Exam 2
JOYCE University
Verified Questions & Answers, with rationales
2026/2027 Latest Update | Newly Released
Section 1: Mobility and Immobility
Q1: Which complication of immobility is caused by the continuous pressure of the bed linens on
the toes, resulting in plantar flexion?
A. Deep vein thrombosis (DVT)
B. Foot drop (Plantar flexion contracture) [CORRECT]
C. Renal calculi
D. Atelectasis
Correct Answer: B
Rationale: Foot drop occurs when the plantar flexors contract due to the foot being constantly
pointed downward by tight sheets or improper positioning.
Board Pearl: Prevent foot drop by placing a footboard or high-top sneakers.
Q2: When using proper body mechanics to transfer a patient from bed to a chair, the nurse
should:
A. Keep the feet together and bend at the waist.
B. Keep the back straight and bend at the knees and hips. [CORRECT]
C. Hold the patient at arm's length to avoid tripping.
,D. Twist at the waist to move the patient.
Correct Answer: B
Rationale: Bending at the knees and hips uses the strong leg muscles and prevents lower back
strain. The back should remain straight.
Board Pearl: Straight back, bend knees—use your legs, not your back.
Q3: The nurse is teaching a patient how to use crutches for a three-point gait. Which instruction
indicates correct understanding?
A. "Move both crutches and the weak leg forward together."
B. "Move both crutches forward, then swing your strong leg through." [CORRECT]
C. "Move the left crutch, then the right foot, then the right crutch."
D. "Move the strong leg, then the crutches."
Correct Answer: B
Rationale: The three-point gait is used when one leg is non-weight bearing. The sequence is:
crutches forward -> swing strong leg through.
Board Pearl: 3-point gait = Crutches + Good Leg swing (Bad leg carries no weight).
Q4: Which position is best for a patient who is experiencing difficulty breathing (dyspnea)?
A. Trendelenburg position
B. High Fowler's position [CORRECT]
C. Sims' position
D. Supine position
Correct Answer: B
Rationale: High Fowler's (90 degrees) lowers the diaphragm and allows for maximum lung
expansion.
Board Pearl: Breathing trouble? Sit them up (High Fowler's).
, Q5: A patient has been on bed rest for 3 days. The nurse assesses for signs of Deep Vein
Thrombosis (DVT). Which finding requires immediate follow-up?
A. Mild pedal edema.
B. Unilateral calf pain and redness. [CORRECT]
C. Positive Homans' sign (calf pain on dorsiflexion).
D. Cool, pale extremities.
Correct Answer: B
Rationale: Unilateral redness, warmth, and pain are the cardinal signs of DVT. Homans' sign is
unreliable, and coolness suggests arterial insufficiency.
Board Pearl: DVT = Unilateral Redness/Pain/Warmth.
Q6: The nurse is performing passive range of motion (ROM) exercises. Which action is correct?
A. Perform movements quickly to save time.
B. Support the joint while moving the limb smoothly. [CORRECT]
C. Continue exercises if the patient reports sharp pain.
D. Force the joint slightly past its resistance point.
Correct Answer: B
Rationale: Supporting the joint prevents injury, and smooth movements prevent muscle
guarding. Exercises should never cause sharp pain.
Board Pearl: Passive ROM = Smooth, supported, no pain.
Q7: The nurse places a patient in the left lateral Sims' position. Which assessment is this position
best suited for?
A. Rectal examination or enema administration. [CORRECT]
B. Nasogastric tube insertion.
C. Postpartum assessment.
D. Treatment of shock.
Correct Answer: A