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1. Which patient position is best for promoting lung expansion in
a patient with respiratory distress?
A. Supine B. Fowler’s position C. Trendelenburg position D.
Lithotomy position
Answer: B. Fowler’s position
Rationale: Fowler’s position promotes maximum chest expansion and
improves oxygenation by allowing the diaphragm to move downward
more effectively. This position is commonly used for patients
experiencing respiratory distress or difficulty breathing.
2. Which position is most appropriate for a patient receiving an
enema?
A. Left Sims’ position B. Supine position C. Trendelenburg position
D. Prone position
Answer: A. Left Sims’ position
,Rationale: The left Sims’ position allows the enema solution to flow
naturally into the sigmoid colon and descending colon due to gravity
and anatomical alignment. This position enhances patient comfort and
effectiveness of the procedure.
3. A nurse is repositioning an immobile patient every two hours
primarily to prevent:
A. Pneumonia B. Hypertension C. Pressure injuries D. Tachycardia
Answer: C. Pressure injuries
Rationale: Frequent repositioning reduces prolonged pressure on
bony prominences, thereby preventing pressure injuries and promoting
circulation to tissues. Immobility increases the risk of skin breakdown.
4. Which device is commonly used to reduce the risk of foot drop
in bedridden patients?
A. Trochanter roll B. Footboard C. Abduction pillow D. Gait belt
Answer: B. Footboard
Rationale: A footboard maintains the feet in dorsiflexion and prevents
plantar flexion contractures, also known as foot drop. This device is
especially important for patients on prolonged bed rest.
5. Which patient position is commonly used during insertion of a
rectal suppository?
A. High Fowler’s B. Right lateral C. Left Sims’ D. Lithotomy
Answer: C. Left Sims’
Rationale: The left Sims’ position facilitates access to the rectum and
follows the natural curvature of the sigmoid colon, making suppository
insertion easier and more comfortable.
, 6. A patient suddenly becomes dizzy while ambulating. What
should the nurse do first?
A. Continue walking slowly B. Assist the patient to sit or lie down C.
Leave the patient and seek help D. Encourage deep breathing while
standing
Answer: B. Assist the patient to sit or lie down
Rationale: Safety is the priority when a patient becomes dizzy during
ambulation. Assisting the patient to a seated or lying position prevents
falls and potential injuries.
7. Which position is contraindicated for a patient with increased
intracranial pressure?
A. Semi-Fowler’s B. Supine with hips flexed C. High Fowler’s D.
Side-lying
Answer: B. Supine with hips flexed
Rationale: Flexion of the hips and lying flat can increase intracranial
pressure by impairing venous drainage from the brain. Elevating the
head of the bed is generally preferred.
8. Which action demonstrates proper body mechanics when
lifting a patient?
A. Twisting at the waist while lifting B. Keeping feet close together
C. Bending at the knees and hips D. Holding the patient away from
the body
Answer: C. Bending at the knees and hips
Rationale: Proper body mechanics involve using the large muscles of
the legs and hips while maintaining a straight back. This reduces the
risk of musculoskeletal injury to the nurse.