Activity and Exercise (Pearson)

Question 1

The nurse is caring for a patient with a left dislocated shoulder. Which action should the nurse take to assist with blood flow?

Answer 1

Place a pillow under the left forearm.

(A pillow should be placed under the forearm of the dislocated shoulder to assist in venous blood flow from the hands and lower arms)

Question 2

The nurse is caring for a patient who is on bedrest.

At which interval should the patient be repositioned?

Answer 2

Every 2 hours

Question 3

A patient is prescribed the use of crutches. Which information should the nurse consider for this patient?

Answer 3

A tall patient requires a wider base than a short patient.(The crutches are placed about 15 cm (6 in.) in front of the feet)

Question 4

A patient has difficulty exhaling.

Which action should the nurse take?

Answer 4

Sit the patient on the side of the bed and place the overbed table across the patient’s lap. (Sitting with the overbed table across the lap is the orthopneic position. This position is helpful to patients who have problems exhaling, because the lower part of the chest can be pressed against the edge of the overbed table)

Question 5

An obese patient with very limited mobility is referred to home care.

Which equipment should be in the home before the patient is discharged?

Answer 5

Assistive lifting device

Question 6

A patient is considering taking Pilates classes.

Which characteristic should the patient expect to be improved after these classes?

Answer 6

Flexibility
(Pilates is a form of stretching that improves flexibility.)

Question 7

The nurse is assessing a patient.

For which reason should the nurse assess the patient’s awareness of body position?

Answer 7

Proprioception

Question 8

The nurse is transferring an older patient from the bed to a chair.

Which should be documented in the plan of care?

Answer 8

Number of staff needed in the transfer

Question 9

A patient has a pronounced lumbar curvature of the spine.

In which position should the nurse place the patient?

Answer 9

Dorsal recumbent

(The dorsal recumbent position helps correct posterior flexion of lumbar curvature of the spine.)

Question 10

The nurse is preparing to reposition a patient.

For which reason should the bed be raised to the level of the nurse’s elbows?

Answer 10

Prevent injury to the nurse

Question 11

A patient needs to be placed in the Fowler position.

Which vital sign should the nurse measure first?

Answer 11

Respiratory rate

(The respiratory rate should be assessed first because a patient with impaired respiratory status should not lie flat, as required when placing into the Fowler position.)

Question 12

Two nurses prepare to logroll a patient.

Which action should the nurses take first?

Answer 12

Place the patient’s arms across the chest. (The patient’s arms should first be placed across the chest to prevent them from becoming trapped under the body when it is turned.)

Question 13

Which action should the nurse take to assess eversion of the foot?

Answer 13

Turn the sole of the foot outward by moving the ankle joint.

Question 14

A mobile and active patient has right-sided paralysis caused by a cerebrovascular accident.

For which potential risk factor should the nurse plan care for this patient?

Answer 14

Right shoulder displacement (A patient recovering from a cerebrovascular accident is at increased risk for shoulder displacement on the paralyzed side from improper moving or repositioning techniques.)

Question 15

A patient in Fowler position is experiencing footdrop.

Which equipment should be used for this patient?

Answer 15

Footboard

Question 16

The nurse prepares to visit the homes of assigned patients.

For which patient should the nurse determine that range of motion is sufficient to perform activities of daily living (ADLs)?

Answer 16

Older patient

Older patients should have enough range of motion to:
* Walk.
* Dress.
* Comb the hair.
* Shower.
* Prepare a meal.

Question 17

The nurse is assessing a patient’s hip joints.

For which movement should one of the patient’s legs be moved to the other leg and beyond in front of it?

Answer 17

Adduction

Question 18

The nurse assesses an older patient’s range of motion in the upper and lower body.

Which finding should the nurse identify as acceptable?

Answer 18

Enough range of motion to carry out activities of daily living (ADLs)

Question 19

For which health problem should the nurse determine goniometric measurements of both of the patient’s hands?

Answer 19

Contractures

Question 20

The nurse prepares to use an assistive device to transfer a patient who is immobile. Which action should the nurse take first?

Answer 20

Ensure the device is in working order.

Question 21

The family is instructed about the proper use of a patient’s wheelchair. Which statement made by a family member should indicate teaching was effective?

Answer 21

“I should back the wheelchair into and out of elevators.”

Question 22

For which patient should the nurse assess respiratory status before repositioning?

Answer 22

Slid down in bed from the Fowler position (A patient with impaired respiratory status should not lie flat, as required when placing into the Fowler position. Because of this, the respiratory rate should be assessed before repositioning occurs.)

Question 23

The nurse is evaluating a patient’s Activity Exercise Pattern.

Which ability should the nurse assess?

Answer 23

Perform home maintenance

Question 24

The nurse is assessing a patient. Which finding should indicate proper body alignment?

Answer 24

Enhanced lung expansion

Question 25

A patient is being transported on a stretcher. Which action should be taken to operate the stretcher?

Answer 25

Push the stretcher from the end where the patient’s head is positioned.

Question 26

For which movement should the fingers of the patient’s hands be brought toward the inner aspect of the forearm

Answer 26

Flexion of the wrist