a nurse is caring for a client who had a stroke and reports having difficulty with
proprioception. the nurse should plan to assess the client for which of the following?
- restricted movement due to abnormal fixation of a joint
- a drop in blood pressure that occurs with a change in position
- altered gait with dragging of the toes while ambulating
- diminished awareness of body position and balance - Answer - ✔ diminished
awareness of body position and balance
a nurse is caring for a client who has pneumonia. in which of the following positions
should the nurse place the client to promote postural drainage?
- lateral
- supine
- prone
- Fowler's - Answer - ✔ prone
a nurse is evaluating a client who has a broken leg and is using crutches. which of the
following actions by the client demonstrates proper use of the crutches?
- the hand grips of the crutches are at the level of the client's umbilicus
- the client's elbows are bent 45 degrees when holding the crutches
- the client places their weight on their axilla when using the crutches
- the client has the crutches resting 5 cm (2 in) below their axilla - Answer - ✔ the client
has the crutches resting 5 cm (2 in) below their axilla
a nurse is preparing a poster presentation about the musculoskeletal system. the nurse
should include that which of the following is responsible for body posture?
- center of gravity
- bones
- muscles
- synovial joints - Answer - ✔ muscles
a nurse is teaching a newly hired assistive personnel (AP) about working with clients
who require assistance with ADLs. which of the following activities should the nurse
include as an ADL?
- toileting
- writing
- ambulating
- talking - Answer - ✔ toileting
a nurse is teaching an in-service about the nurse of ergonomics to a group of staff
members. which of the following information should the nurse include?
- the use of ergonomics improves blood circulation in the body
- the use of ergonomics eliminated costs related to workers' compensation
- the use of ergonomics increases job satisfaction
, - the use of ergonomics maintains the body's balance and a lower center of gravity -
Answer - ✔ the use of ergonomics increases job satisfaction
a nurse is providing teaching for a client who injured their ankle. which of the following
information should the nurse include?
- cartilage is always remodeling and changing
- tendons connect muscle to bone
- ligaments are flexible connective tissue that coat bony areas
- synovial joints attach the skeleton to maintain posture - Answer - ✔ tendons connect
muscle to bone
a nurse is performing a focused assessment on an older adult client's mobility. which of
the following findings should indicate to the nurse that the client is experiencing an age-
related change to their musculoskeletal system?
- increased curvature of the thoracic spine
- reduced depth perception
- narrower stance when standing
- quick steps when ambulating - Answer - ✔ increased curvature of the thoracic spine
a nurse is providing teaching for a client who has kyphosis. which of the following
information should the nurse include?
- kyphosis is when the upper back extends posteriorly to the lower back
- kyphosis is an inward curvature of the lower back
- kyphosis is a sideways curvature of the spine
- kyphosis is a rounded upper back with the pelvis tilted forward - Answer - ✔ kyphosis
is a rounded upper back with the pelvis tilted forward
a nurse is teaching a client who has an unsteady gait about how to use a walker. which
of the following instructions should the nurse include?
- the top of the walker should be at the level of your wrist
- when using the stairs, place the walker before taking a step
- when holding the walker, bend your elbows 30 degrees
- take a step first before moving the walker - Answer - ✔ the top of the walker should be
at the level of your wrist
a nurse is completing the Mobility Assessment Tool (MAT) for a client and determines
that the client is at Level 1 Mobility. the nurse should identify that the client is unable to
perform which of the following tasks?
- sit on the edge of the bed for 1 minute
- stand in place for 5 seconds
- walk in place
- step forward and backward - Answer - ✔ sit on the edge of the bed for 1 minute
a nurse is preparing to transfer a client from a bed to a wheelchair. which of the
following actions by the nurse demonstrates proper use of body mechanics?
- twisting the torso when transferring the client