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NSG 3130 Fundamental II Exam 2 2026/2027 | Actual
Exam Questions with Verified Answers & Rationales |
Grade A Study Guide
Question 1
A patient will be using crutches for mobility. After educating the patient on proper
crutch adjustment, the nurse assesses the patient's understanding. Which findings
indicate the crutches are correctly adjusted? Select all that apply.
A. The hand grips are even with the mid-forearm.
B. When the patient grips the hand grips, the elbow is flexed at approximately 30
degrees.
C. There is a 2- to 3-finger width distance between the axillae and the crutch rest pad.
D. The patient places weight on the axillae rather than the hands while ambulating.
CORRECT ANSWER: B, C
Rationale: Proper crutch fit includes a 30-degree elbow flexion when gripping the hand
grips to allow for arm strength during ambulation, and a 2-3 finger width space in the
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axillae to prevent nerve compression (radial nerve palsy). Weight should be borne on
the hands, not the axillae (D). Hand grips should be level with the hip line, not the mid-
forearm (A).
Question 2
A patient is using a cane for the first time. Which findings demonstrate the cane is fitted
correctly? Select all that apply.
A. The arm holding the cane is flexed at a 40-degree angle.
B. The top of the cane is at the level of the greater trochanter.
C. When the patient's arm is at their side, the top of the cane is even with the wrist
crease.
D. There is a 1.5-inch gap between the top of the cane and the axillae.
CORRECT ANSWER: B, C
Rationale: A properly fitted cane should have its top at the greater trochanter or the
wrist crease when the arm is at the side, ensuring the elbow is flexed at 15-30 degrees.
A 40-degree angle (A) is too great and would cause postural strain. Measurement for a
cane is not based on the axillae (D); that principle applies to crutches.
Question 3
The nurse adjusts a walker for a patient who will be using it for the first time. Which
finding indicates the walker is properly fitted?
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A. There is a 2-3 finger width distance between the hand grips and the patient's wrists.
B. The patient's elbows are flexed at 15-30 degrees when holding the hand grips.
C. The patient's back is midline with the walker's crossbar.
D. The crossbar of the walker is even with the patient's greater trochanter.
CORRECT ANSWER: B
Rationale: The correct fit for a walker is confirmed when the patient's elbows are flexed
at 15-30 degrees while holding the hand grips, allowing for stability and a natural gait.
Fit is determined by arm/elbow angle, not distances from the wrists (A) or crossbar
alignment (C, D).
Question 4
A patient who can bear partial weight must be taught to use a two-point gait with
crutches. Which description best characterizes this gait?
A. The patient moves both crutches forward and then moves both legs forward to the
same point as the crutches.
B. The patient moves the right crutch (injured side), then the left foot (non-injured side),
then the left crutch, then the right foot.
C. The patient moves the right crutch and left foot forward together, then the left crutch
and right foot forward together.
D. The patient moves both crutches and the injured leg forward together, then moves
NSG 3130 Fundamental II Exam 2 2026/2027 | Actual
Exam Questions with Verified Answers & Rationales |
Grade A Study Guide
Question 1
A patient will be using crutches for mobility. After educating the patient on proper
crutch adjustment, the nurse assesses the patient's understanding. Which findings
indicate the crutches are correctly adjusted? Select all that apply.
A. The hand grips are even with the mid-forearm.
B. When the patient grips the hand grips, the elbow is flexed at approximately 30
degrees.
C. There is a 2- to 3-finger width distance between the axillae and the crutch rest pad.
D. The patient places weight on the axillae rather than the hands while ambulating.
CORRECT ANSWER: B, C
Rationale: Proper crutch fit includes a 30-degree elbow flexion when gripping the hand
grips to allow for arm strength during ambulation, and a 2-3 finger width space in the
,2|Page
axillae to prevent nerve compression (radial nerve palsy). Weight should be borne on
the hands, not the axillae (D). Hand grips should be level with the hip line, not the mid-
forearm (A).
Question 2
A patient is using a cane for the first time. Which findings demonstrate the cane is fitted
correctly? Select all that apply.
A. The arm holding the cane is flexed at a 40-degree angle.
B. The top of the cane is at the level of the greater trochanter.
C. When the patient's arm is at their side, the top of the cane is even with the wrist
crease.
D. There is a 1.5-inch gap between the top of the cane and the axillae.
CORRECT ANSWER: B, C
Rationale: A properly fitted cane should have its top at the greater trochanter or the
wrist crease when the arm is at the side, ensuring the elbow is flexed at 15-30 degrees.
A 40-degree angle (A) is too great and would cause postural strain. Measurement for a
cane is not based on the axillae (D); that principle applies to crutches.
Question 3
The nurse adjusts a walker for a patient who will be using it for the first time. Which
finding indicates the walker is properly fitted?
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A. There is a 2-3 finger width distance between the hand grips and the patient's wrists.
B. The patient's elbows are flexed at 15-30 degrees when holding the hand grips.
C. The patient's back is midline with the walker's crossbar.
D. The crossbar of the walker is even with the patient's greater trochanter.
CORRECT ANSWER: B
Rationale: The correct fit for a walker is confirmed when the patient's elbows are flexed
at 15-30 degrees while holding the hand grips, allowing for stability and a natural gait.
Fit is determined by arm/elbow angle, not distances from the wrists (A) or crossbar
alignment (C, D).
Question 4
A patient who can bear partial weight must be taught to use a two-point gait with
crutches. Which description best characterizes this gait?
A. The patient moves both crutches forward and then moves both legs forward to the
same point as the crutches.
B. The patient moves the right crutch (injured side), then the left foot (non-injured side),
then the left crutch, then the right foot.
C. The patient moves the right crutch and left foot forward together, then the left crutch
and right foot forward together.
D. The patient moves both crutches and the injured leg forward together, then moves
