NR 224 Chamberlain University
Fundamentals of Nursing UPDATED
Exam Questions and CORRECT Answers
IMMOBILITY - CORRECT ANSWER- state of being unable to move
Mobility - CORRECT ANSWER- the quality or state of being able to move about freely
Essential for mobility - CORRECT ANSWER- Functional Muscular Skeletal and Nervous
system
Temporary immobility - CORRECT ANSWER- Anyone who has a surgery such as a knee
arthroplasty
Permanent immobility - CORRECT ANSWER- such as paraplegia or quadriplegia
Sudden onset immobility - CORRECT ANSWER- Such as a fractured arm and leg following
a motor-vehicle crash
Slow onset immobility - CORRECT ANSWER- Disease of muscular skeletal such as
multiple sclerosis
Impaired bed mobility - CORRECT ANSWER- inability to change positions in bed
independently
Assess _________________ for mobility - CORRECT ANSWER- Mobility, ROM, gate,
exercise status, activity tolerance and body alignment
Clinical conditions which can result in impaired physical mobility include: (Select all that
apply)
A.Pain
,B.Limited range of motion (Arthritis, back pain)
C.Chronic lung disease (COPD)
D.Fractured Hip
E.Constipation
F.Cognitive impairment (dementia)
G.Severe depression - CORRECT ANSWER- A.Pain
B.Limited range of motion (Arthritis, back pain)
C.Chronic lung disease (COPD)
D.Fractured Hip
F.Cognitive impairment (dementia)
G.Severe depression
Constipation is a complication of immobility and not a cause of immobility
Disuse Syndrome - CORRECT ANSWER- signs and symptoms that result from inactivity
Mobility Assessment Questions - CORRECT ANSWER- • Describe any changes you've
noticed in your ability to walk and take care of yourself on a daily basis.
• Have you experienced any stiffness, swelling of a joint, muscle or joint pain, or difficulty
with moving? If so, describe how you are affected.
• Have you noticed any shortness of breath; if so, does it worsen when walking?
Immobility Assessment Questions - CORRECT ANSWER- • Describe your normal daily
activity. Has this changed recently?
• How have your appetite and diet changed since you've had problems moving around?
• Describe what you eat in a normal day.
• Does your day seem very long?
• Are you sleeping well at night?
• Have you noticed any places on your skin that are reddened or have any open sores?
• Describe any changes you've noticed in urinating and/or having bowel movements.
, disuse syndrome - CORRECT ANSWER- disability may develop as a secondary problem.
People with musculoskeletal disorders and other orthopedic impairments often experience
pain as a common symptom associated with the various disorders.
joint contracture - CORRECT ANSWER- An abnormal and possibly permanent condition
characterized by fixation of the joint
•For a bed-bound patient, ROM exercises should be performed two or three times per day to
ensure that joints do not become contracted. If the patient experiences stiffness or an inability
to move a joint, it may be an indication of contractures and should be reported immediately.
As you perform each test, observe the patient for signs of swelling or inflammation in any of
the joints.
Range of motion (ROM) - CORRECT ANSWER- Maximum amount of movement of a joint
ROM assessment - CORRECT ANSWER- observation, AROM/PROM, compare uninvolved
side, goniometric measurements
Active Range of Motion (AROM) - CORRECT ANSWER- the process whereby a patient
puts a joint through its full extent of movement
Passive Range of Motion (PROM) - CORRECT ANSWER- the process of putting a joint
through its full extent of movement by someone other than the patient
Gait - CORRECT ANSWER- a manner of walking, stepping, or running
monitor the speed, stride and balance.
Respiratory System Interventions and Assessments - CORRECT ANSWER- Perform a
respiratory assessment at least every 2 hours for patients with restricted activity. Inspect chest
wall movements during the full inspiratory-expiratory cycle. If a patient has an atelectatic
area, chest movement is often asymmetrical. Auscultate the entire lung region to identify
diminished breath sounds, crackles, or wheezes. Focus auscultation on the dependent lung
fields because pulmonary secretions tend to collect in these lower regions. Assessment
findings that indicate pneumonia include productive cough with greenish yellow sputum;
fever; pain on breathing; and crackles, wheezes, and dyspnea.
Cardiovascular System.
Fundamentals of Nursing UPDATED
Exam Questions and CORRECT Answers
IMMOBILITY - CORRECT ANSWER- state of being unable to move
Mobility - CORRECT ANSWER- the quality or state of being able to move about freely
Essential for mobility - CORRECT ANSWER- Functional Muscular Skeletal and Nervous
system
Temporary immobility - CORRECT ANSWER- Anyone who has a surgery such as a knee
arthroplasty
Permanent immobility - CORRECT ANSWER- such as paraplegia or quadriplegia
Sudden onset immobility - CORRECT ANSWER- Such as a fractured arm and leg following
a motor-vehicle crash
Slow onset immobility - CORRECT ANSWER- Disease of muscular skeletal such as
multiple sclerosis
Impaired bed mobility - CORRECT ANSWER- inability to change positions in bed
independently
Assess _________________ for mobility - CORRECT ANSWER- Mobility, ROM, gate,
exercise status, activity tolerance and body alignment
Clinical conditions which can result in impaired physical mobility include: (Select all that
apply)
A.Pain
,B.Limited range of motion (Arthritis, back pain)
C.Chronic lung disease (COPD)
D.Fractured Hip
E.Constipation
F.Cognitive impairment (dementia)
G.Severe depression - CORRECT ANSWER- A.Pain
B.Limited range of motion (Arthritis, back pain)
C.Chronic lung disease (COPD)
D.Fractured Hip
F.Cognitive impairment (dementia)
G.Severe depression
Constipation is a complication of immobility and not a cause of immobility
Disuse Syndrome - CORRECT ANSWER- signs and symptoms that result from inactivity
Mobility Assessment Questions - CORRECT ANSWER- • Describe any changes you've
noticed in your ability to walk and take care of yourself on a daily basis.
• Have you experienced any stiffness, swelling of a joint, muscle or joint pain, or difficulty
with moving? If so, describe how you are affected.
• Have you noticed any shortness of breath; if so, does it worsen when walking?
Immobility Assessment Questions - CORRECT ANSWER- • Describe your normal daily
activity. Has this changed recently?
• How have your appetite and diet changed since you've had problems moving around?
• Describe what you eat in a normal day.
• Does your day seem very long?
• Are you sleeping well at night?
• Have you noticed any places on your skin that are reddened or have any open sores?
• Describe any changes you've noticed in urinating and/or having bowel movements.
, disuse syndrome - CORRECT ANSWER- disability may develop as a secondary problem.
People with musculoskeletal disorders and other orthopedic impairments often experience
pain as a common symptom associated with the various disorders.
joint contracture - CORRECT ANSWER- An abnormal and possibly permanent condition
characterized by fixation of the joint
•For a bed-bound patient, ROM exercises should be performed two or three times per day to
ensure that joints do not become contracted. If the patient experiences stiffness or an inability
to move a joint, it may be an indication of contractures and should be reported immediately.
As you perform each test, observe the patient for signs of swelling or inflammation in any of
the joints.
Range of motion (ROM) - CORRECT ANSWER- Maximum amount of movement of a joint
ROM assessment - CORRECT ANSWER- observation, AROM/PROM, compare uninvolved
side, goniometric measurements
Active Range of Motion (AROM) - CORRECT ANSWER- the process whereby a patient
puts a joint through its full extent of movement
Passive Range of Motion (PROM) - CORRECT ANSWER- the process of putting a joint
through its full extent of movement by someone other than the patient
Gait - CORRECT ANSWER- a manner of walking, stepping, or running
monitor the speed, stride and balance.
Respiratory System Interventions and Assessments - CORRECT ANSWER- Perform a
respiratory assessment at least every 2 hours for patients with restricted activity. Inspect chest
wall movements during the full inspiratory-expiratory cycle. If a patient has an atelectatic
area, chest movement is often asymmetrical. Auscultate the entire lung region to identify
diminished breath sounds, crackles, or wheezes. Focus auscultation on the dependent lung
fields because pulmonary secretions tend to collect in these lower regions. Assessment
findings that indicate pneumonia include productive cough with greenish yellow sputum;
fever; pain on breathing; and crackles, wheezes, and dyspnea.
Cardiovascular System.
