mobility hesi questions with complete
solutions
Which information is most important for the nurse to obtain in the initial assessment? -
Answer-"Tell me about concerns you have about being hospitalized."
What action should the nurse implement to help reduce Mr. Mathis' anxiety during the
admission process? - Answer-Explain the room environment to Mr. and Mrs. Mathis.
When care is planned for Mr. Mathis, which nursing diagnosis should take priority? -
Answer-Impaired physical mobility.
Which goal is correct for Mr. Mathis' diagnosis of impaired physical mobility? - Answer-
The client will sit in the chair for each meal beginning on the day of admission.
Which instructions should the nurse convey to help prevent venous thromboembolism
(VTE) in Mr. Mathis' legs? - Answer--Teach Mr. Mathis to dorsal flex and plantar flex his
feet while in the bed and chair.
-Instruct Mr. Mathis to wear sequential compression stockings.
-Explain that enoxaparin injections will be administered routinely.
The nurse is observing a student nurse perform a peripheral assessment on Mr. Mathis.
Which action requires the nurse to intervene? - Answer-Assessing the Homan's sign in
bilateral extremities.
The HCP has prescribed thigh-high antiembolic hose for Mr. Mathis. The nurse
assesses the client's legs every 8 hours. Which assessment finding reflects signs of
possible thrombophlebitis that should be reported to the HCP? - Answer-Unilateral calf
edema.
Which instruction should the nurse give to the unlicensed assistive personnel (UAP) for
positioning Mr. Mathis' legs? - Answer-Use two pillows and place one lengthwise under
each calf.
Which nursing diagnosis best applies to Mr. Mathis' nutritional assessment? - Answer-
Imbalanced nutrition: less than body requirements.
The nurse instructs Mr. Mathis to increase his intake of which foods to prevent a
decrease in bone density? - Answer-Calcium rich foods.
Which foods should the nurse encourage? - Answer-Milk, oatmeal, and an orange.
How should the nurse teach the UAP to position the chair to ensure a safe transfer? -
Answer-Position the chair at a 45 degree angle to the bed on Mr. Mathis' left side.
solutions
Which information is most important for the nurse to obtain in the initial assessment? -
Answer-"Tell me about concerns you have about being hospitalized."
What action should the nurse implement to help reduce Mr. Mathis' anxiety during the
admission process? - Answer-Explain the room environment to Mr. and Mrs. Mathis.
When care is planned for Mr. Mathis, which nursing diagnosis should take priority? -
Answer-Impaired physical mobility.
Which goal is correct for Mr. Mathis' diagnosis of impaired physical mobility? - Answer-
The client will sit in the chair for each meal beginning on the day of admission.
Which instructions should the nurse convey to help prevent venous thromboembolism
(VTE) in Mr. Mathis' legs? - Answer--Teach Mr. Mathis to dorsal flex and plantar flex his
feet while in the bed and chair.
-Instruct Mr. Mathis to wear sequential compression stockings.
-Explain that enoxaparin injections will be administered routinely.
The nurse is observing a student nurse perform a peripheral assessment on Mr. Mathis.
Which action requires the nurse to intervene? - Answer-Assessing the Homan's sign in
bilateral extremities.
The HCP has prescribed thigh-high antiembolic hose for Mr. Mathis. The nurse
assesses the client's legs every 8 hours. Which assessment finding reflects signs of
possible thrombophlebitis that should be reported to the HCP? - Answer-Unilateral calf
edema.
Which instruction should the nurse give to the unlicensed assistive personnel (UAP) for
positioning Mr. Mathis' legs? - Answer-Use two pillows and place one lengthwise under
each calf.
Which nursing diagnosis best applies to Mr. Mathis' nutritional assessment? - Answer-
Imbalanced nutrition: less than body requirements.
The nurse instructs Mr. Mathis to increase his intake of which foods to prevent a
decrease in bone density? - Answer-Calcium rich foods.
Which foods should the nurse encourage? - Answer-Milk, oatmeal, and an orange.
How should the nurse teach the UAP to position the chair to ensure a safe transfer? -
Answer-Position the chair at a 45 degree angle to the bed on Mr. Mathis' left side.
