1|Page
NUR 205 – Fundamentals of Nursing, Mobility,
Positioning, Range of Motion, Pressure Injuries
& Patient Care
A nurse places a patient with a sacral pressure ulcer in the left Sims position.
How should the nurse position the patient's right arm?
1. On a pillow
2. Behind the back
3. With the palm up
4. In internal rotation .....answer..... 1. In the left Sims position the patient's
right arm and leg are supported on pillows to prevent internal rotation of the
shoulder and hip.
A patient with impaired mobility is to be discharged within a week from the
hospital. Which is the best example of a discharge goal for this patient? The
patient will:
1. Understand range-of-motion exercises
2. Be taught range-of-motion exercises
SH
TS
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3. Transfer independently to a chair
4. Be kept clean and dry .....answer. .... 3. This is a patient-centered goal and
measurable.
A nurse concludes that a patient has the potential for impaired mobility.
Which assessment reflects a risk factor that may have precipitated this
conclusion?
1. Exertional fatigue
2. Sedentary lifestyle
3. Limited range of motion
4. Increased respiratory rate .....answer. ....3. Limited range of motion is
associated with contracture formation and impaired mobility.
A nurse is performing passive range-of-motion exercises for a patient who is
in the supine position. Which motion occurs when the nurse bends the
patient's ankle so that the toes are pointed toward the ceiling?
1. Supination
2. Adduction
SH
3. Dorsal flexion
TS
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4. Plantar extension .....answer..... 3. Dorsal flexion (dorsiflexion) of the joint
of the ankle occurs when the toes of the foot point upward and backward
toward the anterior portion of the lower leg.
A nurse is caring for a patient with impaired mobility. Which position
contributes most to the formation of a hip flexion contracture?
1. Low-Fowler
2. Orthopneic
3. Supine
4. Sims' .....answer. ... 2. While in the High-Fowler position the patient is then
positioned leaning forward with arms resting on an over-bed table. In this
orthopneic position, the hips are extensively flexed creating an angle less
than 90 degrees.
The nurse raises a patient's arm over the head during range-of-motion
exercises. What word should the nurse use when documenting exactly what
was done during range-of-motion exercises?
1. Flexion
2. Supination
SH
TS
, 4|Page
3. Opposition
4. Hyperextension .....answer. ... 1. The shoulder, a ball-and-socket joint,
flexes by raising the arm from a position by the side of the body
forward and upward to a position beside the head.
A nurse plans to teach a patient with hemiparesis to use a cane. What should
the nurse teach the patient to do?
1. Move forward 1 step with the weak leg first followed by the strong leg and
cane
2. Adjust the cane height 12 inches lower than the waist
3. Hold the cane in the strong hand when walking
4. Look at the feet when walking .....answer. ... 3. A cane is a hand-gripped
assistive device; therefore, the hand opposite the hemiparesis should hold
the cane. Exercises can strengthen the flexor and
extensor muscles of the arms and the muscles that dorsiflex the wrist.
A nurse is caring for a variety of patients, each experiencing one of the
following problems. Which health problem places a patient at the greatest
risk for complications associated with immobility?
SH
TS
NUR 205 – Fundamentals of Nursing, Mobility,
Positioning, Range of Motion, Pressure Injuries
& Patient Care
A nurse places a patient with a sacral pressure ulcer in the left Sims position.
How should the nurse position the patient's right arm?
1. On a pillow
2. Behind the back
3. With the palm up
4. In internal rotation .....answer..... 1. In the left Sims position the patient's
right arm and leg are supported on pillows to prevent internal rotation of the
shoulder and hip.
A patient with impaired mobility is to be discharged within a week from the
hospital. Which is the best example of a discharge goal for this patient? The
patient will:
1. Understand range-of-motion exercises
2. Be taught range-of-motion exercises
SH
TS
, 2|Page
3. Transfer independently to a chair
4. Be kept clean and dry .....answer. .... 3. This is a patient-centered goal and
measurable.
A nurse concludes that a patient has the potential for impaired mobility.
Which assessment reflects a risk factor that may have precipitated this
conclusion?
1. Exertional fatigue
2. Sedentary lifestyle
3. Limited range of motion
4. Increased respiratory rate .....answer. ....3. Limited range of motion is
associated with contracture formation and impaired mobility.
A nurse is performing passive range-of-motion exercises for a patient who is
in the supine position. Which motion occurs when the nurse bends the
patient's ankle so that the toes are pointed toward the ceiling?
1. Supination
2. Adduction
SH
3. Dorsal flexion
TS
, 3|Page
4. Plantar extension .....answer..... 3. Dorsal flexion (dorsiflexion) of the joint
of the ankle occurs when the toes of the foot point upward and backward
toward the anterior portion of the lower leg.
A nurse is caring for a patient with impaired mobility. Which position
contributes most to the formation of a hip flexion contracture?
1. Low-Fowler
2. Orthopneic
3. Supine
4. Sims' .....answer. ... 2. While in the High-Fowler position the patient is then
positioned leaning forward with arms resting on an over-bed table. In this
orthopneic position, the hips are extensively flexed creating an angle less
than 90 degrees.
The nurse raises a patient's arm over the head during range-of-motion
exercises. What word should the nurse use when documenting exactly what
was done during range-of-motion exercises?
1. Flexion
2. Supination
SH
TS
, 4|Page
3. Opposition
4. Hyperextension .....answer. ... 1. The shoulder, a ball-and-socket joint,
flexes by raising the arm from a position by the side of the body
forward and upward to a position beside the head.
A nurse plans to teach a patient with hemiparesis to use a cane. What should
the nurse teach the patient to do?
1. Move forward 1 step with the weak leg first followed by the strong leg and
cane
2. Adjust the cane height 12 inches lower than the waist
3. Hold the cane in the strong hand when walking
4. Look at the feet when walking .....answer. ... 3. A cane is a hand-gripped
assistive device; therefore, the hand opposite the hemiparesis should hold
the cane. Exercises can strengthen the flexor and
extensor muscles of the arms and the muscles that dorsiflex the wrist.
A nurse is caring for a variety of patients, each experiencing one of the
following problems. Which health problem places a patient at the greatest
risk for complications associated with immobility?
SH
TS
