EXAM 3 VNSG 1400 CH 16,20 & 33
Questions and Already Passed
Answers 2025.
The nurse is contributing to the plan of care for a patient who is on bedrest. Which
cardiovascular interventions should the nurse recommend including in the patient's plan of
care? Select all that apply
1 Encourage range of motion.
2 Apply sequential compression devices.
3 Use antiembolism stockings.
4Maintain proper body alignment.
5 Place a trochanter roll by the patient's thigh. - Answer 1 Encourage range of motion.
2 Apply sequential compression devices.
3 Use antiembolism stockings.
The nurse chooses to not use a gait belt when ambulating a patient. Which technique should
the nurse use?
1 Apply socks to the patient's feet.
2 Ambulate a long distance.
3 Place an arm around the patient's waist.
4 Walk in front of the patient. - Answer 3 Place an arm around the patient's waist.
A patient who is immobile from skeletal traction has been drinking 8 ounces of fluids every 2
hours since 10 a.m. It is now 6:30 p.m. and the patient has not voided once during this time.
Which action should the nurse take?
1 Encourage more fluids.
2 Notify the registered nurse (RN).
3 Reposition the patient.
4 Continue to monitor intake and output. - Answer 2 Notify the registered nurse (RN).
,3 Encourage drinking without a straw.
4 Offer refined foods during meal times.
5 Encourage range of motion. - Answer 1 Suggest including vegetables in the diet.
3 Encourage drinking without a straw.
5 Encourage range of motion.
The nurse is preparing to perform range of motion exercises for several patients. Evaluate the
movement (nurse assisting with lifting patients leg straight up while in a supine position) In
which patient would the nurse omit this movement?
1 One who is alert and oriented
2 One who has diabetes
3 One who had a total hip replacement
4 One who has heart failure - Answer 3 One who had a total hip replacement
The nurse is using a sit to stand lift. The nurse is most likely caring for which patients? Select all
that apply.
1 A frail patient
2 A paralyzed patient from the waist down
3 A malnourished patient
4 An 88 yr old patient
5 A post-operative patient recovering from abdominal surgery - Answer 1 A frail patient
3 A malnourished patient
4 An 88 yr old patient
5 A post-operative patient recovering from abdominal surgery
Which actions should the nurse take when using mechanical lift to transfer a patient? Select all
that apply.
,4 Position the lift at the side of the bed with the wheels in the widest position
5 Activate the lift by pushing a button or pumping a lever - Answer 1 Place the sling beneath
the patient so that it starts at the shoulders and ends at the knees.
3 Obtain another staff member
4 Position the lift at the side of the bed with the wheels in the widest position
5 Activate the lift by pushing a button or pumping a lever
The nurse serves the lunch tray to a patient. In which position should the nurse place the
patient?
1 Dorsal recumbent
2 High Fowler's
3 Right Sims
4 Reverse Trendelenburg - Answer 2 High Fowler's
The nurse places a patient who is unable to move independently in a wheelchair. Which action
should the nurse take?
1 Rub any areas of redness.
2 Reposition the patient every hour.
3 Allow the patient to slump relaxed in the chair.
4 Offer the patient 4 ounces of fluids every 2 hours. - Answer 2 Reposition the patient every
hour.
During a range of motion exercise the nurse tells the patient to tilt the wrist to the thumb side
and then turn to starting position. Which movement did the nurse have the patient do?
1 Hyperextension
2 Internal rotation
3 Radial deviation
4 Inversion - Answer 3 Radial deviation
The nurse is preparing to ambulate a patient for the first time after surgery. The nurse checks
, 2 Assist the patient back to a sitting position.
3 In 1 to 3 min, recheck the pulse and BP. - Answer 1 Allow the patient to stand with
assistance.
The nurse is caring for a patient who is in a coma. Which respiratory conditions would the nurse
monitor for in this patient? Select all that apply.
1 Atelectasis
2 Hypoxemia
3 Osteoporosis
4 Hypercalcemia
5 Hypostatic pneumonia - Answer 1 Atelectasis
2 Hypoxemia
5 Hypostatic pneumonia
A patient has fallen. Which piece of equipment would the nurse request a coworker to obtain
while the nurse stays with the patient?
1 A hydraulic patient lift
2 A slide sheet
3 A transfer belt
4 A sling-type battery-operated patient lift - Answer 4 A sling-type battery-operated patient lift
Which movements would the nurse perform while implementing range of motion for a patient's
ankle and foot? Select all that apply.
1 Invert
2 Plantar flex
3 Pronate
4 Circumduct
5 Internal rotation - Answer 1 Invert
2 Plantar flex
4 Circumduct
The nurse wants to internally rotate the patient's shoulder during range of motion exercises.
Which movement would the nurse implement?
Questions and Already Passed
Answers 2025.
The nurse is contributing to the plan of care for a patient who is on bedrest. Which
cardiovascular interventions should the nurse recommend including in the patient's plan of
care? Select all that apply
1 Encourage range of motion.
2 Apply sequential compression devices.
3 Use antiembolism stockings.
4Maintain proper body alignment.
5 Place a trochanter roll by the patient's thigh. - Answer 1 Encourage range of motion.
2 Apply sequential compression devices.
3 Use antiembolism stockings.
The nurse chooses to not use a gait belt when ambulating a patient. Which technique should
the nurse use?
1 Apply socks to the patient's feet.
2 Ambulate a long distance.
3 Place an arm around the patient's waist.
4 Walk in front of the patient. - Answer 3 Place an arm around the patient's waist.
A patient who is immobile from skeletal traction has been drinking 8 ounces of fluids every 2
hours since 10 a.m. It is now 6:30 p.m. and the patient has not voided once during this time.
Which action should the nurse take?
1 Encourage more fluids.
2 Notify the registered nurse (RN).
3 Reposition the patient.
4 Continue to monitor intake and output. - Answer 2 Notify the registered nurse (RN).
,3 Encourage drinking without a straw.
4 Offer refined foods during meal times.
5 Encourage range of motion. - Answer 1 Suggest including vegetables in the diet.
3 Encourage drinking without a straw.
5 Encourage range of motion.
The nurse is preparing to perform range of motion exercises for several patients. Evaluate the
movement (nurse assisting with lifting patients leg straight up while in a supine position) In
which patient would the nurse omit this movement?
1 One who is alert and oriented
2 One who has diabetes
3 One who had a total hip replacement
4 One who has heart failure - Answer 3 One who had a total hip replacement
The nurse is using a sit to stand lift. The nurse is most likely caring for which patients? Select all
that apply.
1 A frail patient
2 A paralyzed patient from the waist down
3 A malnourished patient
4 An 88 yr old patient
5 A post-operative patient recovering from abdominal surgery - Answer 1 A frail patient
3 A malnourished patient
4 An 88 yr old patient
5 A post-operative patient recovering from abdominal surgery
Which actions should the nurse take when using mechanical lift to transfer a patient? Select all
that apply.
,4 Position the lift at the side of the bed with the wheels in the widest position
5 Activate the lift by pushing a button or pumping a lever - Answer 1 Place the sling beneath
the patient so that it starts at the shoulders and ends at the knees.
3 Obtain another staff member
4 Position the lift at the side of the bed with the wheels in the widest position
5 Activate the lift by pushing a button or pumping a lever
The nurse serves the lunch tray to a patient. In which position should the nurse place the
patient?
1 Dorsal recumbent
2 High Fowler's
3 Right Sims
4 Reverse Trendelenburg - Answer 2 High Fowler's
The nurse places a patient who is unable to move independently in a wheelchair. Which action
should the nurse take?
1 Rub any areas of redness.
2 Reposition the patient every hour.
3 Allow the patient to slump relaxed in the chair.
4 Offer the patient 4 ounces of fluids every 2 hours. - Answer 2 Reposition the patient every
hour.
During a range of motion exercise the nurse tells the patient to tilt the wrist to the thumb side
and then turn to starting position. Which movement did the nurse have the patient do?
1 Hyperextension
2 Internal rotation
3 Radial deviation
4 Inversion - Answer 3 Radial deviation
The nurse is preparing to ambulate a patient for the first time after surgery. The nurse checks
, 2 Assist the patient back to a sitting position.
3 In 1 to 3 min, recheck the pulse and BP. - Answer 1 Allow the patient to stand with
assistance.
The nurse is caring for a patient who is in a coma. Which respiratory conditions would the nurse
monitor for in this patient? Select all that apply.
1 Atelectasis
2 Hypoxemia
3 Osteoporosis
4 Hypercalcemia
5 Hypostatic pneumonia - Answer 1 Atelectasis
2 Hypoxemia
5 Hypostatic pneumonia
A patient has fallen. Which piece of equipment would the nurse request a coworker to obtain
while the nurse stays with the patient?
1 A hydraulic patient lift
2 A slide sheet
3 A transfer belt
4 A sling-type battery-operated patient lift - Answer 4 A sling-type battery-operated patient lift
Which movements would the nurse perform while implementing range of motion for a patient's
ankle and foot? Select all that apply.
1 Invert
2 Plantar flex
3 Pronate
4 Circumduct
5 Internal rotation - Answer 1 Invert
2 Plantar flex
4 Circumduct
The nurse wants to internally rotate the patient's shoulder during range of motion exercises.
Which movement would the nurse implement?
