MOBILITY HESI EXAM 2 UPDATED VERSIONS (V1 AND V2)
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (CORRECT VERIFIED
ANSWERS) LATEST UPDATES 2024 |GUARANTEED PASS.
(BRAND NEW!!)
The nurse is planning care for an older client with muscle atrophy and limited
mobility. What actions should the nurse plan to promote comfort for this client?
(Select all that apply.)
Teach range-of-motion exercises
Protect bony prominences
Coach in isometric exercises
Encourage ambulation
Pad joints - ANSWER: Protect bony prominences
Pad joints
When promoting comfort, the nurse should support and pad joints and bony
prominences. Encouraging ambulation might not be appropriate because the client
has muscle atrophy and limited mobility. Isometric exercises are used to maintain
strength when a joint is immobilized. Range-of-motion exercises are passive
exercises that help maintain joint mobility. These exercises will not necessarily
promote comfort in the client with limited mobility.
The nurse identifies that a client who sits for 10 hours a day during work is at risk for
hip contracture formation. What should the nurse instruct the client to do, in order
to reduce this risk?
(Select all that apply.)
Remove scatter rugs from the home
Follow the prescribed exercises provided by the physical therapist
Perform stretching exercises as instructed by the physical therapist
Consider losing weight and increasing activity
Clear all walkways from obstructions in the home - ANSWER: Remove scatter rugs
from the home
Follow the prescribed exercises provided by the physical therapist
Perform stretching exercises as instructed by the physical therapist
Clear all walkways from obstructions in the home
For the client at risk for developing contractures, the nurse needs to help reduce this
risk by encouraging the client to perform exercise and stretches as prescribed by the
physical therapist. The nurse should also make sure that the client's
environment is safe by eliminating scatter rugs and clearing walkways from
obstructions.
,A victim of an automobile crash is diagnosed with fractures of the axial skeleton. For
which bone fractures should the nurse anticipate providing care for this client?
(Select all that apply.)
Vertebra
Femur
Lower leg
Ribs
Arm - ANSWER: Vertebra
Ribs
The axial skeleton is made up of the ribs, sternum, vertebral column, and skull. The
appendicular skeleton is made up of the pectoral girdles, upper limbs, pelvic girdle,
and lower limbs.
During the assessment of the musculoskeletal system, the nurse determines that a
client has a right hip contracture. What did the nurse do to make this assessment?
Moved the tissue over the medial aspect of the knee and tapped on the patella
Bent one of the client's
legs and observed if the extended leg lifted off of the table
Applied pressure on the knee while pushing the patella against the femur
Applied pressure to the lower area of a bent leg and listened for clicking - ANSWER:
Bent one of the client's legs and observed if the extended leg lifted off of the table
The Thomas test is used to assess for hip contractures. While the client is lying down,
one leg is brought to the chest while the other leg is extended. If the extended leg
rises off of the table, a hip contracture is present. The other choices assess for knee
function. Applying pressure on the knee while pushing the patella against the femur
is part of the ballottement test. Applying pressure to the lower area of a bent leg and
listening for clicking is part of the McMurray test. Moving the tissue over the medial
aspect of the knee while tapping on the patella is done in the bulge test.
A client with eroding cartilage of the left knee asks why bruising is absent because
bruising was present when she injured her knee a few months ago. How should the
nurse respond to this client?
open double quote
Cartilage
is eroded because blood vessels are harmed.close double quote
open double quote
This
injury damaged the blood vessels.close double quote
open double quote
The
cartilage has eroded all blood vessels.close double quote
, open double quote
Cartilage
does not contain blood vessels.close double quote - ANSWER: Cartilage does not
contain blood vessels.
Ligaments and tendons contain blood vessels, but cartilage does not. Because of this,
bruising will be absent with cartilage erosion. The previous injury caused a bruise
because either ligaments or tendons were injured. Cartilage erosion does not
damage blood vessels. Cartilage does not erode blood vessels. Cartilage does not
erode because blood vessels are harmed.
A client is diagnosed with lumbar scoliosis. Which interventions should the nurse
include in this client's
plan of care?
(Select all that apply.)
Encourage rest
Review prescribed exercises
Provide emotional support
Provide information about back braces
Remind to keep scheduled follow-up appointments - ANSWER: Review prescribed
exercises
Provide emotional support
Provide information about back braces
Remind to keep scheduled follow-up appointments
Nursing interventions for the client with scoliosis include: providing emotional
support, reviewing prescribed exercises, information about back bracing, and
reviewing the importance of regular checkups. Rest is not an intervention identified
for scoliosis.
The nurse notifies the healthcare provider about the need to cancel a scheduled MRI
of the spine. What client information did the nurse use to determine the need to
cancel the MRI?
(Select all that apply.)
Cochlear implant in right ear
Right total knee replacement
Pacemaker present
Pins in left fibula
Left total knee replacement - ANSWER: Pacemaker present
Cochlear implant in right ear
Orthopedic implants such as joint replacements and pins that are not metal are
considered safe for an MRI. However individuals with metal implants in their body
may not be able to have a MRI performed because MRI is performed using a strong
magnetic field to create the images. Metal Implants could cause problem if subjected
to high magnetic forces. Patient should always check with physicians to ensure that
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (CORRECT VERIFIED
ANSWERS) LATEST UPDATES 2024 |GUARANTEED PASS.
(BRAND NEW!!)
The nurse is planning care for an older client with muscle atrophy and limited
mobility. What actions should the nurse plan to promote comfort for this client?
(Select all that apply.)
Teach range-of-motion exercises
Protect bony prominences
Coach in isometric exercises
Encourage ambulation
Pad joints - ANSWER: Protect bony prominences
Pad joints
When promoting comfort, the nurse should support and pad joints and bony
prominences. Encouraging ambulation might not be appropriate because the client
has muscle atrophy and limited mobility. Isometric exercises are used to maintain
strength when a joint is immobilized. Range-of-motion exercises are passive
exercises that help maintain joint mobility. These exercises will not necessarily
promote comfort in the client with limited mobility.
The nurse identifies that a client who sits for 10 hours a day during work is at risk for
hip contracture formation. What should the nurse instruct the client to do, in order
to reduce this risk?
(Select all that apply.)
Remove scatter rugs from the home
Follow the prescribed exercises provided by the physical therapist
Perform stretching exercises as instructed by the physical therapist
Consider losing weight and increasing activity
Clear all walkways from obstructions in the home - ANSWER: Remove scatter rugs
from the home
Follow the prescribed exercises provided by the physical therapist
Perform stretching exercises as instructed by the physical therapist
Clear all walkways from obstructions in the home
For the client at risk for developing contractures, the nurse needs to help reduce this
risk by encouraging the client to perform exercise and stretches as prescribed by the
physical therapist. The nurse should also make sure that the client's
environment is safe by eliminating scatter rugs and clearing walkways from
obstructions.
,A victim of an automobile crash is diagnosed with fractures of the axial skeleton. For
which bone fractures should the nurse anticipate providing care for this client?
(Select all that apply.)
Vertebra
Femur
Lower leg
Ribs
Arm - ANSWER: Vertebra
Ribs
The axial skeleton is made up of the ribs, sternum, vertebral column, and skull. The
appendicular skeleton is made up of the pectoral girdles, upper limbs, pelvic girdle,
and lower limbs.
During the assessment of the musculoskeletal system, the nurse determines that a
client has a right hip contracture. What did the nurse do to make this assessment?
Moved the tissue over the medial aspect of the knee and tapped on the patella
Bent one of the client's
legs and observed if the extended leg lifted off of the table
Applied pressure on the knee while pushing the patella against the femur
Applied pressure to the lower area of a bent leg and listened for clicking - ANSWER:
Bent one of the client's legs and observed if the extended leg lifted off of the table
The Thomas test is used to assess for hip contractures. While the client is lying down,
one leg is brought to the chest while the other leg is extended. If the extended leg
rises off of the table, a hip contracture is present. The other choices assess for knee
function. Applying pressure on the knee while pushing the patella against the femur
is part of the ballottement test. Applying pressure to the lower area of a bent leg and
listening for clicking is part of the McMurray test. Moving the tissue over the medial
aspect of the knee while tapping on the patella is done in the bulge test.
A client with eroding cartilage of the left knee asks why bruising is absent because
bruising was present when she injured her knee a few months ago. How should the
nurse respond to this client?
open double quote
Cartilage
is eroded because blood vessels are harmed.close double quote
open double quote
This
injury damaged the blood vessels.close double quote
open double quote
The
cartilage has eroded all blood vessels.close double quote
, open double quote
Cartilage
does not contain blood vessels.close double quote - ANSWER: Cartilage does not
contain blood vessels.
Ligaments and tendons contain blood vessels, but cartilage does not. Because of this,
bruising will be absent with cartilage erosion. The previous injury caused a bruise
because either ligaments or tendons were injured. Cartilage erosion does not
damage blood vessels. Cartilage does not erode blood vessels. Cartilage does not
erode because blood vessels are harmed.
A client is diagnosed with lumbar scoliosis. Which interventions should the nurse
include in this client's
plan of care?
(Select all that apply.)
Encourage rest
Review prescribed exercises
Provide emotional support
Provide information about back braces
Remind to keep scheduled follow-up appointments - ANSWER: Review prescribed
exercises
Provide emotional support
Provide information about back braces
Remind to keep scheduled follow-up appointments
Nursing interventions for the client with scoliosis include: providing emotional
support, reviewing prescribed exercises, information about back bracing, and
reviewing the importance of regular checkups. Rest is not an intervention identified
for scoliosis.
The nurse notifies the healthcare provider about the need to cancel a scheduled MRI
of the spine. What client information did the nurse use to determine the need to
cancel the MRI?
(Select all that apply.)
Cochlear implant in right ear
Right total knee replacement
Pacemaker present
Pins in left fibula
Left total knee replacement - ANSWER: Pacemaker present
Cochlear implant in right ear
Orthopedic implants such as joint replacements and pins that are not metal are
considered safe for an MRI. However individuals with metal implants in their body
may not be able to have a MRI performed because MRI is performed using a strong
magnetic field to create the images. Metal Implants could cause problem if subjected
to high magnetic forces. Patient should always check with physicians to ensure that
