Exam Questions and CORRECT Answers
a nurse in a long term facility is caring for an older client and notes.... - CORRECT
ANSWER atrophy
the nurse should suspect the client is experiencing atrophy of their muscles. Atrophy occurs
when the muscle of the body becomes smaller and weaker. This can occur with prolonged
immobility or disuse of a limb
a nurse is reinforcing teaching with a client who injured their ankle. which of the following
information should the nurse include? - CORRECT ANSWER tendons connect muscle to
bone.
tendons and ligaments are both made of fibrous connective tissue. Tendons attach muscle to the
bone while ligaments attach bone to other bones
a nurse is assisting with preparing a presentation about muscle function for a group of a newly
licensed nurse. which of the following information should the nurse plan to include? -
CORRECT ANSWER muscles assist with thermoregulation in the body
a nurse is contributing to the plan of care for a client who is postoperative. in which of the
following positions should the nurse place the client to prevent atelectasis? - CORRECT
ANSWER fowlers
the nurse should place the client in flowers position to promote lung expansion and prevent
atelectasis which is the partial or complete collapse of a lung. In this position the client is seated
in a semi-sitting position and can have their knees bent or straight
a nurse is assisting with completing the mobility assessment tool (MAT) for a client and
determines that the client is at level 1 mobility. The nurse should identify the the client is unable
to preform which of the following tasks? - CORRECT ANSWER sit on the edge of the bed 1
min
, the nurse should identify the the client who is at level 1 mobility (MAT) requires maximum
assistance. The client should be able to sit on the edge of the bed for 2 min and extend their arms
across their chest to shake hands with the nurse before advancing to the next level.
a nurse is caring for a client who requires maximum assistance to transfer from the bed to a
chair. Which of the following pieces of equipment should the nurse use? - CORRECT
ANSWER slide board
the nurse should use a slide board, along with assistance from two or more health care staff, to
transfer a client who is unable to assist.
a nurse is preparing to transfer a client from a bed to a wheelchair. Which of the following
actions by the nurse demonstrates proper use of body mechanics? - CORRECT
ANSWER looking at the client face-to-face when transferring the client
the nurse should look at the client face-to-face when transferrin. This prevents twisting or turning
of the torso, which can cause back injuries
A nurse is caring for a client who had a stroke and reports difficulty with proprioception. The
nurse should plan to collect data from the client for which of the following? - CORRECT
ANSWER diminished awareness of body position and balance
Proprioception or kinesthesia is a sense of self awareness and body position. It is the result of
feedback from nerve sensory receptors that alter the brain to finetune muscle movement in order
to regulate balance, coordinate and movement
A nurse is reinforcing teaching with a client who has kyphosis. Which of the following
information should the nurse include? - CORRECT ANSWER kyphosis is a rounded upper
back with the pelvis tilted forward.