

A)   Holding his or her breath while exerting
B)   Performing the exercises four times per day
C)   Tightening each muscle group for 8 seconds, then relaxing
D)   Repeating each exercise 8 to 10 times for each muscle group

Question 14

A patient with left hemiparesis is using a quad cane for ambulation.The following is the correct technique for the nurse to use in teaching the patient:

Accepted Answer

A)   Use the cane on the right side, with the cane moving forward first.
B)   Use the cane on the left side, with the left leg moving forward with the cane.
C)   Use the cane in either hand, with the right leg moving forward first.
D)   Use the cane in either hand, with the left leg moving beyond the forward placement of the cane.

Question 15

A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.

Accepted Answer

The answer of A drop in blood pressure that occurs...

Question 16

The patient was admitted yesterday with a possible DVT.The patient is wearing antiembolic stockings.During the night,the patient calls for the nurse,complaining of chest pain and shortness of breath.The nurse finds that the patient's heart rate is 132 beats per minute,and his respirations are 32 breaths per minute.The patient also states that the calf pain that brought the patient into the hospital is worse than ever.The nurse should:

Accepted Answer

A)   Massage the patient's calf to promote circulation
B)   Call the physician immediately
C)   Dorsiflex the patient's foot to check for Homans' sign
D)   Check the calf for edema

Question 17

Static exercises that involve tightening or tensing of muscles without moving a body part are known as ______________.

Accepted Answer

The answer of Static exercises that involve tightening or tensing...

Question 18

An appropriate way for the nurse to measure a patient for crutches is to:

Accepted Answer

A)   Have a flexion of 45 degrees at both of the patient's elbows
B)   Have a space of two to three fingers between the top of the crutch and the axilla
C)   Place the crutch tips 1 foot to each side of the patient's feet, and observe the positioning of the crutches
D)   Place the crutch tips 1 foot to the front of the patient's feet, and observe the positioning of the crutches

Question 19

The patient is going home after being treated for DVT.He is instructed to wear antiembolic stockings until seen by the physician in 2 weeks.The nurse realizes that the patient needs reinforcement of instruction when she states:

Accepted Answer

A)   "I will have two pair of stockings so that I will have a clean set available at all times."
B)   "I need to wash my stockings every day and dry them in the dryer."
C)   "My footwear has nonskid soles. I don't want to walk around in just stockings."
D)   "I need to lay my stockings flat on a towel to dry them."

Question 20

A patient is admitted to the medical unit following a cerebrovascular accident (CVA).Evidence of left-sided hemiparesis is noted,and the nurse will be following up on ROM and other exercises performed in physical therapy.The nurse correctly teaches the patient and family members which of the following principles of ROM exercises?

Accepted Answer

A)   Flex the joint to the point of discomfort.
B)   Medicate the patient after ROM exercise session.
C)   Move the joints quickly.
D)   Provide support for distal joints.

Exam 10: Exercise and Ambulation