PN Mobility Assessment: ATI- Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

PN Mobility Assessment: ATI- Questions and Answers | Latest Version | 2025/2026 | Correct & Verified Which body systems are most involved in maintaining mobility? Musculoskeletal and nervous systems What should the nurse assess before helping a client out of bed for the first time post-surgery? Level of consciousness, strength, and orthostatic blood pressure What is an early indicator of impaired mobility in an older adult? Unsteady gait What is the safest way to assist a client who reports dizziness when standing? Have the client sit or lie down immediately and notify the nurse How can the nurse assess the strength of a client’s lower extremities? Ask the client to push against resistance with their feet 2 What is one sign of muscle atrophy due to immobility? Decreased muscle mass and strength Why is it important to assess range of motion during a mobility assessment? To evaluate joint flexibility and identify limitations What is the best action for the nurse to take if a client has one-sided weakness? Support the weaker side when assisting with movement What is the term for the position where the client lies flat on the back? Supine What is one risk of prolonged immobility? Development of pressure ulcers What is the primary goal of using assistive devices like walkers or canes? To improve balance and promote safe mobility 3 How should the nurse evaluate a client’s risk for falls? Assess gait, balance, cognitive status, and environmental hazards What should the nurse observe when assessing a client’s gait? Speed, stride length, and symmetry of movement What is a common complication from immobility that affects the lungs? Atelectasis or pneumonia How does immobility affect circulation in the lower extremities? It increases the risk of deep vein thrombosis (DVT) Why is it important to reposition a client every 2 hours? To reduce the risk of skin breakdown and promote circulation What should the nurse document after a mobility assessment? Strength, coordination, use of assistive devices, and level of assistance needed 4 What is a sign that a client may need physical therapy for mobility? Difficulty walking or standing independently When assisting a client with ambulation, where should the nurse stand? On the client’s weaker side What should the nurse do before using a mechanical lift? Verify the client’s weight and ensure