VERSION 2026 QUESTIONS WITH
ANSWERS A GRADE 100% PASS
1 A nurse observes a patient rising from a chair slowly by
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pushing on the chair arms. Which type of tension and contra
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ction did the nurseobserve?
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Eccentric tension and isotonic contraction
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a. Eccentric tension and isometric contraction WQ WQ WQ WQ
b. Concentric tension and isotonic contraction WQ WQ WQ WQ
c. Concentric tension and isometric contraction WQ WQ WQ WQ
ANS: A WQ
This movement causes eccentric tension and isotonic contraction. Eccentri
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c tension helps control the speed and direction of movement. For example,
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when using an overhead trapeze, the patient slowly lowers himself to the
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bed. The lowering is controlled when the antagonistic muscles lengthen. B
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y pushing on the chair arms and rising eccentric tension and isotonic contr
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action occurred. In concentric tension, increased muscle contraction causes
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muscle shortening, resulting in movement such as when a patient uses an
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overhead trapeze to pull up in bed. Concentric and eccentric muscle action
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s are necessary for active movement and therefore are referred to as dyna
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mic or isotonic contraction. Isometric contraction (static contraction) cause
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s an increase in muscle tension or muscle work but no shortening or activ
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e movement of the muscle (e.g., instructing the patient to tighten and relax
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a muscle group, as in quadriceps set exercises or pelvic floor exercises).
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1. A nurse notices that a patient has a structural curvature of the spine
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associated with vertebral rotation. Which condition will the nurse most
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likelyfind documented in the patient’s medical record?
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, a. Scoliosis
b. Arthritis
c. Osteomalacia
d. Osteogen
esis ANS: A
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, Scoliosis is a structural curvature of the spine associated with vertebral rot
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ation. Osteogenesis imperfecta is an inherited disorder that makes bonespo
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rous, short, bowed, and deformed.
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Osteomalacia is an uncommon metabolic disease characterized by in
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adequate and delayed mineralization,resulting in compact and spongy
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bone. Arthritis is an inflammatory joint disease characterized by infl
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ammation or destruction of the synovial membrane and articular carti
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lage and by systemic signs of inflammation.
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2. A nurse is caring for a patient who has some immobility fro
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m noninflammatory joint degeneration. The nurse is teaching th
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e patient
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about this process. Which information will the nurse include in theteaching session?
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a. This will affect synovial fluid.
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b. This will affect the body systemically.
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c. This involves mostly non–weight-bearing joints.
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d. This involves overgrowth of bone at the articular ends.
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ANS: D WQ
Joint degeneration, which can occur with inflammatory and noninflammatory
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disease, is marked by changes in articular cartilage combined with overgrowtho
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f bone at the articular ends. Degenerative changes commonly affect weight-
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bearing joints. Synovial fluid is normal in noninflammatory diseases.
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Inflammatory joint disease (e.g., arthritis) is characterized by inflammation
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ordestruction of the synovial membrane and articular cartilage and by syst
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emic signs of inflammation.
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3. The nurse is providing care to a patient who is bedridden. The nurse
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raises the height of the bed. What is the rationale for the nurse’s action?
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a. Narrows the nurse’s base of support. WQ WQ WQ WQ WQ
b. Allows the nurse to bring feet closer together.
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c. Prevents a shift in the nurse’s base of support.
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Shifts the nurse’s center of gravity farther away from the base of
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