NCLEX Style Critical Thinking Questions On Mobility

61 Questions | By Arnoldjr2 | Updated: Mar 22, 2022 | Attempts: 13378

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NCLEX Style Critical Thinking Questions On Mobility - Quiz

From FUNDAMENTALS SUCCESS: A Course Review Applying Critical Thinking to Test Taking by Nugent and Vitale, pages 238-251

Questions and Answers

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