Answers || Exam-Tested Content || Graded A+
1.A nurse is caring for a client who requires assistance with ADL's. Which of the following
referrals should the nurse recommend for this client?
a.) speech therapist
b.) physical therapist
c.) respiratory therapist
d.) occupational therapist
d.) an occupational therapist assists the client w ADLs. They help clients who have impaired
function when performing ADL's, such ad bathing and brushing teeth
2.A nurse is preparing a presentation for a group of clients who are scheduled for joint
replacement surgery. Which of the following information should the nurse plan to include
regarding flexion of a joint?
a.) synovial joints contain sensory receptors that trigger flexion
b.) the contraction of a muscle results in flexion of a joint
c.) neurotransmitters coordinate with cartilage to initiate flexion
d.) ligaments extend to enable flexion of a joint
b.) when muscles contract, they shorten and pull against the bone they are attached to. This
results in flexion at the joint
3.A nurse is caring for a client who had a stroke and reports having difficulty with
proprioception. The nurse should plan to assess the client for which of the following?
a.) restricted movement due to abnormal fixation of a joint
b.) a drop in BP that occurs with a change in position
c.) altered gait with dragging of the toes while ambulating
d.) diminished awareness of body position and balance
,d.) proprioception, or kinesthesia, is a sense of self-awareness and body position. It is the result
of feedback from nerve sensory receptors that alert the brain to fine-tine muscle movement in
order to regulate balance, coordination, and movement
4.A nurse is providing teaching for a client who has kyphosis. Which of the following
information should the nurse include?
a.) kyphosis is when the upper back extends posteriorly to the lower back
b.) kyphosis is an inward curvature of the lower back
c.) kyphosis is a sideways curvature of the spine
d.) kyphosis is a rounded upper back with the pelvis tilted forward
d.) kyphosis is when the upper back is abnormally rounded with the pelvis tilted forward.
a.) is flatback syndrome
b.) lordosis
c.) scoliosis
5.A nurse is caring for a client who is at risk for developing atelectasis. Which of the
following actions should the nurse take?
a.) reposition the client every 2 hours while in bed
b.) remind the client to use the incentive spirometer
c.) obtain the clients weight daily
d.) encourage the client to eat foods that are hight in fiber
b.) the nurse should remind the client who is at risk for developing atelectasis to use the incentive
spirometer. using the incentive spirometer prevents atelectasis from occurring bc the client takes
slow, deep breathes to promote lung expansion.
6.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?
a.) twisting the torso when transferring the client
b.) bending at the waist when transferring the client
c.) placing the bed in the high position before transferring the client
, d.) looking at the client face-to-face when transferring the client
d.) the nurse should look at the client face-to-face when transferring. This prevents twisting r
turning of the torso, which can cause back injuries
7.A nurse in a long-term care facility is caring for an older adult client and notes their
muscles have become smaller and weaker. Which of the following should the nurse suspect
the client is experiencing?
a.) sarcopenia
b.) disuse osteoporosis
c.) atrophy
d.) joint contracture
c.) the nurse should suspect the client is experiencing atrophy of their muscles. Atrophy occurs
when the muscles of the body become smaller and weaker. This can occur with prolonged
immobility or disuse of a limb.
8.A nurse is teaching a client who has an unsteady gait about how to use a walker. Which of
the following instructions should the nurse include?
a.) "the top of the walker should be at the level of your wrist"
b.) "When using the stairs, place the walker before taking a step"
c.) "When holding the walker, bend your elbows 30 *deg. "
d.) "Take a step before moving the walker"
a.) the nurse should instruct the client to ensure that the top of the walker is at the level of their
wrist. This indicates the walker is measures at the appropriate height and prevents strain on the
clients back
c.) ATI says 15 deg, however book says 30
9.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?
a.) pivot disc
b.) mechanical lift