NUR 2356 / NUR2356: Multidimensional Care I / MDC 1 Exam 2
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
What are nursing interventions for orthostatic hypotension?
Correct Answer: Dangling, compression stockings, rising slowly with
supervision, hydration, avoid hot environments.
Question 2.
What is Virchow's Triad and its relevance to immobility?
Correct Answer: Stasis, vessel injury, hypercoagulability — all intensified by
immobility.
Question 3.
How can nurses prevent venous thromboembolism in immobile patients?
Correct Answer: Isometric exercises, flex/extend feet, ROM, SCDs.
Question 4.
What respiratory complications are associated with immobility?
Correct Answer: Atelectasis, hypostatic pneumonia, pooled secretions,
reduced ciliary clearance.
Question 5.
What are nursing interventions to promote respiratory health in immobile patients?
Correct Answer: Repositioning, coughing/deep breathing (C&DB), incentive
spirometry, CPT, vibration, breathing exercises.
Question 6.
What are musculoskeletal effects of immobility?
Correct Answer: Muscle atrophy, contractures, stiff joints, footdrop, disuse
osteoporosis.
Question 7.
What causes footdrop in immobile patients?
Correct Answer: Prolonged foot extension from disuse and bed linen weight.
,Question 8.
What metabolic changes occur due to immobility?
Correct Answer: Negative nitrogen balance, hypercalcemia, muscle wasting,
delayed healing.
Question 9.
GI effects of immobility include:
Correct Answer: Constipation, slowed peristalsis, decreased abdominal wall
strength.
Question 10.
What urinary complications can immobility cause?
Correct Answer: Stasis, UTIs, renal calculi.
Question 11.
What causes UTIs in immobile patients?
Correct Answer: Urinary stasis.
Question 12.
What are early signs of pressure injuries?
Correct Answer: Non-blanchable erythema.
Question 13.
Why does immobility lead to pressure injuries?
Correct Answer: Capillary flow is obstructed over bony prominences.
• What psychological effects can immobility cause? -✓✓Depression, anxiety,
altered self-concept, sensory deprivation.
Question 14.
Nursing interventions to support psychosocial health include:
Correct Answer: Promoting autonomy, validating emotions, engaging in ADLs.
Question 15.
Name common risk factors for immobility.
Correct Answer: Neurological impairment, chronic illness, pain, fatigue, aging,
hospitalization.
, Question 16.
Key symptoms to assess in immobile patients include:
Correct Answer: Non-blanchable skin, abnormal lung sounds, muscle wasting,
decreased urine, sluggish bowel sounds.
Question 17.
What are immobility concerns in children?
Correct Answer: Delayed development, regression, anxiety, dependence.
Question 18.
Immobility concerns in older adults?
Correct Answer: Rapid deconditioning, polypharmacy, skin fragility, decreased
bone density.
Question 19.
Why are cultural considerations important in immobility care?
Correct Answer: Beliefs about dependence, gender roles, and disability affect
care planning.
Question 20.
Why evaluate a patient's support system?
Correct Answer: To assess caregiver availability, willingness, and capacity.
Question 21.
What caregiver education should be provided?
Correct Answer: ROM, stretching, assistive devices, safety, promoting
autonomy.
Question 22.
What should be evaluated in a patient's home?
Correct Answer: Layout, accessibility, potential hazards.
Question 23.
What are examples of assistive devices?
Correct Answer: Canes, crutches, walkers, wheelchairs, raised toilet seats.
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
What are nursing interventions for orthostatic hypotension?
Correct Answer: Dangling, compression stockings, rising slowly with
supervision, hydration, avoid hot environments.
Question 2.
What is Virchow's Triad and its relevance to immobility?
Correct Answer: Stasis, vessel injury, hypercoagulability — all intensified by
immobility.
Question 3.
How can nurses prevent venous thromboembolism in immobile patients?
Correct Answer: Isometric exercises, flex/extend feet, ROM, SCDs.
Question 4.
What respiratory complications are associated with immobility?
Correct Answer: Atelectasis, hypostatic pneumonia, pooled secretions,
reduced ciliary clearance.
Question 5.
What are nursing interventions to promote respiratory health in immobile patients?
Correct Answer: Repositioning, coughing/deep breathing (C&DB), incentive
spirometry, CPT, vibration, breathing exercises.
Question 6.
What are musculoskeletal effects of immobility?
Correct Answer: Muscle atrophy, contractures, stiff joints, footdrop, disuse
osteoporosis.
Question 7.
What causes footdrop in immobile patients?
Correct Answer: Prolonged foot extension from disuse and bed linen weight.
,Question 8.
What metabolic changes occur due to immobility?
Correct Answer: Negative nitrogen balance, hypercalcemia, muscle wasting,
delayed healing.
Question 9.
GI effects of immobility include:
Correct Answer: Constipation, slowed peristalsis, decreased abdominal wall
strength.
Question 10.
What urinary complications can immobility cause?
Correct Answer: Stasis, UTIs, renal calculi.
Question 11.
What causes UTIs in immobile patients?
Correct Answer: Urinary stasis.
Question 12.
What are early signs of pressure injuries?
Correct Answer: Non-blanchable erythema.
Question 13.
Why does immobility lead to pressure injuries?
Correct Answer: Capillary flow is obstructed over bony prominences.
• What psychological effects can immobility cause? -✓✓Depression, anxiety,
altered self-concept, sensory deprivation.
Question 14.
Nursing interventions to support psychosocial health include:
Correct Answer: Promoting autonomy, validating emotions, engaging in ADLs.
Question 15.
Name common risk factors for immobility.
Correct Answer: Neurological impairment, chronic illness, pain, fatigue, aging,
hospitalization.
, Question 16.
Key symptoms to assess in immobile patients include:
Correct Answer: Non-blanchable skin, abnormal lung sounds, muscle wasting,
decreased urine, sluggish bowel sounds.
Question 17.
What are immobility concerns in children?
Correct Answer: Delayed development, regression, anxiety, dependence.
Question 18.
Immobility concerns in older adults?
Correct Answer: Rapid deconditioning, polypharmacy, skin fragility, decreased
bone density.
Question 19.
Why are cultural considerations important in immobility care?
Correct Answer: Beliefs about dependence, gender roles, and disability affect
care planning.
Question 20.
Why evaluate a patient's support system?
Correct Answer: To assess caregiver availability, willingness, and capacity.
Question 21.
What caregiver education should be provided?
Correct Answer: ROM, stretching, assistive devices, safety, promoting
autonomy.
Question 22.
What should be evaluated in a patient's home?
Correct Answer: Layout, accessibility, potential hazards.
Question 23.
What are examples of assistive devices?
Correct Answer: Canes, crutches, walkers, wheelchairs, raised toilet seats.
