MOVING AND POSITIONING PATIENTS
PRACTICE EXAM QUESTIONS AND
ANSWERS SOLVED STUDY GUIDE
◉ A patient who is immobile from skeletal traction has been drinking
8 ounces of fluids every 2 hours since 10 a.m. It is now 6:30 p.m. and
the patient has not voided once during this time. Which action should
the nurse take?
Encourage more fluids.
Notify the registered nurse (RN).
Reposition the patient.
Continue to monitor intake and output. Answer: Answer: Notify the
registered nurse (RN).
Rationale: It has been more than 8 hours since the patient has voided.
The RN or health-care provider should be notified. Patients should
void at least every 8 hours.
◉ The nurse is performing range-of-motion exercises with a patient.
The nurse gently pushes the patient's foot back causing the patient's
toes to move toward the patient's head. Which technique did the nurse
use?
Ulnar deviation
Radial deviation
Dorsiflex
,Plantar flex. Answer: Answer: Dorsiflex
Rationale: Gently push the back of the foot so that the toes are
pointing toward the patient's head to dorsiflex the foot.
◉ The nurse asks for two other coworkers to assist in turning a patient
as a unit. Which patient is the nurse turning?
One who has severe leg pain
One who has had the spine fused
One who is in a coma from a drug overdose
One who is disoriented to time and place. Answer: Answer: One who
has had the spine fused.
Rationale: When a patient has undergone spinal surgery or has a
spinal injury, it is necessary to turn their body as one unit. This
procedure is known as a logroll because the patient is turned in the
same way a log would be rolled.
◉ The nurse serves the lunch tray to a patient. In which position
should the nurse place the patient?
Dorsal recumbent
High Fowler's
Right Sims
Reverse Trendelenburg. Answer: Answer: High Fowler's
Rationale: High fowler's facilitates eating by elevating the head of the
bed 60-90 degrees.
, ◉ A pediatric patient is having an asthma attack. The nurse should
place the patient in which position?
Lithotomy
Low Fowler's
Orthopneic
Dorsal recumbent. Answer: Answer: Orthopneic
Rationale: The orthopneic position assists patients in severe
respiratory distress by allowing the chest to expand to maximum
capacity for moving air in and out of the lungs.
◉ During a range-of-motion exercise, the nurse tells the patient to tilt
the wrist to the thumb side and then return to starting position. Which
movement did the nurse have the patient do?
Hyperextension
Internal rotation
Radial deviation
Inversion. Answer: Answer: Radial Deviation
Rationale: Tilt the wrist to the thumb side to perform radial deviation
and radial deviation and return it to the neutral position.
-Hyperextension: Gently bending the wrist so that the palm is facing
upward hyperextends the wrist.
PRACTICE EXAM QUESTIONS AND
ANSWERS SOLVED STUDY GUIDE
◉ A patient who is immobile from skeletal traction has been drinking
8 ounces of fluids every 2 hours since 10 a.m. It is now 6:30 p.m. and
the patient has not voided once during this time. Which action should
the nurse take?
Encourage more fluids.
Notify the registered nurse (RN).
Reposition the patient.
Continue to monitor intake and output. Answer: Answer: Notify the
registered nurse (RN).
Rationale: It has been more than 8 hours since the patient has voided.
The RN or health-care provider should be notified. Patients should
void at least every 8 hours.
◉ The nurse is performing range-of-motion exercises with a patient.
The nurse gently pushes the patient's foot back causing the patient's
toes to move toward the patient's head. Which technique did the nurse
use?
Ulnar deviation
Radial deviation
Dorsiflex
,Plantar flex. Answer: Answer: Dorsiflex
Rationale: Gently push the back of the foot so that the toes are
pointing toward the patient's head to dorsiflex the foot.
◉ The nurse asks for two other coworkers to assist in turning a patient
as a unit. Which patient is the nurse turning?
One who has severe leg pain
One who has had the spine fused
One who is in a coma from a drug overdose
One who is disoriented to time and place. Answer: Answer: One who
has had the spine fused.
Rationale: When a patient has undergone spinal surgery or has a
spinal injury, it is necessary to turn their body as one unit. This
procedure is known as a logroll because the patient is turned in the
same way a log would be rolled.
◉ The nurse serves the lunch tray to a patient. In which position
should the nurse place the patient?
Dorsal recumbent
High Fowler's
Right Sims
Reverse Trendelenburg. Answer: Answer: High Fowler's
Rationale: High fowler's facilitates eating by elevating the head of the
bed 60-90 degrees.
, ◉ A pediatric patient is having an asthma attack. The nurse should
place the patient in which position?
Lithotomy
Low Fowler's
Orthopneic
Dorsal recumbent. Answer: Answer: Orthopneic
Rationale: The orthopneic position assists patients in severe
respiratory distress by allowing the chest to expand to maximum
capacity for moving air in and out of the lungs.
◉ During a range-of-motion exercise, the nurse tells the patient to tilt
the wrist to the thumb side and then return to starting position. Which
movement did the nurse have the patient do?
Hyperextension
Internal rotation
Radial deviation
Inversion. Answer: Answer: Radial Deviation
Rationale: Tilt the wrist to the thumb side to perform radial deviation
and radial deviation and return it to the neutral position.
-Hyperextension: Gently bending the wrist so that the palm is facing
upward hyperextends the wrist.
