C HAPTER 38: A CTIVITY AND E XERCISE
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. Which of the following statements made by an older adult reflects the best
understanding of the need to exercise no matter ones age?
A. You are never too old to start exercising.
B. My grandson and I walk together around the park 3 times a week.
C. I got m y granddaughter a subscription to a runners magazine for her
birthday.
D. Kids today just dont seem to get the exercise we did when I was
growing up.
ANS: B
Strategies for physical activit y incorporated earl y into a childs dail y
routine may provide a foundation for lifetime commitment to exercise
and physical fitness. This answer shows the best understanding of the
need to exercise across the life span.
DIF: C REF: 791 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
2. Which of the following nursing assessment questions will best determin e
the nature of an exercise -related injury?
, A. Do you experience the pain during or after your workout?
B. Tell me what is included in your t ypical workout routine.
C. How long does it hurt after you have stopped exercising?
D. On a scale of 1 to 10, please rate your post-exercise pain for me.
ANS: B
Questions such as Describe for me your typical dail y exercise routine
and activit y best trigger a discussion that allows for the client to offer
information regarding the activities that could be responsible for the
injury. The remaining options are more directed toward the pain the
client is experiencing.
DIF: C REF: 791 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
3. The nurse encourages a noninsulin -dependent diabetic client to engage in
a regular exercise program primaril y because to do so will most likel y
improve the clients:
A. Gastric motilit y, thus affecting glucose digestion
B. Respiratory recovery time, thus decreasin g breath load
C. Average cardiac output, thus decreasing resting heart rate
D. Use of glucose and fatt y acids, thus decreasing blood glucose level
ANS: D
While all the options are correct, regular exercise does tend to increase
effective use of glucose and fat t y acids; this would be the primary
benefit for the diabetic client.
, DIF: C REF: 793 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
4. Which of the following assessment questions is most likel y to result in
pertinent information regarding the clients expectations of the outcomes
of a regular exercise program?
A. What is your greatest barrier to regular exercise?
B. What is your idea of a workable exercise program?
C. What do you want to happen from exercising regularl y?
D. How much time can you comfortabl y dedicate to exercise daily?
ANS: B
In assessing the clients expectations concerning activit y and exercise,
first determine the clients perception of what is normal or acceptable in
regard to physical fitness. While the remaining options are not
incorrect, they are not as likel y to provide as much pertinent
information regarding expectations.
DIF: C REF: 808 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
5. The nurse has determined that a client reporting general fatigue is
experiencing activit y intolerance. Which of the following assessment
findings, observed after the clie nt ambulates to the bathroom, best
confirms this nursing diagnosis?
A. Dyspnea
, B. Diaphoresis
C. Hypotension
D. Mental confusion
ANS: A
Further review of assessed defining characteristics (e.g., abnormal
heart rate or dyspnea) will possibl y lead to the definitive di agnosis
(activit y intolerance). The remaining options may be a result of other
factors.
DIF: C REF: 795 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
6. A client with a nursing diagnosis of activit y intolerance has developed
reddened areas on both heels and his coccyx. Which of the following
nursing interventions will most likel y have the greatest impact on this
diagnosis?
A. Ambulating him to the bathroom bef ore returning to bed
B. Encouraging him to change position every 2 hours while in bed
C. Including active range -of-motion exercises in both AM and PM care
D. Planning a rest period after AM care but before walking to the
dining room for lunch
ANS: D
Rest periods will allow for the client to recuperate before expending
additional energy. The remaining options are more directed towards the
skin breakdown problem.
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. Which of the following statements made by an older adult reflects the best
understanding of the need to exercise no matter ones age?
A. You are never too old to start exercising.
B. My grandson and I walk together around the park 3 times a week.
C. I got m y granddaughter a subscription to a runners magazine for her
birthday.
D. Kids today just dont seem to get the exercise we did when I was
growing up.
ANS: B
Strategies for physical activit y incorporated earl y into a childs dail y
routine may provide a foundation for lifetime commitment to exercise
and physical fitness. This answer shows the best understanding of the
need to exercise across the life span.
DIF: C REF: 791 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
2. Which of the following nursing assessment questions will best determin e
the nature of an exercise -related injury?
, A. Do you experience the pain during or after your workout?
B. Tell me what is included in your t ypical workout routine.
C. How long does it hurt after you have stopped exercising?
D. On a scale of 1 to 10, please rate your post-exercise pain for me.
ANS: B
Questions such as Describe for me your typical dail y exercise routine
and activit y best trigger a discussion that allows for the client to offer
information regarding the activities that could be responsible for the
injury. The remaining options are more directed toward the pain the
client is experiencing.
DIF: C REF: 791 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
3. The nurse encourages a noninsulin -dependent diabetic client to engage in
a regular exercise program primaril y because to do so will most likel y
improve the clients:
A. Gastric motilit y, thus affecting glucose digestion
B. Respiratory recovery time, thus decreasin g breath load
C. Average cardiac output, thus decreasing resting heart rate
D. Use of glucose and fatt y acids, thus decreasing blood glucose level
ANS: D
While all the options are correct, regular exercise does tend to increase
effective use of glucose and fat t y acids; this would be the primary
benefit for the diabetic client.
, DIF: C REF: 793 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
4. Which of the following assessment questions is most likel y to result in
pertinent information regarding the clients expectations of the outcomes
of a regular exercise program?
A. What is your greatest barrier to regular exercise?
B. What is your idea of a workable exercise program?
C. What do you want to happen from exercising regularl y?
D. How much time can you comfortabl y dedicate to exercise daily?
ANS: B
In assessing the clients expectations concerning activit y and exercise,
first determine the clients perception of what is normal or acceptable in
regard to physical fitness. While the remaining options are not
incorrect, they are not as likel y to provide as much pertinent
information regarding expectations.
DIF: C REF: 808 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
5. The nurse has determined that a client reporting general fatigue is
experiencing activit y intolerance. Which of the following assessment
findings, observed after the clie nt ambulates to the bathroom, best
confirms this nursing diagnosis?
A. Dyspnea
, B. Diaphoresis
C. Hypotension
D. Mental confusion
ANS: A
Further review of assessed defining characteristics (e.g., abnormal
heart rate or dyspnea) will possibl y lead to the definitive di agnosis
(activit y intolerance). The remaining options may be a result of other
factors.
DIF: C REF: 795 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Mobilit y/ Immobilit y
6. A client with a nursing diagnosis of activit y intolerance has developed
reddened areas on both heels and his coccyx. Which of the following
nursing interventions will most likel y have the greatest impact on this
diagnosis?
A. Ambulating him to the bathroom bef ore returning to bed
B. Encouraging him to change position every 2 hours while in bed
C. Including active range -of-motion exercises in both AM and PM care
D. Planning a rest period after AM care but before walking to the
dining room for lunch
ANS: D
Rest periods will allow for the client to recuperate before expending
additional energy. The remaining options are more directed towards the
skin breakdown problem.
