NCLEX Style Critical Thinking Questions On Mobility
(84).jpg "NCLEX Style Critical Thinking Questions On Mobility")
From FUNDAMENTALS SUCCESS: A Course Review Applying Critical Thinking to Test Taking by Nugent and Vitale, pages 238-251
- 1.Which nursing action is most dependent on the principle: "the wider the base of support the greater the stability"? ( p.238)
- A.
Carrying a heavy object
- B.
Raising the side rails on a bed
- C.
Repositioning a trochanter roll
- D.
Transferring a patient from a bed to a chair
- 2.What is a basic principle associated with transferring a patient from a bed to a chair using a mechanical lift? (p. 238)
- A.
Hook the longer chains on the end of the sling closest to the patient's feet
- B.
Ensure that there is a physician's order to use a mechanical lift
- C.
Place a sheepskin inside the sling so that it is under the patient
- D.
Lead with the patient's feet when existing the bed
- 3.Which position should be avoided for a patient at the greatest risk for the development of pressure ulcers?
- A.
Low Fowler's
- B.
Side-lying
- C.
Supine
- D.
Prone
- 4.Reactive hyperemia over a bony prominence occurs in response to: (p. 128)
- A.
Applying a warm soak
- B.
Turning a patient off an affected site
- C.
Using an effleurage massage technique
- D.
Pulling a patient up in bed without a pull sheet
- 5.Which motion occurs when the angle is reduced between the palm of the hand and forearm?
- A.
Hyperextension
- B.
Opposition
- C.
Abduction
- D.
Flexion
- 6.Which is a local adaptation to immobility?
- A.
Renal calculi
- B.
Thrombophlebitis
- C.
Muscle contractures
- D.
Pathological fracture
- 7.What is the greatest potential problem associated with Low Fowler's position?
- A.
Dorsiflexion contractures of the feet
- B.
Pressure on the ischial tuberosities
- C.
External rotation of the hips
- D.
Adduction of the legs
- 8.What is the best thing a nurse can do to prevent plantar flexion when making the bed?
- A.
Tuck in the top linens on just the sides of the bed
- B.
Place a toe pleat in the top linens over the feet
- C.
Let the top linens hang off the end of the bed
- D.
Use trochanter rolls to position the feet
- 9.Which is a systemic adaptation to immobility?
- A.
Plantar flexion contracture
- B.
Hypostatic pneumonia
- C.
Dependent edema
- D.
Pressure ulcer
- 10.Which stage pressure ulcer would just have partial thickness skin loss involving epidermis and dermis?
- A.
Stage I
- B.
Stage II
- C.
Stage III
- D.
Stage IV
- 11.The most important action when assisting a patient to move from the bed to a wheelchair
- A.
Applying pressure under the patient's axillae when standing up
- B.
Letting the patient help as much as possible when permitted
- C.
Keeping the patient's feet next to each other 1 foot apart
- D.
Lowering the bed to below the height of the wheel chair
- 12.The orthopneic position is used primarily to
- A.
Facilitate respirations
- B.
Support hip extension
- C.
Prevent pressure ulcers
- D.
Promote urinary elimination
- 13.When doing ROM exercises, moving the thumb so it touches each finger is called...
- A.
Flexion
- B.
Inversion
- C.
Abduction
- D.
Opposition
- 14.An immobilized bedridden patient is placed on a 2-hour turning and positioning program primarily to:
- A.
Support comfort
- B.
Promote elimination
- C.
Maintain skin integrity
- D.
Facilitate respiratory function
- 15.Which is the most important action related to the use of antiembolism hose?
- A.
Put them on after the patient's legs have been dependent for several minutes
- B.
Monitor the heels for blanchable erythema every eight hours
- C.
Apply body lotion before putting them on
- D.
Remove and reapply them once a day
- 16.A major reason injuries occur to nurses when moving patients is because nurses:
- A.
Use the longer, rather than the shorter, muscles when moving patients
- B.
Place their feet close together when transferring patients
- C.
Pull rather than push when turning patients
- D.
Misalign their backs when moving patients
- 17.When positioning a patient on the left side, the nurse should position the:
- A.
Right leg resting on top of the left leg
- B.
Knees in 90 degrees of flexion
- C.
Ankles in plantar flexion
- D.
Left shoulder protracted
- 18.Which motion occurs when the ankle is turned so that the sole of the foot moves medially toward the midline?
- A.
Inversion
- B.
Adduction
- C.
Plantar Flexion
- D.
Internal Rotation
- 19.What should the nurse do to quickly assess a patient's tolerance to a change in position when transferring the patient from a bed to a wheelchair?
- A.
Take the patient's blood pressure
- B.
Monitor the patient for bradycardia
- C.
Establish whether or not the patient feels dizzy
- D.
Allow the patient time to adjust to the change in position
- 20.To best prevent pressure ulcers when a patient is on bed rest, the nurse should:
- A.
Place an air mattress on the bed
- B.
Massage bony prominences every shift
- C.
Apply a moisture barrier to the sacral area
- D.
Raise the head of the bed to the low-Fowler's position
- 21.A basic principle associated with transferring a patient using a mechanical lift
- A.
Lock the base lever in open position when moving the mechanical lift
- B.
Keep the wheels of the mechanical lift locked throughout the transfer
- C.
Ensure that the patient's feet are protected during the transfer
- D.
Raise the lift so that the patient is 6 inches off the mattress
- 22.Which complication of immobility would be of most concern?
- A.
Dehydration
- B.
Incontinence
- C.
Contractures
- D.
Hypertension
- 23.Which stage pressure ulcer would require the nurse to measure the extent of undermining?
- A.
Stage 0
- B.
Stage I
- C.
Stage II
- D.
Stage III
- 24.Which intervention is unnecessary when assisting the patient with active range of motion exercises?
- A.
Supporting above and below the joint being moved
- B.
Positioning the patient in the supine position in bed
- C.
Providing on-going encouragement and supervision
- D.
Moving the joint through its full range at least three times
- 25.Which word is most closely associated with nursing care strategies to maintain functional alignment when patients are bedridden?
- A.
Endurance
- B.
Strength
- C.
Support
- D.
Balance
Questions: 9 | Attempts: 12494 | Last updated: Sep 3, 2020
-
Sample QuestionHIV and AIDS are the same things.
Questions: 8 | Attempts: 11607 | Last updated: Sep 30, 2020
-
Sample QuestionWhere would you most like to live?
Questions: 14 | Attempts: 9617 | Last updated: Jul 22, 2021
-
Sample QuestionDyspnea, fatigue, increased pulmonary artery pressure, and decreased cardiac output are indicitive of...
Back to top