Exam 2
2026/2027 (Newly Released)
Content Focus : Mobility, Immobility, & Body Mechanics, Nutrition,
Hydration, & Elimination ,Medication Administration – Basics,Oxygenation,
Respiratory Care, & Suctioning, Wound Care & Pressure Injury Prevention
Q1: Which complication of immobility is caused by the constant pressure of bed sheets on the
toes, resulting in foot drop?
A. Deep vein thrombosis
B. Plantar flexion contracture [CORRECT]
C. Renal calculi
D. Atelectasis
Correct Answer: B
Rationale: Plantar flexion contracture (foot drop) occurs when the foot is constantly in a pointed
position due to tight sheets or lack of support, shortening the Achilles tendon.
Board Pearl: Prevent foot drop by placing a footboard or high-top sneakers to keep feet at 90
degrees.
,Q2: When using proper body mechanics to lift a patient from a chair to a bed, the nurse should:
A. Keep the feet together and bend at the waist.
B. Keep the back straight and bend at the knees and hips. [CORRECT]
C. Hold the patient at arm's length.
D. Twist at the waist while moving.
Correct Answer: B
Rationale: Bending at the knees and hips while keeping the back straight uses the large leg
muscles and protects the lumbar spine from injury.
Board Pearl: Straight back, bend knees—use your legs, not your back.
Q3: The nurse is teaching a patient how to use crutches for a three-point gait. Which instruction
is correct?
A. Move the crutches and the affected leg forward together.
B. Move both crutches forward, then swing the unaffected leg through. [CORRECT]
C. Move the unaffected leg forward, then drag the affected leg.
D. Advance the left crutch, right foot, and right crutch in sequence.
Correct Answer: B
Rationale: The three-point gait is used when non-weight bearing is required on one leg. Both
crutches move forward, followed by swinging the unaffected leg through.
Board Pearl: 3-point gait = Crutches + Good leg swing (Bad leg carries no weight).
Q4: The nurse is performing passive range of motion (ROM) exercises for a patient. Which
action is correct?
A. Perform each movement quickly to save time.
B. Support the joint while moving the limb through its full range. [CORRECT]
C. Continue exercises if the patient complains of severe pain.
D. Force the joint slightly past the point of resistance.
Correct Answer: B
.
, Rationale: The joint should be supported to prevent strain, and movements should be smooth
and rhythmic. Exercises should not cause severe pain or be forced past resistance.
Board Pearl: Passive ROM = Nurse moves, patient relaxes; support the joint.
Q5: Which position is best for a patient with hemorrhoids or who is undergoing a rectal
examination?
A. Dorsal recumbent
B. Sims' position [CORRECT]
C. Lithotomy
D. Trendelenburg
Correct Answer: B
Rationale: Sims' position (lying on the left side with the right knee flexed) provides optimal
exposure of the rectal area and is generally more comfortable for patients with hemorrhoids than
lithotomy.
Board Pearl: For rectal exams/SIMS: Left side down, right knee up.
Q6: The nurse places a patient in High Fowler's position. Which outcome is the nurse primarily
trying to achieve?
A. Relieve pressure on the sacrum.
B. Facilitate breathing and reduce dyspnea. [CORRECT]
C. Lower blood pressure.
D. Prevent aspiration.
Correct Answer: B
Rationale: High Fowler's (90 degrees) lowers the diaphragm and allows for maximal lung
expansion, helping patients with dyspnea.
Board Pearl: High Fowler's = Breathing easier/Eating.
.