Foundations of Nursing Practice Exam 1: Comprehensive Exam part 2 With Rationale
Which system develops orthostatic hypotension with immobility?: Cardiovascular.
R: Blood pooling, clot risk.
Which exercise increases muscle strength without movement?: Isometric
(e.g., plank).
R: Isotonic = movement.
What's the safest lift method for immobile patients?: Mechanical lift.
R: Prevents nurse injury.
Which position prevents aspiration in tube-fed patients?: Semi-Fowler's
(30-45°).
R: Upright reduces reflux risk.
Which device is best for unilateral weakness?: Walker with gait belt.
R: More stable than cane.
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, Safest way to assist a falling patient?: Guide to floor, protect head.
R: Don't pull arms or hold upright.
Which GI effect improves with activity?: Peristalsis.
R: Prevents constipation.
What causes kidney stone risk in immobile patients?: Hypercalcemia.
R: Bone breakdown excess Ca excreted.’
Which universal fall precaution is most effective?: Hourly rounding (toileting, pain,
positioning).
R: Prevents unassisted ambulation.
Which environmental adjustment reduces fall risk most?: Call light/personal items
within reach.
R: Encourages safe requests for help.
Best bed position for high fall-risk patients?: Lowest height, wheels locked.
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Which system develops orthostatic hypotension with immobility?: Cardiovascular.
R: Blood pooling, clot risk.
Which exercise increases muscle strength without movement?: Isometric
(e.g., plank).
R: Isotonic = movement.
What's the safest lift method for immobile patients?: Mechanical lift.
R: Prevents nurse injury.
Which position prevents aspiration in tube-fed patients?: Semi-Fowler's
(30-45°).
R: Upright reduces reflux risk.
Which device is best for unilateral weakness?: Walker with gait belt.
R: More stable than cane.
1/6
, Safest way to assist a falling patient?: Guide to floor, protect head.
R: Don't pull arms or hold upright.
Which GI effect improves with activity?: Peristalsis.
R: Prevents constipation.
What causes kidney stone risk in immobile patients?: Hypercalcemia.
R: Bone breakdown excess Ca excreted.’
Which universal fall precaution is most effective?: Hourly rounding (toileting, pain,
positioning).
R: Prevents unassisted ambulation.
Which environmental adjustment reduces fall risk most?: Call light/personal items
within reach.
R: Encourages safe requests for help.
Best bed position for high fall-risk patients?: Lowest height, wheels locked.
2/6
