FUNDAMENTALS OF NURSING EXAM 2
QUESTIONS WITH RIGHT ANSWERS.
How,does,the,nurse,maintain,a,low,center,of,gravity,while,transferring,the,patient,from,the,bed,to,the,ch
air?
a.,The,nurse,ties,the,gait,belt,loosely,around,the,patient's,waist.
b.,The,nurse,stands,with,the,knees,slightly,bent,and,legs,spread,apart.
c.,The,nurse,bends,at,the,waist,when,setting,the,patient's,feet,on,the,floor.
d.,The,nurse,leans,backward,slightly,when,helping,the,patient,to,stand.,,,ANS,-
b.,The,nurse,stands,with,the,knees,slightly,bent,and,legs,spread,apart.
Which,instruction,directs,the,patient,to,perform,an,isometric,exercise?
a.,"Use,the,trapeze,to,lift,your,upper,body,off,the,bed."
b.,"Tighten,and,hold,your,stomach,muscles,for,15,seconds."
c.,"Close,your,fists,and,squeeze,them,tightly,,release,and,repeat."
d.,"Lift,your,buttocks,off,the,bed,by,pushing,against,the,mattress.",,,ANS,-
b.,"Tighten,and,hold,your,stomach,muscles,for,15,seconds."
The,nurse,is,caring,for,a,patient,with,a,traumatic,injury,to,the,cerebellum.,Which,assessment,finding,will,
be,expected,as,a,result?
a.,The,patient,sways,from,side,to,side,when,walking.
b.,The,patient's,ligaments,are,weak,and,easily,ruptured.
c.,The,patient,has,fine,tremors,with,purposeful,movement.
d.,The,patient's,joints,are,reddened,,swollen,,and,warm,to,touch.,,,ANS,-
a.,The,patient,sways,from,side,to,side,when,walking.
What,is,the,priority,nursing,diagnosis,for,a,patient,with,osteoporosis?
a.,Risk,for,injury,(fracture),related,to,fragile,bone,tissue
b.,Activity,intolerance,related,to,pain,and,joint,stiffness
c.,Impaired,tissue,integrity,related,to,red,,swollen,,painful,joints
,d.,Fatigue,related,to,chronic,inflammatory,destruction,of,tissues,,,ANS,-
a.,Risk,for,injury,(fracture),related,to,fragile,bone,tissue
Which,assessment,finding,is,expected,for,a,patient,who,suffered,a,left-sided,thrombotic,stroke?
a.,Bilateral,footdrop
b.,Fine,tremors,of,the,hands
c.,Curvature,of,the,lumbar,spine
d.,Weakness,of,the,right,arm,and,leg,,,ANS,-d.,Weakness,of,the,right,arm,and,leg
The,nurse,is,caring,for,a,patient,with,right-
sided,hemiplegia,after,a,stroke.,Which,is,the,appropriate,goal,for,the,diagnosis,impaired,transfer,ability,r
elated,to,insufficient,muscle,strength?
a.,The,patient,will,safely,transfer,from,bed,to,chair,with,the,assistance,of,one,person.
b.,The,patient,will,verbalize,feelings,about,physical,limitations,due,to,immobility.
c.,The,nurse,will,reposition,the,patient,every,2,hours,and,pad,bony,prominences.
d.,The,nurse,will,utilize,a,gait,belt,around,the,patient's,low,back,for,all,transfers.,,,ANS,-
a.,The,patient,will,safely,transfer,from,bed,to,chair,with,the,assistance,of,one,person.
The,nurse,is,caring,for,a,patient,with,arthritis,who,wants,to,exercise,but,finds,it,difficult,due,to,joint,pain,
and,stiffness.,Which,nursing,diagnosis,is,appropriate,for,this,patient?
a.,Activity,intolerance,related,to,exertional,discomfort
b.,Noncompliance,related,to,lack,of,motivation,to,exercise
c.,Unilateral,neglect,related,to,health,beliefs,about,chronic,illness
d.,Powerlessness,related,to,expressions,of,uncertainty,about,benefits,of,exercise,,,ANS,-
a.,Activity,intolerance,related,to,exertional,discomfort
Which,is,the,priority,intervention,for,a,patient,with,the,nursing,diagnosis,of,impaired,physical,mobility,rel
ated,to,muscle,weakness,and,neuromuscular,impairment?
a.,Allow,the,patient,to,decide,when,and,how,far,to,ambulate,each,day.
b.,Utilize,a,walker,,gait,belt,,and,two,nursing,staff,members,for,ambulation.
c.,Suggest,a,variety,of,physical,activities,to,encourage,patient,engagement.
,d.,Encourage,the,patient,to,use,positive,self-talk,to,gradually,increase,strength.,,,ANS,-
b.,Utilize,a,walker,,gait,belt,,and,two,nursing,staff,members,for,ambulation.
Which,is,an,appropriate,goal,for,a,patient,with,the,nursing,diagnosis,of,sedentary,lifestyle,related,to,gen
eralized,weakness,and,fatigue?
a.,The,patient,will,identify,barriers,that,limit,social,interactions.
b.,The,patient,will,increase,physical,activity,to,3500,steps,daily.
c.,The,patient,will,use,a,pain,rating,scale,to,identify,levels,of,discomfort.
d.,The,patient,will,verbalize,the,risks,of,continuing,noncompliance,with,treatment.,,,ANS,-
b.,The,patient,will,increase,physical,activity,to,3500,steps,daily.
Which,exercises,are,appropriate,for,a,quadriplegic,patient?
a.,Active,range-of-motion,exercises
b.,Weight-bearing,exercises
c.,Aerobic,exercises
d.,Passive,range-of-motion,exercises,,,ANS,-d.,Passive,range-of-motion,exercises
Which,action,by,the,nurse,demonstrates,correct,use,of,a,gait,belt?
a.,The,patient,holds,on,to,the,gait,belt,during,transfer,to,the,chair.
b.,The,gait,belt,is,used,to,lift,the,patient,whose,legs,are,too,weak,to,stand.
c.,The,gait,belt,is,tied,loosely,around,the,patient's,waist,just,above,the,hips.
d.,The,nurse,follows,behind,the,patient,holding,onto,the,gait,belt,during,ambulation.,,,ANS,-
d.,The,nurse,follows,behind,the,patient,holding,onto,the,gait,belt
Which,action,demonstrates,correct,use,of,a,cane,by,a,patient,following,a,left,leg,injury?
a.,The,patient,holds,the,cane,securely,in,the,left,hand.
b.,The,patient,uses,the,cane,when,stepping,forward,with,the,right,leg.
c.,The,patient's,left,leg,and,cane,move,forward,together,when,walking.
d.,The,patient,leans,slightly,to,the,left,when,advancing,the,cane,forward.,,,ANS,-
c.,The,patient's,left,leg,and,cane,move,forward,together,when,walking.
, Which,action,demonstrates,correct,use,of,crutches,by,a,patient,following,a,left,leg,injury?
a.,The,handgrips,are,set,so,that,the,axillae,fully,support,the,patient's,body,weight.
b.,The,patient,looks,down,at,the,floor,when,taking,each,step,with,the,crutches.
c.,The,patient,moves,the,crutches,approximately,12,inches,forward,with,each,step.
d.,The,patient's,elbows,are,flexed,at,a,45-degree,angle,when,holding,the,handgrips.,,,ANS,-
c.,The,patient,moves,the,crutches,approximately,12,inches,forward,with,each,step.
Which,is,the,safest,method,for,a,patient,with,a,left,leg,injury,to,navigate,up,a,set,of,stairs?
a.,Sit,down,on,the,stairs,and,use,the,right,leg,to,lift,the,body,up,each,step.
b.,Use,a,gait,belt,,the,left,handrail,,and,a,crutch,under,the,right,arm.
c.,Securely,place,both,crutches,on,the,next,step,and,swing,the,body,upward.
d.,Bend,the,knee,of,the,right,leg,when,lifting,the,left,leg,up,to,the,next,step.,,,ANS,-
a.,Sit,down,on,the,stairs,and,use,the,right,leg,to,lift,the,body,up,each,step.
Which,task,may,be,delegated,to,the,nursing,assistant?
a.,Determine,the,patient's,need,for,a,low-air-loss,mattress,overlay.
b.,Assess,the,patient's,legs,for,the,presence,of,thromboembolism.
c.,Teach,the,patient,about,the,contractures,and,the,benefits,of,resting,hand,splints.
d.,Reposition,the,patient,at,least,every,2,hours,using,pillows,and,foam,wedges.,,,ANS,-
d.,Reposition,the,patient,at,least,every,2,hours,using,pillows,and,foam,wedges.
Which,action,by,the,nurse,demonstrates,correct,technique,for,repositioning,the,patient,in,bed?
a.,The,nurse's,knees,are,kept,stiff,to,enhance,lifting,strength,potential.
b.,The,nurse's,abdominal,muscles,are,relaxed,to,prevent,back,injury.
c.,The,nurse's,pelvis,is,tucked,inward,to,maintain,balance,during,the,procedure.
d.,The,nurse's,torso,twists,with,the,patient,to,facilitate,upper,extremity,muscle,use.,,,ANS,-
c.,The,nurse's,pelvis,is,tucked,inward,to,maintain,balance,during,the,procedure.
QUESTIONS WITH RIGHT ANSWERS.
How,does,the,nurse,maintain,a,low,center,of,gravity,while,transferring,the,patient,from,the,bed,to,the,ch
air?
a.,The,nurse,ties,the,gait,belt,loosely,around,the,patient's,waist.
b.,The,nurse,stands,with,the,knees,slightly,bent,and,legs,spread,apart.
c.,The,nurse,bends,at,the,waist,when,setting,the,patient's,feet,on,the,floor.
d.,The,nurse,leans,backward,slightly,when,helping,the,patient,to,stand.,,,ANS,-
b.,The,nurse,stands,with,the,knees,slightly,bent,and,legs,spread,apart.
Which,instruction,directs,the,patient,to,perform,an,isometric,exercise?
a.,"Use,the,trapeze,to,lift,your,upper,body,off,the,bed."
b.,"Tighten,and,hold,your,stomach,muscles,for,15,seconds."
c.,"Close,your,fists,and,squeeze,them,tightly,,release,and,repeat."
d.,"Lift,your,buttocks,off,the,bed,by,pushing,against,the,mattress.",,,ANS,-
b.,"Tighten,and,hold,your,stomach,muscles,for,15,seconds."
The,nurse,is,caring,for,a,patient,with,a,traumatic,injury,to,the,cerebellum.,Which,assessment,finding,will,
be,expected,as,a,result?
a.,The,patient,sways,from,side,to,side,when,walking.
b.,The,patient's,ligaments,are,weak,and,easily,ruptured.
c.,The,patient,has,fine,tremors,with,purposeful,movement.
d.,The,patient's,joints,are,reddened,,swollen,,and,warm,to,touch.,,,ANS,-
a.,The,patient,sways,from,side,to,side,when,walking.
What,is,the,priority,nursing,diagnosis,for,a,patient,with,osteoporosis?
a.,Risk,for,injury,(fracture),related,to,fragile,bone,tissue
b.,Activity,intolerance,related,to,pain,and,joint,stiffness
c.,Impaired,tissue,integrity,related,to,red,,swollen,,painful,joints
,d.,Fatigue,related,to,chronic,inflammatory,destruction,of,tissues,,,ANS,-
a.,Risk,for,injury,(fracture),related,to,fragile,bone,tissue
Which,assessment,finding,is,expected,for,a,patient,who,suffered,a,left-sided,thrombotic,stroke?
a.,Bilateral,footdrop
b.,Fine,tremors,of,the,hands
c.,Curvature,of,the,lumbar,spine
d.,Weakness,of,the,right,arm,and,leg,,,ANS,-d.,Weakness,of,the,right,arm,and,leg
The,nurse,is,caring,for,a,patient,with,right-
sided,hemiplegia,after,a,stroke.,Which,is,the,appropriate,goal,for,the,diagnosis,impaired,transfer,ability,r
elated,to,insufficient,muscle,strength?
a.,The,patient,will,safely,transfer,from,bed,to,chair,with,the,assistance,of,one,person.
b.,The,patient,will,verbalize,feelings,about,physical,limitations,due,to,immobility.
c.,The,nurse,will,reposition,the,patient,every,2,hours,and,pad,bony,prominences.
d.,The,nurse,will,utilize,a,gait,belt,around,the,patient's,low,back,for,all,transfers.,,,ANS,-
a.,The,patient,will,safely,transfer,from,bed,to,chair,with,the,assistance,of,one,person.
The,nurse,is,caring,for,a,patient,with,arthritis,who,wants,to,exercise,but,finds,it,difficult,due,to,joint,pain,
and,stiffness.,Which,nursing,diagnosis,is,appropriate,for,this,patient?
a.,Activity,intolerance,related,to,exertional,discomfort
b.,Noncompliance,related,to,lack,of,motivation,to,exercise
c.,Unilateral,neglect,related,to,health,beliefs,about,chronic,illness
d.,Powerlessness,related,to,expressions,of,uncertainty,about,benefits,of,exercise,,,ANS,-
a.,Activity,intolerance,related,to,exertional,discomfort
Which,is,the,priority,intervention,for,a,patient,with,the,nursing,diagnosis,of,impaired,physical,mobility,rel
ated,to,muscle,weakness,and,neuromuscular,impairment?
a.,Allow,the,patient,to,decide,when,and,how,far,to,ambulate,each,day.
b.,Utilize,a,walker,,gait,belt,,and,two,nursing,staff,members,for,ambulation.
c.,Suggest,a,variety,of,physical,activities,to,encourage,patient,engagement.
,d.,Encourage,the,patient,to,use,positive,self-talk,to,gradually,increase,strength.,,,ANS,-
b.,Utilize,a,walker,,gait,belt,,and,two,nursing,staff,members,for,ambulation.
Which,is,an,appropriate,goal,for,a,patient,with,the,nursing,diagnosis,of,sedentary,lifestyle,related,to,gen
eralized,weakness,and,fatigue?
a.,The,patient,will,identify,barriers,that,limit,social,interactions.
b.,The,patient,will,increase,physical,activity,to,3500,steps,daily.
c.,The,patient,will,use,a,pain,rating,scale,to,identify,levels,of,discomfort.
d.,The,patient,will,verbalize,the,risks,of,continuing,noncompliance,with,treatment.,,,ANS,-
b.,The,patient,will,increase,physical,activity,to,3500,steps,daily.
Which,exercises,are,appropriate,for,a,quadriplegic,patient?
a.,Active,range-of-motion,exercises
b.,Weight-bearing,exercises
c.,Aerobic,exercises
d.,Passive,range-of-motion,exercises,,,ANS,-d.,Passive,range-of-motion,exercises
Which,action,by,the,nurse,demonstrates,correct,use,of,a,gait,belt?
a.,The,patient,holds,on,to,the,gait,belt,during,transfer,to,the,chair.
b.,The,gait,belt,is,used,to,lift,the,patient,whose,legs,are,too,weak,to,stand.
c.,The,gait,belt,is,tied,loosely,around,the,patient's,waist,just,above,the,hips.
d.,The,nurse,follows,behind,the,patient,holding,onto,the,gait,belt,during,ambulation.,,,ANS,-
d.,The,nurse,follows,behind,the,patient,holding,onto,the,gait,belt
Which,action,demonstrates,correct,use,of,a,cane,by,a,patient,following,a,left,leg,injury?
a.,The,patient,holds,the,cane,securely,in,the,left,hand.
b.,The,patient,uses,the,cane,when,stepping,forward,with,the,right,leg.
c.,The,patient's,left,leg,and,cane,move,forward,together,when,walking.
d.,The,patient,leans,slightly,to,the,left,when,advancing,the,cane,forward.,,,ANS,-
c.,The,patient's,left,leg,and,cane,move,forward,together,when,walking.
, Which,action,demonstrates,correct,use,of,crutches,by,a,patient,following,a,left,leg,injury?
a.,The,handgrips,are,set,so,that,the,axillae,fully,support,the,patient's,body,weight.
b.,The,patient,looks,down,at,the,floor,when,taking,each,step,with,the,crutches.
c.,The,patient,moves,the,crutches,approximately,12,inches,forward,with,each,step.
d.,The,patient's,elbows,are,flexed,at,a,45-degree,angle,when,holding,the,handgrips.,,,ANS,-
c.,The,patient,moves,the,crutches,approximately,12,inches,forward,with,each,step.
Which,is,the,safest,method,for,a,patient,with,a,left,leg,injury,to,navigate,up,a,set,of,stairs?
a.,Sit,down,on,the,stairs,and,use,the,right,leg,to,lift,the,body,up,each,step.
b.,Use,a,gait,belt,,the,left,handrail,,and,a,crutch,under,the,right,arm.
c.,Securely,place,both,crutches,on,the,next,step,and,swing,the,body,upward.
d.,Bend,the,knee,of,the,right,leg,when,lifting,the,left,leg,up,to,the,next,step.,,,ANS,-
a.,Sit,down,on,the,stairs,and,use,the,right,leg,to,lift,the,body,up,each,step.
Which,task,may,be,delegated,to,the,nursing,assistant?
a.,Determine,the,patient's,need,for,a,low-air-loss,mattress,overlay.
b.,Assess,the,patient's,legs,for,the,presence,of,thromboembolism.
c.,Teach,the,patient,about,the,contractures,and,the,benefits,of,resting,hand,splints.
d.,Reposition,the,patient,at,least,every,2,hours,using,pillows,and,foam,wedges.,,,ANS,-
d.,Reposition,the,patient,at,least,every,2,hours,using,pillows,and,foam,wedges.
Which,action,by,the,nurse,demonstrates,correct,technique,for,repositioning,the,patient,in,bed?
a.,The,nurse's,knees,are,kept,stiff,to,enhance,lifting,strength,potential.
b.,The,nurse's,abdominal,muscles,are,relaxed,to,prevent,back,injury.
c.,The,nurse's,pelvis,is,tucked,inward,to,maintain,balance,during,the,procedure.
d.,The,nurse's,torso,twists,with,the,patient,to,facilitate,upper,extremity,muscle,use.,,,ANS,-
c.,The,nurse's,pelvis,is,tucked,inward,to,maintain,balance,during,the,procedure.
