NUR 345 FA 19 Mobility Study Questions
and Correct Answers
The nurse is caring for a patient following a motor vehicle crash. What kind of spinal
cord injury (SCI) indicates the patient is at high risk for respiratory compromise?
Sacral SCI
Lumbar SCI
Cervical SCI
Thoracic SCI ✅Cervical SCI
The nurse understands that a patient with a cervical SCI is at high risk for respiratory
compromise because the cervical spinal nerves (C3-5) innervate the phrenic nerve
controlling the diaphragm. Patients with sacral, lumbar, and thoracic SCIs do not have
as high a risk for respiratory compromise.
What is the cause of primary osteoarthritis?
Aging
Obesity
Joint injury
Heavy manual work ✅Aging
Primary osteoarthritis is caused by aging and genetic factors. As people age,
proteoglycans, synovial fluid, and water decrease in the joint. Enzymes in the joint break
down the articular matrix and the cartilage erodes. Eventually, inflammation will
continue to cause deterioration in the joint space. Obesity, joint injury, and heavy
manual work are causes of secondary osteoarthritis.
Which findings are associated with relapsing-remitting multiple sclerosis? Select all that
apply.
There are no acute attacks.
Progressive disability occurs.
The patient returns to baseline.
, Loss of function occurs during the relapsing phase.
Symptoms develop and resolve in weeks to months. ✅The patient returns to baseline.
Loss of function occurs during the relapsing phase.
Symptoms develop and resolve in weeks to months.
Patients with relapsing-remitting multiple sclerosis (MS) will return to baseline and
experience loss of function during the relapsing phase. The patient will also have
symptoms that develop and resolve in a few weeks to months. The patient will have
acute attacks. The patient does not have progressive disability; it is intermittent.
Which clinical findings helped the nurse conclude that a patient is in the moderate stage
of Parkinson's disease (PD)?
Akinesia and rigidity of limbs
Bilateral limb movement and mask-like face
Unilateral limb movement and minimal weakness
Postural instability and increased gait disturbances ✅Postural instability and increased
gait disturbances
The moderate stage of PD is characterized by manifestations such as postural
instability and increased gait disturbances. Symptoms such as akinesia and rigidity of
the limbs are observed in patients who are in severe disability stage (stage 4). A patient
with symptoms such as bilateral limb movement, mask-like face, and a slow shuffling
gait may be in the mild stage of PD. Symptoms such as unilateral limb movement and
minimal weakness are seen in the initial stage of PD.
What laboratory findings are consistent with a diagnosis of multiple sclerosis? Select all
that apply.
Positive protein in the urine
Elevated protein in the cerebrospinal fluid
Immunoglobulins in the cerebrospinal fluid
Elevated albumin levels in the peripheral blood sample
Decreased white blood cell count in peripheral blood sample ✅Elevated protein in the
cerebrospinal fluid
and Correct Answers
The nurse is caring for a patient following a motor vehicle crash. What kind of spinal
cord injury (SCI) indicates the patient is at high risk for respiratory compromise?
Sacral SCI
Lumbar SCI
Cervical SCI
Thoracic SCI ✅Cervical SCI
The nurse understands that a patient with a cervical SCI is at high risk for respiratory
compromise because the cervical spinal nerves (C3-5) innervate the phrenic nerve
controlling the diaphragm. Patients with sacral, lumbar, and thoracic SCIs do not have
as high a risk for respiratory compromise.
What is the cause of primary osteoarthritis?
Aging
Obesity
Joint injury
Heavy manual work ✅Aging
Primary osteoarthritis is caused by aging and genetic factors. As people age,
proteoglycans, synovial fluid, and water decrease in the joint. Enzymes in the joint break
down the articular matrix and the cartilage erodes. Eventually, inflammation will
continue to cause deterioration in the joint space. Obesity, joint injury, and heavy
manual work are causes of secondary osteoarthritis.
Which findings are associated with relapsing-remitting multiple sclerosis? Select all that
apply.
There are no acute attacks.
Progressive disability occurs.
The patient returns to baseline.
, Loss of function occurs during the relapsing phase.
Symptoms develop and resolve in weeks to months. ✅The patient returns to baseline.
Loss of function occurs during the relapsing phase.
Symptoms develop and resolve in weeks to months.
Patients with relapsing-remitting multiple sclerosis (MS) will return to baseline and
experience loss of function during the relapsing phase. The patient will also have
symptoms that develop and resolve in a few weeks to months. The patient will have
acute attacks. The patient does not have progressive disability; it is intermittent.
Which clinical findings helped the nurse conclude that a patient is in the moderate stage
of Parkinson's disease (PD)?
Akinesia and rigidity of limbs
Bilateral limb movement and mask-like face
Unilateral limb movement and minimal weakness
Postural instability and increased gait disturbances ✅Postural instability and increased
gait disturbances
The moderate stage of PD is characterized by manifestations such as postural
instability and increased gait disturbances. Symptoms such as akinesia and rigidity of
the limbs are observed in patients who are in severe disability stage (stage 4). A patient
with symptoms such as bilateral limb movement, mask-like face, and a slow shuffling
gait may be in the mild stage of PD. Symptoms such as unilateral limb movement and
minimal weakness are seen in the initial stage of PD.
What laboratory findings are consistent with a diagnosis of multiple sclerosis? Select all
that apply.
Positive protein in the urine
Elevated protein in the cerebrospinal fluid
Immunoglobulins in the cerebrospinal fluid
Elevated albumin levels in the peripheral blood sample
Decreased white blood cell count in peripheral blood sample ✅Elevated protein in the
cerebrospinal fluid
