NURS100 - W3 - Ch. 33 NCLEX Questions
Exam With Complete Solutions
A nurse is performing range-of-motion exercises on a patient who is on bedrest.
What would be the nurse's best action when the patient complains: "I'm just too
tired to do these exercises today."
a. Encourage the patient to finish the exercises and then reevaluate the nursing
plan.
b. Stop the exercises and reevaluate the nursing care plan.
c. Finish the exercises and report the incident to the primary care provider.
d. Modify the number of repetitions for each exercise and then modify the plan. -
ANSWER b
The nurse moves a person's arm from an outstretched position to a position at
the side of the patient's body. What is the term used to describe this type of body
movement?
a. Adduction
b. Abduction
c. Circumduction
d. Extension - ANSWER a
Using proper ergonomics, which motions would the nurse make to move an
object?
a. The nurse balances the head over the shoulders, leans forward, and relaxes
the stomach muscles when moving an object.
b. The nurse uses the muscles of the back to help provide the power needed in
strenuous activities.
c. The nurse uses the internal girdle and a long midriff to stabilize the pelvis and
to protect the abdominal viscera when stooping, reaching, lifting, or pulling.
d. The nurse directly lifts an object rather than sliding, rolling, pushing, or
pulling it to reduce the energy needed to lift the weight against the pull of
gravity. - ANSWER c
A nurse is assisting a patient from a bed to a wheelchair. Which nursing action is
appropriate?
a. The nurse discourages the patient from helping with the transfer.
, b. The nurse administers pain medication following the transfer.
c. The nurse grabs and holds the patient by his arms.
d. The nurse uses assistive devices when lifting more than 35 lb of patient
weight. - ANSWER d
The nurse uses gait belts when assisting patients to ambulate. Which patient
would be a likely candidate for this assistive device?
a. A patient who has leg strength and can cooperate with the movement.
b. A patient who has an abdominal incision.
c. A patient with a thoracic incision.
d. A patient who is confined to bedrest - ANSWER a
The nurse is assessing a patient who is bedridden. For which condition would
the nurse consider this patient to be at risk?
a. Increase in the movement of secretions in the respiratory tract.
b. Increase in circulating fibrinolysin.
c. Predisposition to renal calculi.
d. Increased metabolic rate. - ANSWER c
A nurse is promoting exercise and activities for an older adult patient. Which
teaching point would be appropriate for this patient?
a. Encourage the patient to quickly increase the repetitions for arm and leg
exercises.
b. Encourage the patient to warm up before beginning exercises and to cool
down after exercising.
c. Instruct the patient to continue exercise even if feeling weakness, to build up
stamina.
d. Teach the patient to force joints to meet their natural limit and beyond prior to
modifying exercises. - ANSWER b
The nurse is assessing an ambulatory patient for gait. Which documentation
describes this mobility status?
a. A straight line can be drawn from the ear through the shoulder and hip.
b. Patient displays full range of motion in arms and legs.
c. Arms swing freely in alternation with legs.
d. Adequate muscle mass, tone, and strength are available to accomplish
movement. - ANSWER c
A patient will be ambulating for the first time since his cardiac surgery. What
should the nurse consider when assisting this patient?
Exam With Complete Solutions
A nurse is performing range-of-motion exercises on a patient who is on bedrest.
What would be the nurse's best action when the patient complains: "I'm just too
tired to do these exercises today."
a. Encourage the patient to finish the exercises and then reevaluate the nursing
plan.
b. Stop the exercises and reevaluate the nursing care plan.
c. Finish the exercises and report the incident to the primary care provider.
d. Modify the number of repetitions for each exercise and then modify the plan. -
ANSWER b
The nurse moves a person's arm from an outstretched position to a position at
the side of the patient's body. What is the term used to describe this type of body
movement?
a. Adduction
b. Abduction
c. Circumduction
d. Extension - ANSWER a
Using proper ergonomics, which motions would the nurse make to move an
object?
a. The nurse balances the head over the shoulders, leans forward, and relaxes
the stomach muscles when moving an object.
b. The nurse uses the muscles of the back to help provide the power needed in
strenuous activities.
c. The nurse uses the internal girdle and a long midriff to stabilize the pelvis and
to protect the abdominal viscera when stooping, reaching, lifting, or pulling.
d. The nurse directly lifts an object rather than sliding, rolling, pushing, or
pulling it to reduce the energy needed to lift the weight against the pull of
gravity. - ANSWER c
A nurse is assisting a patient from a bed to a wheelchair. Which nursing action is
appropriate?
a. The nurse discourages the patient from helping with the transfer.
, b. The nurse administers pain medication following the transfer.
c. The nurse grabs and holds the patient by his arms.
d. The nurse uses assistive devices when lifting more than 35 lb of patient
weight. - ANSWER d
The nurse uses gait belts when assisting patients to ambulate. Which patient
would be a likely candidate for this assistive device?
a. A patient who has leg strength and can cooperate with the movement.
b. A patient who has an abdominal incision.
c. A patient with a thoracic incision.
d. A patient who is confined to bedrest - ANSWER a
The nurse is assessing a patient who is bedridden. For which condition would
the nurse consider this patient to be at risk?
a. Increase in the movement of secretions in the respiratory tract.
b. Increase in circulating fibrinolysin.
c. Predisposition to renal calculi.
d. Increased metabolic rate. - ANSWER c
A nurse is promoting exercise and activities for an older adult patient. Which
teaching point would be appropriate for this patient?
a. Encourage the patient to quickly increase the repetitions for arm and leg
exercises.
b. Encourage the patient to warm up before beginning exercises and to cool
down after exercising.
c. Instruct the patient to continue exercise even if feeling weakness, to build up
stamina.
d. Teach the patient to force joints to meet their natural limit and beyond prior to
modifying exercises. - ANSWER b
The nurse is assessing an ambulatory patient for gait. Which documentation
describes this mobility status?
a. A straight line can be drawn from the ear through the shoulder and hip.
b. Patient displays full range of motion in arms and legs.
c. Arms swing freely in alternation with legs.
d. Adequate muscle mass, tone, and strength are available to accomplish
movement. - ANSWER c
A patient will be ambulating for the first time since his cardiac surgery. What
should the nurse consider when assisting this patient?
