NSG 6998 UPDATED ACTUAL TEST
QUESTIONS AND VERIFIED ANSWERS
BUNDLE
●● What vital sign change is most concerning before ambulation?
Answer: Orthostatic hypotension (drop in BP when standing)
●● What should the nurse do immediately before standing a patient?
Answer: Dangle legs at bedside
●● When lifting, should you push or pull?
Answer: Push rather than lift
●● What must be checked regarding equipment before ambulation?
Answer: IV lines, drains, tubes
●● What happens to muscles during immobility?
Answer: Atrophy
●● What joint complication occurs with immobility?
Answer: Contractures
,●● What foot complication is common with immobility?
Answer: Foot drop
●● What bone condition can develop with immobility?
Answer: Osteoporosis
●● What circulatory complication increases with immobility?
Answer: Venous stasis --> DVT
●● What is a major respiratory complication of immobility?
Answer: Pneumonia from secretion buildup
●● Why does pneumonia risk increase in immobile patients?
Answer: Decreased lung expansion and weak cough
●● What skin complication occurs with immobility?
Answer: Pressure injuries
●● What urinary complication occurs with immobility?
Answer: Urinary stasis --> UTI
,●● What are the top 3 priority complications of immobility?
Answer: Pneumonia, DVT, pressure ulcers
●● How does activity affect the cardiovascular system?
Answer: Improves heart health and circulation
●● How does activity affect muscles?
Answer: Increases strength, tone, and flexibility
●● How does activity affect mental health?
Answer: Decreases stress and improves well-being
●● How does activity decrease risk?
Answer: Reduces risk of heart disease, stroke, diabetes
●● How does activity affect the immune system?
Answer: Enhances immune function
●● What is the priority nursing intervention for immobile patients?
Answer: Incentive spirometer/ respiratory care
●● How often should an incentive spirometer be used?
, Answer: Every 2 hours
●● What prevents DVT in immobile patients?
Answer: SCDs and anticoagulants
●● What prevents skin breakdown?
Answer: Turn and reposition
●● What is the Transtheoretical Model of Change?
Answer: A model describing stages people go through to change
behaviors
●● What is the first stage of change?
Answer: Precontemplation (not considering change)
●● What stage involves thinking about change?
Answer: Contemplation
●● What stage involves planning to change soon?
Answer: Preparation
●● What stage involves actively making changes?
QUESTIONS AND VERIFIED ANSWERS
BUNDLE
●● What vital sign change is most concerning before ambulation?
Answer: Orthostatic hypotension (drop in BP when standing)
●● What should the nurse do immediately before standing a patient?
Answer: Dangle legs at bedside
●● When lifting, should you push or pull?
Answer: Push rather than lift
●● What must be checked regarding equipment before ambulation?
Answer: IV lines, drains, tubes
●● What happens to muscles during immobility?
Answer: Atrophy
●● What joint complication occurs with immobility?
Answer: Contractures
,●● What foot complication is common with immobility?
Answer: Foot drop
●● What bone condition can develop with immobility?
Answer: Osteoporosis
●● What circulatory complication increases with immobility?
Answer: Venous stasis --> DVT
●● What is a major respiratory complication of immobility?
Answer: Pneumonia from secretion buildup
●● Why does pneumonia risk increase in immobile patients?
Answer: Decreased lung expansion and weak cough
●● What skin complication occurs with immobility?
Answer: Pressure injuries
●● What urinary complication occurs with immobility?
Answer: Urinary stasis --> UTI
,●● What are the top 3 priority complications of immobility?
Answer: Pneumonia, DVT, pressure ulcers
●● How does activity affect the cardiovascular system?
Answer: Improves heart health and circulation
●● How does activity affect muscles?
Answer: Increases strength, tone, and flexibility
●● How does activity affect mental health?
Answer: Decreases stress and improves well-being
●● How does activity decrease risk?
Answer: Reduces risk of heart disease, stroke, diabetes
●● How does activity affect the immune system?
Answer: Enhances immune function
●● What is the priority nursing intervention for immobile patients?
Answer: Incentive spirometer/ respiratory care
●● How often should an incentive spirometer be used?
, Answer: Every 2 hours
●● What prevents DVT in immobile patients?
Answer: SCDs and anticoagulants
●● What prevents skin breakdown?
Answer: Turn and reposition
●● What is the Transtheoretical Model of Change?
Answer: A model describing stages people go through to change
behaviors
●● What is the first stage of change?
Answer: Precontemplation (not considering change)
●● What stage involves thinking about change?
Answer: Contemplation
●● What stage involves planning to change soon?
Answer: Preparation
●● What stage involves actively making changes?
