mobility hesi questions with complete
solutions
What is the priority nursing action? - Answer-Gently lower Mr. Mathis to the floor.
How does the UAP assess for orthostatic hypotension? - Answer-Take the client's blood
pressure and pulse while the client is in the lying, sitting, and standing positions.
Which action should the nurse implement? - Answer-Teach Mr. Mathis to take ten deep
breaths an hour while awake.
What is the best response by the nurse? - Answer-Help the client perform the correct
technique for deep breathing exercises.
The nurse explains to the UAP that the Braden Scale is used to measure which client
parameter? - Answer-Risk for pressure sores.
Which nursing action should be included in the plan? - Answer-Reposition Mr. Mathis in
bed from supine to a 30 degree side-lying position every 2 hours.
Before giving the initial dose, which action should the nurse take first? - Answer-Ask Mr.
Mathis if he is aware of any allergies to medications.
During the course of antibiotic therapy, the amount of normal body flora is reduced in
the gastrointestinal tract. Which client instruction is important to prevent the
complications due to reduced body flora? - Answer-Add buttermilk or active culture
yogurt to the diet daily.
Which is the best approach for the nurse to prevent muscle atrophy? - Answer-Teach
Mr. Mathis to perform exercises such as gluteal sets and quadriceps sets five times
every 2 hours while awake.
In planning morning care for Mr. Mathis, what action should the nurse take? - Answer-
Ask the UAP to assist Mr. Mathis in taking a complete bed bath.
Which action should the nurse implement in response to Mr. Mathis' concern? - Answer-
Offer to obtain a bedside commode for Mr. Mathis.
The nurse also develops a dietary teaching plan to reduce the risk of constipation.
Which dietary selection should the nurse encourage Mr. Mathis to eat? - Answer-
Chicken Caesar salad with a whole wheat roll and skim milk.
solutions
What is the priority nursing action? - Answer-Gently lower Mr. Mathis to the floor.
How does the UAP assess for orthostatic hypotension? - Answer-Take the client's blood
pressure and pulse while the client is in the lying, sitting, and standing positions.
Which action should the nurse implement? - Answer-Teach Mr. Mathis to take ten deep
breaths an hour while awake.
What is the best response by the nurse? - Answer-Help the client perform the correct
technique for deep breathing exercises.
The nurse explains to the UAP that the Braden Scale is used to measure which client
parameter? - Answer-Risk for pressure sores.
Which nursing action should be included in the plan? - Answer-Reposition Mr. Mathis in
bed from supine to a 30 degree side-lying position every 2 hours.
Before giving the initial dose, which action should the nurse take first? - Answer-Ask Mr.
Mathis if he is aware of any allergies to medications.
During the course of antibiotic therapy, the amount of normal body flora is reduced in
the gastrointestinal tract. Which client instruction is important to prevent the
complications due to reduced body flora? - Answer-Add buttermilk or active culture
yogurt to the diet daily.
Which is the best approach for the nurse to prevent muscle atrophy? - Answer-Teach
Mr. Mathis to perform exercises such as gluteal sets and quadriceps sets five times
every 2 hours while awake.
In planning morning care for Mr. Mathis, what action should the nurse take? - Answer-
Ask the UAP to assist Mr. Mathis in taking a complete bed bath.
Which action should the nurse implement in response to Mr. Mathis' concern? - Answer-
Offer to obtain a bedside commode for Mr. Mathis.
The nurse also develops a dietary teaching plan to reduce the risk of constipation.
Which dietary selection should the nurse encourage Mr. Mathis to eat? - Answer-
Chicken Caesar salad with a whole wheat roll and skim milk.
