Adaptive quiz Chapter 8
A bedridden patient asks a nurse why there is a need to turn every 2 hours if a certain
position provides the best comfort. What is the best response the nurse can give? -
ANS-"Turning every 2 hours will prevent bed sores."
A nurse is assisting a postsurgical patient to dangle. Which essential action should the
nurse take to ensure patient safety? - ANS-Place the bed in the lowest position before
dangling
A nurse is attempting to transfer a patient from the bed to the chair. Which position, if
assumed by the nurse during the transition, demonstrates that the nurse has a clear
understanding regarding body mechanics? - ANS-The nurse stands with the feet
shoulder width apart.
A nurse is helping with range-of-motion (ROM) exercises. What is it called when the
patient's leg is moved back toward the medial position or beyond? - ANS-Adduction
A nurse is transferring a patient from a straight chair to the bed using a transfer belt.
What should the nurse instruct the patient to avoid during transfer? - ANS-Grasping the
neck of the nurse for support during the transfer.
A nurse needs to determine range of motion, muscle strength, activity intolerance, gait,
and posture for a patient. What will be the best time for the nurse to assess these
qualities? - ANS-When the patient performs activities of daily living (ADLs)
A nursing student assists a patient into a chair. Which posture indicates the patient has
correct body alignment? - ANS-The head is centered and erect.
Knees and ankles are slightly flexed.
Arms are hanging comfortably by the patient's sides.
A patient ambulating in the hallway complains of severe dizziness and begins to fall.
Which action should the nurse take first? - ANS-Gently lower the patient to the floor
A patient arrives at the clinic with complaints of chronic constipation. The primary health
care provider recommends the patient undergo a rectal examination. The nurse places
, the patient in which position in preparation for a rectal examination? - ANS-Sim's
position
A patient has been on bed rest for a few days and is getting up for the first time. What is
the best nursing intervention for this patient? - ANS-Assist the patient to a sitting
position on the edge of the bed
A patient has been on extended bed rest and is about to ambulate for the first time.
What should the nurse do to prevent vertigo and dizziness? - ANS-Ask the patient to
keep the head up
Tell the patient to keep the eyes open
Instruct the patient to look straight ahead
A patient has returned to the surgical floor after hip replacement surgery. What assistive
device is used for proper body alignment? - ANS-Wedge pillow
A patient has sustained an injury to the shoulders. Which exercises does the nurse
teach the patient to help promote joint movements and exercise the shoulder muscles?
- ANS-Performing the internal rotation of the shoulders
Performing the external rotation of the shoulders
Raising and lowering the arms above the head
A patient is ambulating in the hall and begins to fall. Which action if taken by the nurse
could lead to personal injury? - ANS-Holding the patient to prevent the fall from
occurring
A patient is being transferred from the bed to the wheelchair. What step is essential for
the nurse to take before allowing the patient to sit in the wheelchair? - ANS-Locking the
wheelchair
A patient is lying in a supine position. How does the nurse prevent internal rotation of
the shoulder? - ANS-Maintain arms parallel to the body.
Place a pillow under the pronated forearms.
A bedridden patient asks a nurse why there is a need to turn every 2 hours if a certain
position provides the best comfort. What is the best response the nurse can give? -
ANS-"Turning every 2 hours will prevent bed sores."
A nurse is assisting a postsurgical patient to dangle. Which essential action should the
nurse take to ensure patient safety? - ANS-Place the bed in the lowest position before
dangling
A nurse is attempting to transfer a patient from the bed to the chair. Which position, if
assumed by the nurse during the transition, demonstrates that the nurse has a clear
understanding regarding body mechanics? - ANS-The nurse stands with the feet
shoulder width apart.
A nurse is helping with range-of-motion (ROM) exercises. What is it called when the
patient's leg is moved back toward the medial position or beyond? - ANS-Adduction
A nurse is transferring a patient from a straight chair to the bed using a transfer belt.
What should the nurse instruct the patient to avoid during transfer? - ANS-Grasping the
neck of the nurse for support during the transfer.
A nurse needs to determine range of motion, muscle strength, activity intolerance, gait,
and posture for a patient. What will be the best time for the nurse to assess these
qualities? - ANS-When the patient performs activities of daily living (ADLs)
A nursing student assists a patient into a chair. Which posture indicates the patient has
correct body alignment? - ANS-The head is centered and erect.
Knees and ankles are slightly flexed.
Arms are hanging comfortably by the patient's sides.
A patient ambulating in the hallway complains of severe dizziness and begins to fall.
Which action should the nurse take first? - ANS-Gently lower the patient to the floor
A patient arrives at the clinic with complaints of chronic constipation. The primary health
care provider recommends the patient undergo a rectal examination. The nurse places
, the patient in which position in preparation for a rectal examination? - ANS-Sim's
position
A patient has been on bed rest for a few days and is getting up for the first time. What is
the best nursing intervention for this patient? - ANS-Assist the patient to a sitting
position on the edge of the bed
A patient has been on extended bed rest and is about to ambulate for the first time.
What should the nurse do to prevent vertigo and dizziness? - ANS-Ask the patient to
keep the head up
Tell the patient to keep the eyes open
Instruct the patient to look straight ahead
A patient has returned to the surgical floor after hip replacement surgery. What assistive
device is used for proper body alignment? - ANS-Wedge pillow
A patient has sustained an injury to the shoulders. Which exercises does the nurse
teach the patient to help promote joint movements and exercise the shoulder muscles?
- ANS-Performing the internal rotation of the shoulders
Performing the external rotation of the shoulders
Raising and lowering the arms above the head
A patient is ambulating in the hall and begins to fall. Which action if taken by the nurse
could lead to personal injury? - ANS-Holding the patient to prevent the fall from
occurring
A patient is being transferred from the bed to the wheelchair. What step is essential for
the nurse to take before allowing the patient to sit in the wheelchair? - ANS-Locking the
wheelchair
A patient is lying in a supine position. How does the nurse prevent internal rotation of
the shoulder? - ANS-Maintain arms parallel to the body.
Place a pillow under the pronated forearms.
