2025 QUESTIONS AND ANSWERS
A nurse is evaluating a client who has a broken leg and is using crutches. Which of the following
actions by the client demonstrates proper use of the crutches?
A. The hand grips of the crutches are at the level of the client's umbilicus.
B. The client's elbows are bent 45° when holding the crutches.
C. The client places their weight on their axilla when using the crutches.
D. The client has the crutches resting 5 cm (2 in) below their axilla. - ANS D. The client has
the crutches resting 5 cm (2 in) below their axilla.
The nurse should identify that the client is using the crutches properly when they rest the
crutches 5 cm (2 in) below their axilla.
A nurse is assisting with preparing a presentation about muscle function for a group of newly
licensed nurses. Which of the following information should the nurse plan to include?
A. Muscles store calcium and magnesium.
B. Muscles produce red blood cells and platelets.
C. Muscles assist with thermoregulation in the body.
D. Muscles provide protection of internal organs. - ANS C. Muscles assist with
thermoregulation in the body.
Contracting muscles generate heat that assists in maintaining body temperature. Shivering is an
example of the muscles working to produce heat.
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, 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 that the client is
unable to perform which of the following tasks?
A. Walk in place.
B. Stand in place for 5 seconds.
C. Sit on the edge of the bed for 1 min.
D. Step forward and backward. - ANS C. Sit on the edge of the bed for 1 min.
The nurse should identify that the client who is at Level 1 Mobility of the 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. If the client is unable to complete both tasks, they remain at Level 1 Mobility of the MAT.
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 - ANS C. Atrophy
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.
A nurse is reinforcing teaching with a newly hired assistive personnel (AP) about working with
clients who require assistance with ADLs. Which of the following activities should the nurse
include as an ADL?
A. Toileting
B. Writing
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C. Ambulating
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