N352 Exam 1
The nurse is assessing a patient's basic functional ability. Which question measures basic functional
ability most accurately? - "Do you use a cane, walker or wheelchair to ambulate?"
Disadvantage of self-reporting functional ability? - inaccurate answers due to highly self confidence
The nurse is explaining to the patient's family the effects of immobility. Which of the following
statements should be included in the teaching? Select all that apply. - "Patients with impaired mobility
are prone to constipation."
"Patients with impaired mobility are at greater risk for pneumonia."
"Patients with impaired mobility have an increased risk for pressure ulcers."
The nurse is talking to the unlicensed assistive personnel about moving a patient in bed. The nurse
knows the unlicensed assistive personnel understands the concept of mobility and proper moving
techniques when making which statement? - "Patients must be moved correctly in bed to prevent
shearing."
The nurse is planning care for a client who has decreased mobility. With which interprofessional health
care team members would the nurse most likely collaborate? Select all that apply. - Registered
occupational therapist (OTR)
Respiratory therapist (RT)
Primary health care provider (PHCP)
Registered physical therapist (RPT)
Registered dietitian nutritionist (RDN)
The nurse is caring for a client with severely impaired mobility. What actions does the nurse place on the
care plan to address potential complications? (Select all that apply.) - Increase fiber in the client's diet.
Consult physical therapy for range of motion.
,The nurse is teaching a class on safe patient handling and mobility. What will the nurse include? (Select
all that apply.) - Maintain a wide, stable base with your feet prior to lifting.
Keep the client directly in front of your body while providing care.
Which nursing intervention is best for preventing complications of immobility when caring for a client on
bedrest? - Regular turning and repositioning at least every two hours
The nurse is performing a bath for a client with a spinal cord injury for which they have complete loss of
movement below the neck. Which technique is appropriate to use when bathing the client's backside? -
Turn the patient using a log roll technique
A home health care nurse is planning an exercise program with an older adult who lives at home
independently but whose mobility issues prevent much activity outside the home. Which exercise
regimen would be most beneficial to this adult? - Building strength and flexibility
Case study question part 1. The nurse is caring for an 86-year-old patient who is a widow living alone on
a low income. He uses a walker to ambulate and doesn't leave the house except when his daughter
assists him. His current concern is that his dentures no longer fit. What data supports a risk for
malnutrition? Select all that apply. - Lives alone, widowed, homebound, low income, age, Ill-fitting
dentures.
Case Study part 2: The nurse's assessment reveals dry mucous membranes, generalized weakness,
difficulty ambulating, and anorexia. His weight is down from 112 to 98 pounds over the past 3 months.
His dentures are loose and poor fitting.
Which assessment findings indicate the patient has dehydration? Select all that apply - Dry mucous
membrane, generalized weakness
Case study part 3: Which result does the nurse anticipate to be abnormal based on the assessment
findings? - Albumin
, Case study question part 4: Which dietary item will the nurse remove from this client's nutrition tray? -
Granola cereal
An older adult with lactose intolerance requests help with menu choices. What type of food will the
nurse encourage the client to avoid? - Skim milk
The nurse is caring for a client who is preparing for bariatric surgery. What is the appropriate nursing
response when the client states, "I am afraid this surgery won't work"? - "Tell me what concerns you
most about the surgery."
An older adult client is at risk for undernutrition. Which nursing intervention is appropriate to ensure
optimum nutritional intake? - Assisting the client to the toilet and providing oral care prior to meals.
Based on nutritional screening findings and assessments, which client does the nurse identify that meets
criteria for surgical treatment of obesity? - BMI of 42
Which factors or conditions will the nurse identify as increasing the risk for clients to develop aspiration
pneumonia? (Select all that apply.) - decreased level of consciousness,
stroke,
Post surgical patient after receiving anesthesia,
continuous nasogastric tube feedings
The nurse is teaching a group of clients on the complications of obesity that develop when weight is not
controlled through diet and exercise. Which lifestyle change does the nurse emphasize? (Select all that
apply.) - "Engage in physical activity for at least 30 minutes a day (5 days a week) or 150 minutes per
week.",
"Avoid fast food as it tends to be higher in fat and sugar.",
"Eat a variety of foods, especially grain products, vegetables and fruits.",
The nurse is assessing a patient's basic functional ability. Which question measures basic functional
ability most accurately? - "Do you use a cane, walker or wheelchair to ambulate?"
Disadvantage of self-reporting functional ability? - inaccurate answers due to highly self confidence
The nurse is explaining to the patient's family the effects of immobility. Which of the following
statements should be included in the teaching? Select all that apply. - "Patients with impaired mobility
are prone to constipation."
"Patients with impaired mobility are at greater risk for pneumonia."
"Patients with impaired mobility have an increased risk for pressure ulcers."
The nurse is talking to the unlicensed assistive personnel about moving a patient in bed. The nurse
knows the unlicensed assistive personnel understands the concept of mobility and proper moving
techniques when making which statement? - "Patients must be moved correctly in bed to prevent
shearing."
The nurse is planning care for a client who has decreased mobility. With which interprofessional health
care team members would the nurse most likely collaborate? Select all that apply. - Registered
occupational therapist (OTR)
Respiratory therapist (RT)
Primary health care provider (PHCP)
Registered physical therapist (RPT)
Registered dietitian nutritionist (RDN)
The nurse is caring for a client with severely impaired mobility. What actions does the nurse place on the
care plan to address potential complications? (Select all that apply.) - Increase fiber in the client's diet.
Consult physical therapy for range of motion.
,The nurse is teaching a class on safe patient handling and mobility. What will the nurse include? (Select
all that apply.) - Maintain a wide, stable base with your feet prior to lifting.
Keep the client directly in front of your body while providing care.
Which nursing intervention is best for preventing complications of immobility when caring for a client on
bedrest? - Regular turning and repositioning at least every two hours
The nurse is performing a bath for a client with a spinal cord injury for which they have complete loss of
movement below the neck. Which technique is appropriate to use when bathing the client's backside? -
Turn the patient using a log roll technique
A home health care nurse is planning an exercise program with an older adult who lives at home
independently but whose mobility issues prevent much activity outside the home. Which exercise
regimen would be most beneficial to this adult? - Building strength and flexibility
Case study question part 1. The nurse is caring for an 86-year-old patient who is a widow living alone on
a low income. He uses a walker to ambulate and doesn't leave the house except when his daughter
assists him. His current concern is that his dentures no longer fit. What data supports a risk for
malnutrition? Select all that apply. - Lives alone, widowed, homebound, low income, age, Ill-fitting
dentures.
Case Study part 2: The nurse's assessment reveals dry mucous membranes, generalized weakness,
difficulty ambulating, and anorexia. His weight is down from 112 to 98 pounds over the past 3 months.
His dentures are loose and poor fitting.
Which assessment findings indicate the patient has dehydration? Select all that apply - Dry mucous
membrane, generalized weakness
Case study part 3: Which result does the nurse anticipate to be abnormal based on the assessment
findings? - Albumin
, Case study question part 4: Which dietary item will the nurse remove from this client's nutrition tray? -
Granola cereal
An older adult with lactose intolerance requests help with menu choices. What type of food will the
nurse encourage the client to avoid? - Skim milk
The nurse is caring for a client who is preparing for bariatric surgery. What is the appropriate nursing
response when the client states, "I am afraid this surgery won't work"? - "Tell me what concerns you
most about the surgery."
An older adult client is at risk for undernutrition. Which nursing intervention is appropriate to ensure
optimum nutritional intake? - Assisting the client to the toilet and providing oral care prior to meals.
Based on nutritional screening findings and assessments, which client does the nurse identify that meets
criteria for surgical treatment of obesity? - BMI of 42
Which factors or conditions will the nurse identify as increasing the risk for clients to develop aspiration
pneumonia? (Select all that apply.) - decreased level of consciousness,
stroke,
Post surgical patient after receiving anesthesia,
continuous nasogastric tube feedings
The nurse is teaching a group of clients on the complications of obesity that develop when weight is not
controlled through diet and exercise. Which lifestyle change does the nurse emphasize? (Select all that
apply.) - "Engage in physical activity for at least 30 minutes a day (5 days a week) or 150 minutes per
week.",
"Avoid fast food as it tends to be higher in fat and sugar.",
"Eat a variety of foods, especially grain products, vegetables and fruits.",
