Page 1 of 85
EXAM 2: NR224 / NR 224 FUNDAMENTALS EXAM
(LATEST 2025 UPDATE STUDY BUNDLE WITH
COMPLETE SOLUTIONS) | 100% CORRECT | GRADE A
- CHAMBERLAIN
What are some ways to combat the effects of immobility on the
respiratory system? .....ANSWER.....cough and deep breath every
1-2 hours
What are some ways to combat the effects of immobility on the
cardiovascular system? .....ANSWER.....promote progressive
ambulation, leg exercises, TED hose, SCD
What are some ways to combat the effects of immobility on the
musculoskeletal system? .....ANSWER.....passive/active ROM, CPM
,Page 2 of 85
After completing a preoperative teaching for a surgical patient,
you can evaluate the patients understanding of the use of elastic
stockings when the patient states..
A "I can remove them at night"
B. "I can roll them no lower than my calf muscle"
C. I wear them no longer than 4 hours at a time"
D "I can remove them for 30 mins every 8 hours"
.....ANSWER.....D (remove for 30 mins every eight hours)
What are some ways to combat the effects of immobility on the
integumentary system? .....ANSWER.....reposition patient every 1-
2 hours, provide skin care and check thoroughly for ulcers
What are some ways to combat the effects of immobility on the
elimination system? .....ANSWER.....provide adequate hydration,
serve high fiber diet
,Page 3 of 85
What is the side lying position? .....ANSWER.....major portion of
weight is on dependent hip and shoulder
What is the Sims position? .....ANSWER.....weight on anterior
ileum, humerous and clavical
An older adult has limited mobility as a result of a surgical
repair of a fracture hip. During assessment you note that the
patient cannot tolerate lying flat. Which of the following
assessment data support a possible pulmonary problem related
to impaired mobility? (Select all that apply.)
A. B/P = 128/84
B. Respirations 26 per minute on room air
C. HR 114
D. Crackles heard on auscultation
E. Pain reported as 3 on scale of 0 to 10 after medication
F. Oxygen saturation 87% on Room Air
, Page 4 of 85
.....ANSWER.....B (RR elevated), D (crackles on auscultation), F
(low oxygen saturation)
A patient has her call light on and looks frightened when you
enter the room. She has been on bed rest for 3 days following a
fractured femur. She says, "It hurts when I try to breathe, and I
can't catch my breath." Your first action is to:
A. Call the health care provider to report this change in
condition.
B. Give the patient a paper bag to breathe into to decrease her
anxiety.
C. Assess her vital signs, perform a respiratory assessment, and
be prepared to start oxygen.
D. Explain that this is normal after such trauma and administer
the ordered pain medication.
.....ANSWER.....C (assess VS, and do respiratory assessment)
EXAM 2: NR224 / NR 224 FUNDAMENTALS EXAM
(LATEST 2025 UPDATE STUDY BUNDLE WITH
COMPLETE SOLUTIONS) | 100% CORRECT | GRADE A
- CHAMBERLAIN
What are some ways to combat the effects of immobility on the
respiratory system? .....ANSWER.....cough and deep breath every
1-2 hours
What are some ways to combat the effects of immobility on the
cardiovascular system? .....ANSWER.....promote progressive
ambulation, leg exercises, TED hose, SCD
What are some ways to combat the effects of immobility on the
musculoskeletal system? .....ANSWER.....passive/active ROM, CPM
,Page 2 of 85
After completing a preoperative teaching for a surgical patient,
you can evaluate the patients understanding of the use of elastic
stockings when the patient states..
A "I can remove them at night"
B. "I can roll them no lower than my calf muscle"
C. I wear them no longer than 4 hours at a time"
D "I can remove them for 30 mins every 8 hours"
.....ANSWER.....D (remove for 30 mins every eight hours)
What are some ways to combat the effects of immobility on the
integumentary system? .....ANSWER.....reposition patient every 1-
2 hours, provide skin care and check thoroughly for ulcers
What are some ways to combat the effects of immobility on the
elimination system? .....ANSWER.....provide adequate hydration,
serve high fiber diet
,Page 3 of 85
What is the side lying position? .....ANSWER.....major portion of
weight is on dependent hip and shoulder
What is the Sims position? .....ANSWER.....weight on anterior
ileum, humerous and clavical
An older adult has limited mobility as a result of a surgical
repair of a fracture hip. During assessment you note that the
patient cannot tolerate lying flat. Which of the following
assessment data support a possible pulmonary problem related
to impaired mobility? (Select all that apply.)
A. B/P = 128/84
B. Respirations 26 per minute on room air
C. HR 114
D. Crackles heard on auscultation
E. Pain reported as 3 on scale of 0 to 10 after medication
F. Oxygen saturation 87% on Room Air
, Page 4 of 85
.....ANSWER.....B (RR elevated), D (crackles on auscultation), F
(low oxygen saturation)
A patient has her call light on and looks frightened when you
enter the room. She has been on bed rest for 3 days following a
fractured femur. She says, "It hurts when I try to breathe, and I
can't catch my breath." Your first action is to:
A. Call the health care provider to report this change in
condition.
B. Give the patient a paper bag to breathe into to decrease her
anxiety.
C. Assess her vital signs, perform a respiratory assessment, and
be prepared to start oxygen.
D. Explain that this is normal after such trauma and administer
the ordered pain medication.
.....ANSWER.....C (assess VS, and do respiratory assessment)
