NUR 2502 MULTIDIMENSIONAL CARE III MDC 3
EXAM 2 2026 PRACTICE QUESTIONS AND
ANSWERS DETAILED REVIEW
◉ mobility assessments. Answer: start in most supported position
assess independence
ROM
◉ activity tolerance assessment. Answer: 1- obtain vitals
2- pt walks- monitor symptoms
3- how much time is needed to recover?
- decrease in recovery time = increased activity tolerance
◉ gait assessment. Answer: gives info on posture, balance, ability
walking includes cadence, rhythm, speed, length of stride
look for conformity, reg, smooth rhythm, symmetry
abnormal = fall risk
◉ body alignment assessment. Answer: standing, sitting, lying down
spine in alignment?
,◉ hazards of immobility. Answer: psychosocial, metabolic, respiratory,
cardio, musculoskeletal, integumentary, elimination, developmental
◉ psychosocial hazards of immobility. Answer: social
isolation/depression
use phq-9, GDS, ICDSC to assess
stimulation thru convo, imagery, music, encouraging independence
◉ metabolic hazards of immobility. Answer: decreased metabolic rate,
stamina, appetite, fluid/electrolyte imbalances, constipation,
pseudodiarrhea
use dietitians, nutrition plan, enteral/IV feedings to treat
◉ respiratory hazards of immobility. Answer: risk of resp complications,
inflammation of lungs, pooling of secretions (hypostatic pneumonia)
assessment every 2 hours, chest wall movement, breath sounds
treat w incentive spirometer, deep breathing, coughing, I&Os
◉ cardiovascular hazards of immobility. Answer: orthostatic HTN,
dizzy, tachy, nausea, DVT and PE formation, BP and HR, peripheral
edema
treat by mobilizing pt early, reduce heart workload, anticoagulants,
SCDs, exercises, positioning
, ◉ musculoskeletal hazards of immobility. Answer: protein breakdown,
atrophy, impaired calcium, osteoporosis, joint contractures, impaired
ROM
treat w exercises to prevent atrophy, positioning, interprofessional care
◉ ROM assessment and intervention. Answer: active- pt does
independently
assisted active- supporting pt who is weak
passive- provider moves joint for the pt
◉ safety guidelines for positioning. Answer: evaluate amount and type
of assistance needed, raise siderail, arrange equipment, correct alignment
◉ safety guidelines for transfers. Answer: evaluate weight, LOM, stand
on unaffected side, determine assistance needed, correct alignment
◉ integumentary hazards of immobility. Answer: pressure injury,
ischemia, lowered blood supply, shear/friction on pressure points
assess w braden scale, skin breakdown, measure routinely, reposition,
use support devices and creams
◉ elimination hazards of immobility. Answer: urine flow aided by
gravity (urine stasis), risk of UTI
assess I&Os, labs, electrolytes, GI peristalsis, hydration
EXAM 2 2026 PRACTICE QUESTIONS AND
ANSWERS DETAILED REVIEW
◉ mobility assessments. Answer: start in most supported position
assess independence
ROM
◉ activity tolerance assessment. Answer: 1- obtain vitals
2- pt walks- monitor symptoms
3- how much time is needed to recover?
- decrease in recovery time = increased activity tolerance
◉ gait assessment. Answer: gives info on posture, balance, ability
walking includes cadence, rhythm, speed, length of stride
look for conformity, reg, smooth rhythm, symmetry
abnormal = fall risk
◉ body alignment assessment. Answer: standing, sitting, lying down
spine in alignment?
,◉ hazards of immobility. Answer: psychosocial, metabolic, respiratory,
cardio, musculoskeletal, integumentary, elimination, developmental
◉ psychosocial hazards of immobility. Answer: social
isolation/depression
use phq-9, GDS, ICDSC to assess
stimulation thru convo, imagery, music, encouraging independence
◉ metabolic hazards of immobility. Answer: decreased metabolic rate,
stamina, appetite, fluid/electrolyte imbalances, constipation,
pseudodiarrhea
use dietitians, nutrition plan, enteral/IV feedings to treat
◉ respiratory hazards of immobility. Answer: risk of resp complications,
inflammation of lungs, pooling of secretions (hypostatic pneumonia)
assessment every 2 hours, chest wall movement, breath sounds
treat w incentive spirometer, deep breathing, coughing, I&Os
◉ cardiovascular hazards of immobility. Answer: orthostatic HTN,
dizzy, tachy, nausea, DVT and PE formation, BP and HR, peripheral
edema
treat by mobilizing pt early, reduce heart workload, anticoagulants,
SCDs, exercises, positioning
, ◉ musculoskeletal hazards of immobility. Answer: protein breakdown,
atrophy, impaired calcium, osteoporosis, joint contractures, impaired
ROM
treat w exercises to prevent atrophy, positioning, interprofessional care
◉ ROM assessment and intervention. Answer: active- pt does
independently
assisted active- supporting pt who is weak
passive- provider moves joint for the pt
◉ safety guidelines for positioning. Answer: evaluate amount and type
of assistance needed, raise siderail, arrange equipment, correct alignment
◉ safety guidelines for transfers. Answer: evaluate weight, LOM, stand
on unaffected side, determine assistance needed, correct alignment
◉ integumentary hazards of immobility. Answer: pressure injury,
ischemia, lowered blood supply, shear/friction on pressure points
assess w braden scale, skin breakdown, measure routinely, reposition,
use support devices and creams
◉ elimination hazards of immobility. Answer: urine flow aided by
gravity (urine stasis), risk of UTI
assess I&Os, labs, electrolytes, GI peristalsis, hydration
