BSN 425 Functional Ability Mastery Test: ADLs,
IADLs, and Rehabilitation Concepts (2025 Edition)
Functional Ability: Clinical Application and Nursing
Interventions – Exam Prep Series
1.
A nurse is assessing an older adult’s ability to perform activities of daily living (ADLs). Which
tool is most appropriate for this assessment?
A. Mini-Mental State Exam (MMSE)
B. Katz Index of Independence in ADLs
C. Geriatric Depression Scale
D. Braden Scale
✅ Correct Answer: B
Rationale: The Katz Index measures functional independence in basic ADLs such as bathing,
dressing, toileting, transferring, continence, and feeding. The MMSE measures cognition, and
the Braden Scale measures skin breakdown risk.
2.
A patient recovering from a stroke has right-sided weakness. The nurse should first focus on:
A. Encouraging independence with ADLs
B. Performing all care to prevent fatigue
C. Teaching passive range of motion only
D. Restricting movement to the unaffected side
✅ Correct Answer: A
Rationale: Promoting independence maximizes functional ability and prevents learned
dependence. Support is provided as needed but not to the extent of fostering dependency.
3.
Which nursing diagnosis is most appropriate for a client with advanced Parkinson’s disease who
struggles with self-care?
A. Risk for injury related to tremors
B. Impaired physical mobility related to muscle rigidity
C. Self-care deficit related to neuromuscular impairment
D. Fatigue related to disease progression
, ✅ Correct Answer: C
Rationale: The defining feature is difficulty completing ADLs due to impaired motor control,
fitting the diagnosis of “Self-care deficit.”
4.
The nurse observes a client with osteoarthritis who has difficulty ambulating. Which intervention
is most important?
A. Encourage bed rest
B. Teach energy conservation and use of assistive devices
C. Apply cold compresses before activity
D. Increase walking distance daily regardless of pain
✅ Correct Answer: B
Rationale: Energy conservation and assistive device use improve mobility safely. Resting too
much causes deconditioning.
5.
Functional ability is best defined as:
A. The capacity to perform tasks with assistance
B. The ability to perform activities needed for independent living
C. The process of cognitive evaluation
D. A measure of physiological health
✅ Correct Answer: B
Rationale: Functional ability includes the physical, psychological, cognitive, and social capacity
to perform activities essential for independent living.
6.
Which of the following represents an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Dressing
C. Managing finances
D. Feeding
IADLs, and Rehabilitation Concepts (2025 Edition)
Functional Ability: Clinical Application and Nursing
Interventions – Exam Prep Series
1.
A nurse is assessing an older adult’s ability to perform activities of daily living (ADLs). Which
tool is most appropriate for this assessment?
A. Mini-Mental State Exam (MMSE)
B. Katz Index of Independence in ADLs
C. Geriatric Depression Scale
D. Braden Scale
✅ Correct Answer: B
Rationale: The Katz Index measures functional independence in basic ADLs such as bathing,
dressing, toileting, transferring, continence, and feeding. The MMSE measures cognition, and
the Braden Scale measures skin breakdown risk.
2.
A patient recovering from a stroke has right-sided weakness. The nurse should first focus on:
A. Encouraging independence with ADLs
B. Performing all care to prevent fatigue
C. Teaching passive range of motion only
D. Restricting movement to the unaffected side
✅ Correct Answer: A
Rationale: Promoting independence maximizes functional ability and prevents learned
dependence. Support is provided as needed but not to the extent of fostering dependency.
3.
Which nursing diagnosis is most appropriate for a client with advanced Parkinson’s disease who
struggles with self-care?
A. Risk for injury related to tremors
B. Impaired physical mobility related to muscle rigidity
C. Self-care deficit related to neuromuscular impairment
D. Fatigue related to disease progression
, ✅ Correct Answer: C
Rationale: The defining feature is difficulty completing ADLs due to impaired motor control,
fitting the diagnosis of “Self-care deficit.”
4.
The nurse observes a client with osteoarthritis who has difficulty ambulating. Which intervention
is most important?
A. Encourage bed rest
B. Teach energy conservation and use of assistive devices
C. Apply cold compresses before activity
D. Increase walking distance daily regardless of pain
✅ Correct Answer: B
Rationale: Energy conservation and assistive device use improve mobility safely. Resting too
much causes deconditioning.
5.
Functional ability is best defined as:
A. The capacity to perform tasks with assistance
B. The ability to perform activities needed for independent living
C. The process of cognitive evaluation
D. A measure of physiological health
✅ Correct Answer: B
Rationale: Functional ability includes the physical, psychological, cognitive, and social capacity
to perform activities essential for independent living.
6.
Which of the following represents an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Dressing
C. Managing finances
D. Feeding
