HESI: Mobility Exam Questions with Correct Answers

HESI: Mobility Exam Questions with Correct Answers In developing a plan of care, the nurse consults with Mr. Matthew to identify a short-term goal. Which goal is correct for Mr. Matthew's diagnosis for impaired mobility? A. The client will demonstrate better mobility by time of discharge. B. The nurse will reposition the client every 2 hours while awake. C. The client will sit in the chair for each meal beginning on the day of admission. D. The nurse will assist the client to ambulate in the hall by the second hospital day. - Answer-C. The client will sit in the chair for each meal beginning on the day of admission. Rationale: This is a correctly stated goal. The client is always the subject of the goal, and the action is always measurable. This goal includes what Mr. Matthew is to achieve and sets a realistic deadline. "A" is wrong because it is an uncompleted goal. "B" and "C" are wrong because they are nursing actions and not a client goal. Mr. Matthew is reluctant to move in the bed or move to the chair. He likes his wife to place a pillow under his knee. The nurse performs a physical assessment, which reveals diminished dorsalis pedis pulses bilaterally. Which instruction(s) should the nurse convey to help prevent venous thromboembolism (VTE) in Mr. Matthew's legs? (Select all that apply) A. Encourage Mr. Matthew to cough and breathe deeply 10 times an hour. B. Teach Mr. Matthew to dorsal flew and planter flex his feet while in the bed and chair. C. Instruct Mr. Matthew to change positions every 2 hours in the bed or chair. D. Advise Mr. Matthew to eat well-balanced meals and between-meals snacks. E. Explain enoxaparin (Lovenox) injections will be administered routinely. - Answer-B. Teach Mr. Matthew to dorsal flex and plantar flex his feet while in the bed and chair.