NUR 110 Exam 3
NURSING FOUNDATIONS
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NUR 110 EXAM 3 PRACTICE QUESTIONS
Nursing Foundations or Introduction to Professional Nursing
Peter develops an immobility plan of care for Mariam. What should be
included? Select all that apply.
A. Position to allow for lung expansion
B. Massage calves and legs each shift
C. Encourage visitors
D. Eat a healthy balanced diet
E. Turn every 2 hours
A. Position to allow for lung expansion
C. Encourage visitors
D. Eat a healthy balanced diet
E. Turn every 2 hours
Mariam has returned from surgery and is prescribed to begin increasing
activity. Peter is prepared to help her get up for the first time. What is the most
important action before beginning?
A. Obtain a walker
B. Obtain a gait belt
C. Remove all obstacles
D. Obtain additional assistance
E. Determine level of motivation
D. Obtain additional assistance
Her first walk in the hallway went well with the assistance of two staff
members. Which statements should the nurse include upon returning Miriam
to bed? Select all that apply.
A. "Do not try to get up by yourself."
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B. "Perform active range-of-motion [AROM] activities hourly when in bed."
C. "That was good; we'll try again before discharge."
D. "Tell me about the severity of the pain you are having now."
E. "I'll bring the bedpan if you need it."
A. "Do not try to get up by yourself."
B. "Perform active range-of-motion [AROM] activities hourly when in bed."
C. "That was good; we'll try again before discharge."
D. "Tell me about the severity of the pain you are having now.
Upon discharge, Miriam is instructed to continue using a walker until the
follow-up visit with her surgeon in 2 weeks. What instructions need to be
included with the use of the walker?
A. Advance the walker far ahead of your body and walk toward it.
B. Slide the walker with each step.
C. Move your weaker leg forward as your walker moves forward.
D. Stand well behind the back legs.
E. Size does not matter; any size walker will work.
C. Move your weaker leg forward as your walker moves forward.
Miriam is excited to go home. Which of the following are key elements of
discharge planning? Select all that apply.
A. Include her husband during instructions.
B. Arise from bed slowly to prevent or reduce dizziness.
C. Remove loose rugs and obstacles that may cause problems.
D. Stop using the walker when she's feeling strong enough.
E. Walk around the block several times a day independently.
A. Include her husband during instructions.
B. Arise from bed slowly to prevent or reduce dizziness.
C. Remove loose rugs and obstacles that may cause problems.
Which findings in the immobile client are complications related to immobility?
Select all that apply.
A. Lung fluid
B. Decreasing appetite
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C. Muscle growth
D. Constipation
E. Bladder infection
A. Lung fluid
B. Decreasing appetite
D. Constipation
E. Bladder infection
Which statement by the client indicates emotional distress from immobility?
A. "I'm looking forward to being out of bed."
B. "I don't even care if I get cleaned up or not."
C. "I'm getting 6 to 7 hours of sleep each night."
D. "There's nothing good on television."
B. "I don't even care if I get cleaned up or not."
Which intervention in the immobile client's plan of care best helps develop
muscle strength?
A. Consume a diet high in protein.
B. Perform AROM each hour.
C. Use overbed trapeze to pull self up in bed.
D. Log-roll client every 2 hours.
B. Perform AROM each hour.
Two nurses are planning to transfer a comatose client from the bed to a
stretcher. Which device should be used?
A. Transfer board
B. Transfer belt
C. Footboard
D. Scoot sheet
A. Transfer board
The client is being educated about the use of crutches after a cast was applied
to his left ankle. What directions by the nurse are most important before
discharge?